DEPARTMENT OF HEALTH & HUMAN SERVICES
ADMINISTRATION FOR CHILDREN AND FAMILIES
Mary E. Switzer Building
330 C ST, S.W.
Washington, D.C. 20201

Case No: 18-F-0097
Civil Action 18-cv-241

February 28, 2019

Ms. Mary Alice Carter
Executive Director
Equity Forward
85 Broad Street
New York, NY 10004

Dear Ms. Carter:
This is the eighth interim response of the Administration for Children and Families to your December
12, 2017, Freedom of Information Act (FOIA) request for correspondence from certain named
Administration for Children and Families (ACF) employees which included certain specified terms, for
the months of March, May, September and October 2017. Specifically, you sought the following
items:
1. Correspondence to, from or carbon copied to 1:
Scott Lloyd
Jonathan White
Curi Kim
Judith Haron
Anna Marie Bena
Scott Logan
Tricia Swartz (Associate Deputy, ORR)
Jallyn Sualog (Director of Children Services)
James De La Cruz (Houston Field Supervisor)
2.

1

The request asked that the search use the following search terms
• “pregnancy”
• “pregnant”
• “ORR director”
• “abortion”
• “ru-486”

The request also sought emails to, from and carbon copying Maggie Wynne and Dr. David Teuscher. However, ACF
advised Equity Forward that these individuals work for at the department level and the Office of the Secretary Division of
FOI/Privacy has jurisdiction over those records.

 Case No. 18-F-0097
Civil Action 18-cv-241
Ms. Mary Alice Carter
Eighth Interim Response
Page 2 of 3

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•
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•

“CPC”
“ultrasound”
“rape”
“nonconsensual”
“Gestational”
“judicial bypass”
“life affirming”
“unborn child”
“spiritual counseling”
“options counseling”
“WTF”
“Terminating”
“terminate”
“termination”
“Pregnancy notification”
“Pregnancy motivations”
“Scott is”
“Scott said”
“from Scott”

Your request was sent to the Office of Refugee Resettlement (ORR) and the Office of the Chief
Information Officer for a search for responsive records. The Office of the Chief Information Officer
performed the search and provided 159,000 pages of responsive records.
Following extensive negotiations between the parties, it was agreed that ACF would begin its
production by disclosing emails without attachments, after which Equity Forward would choose the
attachments it wished to receive.
Accordingly, please find enclosed 714 pages of responsive records. Twenty-nine (29) additional pages
were forwarded to the Office of the Secretary (OS), Department of Health and Human Services (HHS)
and to other federal agencies for consultation on those pages that originated within those offices.
Some of the information on the disclosed pages has been withheld under the FOIA exemptions (b)(5)
and (b)(6). The exemption (b)(5) protects inter-agency or intra-agency memorandums or letters which
would not be available by law to a party other than an agency in litigation with the agency. The
exemption protects agency deliberations, both internal and with agency contractors and consultants,
attorney-client privileged records and attorney work product. In this case, the withheld information
includes pre-decisional discussions within the agency and between agency staff and contractors about
management of the program and individual children, sensitive communications between agency staff
seeking legal advice and counsel on policy and other matters and documentation of attorney thoughts
and work in anticipation of litigation.
The FOIA exemption (b)(6) permits the withholding of records which, if released, would constitute a
clearly unwarranted invasion of personal privacy. In this case, the withheld information consists of the

 Case No. 18-F-0097
Civil Action 18-cv-241
Ms. Mary Alice Carter
Eighth Interim Response
Page 3 of 3

identities and/or other private information of private individuals and the work cell phones of federal
employees. Public disclosure of this information would constitute an invasion of privacy of those
individuals whose identifying information was disclosed. In withholding the information, the
individual’s privacy interest was balanced against any public interest in disclosure. In each instance
where information was withheld, it was determined that the individual’s privacy interests outweighed
any public interest in disclosure of the withheld information. Disclosure of the withheld information
would invade the privacy of the subject individuals but would reveal nothing about the operations or
activities of the government.

Sincerely yours,

Celeste Smith
Acting Director
Office of Communications
Freedom of Information Office
Administration for Children and Families
Department of Health and Human Services

 003634

De LA Cruz, James (ACF) </O=EXCHANGELABS/OU=EXC
HANGEADMINISTRATIVEGROUP

From: ( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN=2EBA9SD119AB4CD6A77B34616DC3366C-DE
LA
CRUZ,>
To:

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba9Sdl19ab4cd6a77b34616dc3366c-De
LA Cruz,>"

Subject: FW: Termination of Pregnancyrequest 2
Date: 2017/03/06 14:04:26
Priority: Normal
Type: Note

This email sent to self to change the name for filing purposes.
James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washington, DC 20201
Office: l(b)(6)
Cell) ~b)_(6_l --~
Fax: 202-401-1022
http ://www.acf.hh s.gov/program s/orr/programs/ucs

I

I

From:l(b}(6l
[ma ilto £b)(6)
tg}swkey.org]
Sent : Wednesday, February 01, 2017 7:06 PM .,,...,...,,,.,....-----,
r;:-:-:::s-:-----,
To: Meyerstein, Shaanan (ACF); Keila Alvarado; b)(6)
· Calero, Wilfred
ACF · De LA Cruz James ACF · b)(6)
(b)(6)
b)(6)
(b)(6)
,...._
_,
b)(6)
(b)(6)
art o omew, Michael (ACF); Kim, Curi (ACF); De LA Cruz,
James (ACF); DCS - ~edical;
Houppert (Ruhkamp), Gail (ACF)
Subject: Re: Termination of Pregnancy request

____

Hello Team
From my experience working with this UC , I am NOT feeling that she has developmenta l delays
She was nervous in court and felt intimidated , this may the reason for her lack or articulation
with the judge
Also, keep in mind she has only a 3rd grade education
I am feeling that it is these two reasons that she is struggling to articulate, not a development
delay

EXT-18-241-N-000001

 003635

I am not a psychologist so I wouldn't object to psychological testing to make the detennination
IMC, LPC
Clinician office 501

~b)(6)

Program 921: Kokopelli
Phone: 480-500-1076 Extensionf b)(6)
Email: l(b)(6)
~~.Q!g
Regular Work Schedule: Tuesday -- Saturday, 8am-4pm

I

From : Meyerste in, Shaanan (ACF)<Shaanan.Meyerstein@acf.hhs.gov >
Sent : Wednesday, February 1, 2017 11:33 :51 AM
To: Keila Alvarado; (b)(6 )

LA Cruz, James (ACF)

fbl(6)

Calero, Wi lfred (ACF); De

b)(6)

I Bartholomew,

Michael (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS
Medical; Houppert (Ruhkamp), Gail (ACF)
Subject: Termination of Pregnancy request
Good afternoon,
We will be cancelling the conference call for this afternoon. After a conversation with Jim De La Cruz as
to the best way forward with this case we have decided the following:
1) The judge called into question this minor's capacity for medical decision making and the field
staff and shelter staff have noted that she is "delayed". As I have done in prior complex cases
that involve a serious medical procedure, we are requesting that this minor undergo formal
evaluation by a psychologist to assess her mental capacity in the next few days. If it is
determined that she is significantly delayed and with cognitive impairment, that will raise the
issue whether or not we can override her legal right to confidentiality in not disclosing to her
parents and getting parental consent for termination about her pregnancy as it will put her life
in danger for various reasons
2) The sponsor needs to have an expedited in depth home study for a number of reasons - 1) the
possibility that his younger sister has a developmenta l delay and she will require more support
than he might be able to provide; 2) the possibility that he wou ld have to care for her if we were
to release her being pregnant if she agrees to disclose her pregnancy to him; 3) to ensure the
minor's safety with the brother;
I have cc'd Gail Houppert who directs the Home studies and PRSto ensure that this home study
is expedited given the t ime sensitivity with this young lady advancing in her pregnancy
3) I am requesting that the FFSidentify a possible OB practice in the sponsor's community in
advance in the event that we come to the conclusion that we will discharge this young lady
4) The shelter staff and case management staff should continue to work with the minor to help
understand her situation and the importance of disclosing her medical condition to her parents
or brother.
I would like to raise one additional curveball, that if she is discharged to her brother and was
willing to disclose her pregnancy to her brother but not her parents, that in some states (I don't
know the laws in Florida) that still would not suffice for consent.

EXT-18-241-N-000002

 003636

I think it is important that we set a firm deadline for ourselves to have these tasks accomplished given
the fact that she is 13 weeks pregnant and state laws limit procedures passed a certain gestational age.
Please respond with updates to the FFSWilfred Calero on all of these matters by 2/10. The Medical
Team will be happy to consult once we have a more complete picture of the situation.

Thank you for your time and help on this case.

Shaanan Meyerstein, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 {office)
Kb)(6)
l{cell)
Shaanan.meyerstein@acf.hhs.gov

From : Meyerstein, Shaanan (ACF)
Sent : Wednesday, February 01, 2017 9:12 AM
To : Keila Alvarado

Cc: b)(6)

Calero, Wilfred (ACF); De LA Cruz, James

(ACF); b)(6)
b)(6)

Bartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS - UAC

Medical

Subject: RE: Arizona Laws regarding abortion
4pm EST/2 pm MTN works. Keila can you set up a conference call line please?
Please reply to Keila if you will be on the call and what your role is in the case is since there are so many
staff members included on this email.
Thanks,
Shaanan Meyers t ein, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
{202) 401 -4639 {office)
fb )(6)
l{cell)
Shaanan.meyerstein@acf.hhs.gov

EXT-18-241-N-000003

 003637

From: Keila Alvarado [ mailto:kalvarado@swkey.org 1
Sent: Tuesday, January 31, 2017 9:32 PM
To : Meyerstein, Shaanan (ACF)
Cc: tb)(6)
(ACF); b)(6)

I Calero, Wilfred (ACF); De LA Cruz, James

Hello Dr. Meyerstein, I propose 1 pm EST(11 am MTN) or 4 pm EST(2 pm MTN). I hope the times
proposed work for all.
Thank you,
Keila Alvarado, LLM
Program Director
Southwest Key Programs-Kokopelli 921
fb )(6)

I

Sent from my iPhone
On Jan 31, 2017, at 6:45 PM, Meyerstein, Shaanan (ACF) <Shaanan.Meyerstein@acf.hhs.gov >wrote :
This case is very complex, far beyond email exchanges.
Can we please schedule a conference call to discuss this minor's case tom?
After 1pm EST?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
!(b)(6)
[cell)
Shaanan.meyerstein@acf.hhs.gov

From:Kb)(6)
I[ mailto Eb)(6)
Sent: Tuesday, January 31, 2017 6:17 PM
To: Meyerstein, Shaanan (ACF);~k
b~)(6
=)-----------~I
(ACF)
Cc~(b~
)(=)6---------------------------,

@swkey.org1
Calero, Wilfred

!(b)(6)
!Keila Alvarado
Subject: RE: Arizona Laws regarding abort ion
Good Afternoon Shaanan,

EXT-18-241-N-000004

 003638

The sponsor is the brother fb)(6)~ears of age, resides in Florida. If the minor was indeed
medically stable for discharge, we could of course discharge the minor to the sponsor .
However, the sponsor would still be unaware of the client being pregnant from being
sexually assaulted, and wanting an abortion. Therefore, the sponsor would not be
prepared for the release of the minor, and possible withdrawal from being a sponsor.
Further assessment is still needed at this time to ensure a safe release of the minor .
Please let me know if you have any questions.
Thank you,
r b)(6)

Case Manager
Southwest Key Program - Kokopelli
l(b)(6)
@swkev .org
Fax: 480-452-0603
Phone: l~
<b_)<6_) ___
~
From: Meyerstein, Shaanan (ACF) fmailto :Shaanan.Meyerstein@acf.hhs .gov]
Sent: Tuesday, January 31, 20 17 2:40 PM

To:l(b)(6)
~swkey.org >;Kb)(6)
'f b)(6)
g>swkey.org >;Kb)(6)
~swkey.org >; Calero, Wilfr ed
(ACF) <Wi lfred.Calero@acf.hhs.gov >
Cc:l(b)(6)
@swkey.org>.__
l(b--'l('-6)'-------'
<<~b
)(6)
l@swkey.org1/bl/6l
@swkey.org >;~l
<b_)(_
6)----;;:::;:;;::====;-'I
fuwkey.org >; Kb)(6)
p)swkey.org>; ~~b_
)(6_)
l(b)(6)
@swkey.org>; Keila Alvarado <kalvarado@swkey .org>
Subject: RE: Arizona Laws regarding abortion

l

_~I

!(b)(6)

To be clear - if I told you that the minor was medically stable for discharge, then she could
be discharged to her sponsor?
Who is the sponsor and where do they reside?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
j(b)(6)
lcell)
Shaanan.meyerstein@acf .hhs.gov

EXT-18-241-N-000005

 003639

From: l<b)(6)
[ mailto:Kb)(6)
@swkey.orgl
Sent: Tuesday, January 31, 2017 1:03 PM
To: Meyerstein, Shaanan (ACF); ""K
b..,...,
)(=
6)--------------,1
(ACF)
Cc:"'!
(b..,.,
)(=6)
-----------------------,1
6
r! < >
Keila Alvarado

Calero, Wilfred
Arturo Calderon;

Subject: RE: Arizona Laws regarding abortion
Good Morning Shaanan,
The law confirms the gestational age in Arizona below:
Prohibiting Abortions Past 20 Weeks of Pregnancy (A.R.S.§ 36-2159) - Prohibits abortions
past 20 weeks gestation, except in the case of a medical emergency. t
The sponsor for this minor is in kb)(6) I and the status of reunification is pending the
medical condition of the client. All other documentation has been provided by the sponsor
for reunification.
Thank you,
l(b)(6)

Case Manager
Sout hwest Key Program - Kokopelli
l<b)(6)
@swkey .org
Fax: 480-452-0603
Phone: ~l
<b_)(6_) ___

~

From: Meyerstein, Shaanan (ACF) [mailto:Shaanan.Meyerstein@acf.hhs.gov ]
Sent: Tuesday, January 31, 2017 10:58 AM
To : !(b)(6)
k§)swkey.org>Jb)(6)

l<bl(6l
~swkey.o rg>; !(b)(6)
l@swkey.org>; Calero, Wilfred
(ACF)<Wilfred.Calero@acf.hhs.gov >
Cc:!(b)(6)
t@swkey.org>;"""!
(b""'
)(""'6
l'--------'
f b)(6)
@swkey.org>; Kb)(6)
@swkey.org>; Kb)(6)
<tbl(6l
@swkey.org>; kbl(6l
l@swkey.org>fb)(6)
l(b)(6)
@swkey.org>; Keila Alvarado <kalvarado@swkey.org >
Subject: RE: Arizona Laws regarding abortion

I
I

Can someone please confirm Gestational Age in Arizona when abortion is legal for
whatever circumstance?
Where is the sponsor for this minor and what is the status of reunification?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program

EXT-18-241-N-000006

 003640

Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
!(b)(6)
!(cell)
Shaanan.meyerstein@acf .hhs.gov

From: !(b)(6)
l[ mailto Kbl(6)
@swkey.org1
Sent: Tuesday, January 31, 2017 12:46 PM
To: l(b)(6)
~ Meyerstein, Shaanan (ACF); Calero, Wilfred
(ACF)
Cc: !~
(b-)(6
- )-------------------------~

I

~b)(6)
Keila Alvarado
Subject : RE: Arizona Laws regarding abortion
Good Morning!
As previously staffed with our leadership, it was determined that the notarized letter from
the parents would not be sufficient for the termination to take place. The client may be
open to speaking with her mother if we were able to obtain permission to proceed with
the notarized letter of consent from the mother in home country.
However, as I am under the assumption that we would only be able to proceed with the
termination once we appealed to the court to obtain the judicial bypass because the
mother would not be able to attend the abortion procedure.
As the clinician has stated below, that the client does not feel comfortable informing her
family, and would like to appeal. Please let me know if there are any questions.
Thank you,
r b)(6)

Case Manager
Sout hwest Key Program - Kokopell i
j<b)(
6)
f@swkey.org
Fax: 480-452- 0603
Phone ~l
<b_l<5_l___
__,

I

Fromf bl(6)
Se nt : Tuesday, January 31, 20 17 9:54 AM
To: l(b)(6)
l@swkey.org>; Meyerstein, Shaanan (ACF)
<Shaanan.Meyerstein@acf .hhs.gov>; Calero, Wilfred (ACF)<Wilfred .Calero@acf.hhs.gov>
Cc: !(b)(6)
@swkey.org >
Subje ct: Re: Arizona Laws regarding abortion

EXT-18-241-N-000007

 003641

The client continues to not want to inform any family members, her parents nor
her Sponsor
She wants to appeal the Judge's decision, I have emailed the lawyers assigned to
her and have not heard back.
My concern is the ti meliness of this issue

IMC, LPC

l<b)(6)

Clinician office 501
Program 921: Kokopelli
Phone: 480-500-1076 Extension!<bl/6l
fg)swkey.org
Email: kb)(6)
Regular Work Schedule: Tuesday-- Saturday, 8am-4pm

~

From:~K b_)(_6)____

Sent: Tuesday, January 31, 2017 9:52:01 AM
To: Meyerstein, Shaanan (ACF); Calero, Wilfred (ACF)

I

~*~~

Subject: RE: Arizona Laws regarding abortion

Good morning!
I have copied her case manager and clinician to this email.
They may be better able to answer this question for you.

Thanks©
j(b)(6)

Lead Medical Coordinator
Southwest Key Programs
Casa Kokopelli #921

g:

fb )(6)

I

F: (480) 393-8104
!/b\/ 6\
@swkey.org
CONFl DENTIALITY NOTICE:This emai l, including attachments, is for the sole use of the intended recipient(s) and may
conta in confident ial and priv ileged information covered by th e Electronic Communicat ions Privacy Act, 18 U.S.C. 25102521. Any unauthorized rev iew, use, or d isclosure or distr ibution is proh ibited. If you are not the intended recipient,
please contact the sender immediate ly and destroy all copies of the orig inal message.

From: Meyerstein, Shaanan (ACF) [mailto :Shaanan.Meyerstein@acf.hhs .gov]
Sent: Monday, January 30, 2017 4:22 PM

@swkey.org >; Calero, Wilfred (ACF)
<Wilfred.Calero@acf.hhs.gov >
Subject: RE: Arizona Laws regarding abortion
To:l (b)(6)

l(b)(6)

land Wilfred,

EXT-18-241-N-000008

 003642

Since the judge denied the judicial bypass, did the minor speak with her parents about her
pregnancy over the weekend? Did the parents consent?
Thanks,

Shaanan Meyerstein, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
j(b)(6)
l(cell)
Shaanan.meyerstein@acf .hhs.gov

From : !(b)(6)
ILmailto fb)(6)
~swkey .org l
Sent : Monday, January 23, 2017 12:27 PM
To: Meyerstein, Shaanan (ACF)
Subject : Arizona Laws regarding abortion
AZ Laws rega rding Abort ion:

Arizona law requires that women under 18 years old seeking an abortion must either have
the notarized written permission of one of their parents/legal guardian or permission from
a Superior Court Judge.
Ensuring Adequate Consent
• Parental Consent (A.R.S. § 36-2152)- Requires parental consent for minors seeking
abortions but allows for judicial bypass. Requires the parental consent to be obtained on a
form to ensure that parents are informed of all of the medical risks of abortion before
giving consent. Requires parental consent to be notarized. Allows parents to sue (1) an
abortion provider who performs on abortion on their minor daughter without parental
consent or (2) any person who assists a minor in obtaining on abortion without parental
consent.
• Informed Consent {A.R.5. § 36-2153)- lnformotion must be provided 24 hours in advance
to a woman seeking an abortion about the risks and alternatives of the procedure, the
probable gestational age and physiological characteristics of the preborn child, and the
services available from public and private agencies to assist during pregnancy and ofter
birth. Requires that the information is provided at on in-person consultation with a doctor.
Allows a woman to file a lawsuit against an abortion provider who fails to obtain informed
consent. Requires the Department of Health Services to create and maintain a website
providing unbiased information about fetal development, the risks of abortion, and
information about alternatives to abortion.
• Informed Consent for Lethal Condition (A.R.S. § 36 -2158) - When a woman discovers that
her child may have a life-threatening birth defect or other fetal condition, information must
be provided 24 hours in advance about the support that is available to her, including

EXT-18-241-N-000009

 003643

perinatal hospice. Requires the Department of Health Services to create and maintain a
website providing unbiased information about perinatal hospice and assistance available
for children with special needs.
• Opportunity to View Ultrasound {A.R.S. § 36-2156) - Requires an ultrasound to be
performed at least 24 hours before every abortion, and a woman seeking abortion must be
offered the opportunity to view the ultrasound and hear the baby's heartbeat, if audible.
• Coercion Prohibited (A.R.S. § 36-2153) - Prohibits a person from intimidating or coercing
another person into having an abortion and allows minors to obtain public assistance
benefits if parents cut off financial support because the minor refuses to have an abortion.
Requires that all abortion clinics conspicuously post signs that state it is unlawful for any
person to intimidate or coerce another person into having an abortion.
• Foster Parents (A.R.S. § 8-514.05) - Foster parents may not consent to abortion for a
foster child.
• Fiduciaries (Arizona Code of Jud. Admin. § 7-202) - Fiduciaries may not consent to
abortion for a ward without a court order.
- See more at: https://www.plannedparenthood.org/planned-parenthood-arizona/onlinehealth-center/minors-and-abortion-law#sthash.lWOGvCcD.dpuf

l(b )(6)

Lead Medical Coordinator
Southwest Key Programs
Casa Koko elli #921
D: b)(6)
C b)(6)

F: (480 ) 393-8104
!/h \/n \
@swkey.o rg
CONFl DENTIALITY NOTICE:This ema il, including attachments, is for t he sole use of the int ended recipien t (s) and may
conta in confident ial and priv ileged information covered by the Electronic Commun icat ions Privacy Act, 18 U.S.C. 2510•
2521. Any una uthorized rev iew, use, or d isclosure or distr ibution is pro hibit ed . If yo u are not the int ended recipient,
please contac t t he sender immedia t ely and destroy all cop ies of t he orig inal message.

Sender:
Recipient:

De LA Cruz, James (ACF) </O = EXCHANGELABS
/ OU=EXCHANGE
ADMI NISTRATIVEGROUP
(FYDIBOHF23SPDLT)/C
N= RECIPIENTS/CN
= 2EBA95D119AB4CD6A77B34616DC3366C
-DE LA CRUZ,>
"De LA Cruz, James (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn
= Recipients/cn= 2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>"

Sent Date: 2017/03/ 06 14:04:26

EXT-18-241-N-000010

 003644

Smith, Elicia (ACF) </O=EXCHANGELABS
/O U=EXCHANGEADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
=3CDB964AB90D4310BD202C
084B7E6097-SMITH,
ELIC>
To:

" De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4c d6a77b34616dc3366c-De LA Cruz,>"

CC:

"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570
-Velazquez,>"

Subject : FW: Report of significant Incident Event 94154
Date: 2017/03/08 20:16:23
Priority: Normal
Type: Note

FYI: There is an event posted on Facebook (Indivisible Yo lo) that is coordinating a rally;
https://www .facebook .corn/pg/indivisib leyo lo/events /
"Rally in support o0b)(6 )1the 14 year old from Honduras who has been granted asylum
but who is still being held at Yo lo Juven ile Detention Center despite being granted
asylum. He has been in detention for almost a year
Background information here: http://www .sfchronicle.corn/bayarea/article/Honduranboy-14-wins-U-S-asylum-but-remains-in-10977616.php "
Best,
Elicia
Elicia Smith

Federal Field Specialist
U.S. Department of Health &Human Services
Admin istration for Children &Families
Office of Refugee Resettlement
Division of Unaccompani ed Children Operations
San Francisco, CA
Email: elicia.smith@acf.hhs.gov
Mobile: ~
!<b~l/_6l___

~

l[ mailtof bl(5 )
~yolocounty.org]
Sent: Wednesday, March 08, 20 17 4:28 PM
.
To: ACF SIRHOTLINE ACF); Boss, Mark (ACF); Smith, Elicia (ACF); 'Bornales, Maria L (NONUS)
b)(6) om)'; Rowland-Dunn, Caroline ACF CTR
~~~---.-1
~----~'
(b)(6)
(b)(6)
. ....
fb_)(6_) _____
__,
6)
From:l<b)(

I

Subject: RE: Report of significant Incident Event 94154

EXT-18-241-N-000011

 003645

Synopsis of the event: Po ssible media exposur e. Addendum submitted indicating a
po ssible rally in the youths name on 3/14/ 17. Picture s of the screen shot up loaded onto the
SIR.
Reported by: ~f
b_l<5_l _____

~I.,Lead Case Manager

l(b)(6)

Supervising D etention Officer
Lead Case Mana ger
Yolo County Probation Department
Juvenile Detention Facilit y
288 0 East Gibson Rd Woodland, CA 95776
office:!(b)(6)
I cell: l(b)(6)
I
6
fax: 530-669- 1574 email: ~bl( l

@yo loco unty .org

This email &any files transmitted with it may contain confidential and privileged mate rial
for the sole use of the intended recipient( s). Any review , use, distribut ion, or disclo sure
by other s is str ictly prohibited. If you are not the intended recipient (or authorized to
recei ve for recipient) , please contact sender by email and delete this mes sage.

From: l._
<b
_l<6_l____
_,
Sent: Mond ay, February 27, 2017 6:23 PM
To: sirhotl ine@acf. hh s.gov ; Mark.Boss@ACF. hhs.gov; Smith, Elicia (ACF)
(Elicia.Smi th@acf. hhs.gov ); Bornale s, Maria L (NONUS)
(Maria.Bornales@E§x60 com) ; Rowland -Dunn, Caroline (ACF) (CTR)
Caro line.Row land -Dunn acf. hhs. ov )
Cc: (b)(6)
b)(6)
~~
b)-(6-) ---~l
;l<b)(
6)
lkbX6f7
(b)(
6
)
.
b)(
6
)
L___J
.__ __ _,,
Subject : ....-e-po-rt-,--o-,.s-1g-n~
1.,...1c
_a_n't.....--'
cident Event 94154

Synopsi s of the event: Po ssible media exposure.
Reported by : l~
<b_
J<
6_J ---~~

Case Manag er

rb)(6)

Case Manager
Detention Officer II
Yolo County Juvenile Detention Facility
2880 East Gibson Rd Woodland , CA 95776
Office : J(bl(6l
!Cell: b)(6l
Fax: 530-669-1574 Email: (b)(6l
oloco unt .or

~~----,

_

Thi s email &any files tran smitted with it may contain confidential and privileged mate rial
for the sole use of the intended recipient( s). Any review , use, distribut ion, or disclo sure

EXT-18-241-N-000012

 003646

by others is strict ly prohibited. If you are not the intended recipient (or authorized to
receive for recipient), please contact sender by emai l and delete this message
Smith, Elicia (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
=3CDB964AB90D4310BD202C08487E6097
-SMITH,
ELIC>
"De LA Cruz, James (ACF) </o =Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn=Recipients/cn=2eba95dl 19ab4cd6a77b34616dc3366c-De LA Cruz,>";
Recipient:
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn = 39e67b42d96043c688e84fa6cef42570-Velazquez,
>"
Sent Date: 2017/03/08 20:16:22
Delivered Date: 2017/03/08 20:16:23

EXT-18-241-N-000013

 003647

From:

Bartholomew,Michael(ACF) </O= EXCHANGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDLT)/CN=RECIP
I ENTS/CN=BAR
THOLOMEW,MICHAEL>

To:

"Biswas,Toby RM (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=65cead6d4cla4ff79834677334fd7980-Biswas, Tob> ";
" De LA Cruz, James (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De LA Cruz,>"

Subject: RE: Parental Consent for Medical Treatment
Date: 2017/03/15 15:22: 10
Priority: Normal
Type: Note

Thank you with the clarification.
I don ' t see anything wrong with the language developed as it relates to pregnancy
tenninations.
Michael
Michael L. Bartholomew , M.D., FAAP
CDR, U.S. Public Health Service
Director, Division of Health for Unaccompanied Children (DHUC)
Unaccompanied Children Programs
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Service s
Mary E. Switzer Building
330 C St SW, MS 5123
Washington, DC 20201
Phone: 202-401-5375
mich ael.bartholomew@a cf.hhs.gov
www.acf. hhs.gov
From: Biswas, Toby RM (ACF)

Sent: Wednesday, March 15, 2017 1:51 PM
To: Barth olomew, Michael (ACF); De LA Cruz, James (ACF)

Subject: RE: Parenta l Consent fo r Medical T reat ment
Terminations
Toby R. M . Biswas, ESQ.
Unaccompanied Children Policy Supervisor
U.S. Department of Health and Human Services
Administration for Children and Familie s
Office of Refugee Res ettlement
Office of the Director - Division of Policy and Procedures

EXT-18-241-N-000014

 003648

(202) 205-4440 (0)
fb )(6)

KC)

(202) 401-1022 (F)
From: Bartholomew, Michael (ACF)
Sent: Wednesday, March 15, 2017 12:46 PM
To: Biswas, Toby R M (ACF); De LA Cruz, James (ACF)
Subject: RE: Parental Consent for Medical Treatment

Hi Toby ,
(b)(5)

Michael
Michael L. Bart holomew , M.D., PAAP
CDR , U.S. Public Health Service
Director , Division of Health for Unaccompanied Children (DHUC)
Unaccompanied Children Programs
Office of Refugee Resett lement
Administration for Children and Families
U.S. Department of Health and Human Services
Ma 1y E. Switzer Bu ilding
330 C St SW, MS 5123
Washington , DC 20201
Phone:202-401-5375
michael.bartholomew@acf. hhs.gov
www.acf. hhs.gov
From: Biswas, Toby R M (ACF)
Sent: Monday, March 13, 2017 10:49 AM
To: De LA Cruz, James (ACF); Bartholomew, Michael (ACF)
Subject: Parental Consent for Medical Treatment
Importance: High

Jim and Mi chael:
OGC is trying to summari ze how ORR receives parental cons ent, when requir ed, for
certain medical treatm ent. Is the statement below an accurate statement?
(b)(5)

EXT-18-241-N-000015

 003649

Thanks,
Toby
Toby R. M. Biswas , ESQ.
Unaccompanied Children Policy Superv isor
U.S. Department of Health and Human Services
Administration for Children and Families
Office of Refugee Resettlement
Office of the Director - Division of Policy and Procedures
(202) 205-4440 (0)
(C)
(202) 40 1-1022 (F)
~b)(6)

I

Sender:

Bartholomew, Michael (ACF) </O= EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDLT)/CN=RECIPIENTS/CN
= BARTHOLOMEW,MICHAEL>

"Biswas,Toby RM (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=65cead6d4c1a4ff79834677334fd7980-Biswas,Tob > ";
Recipient:
" De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>"
Sent Date: 2017/03/15 15:22:09
Delivered Date: 2017/03/15 15:22:10

EXT-18-241-N-000016

 003650

White, Jonathan (ACF) </O = EXCHA
NGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN= E9B5FE526F1D4BA0A6CC8DDEE8EC4D87JONATHANWH>
"Acuna, Griselda (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn =8c83ee08f90d454dba24118c12fbd4fd
-Acuna, Gris>";
"Gonzalez, Jose (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= le32d334f481495291265lab60e4fde6-Gonzalez,J> ";
"Tota, Kenneth (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To:
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=Sc0919fe56454c2b8e7c59c38646ebec
-Tota, Kenne>";
" De LA Cruz, James (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-DeLA Cruz,>";
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>"

CC:

"Gregg, Laura (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2e7ff3fld0ba483990c0f80827410056-Gregg,Laur>"

Subject: RE: Materials and Instructions for FFSto take child to the hospital
Date: 2017/03/04 21:50: 10
Priority: Normal

Type: Note

Received. Thank you.
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 9:50 PM
To: Gonzalez, Jose (ACF); White, Jonat han (ACF); Tota, Kenneth (ACF); De LA Cruz, James
(ACF); Bartholomew, Michael (ACF)

Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to t he hospital

7:53pm-8:30pm est.
She stated that the
The ultrasound was completed by Ultrasound Technician fbl(5l
ultrasound results will be submitted to the radiologist/doctor and they will let us know as
soon as possible.

I

Thank you .
From: Gonza lez, Jose (ACF)
Sent: Saturday, March 4, 2017 7:55:36 PM
To: Wh ite, Jonathan (ACF); Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re : Materials and Instructions for FFS to take child to the hospital

Copy.
From: W hite, Jonathan (ACF)
Sent: Saturday, March 4, 2017 7:49:04 PM
To: Gonzalez, Jose (ACF) ; Acuna , Griselda (ACF); Tota, Kenneth (ACF) ; De LA Cruz ,
James (ACF); Bartholomew , Michael (ACF)

EXT-18-241-N-000017

 003651

Cc: Gregg, Laura (ACF)
Subject: RE: Materials and Instruct ions for FFS to take child to the hospital
Stand by. Ken is working to obtain a POC from HHS leadership to refer attorneys to.

From: Gonzalez,Jose (ACF)
Sent: Saturday, March04, 2017 8:32 PM
To: White, Jonathan(ACF);Acuna, Griselda(ACF); Tota, Kenneth(ACF); De LA Cruz,James
(ACF);Bartholomew,Michael(ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materialsand Instructions for FFSto take child to the hospital

Email from (b) (6)

Hi JoseThanks for taking my call~as a court order for
As I stated on the call, the attorney ad litem for the client l(b)(6)
release of information (court # and Case #) from the client 's file.
to contact Griselda Ocuna the local federal
We have advised the attorney (b) (6)
field specialist who is the local ORR representative and can guide the process and advise
the program.
(b) (6)
did say she has the court order in hand and wants to personally deliver in
order to move forward.

The attorney's information:

(b)(6)

Locust Street Professional Building
206 E. Locust
San Antonio, Texas 78212
Telephone fb)(6)
Telecopier (210) 224-0075

I

MAILING ADDRESS:
2206 E. Commerce Street
San Antonio , Texas 78203

EXT-18-241-N-000018

 003652

www .whitleylawfirmp c.com

From: Gon zalez, Jose (ACF)
Sent: Saturday , March 4, 2017 7:30:57 PM
To: White, Jonathan (ACF); Acuna , Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz,
Jame s (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instruction s for FFS to take child to the hospital

All will be sending contact information for attorney who is upset and is demand ing we
release her the court case # and other information from the file.
She informed j(b)(6)
over a call about thirty minutes ..

I

From: W hite, Jonathan (ACF)
Sent: Saturday , March 4, 2017 7:12: 2 1 PM
To : Acuna , Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF) ;
Gonz alez, Jose (ACF); Bartholomew , Michae l (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE: Materials and Instruct ions for FFS to take child to the hosp ital

thanks
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 20 17 8: 12 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF); Gonzalez, Jose
(ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

We cont inue to wait for the ultrasound. Patient access representative Richard came in the
room and requested signatu res for intake paperwork .
Thank you.
From: W hite, Jonat han (ACF)
Sent: Saturday , March 4, 2017 6:29:28 PM
To : Acuna , Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, Jame s (ACF) ;
Gonz alez, Jose (ACF); Bartholomew, Michae l (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE: Materials and Instruct ions for FFS to take child to the hosp ital

Copy.
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 7 :28 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF); Gonzalez, Jose
(ACF); Bartholomew, Michael (ACF)

EXT-18-241-N-000019

 003653

Cc: Gregg, Laura (ACF)
Subject : Re: Materials and Instructions for FFSto take child to the hospital

You are welcome, Sir.
Swk Casa Blanca medical coordinator and clinician are waiting in the lobby.
From: White , Jonathan (ACF)
Sent: Saturday, March 4, 2017 6:25: 15 PM
To: Acuna , Grise lda (ACF); Tota, Kenneth (ACF); De LA Cruz , James (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re : Materials and Instructions for FFS to take child to the hospital

Thank you. I appreciate your keeping us in the loop.
CDR Jonathan White
Deputy Director for Children's Programs
Office of Refugee Resettlement
Administration for Children and Families
Incident Commander, Unaccompanied Children Influx Response
(202) 690-6984 (office)
Kbl(6)
I(blackberry)
Jonathan .white@acf.hhs.gov
From: Acuna, Griselda (ACF)
Sent: Saturday , March 4, 2017 7:24:38 PM
To: White , Jonathan (ACF); Tota, Kenneth (ACF) ; De LA Cruz, James (ACF) ;
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital
l<b_l(6~l __
I am here with the minor in one of the ER rooms and .,_,
is in pain . The minor said her stomach pain was very little.

__.lasked the minor if she

!stated that they are going to perform an ultrasound and the results will be
reviewed by the on call obstetrician.

Kbl(6)

Thank you.
From: White, Jonathan (ACF)
Sent: Saturday, March 4, 2017 5:37:46 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF) ; De LA Cruz, James (ACF) ;
Gonzalez , Jose (ACF) ; Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE : Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000020

 003654

Thank you.
From: Acuna, Griselda (ACF)

Sent : Saturday, March 04, 2017 6:37 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF); Gonzalez, Jose
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Will do.
The nurse is taking her vitals at this presnt time. Minor is doing well and reports that she
does not have any pain.
From: White , Jonathan (ACF)
Sent: Saturday, March 4, 2017 5:35:47 PM
To: Acuna , Grise lda (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF) ;
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE : Materials and Instructions for FFS to take child to the hospital

Griselda,
Please keep us updated as things develop in the hospital. And let us know anything you
may need.
Jonathan
From: Acuna, Griselda (ACF)

Se nt: Saturday, March 04, 2017 6:26 PM
To: Tota, Kenneth (ACF); White, Jonathan (ACF); De LA Cruz, James (ACF); Gonzalez, Jose
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Copy.
Thank you.
From: Tota , Kenneth (ACF)
Sent: Saturday, March 4, 2017 5:25:46 PM
To: White, Jonathan (ACF); Acuna , Griselda (ACF); De LA Cruz, Jame s (ACF);
Gonzalez, Jose (ACF) ; Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE : Materia ls and Instruction s for FFS to take child to the hospital

SWK can complete the intake.

EXT-18-241-N-000021

 003655

From: White, Jonathan (ACF)

Sent: Saturday, March 04, 2017 6:23 PM
To: Acuna, Griselda (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF); Gonzalez, Jose
(ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Copy.
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:22 PM
To: White, Jonathan (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF); Gonzalez, Jose
(ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to t he hospital

She is here.
From: White , Jonathan (ACF)
Sent: Saturday , March 4, 2017 5:19:28 PM
To: Acuna, Griselda (ACF); De LA Cruz , James (ACF); Tota, Kenneth (ACF);
Gonzalez , Jose (ACF); Bartholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Michael has finished speaking with the hospital. They are able to assess the status of the
pregnancy via ultrasound. They are not set up to take any actions to complete the
evacuation of contents if the ultrasound determines there is no fetal life, but Michael
conveyed that ORR could a1Tangeto transfer her elsewhere to take those steps if the
abortion is already complete.
So the hospital can receive the UC for ultrasound and exam.
From: White, Jonathan (ACF)

Sent: Saturday, March 04, 2017 6:06 PM
To: Acuna, Griselda (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF); Gonzalez, Jose
(ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Copy. Thanks.
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:05 PM
To: White, Jonathan (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF); Gonzalez, Jose
(ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000022

 003656

She is not here yet.

From: White, Jonathan (ACF)
Sent: Saturday , March 4, 2017 5 :04:23 PM
To: De LA Cruz, James (ACF); Acuna , Griselda (ACF); Tota , Kenneth (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital
Has the girl yet arrived at the hospital?
Mic hael is calling the doctor back .
From: De LA Cruz, James (ACF)
Sent: Saturday, March 04, 2017 6:00 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); White, Jonathan (ACF); Gonzalez, Jose (ACF);
Bartholomew, Michael (ACF)
Cc : Gregg, Laura (ACF)
Subject : Re: Materials and Instructions for FFS to take child to the hospital

Hi Grise lda. I suggest answer ing this after the girl arrives and the hospital pre sents
specific documents to sign . They might not need anyt hing other than the letter from HQ.
Jsd

From: Acuna, Griselda (ACF)
Sent: Saturday , March 4, 2017 5:57:23 PM
To: Tota , Kenne th (ACF); White , Jonathan (ACF); Gon zalez, Jose (ACF); Bartholomew ,
Michael (ACF); De LA Cruz, James (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instruction s for FFS to take child to the hospital
Unde rstood .
Does SWK needs to complete the hospital intake paperwork?
Please advise.

From: Tota, Kenneth (ACF)
Sent: Saturday, March 4, 2017 4:52 :33 PM
To: White, Jonathan (ACF); Acuna, Gri selda (ACF); Gonz alez, Jose (ACF);
Bartholomew , Michael (ACF); De LA Cruz, James (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE : Materials and Instructions for FFS to take child to the hospital
Let me know if confirmation as the Acting Director is needed in any way.

EXT-18-241-N-000023

 003657

From: White, Jonathan (ACF)
Sent: Saturday, March 04, 2017 5:48 PM
To: Acuna, Griselda (ACF); Gonzalez, Jose (ACF); Bartholomew, Michael (ACF); De LA Cruz,
James (ACF)
Cc: Gregg, Laura (ACF); Tota, Kenneth (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Michael is calling ER doc. Stand by.

From: Acuna, Griselda (ACF)
Sent: Saturday, March 04, 2017 5:46 PM
To: White, Jonathan (ACF); Gonzalez, Jose (ACF); Bartholomew, Michael (ACF); De LA Cruz,
James (ACF)
Cc: Gregg, Laura (ACF); Tota, Kenneth (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

I'm here at the ER. SWK Casa Blanca Medical Coordinator contacted me that they are on
their way.

From: White , Jonathan (ACF)
Sent: Saturday , March 4, 2017 4:38:50 PM
To: Gonzalez, Jose (ACF) ; Acuna , Griselda (ACF); Bartholomew , Michael (ACF); De
LA Cruz , James (ACF)
Cc: Gregg, Laura (ACF); Tota , Kenneth (ACF)
Subject: RE: Materials and Instruction s for FFS to take child to the hospital

I made a mistake when I said 5PM our time . I meant 6PM Eastern, 5PM Central.
From: Gonzalez, Jose (ACF)
Sent: Saturday, March 04, 2017 5:38 PM
To: White, Jonathan (ACF); Acuna, Griselda (ACF); Bartholomew, Michael (ACF); De LA Cruz,
James (ACF)
Cc: Gregg, Laura (ACF); Tota, Kenneth (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Hello Ladies and gentleman is there a POC we can ask for?
From: White , Jonathan (ACF)
Sent: Saturday , March 4, 2017 3 :54:49 PM
To: Acuna, Griselda (ACF); Gonzalez, Jose (ACF); Bartholomew , Michael (ACF); De
LA Cruz , James (ACF)
Cc: Gregg, Laura (ACF); Tota, Kenneth (ACF)
Subject: Material s and Instruction s for FFS to take child to the hospit al

Attached please find the materials for Griselda to present at the hospital.

EXT-18-241-N-000024

 003658

Michael is calling hospital now.
The hospital is The Children's Hospita l of San Antonio located at 333 N Santa Rosa St,
San Antonio , TX 78207 .
ER Telephone Number 210-704-2190. Michael will call ER. He will need approx. an
hour to make call so the child should not arrive before 5PM our time.
Gr iselda, can you advise when you can be at the hospital with these printed materials?
Ken is contacting Southwest Key.
Consult to HHS

White, Jonathan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= E9B5FE526F1D4BA0A6CC8DDEE8EC4D87JONATHAN WH>
"Acuna, Griselda (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/ en=Recipients/cn =8c83ee08f90d454dba24118c12fbd4fd
-Acuna, Gris>";
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/ en=Recipients/cn= le32 d334f481495291265lab60e4fde6-Gonzalez, J> ";
"Tota, Kenneth (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/ en=Recipients/cn=5c0919fe56454c2b8e7c59c38646ebec-Tota,Kenne>";
Recipient:
" De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95dl19ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"Bartholomew, Michael (ACF) </o =Exchangelabs/ou =Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>";
"Gregg, Laura (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2e7ff3fld0ba483990c0f80827410056-Gregg, Laur>"
Sent Date: 2017/03/04 21:50:09
Delivered Date: 2017/03/04 21:50:10

EXT-18-241-N-000025

 003659

De LA Cruz, James (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN=2EBA95D119AB4CD6A77B34616DC3366C-DE
LA
CRUZ,>
To:

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>"

Subj ect: FW: Status of Judicial Bypassand US results
Date: 2017/03/06 14:07:33
Priority: Normal
Type: Note

Email sent to self to change the name for filing purposes.

James S. De La Cruz
DHHS /ACF/ORR/DCS
Senior Federa l Field Specialist Superv isor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Bui lding, 5th Floor (Room : 5223)
330 C Street SW
Washington , DC 20201
Office: 202-690-8477
Cell: l<b)(6)
Fax: 202-401-1022
http ://www.acf. hhs.gov/prog rams/orr/programs/ucs

I

From: kbl(6l
Ifmailtol._<b_)(6_l ___
Sent : Friday, January 27, 2017 2:24 PM
To: De LA Cruz, James (ACF); ~
K_
b)(6
_l ____

__, ~swkey.org]

~I;

Meyerstein, Shaanan (ACF); Calero, Wilfred
(ACF); Velazquez, Ivonne (ACF)
Cc: Kim, Curi ACF · Bartholomew, Michael (ACF); Irizarry, Tamara ACF CTR);l<bl(6l
.....Sinkins, Katherine
l(b)(6)
I b)(6)
j(b)(6)
t Keila Alvarado; .__
(b)(6)
(ACF)
Subject: Re: Status of Judicial Bypass and US results

I

____

Th e UC was appointed

an attorney

and a GAL

Th ey both were aware of client's petition
They were present during court proceedings

~b)(6)
l....
_____

6l _ _,
as well as her clinician{ .,_
b_l(_

I

__,MC, LPC

EXT-18-241-N-000026

 003660

Clinician office 501
Program 921: Kokopel/i
Phone: 480-500-1076 Extensionj(b)(6) I
Email: !rbl/6l
@swkey.org
Regular Work Schedule: Tuesday -- Saturday, 8am-4pm

From : De LA C ruz, James (ACF) <James.DeLACruz@acf.hhs.gov>
Sent: Friday , January 27, 2017 12:15 :52 PM
To: KbJ(6)
I Meyer stein , Shaanan (ACF); Ca lero, Wilfred (ACF); Ivonne
Velazqu ez
Cc: Kim Cur i ACF · Ba1tholomew M ichae l ACF · Irizarr Tamara ACF CTR) ;
(b)(6)

Alvarado b)(5l
Sinkins, Kath erine (ACF)
Subject: RE: Status o Ju 1cial Bypa ss and US result s

HI !(b)(6)

L

When the young lady wen t to court for the judicial by pa ss was an attorney made aware
of the request? If so did the attorney accompany the UC and clinician?

James S. De La Cruz
DHHS /ACF/ ORR/DCS
Senio r Federa l Field Spec ialist Supervisor
Office of Refugee Res ettlement
Divi sion of Child ren 's Services
Ma1y E. Switzer Bu ilding , 5th Floo r (Room : 5223)
330 C Sh·eet SW
Washington , DC 20201
Office : 202-690 -8477
I
Ce ll: !(bl(6l
Fax: 202 -40 1-1022
http: //www.acf.hhs.gov/programs / orr/programs /ucs
From: Kbl(6)
I[mailtoj(b)(6) f?swkey.orql
Sent: Friday, January 27, 2017 2:09 PM
To: Meyerstein, Shaanan (ACF); Calero, Wilfred (ACF); Velazquez, Ivonne (ACF)
Cc: De LA Cruz, James (ACF); Kim, Curi (ACF); Bartholomew, Michael (ACF); Irizarry, Tamara
IKeila
(ACF) (CTR);kbl(6l
Alvarado;~b)(6l
Subject: RE: Status of Judicial Bypassand US results

I

Good morning,

EXT-18-241-N-000027

 003661

I wanted to provide an update regarding this minor.
The minor went to court with her clinician yesterday 1/26/2017 .
The judge denied her petition to terminate pregnancy .
The judge believed the minor doesn't have sufficient information in regards to options or risks.
Case manager and Clinician will be working together to obta in parental consent from the minor's
mother.
Thank you ,
Lead Medical Coordinator
Southwest Key Programs
Casa Kokopelli #921

g:

l(b)(6)

I

F: (480) 393-8104
~b)(6) ~swkey .org
ONFIDr TIALITY NOTICE: This email, including attachme nts, is fo r t he sole use of th e intend ed recipi ent( s) and may conta in
confidential and privileged information covered by the Electron ic Communicat ions Privacy Act, 18 U.S.C.2510-2521. Any
unautho rized rev iew, use, or disclosure or dist rib ution is proh ib ited. If you are not the i ntended recipient, p lease cont act the
sende r immediately and dest roy all copies of th e origina l message.

From : kbl(6)
I
Sent: Thursday , January 26, 20 17 10:15 AM
To: 'Meye rstein, Shaanan (ACF)' <Shaanan.Meyerstein@acf.hh s.gov> ; Calero, Wilfred
(ACF) <Wilfred.Calero @acf.hh s.gov>; Ivonne Ve lazquez
<ivonne .velazquez@acf.hhs. gov>
Cc : De LA Cruz, James (ACF) <James.DeLACruz@acf.hhs.gov> ; Kim, Curi (ACF)
<Curi.Kim @acf.hh s.gov> ; Ba1iholomew, Michael (ACF)
<Michael.Bartholom ew@ acf.hh s.gov>; Irizarry, Tamara (ACF) (CTR)
k4swkey.org>; t....
b_)(6_l _ _.
<Tamara .Irizarry@ acf.hhs.gov> ; l<bl(6l
fbl(6)
@swkey.org>
Subject: RE: Status of Judic ial Bypass and US results
Good morning Dr. Meyerstein,
I sent the results yesterday.
They are attached to this email.
I know that the CM and CL were going to work on the judicial bypass yesterday .
I have cc'd the case manager in this email. Perhaps she can provide an update .
Please let me know if this suffices.

Thank you ,

Lead Medical Coordinator
Southwest Key Programs
Casa Kokopelli #921
!
D: !(b)(6)

EXT-18-241-N-000028

 003662

C· !/b)/6)

!

F: (480) 393-8104
agarcia@swkey.org
CONFIDENTIALITY NOTICE:This ema il, including attachme nts, is for t he sole use of the int ended recipien t( s) and may conta in
confidential and privileged information covered by the Electron ic Communications Privacy Act, 18 U.S.C. 2510-2521.Any
unauthor ized rev iew, use, or disclosure or distribution is proh ib ited. If you are not the intended recipient, p lease contact the
sender immediately and destroy all copies of the origina l message.

From: Meyerstein , Shaanan (ACF) [mail to:Shaanan.Meyerstein@acf.hhs.gov ]
Sent: Thursday, January 26, 2017 7:25 AM
To: ¥b )(6)
@swkey.org>; Calero , Wilfred (ACF)
<Wi lfred. Ca lero@acf.hhs.gov>; Ivonne Velazquez <i vonne. velazquez@acf.hhs.gov>
Cc: De LA Cruz, James (ACF) <James. DeLACruz@acf.hhs.gov>; Kirn, Curi (ACF)
<Curi.Kim @acf.hhs.gov>; Bartholomew , Michael (ACF)
<Michael.Barth olomew @acf.hhs.gov>; Irizarry , Tamara (ACF) (CTR)
<Tamara.Irizarry @acf.hhs.gov>
Subject: Status of Judicia l Bypass and US results
kb)/6)

We have completed the termina tion of pregnancy memo and awaiting US results to
submit to ORR director for signature.
Will you be able to send those this AM?
Also, what is the status of the judicial bypass?
Thanks,

Shaanan Meyerstein, MD, MPH , F AAP
LCDR , US Public Health Service
Medical Officer - Unaccompanied Chi ldren's Program
Office of Refugee Resettlement
Administration for Children and Famili es
U.S. Depaitm ent of Health and Hum an Services
202 401-4639 (office)
b)(5 l
( cell)
Shaanan.meyerstein @acf.hhs.gov

De LA Cruz, James (ACF) </ O=EXCHANGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/C
N=2EBA95D119AB4CD6A77B34616DC3366C
-DE LA
CRUZ,>

Recipient:

"De LA Cruz, James (ACF) </o=ExchangeLabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-DeLA Cruz,> "

Sent Date: 2017/03/06 14:07:32
Delivered Date: 2017/03/06 14:07:33

EXT-18-241-N-000029

 003663

Fuentes-Kerr, Michelle (ACF) </O=EXCHANGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN= EFSAE8B659A642B895179B68D6A93DEF
-FUENTES,
Ml>
To:

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>"

"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn = le32d334f481495291265lab60e4fde6-Gonzalez, J> ";
"Hymel, Niky (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
CC:
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=4d 1dc4efb40f489d8cd23f92fd3afe4-Hymel,Moni>";
"Gonzalez,Monica (ACF) </o =Exchangelabs/ ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn =0d0012f3621f4321b232f4f5a03db5d8-Gonzalez, M>"

Subject: RE: URGENT: Requestfor Abortion Memo: l<b)(6)

I

Date: 2017/ 03/09 11:11:34
Priority: Normal
Type: Note

Hello Jim,
In this case, in particular, I never received the actual signed memo, although Janelle
repo1ts below that this memo has been signed. Do you have the actual memo with the
signature? The program is asking for the signed memo.
Dr. Routh is no longer with the agency so not sure who would be the next point of
contact.
Please advise.

Michelle Fuentes-Kerr, MA
Federal Field Specialist
DHHS/ACF/ORR/DU CO
Houston Region
~b)(6)

!

From: Routh, Janell (ACF)

Sent: Tuesday, June 28, 2016 4:02 PM
To: Fuentes-Kerr, Michelle (ACF)
Cc: Gonzalez,Jose (ACF); De LA Cruz, James (ACF); Hymel, Niky (ACF)
Subject: RE: URGENT:Request for Abortion Memo:._l
<b_)(6_l _____

___,

The memo is approved and signed. Michelle , one thing to note. ORR funds should be
used to pay for the procedure and related expenses, since this pregnancy is a result of
rape. No outside funding should be used. I have edited the memo to reflect this. Please
let the program know they should submit a TAR for the procedure. The donated funds
should be declined.
Thank you,

EXT-18-241-N-000030

 003664

Janell
CDR Janell Routh MD, MHS
Medical Officer
Unaccompanied Children's Program
Office of Refugee Resettlement
ACF/DHHS
(202) 401-4639
Janell.Routh @acf.hhs.go v

From: Fuentes-Kerr, Michelle (ACF)
Sent: Tuesday, June 28, 2016 10:51 AM
To: Routh, Janell (ACF)
Cc: Gonzalez,Jose (ACF); De LA Cruz, James (ACF); Hymel, Niky (ACF)
Subject: FW: URGENT:Request for Abortion Memo:I._
Cb_)C
6_l _____
__.
Importance: High

I meant to include Dr. Routh on this as well.
Thank you!
Michelle Fuentes-Kerr, MA
Federal Field Specialist
DHHS/ACF/ORR
Houston Region
Kb)(6)

I

From: Fuentes-Kerr, Michelle (ACF)
Sent: Tuesday, June 28, 2016 9:48 AM
To: Gonzalez,Jose (ACF) (Jose.Gonzalez@ACF.hhs.gov)
Cc: De LA Cruz, James (ACF) (James.DeLACruz@acf
.hhs.gov); Hymel, Niky (ACF); Dent,
Martina (ACF)
5
Subject: URGENT:Requestfor Abortion Memo:fbK l
Importance: High
,________
__,

Hello Jim and Jose,
This is the request for abortion memo. Please let me know if there is anything else I
need to do.
The court hearing was rescheduled for tomorrow, June 29 th , 2016.
Thank you!
Michelle Fuentes-Kerr, MA
Federal Field Specialist

EXT-18-241-N-000031

 003665

DHHS/ACF/ORR
Houston Region

!

{tb)(6)
From: fbl(6l

I

[mailto:~b)(6)
@swkey.org]
Sent: Tuesday, June 28, 2016 7: 18 AM
I:Fuentes-Kerr, Michelle(ACF
To:!(bl(6l
~,,.,....-----,
Cc : Hymel, Niky(ACF);Gonzalez, Jose ACF; b)(6l
Subject: RE: Memo for (b)(6)
'----------'

Good Morning Michelle,
5

l

I spoke to the attorney last night and the court hearing
Attached is the Memo for fblCl
has been rescheduled to Wednesday, 6/29/16 at 9:30 A.M. A new guardian ad litem was
appointment as well whom will be speaking with the minor today before court tomorrow.
Please advise if additional information is needed in the memo.

l(b)(6)

Assistant Lead Case Manager
Southwest Key Pro grams Casa Quetzal 961
7407 North Freeway I Houston , TX 77076
Office : (832) 844-2396 Ext. ~
Fax: 832 615-3624
(b)(6)

CONFIDENTIALITY NOTICE: Th is co mmuni cation is intended only for the use of
the individual or entity to which it is addressed and may contain infonnation that is
privileged , confidential, and exempt from disclosure under applicable law. If you have
rece ived this email in error please notify the sender by email, delete and destroy this
message and its attachments. If you are not the intend ed recipient, you are notified that
any use , dissemination, distribution , or copying of the communication is strictly
prohibited.

Kb)(6)

From~'--------'
Sent: Monday , June 27, 2016 6:43 PM
To: Fuentes-Kerr, Michelle (ACF) <Miche lle .Fuentes-Kerr@acf.hhs.gov>
Cc: Hymel , Niky (ACF) <N iky.Hymel@acf.hhs.gov>; Gon zalez, Jose (ACF)
<Jose.Gonzalez
ACF.hhs . ov> · (bl(6l
(bl(6l
swke .or >;~f
b-)(6-)---~
5
6
=..:..
=:..i....:..o=
<J(bl( l
lyswkey .org> ; .,,.,
b....,,
l(""l,------'--'_;___;___,__ __J>.:;;
5l
Subject: RE: Memo for ,....._
bJC
__,

_______

Hi Michelle,

EXT-18-241-N-000032

 003666

l(b)(5) lis still working in on it. We were waiting to check on the court status as the
attorney ment ioned tol<b)(6) lthat there may be a possibi lity that court may be cancel as
the ad !item stated that she will go against the abortion and that can affect the agency to
assist with payment for the procedure.
Since we haven't receive official not ice of cancellation or re-schedu le we will submit
will subm it today shortly.
memo with what we have. ~

Thank you,
l(b)(6)

Program Director
SWKEY Casa Quetzal #961
Main: 832-844-2251
Direct: ~k
b~)<6~) ---~
Cell: (b)(6)
(b)(6)
From: Fuentes-Kerr , Michelle (ACF) [mailto:Michelle .Fuentes-K err@acf.hhs .gov]
Sent: Monday, June 27, 20 16 5:35 PM
To:l<b)(5)
<J(b)(6)
@swkey.org>
Cc: Hyme l, Niky (ACF) <N iky.Hym el@acf.hh s.gov> ; Gonzalez, Jose (ACF)
<Jose.Gon zalez ACF .hhs. ov>
Subject: Memo for (b)(6)

I

Hello i<bl<5>

I

I am follow ing up with this case for Niky. Thi s is the mino r th at has a hearin g
tomorrow in regards t o the abortion. We are runn ing out of t ime, and we are still
awaiting th e memo to forward to hea dquart ers . Can you pl ease make s ur e that
~ comp letes th is first th ing in the morn ing, so that it can be ele vate d? We were
under t he impre ss ion th is wo uld be completed t oday, but I called and was to ld t ha t
~wa
s out today.

Michelle Fuentes-Kerr, MA
Federal Field Specialist
Division of Children's Services (DCS)
Office of Refugee Resettlement (ORR)
U.S.Dept of Health and Human Services (HHS)
Houston Region
Kb)(6)

I

Michelle.Fuentes -Kerr@acfhhs.gov

EXT-18-241-N-000033

 003667

Fuentes-Kerr, Michelle (ACF) </O = EXCHANGELABS/OU= EXCHANGEADMINISTRATIVE GROUP

Sender: (FYDIBOHF23SPDLT)/CN=RECIPI ENTS/CN= EFSAE8B659A642B895179B68D6A93DEF-FUENTES,
MI>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange
Adminis t rative Group
(FYDIBOHF23SPDLT)/cn=Recip ients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,> ";
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange
Administrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn = le32 d334f481495291265 lab60e4fde6 -Gonzalez, J> ";
Recipient:
"Hyme l, Niky (ACF) </o=Exchangelabs/ou=Exchange
Administrative Group
(FYDIBOHF23SPDLT)/cn =Reci pients/cn=4d ldc4efb40f489d8ccf23f92fd3afe4-Hymel,
Moni> ";
"Gonzalez, Monica (ACF) </o=ExchangeLabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn = 0d0012f3621 f432 lb232f4f5a03db5d8 -Gonzalez, M>"

Sent Date: 2017/03/09 11:11 : 33
Delivered Date: 2017/03/09 11:11 : 34

EXT-18-241-N-000034

 003668

Gonzalez,Jose (ACF) </O = EXCHANGELABS/OU
=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN= 1E320334F4814952912651AB60E4FDE6GONZALEZ,J>
"Meyerstein, Shaanan (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn = 73d538e5aeda4l 97b3381ec6ef84ed75-Meyerstein,> ";
To:
"Acuna, Griselda (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=8c83ee08f90d454dba24118c12fbd4fd-Acu
na, Gris>"

CC:

"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recip
ients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>"

Subject: Re: CaseTimeline
Date: 2017/03/06 14:08:56
Priority: Normal
Type: Note

I don't think so. I don't land until after 5pm est. Griselda is on the ground and will get ffs
perspective.

I am literally on tarmac now .

Fro m: Meyerste in, Shaanan (ACF)
Sent: Monday, March 6, 2017 1:05:51 PM
To: Acuna , Griselda (ACF)
Cc: Bartholomew , Michael (ACF); De LA Cruz , James (ACF); Gon zalez, Jose (ACF)
Su bject : FW: Case Timeline

Can you please complete?

EXT-18-241-N-000035

 003669

From: Gonzalez,Jose (ACF)

Sent: Monday , March 06, 2017 2:05 PM
To: Meyerste in, Shaanan (ACF); De LA Cruz, James (ACF); Acuna, Grise lda (ACF)
Cc : Bartholomew, Michael (ACF)
Subj ect : Re: Case Timeline

Sir I am about to board a plane and will not arrive in DC until after 6pm. I will not meet 4pm
deadline.

From : Meyerstein, Shaanan (ACF)

Sent: Monday , March 6, 2017 12:50:48 PM
To: De LA Cruz, James (ACF); Gonzalez, Jose (ACF); Acuna , Griselda (ACF)
Cc: Bartho lomew, Michae l (ACF)
Subj ect: FW: Case Timeline

Jose and Griselda,

EXT-18-241-N-000036

 003670

We have been tasked by leadership to create a timeline for events surrounding the termination
of pregnancy request.
Since DHUCwas first notified about this case via the FFSteam, we thought it would make most
sense for you all to complete parts I have highlighted in Red

that I was unable to complete, in addition to adding any other relevant
documents /emails/correspondence. I have completed the relevant parts that DHUC can
comp lete.
If you all would be interested in having a conference call later to discuss the content or format
of the timeline, we would be happy to do so.

Thanks so much for your time and input.

Shaanan

From: Bartholomew, Michael (ACF)

Sent: Monday , March 06, 2017 11:33 AM
To: Gregg, Laura (ACF); De LA Cruz, James (ACF); Meyerstein, Shaanan (ACF)
Cc: White, Jonathan (ACF); Sualog, Jallyn (ACF)

Subject: RE: Case Timeline

Adding Shaanan to the email

EXT-18-241-N-000037

 003671

Michael L. Bartho lomew, M.D., FAAP
CDR, U.S. Public Health Service
Director, Division of Health for Unaccompanied Children (DHUC)
Unaccompanied Children Programs
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
Mary E. Switzer Building

330 C St SW, MS 5123
Washington, DC 20201
Phone: 202-401-5375
michael. bartholomew@acf.hhs.gov
www.acf.hhs.gov

From: Gregg, Laura (ACF)

Sent: Monday, March 06, 2017 11: 11 AM

To: De LA Cruz, James (ACF); Bartholomew , Michael (ACF)
Cc: Wh ite, Jonathan (ACF); Sualog, Jallyn (ACF)
Subject: Case Timeline

EXT-18-241-N-000038

 003672

Hi Jim, Michael,

Please use the attached timeline for the 2 cases. A friendly reminder that Jonathan would like
this back by 4pm.

Kindly,

Laura

Gonzalez,Jose (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= 1E32D334F4814952912651AB60E4FDE6GONZALEZ,J>
"Meyerstein, Shaanan (ACF) </o =ExchangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= 73d538e5aeda4197b338lec6ef84ed75-Meyerstein,> ";
"Acuna, Griselda (ACF) </o =Exchangel abs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=8c83ee08f90d454dba24118c12fbd4fd-Acu
na, Gris>";
Recipient:
" Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>"
Sent Date: 2017/03/06 14:08:55
Delivere d Date: 2017/03/06 14:08:56

EXT-18-241-N-000039

 003673

From: Child Trends <staff@childt rends.org>
SentVia: Child Trends <staff@childt rends.ccsend.com>
To:

" De LA Cruz, James (ACF) </o = Exchangelabs/ou = Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn= Recipients/cn = 2eba95d119ab4cd6a77b34616dc3366c-De LA Cruz,> "

Subject: E-news: What flo urishing is, and how to measure it
Date: 20 17/03/09 14:50:56
Priority: Normal
Type: Note

Hav ing tro ub le viewi ng this ema il?
Clic k here

Chil

E-News

featuring the latest research and
resources about children and youth

EXT-18-241-N-000040

 003674

March9, 2017 SUbscribe

Child Well-Being

EXT-18-241-N-000041

 003675

Defining and measuring

"flourishing"

Early investments in positive child development can
reap lasting rewards. But for programs and policies to
enable flourishing, we must be able to define, measure ,
and monitor it. This brief, from Child Trends and The
Child and Adolescent Health Measurement Initiative at
the Johns Hopkins Bloomberg School of Public Health, offers a model for
defining and achieving flourishing, and identifies risk and protective
factors.

Reproductive Health

EXT-18-241-N-000042

 003676

Increasing

the use of effective contraception

,0

Nearly half of all U.S. pregnancies are
unintended. This can have negative
consequences for the health and well-being of
women and children, and comes at significant
public cost. Child Trends researchers were
commissioned by the Planned Parenthood
Action Fund to estimate, with the microsimulation model FamilyScape,
nationwide pregnancy outcomes if all women not seeking pregnancy used
the same mix of effective contraceptive methods as women at Planned
Parenthood clinics who had participated in a recent evaluation study
conducted by researchers from the University of California, San Francisco.
Among the findings -- an estimated 64 percent decrease in unintended
pregnancies and a 67 percent decrease in abortions nationwide.

Read about other research on increasing the use of effective contraception
at our lat est blog.

EXT-18-241-N-000043

 003677

Careers
We're looking for more great people

Like a healthy child, Child Trends has been growing
steadily . Unlike a child, we 've won numerous awards
for being a top place to work . Apply to join us, or
encourage your smart and talented peers! We're
looking for a project coordinator for our early childhood program area, a
research scientist for education , and more.

EXT-18-241-N-000044

 003678

EXT-18-241-N-000045

 003679

EXT-18-241-N-000046

 003680

Forward this email

WSafe Unsubsaibe
This email was sent to james .de lacru z @acf.hhs.gov by st aff@ch ildtrends .or g
Rapid removal w it h SafeUns ubscri be ™
About our service provide r.

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ConstmtConmct
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TRY IT FREE
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Sender: Child Trends <staff @childtrends.org> ; Child Trends <staff @childtrends.ccsend.com>
Recipient:

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn =2eba95d119ab4cd6a77b34616dc3366c-De LA Cruz,>"

Sent Date: 2017/03/09 14:50:19
Delivered Date: 2017/03/09 14:50:56

EXT-18-241-N-000047

 003681

Acuna, Griselda (ACF) </O = EXCHANGELABS/OU=EXCHANGEADMINISTRATIVEGROUP

From: ( FYDIBOHF23SPDL
T)/CN= RECI PIENTS/CN=8C83EE08F90D454DBA24118C12FBD4FD-ACUNA,
GRIS>
@swkey.org>";
~,~wL-ey.org>";
kruswkey.org> ";
lglswkey.org> "

(b)(6)
1/h \ /R

To: (b)(6)
(b)(6)

"Gonzalez, Jose (ACF) </o=ExchangeLabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/ en= Recipients/en=1e32d334f4814952912651ab60e4fde6-Gonzalez, J> ";
"MartinezBerrios, Diana (ACF) (CTR) </ o= Exchangelabs/ou=Exchange Administrative Group
CC:
( FYDIBOHF23SPDL
T)/cn= Recipients/cn=4a184d9ccce4478ea0e2d242a87f3da7-Soto, Diana>";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba9Sdl19ab4cd6a77b34616dc3366c-DeLA Cruz,>"

I

Subject: RE: U(Kb)(6)
Date: 2017/03/06 17:17:07

Priority: Normal
Type: Note

Hello l(b)(6)

I

Our procedures
only applies

allow

UCs the right to see their

to Immigration

(please ensure

to verify,

If you have any further

attorney

of record

in a time that

is appropriate

. G-28

process.
he is the appointed

questions,

please

ad litem

attorney,

~l
<b_l/_6l~-~l

from

Whitley

Law Firm)

let me know .

Thank you,
Griselda

Acuna

Federal

Field Specialist

USDHHS
ACF-ORR-DU CO
~b)(6)

I

Gris el d a .acuna @ acf .hhs .gov
http :// www.acf

.hh s. gov / program

s/ orr / programs

/ ucs

From: ~b)(6)
~mai lt Ol(bl/ 6)
@swkey .org]
Sent: on d a y, Mar c 06, 2017 3:02 PM
To: Ebl(6)
I A cu n a, Gr ise lda (AC F); De LA Cr uz, James (A CF)
Cc: A<bl/ 6l
I Gon za le z, Jose (AC F); Martine
Subject: Re : u cf bl(6l

I

Please adv ise as to ema il below concern in g m in or r~b_l<5_l__
Thank you ,

zB er rios, Dia n a (A CF) (CT R)

~

EXT-18-241-N-000048

 003682

IMS, LPC

fb )(5)

Lead Clinician
Southwest Key Programs - Casa Blanca 954
San Antonio, TX
P: (830) 980-1470 (extKb)(6)1
C:l(b)(6)
F: (210) 587-2420
fbl(6l
~ swkey.org

I

PRIVILEGED AND CONFIDENTIAL: This commun icatio n, including attachments, is fo r the exclusive use of addressee and may contain proprietary,
confiden t ial and/or priv ileged info rmatio n. If you are not t he intended recipi ent , any use, copying, disclosure, disseminati on or dist ribution is
strictly prohib ite d. If you are not the inten ded recipient , please not ify th e sender immediate ly by retu rn email, delete th is commu nicat ion and
destroy all copies.

Fromj-<b_J(6
_l___
_
Sent : Monday, March 6, 2017 2:34:09 PM
To: Acuna, Griselda (ACF)
Cc:Kbl(6)
Subject: UC...
~b-)(6_l ______

_.

Griselda,
The attorney that represented fbJ(6) lfor the Judicial Bypass advised the program that she will
be coming to the shelte r to speak with the UC in approx im ately an hour. We do not have a G28 on file . I would like to make certain that it is all right that she speak tol (b)(6)
I The
attorney's information is below, please advise.

Whitley Law Firm:
Address : 2206 E Commerce St, San Anton io, TX 78203
Phone: ~b)(6)
Hours: Open today· 8AM-6PM

I

On-call number is: ~K
b_)(6
_l __

_

Respectfully,

fb)(6)

I

Case Management Coordinator
Southwest Key Programs
I
Tel: l<bJ(6J
email: f bl(6)
l@swkey.org

EXT-18-241-N-000049

 003683

Acuna, Griselda (ACF) </O=EXCHANGELABS/OU=EXCHANGE ADMINISTRATIVE GROUP

Se

nd
er: (FYDIBOHF23SPDLT)/CN = RECI PIENTS/CN=8C83EE08F90D454DBA24118C12FBD4FD-ACUNA, GRIS>
b)(6)

~g>";
ey.org>";
swkey.org>";
,~---------~.
ey.org>";
R . . t· "Gonzalez, Jose (ACF) </o = Exchangelabs/ou = Exchange Administrative Group
ec ipien · ( FYDIBOHF23SPDLT)/cn=Recipients/cn= 1e32d334f4814952912651ab60e4fde6-Gonza lez, J>";
"MartinezBerr ios, Diana (ACF) (CTR) </o = Exchangelabs/ou = Exchange Adm inistrat ive Group
( FYDIBOHF23SPDLT)/cn = Recipients/cn=4a 184d9ccce44 78ea0e2d242a87f3da 7-Soto, Diana> ";
"De LA Cruz, James (ACF) </o = Exchangelabs/ou = Exchange Administrative Group
LA Cruz,>"
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba9Sd119ab4cd6a77b34616dc3366c-De

r

Sent Date : 2017/03/06 17:17:06
Delivered Date: 2017/03/06 17:17:07

EXT-18-241-N-000050

 003684

Meyerstein, Shaanan (ACF) </O =EXCHANGELABS/OU
=EXCHANGE
ADMINISTRATIVEGROUP
From : (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN= 73D538ESAEDA4197B338
1EC6EF84ED75-

MEYERSTEIN,>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>";
"Calero, Wilfred (ACF) </o=Exchangelabs/ou =ExchangeAdministrative Group
(FYDIBOHF23SPD
LT)/cn =Recipients/cn= ?fed1fabef934452bff7378f6365fa8e-Calero, WiI>";
To:
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn =Bartholomew, Michael>";
"Velazquez,Ivonne (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570
-Velazquez,>"
Subject: RE:Kb)(6) tase
Date: 2017/03/06 17:22:22
Priority: Normal
Type: Note

I made my changes to the word document not knowing that it wou ld save automatically
as the sharepoint document.
I tried to make it flow better and be easier to read. I hope you agree with edits.
Let me know your thoughts .
Check the share point link again .

From: De LA Cruz, James (ACF)

Sent: Monday, March 06, 2017 4:36 PM
To: Calero, Wilfred (ACF); Bartholomew, Michael (ACF); Meyerstein, Shaanan (ACF)
Cc: Velazquez, Ivonne (ACF)

Subject: RE: l(b)(6) ICase

Thank you.

James S. De La Cruz
DHHS /ACF /ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refu gee Resettlement
Divi sion of Children's Serv ices
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Was hington, DC 2020 l
Office : 202 -690-8477
Cell: !(b)(6l
I
Fax: 202 -401-10 22
http://www. acf .hhs.gov/program s/orr/program s/ucs

From: Calero, Wilfred (ACF)

Sent: Monday, March 06, 2017 4:25 PM

EXT-18-241-N-000051

 003685

To: De LA Cruz, James (ACF); Bartholomew, Michael (ACF); Meyerstein, Shaanan (ACF)
Cc: Velazquez, Ivonne (ACF)
Subject: RE:l(b)(6) jCase

Mr. De LA Cruz,
I have reviewed the documents and documents, no changes to make.

Wilfred Calero
Federa l Field Specialist
Division of Children's Services
Office of Refugee Resettlement
l(b)(6)

fb )(6)

I
I

wilfred.ca lero@acf.hhs.gov
From: De LA Cruz, James (ACF)
Sent: Monday, March 06, 2017 2:13 PM
To: Bartholomew, Michael (ACF); Meyerstein, Shaanan (ACF)
Cc: Velazquez, Ivonne (ACF); Calero, Wilfred (ACF)
Subject: RE:~ase

The case time line request now appears to be complete. Please review the documents and
time line and let me know if any changes are needed on the time line. Kb)(5)

~

I

~---~

James S. De La Cruz
DHHS /ACF/ORR/DCS
Senior Federa l Field Speciali st Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room : 5223)
330 C Street SW
Washington , DC 20201
Office: 202-690-8477
Cell: !(b)(6 )
I
Fax: 202-401-1022
http://www.acf.hhs.gov /programs / orr/programs /ucs

From: De LA Cruz, James (ACF)
Sent: Monday, March 06, 2017 2:34 PM
To: Bartholomew, Michael (ACF); Meyerstein, Shaanan (ACF)
Cc: Velazquez,Ivonne (ACF); Calero, Wilfred (ACF)
Subject: l<bl/6\ 1case

EXT-18-241-N-000052

 003686

Here is a hyperlink for where I have emails for t b)(6) base. Wilfred is workin g on part of
the time line for her case . When he sends that I will update the summ ary that is partially
comp leted. To use the hyperlink right click on the link and select open hyperlink. You
have to be on the network or VPN to open the link.
S :\ORR\DCS\Shared\Ops\Intakes\Data Requests\Pregnancy Termin ation Request
03062017
James S. De La Cruz
DHHS /ACF/ORR/DCS
Senior Federal Field Specialist Superv isor
Office of Refugee Resettlement
Division of Children ' s Services
Mary E. Switzer Bui lding , 5th Floor (Room : 5223)
330 C Street SW
Washington , DC 20201
Office : 202-690-8477
Cell: !(b)(6 )
I
Fax: 202-401- 1022
http ://www .acf.hhs.gov/programs/ orr/programs/ucs

Meyerstein, Shaanan (ACF) </O=EXCHANGELABS
/ OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender : (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN= 73D538ESAEDA4197B338
1EC6EF84ED75
MEYERSTEIN,>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Rec
ipients/cn=2eba95dl19ab4cd6a77b34616dc3366c-DeLA Cruz,>";
"Calero, Wilfred (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= ?fed1fabef934452bff7378f636Sfa8e-calero, WiI>";
Recipient:
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn =Bartholomew, Michael>";
"Velazquez,Ivonne (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570
-Velazquez,>"
Sent Date: 2017/03/06 17:22:22

EXT-18-241-N-000053

 003687

Meyerstein, Shaanan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN= 73D538ESAEDA4197B338
1EC6EF84ED75MEYERSTEIN,>
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>";
To:
"De LA Cruz, James (ACF) </o =Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2eba95d 119ab4cd6a77b34616dc3366c-De LA Cruz,>"

CC:

"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= 1e32d334f4814952912651ab60e4fde6-Gonzalez,
J> ";
"Acuna, Griselda (ACF) </ o=Exchangelabs/ou=Ex change Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=8c83ee08f90d454dba24118c12fbd4fd-Acuna, Gris>"

Subje ct: RE: Case Timeline
Date : 2017/0 3/06 14:16:35
Priority: Normal
Type: Note

(b)(5)

Jose is on plan en-route to DC.
Shaanan

From: Bartholomew, Michael (ACF)

Sent: Monday, March 06, 2017 2:15 PM
To: De LA Cruz, James (ACF)
Cc : Gonzalez, Jose (ACF); Meyerstein, Shaanan (ACF); Acuna, Griselda (ACF)
Subject: RE: Case Timeline
Hi Jim,
I think this is all the information that Medical can weigh in at this time.
Please let us know if you need anything for clarification.
b)(5)

Michael
Michael L. Bartholomew, M.D ., FAAP
CDR, U.S. Public Health Service
Director, Division of Health for Unaccompanied Children (DHUC)
Unaccompanied Children Programs
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
Mary E. Switzer Building
330 C St SW, MS 5123
Washington, DC 20201
Phone : 202-401-5375

EXT-18-241-N-000054

 003688

michael.bartho lomew @acf. hhs.gov
www .acf .hhs.gov

From: Gonzalez, Jose (ACF)

Sent: Monday, March 06, 2017 2:09 PM
To: Meyerstein, Shaanan (ACF); Acuna, Griselda (ACF)
Cc: Bartholomew, Michael (ACF); De LA Cruz, James (ACF)
Subject: Re: Case Timeline
I don't think so. I don't land until after 5pm est.
!(b)(5)

"'"k
b"'"'
)(-'5)____________

_.

!

I am literally on tarmac now .
From: Meyerstein, Shaanan (ACF)

Sent: Monday, March 6, 2017 1:05:51 PM
To: Acuna, Griselda (ACF)
Cc: Bartholomew, Michael (ACF); De LA Cruz, James (ACF); Gonzalez, Jose (ACF)

Subject : FW: Case Timel ine
Can you please complete?

From: Gonzalez, Jose (ACF)

Sent: Monday, March 06, 2017 2:05 PM
To: Meyerstein, Shaanan (ACF); De LA Cruz, James (ACF); Acuna, Griselda (ACF)
Cc: Bartholomew, Michael (ACF)
Subject: Re: Case Time line
Sir I am about to board a plane and will not arrive in DC until after 6pm . I will not meet 4pm
deadline.
From : Meyerstein, Shaanan (ACF)

Sent: Monday, March 6, 201712:50:48 PM
To: De LA Cruz, James (ACF); Gonzalez, Jose (ACF); Acuna, Griselda (ACF)
Cc: Bartholomew, Michael (ACF)

Subject: FW: Case Timeline
Jose and Griselda,
We have been tasked by leadership to create a timeline for events surrounding the termination
of pregnancy request.

If you all would be interested in having a conference call later to discuss the content or format
of the timeline, we would be happy to do so.
Thanks so much for your time and input.

EXT-18-241-N-000055

 003689

Shaanan

From: Bartholomew, Michael (ACF)

Sent: Monday, March 06, 2017 11:33 AM
To: Gregg, Laura (ACF); De LA Cruz, James (ACF); Meyerstein, Shaanan (ACF)
Cc: White, Jonathan (ACF); Sualog, Jallyn (ACF)
Subject: RE: Case Timeline
Adding Shaanan to the email

Michael L. Bartholomew, M.D., FAAP
CDR, U.S. Public Health Service
Director, Division of Health for Unaccompanied Children (DHUC)
Unaccompanied Children Programs
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
Mary E. Switzer Building
330 C St SW, MS 5123
Washington, DC 20201
Phone : 202-401-5375
michael. bartho lomew@acf.hhs.gov
www .acf .hhs.gov

From: Gregg, Laura (ACF)

Sent: Monday, March 06, 2017 11:11 AM
To: De LA Cruz, James (ACF); Bartholomew, Michael (ACF)
Cc : White, Jonathan (ACF); Sualog, Jallyn (ACF)
Subject: Case Timeline

Hi Jim, Michael,

Please use the attached timeline for the 2 cases. A friendly reminder that Jonathan would like
this back by 4pm .

Kindly,
Laura

Sender:IMeyerstein, Shaanan (ACF) </O=EXCHANGELABS/OU=EXCHANGE ADMINISTRATIVE GROUP

EXT-18-241-N-000056

 003690

(FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= 73D538ESAEDA4197B3381
EC6EF84ED75
MEYERSTEIN,>
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>";
Recipient:
"Gonzalez, Jose (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= le32d334f481495291265lab60e4fde6-Gonzalez,J> ";
"Acuna, Griselda (ACF) </o =Exchangel abs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=8c83ee08f90d454dba24118c12fbd4fd
-Acuna, Gris>"
Sent Date: 2017/03/06 14:16:34
Delivered Date: 2017/03/06 14:16:35

EXT-18-241-N-000057

 003691

Meyerstein, Shaanan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= 73D538ESAEDA4197B3381
EC6EF84ED75MEYERSTEIN,>
/h\/n\
l'i'lswkey.org>";
To: "Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= ?fed1fabef934452bff7378f6365fa8e-Calero, WiI>"

"Velazquez,Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,
>";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
CC:
FYDIBOHF23SPDLT)
/cn= Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>";
(b)(6)
~key.org>";
swkey.org>"
Subject: Re:Kbl(6)

procedure scheduled

Date : 2017/03/03 07:47:05
Priority: Normal
Type: Note

le st works for DHUC Medical Team ....
Wi ll, can you send out conference call outlook invite?

On: 02 March 2017 23:32, 'k~b~)(6_) ______
@swkey.org>wrote:

~I'

5
fb )( )

Will,

EXT-18-241-N-000058

 003692

That time works for SWK Kokopelli.

Elizabeth

Sent from my iPhone

On Mar 2, 2017, at 6:29 PM, Calero, Wilfred (ACF)
<Wilfr ed.Calero@acf.hh s.gov>wrote:

Ivonne,

I wanted to update you all in regards to the above referenced procedure for Ms.
l(b)(6)
There appears to have been a miscommunication in regards to

I

the program ' s decision to proceed with the procedure without the funding
pre-approval from Headquarters. Dr. Meyerstein and I agree that it would
be prudent to have a conference call with the program to discuss the process
in this case and identify where
in the process the miscommunication occurred in order to clarify the record
and provide an opportunity to develop protocols for the next case which may
require a TOP.

The Conference is tentatively scheduled for 1:00 PM ESTtomorrow, 3/3/2017.
everyone noted above can please email me to advise if that time works best,

If

once I receive all of your responses I will then create a calendar event and
invite all interested parties and provide a conference number.

EXT-18-241-N-000059

 003693

Thanks for your attention on this matter.

Wilfred Calero
Federal Field Specialist
Agency for Children and Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operations (DUCO)

D
wilfred.calero@acf .hhs.gov

From: Calero, Wilfred (ACF)

Sent: Monday , February 27, 2017 9:04 AM
To: Velazquez, Ivonne (ACF)
Cc: De LA Cruz, James (ACF)

Su!>_ject:
FW:

~j
(b_)(6_) _____

~ 1frocedure scheduled

EXT-18-241-N-000060

 003694

Ivonne,

See below, the TOP has been scheduled. If there is any further needed please
advise.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement
!(b)(6)
l(b )(6)

wilfred.calero@acf.hhs.gov

From: 11.:...
<b..:..:
)(6....:.
l_____________

___J
Kq)P"---"'-s
~
w~ke~y
~.~or~q
J

Sent: Friday , February 24, 2017 4:39 PM
To: Calero, Wilfred (ACF); bl(6l

eila Alvarado;

(b)(6)

Subject: f._b_
l<6_l ______

.....
P_ro_cedure

scheduled

EXT-18-241-N-000061

 003695

Good evening all

~has

a 2 part appointment for her termination

First day is Wednesday March 1st at 215pm
This is when they plan to prepare her cervix for the procedure

Thursday March 2nd is the main procedure, this is scheduled at 7:45 am
This will take 4 to 6 hours
I will be present with her for both appointments

The cost is $1300

Let me know if you need any other information and thanks all for your
teamwork
0

□□

~'
(b_
J(6_l ----~

l'v7
C, LPC

Clinician office 501

Program 921: Kokopelli

EXT-18-241-N-000062

 003696

Phone: 480-500-1076 Extension l(b)(6)

I

Email:
l(b)(6)

@swkey.org

Regular Work Schedule: Tuesday -- Saturday, 8am-4pm

Meyerstein, Shaanan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= 73DS38ESAEDA4197B3381
EC6EF84ED75MEYERSTEIN,>
(b)(6)
swkey.org>";
"Calero, wmred (ACt-J</O--'t:xcnangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= ?fed1fabef934452bff7378f636Sfa8e-Calero, WiI>";
"Velazquez,Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
Recipient: (FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,
>";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba9Sd119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
'key .org>";
l(b)(6)
swkey.org>"
Sent Date: 2017/03/03 07:47:04
Delive red Date : 2017/03/03 07:47:05

EXT-18-241-N-000063

 003697

Meyerstein, Shaanan (ACF) </O=EXCHANGELABS/OU=EXCHANGE ADMINISTRATIVE GROUP

From: ( FYDIBOHF23SPDLT)/CN = RECI PIENTS/CN= 73DS38ESAEDA4197B3381EC6EF84ED75MEYERSTEIN,>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange
Adm inistrat ive Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn=2eba9Sdl19ab4cd6a77b34616dc3366c-De
LA Cruz,> ";
"Acuna, Griselda (ACF) </o=Exchangelabs/ou = Exchange Administrative Group
To:
(FYDIBOHF23SPDLT)/cn= Recipients/cn=8c83ee08f90d454dba24118c12fbd4fd-Acuna,
Gris>";
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange
Administrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/en = le32d334f481495291265 lab60e4fde6 -Gonzalez, J> "

CC:

"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange
Admin istrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=Bartholomew, Michae l>"

Subject: RE: Case Timeline
Date : 2017/03/06 17:32 :51

Priority: Normal
Type: Note

Wait 1 second ... have a few more edits

From: De LA Cruz, James (ACF)
Sent: Monday, March 06, 2017 5:32 PM
To : Acuna, Griselda (ACF); Meyerstein, Shaanan (ACF); Gonzalez, Jose (ACF)

Cc: Bartholomew, Michael (ACF)
Subject: RE: Case Timeline
Thank you . I am now merging mine, Dr. Meyerstein, and Griselda's comments on to one Case Timeline
and uploading documents . I will send a link soon so that all of you can review what is in the file for this
request.

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washington, DC 20201
Office: 202-690-8477
Cell· !{b}{6}
I
Fax: 202-401 -1022
http :// www. acf. h hs.gov / programs / orr / programs / ucs

From: Acuna, Griselda (ACF)
Sent: Monday, March 06, 2017 4:59 PM
To : Meyerstein, Shaanan (ACF); De LA Cruz, James (ACF); Gonzalez, Jose (ACF)

Cc: Bartholomew, Michael (ACF)
Subject: RE: Case Timeline

EXT-18-241-N-000064

 003698

Hello,

As per your request, please see the attached information.

Please let me know if you have any further questions.

Thank you!
Griselda Acuna
Federal Field Specialist
USDHHS
ACF-ORR- DUCO
f b)(6)

I

Griselda.acuna@acf.hhs .gov
http ://www.acf.hhs .gov/programs/orr/programs/ucs

From: Meyerstein, Shaanan (ACF)
Sent: Monday, March 06, 2017 12:51 PM
To : De LA Cruz, James (ACF); Gonzalez, Jose (ACF); Acuna, Griselda (ACF)
Cc: Bartholomew, Michael (ACF)
Subject: FW: Case Timeline
Jose and Griselda,
We have been tasked by leadership to create a time line for events surrounding the termination of
pregnancy request.

If you all would be interested in having a conference call later to discuss the content or format of the
timeline, we would be happy to do so.
Thanks so much for your time and input.
Shaanan

From: Bartholomew, Michael (ACF)
Sent: Monday, March 06, 2017 11:33 AM
To : Gregg, Laura (ACF); De LA Cruz, James (ACF); Meyerstein, Shaanan (ACF)
Cc: White, Jonathan (ACF); Sualog, Jallyn (ACF)
Subject: RE: Case Timeline
Adding Shaanan to the email

EXT-18-241-N-000065

 003699

Michael L. Bartholomew, M.D., FAAP
CDR, U.S. Public Health Service
Director, Division of Health for Unaccompanied Children (DHUC)
Unaccompanied Children Programs
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
Mary E. Switzer Building
330 C St SW, MS 5123
Washington, DC 20201
Phone: 202-401-5375
mich ael.bartholom ew@ acf.hhs.gov
ww w.acf.hhs.gov

From : Gregg, Laura (ACF)
Sent: Monday, March 06, 2017 11:11 AM
To: De LA Cruz, James (ACF); Bartholomew, Michael (ACF)

Cc: White, Jonathan (ACF); Sualog, Jallyn (ACF)
Subject : Case Timeline

Hi Jim, Michael,
Please use the attached timeline for the 2 cases. A friendly reminder that Jonathan would like this back
by 4pm.
Kindly,
Laura
Sender:

Meyerstein, Shaanan(ACF) </O = EXCHANGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 73D538ESAEDA4197B3381
EC6EF8
4 ED75-MEYERSTEIN
,>

"De LA Cruz, James (ACF) </o = ExchangeLabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn
= Recipients/cn= 2eba95dl19ab4cd6a77b34616dc3366c-DeLA Cruz,>" ;
"Acuna, Griselda (ACF) </o=Exchangelabs /ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/cn=8c83ee08f90d454dba24118c12fbd4fd
-Acuna, Gris>";
Recipient :
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/ cn= Recipients/en= 1e32d334f4814952912651ab60e4fde6-Gonza
lez, J> ";
"Bartholomew, Michael (ACF) </o=E xchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn= Bartholomew, Michael>"

Sent Date: 2017/03/06 17:32:51

EXT-18-241-N-000066

 003700

Meyerstein, Shaanan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= 73D538ESAEDA4197B3381
EC6EF84ED75-

MEYERSTEIN,>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c
-De LA Cruz,>";
To :
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>"

CC:

"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,
>";
"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= ?fed1fabef934452bff7378f6365fa8e-Calero, WiI>"

Subje ct: RE:[(b)(6) l: ase
Date : 2017/ 03/06 14:35:06
Prior ity: Normal
Typ e : Note

I jus t sent my own time line out
From: De LA Cruz, James (ACF)

Sent: Monday, March 06, 2017 2:34 PM
To: Bartholomew, Michael (ACF); Meyerstein, Shaanan (ACF)
Cc: Velazquez,Ivonne (ACF); Calero, Wilfred (ACF)
Subject: !(bl(6l !Case

Here is a hyperlink for where I have emails for~case.
Wilfred is working on part of
the time line for her case. When he sends that I will updat e the summary that is partially
comp leted. To use the hyper link right click on the link and select open hyperlink. Yo u
have to be on the network or VPN to open the link.
S :\ORR \DCS \ Shared \Ops\lntakes\Data Requests \Pregnancy Termination Request
03062017
James S. De La Cruz
DHHS /ACF/ ORR/DCS
Senior Federa l Field Spec ialist Supervisor
Office of Refugee Resett lement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Sh·eet SW
Wash ington, DC 20201
Office: 202-690-8477
I
Cell: !(b)( 6 )
Fax:202 -401- 1022
http://www.acf .hhs.gov/programs /orr/programs /ucs

Sender: IMeyerstein,Shaanan (ACF) </O=EXCHANGELABS
/OU=EXCHANGEADMINISTRATIVEGROUP

EXT-18-241-N-000067

 003701

(FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= 73D538ESAEDA4197B3381
EC6EF84ED75
MEYERSTEIN,>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"Bartholomew, Michael (ACF) </o=ExchangeLabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>";
Recipient:
"Velazquez,Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDI BOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazque
z, >";
"Calero, Wilfred (ACF) </o=ExchangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= 7fcd 1fabef934452bff7378f6365fa8e-Calero, WiI>"
Sent Date: 2017/03/06 14:35:05
Delivered Date: 2017/03/06 14:35:06

EXT-18-241-N-000068

 003702

Polen, Alexis (ACF) </O = EXCHA
NGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN=2C201DDCEF964C769D630FC992B80286-COHEN,
ALEX>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>";
To:
"Viola, Sarah (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=394164 lc71 ba463aa7a089412fe45d7f-Viola,Sara>"
Subject: RE: ORRNCCCall
Date : 2017/03/ 14 12:45:22
Priority: Normal
Type : Note

OK. Thanks Jim.
Alexis Polen

Project Officer
Division of Unaccompanied Children Operations
Office of Refugee Resettlement
330 C Street SW
Mailroom 5123
Washington, DC 20201
Office : (202) 401-6499
b_lC6_l ___
__,
Cellphone: ._t
From: De LA Cruz, James (ACF)

Sent: Tuesday, March 14, 2017 12:45 PM
To: Polen, Alexis (ACF); Viola, Sarah (ACF)
Subject: RE: ORRNCCCall

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Superv isor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Wash ington, DC 20201
Office : 202-690-8477
Cell: !Cbl(6l
I
Fax: 202-401- 1022

EXT-18-241-N-000069

 003703

http://www.acf.hhs.gov /programs / orr/programs /ucs

From: Polen, Alexis (ACF)

Sent: Tuesday, March 14, 2017 12:15 PM
To: Viola, Sarah (ACF); De LA Cruz, James (ACF)
Subject: ORRNCCCall

Hi ,

Please let me know if I should provide additional guidance to ORRNCC regarding the
incident below . Is there anything else they should be doing?
!reported UC fbl(6l
jyear old female from
SWB Referral: Sponsorfbl(6)
6
fbl( l
Iwas sexually assaulted at school. UC reported that five boys (students)
cornered her and one sexually assaulted her. UC reported to school officials and reports
were conducted after Sponsor contacted PD. School officials suspended the perpetrator
but the other five remain in school and UC stated she continues to be harassed by them.
UC does not feel safe at school. Safety plan: individual/family counseling, rape crisis
center, low cost or free medical services, emergency 911, CPS, legal resources and
ORRNCC to be contacted/or future reference and advocacy. Reports.filed : PD and CPS.
Ref erred to PRS.
Alexis Polen

Project Officer
Division of Unaccompanied Children Operations
Office of Refugee Resettlement
330 C Street SW
Mailroom 5123
Washington , DC 20201
Office : (202) 40 1-6499
fb_l(6_l ___
____.
Cellphone: ....

Polen, Alexis (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
=2C201DDCEF964C769D630FC992B80286-COHEN,
ALEX>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
Recipient:
"Viola, Sarah (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn = 394164lc71 ba463aa7a089412fe45d7f-Viola, Sara>"
Sent Date: 2017/03/14 12:45:22

EXT-18-241-N-000070

 003704

Meyerstein, Shaanan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN= 73D538ESAEDA4197B338
1EC6EF84ED75MEYERSTEIN,>
To:

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>"

Subj ect: REfb)(6) lase
Date: 2017/03/06 14:39:08
Priority: Normal
Type: Note

Thank you Jim . ..

From: De LA Cruz, James (ACF)
Sent: Monday, March 06, 2017 2:34 PM
To: Bartholomew, Michael (ACF); Meyerstein, Shaanan (ACF)
Cc : Velazquez, Ivonne (ACF); Calero, Wilfred (ACF)
Subjectf bl(6) ~ase

Here is a hyperlink for where I have ema ils forl(b)(6) !case. Wilfred is working on paii of
the time line for her case. When he sends that I will update the summary that is partially
completed. To use the hyperlink right click on the link and select open hyperlink. You
have to be on the network or VPN to open the link.
S:\ORR\DC S\Shared\Ops\Intakes\Da ta Reguests\Pregn ancy Terminatio n Requ est
03062017
James S. De La Crnz
DHHS /ACF /ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washington, DC 20201
Office : 202-690-8477
I
Cell: !(bl(6l
Fax: 202-401-1022
http ://www. acf.hh s.gov/program s/orr/program s/ucs

Meyerstein, Shaanan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= 73D538ESAEDA4197B3381
EC6EF84ED75
MEYERSTEIN,>
Recipient:

" De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dl19ab4cd6a77b34616dc3366c-DeLA Cruz,>"

EXT-18-241-N-000071

 003705

Sent Date: 120 17/03/06 14:39:08

EXT-18-241-N-000072

 003706

Meyerstein, Shaanan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN= 73D538ESAEDA4197B338
1EC6EF84ED75MEYERSTEIN,>
"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= ?fed1fabef934452bff7378f6365fa8e-Calero, WiI>";
To:
"Velazquez,Ivonne (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,>"
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
FYDIBOHF23SPDL
T)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
(b)(6)
~swkey.org> ";
'l(bl(6l
)Q)swkey
.erg>";
lalswkey.erg>";
CC: l(b}(6}
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>";
l(b\(6\
rroswkey.org>";
(b)(6)
niswkey.org>"
Subject : Re:Kb)(6)

rrocedure scheduled

Date : 2017/03/03 10:52:22
Priority: Normal
Type : Note

Will ,
Can you please let me know what our conference call line and call-in information is for
the 1pm EST meeting?
Thank you .
Dr Meyerstein

On: 02 March 2017 20:28 , "Calero, Wilfred (ACF)"
<Wilfred .Calero@acf.hhs.gov >wrote:

Ivonne,

EXT-18-241-N-000073

 003707

I wanted to update you all in regards to the above referenced procedure for ~l
(b_)(_6)_____
There appears to have been a miscommunication in regards to

~

the program's decision to proceed with the procedure without the funding pre-approva l
from Headquarters. Dr . Meyerstein and I agree that it would be prudent to have a
conference call with the program to discuss the proce ss in this case and identify where
in the proce ss the miscommunication occurred in order to clarify the record and provide
an opportunity to develop protocols for the next case which may require a TOP.

The Conference is tentatively scheduled for 1:00 PM ESTtomorrow, 3/3/2017.
noted above can please email me to advise if that time works best,

If everyone

once I receive all of your responses I will then create a calendar event and invite all
interested parties and prov ide a conference number.

Thanks for your attention on this matter.

Wilfred Calero
Federal Field Specialist
Agency for Children and Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operations (DUCO)

wilfred.calero@acf .hhs.gov

EXT-18-241-N-000074

 003708

From: Calero, Wilfred (ACF)

Sent: Mond ay, February 27, 2017 9:04 AM
To: Vela zque z, Ivonne (ACF)
Cc: De LA Cruz, James (ACF)
Subject: FW: '""K
b'""
)(6-)"- ====

----'IProcedure scheduled

Ivonne,

See below, the TOP has been scheduled . If there is any further needed please advise.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

D
w ilfred. calero@acf .hhs.gov

EXT-18-241-N-000075

 003709

From: _l
(b_)(6_) ____

~l

~[m~a~il~to
'--11
(:b)
...:.:..
(6.:..
) ____

,...w
=sw~k~e~v~.o~rq~J

Sent: Friday , February 24, 2017 4:39 PM
To: Calero, Wilfred (ACF) (bl(6l

Keila Alvarado:i(b )(6)

b)(6)

5
Subjecd....
<b_J<_l _____

____,I
Procedure scheduled

Good evening all

6l
l<bl(

Ihas a 2 part

appointment

for her termination

First day is Wednesday March 1st at 215pm
This is when they plan to prepare her cervix for the procedure

Thursday March 2nd is the main procedure, this is scheduled at 7:45 am
This will take 4 to 6 hours
I will be present with her for both appointments

The cost is $1300

EXT-18-241-N-000076

 003710

Let me know if you need any other infor mat ion and thanks all for your t eamwork
0 □

f~b_)(6_) ____

~iMC, LPC

Clinician office 501

Program 921: Kokopel/i

Phone: 480-500-1076 Extensio~

Email:
~b)(6)

l@swkey.org

Regular Work Schedule: Tuesday -- Saturday, 8am-4pm

Meyerstein, Shaanan (ACF) </O=EXCHANGELABS/OU=EXCHANG
E ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN= 73D538E5AEDA4197B3381
EC6EF84ED75MEYERSTEIN,
>
"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= ?fed1fabef934452bff7378f6365faBe-Calero, WiI>";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42S70-Velazquez,
>";
R . . t "De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
ecipien :
=
· ·
= eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>";
(b)(6)
swkey.org>";
(b)(6)
ey.org> ";
swkey.org> ";
,-...,.,.===::-:--:-n,,:=,r"Tl..,..,......-::<-,-,
o:-::=:1"'!x
,.changelabs/ou=ExchangeAdministrative Group

EXT-18-241-N-000077

 003711

(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>";
:1(b)(6)

rikey.org>";
:@swkey.org>"

Sent Date: 2017/03/03 10:52:22

EXT-18-241-N-000078

 003712

Meyerstein, Shaanan (ACF) </O =EXCHANGELABS/OU
=EXCHANGEADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN= 73D538ESAEDA4197B338
1EC6EF84ED75MEYERSTEIN,>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>";
"Calero, Wilfred (ACF) </o=Exchangelabs/ou =ExchangeAdministrative Group
To:
(FYDIBOHF23SPDLT)/cn =Recipients/cn= ?fed1fabef934452bff7378f6365fa8e-Calero, WiI>";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn = 39e67b42d96043c688e84fa6cef42570-Velazquez,
>"

CC:

"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>"

Subject: RE: Timeline surrounding events of termination
Date: 2017/03/06 14:48:55
Priority: Normal
Type: Note

Agreed.

From: De LA Cruz, James (ACF)

Sent: Monday, March 06, 2017 2:48 PM
To: Meyerstein, Shaanan (ACF); Calero, Wilfred (ACF); Velazquez, Ivonne (ACF)
Cc: Bartholomew, Michael (ACF)

Subject: RE: Timeline surrou nding events of term inat ion

Hi Dr. Meyerst ein,
(b)(6)

Thanks

James S. De La Cruz
DHHS /ACF/ORR/DCS
Senior Federa l Field Specialist Supervisor
Office of Refugee Resett lement
Division of Children's Services
Mary E. Switzer Building , 5th Floor (Room: 5223)
330 C Street SW
Wash ington, DC 20201
Office: 202-690-8477
Cell: !(bl(6l
I
Fax: 202-401 -1022
http ://www.acf .hhs.gov/program s/orr/program s/ucs

EXT-18-241-N-000079

 003713

From: Meyerstein, Shaanan (ACF)

Sent: Monday, March 06, 2017 2:35 PM
To: Calero, Wilfred (ACF); Velazquez, Ivonne (ACF); De LA Cruz, James (ACF)
Cc: Bartholomew, Michael (ACF)
Subject: T imeline surrounding events of termination

Ivonne and Wilfred,
The FFS and Medical Team have been tasked by leadership to create a timeline for
events surrounding the termination of pregnancy request from last week.
Since DHUC was first notified about this case via the FFS team , we thought it would
make most sense for you all to complete parts I have highlighted in Red that I was unable
to complete, in addition to adding any other relevant documents /emails/correspondence.
I have completed the relevant parts that DHUC can complete. Perhaps fb)(6)
the case manager at SWK Kokopelli could provide information to you as well. If you all
would be interested in having a conference call later to discuss the content or format of
the timeline, we would be happy to do so.

I

Thanks so much for your time and input.
Shaanan

Meyerstein, Shaanan (ACF) </O=EXCHANGELABS
/ OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN= 73D538ESAEDA4197B3381
EC6EF84ED75
MEYERSTEIN,>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"Calero, Wilfred (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= ?fed1fabef934452bff7378f6365fa8e-calero, WiI>";
Recipient:
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,
> ";
"Bartholomew, Michael (ACF) </o = ExchangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>"
Sent Date : 2017/03/06 14:48:55

EXT-18-241-N-000080

 003714

Calero, Wilfred (ACF) </O =EXCHANGELABS/OU
=EXCHANGEADMINISTRAT
IVE GROUP

From: ( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365F
A8E-CALERO,
WIL>
"Meyerstein, Shaanan (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/en=73d538e5aeda4197b3381ec6ef84ed75-Meyerstein
, >";
To:
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=39e67b42d96043c688e84fa6cef425
70-Velazquez,>"
"De LA Cruz, James (ACF) </o=ExchangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d
119ab4cd6a77b34616dc3366
c-De LA Cruz,>";
wswkey.org>";
rnun1
(b)(6)
[QlswKey.org>";
,:.cpswkey.org>
";
Cq(b)(6)
..tsa,u,oromew, MIcnae1lAl.l"J <10- txchangelabs/ou=Exchange Administrative Group
( FYDIBOHF23SPDL
T)/ en= Recipients/en=Bartholomew, Michael>";
th\/ ~ \
•m~ .. 1 key.org>";
(b)(6)
~swkey.org>"
Subject : REl(b)(6)
h ocedure scheduled
Date : 2017/03/03 10:58:59
Priority : Normal
Type : Note

I just sent the invite please advise if it automatically scheduled you for 1 PM EST.
Thanks.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

l(b)(6)

I

w1111
ea.ca1e1o@ad .hhs.gov

From: Meyerstein, Shaanan (ACF)

Sent: Friday, March 03, 2017 8:52 AM
To: Calero, Wilfred (ACF); Velazquez, Ivon ne (ACF)

Cc: De LA Cruz, James (ACF),..,,.l
(b.,...,
)(6-,',)-'--------''----'---------------.
Bartholomew , Michael (ACF); Fanny Rivera; jl0 )(6)
Procedur~
e -sc-h-e-a~
ul-ed~~

Subject: Re : Kb)(6)

Will,

Can you please let me know what our confe rence call line and call-in information is for the 1pm
EST meeting?
Thank you.

EXT-18-241-N-000081

 003715

Dr Meyerstein

On : 02 March 2017 20 :28, "Calero, Wilfred (ACF)" <Wi lfred.Calero@acf.hhs.gov>wrote:

Ivonne,

I

There
I wanted to update you all in regards to the above referenced procedure for l(b)(6)
appears to have been a miscommunication in regards to the program's decision to proceed with the
procedure without the funding pre-approva l from Headquarters. Dr. Meyerste in and I agree that it
would be prudent to have a conference call w ith the program to discuss the process in this case and
identify where in the process the miscommunication occurred in order to clarify the record and provide
an opportunity to develop protocols for the next case which may require a TOP.
The Conference is tentatively scheduled for 1:00 PM ESTtomorrow, 3/3/2017. If everyone noted above
can please email me to advise if that time works best, once I receive all of your responses I will then
create a calendar event and invite all interested parties and provide a conference number.
Thanks for your attention on this matter.

Wilfred Calero
Federal Field Specialist
Agency for Children and Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operations (DUCO)
r b)(6)

i

wil fre d.calero@acf .hhs.gov

From: Calero, Wilfred (ACF)
Sent: Monday, February 27, 2017 9:04 AM
To : Velazquez, Ivonne (ACF)
Cc: De LA Cruz, James (ACF)
Subject: FW:fbl(6)
f rocedure scheduled
Ivonne,
See below, the TOP has been scheduled. If there is any further needed please advise.

EXT-18-241-N-000082

 003716

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement
r b)(6)

i

wilfred.ca lero@acf .hhs.gov
__j'
@~s~w~k=e,_,_y=
.o'-'--=rq
l

11~61
'--- _____________
From: t!afo:.!!

Sent: Friday, February 24, 2017 4:39 PM
To: Calero, Wilfred (ACFHCb)(6)

!Keila Alvarado; b)(6)

(b)(6)

~

Su 1ect:~Cb_)C
_l _____
6
Good evening all
fblC6l

lhas a 2 part appointment

First day is Wednesday

for her termination

March 1st at 215pm

Thi s is when they plan to prepare her cervix for the procedure
Thursday March 2nd is the main procedure , this is scheduled at 7:45 am
This w ill tak e 4 to 6 hours
I will be present wit h her for both appointments
The cost is $1300
Let me know if you need any other information
Kb)(6)

and thanks all for your teamwork

13Ill

l\'1C, LPC

Clinician offic e 501
Program 921: Kokopelli
Phone: 480-500-1076 Extension~
Email: kb)(6)
@swkey.org
Regular Work Schedule: Tuesday -- Saturday, Bam-4pm

Sender:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE ADMINISTRATIV E GROUP
(FYDIBOHF23SPDLT)/CN = RECIPIENTS/CN= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,WIL>

"Meyerstein, Shaanan (ACF) </o = Exchangelabs/ou = Exchange Adm inistrat ive Group
(FYDIBOHF23SPDLT)/cn = Recipients/en = 73d538e5aeda4 l 97b338lec6ef84ed75 -Meyerste in, > ";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange
Adm inistrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,>
";
Administrative Group
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange
(FYDIBOHF23SPDLT)/cn = Recipients/cn = 2eba95d 119ab4cd6a77b346 16dc3366c - De LA Cruz,>";
Recipient:
rnvR 1
!!'Swkey.org>";
(b)(6)
@swkey.org>";
@swkey.org > ";
~b\/6\
"Bartholomew, Michael (ACF) </o = Exchangelabs/ou = Exchange Admin istrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/en = Bartholomew, Michae l> ";
"Fanny Rivera <fr ivera@sw key.org> ";

EXT-18-241-N-000083

 003717

(b)(6)

@swkey.org> "

Sent Date: 2017/03/03 10:58:58
Delivered Date: 2017/03/03 10:58:59

EXT-18-241-N-000084

 003718

Calero, Wilfred (ACF) </O = EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN= 7FCD1FABEF934452BFF7378F636SFA8E-CALERO,
WIL>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>";
" Meyerstein, Shaanan (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
To:
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= 73d538e5aeda4l 97b338lec6ef84ed75-Meyerstein,> ";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn = 39e67b42d96043c688e84fa6cef42570-Velazquez,
>"

CC:

"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn =Bartholomew, Michael>"

Subject: Re: Timeline surrounding events of terminat ion
Date: 2017/03/06 14:57:32
Priority: Normal
Type: Note

Mr. De LA Cruz

The program will have their portion of the timeline in ten minutes back to me and I will forward
to you so after reviewing it .

Will Calero

From: De LA Cruz, James (ACF)
Sent: Monday , March 6, 2017 12:48:10 PM
To : Meyerstein, Shaanan (ACF); Calero, Wilfred (ACF) ; Velazquez , Ivonne (ACF)
Cc: Bartholom ew, Michael (ACF)

Subject: RE: Time line surrounding events of terminat ion

EXT-18-241-N-000085

 003719

Hi Dr. Meyerstein,

A bit over an hour ago. I sent Wilfred and Ivonne the timeline with a request to work on the
judicial consent piece. My thought will be to merge mine, yours, and Wilfred's on to one time
line when he responds.

If you agree then please let Wilfred and I know . (Wilfred , please know that the part I sent
to you is due to the ORR Director in a little over an hour.)

Thanks

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor {Room: 5223)
330 C Street SW
Washington, DC 20201
Office: 202-690-8477
/6..._l__
Cell: =!{b.,_._l

_,

Fax: 202-401-1022
http://www.acf.hhs.gov/programs/orr/programs/ucs

EXT-18-241-N-000086

 003720

From: Meyerstein, Shaanan (ACF)

Sent: Monday, March 06, 2017 2:35 PM
To: Calero , Wilfred (ACF); Velazquez, Ivonne (ACF); De LA Cruz , James (ACF)
Cc: Bartholomew, Michael (ACF)

Subject: Timeline surrounding events of termination

Ivonne and Wilfred,

The FFSand Medical Team have been tasked by leadership to create a timeline for events
surrounding the termination of pregnancy request from last week.
Since DHUC was first notified about this case via the FFSteam, we thought it would make most
sense for you all to complete parts I have highlighted in Red that I was unable to complete, in
addition to adding

any other relevant documents /emai ls/correspondence. I have completed the relevant
parts that DHUC can complete. Perhap~(b)(6)
lthe case manager at SWK
Kokopelli could provide information to you as well. If you all would be interested in
having
a conference call later to discuss the content or format of the timeline , we would be
happy to do so.

Thanks so much for your time and input.

Shaanan

EXT-18-241-N-000087

 003721

Calero, Wilfred (ACF) </O=EXCHANGELABS/O
U=EXCHANGEADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8E
-CALERO,
WIL>
"De LA Cruz, James (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDLT)
/cn=Recipients/cn=2eba95dll9ab4cd6a77 b34616dc3366c-De LA Cruz,>";
" Meyerstein, Shaanan (ACF) </o= Exchangela bs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= 73d538e5aeda4197b338l ec6ef84ed75-Meyerstein,> ";
Recipient:
"Velazquez,Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= 39e67b42d96043c688e84fa6cef42570-Velazquez,>";
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>"
Sent Date : 2017/03/06 14:57:32

EXT-18-241-N-000088

 003722

Gonzalez, Jose (ACF) </O= EXCHANGELABS/OU
=EXCHANGEADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= 1E320334F4814952912651
AB60E4FDE6GONZALEZ,J>
To:

" De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23S
PDLT)/cn=Recipients/cn=2eba95dll9ab4c d6a77b34616dc3366c-De LA Cruz,>"

Subject: Re: Termination case #1 Phoeniix
Date: 2017/03/06 18:57:59
Priority: Normal
Type: Note

Jim l(b)(6)

rase is from San Antonio.

The email says Phoenix.

From: De LA Cruz, James (ACF)

Sent: Monday, March 6, 2017 6:53:29 PM
To : Gregg, Laura (ACF); White, Jonathan (ACF); Sualog, Jallyn (ACF)
Cc : Bartholomew, M ichael (ACF); Meye rstein, Shaanan (ACF); Acuna, Gr iselda (ACF);
Gonzalez, Jose (ACF)
Subject: RE: Termination case #1 Phoeniix

Hello,

Per today's request a time line for th is case is provided. Please use the link below to find a time
line and supporting documents. Those involved in the field

and medical unit contrib uted to the time line and providing documentation.

EXT-18-241-N-000089

 003723

S:\ORR\DCS\Shared\Ops\lntakes\Data
6l
Reguests\Pregnancy Termination ReguestlCblC

I

l(b )(6)

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children 's Services
Mary E. Switzer Building, 5th Floor {Room : 5223)
330 C Street SW
Washington, DC 20201
6

Office: f~b_H_l___

~

Cell: =!{b""l
{6=l
--~
Fax: 202-401-1022
http://www.acf.hhs.gov/programs/orr/programs/ucs

From: Bartholomew, Michael (ACF)

EXT-18-241-N-000090

 003724

Sent: Monday, March 06, 2017 6:31 PM
To: Meyerstein , Shaanan (ACF); De LA Cruz, James (ACF); Acuna , Griselda (ACF) ;
Gonzalez, Jose (ACF)
Subject: Re: Final edits from Medical Team

Shaanan,

No further edits from me...thank you.

Michael

EXT-18-241-N-000091

 003725

On: 06 March 2017 18:18, "Meyerstein , Shaanan (ACF)"
<Shaanan.Meyerstein@ac f.hhs.gov>wrote:

From: De LA Cruz, James (ACF)

Sent: Monday, March 06, 2017 5:32 PM
To: Acuna , Griselda (ACF); Meyerstein , Shaanan (ACF); Gonzalez, Jose (ACF)
Cc: Bartholomew, Michael (ACF)

Subj~ct: RE: Case Timeline

Thank you. I am now merging mine, Dr. Meyerstein, and Griselda's comments on to one Case
Timel ine and uploading documents. I will send a link soon so that

all of you can review what is in the file for this request.

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement

EXT-18-241-N-000092

 003726

Division of Children ' s Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Wash ington, DC 20201
Off ice: 202-690-8477
l{6=l__
Cell: =!(b"""

__,

Fax: 202-401-1022
ht tp://www.acf.hhs .gov/programs/o rr/programs/ucs

From: Acuna, Griselda (ACF)

Sent: Mond ay, March 06, 2017 4:59 PM
To: Meyerstein, Shaanan (ACF); De LA Cruz, James (ACF); Gonzalez, Jose (ACF)
Cc: Barthol omew, Michael (ACF)

Subject: RE: Case Timeline

Hello,

As per your request, please see the attached information.

EXT-18-241-N-000093

 003727

Please let me know if you have any further questions .

Thank you!

Griselda Acuna
Federal Field Specialist
USDHHS
ACF-ORR-DUCO
rb)(6)

Griselda.acuna@acf.hh s.gov
http://www.acf.hhs.gov/prog

rams/or r/programs/ucs

From: Meyerstein, Shaanan (ACF)

Sent: Monday , March 06, 2017 12:51 PM
To: De LA Cruz, James (ACF); Gonzalez, Jose (ACF); Acuna, Grise lda (ACF)
Cc: Bartholomew, Michael (ACF)

Subject: FW : Case Timeline

EXT-18-241-N-000094

 003728

Jose and Griselda,

We have been tasked by leadership to create a timeline for events surrounding the term ination
of pregnancy request.
Since DHUC was first notified about this case via the FFSteam, we thought it would make most
sense for you all to complete parts I have highlighted in Red

that I was unable to complete, in add ition to adding any other relevant
document s/ema ils/correspondence. I have comp leted the relevant part s that DHUC can
complete.
If you all would be interested in having a conference call later to discuss the conte nt or format
of the timeline, we would be happy to do so.

Thanks so much for your time and input.

Shaanan

From: Bartholomew, Michael (ACF)

Sent: Monday, March 06, 2017 11:33 AM
To: Gregg , Laura (ACF); De LA Cruz, James (ACF); Meyerstein, Shaanan (ACF)
Cc: Wh ite, Jonathan (ACF); Sualog, Jallyn (ACF)
Subject: RE: Case Timeline

Adding Shaanan to the email

EXT-18-241-N-000095

 003729

Michael L. Bartholomew, M.D., FAAP
CDR, U.S. Public Health Service
Director, Division of Health for Unaccompanied Children (DHUC)
Unaccompanied Children Programs
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
Mary E. Switzer Building

330 C St SW, MS 5123
Washington, DC 20201
Phone : 202 -401 -5375
michael.bartho lomew @acf.hh s.gov
www .acf.hhs .gov

From: Gregg, Laura (ACF)

Sent: Monday , March 06, 2017 11: 11 AM
To: De LA Cruz, James (ACF); Bartholomew, M ichael (ACF)
Cc: White , Jonathan (ACF) ; Sualog, Jallyn (ACF)

EXT-18-241-N-000096

 003730

Subject: Case Timeline

Hi Jim, Michael,

Please use the attached timeline for the 2 cases. A friendly reminder that Jonathan would like
this back by 4pm .

Kindly,
Laura

Gonzalez,Jose (ACF)</O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATNEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= 1E32D334F4814952912651AB60E4FDE6GONZALEZ,
J>
Recipient:

"De LA Cruz,James(ACF)</o=Exchangelabs/ou=ExchangeAdministrativeGroup
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba9Sdl19ab4cd6a77b34616dc3366c-De
LA Cruz,>"

Sent Date: 2017/03/06 18:57:59

EXT-18-241-N-000097

 003731

Torres, Sabrina (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
=6808C12FBE934
75DAAE56B9DCB7
A2F4C-TORRES,
SAB>
To:

" De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c
-De LA Cruz,>"

Subj ect: Washington Post Article- Rape Committed by Former UC
Date: 2017/03/20 09:43:41
Priority : Normal
Type: Note

Hi J im,
Below is the article .
https ://www .washingtonpost.com /local/pu blic-safety /two-rockville-high-studentsarrested-after-allegedl y-raping-14-year-o ld-at-schoo l/2017 /03/17 /a3 l cf300-0b30-l l e7924c-25b7f4fdf51 d story.h tml?hpid=hp local-ne ws rockville244pm %3Ahomepage%2Fstory& utm term=.8e2980908aa0

The 18 year old was defini tely in our care before. A#f~b-)(6_>__

~

They didn 't show a pictu re of th e 17 year old but based on the informat ion provided in
the article I think it's this UC. He was released to a sponsor in Rockv ille, MD.
A~(b)(6)

I

------------------■
Thank you,
Sabrina Torre s
Intake s Pro gram Specia list
Office of Refugee Re settlement
Division of Unaccompani ed Children Operat ions
330 C Street SW

EXT-18-241-N-000098

 003732

Washington , DC 20201
Office : 202-260-7802

I

Cell: l(b)(6)

Torres, Sabrina (ACF) </O=EXCHANGELABS/O
U=EXCHANGEADMINISTRATIVE GROUP
Sender: (FYDIBOHF23SPDLT)/CN=RECIPIENTS/CN=6808C12FBE93475DAAE56B9DCB7A2F4C-TORRES,
SAB>
Recipient:

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95
d119ab4cd6a77b34616dc3366c-DeLA Cruz,>"

Sent Date: 2017/03/20 09:43:40
Delivered Date: 2017/ 03/20 09:43:41

EXT-18-241-N-000099

 003734

Velazquez,Ivonne (ACF) </O = EXCHANGELABS/OU
=EXCHANGE
ADMINISTRATIVEGROUP

From: ( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN= 39E67B42D96043C688E84FA6CEF42570VELAZQUEZ,>
"White, Jonathan (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/cn=e9b5fe526fld4ba0a6cc8ddee8ec4d87
-Jonathan Wh>";
To:
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d
119ab4cd6a77b34616dc3366c-De
LA Cruz,>"
b)(6)
Subject:

I

Date: 2017/03/03 11:41:07
Priority : Normal
Type: Note

Dear Jonathan,
Per your request , attached you will find some of the emails on this case. I will be sending you more of these email very shortly
Thanks Ivonne

Ivonne Velazquez,LCSW
Federal Field Specialist Supervisor
United States Department of Health and Human Services
Administration of Children and Families
Office of Refugee Resettlement
Division of UnaccompaniedChildren Operations
Cell;fbl/6)
http://www.acf .hhs.gov/programs/orr

I

Velazquez,Ivonne (ACF) </O = EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECI PIENTS/CN=39E67B42D96043C688E84FA6CEF42570VELAZQUEZ,>
"White, Jonathan (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF23SPDL
T)/cn = Recipients/cn=e9b5fe526fld4ba0a6cc8ddee8ec4d87-JonathanWh>";
Recipient:
"De LA Cruz, James (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn
= Recipients/cn= 2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>"
Sent Date: 2017/03/03 11:41:00
Delivered Date: 2017/03/03 11:41:07
Velazquez,Ivonne (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP

From: ( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
=39E67B42D96043C688E84FA6CEF42570
VELAZQUEZ,>
To:

"Calero, Wilfred (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
( FYDIBOHF23SPDL
T)/cn= Recipients/en=?fedlfabef934452bff7378f6365fa8e-Calero,Wil>"

Subject: REl(b)(6)

Procedure scheduled

Date: 2017/03/03 10:17:42
Priority: Normal
Type: Note

EXT-18-241-N-000100

 003735

I will be available

From: Calero, Wilfred (ACF)

Sent: Thursday , March 2, 2017 6:28:43 PM
To: Velazquez, Ivonne (ACF)
6_l ________
Cc: De LA Cruz , James (ACF); Meyerstein, Shaanan (ACF);f~b_JC

I

@~
Subject:

~

REk~b~)(6
.....
) _____

~I Procedure scheduled

Ivonne,

I wanted to update you all in regards to the above referenced procedure fo ~b)(6)
appears to have been a miscommunication in regards to

IThere

the program 's decision to proceed with the procedure without the funding pre-approval from
Headquarter s. Dr. Meyer stein and I agree that it would be prudent to have a conference call
with the program to discuss the process in this case and identify where
in the process the miscommunication occurred in order to clarify the record and provide an
opportunity to develop protocols for the next case which may require a TOP.

The Conference is tentatively scheduled for 1:00 PM ESTtomorrow, 3/3/2017. If everyone noted above
can please email me to advise if that time works best,

once I receive all of your responses I will then create a calendar event and invite all interested
parties and provide a conference number.

Thanks for your attention on this matter.

EXT-18-241-N-000101

 003736

Wilfred Calero
Federal Field Specialist
Agency for Children and Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operations (DUCO)

□

wilfred.calero@acf.hhs.gov

From : Calero, Wilfred (ACF)

Sent: Monday, February 27, 2017 9:04 AM
To: Ve lazquez , Ivonne (ACF)
Cc: De LA Cruz, James (ACF)
Subject: FW: fb_
....)(6_) ______

_,procedure scheduled

Ivonne,

EXT-18-241-N-000102

 003737

See below, the TOP has been scheduled. If there is any further needed please advise.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

□

wilfred.calero@acf.hhs.gov

From: l(b
...._)<5_>_____________

_.@
"'"--='-sw~ke"'-'y~
.o~rql

Sent: Friday, Febrnary 24, 2017 4:39 PM
To: Calero , Wilfred ACF ;

(b)(6)

eila Alvarado ·(b)(6)

b)(6)
f b)(6)

Subject:,_fb_ )(6_) ______

_.!Procedure scheduled

EXT-18-241-N-000103

 003738

Good evening all

~b)(6l

lhas a 2 part appointment for her termination

First day is Wednesday March 1st at 215pm
This is when they plan to prepare her cervix for the procedure

Thursday March 2nd is the main procedure, this is scheduled at 7:45 am
This will take 4 to 6 hours
I will be present with her for both appointments

The cost is $1300

Let me know if you need any other information and thanks all for your teamwork
0 □

~fb_)(6_l ____

~!MC, LPC

Clinician office 501

Program 921: Kokopelli

Phone: 480-500-1076 Extension l(b)(6)

I

EXT-18-241-N-000104

 003739

Email:

r@swkey.org

f b)(6)

Regular Work Schedule: Tuesday - Saturday, 8am-4pm

Sender:
Recipient:

Velazquez,Ivonne (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
=39E67B42D96043C688E84FA6CEF42570-VELAZQUEZ,
>
"ca lero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF23SPDL
T)/cn= Recipients/en=7fcdlfabef934452bff7378f6365fa8e-Calero,Wil >"

Sent Date: 2017/03/03 10:17:42
From:
To:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8E
-CALERO,WIL>
"Velazquez, Ivonne (ACF) </o=ExchangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=39e67b42d96043c688e84fa6cef42570
-Velazquez,>"

Date: 2017/03/03 11:25:42
Priority: Normal
Type: Note

Sender:
Recipient:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,
WIL>
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=39e67b42d96043c688e84fa6cef42570-Velazquez,
>"

Sent Date: 2017/03/03 11:25:35
Delivered Date: 2017/03/03 11:25:42
From: Weech, Ana V <Ana.Weech@l(b)(6)~om>
b)(6)

~~ey.org>";
swkey.org>";
To:
"ca lero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF23SPDL
T)/cn= Recipients/en=7fcdlfabef934452bff7378f6365fa8e-Calero,Wil>"
(b)/6)
~@swkey.org>";
"r.nnzalez G11:>rl:>
l11n,,M <r.11:>rl:>l11n<>.r.nnza
lezcaJ
jrh1m1tom>";
CC:
b)(6)
~sw key.org> ";
wkey.org>"
IA#fb)(6)
Subject: RE: f b)(6)
I

EXT-18-241-N-000105

 003740

Date: 2017/02/17 11:18 :03
Priority: Normal

Type: Note

Thanks l(b)(6)

I

perfect!

I don't need to let him know then.

Let's see what we learn next.

Ana Weech, MSW
Case Coordinator
ORR Case Coordination

Program

General Dynamics Information

Technology, Inc.

Phoenix, AZ - Western Region
.._K
b.;..;.)
(6
....
) ___

_.lcell

ana .weech~om

From: ~l
(b_)(_
6)___________

~~

swkey .org]

Sent : Friday, February 17, 2017 9:13 AM

To : Weech , Ana V <Ana.Weech~om
>; ._Y
b_J<6_l ____
__.
l(b)(6)
l@swkey.org >; Calero , Wilfred (ACF) <wilfred.calero @acf.hhs.gov>

EXT-18-241-N-000106

 003741

Cc: (b)(6)

eM

<Guadalupe.Gonzalez@E_b)_(6_) _
kb)(6)

Subject:

5

--------~I

Ref
~~->_<
>

5

A #l(b)( )

Hello

Ana we have informed Will about it, I also have spoken withfb H6> lfrom the young center and I
have asked her about federa l court and or procedures she informed me that she has not seen a
case like

this but will start calling around apparently and ex co worker works for the federal courts she
will ask about the process, she will also reach out to planned parent hood and get more
information she will provide us with updates as soon as they become available
as she is well aware that time is against client

Thank you

~b)_(6_)

--~

~BSHS)

Lead Case Manager
SWK- Casa Kokopelli
Email: ~
K_)(
b6_)____

,_._s_w_k_e
@
....
v_.o_r..,.g

EXT-18-241-N-000107

 003742

The information contained
If you are not the intended
distribution, or duplication
If you are not the intended

in this message may contain privileged and confidentia l information.
recip ient, yo u are hereby notified that any review , dissem ination,
of this communication is strictly prohibited .
recipient , please destroy all copies of the original message.)

From: Weech, Ana V <Ana.Weech @@)@Jcom >

Sent: Friday, February 17, 2017 9 :01 AM
To:Kb l(6)

IGonzalez,

Cc: fb )(6)
Subject:

~I A# l._(b_)(6_) __

RE: ~~
b_)(6_l ________

Thank you so much for the update fbl(6)
l(b)(5)

Guadalupe M
_.

5l_____
1 1will talk to Will to update him as well. ,...l
(b_l(_

Ibut this

_.

is something for attorneys

to decide, I believe .

EXT-18-241-N-000108

 003743

Unfortunately I don't see us with much time in our hands and maybe the work now would be towards
supporting this youth into a disclose to brother. If she cannot have a termination

here, her only chance would be to be released sooner than later to have brother and child
advocate helping her outside of ORR. Easy said than done, I know . And I know, brother is
probably having to move at this point and he is young ... and support from this
uncle seems a little off at this time.

We will discuss more of course. I will let you know if Will says anything different.

Thanks again fb)(6)

I You are handling this like a pro!

Ana Weech, MSW
Case Coordinator
ORR Case Coordination Program
General Dynamics Information Technology, Inc.
Phoenix, AZ - Western Region
~l
<b_)(6
_) --~l

cell

ana .weech @fij)@}:om

6)_____________
From: '-l
(b_)(_

..,.
@_
s~w=k=ec.s.
y~.o~r=gl

Sent: Thursday, February 16, 2017 5:14 PM
To: Weech, Ana V <Ana.Weech@ @E60 com>

Cc: Kb)(6)
1'.b)(6)

l<b.......
l<__
6l_____
@swkey.o rg>; ....

_,

k@swkey.org>

EXT-18-241-N-000109

 003744

Subject:

~k
b_)(6_) _________

~! A# !<b)(6)

Hi Ana,

We just received word from the lawyers at court that the judge denied the request for a re-file. The
lawyers had suggestedfb)(S)

I

1~)(5)

We are checking in with the young center to see if this is possible. The client still does not want to leave
without the abortion. She has told me that she doesn't feel comfortable

leaving still being pregnant. I should have an answer tomorrow from the young center , and also
the results from the psychological evaluation.

I spoke with the HS provide r today as well, and she has concerns about additional household members,
and the uncle is refusing to provide information . Therefore the sponsor(brother)

is looking for another apartment for him and the client. During the interview with the HS
provider , the provider stated that the client needs to disclose the information to her brother about
her current situation, and it would be very importan t for her case.

Any other updates I'll keep you posted, let me know if you have questions or if something isn't clear.

Thank you,

Case Manager
Southwest Key Program - Kokope lli

Kb)(6)

g)swkey.org

EXT-18-241-N-000110

 003745

Fax: 480-452-0603

~

Phone:~~K6
_l___

Sender: Weech, Ana V <Ana.Weech~om>
@swkey.org> " ;
fjlswkey.org> ";
"ca lero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en= 7fcd lfabef934452bff7378f6365fa8e -Calero, Wil> ";
Recipient:
b )(6)
~swkey .org >" ·
uonza Iez l:iuaaaIu= M <l:iuaaa1uoe.Gonzalez~om>";
Kb)(6)
li'lswkey.org>";
b)(6)
lglswkey.org >"
l b)/6)
b)(6)

Sent Date: 2017/02/17 11:14 :48
Delivered Date: 2017/02/17 11:18:03

From: b)(6)

l@swkey.org>

"ca lero, Wilfred (ACF) </o = Exchangelabs/ou = Exchange Administ rative Group
Tl/en= Recioients/cn= 7fcd 1fabef934452bff7378f6365fa8e-Calero, Wil> ";
<FYDIBOHF23SPDL
(bl(6)
l'ilswkey.org> ";
"Keila Alvarado <kalvarado@swkey.org>";
[glswkey.org>";
/b\/ 6\
IQlswkey.org> ";
b)(6)
To:
ll)swkey.org>";
(bl(6l
b\ (6\
16lswkey.org>";
b)(6)
l@swkey .org> ";
1@swkey.org>";
b\/6\
(b )(6)
~swkey.org>";
wkey.org>"

Subj ect: (b)(6)

froced ure scheduled

Date: 2017/02/24 18:39:06
Priority : Normal
Type: Note

Good evening all

EXT-18-241-N-000111

 003746

fbl(6l

~a s a 2 part appointment for her termination

First day is Wednesday March 1st at 215pm
This is when they plan to prepare her cervix for the proced ure

Thursday March 2nd is the main procedure , this is scheduled at 7:45 am
This will take 4 to 6 hours
I will be present with her for both appointments

The cost is $ 1300

Let me know if you need any other information and thanks all for your teamwork

0

□

~l
(b_)(6_) ----~

~ C,

LPC

Clinician office 501

EXT-18-241-N-000112

 003747

Program
921: Kokopelli

Phone:
480 -500 -1076 Extension~

Email:
l._
<b_)(6
_ l ____

..,~ swkey.org

Regular
Work Schedule: Tuesday -- Saturday, Bam-4pm

Sender: b)(6)

6)swkey .org>

"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrat ive Group
( FYDIBOHF23SPDLTl/en= Recinientslcn= 7fcd lfabef934452bff7378f636Sfa8e -Calero, Wil> ";
b)(6)
~sw key.org> ";
'Keila Alvaraao <Ka1varaao@swKey.org> ;
(b)(6)
[a)swkey.org>";
I/h\/R\
blswkey.o rg> ";
Recipient b)(6)
lruswkey.org> ";
1
h \lf;\
wsw key.org>";
b)(6)
Jg)swkey.org>";
(b)(6)
iilsw key.o rg>";
E!JSW
key.org> ";
" '"'"
l(b)(6)
lolswkey.org>"

Sent Date: 2017/02/24 18:38 :57
Delivered Date: 2017/02/24 18:39 :06

From!b)(6)

!llswkey.org>

"Weech Ana V <Ana.Weech@ fih\7R\tom>";
b)/6)
liilswkey.org>";
"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrat ive Group
(FYDIBOHF23SPDLT)/cn = Recipients/en = 7fcd lfabef934452bff73 78f6365fa8e-Calero, Wil>"

To!

(b)(6)
[Q)Swkey.org > " ·
1.>onza
Iez, l:JuaaaIupe M <l:Juaaa1upe.Gonzalez@Fbl(6lcom>";
CC·
~sw key.org> ";
l(b)(6)
l,!)swkey .org> "
(b)(6)

Subject: Re:rb)(6)

IA# l(b)(6)

I

EXT-18-241-N-000113

 003748

Date: 2017/02/17 11:16:41
Priority: Normal

Type: Note

Hello

Ana we have informed Will about it, I also have spoken with (b)(6)
from the young center and I
have asked her about federal court and or procedures she informe me that she has not seen a
case like this but will start calling around apparently and ex co
worker works for the federal courts she will ask about the process , she will also reach out to
planned parent hood and get more information she will prov ide us with updates as soon as they
become available as she is well aware that time is against client

Thank you

_l
(b_)(6_)

---~(

BSHS)

Lead Case Manager
SWK- Casa Kokopelli
Emai l:_~b_
)(6_) ---~

®swkey.org

EXT-18-241-N-000114

 003749

The information contained in this message may contain privileged and confidentia l information .
If you are not the intended recipi ent, you are hereby notified that any review, dissemina tion,
distribution , or duplication of this communication is strictly prohibited.
If you are not the intended recipient, please destroy all copies of the original message .)

From : Weech, Ana V <Ana.Weech@?5ill["")com
>

Sent: Friday, February 17, 20179 :01 AM
To: ICb)(B)

IGonza lez, Guadalupe M

Cc: ICb)(B)
Subject:

Thank you so much for the update

_______________

~---=----------=-------,....._
(b)(S)

___,I
A# !(b)(6)

REf ....
b_)(B_) ________

b)(B)

I will talk to Will to update him as well. ~ICb_)C5_l __
but this is something for attorneys to decide , I

.......
__.

~

believe.

EXT-18-241-N-000115

 003750

Unfortunate ly I don't see us with much time in our hands and maybe the work now would be
towards supporting this youth into a disclose to brother. If she cannot have a termination here,
her only chance would be to be released sooner
than later to have brother and child advocate helping her outside of ORR. Easy said than done, I
know. And I know , brother is probably having to move at this point and he is young ... and
support from this uncle seems a little off at this time .

We will discuss more of course. I will let you know if Will says anything different.

I You are handling this like a pro!

Thanks again Kbl(6)

l(b)_(6_)
.....

--~I

MSW

Case Coordinator

ORR Case Coordination Program

Genera l Dynamics Information Technology, Inc.

Phoenix , AZ - Western Region

l<b
.....
_
J<6
_l __

____.I
cell

ana.weech ~

om

EXT-18-241-N-000116

 003751

From: ._j
<b_)(6_) ____

_.l[mailtoj.<_b_)(6_)____

_.@swkey.org]

Sent : Thursday, February 16, 20 17 5:14 PM

To: Weech, Ana V <Ana.Weech@fb)(6) Fom>

Cc:fb)(6)
.._f
b_)(6_)____

,,,..,.,.,,.,.!:::=====;:::::--;--------"

~swkey.o rg>; .....
!<b_)(6_) ----~

__.!Pswkey .org>

Subj ect._!
<b_)(6_)_________

__.IA #l<b)(6)

Hi~

We just received word from the law ers at court that the ·ud e denied the re uest for a re-file.
The lawyers had suggested b)(S)
l(b)(S)

We are checking in with the young center to see if this is possible. The client still does not want
to leave without the abortion. She has told me that she doesn't feel comfortable leaving still
being pregnant. I should have an answer tomon-ow from the young
center, and also the results from the psychological evaluation.

EXT-18-241-N-000117

 003752

I spoke with the HS provider today as well, and she has concerns about additiona l household
member s, and the uncle is refusing to provide information . The refore the sponsor(brother) is
looking for another apartment for him and the client. During the interview
with the HS provider, the provider stated that the client needs to disclose the informa tion to her
brother about her current situation , and it would be very important for her case.

Any other updates I'll keep you posted , let me know if you have questions or if something isn' t
clear.

Thank you,

l(b)(6)

Case Manager

Southwes t Key Program - Kokopelli

@swkey.org

Fax: 480-452-0603
Phonef~b_l<6_l ___

~

EXT-18-241-N-000118

 003753

Senderf:b)(6)

~swkey.org>

"Weech Ana V <Ana.Weech\Q/h\/n\ ~om>";
l b}(6}
fi)swkey.org> ";
"Calero, Wilfred (ACF) </o = Exchangelabs/ou = Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en= 7fcd lfabef934452bff7378f6365fa8e-Calero, Wil> ";
Recipient ·
JJSWkey.org>";
I/h \/ R\
"Gonzalez, Guadalupe M <Guadalupe.Gonzalez@filillfiD:om> ";
~swkey.org> ";
l(b)(6)
wkey.org>"

Sent Date: 2017/02/17 11:12:42
Delivered Date : 2017/02/17 11:16:41
Fromj (b)(6)
l<b)/6)
To: (b)(6)

l§)swkey.org >
tilswkey.org>";
~wkey.org>";
swkey.org>"

"Calero, Wilfred (ACF) </o = Exchangelabs/ ou= Exchange Administrative Group
7fcd lfabef934452bff7378f6365fa8e-Calero , Wil> ";
(FYDIBOHF23SPDL
T)/ cn= Rec~~~n=
"Weech Ana V <Ana.Weech@ b)(6) om> ";
CC:
Blswkey.org> ";
b}(6}
lllswkey .org> ";
h\/n\
~swkey.org>"
(b)(6)
IA#~b)(6)
Subject : Kokopelli: Update on abort ion proceedings forfb )(6)
I

Date : 2017/02/13 14:55: 10
Priority : Normal
Type: Note

Good Afternoon,

I just spoke with the attornev l(b)(6)

!She has filed for a new trial fo~ast

Monday

2/6/2017 . She stated that the judge has had it on his desk for a week, but still has not given a new court
hearing yet . The judge officially

has 60 days to accept for a new trial, however l(b)(6)
Istated that the judge is aware of
the urgency of the situation. The client only has up until the 16"1 week with Planned
Parenthood(th is week) , and may even be reun ified before the 60 day s.
The attorney will be speaking with the judge today to let them know that we need to have an
answer by this Wednesday on wheth er the judge will set a new court date or not.

EXT-18-241-N-000119

 003754

Meanwhile, the child advocate will be meeting wit~his
Wednesday morning . The Home study is
in process and is expected to be closed on 2/20/2017 with the report. The psychological evaluation will
be finished tomorrow.

I have been looking into other clinics that can also do the procedure :
Acaia Women's Center- Surgical abortion up to 17 weeks in the facility.
Desert Star Familly Planning- Surgical abortion up to 23 wee ks of pregnancy

Thank you,

l(b)(6)

Case Manager
Southwest Key Program - Kokopelli
@ swkey.org

f h\/R\

Fax: 480 -452-0603
Phone ~f
b_)(6
_l ____

_.

Sender: (b)(6)

twswkey.org>

(b)(6)

l§lswkey.org>";
1wSWKey.org>";
'"'"
b)(6)
ft)swkey.org>";
"'Calero, Wiltrea (ACF) </o = Exchangelabs/ou = Exchange Administrat ive Group
Recipient: ( FYDIBOHF235PDLT)/cn= Reci~cn
= 7fcd lfabef934452bff7378f6365fa8e-Calero,
"Weech Ana V <Ana.Weech@/b\/6\ tom>";
I b)(6)
l@swkey.org> ";
(h\/R\
lmswkey.org> ";
b)(6)
l'ilswkey.org>"

Wil > ";

Sent Date: 2017/02/13 14:54:52
Delivered Date: 2017/02/13 14:55:10

EXT-18-241-N-000120

 003755

From:

Houppert (Ruhkamp), Gail (ACF) </O = EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN=4D88928C06A84498A966D9352F344094-RUHKAM
P, GA>

"(a lero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=7fcdlfabef934452bff7378f6365fa8e-Calero,Wil> ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To:
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>";
"Velazquez, Ivonne (ACF) </o =ExchangeLabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=39e67b42d96043c688e84fa6cef42570-Velazquez,>"

Subject: RE: Termination of Pregnancyrequest
Date: 2017/02/07 08:52:47
Priority: Normal
Type: Note

This referral has been accepted by BCFS.
Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mai lroom 5123
Washington, DC 20201
Gail.Houppert@acf.hhs.gov
Office: 202-401-9324
Cell: !{b}{6}
I

From: Calero, Wilfred (ACF)
Sent: Monday, Febr uary 06, 2017 10:56 AM
To: Houppert (Ruhkamp), Gail (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: Re: Terminat ion of Pregnancy request

From : Houppert (Ruhkamp), Gail (ACF)
Sent : Monday, February 6, 2017 10:52:09 AM
To : Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE: Termination of Pregnancy request

I can get this home study expedited if I have the A#.
Thanks,
Gail
Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement

EXT-18-241-N-000121

 003756

330 D Street SW, Mai lroom 5123
Washington, DC 20201
Gail.Houpper t @acf.hhs.gov
Office: 202-401-9324
Cell: ...
!{b.._}{6..._
l __
___,

From: Calero, Wilfred (ACF)
Sent: Monday, February 06, 2017 10:46 AM
To: De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Cc: Houppert (Ruhkamp ), Gail (ACF)
Subject: Re: Termination of Pregnancy request
Will work on the need to expedite today.

Will Calero
From : De LA Cruz, James (ACF)
Sent : Monday, February 6, 2017 10:40:45 AM
To : Calero, Wilfred (ACF); Velazquez, Ivonne (ACF)

Cc: Houppert (Ruhkamp), Gail (ACF)
Subject: Fw: Term inat ion of Pregnancy request
Wifred and Gail,
Can we please expedite HS for this case.
Jsd
From: Calero, Wilfred (ACF)
Sent : Wednesday, February 1, 2017 7:10 :07 PM
To : ICb)(6)
Meyerstein, Shaanan (ACF); Keila Alvarado; b)(6)

I

e LA Cruz James ACF (b)(6)
Bartholomew, Michae l (ACF); Kim, Curi (ACF); De LA Cruz, James
(ACF); DCS- UAC Medica l; Houppert (Ruhkamp), Gail (ACF)
Subject: RE:Termination of Pregnancy request

~----------~

Just to clarify she does not have a 3 rd grade education. She indicated to me that she almost completed
her third level of school, which was confused with third grade. She actually complete e
ears of school
which would have been Kb)(6)

I

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

EXT-18-241-N-000122

 003757

wilfred.calero@acf.hhs.gov
Fromf

@swkey.org1

bJ(6)

Sent: Wednesday, February 0 1, 2017 5:06 PM
To: Meyerstein, Shaanan (ACF); Keila Alvarado; b)(6)
Calero, Wilfred
(ACF); De LA Cruz, James (ACF); (b)(6)
IBartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz,
kb)(6)
James (ACF); DCS- UACMedical; Houppert (Ruhkamp), Gail (ACF)
Subject: Re: Termination of Pregnancyrequest

Hello Team
From my expe rience worki ng with this UC , I am NOT feeling that she has developmenta l delays
She was nervous in court and felt intimidated , this may the reason for her lack or articu lation
with the j udge
Also, keep in mind she has only a~rade

education

I am feeling that it is these two reasons that she is struggl ing to articulate , not a development
delay
I am not a psychologist so I wouldn't object to psycho logica l testing to make the detennination
Kb)(6)

!MC, LPC

Clinician office 501
Program 921: Kokopelli
Phone: 480-500-1076 Extensio~
Email: Kb)(6)
@swkey.org
Regular Work Schedule: Tuesday -- Saturday, 8am-4pm

From : Meyerstein, Shaanan (ACF) <Shaanan.Meyerstein@acf.hhs.gov >
Sent : Wednesday, February 1, 2017 11 :33 :51 AM
To : Keila Alvarado b)(6)

Calero, Wi lfred (ACF); De

LA Cruz, James (ACF);(b)(6)
!(b)(6l
!: Bartholomew, Michae l (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS
Medical; Houppert (Ruhkamp), Gail (ACF)
Subject : Termination of Pregnancy request
Good afternoon,
We will be cancelling the conference call for this afternoon. After a conversation with Jim De La Cruz as
to the best way forward with this case we have decided the following:

EXT-18-241-N-000123

 003758

1)

The judge called into question this minor's capacity for medical decision making and the field
staff and shelter staff have noted that she is "delayed". As I have done in prior complex cases
that involve a serious medical procedure, we are requesting that this minor undergo formal
evaluation by a psychologist to assess her mental capacity in the next few days. If it is
determined that she is significantly delayed and with cognitive impairment, that will raise the
issue whether or not we can override her legal right to confidentiality in not disclosing to her
parents and getting parental consent for termination about her pregnancy as it will put her life
in danger for various reasons
2) The sponsor needs to have an expedited in depth home study for a number of reasons - 1) the
possibility that his younger sister has a developmental delay and she will require more support
than he might be able to provide; 2) the possibility that he would have to care for her if we were
to release her being pregnant if she agrees to disclose her pregnancy to him; 3) to ensure the
minor's safety with the brother;
I have cc'd Gail Houppert who directs the Home studies and PRSto ensure that this home study
is expedited given the time sensitivity with this young lady advancing in her pregnancy
3) I am requesting that the FFSidentify a possible OB practice in the sponsor's community in
advance in the event that we come to the conclusion that we will discharge this young lady
4) The shelter staff and case management staff should continue to work with the minor to help
understand her situation and the importance of disclosing her medical condition to her parents
or brother.
I would like to raise one additional curve ball, that if she is discharged to her brother and was
willing to disclose her pregnancy to her brother but not her parents, that in some states (I don't
know the laws in Florida) that still would not suffice for consent.
I think it is important that we set a firm deadline for ourselves to have these tasks accomplished given
the fact that she is 13 weeks pregnant and state laws limit procedures passed a certain gestational age.
Please respond with updates to the FFSWilfred Calero on all of these matters by 2/10. The Medical
Team will be happy to consult once we have a more complete picture of the situation.

Thank you for your time and help on this case.

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
l(b)(6)
lcell)
Shaanan.meyerstein@acf.hhs.gov

EXT-18-241-N-000124

 003759

From: Meyerstein, Shaanan (ACF)
Sent : Wednesday, February 01, 2017 9:12 AM
To : Keila Alvarado
!Wilfred (ACF); De LA ~ruz, James

Cc:! (b)(6)

ACF

h\/ R \

b)(B)
• Bartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS - UAC
Medical
Subject: RE: Arizona Laws regarding abortion

4pm EST/2 pm MTN works. Keila can you set up a conference call line please?
Please reply to Keila if you will be on the call and what your role is in the case is since there are so many
staff members included on this email.
Thanks,
Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
!(b)(6)
[cell)
Shaanan.meyerstein@acf.hhs.gov

From: Keila Alvarado [ mailto:kalvarado@swkey.org 1
Sent: Tuesday, January 31, 2017 9:32 PM
To : Meyerstein, Shaanan (ACF)

Cc:

Calero Wilfred ACF · De LA Cruz James

b)(6)
(b)(6)

Bartholomew, Michael (ACF); Kim, Curi ACF
Subject: Re: Arizona Laws regarding abortion

~---~

Hello Dr. Meyerstein , I propose 1 pm EST(11 am MTN) or 4 pm EST(2 pm MTN). I hope the times
proposed work for all.
Thank you,
Keila Alvarado, LLM
Program Director
Southwest Key Programs-Kokopelli 921
f b)(6)

I

Sent from my iPhone
On Jan 31, 2017, at 6:45 PM, Meyerstein, Shaanan (ACF) <Shaanan.Meyerstein@acf.hhs.gov >wrote:
This case is very complex, far beyond email exchanges.

EXT-18-241-N-000125

 003760

Can we please schedule a conference call to discuss this minor's case tom?
After 1pm EST?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
l(b)(6)
lcell)
Shaanan.meyerstein@acf.hhs.gov

@swkey.org l

From : l(b)(6)

Sent: Tuesday, January 31, 2017 6:17 PM
To: Meyerstein, Shaanan (ACF);¥"'"
b.,...,
)(6
"""
)___________

_,ICalero, Wilfred

(AC..,.,.F)
~----------------------~

cc:k b)(6)

IKeila Alvarado

~b)(6)

Subject: RE: Arizona Laws regarding abortion
Good Afternoon Shaanan,
The sponsor is the brother, 20 years of age, resides in!(b)(6) !If the minor was indeed
medically stable for discharge, we could of course discharge the minor to the sponsor.
However, the sponsor would still be unaware of the client being pregnant from being
sexually assaulted, and wanting an abortion. Therefore, the sponsor would not be
prepared for the release of the minor, and possible withdrawal from being a sponsor.
Further assessment is still needed at this time to ensure a safe release of the minor.
Please let me know if you have any questions.
Thank you,

Case Manager
Southwest
fb)(6)

Key Program - Kokopelli
l@swkey.org

Fax: 480-452-0603
5
Phone:~~b_
><_>___

~

From: Meyerstein, Shaanan (ACF) [mailto:Shaanan.Meyerstein@acf.hhs.gov ]
Sent: Tuesday, January 31, 2017 2:40 PM

I

To¥b)(6)
@swkey.org >}b)(6)
i(b)(6)
@swkey.org >""kb""'
l/""6
\________
....J
@'""-"sw~k-=-ey""".-=-o""""rg
>; Calero, Wilfred
(ACF) <Wilfred.Calero@acf.hhs.gov >

EXT-18-241-N-000126

 003761

Cc:l(b)(6)
~b)(6)

@swkey.orgi (b)(6)
~swkey .orgf b\/6\

l

.~swkey.org >kb)(6)

fb)(6)

@swkey.org>; Keila Alvarado <kalvarado@swkey .org>

Subject: RE:Arizona Laws regarding abortion
l(b)(6)

To be clear - if I told you that the minor was medically stable for discharge, then she could

be discharged to her sponsor?
Who is the sponsor and where do they reside?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
l(b)(6)
!cell)
Shaanan.meyerstein@acf.hhs.gov

From: kbl/6\
@swkey.org1
Sent : Tuesday, January 31, 201,.,,.
7-,'!1~:0
....
3.....
P......
M
....__
________
To: Meyerstein, Shaanan (ACF);l<b)(B)
(ACF)
Cc:~b-)(6
- )--------------------------~
)

__,
!Calero, Wilfred

~eila Alvarado

ject: RE: Arizona Laws regarding abortion
Good Morning Shaanan,
The law confirms the gestational age in Arizona below:
Prohibiting Abortions Past 20 Weeks of Pregnancy (A.R.S. § 36-2159) - Prohibits abortions
past 20 weeks gestation, except in th e case of a medical emergency .t
The sponsor for this minor is in Florida, and the status of reunification is pending the
medical condition of the client. All other documentation has been provided by the sponsor
for reunification.
Thank you,

Case Ma nage r

EXT-18-241-N-000127

 003762

Sout hwest Key Program - Kokopelli
l<b)(6)
l@swkey.org
Fax: 480-452-0603

r....5

Phone: b_)<_>___

___.

From: Meyerstein, Shaanan (ACF) [mailto :Shaanan.Meyerstein@acf .hhs.gov]
Sent: Tuesday, January 31, 2017 10:58 AM
To : (b)(6)
swke

b)(6)
swke .or >; b)(6)
(ACF) <Wilfred .Calero@acf.hhs.gov >
Cc: (b)(6)

.or >; Calero, Wilfred
.or >;!(bl(6l

fb )(6)
Kb)(6)

(b)(6)

.or >; Keila Alvarado <kalvarado@swkey .org>
Subject : RE:Arizona Laws regarding abortion

Can someone please confirm Gestational Age in Arizona when abortion is legal for
whatever circumstance?
Where is the sponsor for this minor and what is the status of reunification?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
f b)(6)
!(cell)
Shaanan.meyerstein@acf.hhs.gov

From: tb)(6)
@swkey.org1
Sent: Tuesday, January 31, 2017 12:46 PM
ToJcb)(6)
IMeyerstein, Shaanan (ACF); Calero, Wilfred

(ACF)

Cc: ~~
b-)(6-)--------------------------~

IC
b)(6)
!Keila Alvarado
SubJect: RE: Arizona Laws regarding abortion
Good Morning!
As previously staffed with our leadership, it was determined that the notarized letter from
the parents would not be sufficient for the termination to take place. The client may be
open to speaking with her mother if we were able to obtain permission to proceed with
the notarized letter of consent from the mother in home country .

EXT-18-241-N-000128

 003763

However, as I am under the assumption that we would only be able to proceed with the
termination once we appealed to the court to obtain the judicial bypass because the
mother would not be able to attend the abortion procedure.
As the clinician has stated below, that the client does not feel comfortable informing her
family, and would like to appeal. Please let me know if there are any questions.
Thank you,

Case Manager
Southwest Key Program - Kokopelli
fbl(6)
1@swkey.org
Fax: 480-452-0603

~

<b_>5_
<>___
Phone: l~

From:~l
<b~
l<~
6l_____
~
Sent: Tuesday, January 31, 20 17 9:54 AM
To~b)(6)
~ swkey.org >; Meyerstein, Shaanan (ACF)
<Shaanan.Meyerstein@acf.hhs.gov >; Calero, Wilfred (ACF) <Wilfred.Calero@acf.hhs.gov >
Cc: rb )(6)
l@swkey.org>
Subject: Re: Arizona Laws regarding abortion

The client continues to not want to inform any family members, her parents nor
her Sponsor
She wants to appeal the Judge's decision, I have emai led the lawyers assigned to
her and have not heard back.
My concern is the timeliness of this issue
,_l
<b_
)(6_)

____

_.~ C, LPC

Clinician office 501
Program 921: Kokopelli
Phone: 480-500-1076 Extensiorfb )(6)
Email: fb)(6)
~ swkey.org
Regular Work Schedule: Tuesday-- Saturday, Bam-4pm

6>____
From ~l
<b_)<_
~
Sent : Tuesday, January 31, 2017 9:52:01 AM
To: Meyerstein, Shaanan (ACF); Calero, Wilfred (ACF)
Ccfb )(6)

I

Subject: RE: Arizona Laws regarding abortion
Good morning!

EXT-18-241-N-000129

 003764

I have copied her case manager and clinician to this email.
They may be better able to answer this question for you.

Thanks©
l(b)(6)

Lead Medical Coordinator
Southwest Key Programs
Casa Koko elli #921
D: b)(6)
C:

F:.,....,"7'!"<....,.,.,,.,....,T:1"'7',..,.......

CONFIDENTIALITY NOTICE: Thi s ema il, including atta chm ents, is for t he so le use of t he inte nd ed recipi ent (s) and ma y
con t ain confident ial and pri vileged info rm ation covered by the Electronic Com mun icati ons Privacy Act, 18 U.S.C. 25102521. Any una utho rized rev iew, use, or d isclosu re or distr ibution is pro hibi t ed. If yo u are not the int ended reci pient,
please cont act t he sender im med iate ly an d dest roy all co p ies of the orig inal message .

From: Meyerst ein , Shaanan (ACF) [mailto:Shaanan.Meyerstein@acf.hhs.gov ]

Se r: Mo nday. Januar y 30. 201 7 4 :22 PM
5
To b)( l
~ swkey.org >; Calero, Wilfre d (ACF)
<Wilfred.Calero@acf.hhs.gov >

Subject: RE: Arizona Laws regard ing abort ion
~

nd Wilfred,
Since the judge denied the judicial bypass, did the minor speak with her parents about her
pregnancy over the weekend? Did the parents consent?
Thanks,

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
202 401-4639 (office)
b)(5 l
cell)
aanan.meyerstein@acf.hhs.gov

From:fbl(6l
@swkey.org l
Sent: Monday, January 23, 2017 12:27 PM
To: Meyerstein, Shaanan (ACF)
Subject: Arizona Laws regarding abortion
AZ Laws regarding Abortion :

EXT-18-241-N-000130

 003765

Arizona law requires that women under 18 years old seeking an abortion must either have
the notarized written permission of one of their parents/legal guardian or permission from
a Superior Court Judge.
Ensuring Adequate Consent
• Parental Consent (A.R.S. § 36-2152) - Requires parental consent for minors seeking
abortions but allows for judicial bypass. Requires the parental consent to be obtained on a
form to ensure that parents are informed of all of the medical risks of abortion before
giving consent. Requires parental consent to be notarized . Allows parents to sue (1) an
abortion provider who performs an abortion on their minor daughter without parental
consent or (2) any person who assists a minor in obtaining an abortion without parental
consent.
• Informed Consent (A.R.S. § 36-2153) - Information must be provided 24 hours in advance
to a woman seeking an abortion about the risks and alternatives of the procedure, the
probable gestational age and physiological characteristics of the preborn child, and the
services available from public and private agencies to assist during pregnancy and after
birth. Requires that the information is provided at an in-person consultation with a doctor .
Allows a woman to file a lawsuit against an abortion provider who fails to obtain informed
consent. Requires the Department of Health Services to create and maintain a website
providing unbiased information about fetal development, the risks of abortion, and
information about alternatives to abortion.
• Informed Consent for Lethal Condition {A.R.S. § 36 -2158) - When a woman discovers that
her child may have a life-threatening birth defect or other fetal condition, information must
be provided 24 hours in advance about the support that is available to her, including
perinatal hospice . Requires the Department of Health Services to create and maintain a
website providing unbiased information abou t perina tal hospice and assistance available
for children with special needs .
• Opportunity to View Ultrasound {A.R.S. § 36-2156) - Requires an ultrasound to be
performed at least 24 hours before every abortion, and a woman seeking abortion must be
offered the opportunity to view the ultrasound and hear the baby's heartbeat, if audible .
• Coercion Prohibited {A.R.S. § 36-2153) - Prohibits a person from intimidating or coercing
another person into having an abortion and allows minors to obtain public assistance
benefits if parents cut off financial support because the minor refuses to have an abortion.
Requires that all abortion clinics conspicuously post signs that state it is unlawful for any
person to intimidate or coerce another person into having an abortion.
• Foster Parents (A.R.S. § 8-514.05) - Foster parents may not consent to abortion for a
foster child.
• Fiduciaries (Arizona Code of Jud. Admin. § 7-202) - Fiduciaries may not consent to
abortion for a ward without a court order.
- See more at: https://www.plannedparenthood.org/planned-parenthood-arizona/onlinehealth-center/minors-and-abortion-law#sthash.lWOGvCcD.dpuf

Lead Medical Coordinator
Southwest Key Programs
Casa Kokopelli #921
Dl(b)(6)

I

EXT-18-241-N-000131

 003766

I

Cfb )(6)

F: (480) 393-8104
~
~N
TIALITY NOTICE: This email, including attachment s, is for t he sole use of the int ended recipient (s) and may
conta in confident ial and priv ileged infor mation covered by the Electroni c Commun ications Privacy Act, 18 U.S.C. 25102521.Any unautho rized rev iew, use, or disclosure or distr ibution is pro hibit ed. If yo u are not the int ended recipient,
please cont act t he sender immediat ely and destroy all cop ies of t he orig inal message.

Sender:

Houppert (Ruhkamp), Gail (ACF) </O=EXCHANGELABS/OU=EXCHANGE ADMIN I STRATIVE GROUP
(FYDIBOHF23SPDLT)/CN = RECIPIENTS/CN=4D88928C06A84498A966D9352F344094-RUHKAM P, GA>

"(a lero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange
Admin istrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/en = 7fcd lfabef934452bff7378f6365fa8e-Calero,
Wil> ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou = Exchange Administrative Group
Recipient:
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,> ";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange
Adm inistrative Group
( FYDIBOHF23SPDLT)/cn= Recipients/cn=39e6 7b42d96043c688e84fa6cef42570-Velazquez, >"

Sent Date: 2017/02/07 08 :52 :46
Delivered Date: 2017/02/07 08 :52 :47

From:

Houppert (Ruhkamp), Gail (ACF) </O=EXCHANGELABS/OU=EXCHANGE ADMI NI STRATIVE GROUP
(FYDIBOHF23SPDLT)/CN = RECIPIENTS/CN=4D88928C06A84498A966D9352F344094-RUHKAM P, GA>

"(a lero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange
Admin istrative Group
(FYDIBOHF23SPDLT)/cn= Recipients/en= 7fcd lfabef934452bff7378f6365fa8e-Calero,
Wil> ";
"De LA Cruz, James (ACF) </o = ExchangeLabs/ou = Exchange Administrative Group
To:
( FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95dl
19ab4cd6a77b34616dc3366c-De LA Cruz,> ";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange
Adm inistrative Group
( FYDIBOHF23SPDLT)/cn= Recipients/cn = 39e6 7b42d96043c688e84fa6cef42570-Velazquez, > "

Subject: RE: Termination of Pregnancy request
Date: 2017/02/06 15:08 :08
Priority: Normal
Type: Note

It's there now. It wasn't a minute ago. Thanks. I will work on getting it expedited.
Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mai lroom 5123
Washington, DC 20201
Gail.Houppert@acf. hhs.gov
Office: 202-401-9324
Cell: !/b}(6l
I

From: Calero, Wilfred (ACF)
Sent: Monday, February 06, 2017 3:07 PM
To : Houppert (Ruhkamp), Gail (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE: Termination of Pregnancy request
I just checkwd and just submitted it online it should be there. I think the program left it open w ithout
sending it. But the alien number is correct.

EXT-18-241-N-000132

 003767

Let me know if it worked if not I w ill call the program directly to correct the error.
Thanks.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

r)(
6

)

I

wilfred.calero@acf.hhs.gov

From: Houppert (Ruhkamp), Gail (ACF)
Sent: Monday, February 06, 2017 1:04 PM
To : Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE: Termination of Pregnancy request
Hi Wilfred Are you sure tha ~~(b_)(6_)__
portal?

~ 1s the correct A#? I still cannot find her on the list of referrals in the

Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mai lroom 5123
Washington, DC 20201
Gail.Houpper t @acf.hhs.gov
Office: 202-401-9324
Cell: !{b}{6}
I

From: Calero, Wilfred (ACF)
Sent: Monday, February 06, 2017 2:54 PM
To : Houppert (Ruhkamp), Gail (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE: Termination of Pregnancy request
The Home Study Request has been updated in the portal.
Thanks for your attention on this matter.

Wilfred Calero
Federal Field Specialist

EXT-18-241-N-000133

 003768

Division of Children's Services
Office of Refugee Resettlement
l(b)(6)

I

wilfred.calero@acf.hhs.gov

From: Houppert (Ruhkamp), Gail (ACF)
Sent: Monday, February 06, 2017 10:41 AM
To: Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE: Termination of Pregnancy request
Im portance: High
Good Afternoon,
This minor is not listed on the home study referral list so cannot be accepted as a provider. Please go
into the portal to make sure the home study request has been done properly and is listed on the
pending home study referra l list . Not currently there. If you have problems please contact the UAC
Portal helpdesk. Please let me know when the referral is posted to the list and I will get it expedited .
Thank you,
Gail
Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mai lroom 5123
Washington, DC 20201
Gail.Houpp ert @acf .hhs.gov
Office: 202-401-9324
I
Cell: !(b)(6)

From: Calero, Wilfred (ACF)
Sent: Monday, February 06, 2017 10:56 AM
To: Houppert (Ruhkamp), Gail (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: Re: Term ination of Pregnancy request

I~"''
From: Houppert (Ruhkamp), Gail (ACF)
Sent : Monday, February 6, 2017 10:52:09 AM
To: Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE:Termination of Pregnancy request
I can get this home study expedited if I have the A#.

EXT-18-241-N-000134

 003769

Thanks,
Gail
Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mailroom 5123
Washington, DC 20201
Gail.Houppe rt@acf .hhs.gov
Office: 202-401-9324
Cell: !{b}(6l
I

From: Calero, Wilfred (ACF)
Sent: Monday, February 06, 2017 10:46 AM
To: De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Cc: Houppert (Ruhkamp ), Gail (ACF)
Subject: Re: Termination of Pregnancy request

Will work on the need to expedite today.

Will Calero
From : De LA Cruz, James (ACF)
Sent : Monday, February 6, 2017 10:40:45 AM
To : Calero, Wilfred (ACF); Velazquez, Ivonne (ACF)
Cc: Houppert (Ruhkamp), Gail (ACF)
Subject : Fw: Termination of Pregnancy request

Wifred and Gail,
Can we please expedite HS for this case.
Jsd
From: Calero, Wilfred (ACF)
Sent : Wednesday, February 1, 2017 7 :10:07 PM
To:fb)(6)
Meyerstein, Shaanan (ACF); Keila Alvarado; (b)(6)
Garcia; De LA Cruz, James (ACF); b)(6)

I

b)(6)
Bartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz, James
(ACF); DCS- UAC Medica l; Houppert (Ruhkamp), Gail (ACF)
Subject: RE:Termination of Pregnancy request
Just to clarify she does not have a 3 rd grade education. She indicated to me that she almost completed
her third level of school, which was confused with third grade. She actually complete ~
which would have beenfb)(6)

I

ears of school

EXT-18-241-N-000135

 003770

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement
rb)(6)

i

wilfred.calero@acf.hhs.gov
l@swkey.org l

From:Kb)(6)

Sent: Wednesday, February 01, 2017 5:06 PM
To: Meyerstein, Shaanan (ACF); Keila Alvarado; Kb)(6)

I calero, Wilfred
ACF · De LA Cruz James ACF · (b)(6)
b)(6)
Bartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz,
James (ACF); DCS - UAC Medical; Houppert (Ruhkamp), Gail (ACF)
Subject: Re: Termination of Pregnancy request

Hello Team
From my experience working with this UC, I am NOT feeling that she has developmental delays
She was nervo us in court and felt intimidated, this may the reason for her lack or articulation
with the j udge
Also, keep in mind she has only a 3rd grade education
I am feeling that it is these two reasons that she is struggling to articulate , not a development
delay
I am not a psyc hologist so I wou ldn't object to psycho logica l testing to make the determ ination
l(b)(6)

!MC,

LPC

Clinician office 501
Program 921: Kokopelli
Phone: 480-500-1076 Extension l(b)(6)
Email: l(b)(6)
l@swkey.org
Regular Work Schedule: Tuesday - Saturday, Bam-4pm

I

From : Meyerstein, Shaanan (ACF) <Shaanan.Meyerstein@acf.hhs.gov >
Sent: Wednesday, February 1, 2017 11:33:51 AM

I

To: Keila Alvarado; l(b)(6l
Calero, Wi lfred (ACF); De
LA Cruz, James (ACF); b)(6)
(b)(6l
Bartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS
Medical; Houppert (Ruhkamp), Gail (ACF)
Subject : Termination of Pregnancy request

EXT-18-241-N-000136

 003771

Good afternoon,
We will be cancelling the conference call for this afternoon. After a conversation with Jim De La Cruz as
to the best way forward with this case we have decided the following:
1)

The judge called into question this minor's capacity for medical decision making and the field
staff and shelter staff have noted that she is "delayed". As I have done in prior complex cases
that involve a serious medical procedure, we are requesting that this minor undergo formal
evaluation by a psychologist to assess her mental capacity in the next few days. If it is
determined that she is significantly delayed and with cognitive impairment, that will raise the
issue whether or not we can override her legal right to confidentiality in not disclosing to her
parents and getting parental consent for termination about her pregnancy as it will put her life
in danger for various reasons
2) The sponsor needs to have an expedited in depth home study for a number of reasons - 1) the
possibility that his younger sister has a developmental delay and she will require more support
than he might be able to provide; 2) the possibility that he would have to care for her if we were
to release her being pregnant if she agrees to disclose her pregnancy to him; 3) to ensure the
minor's safety with the brother;
I have cc'd Gail Houppert who directs the Home studies and PRSto ensure that this home study
is expedited given the time sensitivity with this young lady advancing in her pregnancy
3) I am requesting that the FFSidentify a possible OB practice in the sponsor's community in
advance in the event that we come to the conclusion that we will discharge this young lady
4) The shelter staff and case management staff should continue to work with the minor to help
understand her situation and the importance of disclosing her medical condition to her parents
or brother.
I would like to raise one additional curveball, that if she is discharged to her brother and was
willing to disclose her pregnancy to her brother but not her parents, that in some states (I don't
know the laws in Florida) that still would not suffice for consent.
I think it is important that we set a firm deadline for ourselves to have these tasks accomplished given
the fact that she is 13 weeks pregnant and state laws limit procedures passed a certain gestational age.
Please respond with updates to the FFSWilfred Calero on all of these matters by 2/10. The Medical
Team will be happy to consult once we have a more complete picture of the situation.

Thank you for your time and help on this case.

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
l(b )(6)
l(cell)

EXT-18-241-N-000137

 003772

Shaanan.meyerstein@acf.hhs.gov

From: Meyerstein, Shaanan (ACF)
Sent: Wednesday, February 01, 2017 9:12 AM
To : Keila Alvarado
Cc (b)(6)
(ACF; b)(6)

Calero, Wilfred (ACF); De LA Cruz, James

I Bartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS - UAC
Medical
Subject: RE: Arizona Laws regarding abortion

kbl(6l

4pm EST/2 pm MTN works. Keila can you set up a conference call line please?
Please reply to Keila if you will be on the call and what your role is in the case is since the re are so many
staff members included on this email.
Thanks,
Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
l(b)(6)
k ell)
Shaanan.meyerstein@acf.hhs.gov

From: Keila Alvarado [ mailto:kalvarado@swkey.org 1
Sent: Tuesday, January 31, 2017 9:32 PM
To : Meyerstein, Shaanan (ACF)
Cc: tb J(6)
ACF; b)(6)

ICalero, Wilfred (ACF); De LA Cruz, James

Bartholomew, Michael (ACF); Kim, Curi (ACF)
Subject: Re: Arizona Laws regarding abortion

(b)(6)

Hello Dr. Meyerstein, I propose 1 pm EST(11 am MTN) or 4 pm EST(2 pm MTN). I hope the times
proposed work for all.
Thank you,
Keila Alvarado, LLM
Program Director
Southwest Key Programs-Kokopelli 921

EXT-18-241-N-000138

 003773

Kb)(6)
Sent from my iPhone
On Jan 31, 2017, at 6:45 PM, Meyerstein, Shaanan (ACF)<Shaanan.Meyerstein@acf.hhs.gov >wrote :
This case is very complex, far beyond email exchanges.
Can we please schedule a conference call to discuss this minor's case tom?
After 1pm EST?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
!(b)(6)
[cell)
Shaanan.meyerstein@acf.hhs.gov

From:k bl/6l
@swkey.org l
Sent: Tuesday, January 31, 2017 6:17 PM
b..,..,
)(6=
)-------------,1
To: Meyerstein, Shaanan (ACF);..,,.K
(ACF)
Cc:..,,.
b..,..,
)(6=
)----------------------------.

Calero, Wilfred

(b)(6)
eila Alvarado
Su Ject: RE: Arizona Laws regarding abortion
Good Afternoon Shaanan,
The sponsor is the brother ¥b)(6vears of age, resides in Florida. If the minor was indeed
medically stable for discharge, we could of course discharge the minor to the sponsor.
However, the sponsor would still be unaware of the client being pregnant from being
sexually assaulted, and wanting an abortion. Therefore, the sponsor would not be
prepared for the release of the minor, and possible withdrawal from being a sponsor.
Further assessment is still needed at this time to ensure a safe release of the minor.
Please let me know if you have any questions.
Thank you,

Case Manager
Southwest Key Program - Kokopelli
l<b)(6)
l@swkey.org
Fax: 480-452-0603

EXT-18-241-N-000139

 003774

5_>___
Phone: f._b_
><
_.
From: Meyerstein, Shaanan (ACF) fmailto:Shaanan.Meyerstein@acf.hhs.gov ]
Sent: Tuesday, January 31, 2017 2:40 PM
To : !(b)(6)
g>swkey.org >fb)(6)
I
!(b)(6)
lpswkey.org >; l(b)(6)
~ swkey.org >; Calero, Wilfred
(ACF) <Wilfred.Calero@acf.hhs.gov >
Cc:!<bl/6\
p)swkey.org >;~l
<b_)(6
_)____
~
(b)(6)
l@swkey.org ~b)(6)
: y.org > (b)(6) b
~ swkey.org >l
l@swkey.org>; .__
< )(6
)
__
_,
tb)(6)
~ swkey.org >; Keila Alvarado <kalvarado@swkey.org >
Subject: RE:Arizona Laws regard ing abortion

l

l(b)(6)

I

To be clear - if I told you that the minor was medically stable for discharge, then she could
be discharged to her sponsor?
Who is the sponsor and where do they reside?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
!(b)(6)
l(cell)
Shaanan.meyerstein@acf.hhs.gov

@swkey.org l

From:l (b)(6)

Sent: Tuesday, January 31, 2017 1:03 PM
To: Meyerstein, Shaanan (ACF);~f
b-)(6
- )-----------~IC
(ACF

alero, Wilfred

Cc:""b.,...,
)(6=
)----------------------------,

1<6
><
6)

IKeila Alvarado

SubJect:RE:Arizona Laws regarding abortion
Good Morning Shaanan,
The law confirms the gestational age in Arizona below:
Prohibiting Abortions Past 20 Weeks of Pregnancy (A.R.S. § 36-2159) - Prohibits abortions
past 20 weeks gestation, except in the case of a medical emergency. t

EXT-18-241-N-000140

 003775

The sponsor for this minor is in Florida, and the status of reunification is pending the
medical condition of the client. All other documentation has been provided by the sponsor
for reunification.
Thank you,

Case Manager
Sout hwest Key Program - Kokopelli
tb)(6)
l @swkey.org
Fax: 480-452-0603
Phone f~b_)<6_>___
___,
From: Meyerstein, Shaanan (ACF) [mailto :Shaanan.Meyerstein@acf .hhs.gov]
Se nt : Tuesday, January 31, 20 17 10:58 AM

To®~
~~~.o~@~
l(b)(6)
l@swkey.org >J(b)(6)
l@swkey.org>; Calero, Wilfred
(ACF) <Wi lfred .Calero@acf.hhs.gov>
Cc:l(b)(6)
l@swkey.org>j{b)(6)

I

(b)(6)
swke .or >~J
(:b)
:;:;
:(6
;;:;
=) ========
@~
s=w::::;
k=e-:--y.~o-;--rg
>; tb)(6)
~.,,,..-----..L.::.
~,:;;.,i.;.:;:.:.i;i.:;_,ii~
:.:....----------=--"-sw=ke=-=-.""-o=r
>kb)(6)
b)(6)
swke .or >; Keila Alvarado <kalvarado@swkey .org>
Subject: RE: Arizona Laws regarding abortion

I

I

Can someone please confirm Gestational Age in Arizona when abortion is legal for
whatever circumstance?
Where is the sponsor for this minor and what is the status of reunification?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
Yb)(6)
l(cell)
Shaanan.meyerstein@acf .hhs.gov

From=tb)(6)
tpswkey.orql
Sent: 6T.:..:.ue
...:.
s....,
d-ay-,-=
J-a n_
u_a_ry__,,..
3.,,_
1,.....
2'""0
,...,.
1=7 _,,.
1..,..
2"""
:4=6-=P=M..--- .r--"- ~~
TO=k
bl(6l
(ACF)
Cc:K""
b.,...,
)(6
=)----------------------------.

I Meyerstein, Shaanan (ACF);

Calero, Wilfre d

l(b)(6)

!Keila Alvarado
Subject: RE: Arizona Laws regarding abortion

EXT-18-241-N-000141

 003776

Good Morning!
As previously staffed with our leadership, it was determined that the notarized letter from
the parents would not be sufficient for the termination to take place. The client may be
open to speaking with her mother if we were able to obtain permission to proceed with
the notarized letter of consent from the mother in home country.
However, as I am under the assumption that we would only be able to proceed with the
termination once we appealed to the court to obtain the judicial bypass because the
mother would not be able to attend the abortion procedure.
As the clinician has stated below, that the client does not feel comfortable informing her
family, and would like to appeal. Please let me know if there are any questions.
Thank you,

Case Manager
Southwest Key Program - Kokopelli
!(b)(6)
@swkey.org
Fax: 480-452-0603
b_)(6_)___
__.
Phone: t.....
From: l(b
.....
_)(_
6)_____

__,

Sent: Tuesday, January 31, 2017 9:54 AM

To:kb)(6)
t@swkey.org>; Meyerstein, Shaanan (ACF)
<Shaanan.Meyerstein@acf.hhs.gov >; Calero, Wi lfred (ACF)<Wilfred.Calero@acf.hhs.gov >
Cc:l(b)(6)
lg)swkey.org >
Subject: Re: Arizona Laws regarding abortion

The client continues to not want to inform any family members, her parents nor
her Sponsor
She wants to appeal the Judge's decision, I have emai led the lawyers assigned to
her and have not heard back.
My concern is the ti meliness of this issue
5>
l(b><

~------~

lMc
, LPC

Clinician office 501
Program 921: Kokopelli
Phone: 480-500-1076 Extensio,fb l(6l
Email:~b)(6)
@swkev.org
Regular Work Schedule: Tuesday-- Saturday, Bam-4pm

EXT-18-241-N-000142

 003777

From : _tb_)(6_) ____
~
Sent : Tuesday, January 31, 2017 9:52:01 AM
To: Meyerste in, Shaanan (ACF); Calero, Wilfred (ACF)
Cc* b)(6)

I

Subject: RE: Arizona Laws regarding abortion

Good morning!
I have copied her case manager and clinician to this email.
They may be better able to answer this question for you.

Thanks ©
l(b)(6)

TIALITY NOTICE:This emai l, including attachments, is for t he sole use of the intended recipient(s) and may
contain confidential and privileged info rma tion covered by the Electronic Com mun ications Privacy Act, 18 U.S.C. 25102521. Any unau tho rized rev iew, use, or d isclosure or dist ribution is pro hibited . If yo u are not the intended recipient,
please contact the sender immediate ly and destroy all copies of the orig inal message.

From: Meyerstein, Shaanan (ACF) [mailto :Shaanan.Meyerstein@acf .hhs.gov]
Sent: Monda y, January 30, 2017 4:22 PM

~ swkey.org >; Calero, Wilfred (ACF)
<Wilfred .Calero@acf.hhs.gov >
Subject: RE: Arizona Laws regarding abortion
To : f b)(6)

Alex and Wilfred,
Since the judge denied the judicial bypass, did the minor speak with her parents about her
pregnancy over the weekend? Did the parents consent?
Thanks,

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
~b)(6)
l(cell)
Shaanan.meyerstein@acf.hhs.gov

EXT-18-241-N-000143

 003778

From: t b)(6)
@swkey.org1
Sent: Monday, January 23, 2017 12:27 PM
To: Meyerstein, Shaanan (ACF)
Subject: Arizona Laws regarding abortion
AZ Laws regarding Abortion:

Arizona law requires that women under 18 years old seeking an abortion must either have
the notarized written permission of one of their parents/legal guardian or permission from
a Superior Court Judge .
Ensuring Adequate Consent
• Parental Consent {A.R.S. § 36-2152) - Requires parental consent for minors seeking
abortions but allows for judicial bypass. Requires the parental consent to be obtained on a
form to ensure that parents are informed of all of the medical risks of abortion before
giving consent. Requires parental consent to be notarized. Allows parents to sue (1) an
abortion provider who performs an abortion on their minor daughter without parental
consent or (2) any person who assists a minor in obtaining an abortion without parental
consent.
• Informed Consent {A.R.S. § 36-2153) - Information must be provided 24 hours in advance
to a woman seeking an abortion about the risks and alternatives of the procedure, the
probable gestational age and physiological characteristics of the preborn child, and the
services available from public and private agencies to assist during pregnancy and after
birth. Requires that the information is provided at an in-person consult ation with a doctor.
Allows a woman to file a lawsuit against an abortion provider who fails to obtain informed
consent. Requires the Department of Health Services to create and maintain a website
providing unbiased information about fetal development, the risks of abortion, and
information about alternatives to abortion.
• Informed Consent for Lethal Condition (A.R.S. § 36-2158) - When a woman discovers that
her child may have a life-threatening birth defect or other fetal condition, information must
be provided 24 hours in advance about the support that is available to her, including
perinatal hospice . Requires the Department of Health Services to create and maintain a
website providing unbiased information about perinatal hospice and assistance available
for children with special needs .
• Opportunity to View Ultrasound {A.R.S. § 36 -2156) - Requires an ultrasound to be
performed at least 24 hours before every abortion, and a woman seeking abortion must be
offered the opportunity to view the ultrasound and hear the baby's heartbeat, if audible .
• Coercion Prohibited {A.R.S. § 36-2153) - Prohibits a person from intimidating or coercing
another person into having an abortion and allows minors to obtain public assistance
benefits if parents cut off financial support because the minor refuses to have an abortion.
Requires that all abortion clinics conspicuously post signs that state it is unlawful for any
person to intimidate or coerce another person into having an abortion.
• Foster Parents {A.R.S. § 8-514.05) - Foster parents may not consent to abortion for a
foster child.
• Fiduciaries (Arizona Code of Jud. Admin. § 7-202) - Fiduciaries may not consent to
abortion for a ward without a court order.

EXT-18-241-N-000144

 003779

- See more at: https://www .plannedpa renthood.org/p lanned-parenthood -arizona/ on linehealth -center/m inors-and-abortion -law#sthash. lWOGvCcD.dpuf

l(b)(6)

Lead Medical Coordinator
Southwest Key Programs
Casa Kokopelli #921

I

g: 1(b)(6)

F: (480) 393-8104
!(bl (6l
i'Aswkey.org
CONFIDENTIALITY NOTICE: This emai l, including atta chments, is for the sole use of the inten ded recipient( s) and may
conta in confident ial and priv ileged info rm ation covered by the Elect ronic Com mun ications Privacy Act, 18 U.S.C. 25102521. Any unautho rized rev iew, use, or d isclosure or distr ibution is proh ibited. If yo u are not the inten ded recipient,
please contact t he sender imm ediatel y and destroy all cop ies of the orig inal message.

Sender:

Houppert (Ruhkamp), Gail (ACF) </O=EXCHANGELABS/OU=EXCHANG
E ADMINISTRATIVEGROUP
(FYDIBOHF23SPDLT)/C
N=RECIPIEN
TS/CN=4D88928C06A84498A966D9352F344094-RUHKAMP,
GA>

"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF23SPDL
T)/cn= Recipients/en=7fcdlfabef934452bff7378f636Sfa8e-Calero,Wil> ";
"De LA Cruz, James (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
Recipient:
(FYDIBOHF23SPDL
T)/cn=Recipients/cn= 2eba95dl 19ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/en=39e67b42d96043c688e84fa6cef425
70-Velazquez,>"
Sent Date: 2017/02/06 15:08:08
From:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,
WIL>

"Houppert (Ruhkamp), Gail (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF23SPDL
T)/cn= Recipients/cn=4d88928c06a84498a966d9352f344094-Ruhkamp,
Ga>";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To:
(FYDIBOHF23SPDLT)/cn
= Recipients/cn= 2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>" ;
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/en= 39e67b42d96043c688e84fa6cef42570-Velazquez,>"
Subject : RE: Termination of Pregnancyrequest
Date: 2017/02/06 15:06:00
Priority : Normal
Type: Note

I just checkwd and just submitted it online it should be there. I think the program left it open without
sending it. But the alien number is correct.
Let me know if it worked if not I will call the program directly to correct the error.
Thanks.

Wilfred Calero
Federal Field Specialist

EXT-18-241-N-000145

 003780

Division of Children's Services
Office of Refugee Resettlement

r(
6

)

I

wilfred.calero@acf.hhs.gov

From: Houppert (Ruhkamp), Gail (ACF)
Sent: Monday, February 06, 2017 1:04 PM
To : Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE: Termination of Pregnancy request
Hi Wilfred Are you sure tha tK
~b_)(6_) __
portal?

~lis the correct A#? I still cannot find her on the list of referrals in the

Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mailroom 5123
Washington, DC 20201
Gail.Houpp ert @acf .hhs.gov
Office: 202-401-9324
Cell: !(b)(6)
I

From: Calero, Wilfred (ACF)
Sent: Monday, February 06, 2017 2:54 PM
To : Houppert (Ruhkamp), Gail (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE: Termination of Pregnancy request
The Home Study Request has been updated in the portal.
Thanks for your attention on this matter.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement
r b)(6)

i

wilfred.ca lero@acf .hhs.gov

From: Houppert (Ruhkamp), Gail (ACF)
Sent : Monday, February 06, 2017 10:41 AM
To : Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)

EXT-18-241-N-000146

 003781

Subject: RE: Terminat ion of Pregnancy request
Importance: High
Good Afternoon,
This minor is not listed on the home st udy referral list so cannot be accepted as a provider. Please go
into the portal to make sure the home study request has been done properly and is listed on the
pending home study referra l list . Not currently there. If yo u have prob lems please contact the UAC
Portal helpdesk. Please let me know when the referral is posted to the list and I will get it expedited .
Thank you,
Gail
Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mai lroom 5123
Washington, DC 20201
Gail.Houpper t @acf.hhs.gov
Office: 202-401-9324
I
Cell: !{b}(6}

From: Calero, Wilfred (ACF)
Sent: Monday, February 06, 2017 10:56 AM
To: Houppert (Ruhkamp), Gail (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: Re: Termination of Pregnancy request
l(b)(6)

Kb)(6)

From : Houppert (Ruhkamp), Gail (ACF)
Sent: Monday, February 6, 2017 10:52:09 AM
To : Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject : RE:Termination of Pregnancy request

I can get this home study expedited if I have t he A#.
Thanks,
Gail
Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mai lroom 5123
Washington, DC 20201

EXT-18-241-N-000147

 003782

Gail.Houppert@acf.hhs.gov
Office: 202-401-9324
I
Cell: !{b}{6}

From : Calero, Wilfred (ACF)
Sent: Monday, February 06, 2017 10:46 AM
To: De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)

Cc: Houppert (Ruhkamp ), Gail (ACF)
Subject: Re: Termination of Pregnancy request
Will work on the need to expedite today.

Will Calero
From: De LA Cruz, James (ACF)
Sent : Monday, February 6, 2017 10:40:45 AM
To : Calero, Wilfred (ACF); Velazquez, Ivonne {ACF)

Cc: Houppert (Ruhkamp), Gail {ACF)
Subject: Fw: Termination of Pregnancy request

Wifred and Gail,
Can we please expedite HS for th is case.
Jsd
From: Calero, Wilfred {ACF)
Sent: Wednesday, February 1, 2017 7:10 :07 PM
To : Loralynn Q. Olivarez; Meyerstein, Shaanan (ACF); Keila Alvarado; b)(6)

I

ICb)(6)
De LA Cruz, James (ACF); b)(6)
Kb)(6)
Bartholomew, Michael (ACF); Kim, Curi {ACF); De LA Cruz, James
{ACF); DCS- UAC Medica l; Houppert (Ruhkamp), Gail {ACF)
Subject : RE:Termination of Pregnancy request

I

Just to clarify she does not have a 3 rd grade education. She indicated to me that she almost completed
her third level of school, which was confused with third grade. She actually completed ~ ears of school
which would have beenfb)(6)

I

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement
r b)(6)

i

EXT-18-241-N-000148

 003783

wilfred.calero@acf.hhs.gov

From: fbl(6l
@swkey.org1
Sent: Wednesday, February 01, 2017 5:06 PM
To : Meyerstein, Shaanan (ACF); Keila Alvarado; b)(6)
Calero, Wilfred
(ACF); De LA Cruz, James (ACF); (b)(6l
fbl(6l
IBartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz,
James (ACF); DCS - UAC Medical; Houppert (Ruhkamp), Gail (ACF)
Subject: Re: Termination of Pregnancy request

~-----------~

Hello Team
From my experience working with this UC, I am NOT feeling that she has developmental delays
She was nervous in court and felt intimidated , this may the reason for her lack or articulation
with the judge
Also, keep in mind she has only a 3rd grade education
I am feeling that it is these two reasons that she is struggling to articulate , not a development
delay
I am not a psychologist so I wouldn't object to psychologica l testing to make the detennination
IMC, LPC

tb )(6)

Clinician office 50I
Program 921: Kokopel/i
Phone: 480-500-1076 Extension !(b)(6)
Email: kb)(6)
@swkey.org
Regular Work Schedule: Tuesday - Saturday, 8am-4pm

I

From: Meyerstein, Shaanan (ACF) <Shaanan.Meyerstein@acf.hhs.gov >
Sent : Wednesday, February 1, 2017 11:33 :51 AM

To: Keila Alvarado; (b)(6)
Calero, Wilfred (ACF); De
LA Cruz, James (AC ; b)(6)
!(b)(6)
!Bartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS
Medical; Houppert (Ruhkamp), Gail (ACF)
Subject : Termination of Pregnancy request
Good afternoon,
We will be cancelling the conference call for this afternoon. After a conversation with Jim De La Cruz as
to the best way forward with this case we have decided the following:
1)

The judge called into question this minor's capacity for medical decision making and the field
staff and shelter staff have noted that she is "delayed". As I have done in prior complex cases
that involve a serious medical procedure, we are requesting that this minor undergo formal

EXT-18-241-N-000149

 003784

evaluation by a psychologist to assess her mental capacity in the next few days. If it is
determined that she is significantly delayed and with cognitive impairment, that will raise the
issue whether or not we can override her legal right to confidentiality in not disclosing to her
parents and getting parental consent for termination about her pregnancy as it will put her life
in danger for various reasons
2) The sponsor needs to have an expedited in depth home study for a number of reasons -1) the
possibility that his younger sister has a developmental delay and she will require more support
than he might be able to provide; 2) the possibility that he would have to care for her if we were
to release her being pregnant if she agrees to disclose her pregnancy to him; 3) to ensure the
minor's safety with the brother;
I have cc'd Gail Houppert who directs the Home studies and PRSto ensure that this home study
is expedited given the time sensitivity with this young lady advancing in her pregnancy
3) I am requesting that the FFSidentify a possible OB practice in the sponsor's community in
advance in the event that we come to the conclusion that we will discharge this young lady
4) The shelter staff and case management staff should continue to work with the minor to help
understand her situation and the importance of disclosing her medical condition to her parents
or brother.
I would like to raise one additional curve ball, that if she is discharged to her brother and was
willing to disclose her pregnancy to her brother but not her parents, that in some states (I don't
know the laws in Florida} that still would not suffice for consent.
I think it is important that we set a firm deadline for ourselves to have these tasks accomplished given
the fact that she is 13 weeks pregnant and state laws limit procedures passed a certain gestational age.
Please respond with updates to the FFSWilfred Calero on all of these matters by 2/10. The Medical
Team will be happy to consult once we have a more complete picture of the situation.

Thank you for your time and help on this case.

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
!(b)(6)
(cell)
Shaanan.meyerstein@acf.hhs.gov

I

From: Meyerstein, Shaanan (ACF)
Sent: Wednesday, February 0 1, 2017 9:12 AM
To: Keila Alvarado

EXT-18-241-N-000150

 003785

Cc: (b)(6)

Calero, Wilfred (ACF); De LA Cruz, James

(ACF); (b)(6)
Bartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS - UAC
Medical
Subject: RE: Arizona Laws regarding abortion

(b)(6)

4pm EST/2 pm MTN works. Keila can you set up a conference call line please?
Please reply to Keila if you will be on the call and what your role is in the case is since there are so many
staff members included on this email.
Thanks,
Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
l(b)(6)
~cell)
Shaanan.meyerstei n@acf. h hs.gov

From: Keila Alvarado [ mailto:kalvarado@swkey.org 1
Sent: Tuesday, January 31, 2017 9:32 PM
To : Meyerstein, Shaanan (ACF)

Cc:

Calero, Wilfred (ACF); De LA Cruz, James

(b)(6)

(ACF); (b)(6)
b)(6)
Bartholomew, Michael (ACF); Kim, Curi (ACF)
Subject: Re: Arizona Laws regarding abortion

Hello Dr. Meyerstein, I propose 1 pm EST (11 am MTN) or 4 pm EST(2 pm MTN). I hope the times
proposed work for all.
Thank you,
Keila Alvarado, LLM
Program Director
Southwest Key Programs -Kokopelli 921
!(b)(6)

I

Sent from my iPhone
On Jan 31, 2017, at 6:45 PM, Meyerstein, Shaanan (ACF) <Shaanan.Meyerstein@acf.hhs.gov >wrote :
This case is very complex, far beyond email exchanges.
Can we please schedule a conference call to discuss this minor's case tom?
After 1pm EST?

EXT-18-241-N-000151

 003786

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
~b)(6)
l(cell)
Shaanan.meyerstein@acf .hhs.gov

From: l(b)(6)
@swkey.org1
Sent: Tuesday, January 31, 2017 6:17 PM
To: Meyerstein, Shaanan (ACF); Loralynn Q. Olivarez; Alexandra Garcia; Calero, Wilfred
(ACF)
Cc: ~b-)(6
- )--------------------------~
!(bl(6l
IKeila Alvarado
Subject: RE: Arizona Laws regarding abortion
Good Afternoon Shaanan,
The sponsor is the brother ~
ears of age, resides in Florida. If the minor was indeed
medically stable for discharge, we could of course discharge the minor to the sponsor.
However, the sponsor would still be unaware of the client being pregnant from being
sexually assaulted, and wanting an abortion. Therefore, the sponsor would not be
prepared for the release of the minor, and possible withdrawal from being a sponsor.
Further assessment is still needed at this time to ensure a safe release of the minor.
Please let me know if you have any questions.
Thank you,

Case Manager
Southwest Key Program - Kokopelli
!(b)(6)
@swkey .org
Fax: 480-452-0603
Phone:l (b)(5)

I

From: Meyerstein, Shaanan (ACF) [mailto :Shaanan.Meyerstein@acf.hhs .gov]
Sent: Tuesday, January 31, 2017 2:40 PM

To: (b)(6)
l(b)(6)
@swkey.org>; b)(6)
(ACF)<Wi lfred .Calero@acf.hhs.gov>
Cc (b)(6)

swke .or >; b)(6)
.or >; Calero, Wilfred
.or >; Kb)(6)

EXT-18-241-N-000152

 003787

l(b)(6)
l@swkey.org>; Keila Alvarado <kalvarado@swkey.org >
Subject: RE:Arizona Laws regarding abortion

f b)(6 )

To be clear - if I told you that the minor was medically stable for discharge, then she could
be discharged to her sponsor?
Who is the sponsor and where do they reside?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children 1 s Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
f b)(6)
!(cell)
Shaanan.meyerstein@acf.hhs.gov

From : f b)(6)
Sent: Tuesday, January 31, 2017 1:03 PM
To: Meyerstein, Shaanan (ACF); """l
(b.,...,
)(=
6)-------------,1
(ACF)
Cc: k~
b-)(6-)--------------------------~
Kb)(6)

@swkey.org l
Calero, Wilfred

IKeila Alvarado

Subject: RE: Arizona Laws regarding abortion
Good Morning Shaanan,
The law confirms the gestational age in Arizona below:
Prohib it ing Abortions Past 20 Weeks of Pregnancy (A.R.S. § 36-2159) - Prohibits abortions
past 20 weeks gestation, except in the case of a medical emergency .t
The sponsor for this minor is in Florida, and the status of reunification is pending the
medical condition of the client. All other documentation has been provided by the sponsor
for reunification.
Thank you,
l(b)(6)

Case Manager
Southwest Key Program - Kokopelli
@swkey.org

l(b)(6)

Fax: 480-452-0603

EXT-18-241-N-000153

 003788

5
Phone :,_j
<b_><_>___

__,

From : Meyerstein, Shaanan (ACF) fmailto:Shaanan.Meyerstein@acf .hhs.gov1
Sent: Tuesday, January 31, 20 17 10:58 AM
To : l(b)(6)
~ swkey.org >j(b)(6)

1(b)(6)
~swkey.org >; j(b)(6)
(ACF)<Wilfred.Calero@acf.hhs.gov >
Cc: l(b)(6)
!@swkey.org >; b)(6)

(b)(6)

t§)swkey.org>; Calero, Wilfred

swke .or >; Keila Alvarado <kalvarado@swkey.org >

Subject: RE:Arizona Laws regarding abortion

Can someone please confirm Gestational Age in Arizona when abortion is legal for
whatever circumstance?
Where is the sponsor for this minor and what is the status of reunification?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
202 401-4639 (office)
b)(5 )
(cell)
Shaanan.meyerstein@acf.hhs.gov

From: kb)(6)
lpswkey.orgl
Sent: Tuesday, January 31, 2017 12:46 PM
To:f b)(6)
Meyerstein, Shaanan (ACF); Calero, Wilfred
(ACF')
Cc : ,.,,.l
(b..,...
)("6)
"-----------------------------,

I

I

l(b)(6)
Keila Alvarado
Subject : RE: Arizona Laws regarding abortion
Good Morning!
As previously staffed with our leadership, it was determined that the notarized letter from
the parents would not be sufficient for the termination to take place. The client may be
open to speaking with her mother if we were able to obtain permission to proceed with
the notarized letter of consent from the mother in home country.
However, as I am under the assumption that we would only be able to proceed with the
termination once we appealed to the court to obtain the judicial bypass because the
mother would not be able to attend the abortion procedure.

EXT-18-241-N-000154

 003789

As the clinician has stated below, that the client does not feel comfortable informing her
family, and would like to appeal. Please let me know if there are any questions.
Thank you,

Case Manager
Southwest Key Program - Kokopelli
!(b)(6)
@swkey.org
Fax: 480-452-0603
Phone :l~<b_l<6_l ___
From: ....
Kb-')("""6
)______

~
__.

Sen t: Tuesday, January 31, 2017 9:54 AM
To :l(b)(6)

~ swkey.org >; Meyerstein, Shaanan (ACF)
<Shaanan.Meyerstein@acf.hhs.gov >; Calero, Wilfred (ACF) <Wilfred.Calero@acf.hhs.gov >
Cc;Kb)(6)
t§)swkey .org>
Subject: Re: Arizona Laws regard ing abortion

The client continues to not want to inform any family members , her parents nor
her Sponsor
She wants to appeal the Judge's decision, I have emai led the lawyers assigned to
her and have not heard back.
My concern is the timeliness of this issue
rb_)(6_) ____
....

_,Mc, LPc

Clinician office 501
Program 921: Kokopelli
Phone: 480-500-1076 Extension Kb)(6)
Email: Kb)(6)
l§?
swkey.org
Regular Work Schedule: Tuesday -- Saturday, Bam-4pm

I

From:l<b
....
_)(_6)____
__.
Sent: Tuesday, January 31, 2017 9:52 :01 AM
To: Meyerstein, Shaanan (ACF); Calero, W ilfred (ACF)
Cc :Kb)(6)

I

Subject: RE: Arizona Laws regarding abortion
Good morning!
I have copied her case manager and clinician to this email.
They may be better able to answer this quest ion for you.

EXT-18-241-N-000155

 003790

Thanks ©
l(b)(6)

Lead Medical Coordinator
Southwest Key Programs
Casa Koko elli #921

D: (b)(6)
C: .__ ___
_.
F: (480) 393-8104
!/bl/6) Wswkey.org
CONFIDENTIALITY NOTICE:This emai l, including attachments, is for the sole use of the intended recipient(s) and may
conta in confident ial and priv ileged information covered by the Electronic Commun ications Privacy Act, 18 U.5.C. 25102521. Any unautho rized rev iew, use, or d isclosure or distr ibution is proh ibited. If yo u are not the int ended recipient,
please contact the sender immediate ly and destroy all cop ies of the original message.

From: Meyers t ein , Shaanan (ACF) [mailto :Shaanan.Meyer stein@acf.hhs .gov]
Se nt: Monday, January 30, 2017 4:22 PM
To : l(b)( 6)
@swkey.org >; Calero, Wilfre d (ACF)

<Wi lfred .Calero@acf.hhs.gov >
Subject: RE: Arizona Laws regarding abortion
~
nd Wilfred,
Since the judge denied the judicial bypass, did the minor speak with her parents about her
pregnancy over the weekend? Did the parents consent?
Thanks,

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
202 401-4639 (office)
b)( 5 )
(cell)
Shaanan.meyerste in@acf.hhs.gov

From:l(b)(6)

l1)swkey .orgl

Sent: Monday, January 23, 2017 12:27 PM
To: Meyerste in, Shaanan (ACF)

Subject: Arizona Laws regarding abortion
AZ LawsregardingAbortion:
Arizona law requires that women under 18 years old seeking an abortion must either have
the notarized written permission of one of their parents/legal guardian or permission from
a Superior Court Judge.

EXT-18-241-N-000156

 003791

Ensuring Adequate Consent
• Parental Consent {A.R.S. § 36-2152) - Requires parental consent for minors seeking
abortions but allows for judicial bypass. Requires the parental consent to be obtained on a
form to ensure that parents are informed of all of the medical risks of abortion before
giving consent. Requires parental consent to be notarized . Allows parents to sue (1) an
abortion provider who performs an abortion on their minor daughter without parental
consent or (2) any person who assists a minor in obtaining an abortion without parental
consent.
• Informed Consent (A.R.S. § 36 -2153) - Information must be provided 24 hours in advance
to a woman seeking an abortion about the risks and alternatives of the procedure, the
probable gestational age and physiological characteristics of the preborn child, and the
services available from public and private agencies to assist during pregnancy and after
birth. Requires that the information is provided at an in-person consultation with a doctor.
Allows a woman to file a lawsuit against an abortion provider who fails to obtain informed
consent. Requires the Department of Health Services to create and maintain a website
providing unbiased information about fetal development, the risks of abortion, and
information about alternatives to abortion .
• Informed Consent for Lethal Condition (A.R.S. § 36 -2158) - When a woman discovers that
her child may have a life-threatening birth defect or other fetal condition , information must
be provided 24 hours in advance about the support that is available to her, including
perinatal hospice . Requires the Department of Health Services to create and maintain a
website providing unbiased information about perinatal hospice and assistance available
for children with special needs .
•Opportunity to View Ultrasound (A.R.S. § 36 -2156) - Requires an ultrasound to be
performed at least 24 hours before every abortion, and a woman seeking abortion must be
offered the opportunity to view the ultrasound and hear the baby's heartbeat, if audible .
• Coercion Prohibited {A.R.S. § 36-2153) - Prohibits a person from intimidating or coercing
another person into having an abortion and allows minors to obtain publ ic assistance
benefits if parents cut off financial support because the minor refuses to have an abortion.
Requires that all abo rtion clinics conspicuously post signs that state it is unlawful for any
person to intimidate or coerce another person into having an abortion .
• Foster Parents {A.R.S. § 8-514.05) - Foster parents may not consent to abortion for a
foster child.
• Fiduciaries (Arizona Code of Jud. Admin . § 7-202) - Fiduciaries may not consent to
abortion for a ward without a court order.
- See more at : https://www.plannedparenthood.org/planned-parenthood-arizona/onlinehealth-center/minors-and-abortion-law#sthash.lWOGvCcD.dpuf

l(b)(6)

Lead Medical Coordinator
Southwest Key Programs
Casa Kokopelli #921

g:

l(b)(6)

I

F: 480 393-8 104
b)(6)
CONFIDENTIALITY NOTICE:This emai l, inclu ding attachments, is for the sole use of the inte nded recipient(s) and may
conta in confident ial and priv ilege d information covered by the Electronic Commun ications Privacy Act, 18 U.S.C. 2510-

EXT-18-241-N-000157

 003792

2521.Any unautho rized review, use, or d isclo sure or distr ibut ion is pro hibited . If yo u are not th e int end ed recipient,
please cont act t he sender imme diate ly and destroy all cop ies of t he orig inal message.

Sender:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,
WIL>

"Houppert (Ruhkamp), Gail (ACF) </o =Exchangelabs/ou= ExchangeAdministrative Group
( FYDIBOHF23SPDL
T)/cn= Recipients/cn=4d88928c06a84498a966d9352f344094-Ruhkamp,
Ga>";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
Recipient :
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"Velazquez, Ivonne (ACF) </o =Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/en=39e67b42d96043c688e84fa6cef42570-Velazquez,>"
Sent Date: 2017/02/06 15:06:45
Deliv e red Date : 2017/02/06 15:06:00

=EXCHANGE
ADMINISTRATIVEGROUP
From: Houppert (Ruhkamp), Gail (ACF) </O = EXCHANGELABS/OU

( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
=4D88928C06A84498A966D9352
F344094-RUHKAM
P, GA>

"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/en= 7fcd1fabef934452bff7378f6365fa8e-Calero, Wil > ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To:
(FYDIBOHF23SPDL
T)/cn=Recipients/cn= 2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/en= 39e67b42d96043c688e84fa6cef42570-Velazquez,>"
Subject: RE: Termination of Pregnancyrequest
Date: 2017/02/06 15:03:51
Priority : Normal
Type : Note

Hi Wilfred Are you sure that K~
b_)(_6)__
porta l?

~1 1sthe correct A#? I still cannot find her on the list of referrals in the

Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mai lroom 5123
Washington, DC 20201
Gail.Houppert@acf.hhs.gov
Office: 202 -401 -9324
Cell: !(bl(6l
I

From: Calero, Wilfred (ACF)
Sent : Monday, February 06, 2017 2:54 PM
To: Houppert (Ruhkamp), Gail (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE: Terminat ion of Pregnancy request
The Home Study Request has been updated in the portal.

EXT-18-241-N-000158

 003793

Thanks for your attention on this matter.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

r)(

6)

I

wilfred.ca lero@acf .hhs.gov

From: Houppert (Ruhkamp), Gail (ACF)
Sent: Monday, February 06, 2017 10:41 AM
To: Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE: Termination of Pregnancy request
Importance: High
Good Afternoon,
This minor is not listed on the home study referral list so cannot be accepted as a provider. Please go
into the portal to make sure the home study request has been done properly and is listed on the
pending home study referral list . Not currently there. If you have problems please contact the UAC
Portal helpdesk. Please let me know when the referral is posted to the list and I will get it expedited .
Thank you,
Gail
Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mai lroom 5123
Washington, DC 20201
Gail.Houooert@acf .hhs.gov
Office: 202-401-9324
I
Cell: !(bl(6l

From: Calero, Wilfred (ACF)
Sent: Monday, February 06, 2017 10:56 AM
To: Houppert (Ruhkamp), Gail (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: Re: Termination of Pregnancy request

From: Houppert (Ruhkamp), Gail (ACF)

Sent : Monday, February 6, 2017 10:52:09 AM

EXT-18-241-N-000159

 003794

To: Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE:Termination of Pregnancy request

I can get this home study expedited if I have the A#.
Thanks,
Gail
Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mailroom 5123
Washington, DC 20201
Gail.Houpper t @acf.h hs.gov
Office: 202-401-9324
Cell: !{b}{6}
I

From: Calero, Wilfred (ACF)
Sent: Monday, February 06, 2017 10:46 AM
To : De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Cc: Houppert (Ruhkamp ), Gail (ACF)
Subject : Re: Termination of Pregnancy request
Will work on the need to expedite today.

Will Calero
From: De LA Cruz, James (ACF)
Sent: Monday, February 6, 2017 10:40:45 AM
To : Calero, Wilfred (ACF); Velazquez, Ivonne (ACF)

Cc: Houppert (Ruhkamp), Gail (ACF)
Subject : Fw: Termination of Pregnancy request

Wifred and Gail,
Can we please expedite HS for th is case.
Jsd
From : Calero, Wilfred (ACF)
Sent: Wednesday, February 1, 2017 7:10:07 PM
To: Kb)(6)
Meyerstein, Shaanan (ACF); Keila Alva rado; (b)(6)

I

!(b)(6)

I De LA Cruz, James (ACF); (b)(6)
I Bartholomew,

Michael (ACF); Kim, Curi (ACF); De LA Cruz, James
(ACF); DCS- UAC Medica l; Houppert (Ruhkamp), Gail (ACF)
Subject : RE:Termination of Pregnancy request

Kb)(6)

EXT-18-241-N-000160

 003795

Just to clar ify she does not have a 3 rd grade education . She indic ated to me th at she almost completed
her third level of school, which was confused with th ird grade . She act ually completed ~ ears of schoo l
which wo uld have been the first year of high school.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

r)(

6)

I

w ilfred.calero@acf.hhs.gov

From: l(b)(6)
@swkey.org l
Sent: Wednesday, February 01, 2017 5:06 PM
To : Meyerstein, Shaanan (ACF); Keila Alvarado;"'"b..,.,)
(6=
l-----------.._,..
~1ero,Wilfred
(ACF); De LA Cruz, James (ACF); b)(6)
I Bartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz,
!<bl/6l
James (ACF); DCS - UAC Medical; Houppert (Ruhkamp), Gail (ACF)
Subject: Re: Termination of Pregnancy request

Hello Team
From my expe rienc e working with this UC, I am NOT feeling that she has developmental delays
She was nervous in court and felt intimidated , this may the reason for her lack or articu lation
with the judge
Also, keep in mind she has only a 3rd grade education
I am feeling that it is these two reasons that she is strugg ling to aiticulate, not a development
delay
I am not a psychologist so I wouldn't object to psychological testing to make the determination
Kb)(6)

!M C,

LPC

Clinician office 501
Program 921: Kokopelli
Phone: 480-500-1076 Extension l(b)(6)
Email: ](b)(6)
e>swkey.org
Regular Work Schedule: Tuesday -- Saturday, Bam-4pm

I

From: Meyerstein, Shaanan (ACF) <Shaanan.Meyerstein@acf.hhs.gov >
Sent: Wednesday, February 1, 2017 11:33 :51 AM

EXT-18-241-N-000161

 003796

I

To: Keila Alvarado; fb)(6)
Calero, Wi lfred (ACF); De
LA Cruz, James (ACF); b)(6)
Bartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS
Kb)(6)
Medical; Houppert (Ruhkamp), Gail (ACF)
Subject: Termination of Pregnancy request

I

Good afternoon,
We will be cancelling the conference call for this afternoon. After a conversation with Jim De La Cruz as
to the best way forward with this case we have decided the following:
1)

The judge called into question this minor's capacity for medical decision making and the field
staff and shelter staff have noted that she is "delayed". As I have done in prior complex cases
that involve a serious medical procedure, we are requesting that this minor undergo formal
evaluation by a psychologist to assess her mental capacity in the next few days. If it is
determined that she is significantly delayed and with cognitive impairment, that will raise the
issue whether or not we can override her legal right to confidentiality in not disclosing to her
parents and getting parental consent for termination about her pregnancy as it will put her life
in danger for various reasons
2) The sponsor needs to have an expedited in depth home study for a number of reasons - 1) the
possibility that his younger sister has a developmental delay and she will require more support
than he might be able to provide; 2) the possibility that he would have to care for her if we were
to release her being pregnant if she agrees to disclose her pregnancy to him; 3) to ensure the
minor's safety with the brother;
I have cc'd Gail Houppert who directs the Home studies and PRSto ensure that this home study
is expedited given the time sensitivity with this young lady advancing in her pregnancy
3) I am requesting that the FFSidentify a possible OB practice in the sponsor's community in
advance in the event that we come to the conclusion that we will discharge this young lady
4) The shelter staff and case management staff should continue to work with the minor to help
understand her situation and the importance of disclosing her medical condition to her parents
or brother.
I would like to raise one additional curveball, that if she is discharged to her brother and was
willing to disclose her pregnancy to her brother but not her parents, that in some states (I don't
know the laws in Florida) that still would not suffice for consent.
I think it is important that we set a firm deadline for ourselves to have these tasks accomplished given
the fact that she is 13 weeks pregnant and state laws limit procedures passed a certain gestational age.
Please respond with updates to the FFSWilfred Calero on all of these matters by 2/10. The Medical
Team will be happy to consult once we have a more complete picture of the situation.

Thank you for your time and help on this case.

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program

EXT-18-241-N-000162

 003797

Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
(f b)(6)
~cell)
Shaanan.meyerstein@acf.hhs.gov

From: Meyerstein, Shaanan (ACF)
Sent: Wednesday, February 01, 2017 9:12 AM
To : Keila Alvarado
Cc: (b)(6)
(ACF); (b)(6)
l(b)(6)

I Bartholomew,

Calero, Wilfred (ACF); De LA Cruz, James

Michael (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS - UAC

Medical

Subject: RE: Arizona Laws regarding abortion
4pm EST/2 pm MTN works. Keila can you set up a conference call line please?
Please reply to Keila if you will be on the call and what your role is in the case is since there are so many
staff members included on this email.
Thanks,
Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompan ied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
t b)(6)
l(cell)
Shaanan.meyerstein@acf.hhs.gov

From: Keila Alvarado [ mailto:kalvarado@swkey.org 1
Sent: Tuesday, January 31, 2017 9:32 PM
To : Meyerstein, Shaanan (ACF)
Cc: b)(6)

__

.,..____..._._
ACF . b)(6) -,-b)(6)

Calero, Wilfred (ACF); De LA Cruz. James
________________________
I
_, l(b)(5 )

Bartholomew, Michael (ACF); Kim, Curi (ACF)

Subject: Re: Arizona Laws regarding abortion
Hello Dr. Meyerstein, I propose 1 pm EST(11 am MTN) or 4 pm EST(2 pm MTN). I hope the times
proposed work for all.

EXT-18-241-N-000163

 003798

Thank you,
Keila Alvarado, LLM
Program Director
Southwest Key Programs-Kokopelli 921
fb)(6)

I

Sent from my iPhone
On Jan 31, 2017, at 6:45 PM, Meyerstein, Shaanan (ACF)<Shaanan.Meyerstein@acf.hhs.gov >wrote :
This case is very complex, far beyond email exchanges.
Can we please schedule a conference call to discuss this minor's case tom?
After 1pm EST?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
l(b)(6)
[ cell)
Shaanan.meyerstein@acf.hhs.gov

From : l<bl/6)
@swkey.org l
Sent: Tuesday, January 31, 2017 6:17 PM
To: Meyerstein, Shaanan (ACF); ~l
<b
-l/6
- l-----------~,
(ACF
.,._
) ,..,.,.,...
______________________

Calero, Wilfred
_,

Cc: fb )(6)
fb)(6)
!Keila Alvarado
Subject: RE: Arizona Laws regarding abortion

Good Afternoon Shaanan,
The sponsor is the brother ,l(b)(6~ears of age, resides in Florida. If the minor was indeed
medically stable for discharge, we could of course discharge the minor to the sponsor.
However, the sponsor would still be unaware of the client being pregnant from being
sexually assaulted, and wanting an abortion. Therefore, the sponsor would not be
prepared for the release of the minor, and possible withdrawal from being a sponsor.
Further assessment is still needed at this time to ensure a safe release of the minor.
Please let me know if you have any questions.
Thank you,

EXT-18-241-N-000164

 003799

Case Manager
Southwest Key Program - Kokopelli
tb)(6)
lj)swkey.org
Fax: 480-452 -0603
Phone :~j
<b_)<6
_>___
~
From: Meyerstein, Shaanan (ACF) fmailto :Shaanan.Meyerstein@acf.hhs.gov ]
Sent: Tuesday, January 31, 20 17 2:40 PM

To: !(b)(6)
@swkey.org >;j(b)(6)
l(b)(6)
~swkey.org >;l(b)(6)
@swkey.org >; Calero, Wilfred
(ACF) <Wilfred.Calero@acf.hhs.gov >
Cc: l(b)(6)
@swkey.org >; fb)(6)
(b)(6)
~ swkey.org >; kb)(6)
@swkey.org >;~(b_)(6
_)..,.......,.._---c
b wkey.org >; Jb)(6)
!@swkey.org >; (b)(6)
l(b)(6)
(g>
swkey.org >; Keila Alvarado <kalvarado@swke ~y-.o-rg
_>_~
Subject: RE:Arizona Laws regarding abort ion

I

l

fb)(6)
To be clear - if I told you that the minor was medically stable for discharge, then she could
be discharged to her sponsor?
Who is the sponsor and where do they reside?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
~(b)(6)
~cell)
Shaanan.meyerstein@acf .hhs.gov

From: l(b)(6)
@swkey.org1
Sent: Tuesday, January 31, 2017 1:03 PM
To: Meyerstein, Shaanan (ACF); ~!(
b-)(6
- )-----------~C
(ACF)

alero, Wilfred

Cc:k"'"
b""'
)(6")-----------------------------.
'"

fbl(6)
!Keila Alvarado
Subject : RE: Arizona Laws regarding abortion
Good Morning Shaanan,
The law confirms the gestational age in Arizona below:

EXT-18-241-N-000165

 003800

Prohibiting Abortions Past 20 Weeks of Pregnancy (A.R.S.§ 36-2159) - Prohibits abortions
past 20 weeks gestation, except in the case of a medical emergency. t
The sponsor for this minor is in Florida, and the status of reunification is pending the
medical condition of the client. All other documentation has been provided by the sponsor
for reunification.
Thank you,

Case Manager
Southwest Key Program - Kokopelli
l<b)(6)
l@swkey.org
Fax: 480-452-0603
Phone: f~b_
l<5_l ___

~

From: Meyerstein, Shaanan (ACF) [mailto :Shaanan.Meyerstein@acf .hhs.gov]
Sent: Tuesday, January 31, 20 17 10:58 AM
To : kbl(6)
t@swkey.org>Jb)(6)

!(b)(6)
~swkey.org >; l(b)(6)
@swkey.org >; Calero, Wilfred
(ACF) <Wilfred.Calero@acf.hhs.gov >
Cc (b)(6)
swke .or > b)(6)
b)(6)
~swkey.org > (b)(6)
swke .or >; fbJ(6)
_
i?;wkey.org >;l(b)(6)
@swkey.o
~r_g_>:Kb'.:
J<
:6
_;;:;
)::::'.'.:
l(b)(6)
@swkey.org>; Keila Alvarado <kalvarado@swkey .org>
Subject: RE:Arizona Laws regarding abortion

f

Can someone please confirm Gestational Age in Arizona when abortion is legal for
whatever circumstance?
Where is the sponsor for this minor and what is the status of reunification?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
l(b)(6)
!{cell)
Shaanan.meyerstein@acf.hhs.gov

From : !(b)(6)
k,ruswkey.org
l
Sent: Tuesday, January 31, 2017 12:46 PM
To: !(b)(6)
IMeyerstein, Shaanan (ACF); Calero, Wilfred

EXT-18-241-N-000166

 003801

Good Morning!
As previously staffed with our leadership, it was determined that the notarized letter from
the parents would not be sufficient for the termination to take place. The client may be
open to speaking with her mother if we were able to obtain permission to proceed with
the notarized letter of consent from the mother in home country.
However, as I am under the assumption that we would only be able to proceed with the
termination once we appealed to the court to obtain the judicial bypass because the
mother would not be able to attend the abortion procedure.
As the clinician has stated below, that the client does not feel comfortable informing her
family, and would like to appeal. Please let me know if there are any questions.
Thank you,

Case Manage r
Southwest Key Program - Kokopelli
~b)(6)
@swkey.org
Fax: 480-452-0603
~
Phone :~l(b_)(6_l ___
~

Fr o m :~k
b~)(~6)______

Sent : Tuesday, January 31, 2017 9:54 AM

@swkey .org>; Meyerste in, Shaanan (ACF)
<Shaanan.Meyerstein@acf .hhs.gov>; Calero, Wilfred (ACF) <Wilfred.Calero@acf.hhs.gov >
Cc: l(b)(6)
@swkey.org >
Subject: Re: Arizona Laws regard ing abortion
T o l(b)(6)

The client continues to not want to inform any family members, her parents nor
her Sponsor
She wants to appeal the Judge's decision, I have emai led the lawyers assigned to
her and have not heard back.
My concern is the timeliness of this issue
fb )(6)

IMC, LPC

Clinician office 501
Program 921: Kokopelli
Phone: 480-500-1076 Extensio~

EXT-18-241-N-000167

 003802

Email: kbl(6l
!a>swkey.org
Regular Work Schedule: Tuesday-- Saturday, Bam-4pm

From:,__K
b'"'"
)(6"'"
)____

_,

Sent: Tuesday, January 31, 2017 9:52:0 1 AM
To: Meyerstein, Shaanan (ACF); Calero, W ilfred (ACF)

I

Cc:Kb)(6)
Subject: RE: Arizona Laws regarding abortion
Good morning!
I have copied her case manager and clinician to this email.
They may be better able to answer this question for you.

Thanks©
~(b)(6)

Lead Medical Coordinator
Southwest Key Programs
Casa Kokopell i #921

g:

l(b)(6)

I

F: (480 ) 393 -8104
fbl(6l
@swkey.org
CONFIDENTIA LITY NOTICE: This email, inclu ding atta chm ents, is for t he so le use of t he inten ded recipient (s) and may
conta in confide nt ial and priv ilege d info rm ati on cov ered by the Elect roni c Com mun ications Privacy Act, 18 U.S.C. 25102521. Any unautho rized rev iew, use, or d isclosure or distr ibution is pro hib it ed. If yo u are not the int ended reci pient,
please contact t he sender immed iate ly and destro y all cop ies of the orig inal message.

From: Meyerstein, Shaanan (ACF) [mailto:Shaanan.Meyerstein@acf.hhs.gov ]
Sent: Monday, January 30, 2017 4:22 PM

tpswkey.org >; Calero, Wilfred (ACF)
<Wilfred.Calero@acf.hhs.gov >
Subject: RE: Ar izona Laws regard ing abort ion
To : t b)(6)

~
nd Wilfred,
Since the judge denied the judicial bypass, did the minor speak with her parents about her
pregnancy over the weekend? Did the parents consent?
Thanks,

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)

EXT-18-241-N-000168

 003803

I(cell)

l(b)(6)

Shaanan.meyerstein@acf.hhs.gov

From:

!(b)(6)

@swkey.org 1

Sent: Monday, January 23, 2017 12:27 PM
To: Meyerstein, Shaanan (ACF)

Subject: Arizona Laws regarding abortion
AZ Laws regarding Abortion:

Arizona law requires that women under 18 years old seeking an abortion must either have
the notarized written permission of one of their parents/legal guardian or permission from
a Superior Court Judge.
Ensuring Adequate Consent
• Parental Consent (A.R.S. § 36-2152) - Requires parental consent for minors seeking
abortions but allows for judicial bypass. Requires the parental consent to be obtained on a
form to ensure that parents are informed of all of the medical risks of abortion before
giving consent. Requires parental consent to be notarized. Allows parents to sue (1) an
abortion provider who performs an abortion on their minor daughter without parental
consent or (2) any person who assists a minor in obtaining an abortion without parental
consent.
• Informed Consent (A.R.S. § 36 -2153) - Information must be provided 24 hours in advance
to a woman seeking an abortion about the risks and alternatives of the procedure, the
probable gestational age and physiological characteristics of the preborn child, and the
services available from public and private agencies to assist during pregnancy and after
birth. Requires that the information is provided at an in-person consultation with a doctor .
Allows a woman to file a lawsuit against an abortion provider who Jails to obtain informed
consent. Requires the Department of Health Services to create and maintain a website
providing unbiased information about fetal development, the risks of abortion, and
information about alternatives to abortion.
• Informed Consent for Lethal Condition {A.R.S. § 36 -2158) - When a woman discovers that
her child may have a life-threatening birth defect or other fetal condition, information must
be provided 24 hours in advance about the support that is available to her, including
perinatal hospice. Requires the Department of Health Services to create and maintain a
website providing unbiased information about perinatal hospice and assistance available
for children with special needs .
• Opportunity to View Ultrasound (A.R.5. § 36-2156) - Requires an ultrasound to be
performed at least 24 hours before every abortion, and a woman seeking abortion must be
offered the opportunity to view the ultrasound and hear the baby's heartbeat, if audible .
• Coercion Prohibited (A.R.S. § 36-2153) - Prohibits a person from intimidating or coercing
another person into having an abortion and allows minors to obtain public assistance
benefits if parents cut off financial support because the minor refuses to have an abortion .
Requires that all abortion clinics conspicuously post signs that state it is unlawful for any
person to intimidate or coerce another person into having an abortion.
• Foster Parents (A.R.S. § 8-514 .05) - Foster parents may not consent to abortion for a
foster child.

EXT-18-241-N-000169

 003804

• Fiduciaries (Arizona Code of Jud. Admin. § 7-202) - Fiduciaries may not consent to
abortion for a ward without a court order.
- See more at: https://www.plannedparenthood.org/planned-parenthood-arizona/onlinehealth-center/minors-and-abortion-law#sthash.lWOGvCcD.dpuf

Lead Medical Coordinator
Southwest Key Programs
Casa Kokopelli #921

I

g:rb )(6)

F: (480) 393 -8104
l/bl(6l @swkey.org
CONFIDENTIALITY NOTICE:This emai l, including atta chments, is for the sole use of the inte nded recipient(s) and may
conta in confident ial and priv ileged info rmation covered by the Electronic Communicatio ns Privacy Act, 18 U.S.C.25102521.Any unauthorized rev iew, use, or d isclosure or distr ibution is pro hibit ed. If you are not the intended recipient,
please contact t he sender immediate ly and destroy all cop ies of the orig inal message.

Sender:

Houppert (Ruhkamp ), Gail {ACF) </O=EXCHANGELABS/OU=EXCHANGE ADMI NISTRATIVE GROUP
( FYDIBOHF23SPDLT)/CN=RECIPI ENTS/CN=4D88928C06A84498A966D9352F344094-RUHKAMP, GA>

"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange
Adm inist rative Group
(FYDIBOHF23SPDLT)/cn= Recipients/en= 7fcd lfabef934452bff73 78f636Sfa8e-Calero, Wil> ";
"De LA Cruz, James (ACF) </o = Exchangelabs/ou = Exchange Admin istrat ive Group
Recipient:
( FYDIBOHF23SPDLT)/cn=Recipients/cn= 2eba95d l 19ab4cd6a77b34616dc3366c - De LA Cruz,>";
"Velazquez, I vonne (ACF) </o=Exchangelabs/ou=Exchange
Administ rative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,>"

Sent Date: 2017/02/06 15:03:5 0
Delivered Date : 2017/02/06 15:03:51

From:

Calero, Wilfred (ACF} </O=EXCHANGELABS/OU=EXCHANGE ADMINISTRATIVE GROUP
( FYDIBOHF23SPDLT)/CN = RECIPIENTS/CN= 7FCD1FABEF934452BFF7378F6365FA8E·CALERO, WI L>

"Houppert {Ruh kamp ), Gail (ACF) </o=Exchangelabs/ou=Exchange
Adminis t rat ive Group
( FYDIBOHF23SPDLT)/cn= Recipients/cn=4d88928c06a84498a966d9352f344094 -Ruhkamp, Ga> ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange
Adm inistrative Group
To:
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange
Admin istrat ive Group
(FYDIBOHF23SPDLT)/cn= Recipients/en= 39e6 7b42d9604 3c688e84fa6cef42570-Velazquez, >"

Subject : RE: Te rmination of Pregnancy request
Date: 2017/02/06 14:54:0 0
Priority: Normal
Type: Note

The Home Study Request has been updated in the portal.
Thanks for your attention on this matter.

Wilfred Calero

EXT-18-241-N-000170

 003805

Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement
r )(B)

I

wilfred.calero@acf.hhs.gov

From: Houppert (Ruhkamp), Gail (ACF)
Sent: Monday, February 06, 2017 10:41 AM
To: Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE: Termination of Pregnancy request
Impo rta nce: High
Good Afternoon,
This minor is not listed on the home study referral list so cannot be accepted as a provider. Please go
into the portal to make sure the home study request has been done properly and is listed on the
pending home study referral list . Not currently there. If you have problems please contact the UAC
Portal helpdesk. Please let me know when the referral is posted to the list and I will get it expedited .
Thank you,
Gail
Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mai lroom 5123
Washington, DC 20201
Gail.Houppert@ac f .hhs.gov
Office: 202-401-9324
I
Cell: !<b}{6}

From: calero, Wilfred (ACF)
Sent: Monday, February 06, 2017 10:56 AM
To: Houppert (Ruhkamp), Gail (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: Re: Termination of Pregnancy request

From: Houppert (Ruhkamp), Gail (ACF)
Sent: Monday, February 6, 2017 10:52:09 AM
To: Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE:Termination of Pregnancy request
I can get this home study expedited if I have the A#.

EXT-18-241-N-000171

 003806

Thanks,
Gail
Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mai lroom 5123
Washington, DC 20201
Gail.Houppert@acf.hhs.gov
Office: 202-401-9324
Cell: !(bl(6l
I

From : Calero, Wilfred (ACF)

Sent: Monday, February 06, 2017 10:46 AM
To : De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Cc: Houppert (Ruhkamp ), Gail (ACF)
Subject: Re: Terminat ion of Pregnancy request
Will work on the need to exped ite today.

Will Calero
From : De LA Cruz, James (ACF)
Sent : Monday, February 6, 2017 10:40:45 AM
To : Calero, Wilfred (ACF); Velazquez, Ivonne (ACF)

Cc: Houppert (Ruhkamp), Gail (ACF)
Subje ct: Fw: Termination of Pregnancy request

Wifred and Gail,
Can we please expedite HS for this case.
Jsd
From : Calero, Wilfred (ACF)
Sent : Wednesday, February 1, 2017 7:10:07 PM
To: kb)(6)
Meyerstein, Shaanan (ACF); Keila Alvarado; (b)(6)

I

Garcia; De LA Cruz, James (ACF);

b)(6)

Bartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz, James
(ACF); DCS- UAC Med ical; Houppert (Ruhkamp), Gail (ACF)
Subject: RE:Termination of Pregnancy request

(b)(6)

Just to clarify she does not have a 3 rd grade education. She indicated to me that she almost completed
her third level of school, which was confused with third grade. She actually complete ~
ears of school
which would have been the first year of high school.

EXT-18-241-N-000172

 003807

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement
r b)(6)

i

wilfred.calero@acf.hhs.gov

From: kb)(6)
@swkey .org 1
Sent: Wednesday, February 01, 2017 5:06 PM
~-----------~
To: Meyerstein, Shaanan (ACF); Keila Alvarado (b)(6)
(ACF); De LA Cruz, James (ACF);

b)(6)

Calero, Wilfred

I

¥ b)(6)
Bart holomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz,
James (ACF); DCS - UAC Medical; Houppert ( Ruhkamp ), Gail (ACF)
Subject : Re: Termination of Pregnancy request

Hello Team
From my experience working with this UC, I am NOT feeling that she has developmental delays
She was nervou s in court and felt intimidated, this may the reason for her lack or articulation
with the judge
Also, keep in mind she has only a 3rd grade education
I am feeling that it is these two reasons that she is strugg ling to ait iculate, not a development
delay
I am not a psyc holog ist so I wou ldn't object to psycho logica l testing to make the determ ination
IMC, LPC
Clinician office 501

~b )(6)

Program 921: Kokopelli
Phone: 480-500-1076 Extension !(b)(6)
Email: f bl (6)
@swkey.org
Regular Work Schedule: Tuesday -- Saturday, Bam-4pm

I

From: Meyerstein, Shaanan (ACF) <Shaanan.Meyerstein@acf.hhs.gov >
Sent: Wednesday, February 1, 2017 11:33:51 AM
To: Keila Alvarado; (b)(6)
Calero, Wi lfred (ACF); De
LA Cruz, James (ACF); (b)(6)
l(b)(6)
!Bartholomew, Michae l (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS

EXT-18-241-N-000173

 003808

Medical ; Houppert (Ruhkamp), Gail (ACF)
Subject: Termination of Pregnancy request

Good afternoon,
We will be cancelling the conference call for this afternoon. After a conversation with Jim De La Cruz as
to the best way forward with this case we have decided the following :
1)

The judge called into question this minor's capacity for medical decision making and the field
staff and shelter staff have noted that she is "delayed". As I have done in prior complex cases
that involve a serious medical procedure, we are requesting that this minor undergo formal
evaluation by a psychologist to assess her mental capacity in the next few days. If it is
determined that she is significantly delayed and with cognitive impairment, that will raise the
issue whether or not we can override her legal right to confidentiality in not disclosing to her
parents and getting parental consent for termination about her pregnancy as it will put her life
in danger for various reasons
2) The sponsor needs to have an expedited in depth home study for a number of reasons - 1) the
possibility that his younger sister has a developmental delay and she will require more support
than he might be able to provide; 2) the possibility that he would have to care for her if we were
to release her being pregnant if she agrees to disclose her pregnancy to him; 3) to ensure the
minor's safety with the brother;
I have cc'd Gail Houppert who directs the Home studies and PRSto ensure that this home study
is expedited given the time sensitivity with this young lady advancing in her pregnancy
3) I am requesting that the FFSidentify a possible OB practice in the sponsor's community in
advance in the event that we come to the conclusion that we will discharge this young lady
4) The shelter staff and case management staff should continue to work with the minor to help
understand her situation and the importance of disclosing her medical condition to her parents
or brother.
I would like to raise one additional curveball, that if she is discharged to her brother and was
willing to disclose her pregnancy to her brother but not her parents, that in some states (I don't
know the laws in Florida) that still would not suffice for consent .
I think it is important that we set a firm deadline for ourselves to have these tasks accomplished given
the fact that she is 13 weeks pregnant and state laws limit procedures passed a certain gestational age.
Please respond with updates to the FFSWilfred Calero on all of these matters by 2/10 . The Medical
Team will be happy to consult once we have a more complete picture of the situation.

Thank you for your time and help on this case.

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services

EXT-18-241-N-000174

 003809

(202) 401-4639 (office)
(b)(6)
cell)
aanan.meyerstein@acf.hhs.gov

From: Meyerstein, Shaanan (ACF)
Sent: Wednesday, February 01, 2017 9:12 AM
To : Keila Alvarado
Cc: (b)(6)

Calero, Wilfred ACF ; De LA Cruz, James
(ACF);(b)(6)
I Bartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS - UAC
kb)(6)
Medical
Subject: RE: Arizona Laws regardin g abortion
an you set up a conference call line please?
4pm EST/2 pm MTN works. ~
Please reply to l(b)(6) lif you will be on the call and what your role is in the case is since there are so many
staff members included on this email.
Thanks,
Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
202 401-4639 (office)
(b)(5)
(cell)
Shaanan.meyerstein@acf.hhs.gov

From: Keila Alvarado [ mailto:kalvarado@swkey.org 1
Sent: Tuesday, January 31, 2017 9:32 PM
To : Meyerstein, Shaanan (ACF)
Cc: (b)(6)

Calero, Wilfred (ACF); De LA Cruz, James

(ACF) (b)(6)
(b)(6)
Bartholomew, Michael (ACF); Kim, Curi (ACF)
Subject: Re: Arizona Laws regarding abortion
Hello Dr. Meyerstein, I propose 1 pm EST(11 am MTN) or 4 pm EST(2 pm MTN). I hope the times
proposed work for all.
Thank you,
Keila Alvarado, LLM

EXT-18-241-N-000175

 003810

Program Director
Southwest Ke] Programs-Kokopelli 921
f b)(6)

_

Sent from my iPhone
On Jan 31, 2017, at 6:45 PM, Meyerstein, Shaanan (ACF)<Shaanan.Meyerstein@acf.hhs.gov >wrote :
This case is very complex, far beyond email exchanges.
Can we please schedule a conference call to discuss this minor's case tom?
After 1pm EST?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
l(b)(6)
[cell)
Shaanan.meyerstein@acf.hhs.gov

From: j(b)(6)
@swkey.org l
Sent: Tuesday, January 31, 2017 6:17 PM
To: Meyerstein, Shaanan (ACF);~K
b-)(6
~)-----------~~
(ACF)
Cc:j""'
(b..,.,
)(=
6)----------------------------,

Calero, Wilfre d

~b)(6)
!Keila Alvarado
Subject: RE: Arizona Laws regarding abortion
Good Afternoon Shaanan,
The sponsor is the brothe rl(b)(6 wears of age, resides in Florida. If the minor was indeed
medically stable for discharge, we could of course discharge the minor to the sponsor.
However, the sponsor would still be unaware of the client being pregnant from being
sexually assaulted, and wanting an abortion. Therefore, the sponsor would not be
prepared for the release of the minor, and possible withdrawal from being a sponsor.
Further assessment is still needed at this time to ensure a safe release of the minor.
Please let me know if you have any questions.
Thank you,

Case Manager
Southwest

Key Program - Kokopelli

EXT-18-241-N-000176

 003811

fb)(6)

!Q)swkey.org

Fax: 480-452-0603
Phone: ~~
(b_l<6_>___

~

From: Meyerstein, Shaanan (ACF) fmailto:Shaanan.Meyerstein@acf.hhs.gov ]
Sent: Tuesday, January 31, 2017 2:40 PM

To:!(b)(6)
l@swkey.org>; !(b)(6)
l(b)(6)
@swkey.org >;l(b)(6)
@swkey.org >; Calero, Wilfred
(ACF)<Wilfred.Calero@acf.hhs.gov >
Cc: (b)(6)
.or >J(b)(6)
b)(6)
i=-= ===..o
·
swke .or >; l(b)(6)
swke .or >; j(b)(6)
l@swkey.org >; l(b)(6)
l(b)(6)
~swkey.org >; Keila Alvarado <kalvarado@swkey.org >
Subject: RE: Arizona Laws regard ing abort ion

I

I

fb)(6)
To be clear - if I told you that the minor was medically stable for discharge, then she could
be discharged to her sponsor?
Who is the sponsor and w here do they reside?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
l(b)(6)
!(cell)
Shaanan.meyerstein@acf.hhs.gov

From:l (b)(6)
@swkey.org l
Sent: Tuesday, January 31, 2017 1:03 PM
To: Meyerstein, Shaanan (ACF); =1
cb.,..,
)(=
6)-------------.I
(ACF)
Cc; 1=
1b
.l/6
,..,
=l----------------------------..
l<b)(5)
!Keila Alvarado
Subject: RE: Arizona Laws regarding abortion

Calero, Wilfred

Good Morning Shaanan,
The law confirms the gestational age in Arizona below:
Prohibiting Abortions Past 20 Weeks of Pregnancy (A.R.S. § 36-2159) - Prohibits abortions
past 20 weeks gestation, except in the case of a medical emergency .t

EXT-18-241-N-000177

 003812

The sponsor for this minor is in Florida, and the status of reunification is pending the
medical condition of the client. All other documentation has been provided by the sponsor
for reunification.
Thank you,

Case Manager
Sout hwest Key Program - Kokopelli
fb)(6)
@swkey.org
Fax: 480-452-0603
Phone: l=
<....
bl('""
6l____

....,

From: Meyerstein, Shaanan (ACF) [mailto :Shaanan.Meyerstein@acf .hhs.gov]
Se nt : Tuesday, January 31, 20 17 10:58 AM
To : !(b)(6)
@swkey.org>; fb)(6)

1(b)(6)
@swkey.org >;!(b)(6)
(ACF) <Wi lfred .Calero@acf.hhs.gov>
Cc:!(b)(6)
@swkey .org>;l(b)(6)
(b)(6)

@swkey.org >; Calero, Wilfred

.._
<b_)<
_6l_________
__.~s_w_k~e~·~o~r
>; Keila Alvarado <kalvarado@swkey .org>
Subject: RE: Arizona Laws regarding abortion
Can someone please confirm Gestational Age in Arizona when abortion is legal for
whatever circumstance?
Where is the sponsor for this minor and what is the status of reunification?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
l(b)(6)
l(cell)
Shaanan.meyerstein@acf .hhs.gov

From: l(b)(6)
~swkey.orq l
Sent: Tuesday, January 31, 2017 12:46 PM
To: kb)(6)
I Meyerstein, Shaanan (ACF); Calero, Wilfre d
(ACF)
Cc: l""
<b-)(6
=)--------------------------~

I

Keila Alvarado
Subject: RE: Arizona Laws regarding abortion

fb)(6)

EXT-18-241-N-000178

 003813

Good Morning!
As previously staffed with our leadership, it was determined that the notarized letter from
the parents would not be sufficient for the termination to take place. The client may be
open to speaking with her mother if we were able to obtain permission to proceed with
the notarized letter of consent from the mother in home country.
However, as I am under the assumption that we would only be able to proceed with the
termination once we appealed to the court to obtain the judicial bypass because the
mother would not be able to attend the abortion procedure.
As the clinician has stated below, that the client does not feel comfortable informing her
family, and would like to appeal. Please let me know if there are any questions.
Thank you,
l(b)(6)

Case Manager
Southwest Key Program - Kokopelli
fbl(6)
l@swkey.org
Fax: 480-452-0603
Phone :....
l(b_)(6
_l___
__.
From: ....
l(b_)(_
6)_____

__.

Sent: Tuesday, January 31, 2017 9:54 AM

To:fb)(6)
tpswkey .org>; Meyerstein, Shaanan (ACF)
<Shaanan.Meyerstein@acf.hhs.gov >; Calero, Wi lfred (ACF)<Wilfred.Calero@acf.hhs.gov >
Cc:fb)(6)
~ swkey.org >
Subject: Re: Arizona Laws regarding abortion
The client continues to not want to inform any family members, her parents nor
her Sponsor
She wants to appeal the Judge's decision, I have emai led the lawyers assigned to
her and have not heard back.
My concern is the ti meliness of this issue

MC, LPC
Clinician office 501

f b)(6)

Program 921: Kokopelli
Phone: 480-500-1076 Extension fb )(6)
Email: kb)(6)
!)swkev.org
Regular Work Schedule: Tuesday-- Saturday, Bam-4pm

I

EXT-18-241-N-000179

 003814

From :"'"!
(b"""
l(,6_'l ____

_.

Sent: Tuesday, January 31, 2017 9:52:01 AM
To : Meyerstein, Shaanan (ACF); Calero, Wilfred (ACF)

I

Cc:kbl(6)

Subject: RE: Arizona Laws regarding abortion

Good morning!
I have copied her case manager and clinician to this email.
They may be better able to answer this question for you.

Thanks ©
l(b)(6)

Lead Medical Coordinator
Southwest Key Programs
Casa Kokopelli #921

g:

[(b)(6)

I

F:480) 393-8104
kb)(6)

@swkey .org

CONFIDENTIALITY NOTICE: This ema il, including attachments, is for t he sole use of the int ended recipien t( s) and may
conta in confident ial and priv ileged info rmat ion covered by the Electro nic Com mu nicat ions Privacy Act, 18 U.S.C. 25102521. Any unautho rized rev iew, use, or d isclosure or distr ibution is pro hibited . If yo u are not the intended reci pient,
please contac t t he sender immedia t ely and destroy all cop ies of th e orig inal message.

From: Meyerstein, Shaanan (ACF) [mailto:Shaanan.Meyerstein@acf

.hhs.gov ]

Sent: Monday, January 30, 2017 4 :22 PM

Toj(b)(6)
l@swkey.org >; Calero, Wilfred (ACF)
<Wilfred.Calero@acf.hhs.gov >
Subject: RE: Arizona Laws regarding abortion
l(b)(6)land Wilfred,
Since the judge denied the judicial bypass, did the minor speak with her parents about her
pregnancy over the weekend? Did the parents consent?
Thanks,

Shaanan Meyerstein, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children 's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Healt h and Human Services
(202) 401 -4639 (office)
fb )(6)
t cell)
Shaanan.meyerstein@acf.hhs.gov

EXT-18-241-N-000180

 003815

From: !(b)(6)
@swkey.org1
Sent: Monday, January 23, 2017 12:27 PM
To: Meyerstein, Shaanan (ACF)
Subject: Arizona Laws regarding abortion
AZ Laws regarding Abortion:

Arizona law requires that women under 18 years old seeking an abortion must either have
the notarized written permission of one of their parents/legal guardian or permission from
a Superior Court Judge .
Ensuring Adequate Consent
• Parental Consent {A.R.S. § 36-2152) - Requires parental consent for minors seeking
abortions but allows for judicial bypass. Requires the parental consent to be obtained on a
form to ensure that parents are informed of all of the medical risks of abortion before
giving consent. Requires parental consent to be notarized. Allows parents to sue (1) an
abortion provider who performs an abortion on their minor daughter without parental
consent or (2) any person who assists a minor in obtaining an abortion without parental
consent.
• Informed Consent {A.R.S. § 36-2153) - Information must be provided 24 hours in advance
to a woman seeking an abortion about the risks and alternatives of the procedure, the
probable gestational age and physiological characteristics of the preborn child, and the
services available from public and private agencies to assist during pregnancy and after
birth. Requires that the information is provided at an in-person consult ation with a doctor.
Allows a woman to file a lawsuit against an abortion provider who fails to obtain informed
consent. Requires the Department of Health Services to create and maintain a website
providing unbiased information about fetal development, the risks of abortion, and
information about alternatives to abortion.
• Informed Consent for Lethal Condition (A.R.S. § 36-2158) - When a woman discovers that
her child may have a life-threatening birth defect or other fetal condition, information must
be provided 24 hours in advance about the support that is available to her, including
perinatal hospice . Requires the Department of Health Services to create and maintain a
website providing unbiased information about perinatal hospice and assistance available
for children with special needs .
• Opportunity to View Ultrasound {A.R.S. § 36 -2156) - Requires an ultrasound to be
performed at least 24 hours before every abortion, and a woman seeking abortion must be
offered the opportunity to view the ultrasound and hear the baby's heartbeat, if audible .
• Coercion Prohibited {A.R.S. § 36-2153) - Prohibits a person from intimidating or coercing
another person into having an abortion and allows minors to obtain public assistance
benefits if parents cut off financial support because the minor refuses to have an abortion.
Requires that all abortion clinics conspicuously post signs that state it is unlawful for any
person to intimidate or coerce another person into having an abortion.
• Foster Parents {A.R.S. § 8-514.05) - Foster parents may not consent to abortion for a
foster child.
• Fiduciaries (Arizona Code of Jud. Admin. § 7-202) - Fiduciaries may not consent to
abortion for a ward without a court order.

EXT-18-241-N-000181

 003816

- See more at: https://www .plannedpa renthood.org/p lan ned-parenthood -arizona / on linehea lth -center/m inor s-and-abortion -law#sthash. lWOGvCcD.dpuf

Lead Medical Coordinator
Southwest Key Programs
Casa Koko elli #921
D: b)(6)
C:
F : .,..,
(4 -=ao= )-=3=9 -=3 _-=a ..,..,
10 ::-:4,.......

J(b)(6)

@swkey .org

CONFIDENTIALITY NOTICE: This email, including atta chment s, is fo r the sole use of the intende d recip ient(s ) and m ay
cont ain co nfide nt ial and pri vilege d info rmat ion covered by th e Elect ronic Com m unicati ons Privacy Act, 18 U.S.C. 25102521. Any unauth orized review , use, or d isclo sure or dist r ibut ion is pro hib ited . If yo u are not t he int end ed recipient ,
please contac t t he sender immediat ely and dest ro y all cop ies of the orig inal message.

Sender:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE ADMINISTRATIVE GROUP
(FYDIBOHF23SPDLT)/C N= RECIPIENTS/CN= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO, WIL>

"Houppert (Ruh kamp), Gail (ACF) </o=Exchangelabs/ou=Exchange
Adminis t rat ive Group
( FYDIBOHF23SPDLT)/cn= Recipients/cn=4d88928c06a84498a966d9352f344094-Ruhkamp,
Ga>";
"De LA Cruz, James (ACF) </o = Exchangelabs/ou = Exchange Administrative Group
Recipient:
(FYDIBOHF23SPDLT)/cn=Recipients/cn= 2eba95d119ab4cd6a77b34616dc3366c-De LA Cruz,> ";
"Velazquez, I vonne (ACF) </o=Exchangelabs/ou=Exchange
Admin istrat ive Group
(FYDIBOHF23SPDLT)/cn = Recipients/en = 39e6 7b42d96043c688e84fa6cef425 70-Velazquez, > "

Sent Date: 2017/02/06 14:54:08
Delivered Date : 2017/02/06 14:54:00

From: (b)(6)

!!)swkey.org>

"Calero, Wilfred (ACF) </ o=Exchangelabs/ou=Exchange Administrative Group
To:
( FYDIBOHF23SPDLT)/cn= Recipients/en= 7fcd 1fabef934452bff7378f6365fa8e -Calero, Wil>"

Subject: Re: Term ination of Pregnancy request
Date: 2017/02/06 13:00 :24
Priority: Normal
Type: Note

It has been referred

EXT-18-241-N-000182

 003817

fb_)(6_) __
.....

____,I
(BSHS)

Lead Case Manager
SWK- Casa Kokopelli
Email: ~l(b_)(6_) ___

~ @swkey.org

The information contained
If you are not the intended
distribution, or duplication
If you are not the intended

in this message may contain privileged and confidentia l information .
recipient, you are hereby notified that any review, dissemination,
of this communication is strictly prohibited.
recipi ent, please destroy all copies of the original message .)

From : Calero , Wilfred (ACF) <Wilfred .Calero @acf.hhs.gov >

Sent: Monday , February 6, 20 17 10:49 AM
To:

l~
<b_)(6
_) ____

_.

Subject: Fw: Termination of Pregnancy request

EXT-18-241-N-000183

 003818

From: Rivero, Erika <Erika.Rivero~om

>

Sent: Monday , February 6, 2017 12:47:10 PM
To: Calero , Wilfred (ACF)
Subject: RE: Tem1ination of Pregna ncy request

Wrong !(b)(6)

~

Erika Rivero

ORR Case Coordinator

ORR Case Coordination Program

Genera l Dynamics Information Technology

Phoenix , AZ - Western Region

480-271-4559

Erika.rivero@~om

EXT-18-241-N-000184

 003819

From: Calero, Wilfred (ACF) [mailto:Wilfred.Calero@acf.hhs .gov]
Sent : Monday, February 06, 2017 10:46 AM
To: ¥_b_
)(6_) __
~=~-------~
<Erika.Rivero~
com>

@swkey.org>; Rivero, Erika

Subject: Fw : Termination of Pregnancy request
Importance: High

l(b)(6)

Can we get her on the home study list in thew portal.

Will Calero

From: Houppert (Ruhkamp ), Gail (ACF)
Sent: Monday, February 6, 2017 12:41:06 PM

EXT-18-241-N-000185

 003820

To: Calero , Wilfred (ACF) ; De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)

Subject: RE: Termination of Pregnancy request

Good Afternoon,

This minor is not listed on the home study referral list so cannot be accepted as a provider.
Please go into the portal to make sure the home study request has been done properly and is
listed on the pending home study referral
list. Not currently there. If you have problems please contact the UAC Portal helpdesk. Please
let me know when the referral is posted to the list and I will get it expedited.

Thank you,

Gail

Gail Houppert

Project Officer

Division of Children Services

EXT-18-241-N-000186

 00382 1

Office of Refugee and Resettlement

330 D Street SW, Mailroom 5123

Washington, DC 20201

Gail.Houpp ert@acf.hhs.gov

Office: 202-401-9324

Cell : .....
) __
l<b___
l<6___

___,

From: Calero, Wilfred (ACF)

Sent: Monday , February 06, 2017 10:56 AM
To : Houppert (Ruhkamp), Gai l (ACF); D e LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subj ect : Re: Termination of Pregnancy request

A (b) (6)

EXT-18-241-N-000187

 003822

l(b) (6 )

From: Houppert (Ruhkamp ), Gail (ACF)
Sent: Monday, February 6, 2017 10:52:09 AM
To: Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE: Termination of Pregnancy request

I can get this home study expedited ifl have the A# .

Thanks,

Gail

Gail Houppert

Project Officer

EXT-18-241-N-000188

 003823

Division of Children Services

Office of Refugee and Resettlement

330 D Street SW, Mailroom 5123

Washington, DC 20201

Gail.Houppert@acf.hhs.gov

Office: 202-401-9324

Cell: "-l(b"-')<6

...:...
> __

___.

From: calero, Wilfred (ACF)

Sent: Monday , Februa ry 06, 2017 10:46 AM
To : De LA Cruz, James (ACF) ; Velazquez, Ivonne (ACF)
Cc: Houppert (Ruhkam p ), Gail (ACF)

Su~ject: Re: Terminat ion of Pregnancy re uest

EXT-18-241-N-000189

 003824

Will work on the need to expedite today.

Will Calero

From: De LA Cruz, James (ACF)
Sent: Monday, February 6, 2017 10:40 :45 AM
To: Calero, Wilfred (ACF); Velazquez, Ivonne (ACF)
Cc: Houppert (Ruhkamp), Gail (ACF)
Subject: Fw: Termination of Pregnancy request

Wifred and Gail,

Can we please expedite HS for this case.

Jsd

EXT-18-241-N-000190

 003825

From: Calero , Wilfred (ACF)
Sent: Wednesday , February 1, 2017 7:10:07 PM
IMeyerstein , Shaanan (ACF) ; Keila Alvarado: l(b)(6)
To: j(b)(6)
b)(6)
De LA Cruz , Jame s (ACF); kb)(6)
b)(6)
Bartholomew , Mich ael
(ACF) ; Kim , Curi (ACF) ; De LA Cruz, James (ACF ); DCS - UAC Medical ; Houppert
(Ruhkamp ), Gail (ACF)
Subject: RE: Termin ation of Pregnancy request

Just to clarify she does not have a 3 rd grade education. She indica ted to me that she almost
comp leted her th ird leve l of school, which was confused w ith third grade. She actua lly
comp leted (b) ears of schoo l which would
have been (b)(5)

Wilfred Calero

EXT-18-241-N-000191

 003826

Federa l F ield Spec ialist

Division of Children's Services

O ffice of Refugee Resettlement

b)(6)

wilfred.calero@acf.h hs.gov

From: (b) (~)

[mailto: (b) (6)

Ji)swkey
.orq]

Sent: Wednesday , February 01, 201 7 5:06 PM

I

To: Meyerstein, Shaanan (ACF); Keila Alvarado ; Kee ley Prestwich; ~b)(6)
Calero,
Wilfred ACF · De LA Cruz James ACF · b)(6)
Bartholomew
(b)(6)
'
Michael (ACF); Kim, Curi (ACF) ; De LA Cruz, James (ACF); DCS - UAC Medical; Houppert
(Ruhkamp ), Gail (ACF)
Subject: Re: Termination of Pregnancy reque st

EXT-18-241-N-000192

 003827

Hello Team

From my experience working with this UC , I am NOT feeling that she has developmental delays

She was nervous in court and felt intimidated , this may the reason for her lack or articulation
with the judge

Also, keep in mind she has only a 3rd grade education

I am feeling that it is these two reasons that she is struggling to articulate, not a development
delay

I am not a psychologist so I wouldn't object to psychological testing to make the detennination

~'b)_(6)____

~IMC, LPC

Clinician office 501

Program 921: Kokopelli

Phone: 480-500-1076 Extension l(b)(6)

I

Email:

EXT-18-241-N-000193

 003828

l(b)(6)

@swkey .org

Regular Work Schedule: Tuesday - Saturday, 8am-4pm

From : Meyer stein, Shaanan (ACF) <Shaanan.Meyerstein@acf.hhs.gov >
Sent: Wedne sday , February 1, 2017 11:33:51 AM
To: Keila Alvarado; b)(6)
Calero , Wilfred
'-="'"-----:-"'."""-:=,=.,.....,.,,..,.,,,.,..-----------------'-----'-----,
(ACF); De LA Cruz, James (ACF); b)(6)
b)(6)
Bartholomew , Michael
(ACF) ; Kim , Curi (ACF); De LA Cruz, James (ACF ); DCS Medica l; Houppert (Ruhkamp ), Gail
(ACF)

Subject: Termination of Pregnancy request

Good afternoon,

EXT-18-241-N-000194

 003829

We will be cancelling the conference call for this afternoon . After a conversation with Jim De La
Cruz as to the best way forward with this case we have decided the following:

1)
The judge called into question this minor's capacity for medical decision making and the field
staff and shelter staff have noted that she is "delayed". As I have done in prior complex cases
that involve a serious medical
procedure, we are requesting that this minor undergo formal evaluatio n by a psychologist to
assess her menta l capac ity in the next few days. If it is determined that she is significantly
delayed and with cognitive impairment , that will raise the issue whether
or not we can override her legal right to confidentiality in not disclosing to her parents and
gett ing parental con sent for termination about her pregnancy as it will put her life in danger for
vano us reasons

2)
The sponsor needs to have an expedited in depth home study for a number of reasons - 1) the
possibility that his younger sister has a developmental delay and she will require more support
than he might be able to provide;
2) the possibility that he would have to care for her if we were to release her being pregnant if
she agree s to disclose her pregnancy to him; 3) to ensure the minor' s safety with the brother;

I have cc'd Gail Houppert who directs the Home studies and PRS to ensure that this home study
is expedited given the time sensitivity with this young lady advancing in her pregnancy

3)
I am requesting that the FFS identify a possible OB practice in the sponsor's community in
advance in the event that we come to the conclusion that we will discharge this young lady

4)
The shelter staff and case management staff should continue to work with the minor to help
understand her situation and the importance of disclosing her medical condition to her parents or
brother.

EXT-18-241-N-000195

 003830

I would like to raise one additional curveball, that if she is discharged to her brother and was
willing to disclose her pregnancy to her brother but not her parents, that in some states (I don't
know the laws in Florida) that still
would not suffice for consent.

I think it is important that we set a firm deadline for ourselves to have these tasks accomplished
given the fact that she is 13 weeks pregnant and state laws limit procedures passed a certain
gestational age. Please respond with
updates to the FFS Wilfred Calero on all of these matters by 2/ 10. The Medical Team will be
happy to consult once we have a more complete picture of the situation .

Thank you for your time and help on this case.

Shaanan Meyerstein , MD, MPH, FAAP

LCDR, US Public Health Service

Medical Officer - Unaccompanied Children's Program

Office of Refugee Resettlement

Administration for Children and Families

EXT-18-241-N-000196

 003831

U.S. Department of Health and Human Services

(202) 401-4639 (office)

f._bl_(6_) __

____.I
(cell)

Shaanan.meyer stein @acf.hh s.gov

From: Meyerstein,Shaanan(ACF)

Sent: Wednesday , February 01, 2017 9:12 AM
To: Keila Alvarado
Cc: l(b)(6)
Cruz, James (ACF);

!Calero, Wilfred (ACF) ; De LA
(b)(6)

b)(6)
Bartholomew , Michael (ACF) ; Kim, Curi
(ACF) ; De LA Cruz, James (ACF ); DCS - UAC Medical

Subject: RE: Arizona Law s regarding abort ion

EXT-18-241-N-000197

 003832

4pm EST/2 pm MTN works . Keila can you set up a conference call line please?

Please reply to Keila if you will be on the call and what your role is in the case is since there are
so many staff members included on this email.

Thanks,

Shaanan Meyerstein, MD, MPH, FAAP

LCDR, US Public Health Service

Medical Officer - Unaccompanied Children's Program

Office of Refugee Resettlement

Administration for Children and Families

U.S. Department of Health and Human Services

(202) 401-4639 (office)

f,_
b)_(6_) ___

__.r
cell)

Shaanan.meyerstein@acf.hhs.gov

EXT-18-241-N-000198

 003833

From : Keila Alvarado [ mailto:kalvarado@swkey.org 1

Sent: Tuesday , January 31, 2017 9:32 PM
To: Meyerstein, Shaanan (ACF)
Cc: (b)(6)
Cruz, James (ACF);
1(b)(6)

~----------~

Calero , Wilfred (ACF) ; De LA
(b)(6)

!Bartholomew , Michael (ACF); Kim, Cur i

(ACF)

Subject: Re: Arizona Laws regarding abortion

Hello Dr. Meyerstein , I propose 1 pm EST (1 1 am MTN) or 4 pm EST (2 pm MTN). I hope the
times proposed work for all.

EXT-18-241-N-000199

 003834

Thank you,

Keila Alvarado, LLM

Program Director

Southwest Key Program s-Kokopelli 921

j(b)(6)

Sent from my iPhone

On Jan 31, 2017, at 6:45 PM, Meyerstein, Shaanan (ACF)
<Shaanan.Mey erstein@acf.hhs .gov>wrote :

This case is very comp lex, far beyond email exchanges .

Can we please schedule a conference call to discuss this minor's case tom?

After 1pm EST?

EXT-18-241-N-000200

 003835

Shaanan Meyerstein, MD, MPH, FAAP

LCDR, US Public Health Service

Medical Officer - Unaccompanied Children's Program

Office of Refugee Resettlement

Administration for Children and Families

U.S. Department of Health and Human Services

(202) 401-4639 (office)

._l
(b_)(6_) __

____.t
(cell)

Shaanan.meyerstein @acf.hhs.gov

From: 1:...f
b.:..:.
)(6..:..
) ___________

__J[Q)i---sw_k_e~y_.o~rg
l

EXT-18-241-N-000201

 003836

Sent: Tuesday , January 31, 20 17 6:17 PM
<b_)(6_) ____________
To: Meye rstein, Shaanan (ACF); .__l
Wilfred (ACF)

___.I
Calero,

Cc: (b)(6)
f.__
b_)(6_) __________

~1 Keila Alvarado

Subject: RE: Arizona Laws regarding abortion

Good Afternoon Shaanan ,

The sponsor is the brother, ~ ears of age, resides in Florida . If the minor was
indeed medically stable for discharge, we could of course discharge the minor to the
sponsor. However , the sponsor would still be unaware of the client
being preg nant from being sexua lly assau lted, and wanting an abort ion. Therefore ,
the sponsor would not be prepared for the release of the minor, and poss ible
withdrawa l from being a sponsor. Further assessment is still needed at this time to
ensure a safe
release of the minor.

Please let me know if you have any questions.

Thank you,

EXT-18-241-N-000202

 003837

Case Manager

Southwest Key Program - Kokopell i
l(b)(6)

@swkey.org

Fax:480-452-0603

<b_)(6_) ---~
Phone: l~

From: Meyerstein , Shaanan (ACF) [mailto:Shaanan.Meyerstein@acf.hhs.gov ]

Sent: Tuesday, January 31, 20 17 2:40 PM
To: l(b)(6)
@swkey.org>;l~
<b_J<
6_l ______
j(b)(6)
~swkey.org>;
A(b)(6)
tyswkey.org>; Calero, Wilfred (ACF)
<Wilfred. Calero@acf.hhs.gov>
Cc: fbl(6)
l(b)(6)
l(b)(6)
kb)(6)

l<bl(6l
l(b)(6)

@swkey.org>;....
~b_
)(6_l ____
ffiswkey.org>;
ftyswkey.org>; '~b_)(6_l ___
___.
@swkey.org>;
@swkey.org>;j(b)(6
)
@swkey.org>;
._________

_.

___.

___.

Kei la Alvarado <kalvarado@swkey.org>
Subject: RE: Arizona Laws regarding abortion

EXT-18-241-N-000203

 003838

l(b)(6)

To be clear - if I told you that the minor was medically stable for discharge, then she
could be discharged to her sponsor?

Who is the sponsor and where do they reside?

Shaanan Meyerstein, MD , MPH, F AAP

LCDR , US Public Health Service

Medical Officer - Unaccompanied Children's Program

Office of Refugee Resettlement

Administration for Children and Families

U.S. Department of Health and Human Services

(202) 401-4639 (office)

,_f
bl_(6_l ___

__,I
( cell)

Shaanan.meyerstein@acf.hhs.gov

EXT-18-241-N-000204

 003839

_,fll_s_w_k_e~y.~o~rq
l

From: l"(b-'-'
)(6
...,;_
l____________

Sent: Tue sday, January 31, 20 17 1:03 PM

To: Meye rstein, Shaanan (ACF);
Wilfred (ACF)
Cc:

t._
b_)(6_l ____________

_.tCalero,

(b)(6l

._r
b_l<6_l __________

~1 Keila Alvarado

Subj ect : RE: Arizona Laws regarding abortion

Good Morning Shaanan,

The law confirms the gestational age in Arizona below:

EXT-18-241-N-000205

 003840

Prohibi ting Abortions Past 20 Weeks of Pregnancy (A.R. S. § 36-2 159) -P rohibi ts
abortio ns pa st 20 weeks gesta tion, except in th e case of a med ical emergency.t

The sponsor for this minor is in Florida , and the status of reunification is pending the
medical condition of the client. All other documentation has been provided by the
sponsor for reunification.

Thank you,

Case Manage r

Southwest Key Program - Kokopelli

l@swk ey.org

Fax:48 0-452 -0603

Ph one: l~<b_)<5_) ___

~

From: Meye rstein, Shaanan (ACF) [mailto:Sha anan.Meyer stein @acf.hh s.gov]

EXT-18-241-N-000206

 003841

Sent: Tuesday , January 31, 20 17 10:58 AM
~

jq1swkey.org>,__f
b~l<~6l______
To: l<bl(6l
~(b)(6)
@swkey.org> ;
tbJ(6l
@swkey.org> ; Calero , Wilfred (ACF)
<Wilfred.Calero@acf.hhs.gov >

Cc: fbl(6)
1(b)(6)
¥b)(6)

@swkey.org> ; '~b-)(6_) ----~
@swkey.org> ;
@swkey.org> ; k~
b~J<
6~)----~
@swkey.org> ;
1(b)(6)
@swkey.org> ; I~<b_J(6_l______
¥b )(6)
!(b)(6)
tfyswkey.org>;
Kei la Alvarado <kalvarado@swkey.org>

~

Subj ect : RE: Arizona Laws regarding abortion

Can someone please confirm Gestational Age in Arizona when abortion is legal for
whatever circum stance?

Where is the sponsor for this minor and what is the status of reunification?

Shaanan Meyerstein, MD, MPH, F AAP

LCDR, US Public Health Service

Medical Officer - Unaccompanied Children 's Program

Office of Refugee Resettlement

EXT-18-241-N-000207

 003842

Administration for Children and Families

U.S. Department of Health and Human Services

(202) 401-4639 (office)

5

~fb>_< >
___

~1(cell)

Shaanan. meyerstein @acf.hhs.gov

1-@=sw~ke=y~.o'-'---=rg
l

From: i:...t
b.:..:.
)(6..:..
) ____________

Sent: Tuesday , January 31, 2017 12:46 PM
To: l<
....
b_)<6_>____________
Wilfred (ACF)

Cc : i<b)(6)
l<b_)(6
....
_l__________

~1Meye rstein, Shaanan (ACF); Calero,
__.lKeila Alvarado

Subject : RE: Arizona Laws regarding abortion

EXT-18-241-N-000208

 003843

Good Morning!

As previously staffed with our leadership, it was determined that the notarized letter
from the parents would not be sufficient for the termination to take place . The client
may be open to speaking with her mother if we were able
to obtain permission to proceed with the notarized letter of consent from the mother
in home country.

However, as I am under the assumption that we would only be able to proceed with
the termination once we appealed to the court to obtain the judicial bypass because
the mother would not be able to attend the abortion procedure.

As the clinician has stated below, that the client does not feel comfortable informing
her family, and would like to appeal. Please let me know if there are any questions.

Thank you,

Case Manager

Southwest Key Program - Kokopelli

EXT-18-241-N-000209

 003844

@swkey.org

Fax:480-452-0603

6
Phone: .....
l<b_)<_>___

From : l.....
<b_)(6_) ______

__,

_.

Sent: Tuesday, January 31, 2017 9:54 AM

@swkey.org >; Meyerstein , Shaanan (ACF)
<Shaanan.Meyerstein@acf.hhs.gov >;
Calero, Wilfred (ACF) <Wi lfred .Calero@acf. hhs.gov>
To;Kb )(6)

Cc: !(b)(6)

tuswkey.org >

Subject: Re: Arizona Law s regarding abortion

The client continues to not want to inform any family members , her parents nor
her Sponsor

She wants to appeal the Judge's decision, I have emailed the lawyers assigned to
her and have not heard back.

My concern is the timeliness of this issue

EXT-18-241-N-000210

 003845

__,I
MC, LPC

._l
(b_)(6_) ____

Clinician office 501

Program 921: Kokopelli

Phone: 480-500-1076 Extension~

Email:
f b)(6)

t@swkev.org

Regular Work Schedule: Tuesday -- Saturday, 8am-4pm

From:

J~
<b_l<6
_l ____

~

Sent : Tuesday , January 31, 2017 9:52:0 1 AM

EXT-18-241-N-000211

 003846

To: Meyerstein, Shaanan (ACF); Calero, Wilfred (ACF)

Cc: ~j<b_J(6_l ____________

~

Subject: RE: Arizona Laws regarding abortion

Good morning!

I have copied her case manager and clinician to this email.

They may be better able to answer this question for you.

Thanks

©

l(b)(6)

Lead Medical Coordinator

Southwest Key Programs

EXT-18-241-N-000212

 003847

Casa Kokopelli #921

D

b)(6)

C

F: (480) 393-8104

fb)(6)

@swkey.org

CONFIDENTIALITY NOTICE: This ema il, inclu ding attachments, is for t he sole use of th e int ended recipien t( s) and may
contain confident ial and privileged informat ion

covered by the Elec tronic Communications Privacy Act, 18 U.S.C . 25 10-2521. Any
unauthoriz ed review, use, or disclosure or distribution is prohibit ed . If you are not
the intended recip ient, plea se contact the sender immed iate ly and destroy all cop ies
of the
original message.

From: Meyerstein , Shaanan (ACF) [mailto:Shaanan.Meyerstein@acf.hhs.gov

]

Sent: Mo nday, Januar y 30, 2017 4 :22 PM
To : l(b)(6)
@swkey.org> ; Calero, Wi lfred (ACF)
<W ilfred. Calero@acf.hhs.gov >
Subject: RE : Ar izona Law s rega rd ing abort ion

¥bJ(6Jland Wilfred,

EXT-18-241-N-000213

 003848

Since the judge denied the judicial bypass, did the minor speak with her parents
about her pregnancy over the weekend? Did the parents consent?

Thanks,

Shaanan Meyerstein, MD, MPH, F AAP

LCDR , US Public Health Service

Medical Officer - Unaccompanied Children's Program

Office of Refugee Resettlement

Administration for Children and Families

U.S. Department of Health and Human Services

(202) 401-4639 (office)

~.__
(bl_CB)__

____.I
(cell)

Shaanan.meyerstein@acf.hhs.gov

EXT-18-241-N-000214

 003849

From:

Ll
(b..:...:
)(6....:.
) _________

_J--m
=
sw
"'-'
k=e'-'-y"-".
o~rg
.l

Sent: Monday, January 23, 2017 12:27 PM
To: Meyerstein, Shaanan (ACF)

Subject: Arizona Laws regarding abortion

AZ Laws regarding Abortion:

Arizona law requires that women under 18 years old seeking an abortion must
either have the
notarized written permission of one of their parents/legal guardian or permission
from a Superior Court Judge.

Ensuring Adequate Consent

•Parental Consent (A.R.S. § 36-2152) - Require s parental consent for minors
seeking abortions but allows for judicial bypass. Requ ires the parental consent to be
obtained on a form to ensure that parents are informed of all of the medical risks of
abortion

EXT-18-241-N-000215

 003850

before giving consent. Requires parental consent to be notarized. Allows parents to
sue (1) an abortion provider who performs an abortion on their minor daughter
without parental consent or (2) any person who assists a minor in obtaining an
abortion without
parental consent.

•Informed Consent (A.R.S. § 36-2153) -Information must be provided 24 hours in
advance to a woman seeking an abortion about the risks and alternatives of the
procedure, the probable gestational age and physiological characteristics of the
preborn child,
and the services available fi'om public and private agencies to assist during
pregnancy and after birth. Requires that the information is provided at an in-person
consultation with a doctor. Allows a woman to file a lawsuit against an abortion
provider who
fails to obtain informed consent. Requir es the Department of Health Services to
create and maintain a website providing unbiased information about fetal
development, the risks of abortion, and information about alternatives to abortion .

•Informed Consent/or Lethal Condition (A.R.S. § 36-2158) - When a woman
discovers that her child may have a life-threatening birth defect or other fetal
condition, information must be provided 24 hours in advance about the support that
is available to her,
including perinatal hospice. Requires the Department of Health Services to create
and maintain a website providing unbiased information about perinatal hospice and
assistance available for children with special needs.

•Opportunity to View Ultrasound (A.R.S. § 36-2156) - Requires an ultrasound to be
performed at least 24 hour s before every abortion, and a woman seeking abortion
must be offered the opportunity to view the ultrasound and hear the baby's
heartbeat, if audible.

•Coercion Prohibited (A.R.S. § 36-2153)-Prohibits a p erson from intimidating or
coercing another person into having an abortion and allows minors to obtain public
assistance benefits if parents cut off financial support because the minor refuses to
have
an abortion. Requires that all abortion clinics conspicuously post signs that state it
is unlawful for any person to intimidate or coerce another person into having an
abortion.

•Foster Parents (A.R.S. § 8-514.05) - Foster parents may not consent to abortion
for a foster child.

EXT-18-241-N-000216

 003851

•Fiduciaries (Arizona Code ofJud. Admin . § 7-202) - Fiduciaries may not consent
to abortion for a ward without a court order.

- See more at:
https://www.plannedparenthood.org /planned-parenthood-arizona/ online-healthcenter/minors-and-abortion-law#sthash.1 W OGvCcD. dpuf

Lead Medical Coordinator

Southwest Key Programs

Casa Kokop elli #921

D:□
)(6)
C:

F: (480) 393-8104

t b)(6)

~swk ey.org

CONFIDENTIALITY NOTICE: This email, inclu ding attachments, is for the sole use of the in ten ded recipient(s) and may
conta in confident ial and priv ilege d info rma tion

covered by the Electron ic Co mmunic ation s Priv acy Act, 18 U.S.C. 25 10-2521. Any
unauthorized review, use, or disclosure or distribut ion is prohibit ed. If you are not

EXT-18-241-N-000217

 003852

the intended recipient, please contact the sender immediately and destroy all copies
of the
original message .

Sender: ~b)(6)
Recipient :

plswkey.org>

"ca lero, Wilfred (ACF) </o==Exchangelabs/ou==Exchange
Administrative Group
(FYDIBOHF23SPDL
T)/cn==Recipients/en==
7fcdlfabef934452bff7378f636Sfa8e-Calero,Wil>"

Sent Date: 2017/02/06 12:59:31
Delivered Date: 2017/02/06 13:00:24

From:

Calero, Wilfred (ACF) </O==EXCHANGELABS/OU==EXC
HANGEADMINISTRA
TIVE GROUP
= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,
WIL>
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN

To: ~b)(6)

b>swkey
.org>"

Subject: Fw: Termination of Pregnancyrequest
Date: 2017/02/06 12:49:27
Priority: Normal
Type: Note

EXT-18-241-N-000218

 003853

From : Rivero , Erika <Erika. Rivero@~

om>

Sent: Monday , February 6, 2017 12:47:10 PM
To: Calero, Wilfred (ACF)
Subject: RE: Tem 1ination of Pregna ncy request

Wrong l(b)(6)

IC9

Erika Rivero
ORR Case Coordinator
ORR Case Coordination Program
General Dynamics Information Technology
Phoenix , AZ - Western Region

Erika.rivero@ @mf)com

From : Calero, Wilfred (ACF) [ma ilto :Wilfre d.Calero@acf .hhs.gov]

EXT-18-241-N-000219

 003854

Sent: Monday, February 06, 2017 10:46 AM
To;¥,_b_)(6
_) __ --===-----------'
<Erika. Rivero@ ~com
>

@._.,swkey.o
rg> ;K
,....
b_)(6_) ___

_,

Subject: Fw : Te1mination of Pregnancy reque st
Importance: High

tb) (6)

Can we get her on the home study list in thew portal.

Will Calero

From: Houppert (Ruhkamp), Gail (ACF)

Sent: Monday, February 6, 2017 12:41:06 PM
To: Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)

Subject: RE: Termination of Pregnancy request

Good Afternoon,

EXT-18-241-N-000220

 003855

This minor is not listed on the home study referral list so cannot be accepted as a provider. Please go
into the portal to make sure the home study request has been done properly and is listed on the
pending

home study referral list. Not currently there. If you have problems please contact the UAC
Portal helpdesk. Please let me know when the referra l is posted to the list and I will get it
expedited.

Thank you,
Gail

Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement

330 D Street SW, Mailroom 5123
Washington, DC 20201
Gail.Houppert@acf.hhs.gov
Office: 202-401-9324
Cell: ..._!{
b...,
l(6...._
l __

___,

From: Calero, Wilfred (ACF)

Sent: Monday , Februa ry 06, 2017 10:56 AM

To: Houpper t (Ruhkam p), Gail (ACF); De LA Cruz, James (ACF) ; Velazquez , Ivonne (ACF)

EXT-18-241-N-000221

 003856

Subject: Re: Termination of Pregnancy request

From: Houppert (Ruhkamp), Gail (ACF)

Sent: Monday, February 6, 20 17 10:52:09 AM
To : Calero , Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject : RE: Term ination of Pregnancy request

I can get this home study exped ited if I have the A#.

Thanks,
Gail

Gail Houppert
Project Officer

EXT-18-241-N-000222

 003857

Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mailroom 5123
Washington, DC 20201
Gail.Houpp ert@acf.hhs.gov
Office: 202-401-9324
!{b""""}{6=}
__
Cell: ...

__.

From: Calero, Wilfred (ACF)

Sent: Monday , February 06, 2017 10:46 AM

To: De LA Cruz, James (ACF); Velazquez , Ivonne (ACF)
Cc: Houppert (Ruhkamp), Gail (ACF)
Subject: Re: Termination of Pregnancy re uest

Will work on the need to expedite today.

Will Calero

EXT-18-241-N-000223

 003858

From: De LA Cruz, James {ACF)

Sent: Monday , February 6, 2017 10:40:45 AM
To: Calero, Wilfred (ACF); Velazquez, Ivonne (ACF)
Cc: Houppert (Ruhkamp ), Gail (ACF)

Subject: Fw: Termination of Pregnancy reque st

Wifred and Gail,

Can we please expedite HS for this case.

Jsd

From: Calero, Wilfred (ACF)

Sent: Wednesday, Febrnary 1, 2017 7:10:07 PM
To: rb )(6)
(b)(6)

t Meyerstein, Shaanan ACF ; Keila Alvarado;
De LA Cruz, James (ACF);

(bl(6 l

b)(6 l

Bartholomew , Michael
(ACF); Kim , Curi (ACF); De LA Cruz, James (ACF); DCS - UAC Medical; Houppert
(Ruhkamp ), Gail (ACF)

(b)(6)

Subject: RE: Termination of Pregnanc y request

EXT-18-241-N-000224

 003859

Just to clarify she does not have a 3 rd grade education. She indicated to me that she almost completed
her third level of school, which was confused with third grade. She actually complete ~
ears

I

of school which would have beenfbl(6l

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

□

wilfr ed.calero@acf.hhs.gov

From:-kb~)<6~)_____________

~1@
~ sw
~ ke_y~.o~rql

Sent: Wednesday, February 0 1, 2017 5:06 PM

I

To: Meyerstein, Shaanan (ACF); Keila Alvarado; fbl(6l
Calero,
,.,,...,..,,,.,.....:.--===============------,
Wilfred (ACF); De LA Cruz, James (ACF); l<b)(
6)
I·
._b)(
_.
6)
Bartholomew ,

____________________

EXT-18-241-N-000225

 003860

Michael (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS - UAC Medical; Houppert
(Ruhkamp ), Gail (ACF)
Subject: Re: Termination of Pregnancy re uest

Hello Team

From my experience working with this UC, I am NO T feeling that she has developmental delays

She was nervous in court and felt intimidated , this may the reason for her lack or articu lation
with the judge

Also, keep in mind she has only a 3rd grade education

I am feeling that it is these two reasons that she is struggl ing to articulate, not a develo pment
delay

I am not a psychologi st so I wou ldn't object to psycho logical testing to make the deter mination

f~b>_<6>___

~1 MC, LPC

Clinician office 501

Program 921: Kokopelli

EXT-18-241-N-000226

 003861

Phone: 480-500-1076 Extension l(b)(6)

I

Email:
l(b)(6)

~swkey.org

Regular Work Schedule: Tuesday - Saturday, Bam-4pm

From: Meyerstein, Shaanan (ACF)<Shaanan.Meye rste in @acf.hhs.gov>

Sent: Wednesday, February 1, 2017 11:33:51 AM
To: Keila Alvarado; (b)(6l
(ACF); De LA Cruz, James (ACF);

Calero, Wilfred
(b)(6)

Bartholomew , Michael
(ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS Med ical; Houppert (Ruhkamp ), Gail
(ACF)
(b)(6)

Subject: Termination of Pregnancy request

Good afternoon,

We will be cancelling the conference call for th is afternoon. After a conversation with Jim De La Cruz as
to the best way forward with this case we have decided the following :

EXT-18-241-N-000227

 003862

1)
The judge called into question this minor's capacity for medical decision making and the field
staff and shelter staff have noted that she is "delayed". As I have done in prior complex cases
that involve a serious medical
proced ure, we are requesting that this mino r undergo formal eva luatio n by a psyc holog ist to
assess her mental capac ity in the next few days. If it is determined that she is sign ificantly
delayed and with cognitive impairment, that wi ll raise the issue whether
or not we can override her legal right to confidentiality in not disclo sing to her parents and
gett ing parental consent for termination about her pregnancy as it will put her life in danger for
vano us rea sons
2)

The sponsor needs to have an expedited in depth home study for a number of reasons - 1) the
poss ibility that his younger sister has a developmental delay and she will require more support
than he might be able to provide;
2) the possibility that he would have to care for her if we were to re lease her being pregnant if
she agrees to disclose her pregnancy to him; 3) to ensure the minor' s safety with the brother;
I have cc'd Gail Houppert who directs the Home studies and PRSto ensure that this home study
is expedited given the time sensitivity with this young lady advancing in her pregnancy

3)

I am requesting that the FFS identify a possible OB practice in the sponsor's community in
advance in the event that we come to the conclus ion that we will discharge this young lady
4)

The shelter staff and case management staff should continue to work with the minor to help
understand her situation and the importance of disclosing her medical condition to her parents or
brother.

I would like to raise one addit ional curveball, that if she is discharged to her brother and was
willing to disclose her pregnancy to her brother but not her parents, that in some states (I don't
know

the laws in Florida) that still wou ld not suffice for consent.

I think it is important that we set a firm deadline for ourselves to have these tasks accomplished given
the fact that she is 13 weeks pregnant and state laws limit procedures passed a certain gestational age.

Pleas e respond with updat es to the FFS Wilfred Calero on all of these matters by 2/ 10. The
Medical Team will be happy to consu lt once we have a more comp lete picture of the situation.

EXT-18-241-N-000228

 003863

Thank you for your time and help on this case.

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
fb l(6)

!(cell)

Shaanan.meyerstein@acf.hhs.gov

From: Meyerstein, Shaanan (ACF)

Sent: Wednesday , February 0 1, 2017 9:12 AM

To: Keila Alvarado

EXT-18-241-N-000229

 003864

Cc: bJ(6l
Cruz, Jame s (ACF);

;

Calero, Wilfred (ACF); De LA

(b)(6)

(kb)(6)

•

I Bartholomew , Michael (ACF); Kim, Cur i

(ACF); De LA Cruz , James (ACF); DCS - UAC Medica l
Subject: RE: Arizona Law s regarding abort ion

4pm EST/2 pm MTN works. Keila can you set up a conference call line please?
Please reply to Keila if you will be on the call and what your role is in the case is since the re are so many
staff members included on this email.

Thanks,

Shaanan Meyerstein, MD, M PH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
~l
<b_)(6_l

---~l

(cell)

Shaanan.meyerstein@acf.hhs.gov

EXT-18-241-N-000230

 003865

From: Keila Alvarado [ mailto:kalvarado@swkey .org 1

Sent: Tuesday, Janua ry 31, 2017 9:32 PM
To: Meyerstein, Shaanan (ACF)

Calero, Wilfred (ACF); De LA
"'-'-:
-'----;--:==:--:=================~--=---....:...._::....:._
_____
~-----_:_:_
:__.:.._:_~

Cc: bl(6l
Cruz, James (ACF);

(b)(6)

._
Cb_)(6_l ___________

..,artholomew, Michael (ACF) ; Kim , Curi

(ACF)
Subjec t: Re: Arizona Laws regarding abort ion

Hello Dr. Meyerstein, I propose 1 pm EST (11 am MTN) or 4 pm EST (2 pm MTN). I hope the times
proposed work for all.

Thank you,

Keila Alvarado, LLM

Program Director

Southwest Key Programs-Kokopelli 921

l(b) (6 )

EXT-18-241-N-000231

 003866

Sent from my iPhone

On Jan 31, 2017, at 6:45 PM, Meyer stein, Shaanan (ACF)
<Shaanan.Meyer stein@acf.hhs.gov>wrote :

This case is very complex, far beyond email exchanges.
Can we please schedule a conference call to discuss this minor's case tom?
After 1pm EST?

Shaanan Meyerste in, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)

~....
Cb_)C6_) __

___.lcell)

Shaanan.meyerstein@acf.hhs.gov

EXT-18-241-N-000232

 003867

From : 1.:..l
<b.:.:
)(6
..:.
l____________

_,~--'s"""w-'-'-k=e"-y.=0-'--"'-rg
l

Sent: Tuesday , January 31, 20 17 6:17 PM
To: Meyerstein, Shaanan (ACF); f._
b_
)(6_l ____________
Wilfred (ACF)

_.ICalero,

Cc: (b)(6l
~l
<b_)(_
6)___________

~1Keila Alvarado

Subject: RE: Arizona Laws regarding abortion

Good Afternoon Shaanan,

The sponsor is the brother ,Kbl( vears of age, resides in Florida. If the minor was indeed
medically stable for discharge, we could of course discharge the minor to the sponsor.
However, the sponsor would still

be unaware of the client being pregnant from being sexua lly assaulted, and want ing
an abortion. Therefore , the sponsor would not be prepared for the release of the
minor, and possible withdrawal from being a sponsor. Further assessment is still
needed at this
time to ensure a safe release of the minor.

Please let me know if you have any questions.

Thank you,

l(b)(6)
Case Manager

EXT-18-241-N-000233

 003868

Southwest Key Program - Kokopelli
l(b)(6)

l§>
swkey.org

Fax: 480-452-0603

Phone: ~.....
b_J(6_l ___

_,

From: Meyerstein, Shaanan (ACF) fmailto:Shaanan.Meyerstein@acf.hhs.gov ]

Sent: Tuesday, January 31, 2017 2:40 PM

~swkey.org> ;l<b
l(6l
To: l<bl(6l
4(b)(6)
@swkey.org>;l(b)(6l
@swkey.org>;
Calero , Wilfred (ACF) <Wilfred.Calero@acf.hhs.gov>
@swkey.org> ;fbJ(6)
Cc: l<bJ(6)
r@swkey.org>; tbJ(6)
l bl(6)
~ )(6)
@swkey.org> JbJ(6)
(b)(6)
@swkey.or=> ; <b_J(6
_l _______
.
@swkey.org> ;
Keila Alvarado <kalvarado@swkey.org>

l

l.....

@swkey.org>;

I

Subject: RE : Arizona Laws regarding abortion

l(b)(6)

To be clear - if I told you that the minor was medically stable for discharge, then she could

be discharged to her sponsor?
Who is the sponsor and where do they reside?

Shaanan Meyerstein, MD, MPH, FAAP

EXT-18-241-N-000234

 003869

LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration

for Children and Famil ies

U.S. Department of Health and Human Services
(202) 401-4639 (office)
~k
b~)<6~) ___

~ l(cell)

Shaanan.meyerstein@acf.hhs.gov

From: cl
<b..:..:
)<6
:..:..
)____________

...J
@
l"'"-"-sw""-k=e"""y"""
.o~rql

Sent: Tuesday, January 31, 20 17 1:03 PM
To: Meyerstein , Shaanan (ACF) ; l._
<b_)(6
_)____________
Wilfred (ACF)

___,1
Calero ,

Cc:kb l(6l
l<b_)<5_>__________
....

__.I
Keila Alvarado

Subject: RE : Arizona Laws regarding abort ion

Good Morning Shaanan,

EXT-18-241-N-000235

 003870

The law confirms the gestational age in Arizona below:
Prohibiting Abortions Past 20 Weeks of Pregnancy (A.R.S. § 36-2159) - Prohibits abortions
past 20 weeks gestation, except in the case of a medical emergency .t

The sponsor for this minor is in Florida, and the status of reunification is pending the
medical condition of the client. All other documentation has been provided by the sponsor
for reunific ation.

Thank you,

Case Manager
Southwest Key Program - Kokopelli
~(b)(6)

@swkey.org

Fax: 480-452-0603

Phone: ~
rb_
l(6_l ___

~

From: Meyerst ein, Shaanan (ACF) fmailto:Shaanan.Meyerstein@acf.hhs.gov ]

Sent: Tuesday, January 31, 2017 10:58 AM

@swkey.org>; ~l
(b_)(6
_)______
l(b)(6)
@swkey.org> ;!(b)(6)
[q)swkey.org>;
Calero , Wilfred (ACF) <Wilfred.Calero @acf.hhs.gov>
To:f h\ln\

Cc: kbl(6l
~l
(b_)(_6)______

~

@swkey.org>;~b)(6)
a.,=-sw~k"""ey"'"'.~o~rg>
~
; l(b)(6)
1@swkey.org >;

EXT-18-241-N-000236

 003871

!Cb)(6)
4Cb)(6)

l@swkey.org> ; A<h \/fi \
@swkey.orQ>~I
Cb_)C
6_)_______
~
'1
@swkey.org> ;
Keila Alvarado <kalvarado@swkey.org>
Subject : RE : Ar izona Laws regarding abortion

Can someone please confirm Gestational Age in Arizona when abortion is legal for
whatever circumstance?
Where is the sponsor for this minor and what is the status of reunification?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)

-fb~
)(6~) ---~l

(cell)

Shaanan.meyerstein@acf.hhs.gov

EXT-18-241-N-000237

 003872

_.._tp
=sw
~ ke=y~
--.o
=r-J.q
l

From: ._K
b_)(6_)_____________

Sent: Tuesday, January 31, 2017 12:46 PM
To: ._l
<b_)(6_) ___________
Wilfred (ACF)
Cc:
fb_)(6_)
.....

___.i
Meyerstein , Shaanan

(ACF); Calero,

fb )(6)

----------~I

Keila Alvarado

Subject : RE : Arizona Law s regarding abortion

Good Morning!

As previously staffed with our leadership, it was determined that the notarized letter from
the parents would not be sufficient for the termination to take place. The client may be
open to speaking with her mother

if we were able to obtain perniission to proceed with the notarized letter of consent
from the mother in home country .

However, as I am under the assumption that we would only be able to proceed with the
termination once we appealed to the court to obtain the judicial bypass because the
mother would not be able to attend the

abortion procedure.

As the clinician has stated below, that the client does not feel comfortable informing her
family, and would like to appeal. Please let me know if there are any questions.

Thank you,

l(b)(6)

Case Manager

EXT-18-241-N-000238

 003873

Southwest Key Program - Kokopelli
fb )(6)

l@swkey.org

Fax: 480-452-0603
Phone :....
l<b_)(6
_)___

Fr om: .....
~b_)(6_) _____

___,

__.

Sent: Tue sday, January 31, 2017 9:54 AM
To: J(b)(6)
r@swkey.org>; Meyerstein, Shaanan (ACF)
<Shaanan.Meyerstein@acf.hhs.gov >; Calero , Wilfred (ACF)
<Wilfred. Calero@acf.hhs.gov >
Cc: l(b)(6)

@swkey.org >

Subject: Re: Arizona Laws regarding abortion

The client continues to not want to inform any family members, her parents nor
her Sponsor

She wants to appeal the Judge's decision, I have emai led the lawyers assigned to
her and have not heard back.

My concern is the timeliness of this issue

EXT-18-241-N-000239

 003874

IMC, LPC

~l
(b_)(6_) ____

Clinician office 501

Program 921: Kokopelli

Phone: 480-500-1076 Extension !(bl(6l I

Email:

l~
(b~)(6~) ___

_,..,
@
~sw
= ke~

Regular Work Schedule: Tuesday -- Saturday, Bam-4pm

From : ._!
<b_)(6_l____

__.

Sent: Tuesday, January 31, 2017 9:52:01 AM
To: Meyerstein , Shaanan (ACF) ; Calero , Wilfred (ACF)
Cc: l<bl(6l
Subject: RE: Arizona Laws regarding abortion

EXT-18-241-N-000240

 003875

Good morning!

I have copied her case manager and clinician to this email.
They may be better able to answer this question for you.

Thanks
©

l(b)(6)

Lead Medical Coordinator
Southwest Key Programs

Casa Kokope lli #921

D: □
)(6)
C:
F: (480) 393-8104
j(b)(6)

~swkey .org

CONFIDENTIALITY NOTICE: This ema il, including attachments, is for the sole use of the intended recipient (s) and may

contain confident ial and pr ivileged informat ion covered by the Electron ic
Communications Privacy Act, 18 U.S .C. 2510-2521. Any unauthorized review, use,
or disclosure or distiibution is prohibited. If you are not the intended recipient ,
please contact the
sender immed iately and destroy all copies of the origina l message.

From : Meyerstein, Shaanan (ACF) fmailto:Shaanan.Meyerstein@acf.hhs.gov ]

EXT-18-241-N-000241

 003876

Sent: Monday , January 30, 2017 4:22 PM
To: l(bl(6l
@swkey.org> ; Calero , Wilfred (ACF)
<Wilfred. Calero@acf.hhs.gov>
Subject: RE : Arizona Laws regarding abortion

~

nd Wilfred,

Since the judge denied the judicial bypass, did the minor speak with her parents about her
pregnancy over the weekend? Did the parents consent?

Thanks,

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)

._f
b_
)(6_l ___

.....
1cell)

Shaanan.meyerstein@acf.hhs.gov

EXT-18-241-N-000242

 003877

From : Lj(b..:...:
)(6....:.
) _________

_J~ sw~k~e~y~.o~rg
.l

Sent: Monday, January 23, 2017 12:27 PM
To: Meyerste in, Shaanan (ACF)
Subject: Arizona Laws regarding abortion

AZ Laws regarding Abortion :

Arizona law requires that women under 18 years old seeking an abor tion must either have
the

notarized written permission of one of their parents/legal guardian or permission
from a Superior Court Judge.

Ensuring Adequate Consent
• Parental Consent (A.R.5. § 36-2152)- Requires parental consent for minors seeking
abortions but allows for judicial bypass . Requires the parental consent to be obtained on a
form to ensure that parents are informed of all of the medical

risks of abortion before giving consent. Requires parental consent to be notarized.
Allows parents to sue (1) an abortion provider who performs an abortion on their
minor daughter without parental consent or (2) any person who assists a minor in
obtaining
an abortion without parental consent.
• Informed Consent (A.R.5. § 36-2153) - Information must be provided 24 hours in advance
to a woman seeking an abor tion about the risks and alternatives of the procedure, the
probable gestational age and physiological characteristics

of the preborn child, and the services available from public and private agencies to
assist during pregnancy and after birth. Requires that the information is provided at
an in-person consultation with a doctor. Allows a woman to file a lawsuit against
an
abortion provider who fails to obtain informed consent . Requires the Department of
Health Services to create and maintain a website providing unbiased information

EXT-18-241-N-000243

 003878

about fetal development, the risks of abortion, and information about alternatives to
abortion.
• Informed Consent for Lethal Condition (A.R.S. § 36-2158) - When a woman discovers that
her child may have a life-threatening birth defect or other fetal condition, information must
be provided 24 hours in advance about the support that

is available to her, including perinatal hospice. Requ ires the Department of Health
Services to create and maintain a website providing unbiased information about
perinatal hospice and assistance available for children with specia l needs.
• Opportunity to View Ultrasound (A.R.S. § 36-2156) - Requires an ultrasound to be
performed at least 24 hours before every abortion, and a woman seeking abortion must be
offered the opportunity to view the ultrasound and hear the baby's

heartbeat, if audible.
• Coercion Prohibited (A.R.S. § 36-2153) - Prohibits a person from intimidating or coercing
another person into having an abortion and allows minors to obtain public assistance
benefits if parents cut off financial support because the

minor refuses to have an abortion . Requires that all abortion clinics conspicuously
post signs that state it is unlawful for any person to intimidate or coerce another
p erson into having an abortion.
• Foster Parents (A.R.S. § 8-514.05} - Foster parents may not consent to abortion for a
foster child.
• Fiduciaries (Arizona Code of Jud.

Admin. § 7-202) -Fidu ciaries may not consent to abortion for a ward without a
court order.

- See more at :

https://www.plannedparenthood.org /planned-parenthood-ari zona/online-healthcenter /minors-and-abortion-law #sthash .lWOGvCcD .dpuf

l(b)(6)

Lead Medical Coordinator
Southwest Key Programs

Casa Kokopelli #92 1
D: fb )(6)

EXT-18-241-N-000244

 003879

C: f b)(6)

F: (480) 393-8104
f b)(6)

lllswkey.org

CONFIDENTIALITY NOTICE: This ema il, including attachment s, is fo r t he sole use of t he in t ended recipien t (s) and m ay

contain confidential and privileged information covered by the Electronic
Comm unicat ions Privacy Act, 18 U.S .C. 2510 -252 1. Any unauthorized review, use,
or disclosure or distribution is proh ibited. If you are not the inte nded recip ient,
please contact the
sender immediately and destroy all copies of the original message.

Sender:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXC
HANGEADMINISTRATIVE GROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN= 7FCD1FABEF934452BFF7378F6365FA8
E-CALERO,WIL>

Recipient: b)(6)

@swkey.org>"

Sent Date: 2017/02/06 12:49:26
Delivered Date: 2017/02/06 12:49:27

From: Rivero, Erika <Erika.Rivero@(b)(6) r:om>
To:

"Calero, Wilfred (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=7fcdlfabef934452bff7378f6365fa8e-Calero, Wil>"

Subject: RE: Termination of Pregnancyrequest
Date: 2017/02/06 12:47:34
Priority: Normal

Type : Note

EXT-18-241-N-000245

 003880

Wron ~

©

Erika Rivero
ORR Case Coordinator
ORR Case Coordination Program
General Dynamics Information Technology
Phoenix, AZ - Western Region
l(b)(6)

From : Calero, Wilfred (ACF) [ma ilto:Wilfred.Ca lero@acf.hhs.gov]

Sent: Monday, February 06, 2017 10:46 AM
To: ~K
b_)(6_)__
____,,===--------~
<Erika.Rivero~o
m>

@swkey.org>; Rivero, Erika

Subject: Fw: Termination of Pregnancy request
Importance: High

EXT-18-241-N-000246

 003881

l(b) (6)

Can we get her on the home study list in thew portal.

Will Calero

From: Houppert (Ruhkamp), Gail (ACF)

Sen t: Monday, February 6, 20 17 12:41:06 PM
To: Calero , Wilfred (ACF); De LA Cruz, James (ACF); Ve lazquez , Ivonne (ACF)
Subject: RE: Termination of Pregnancy request

Good Afternoon,

This minor is not listed on the home study referral list so cannot be accepted as a provider . Please go
into the portal to make sure the home study request has been done properly and is listed on the
pending

home study referra l list. Not currently there. If you have problems please contact the UAC
Portal helpdesk. Please let me know when the referral is posted to the list and I will get it
expedited.

Thank you,

EXT-18-241-N-000247

 003882

Gail

Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mailroom 5123
Washington, DC 20201
Gail.Houppert @acf. hhs.gov
Office: 202-401-9324
Cell: ....
!{b.._}{6..._}
__
__.

From : Calero, Wilfred (ACF)

Sent: Monday , February 06, 2017 10:56 AM
To: Houppert (Ruhkamp ), Gail (ACF) ; De LA Cruz, James (ACF) ; Vela zquez, Ivonne (ACF)
Subject: Re: Termination of Pregnancy reque st

l(b)(6)

EXT-18-241-N-000248

 003883

From: Houppert (Ruhkamp), Gail (ACF)

Sent: Monday, Feb ruary 6, 20 17 10:52:09 AM
To: Calero , Wilfred (ACF); De LA Cruz, James (ACF); Vela zquez, Ivonne (ACF)

Subject: RE: Termin ation of Pregnancy request

I can get this home study expedited if I have the A#.

Thanks,
Gail

Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mai lroom 5123
Washington, DC 20201
Gail.Houpp ert@acf.hhs.gov
Office: 202-401-9324

EXT-18-241-N-000249

 003884

Cell: ""!{b......_}{6=}
__

___,

From: Calero, Wilfred (ACF)

Sent: Monday, February 06, 2017 10:46 AM
To: De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Cc: Houppert (Ruhkamp), Gail (ACF)
Subject: Re: Termination of Pregnancy reque st

Will work on the need to expedite today.

Will Calero

From: De LA Cruz, James (ACF)

Sent: Monday, February 6, 2017 10:40:45 AM
To: Calero, Wilfred (ACF); Velazquez, Ivonne (ACF)
Cc: Houppert (Ruhkamp ), Gail (ACF)
Subject: Fw: Termination of Pregnancy request

EXT-18-241-N-000250

 003885

Wifred and Gail,

Can we plea se expedite HS for this case.

Jsd

From: Calero, Wilfred (ACF)

Sent: Wedne sday , February 1, 2017 7:10:07 PM
To: !tbl(6l
fb )(6)

IMeyerstein , Shaanan (ACF) ; Keila Alvarado;

IDe LA Cruz, James (ACF); l(b)(6)

fb l(6)

Bartholomew , Michael
(ACF); Kim, Curi (ACF); De LA Cruz, Jame s (ACF); DCS - UAC Medical; Houppert
(Ruhkamp ), Gail (ACF)
(b)(6)

Subject: RE: Term ination of Pregnancy request

Just to clarify she does not have a 3 rd grade education. She indicated to me that she almost completed
her third level of school, which was confused with third grade. She actually completed l(b)l,ears
.,,.
..,.,.,,,.
----~ ----,
i£filr
of school which would have been fbl(6l

I

EXT-18-241-N-000251

 003886

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

D
wilfred.calero@acf.hhs.gov

From:=
l<b"""l
<6..,_
l_____

~----------

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Sent: Wednesday, February 01, 2017 5:06 PM
To: Meyerstein, Shaanan (ACF); Keila Alvarado;fb)(6)
!Calero,
....,_____,I
Wilfred (ACF); De LA Cruz, James (ACF);,.,,...l
(b=)(6,.,....
) ____________
b)(6)
Bartholomew,
Michael (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS - UAC Medical; Houppert
(Ruhkamp), Gail (ACF)
Subject: Re: Termination of Pregnancy reguest

Hello Team

EXT-18-241-N-000252

 003887

From my experience working with this UC, I am NOT feeling that she has developmental delays

She was nervous in court and felt intimidated , this may the reason for her lack or articulation
with the judge

Also, keep in mind she has only a 3rd grade education

I am feeling that it is these two reasons that she is struggling to articulate , not a development
delay

I am not a psychologist so I wouldn't object to psycho logica l testing to make the determination

._l
<b_)(6_) ____

....,tif C,

LPC

Clinician office 501

Program 921: Kokopelli

Phone: 480-500-1076 Extension l(b)(6)

I

Email:
l(b)(6)

tyswkey.org

Regular Work Schedule: Tuesday - Saturday, Bam-4pm

EXT-18-241-N-000253

 003888

From: Meyerstein, Shaanan (ACF) <Shaanan.Meyerstein@acf.hhs.gov >

Sent: Wednesday, February 1, 2017 11:33:51 AM
To: Keila Alvarado (b)(6l
(ACF) ; De LA Cruz, James ACF);

Calero , Wilfred
b)(6l

Bartholomew, Michael
(ACF); Kim, Curi (ACF); De LA Cruz , James (ACF); DCS Medica l; Houppert (Ruhkamp) , Gai l
(ACF)
b)(6)

Subject: Termination of Pregnancy request

Good afternoon,

We will be cancelling the conference call for this afternoon. After a conversation with Jim De La Cruz as
to the best way forward with this case we have decided the following:

1)
The judge called into question this minor's capacity for medical decision making and the field
staff and she lter staff have noted that she is "de layed" . As I have done in prior comp lex cases
that involve a serious medical
procedure , we are requesting that this minor undergo formal evaluation by a psychologist to
assess her mental capacity in the next few days. If it is determined that she is significantly
delayed and with cognitive impairment , that wi ll raise the issue whether

EXT-18-241-N-000254

 003889

or not we can override her legal right to confidentiality in not disclosing to her parents and
getting parental consent for termination about her pregnancy as it will put her life in danger for
vanous reasons
2)

The sponsor needs to have an expedited in depth home study for a number of reasons - 1) the
possibility that his younger sister has a developmental delay and she will require more support
than he might be able to provide;
2) the possibility that he would have to care for her if we were to release her being pregnant if
she agrees to disclose her pregnancy to him; 3) to ensure the minor's safety with the brother;
I have cc'd Gail Houppert who directs the Home studies and PRSto ensure that this home study
is expedited given the time sensitivity with this young lady advancing in her pregnancy

3)

I am requesting that the FFS identify a possible OB practice in the sponsor's community in
advance in the event that we come to the conclusion that we will discharge this young lady
4)

The shelter staff and case management staff should continue to work with the minor to help
understand her situation and the importance of disclosing her medical condition to her parents or
brother.

I would like to raise one additional curveball, that if she is discharged to her brother and was
willing to disclose her pregnancy to her brother but not her parents, that in some states (I don't
know

the laws in Florida) that still would not suffice for consent.

I think it is important that we set a firm deadline for ourselves to have these tasks accomplished given
the fact that she is 13 weeks pregnant and state laws limit procedures passed a certain gestational age.

Please respond with updates to the FFS Wilfred Calero on all of these matters by 2/ 10. The
Medical Team will be happy to consult once we have a more complete picture of the situation.

Thank you for your time and help on this case.

EXT-18-241-N-000255

 003890

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompan ied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
._!
(b_)(6
_) ___

_.l(cell)

Shaanan.meyerstein@acf.hhs.gov

From: Meyerstein, Shaanan (ACF)

Sent: Wednesday , February 01, 2017 9:12 AM

To: Keila Alvarado
Cc: b)(6)
Cruz , James (ACF);

Calero, Wilfred (ACF); De LA
b)(6)

Subject: RE: Arizona Laws regarding abort ion

EXT-18-241-N-000256

 003891

4pm EST/2 pm MTN works. Keila can you set up a conference call line please?
Please reply to Keila if you will be on the call and what your role is in the case is since there are so many
staff members included on this email.

Thanks,

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
~l
(b~)<6~) ___

~l (cell)

Shaanan.meyerstein@acf.hhs.gov

From: Keila Alvarado [ mailto:kalvarado@swkey.org 1

Sent: Tuesday , January 31, 2017 9:32 PM

To: Meyerstein , Shaanan (ACF)

EXT-18-241-N-000257

 003892

Cc: b)(6)
Cruz, James ACF ; b)(6)
6l
b)(____________
,...._
(ACF)

Calero , Wilfred (ACF); De LA
_, Bartholomew

, Michael (ACF); Kim, Cur i

Subject: Re: Arizona Laws rega rding abortion

Hello Dr. Meyerstein, I propose 1 pm EST(11 am MTN) or 4 pm EST(2 pm MTN). I hope the times
proposed work for all.

Thank you,

Keila Alva rado, LLM

Program Director

Southwest Key Programs-Kokopelli 921

f bl/6)

Sent from my iPhone

EXT-18-241-N-000258

 003893

On Jan 31, 2017, at 6:45 PM, Meyerstein , Shaanan (ACF)
<Shaanan.Meyer stein@acf.hhs.gov>wrote :

This case is very complex, far beyond email exchanges.
Can we please schedule a conference call to discuss this minor's case tom?
After 1pm EST?

Shaanan Meyerste in, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration

for Children and Families

U.S. Department of Health and Human Services
(202) 401-4639 (office)
(~~
b)_(6)__

~l

(cell)

Shaanan.meyerstein@acf

From : l1.:...
<b~)(6....:.
)_____________

.hhs .gov

i--=-sw
fj)
'-'--=
ke=y
-'-'
.o=-r=ql

EXT-18-241-N-000259

 003894

Sent: Tuesday , January 31, 2017 6:17 PM
To: Meye rstein, Shaanan (ACF); f.....
b_)<6_>____________
Wilfred (ACF)
Cc:

__.ICalero,

l<b)(6)

~1Keila Alvarado

l<b_)(6_) __________
.....

Subj ect: RE: Arizona Laws regarding abortion

Good Afternoon Shaanan,

The sponsor is the brother, ~ ears of age, resides in Florida. If the minor was indeed
medically stable for discharge, we could of course discharge the minor to the sponsor.
However, the sponsor would still

be unaware of the client being pregnant from being sexually assaulted , and wanting
an abortion. Therefore , the sponsor would not be prepared for the release of the
minor , and possib le withdrawal from being a sponso r. Further assessment is still
needed at this
time to ensure a safe release of the minor.

Please let me know if you have any questions.

Thank you,

Case Manager
Southwest Key Program - Kokopelli
fb )(6)

1@swkey.org

Fax: 480-452-0603

EXT-18-241-N-000260

 003895

Phone:~l <b_)(6_) ___

~

From: Meyerstein, Shaanan (ACF) [mailto:Shaanan.Meyerstein@acf.hhs.gov ]

Sent: Tuesday, Janu ary 31, 2017 2:40 PM
To:

Cc

(b)(6)

(b)(6)

(b)(6)
(b)(6)

Subject: RE: Ari zona Laws regarding abortion

To be clear - if I told you that the minor was medically stable for discharge, then she could
be discharged to her sponsor?
Who is the sponsor and where do they reside?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families

EXT-18-241-N-000261

 003896

U.S. Department of Health and Human Services

(202) 401-4639 (office)
f~b_
)(6_)

---~

~ell)

Shaanan.meyerstein@acf.hhs.gov

From: Lfb.:..:
)(6....:.
)_____________

r~-s_w_k_ey~
._or~q
l

Sent: Tue sday, January 31, 2017 1:03 PM
To: Meyerstein , Shaanan (ACF) ; '~
(b_)<6_>___________
Wilfred (ACF)
Cc:

b)(6)

~l
<b
_)<6_>__________

~I Calero,

~1Keila Alvarado

Subject: RE: Arizona Laws regarding abortion

Good Morning Shaanan,

The law confirms the gestational age in Arizona below:
Prohibiting Abortions Past 20 Weeks of Pregnancy (A.R.S. § 36-2159) - Prohibits abortions
past 20 weeks gestation, except in the case of a medical emergency. t

EXT-18-241-N-000262

 003897

The sponsor for this minor is in Florida, and the status of reunification is pending the
medical condition of the client. All other documentation has been provided by the sponsor
for reunification.

Thank you,

Case Manager
Southwest Key Program - Kokopelli
~swkey.org

l(b)(6)

Fax: 480-452-0603

Phone:

l.....

<b_)(6_l ___

_,

From: Meyerstein, Shaanan (ACF) [mailto:Shaanan.Meyerstein@acf.hhs.gov ]

Sent: Tuesday, January 31, 2017 10:58 AM
To:

Jb )(6)

l@swkey.org>; f bl(6)

Kb)(6)
l@swkey.org>; i<b)(6)
Calero, Wilfred (ACF) <Wilfred.Calero @acf.hhs.gov>

Cc:

l@swkey.org> ;

b)(6)

(b)(6)
(b)(6)

Subject: RE : Arizona Law s regarding abortion

EXT-18-241-N-000263

 003898

Can someone please confirm Gestational Age in Arizona when abortion is legal for
whatever circumstance?
Where is the sponsor for this minor and what is the status of reunification?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration

for Children and Families

U.S. Department of Health and Human Services
(202) 401-4639 (office)

~l
<b_)(6_) --~l

(cell)

Shaanan.meyerstein@acf.hhs.gov

From: c:
l<b
;.:..:
l<.:.:
6l____________

__.@-=sw-'--'-'-'-ke=--y'--'-.o=r-=q
l

Sent: Tuesday, January 31, 2017 12:46 PM
T o :kbl(6l

I Meye rstein, Shaanan (ACF);

Calero,

Wilfred (ACF)

EXT-18-241-N-000264

 003899

Cc:

fb )(6)

~I Keila Alvarado

j~
(b_)<B
_l __________

Subject : RE: Arizona Laws regarding abortion

Good Morning!

As previously staffed with our leadership, it was determined that the notarized letter from
the parents would not be sufficient for the termination to take place. The client may be
open to speaking with her mother

if we were able to obtain permission to proceed with the notarized letter of consent
from the mother in home country.

However, as I am under the assumption that we would only be able to proceed with the
termination once we appealed to the court to obtain the judicial bypass because the
mother would not be able to attend the

abortion procedure .

As the clinician has stated below, that the client does not feel comfortable informing her
family, and would like to appeal. Please let me know if there are any questions.

Thank you,

Case Manager
Southwest Key Program - Kokopelli
el swkey.org
Fax: 480-452-0603

EXT-18-241-N-000265

 003900

Phone: f._b_)(6_) ___

_,

From : f._b_)(6_) ____

__,

Sent: Tuesday, January 31, 201 7 9:54 AM
To: l(b)(6)
@swkey.org >; Meyerstein , Shaanan (ACF)
< Shaanan.Meyerstein@acf.hhs.gov >; Calero , Wilfred (ACF)
<W ilfred.Ca lero@acf.hhs.gov >
l@swkey.org >

Cc: l(b)(6)

Subject: Re : Arizona Laws regarding abortion

The client continues to not want to inform any family members, her parents nor
her Sponsor

She wants to appeal the Judge's decision, I have emai led the lawyers assigned to
her and have not heard back.

My concern is the timeliness of this issue

-fb_)(6_) _____

IMC, LPC

Clinician office 501

Program 921: Kokopelli

EXT-18-241-N-000266

 003901

Phone: 480-500-1076 Extension ~lh \l R\

I

Email:
f b)(6)

~ swkey.org

Regular Work Schedule: Tuesday-- Saturday, 8am-4pm

From:-k
b-)(6
_)____

_

Sent: Tuesday , January 31, 2017 9:52:01 AM
To : Meyer stein, Shaana n (ACF); Calero, Wilfred (ACF)
Cc:

~~
b_)(6_) ____________

~

Subject: RE : Ar izona Law s regard ing abortion

Good morning!

I have copied her case manager and clinician to this email.
They may be better able to answer this question for you.

EXT-18-241-N-000267

 003902

Thanks

©

~(b)i6)

Lead Medical Coordinator
Southwest Key Programs

Casa Kokopelli #921

:□
F: (480) 393-8104
fb)(6)

~swk ey .org

CONFIDENTIALITY NOTICE: This ema il, including attachments, is for t he sole use of the int ended recipien t (s) and m ay
conta in

confidential and privileged information covered by the Electronic Communications
Privacy Act , 18 U.S.C. 2510-2521. Any unauthori zed review, use, or disclosure or
distr ibution is prohibited. If you are not the intended recipient, please contact the
sender immed iately
and destroy all copies of the original message.

From: Meyers t ein, Shaanan (ACF) [mailto:Shaanan.Meyerstein@acf.hhs.gov ]

Sent : Mo nday, January 30, 2017 4 :22 PM
' @swkey.org> ; Calero , Wilfred (ACF)
To : ¥bi <B>
<Wilfred .Calero@acf.hhs.gov >

Subject : RE: Arizona Laws regarding abortion

EXT-18-241-N-000268

 003903

f b)(6)

land Wilfred,

Since the judge denied the judicial bypass, did the minor speak with her parents about her
pregnancy over the weekend? Did the parents consent?

Thanks,

Shaanan Meyerstein, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
~fb_)(6_) ___

~l (cell)

Shaanan.meyer stein@acf.hh s.gov

From:

~._
b_)<6_>_________

_,.@
~s~w~k=ey
..c.=o~rg.l

EXT-18-241-N-000269

 003904

Sent: Monday, January 23, 2017 12:27 PM
To: Meye rstein, Shaanan (ACF)
Subject : Arizona Laws regarding abortion

AZ Laws regarding Abortion :

Arizona law requires that women under 18 years old seeking an abortion must either have
the

notar ized written p ermiss ion of one of their parents/legal guardian or permission
from a Superior Court Judg e.

Ensuring Adequate Consent
• Parental Consent {A.R.S. § 36-2152) - Requires parental consent for minors seeking
abortions but allows for judicial bypass. Requires the parental consent to be obtained on a
form to ensure that parents are informed of all of the medical

risks of abortion before giving consent . Require s parental consent to be notarized.
Allows parents to sue (1) an abortion provider who performs an abortion on their
minor daughter without parental consent or (2) any person who assists a minor in
obtaining
an abortion without parental consent.
• Informed Consent (A.R.S. § 36-2153)- Information must be provided 24 hours in advance
to a woman seeking an abortion about the risks and alternatives of the procedure, the
probable gestational age and physiological characteristics

of the preborn child, and the services available from public and private agencies to
assist during pregnancy and after birth. Requir es that the information is provided at
an in-person consultation with a doctor. Allows a woman to file a lawsuit against
an
abortion provider who fails to obtain informed consent . Requir es the Department of
Health Services to create and maintain a website providing unbiased information
about fetal development, the risks of abortion, and information about alternati ves to
abortion.
• Informed Consent for Lethal Condition {A.R.S. § 36-2158) - When a woman discovers that
her child may have a life-threatening birth defect or other fetal condition, information must
be provided 24 hours in advance about the support that

EXT-18-241-N-000270

 003905

is available to her, including perinatal hospice. Requires the Department of Health
Services to create and maintain a website providing unbiased information about
perinatal hospice and assistance available for children with special needs.
• Opportunity to View Ultrasound (A.R.S. § 36-2156) - Requires an ultrasound to be
performed at least 24 hours before every abortion, and a woman seeking abortion must be
offered the opportunity to view the ultrasound and hear the baby's

heartbeat,

if audible.

• Coercion Prohibited {A.R.S. § 36-2153} - Prohibits a person from intimidating or coercing
another person into having an abortion and allows minors to obtain public assistance
benefits if parents cut off financial support because the

minor refi,ses to have an abortion. Requires that all abortion clinics conspicuously
post signs that state it is unlawful for any person to intimidate or coerce another
person into having an abortion.
• Foster Parents {A.R.S. § 8-514.05} - Foster parents may not consent to abortion for a
foster child.
• Fiduciaries (Arizona Code of Jud.

Admin. § 7-202) -Fiduciaries may not consent to abortion for a ward without a
court order .

- See more at:

https://www.plannedparenthood.org /planned-parenthood-ari zona/online-healthcenter /minors-and -abortion-law #sthash .lWOGvCcD .dpuf

l(b)(6)

Lead Medical Coordinator
Southwest Key Programs

Casa Kokopelli #921
D:~

c:L___J
F: (480) 393-8104
!(b\(6\

@swkey.org

EXT-18-241-N-000271

 003906

CONFIDENTIALITY NOTICE:This ema il, including attachments, is for t he sole use of the intended recipien t (s) and may
conta in

confidential and privileged information cove red by the Electronic Communi cations
Privacy Act, 18 U.S .C. 25 10-252 1. Any unauthorized rev iew, use, or disclosure or
distribution is prohibited. If you are not the intended recip ient, please contact the
sender immediate ly
and destroy all cop ies of the original message.

Sender: Rivero, Erika <Erika.Rivero(gl!lh\lR\ ~om>
Recipient:

"Calero, Wilfred (ACF) </o=Exchangelabs/ou = ExchangeAdministrative Group
(FYDIBOHF235PDLT)/cn= Recipients/en= 7fcdlfabef934452bff7378f6365fa8e-Calero,Wil>"

Sent Date: 2017/02/06 12:47: 10
Delivered Date: 2017/02/06 12:47:34

From:
To:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHA
NGE ADMINISTRATIVE GROUP
(FYDIBOHF235PDL
T)/CN= RECIPIENTS/CN= 7FCD1FABEF93
4452BFF7378F6365F
A8E-CALERO,WIL>
b)(6)

lilswkey.org> ";

"Erika Rivero <Erika.Rivero@llh\lR\t om>"

Subject : Fw: Termination of Pregnancyrequest
Date: 2017/02/06 12:46:23
Priority: Urgent
Type: Note

EXT-18-241-N-000272

 003907

Can we get her on the home study list in thew portal.

Will Calero

From: Houpper t (Ruhkamp ), Gail (ACF)

Sent: Monday, February 6, 2017 12:41:06 PM
To: Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE: Terminatio n of Pregnancy request

Good Afternoon,

This minor is not listed on the home study referral list so cannot be accepted as a provider. Please go
into the portal to make sure the home study request has been done properly and is listed on the
pending

home study referral list. Not currently there. If you have problem s please contact the UAC
Portal helpdesk. Please let me know when the referral is posted to the list and I will get it
expedited.

Thank you,
Gail

Gail Houppert
Project Officer

EXT-18-241-N-000273

 003908

Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mailroom 5123
Washington, DC 20201
Gail.Houppert@ acf.hhs.gov
Office: 202-401-9324
!{b""""}{6=}
__
Cell: ...

__.

From: Calero, Wilfred (ACF)

Sent: Monday , February 06, 2017 10:56 AM
To: Houppert (Ruhkamp), Gail (ACF) ; De LA Cruz, James (ACF) ; Velazquez, Ivonne (ACF)
Subject: Re: Termination of Pregnancy regue st

l(b)(6)

l(b)(6)

From: Houppert (Ruhkamp), Gail (ACF)

EXT-18-241-N-000274

 003909

Sent: Monday, February 6, 20 17 10:52:09 AM
To: Calero, Wilfred (ACF); De LA Cruz, James (ACF); Ve lazquez, Ivonne (ACF)

Subject: RE : Termination of Pregnancy requ est

I can get this home study expedited if I have the A#.

Thanks,
Gail

Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mailroom 5123
Washington, DC 20201
Gail.Houppert@acf .hhs.gov
Office: 202-401-9324
b......,
}{6""'} __
Cell: ""!<

__,

EXT-18-241-N-000275

 003910

From: Calero, Wilfred (ACF)

Sent : Monday, Februa ry 06, 2017 10:46 AM
To : De LA Cruz, James (ACF) ; Velazquez, Ivonne (ACF)
Cc: Houppert (Ruhkamp ), Gail (ACF)
Subject: Re: Termination of Pregr1ancy request

Will work on the need to exped ite today .

Will Ca lero

From: De LA Cruz, James (ACF)

Sent : Monday, February 6, 2017 10:40:45 AM
To: Ca lero, Wilfred (ACF); Velazquez, Ivonne (ACF)
Cc: Houppert (Ruhkamp ), Gail (ACF)
Subject: Fw: Termination of Pregnancy request

EXT-18-241-N-000276

 003911

Wifred and Gail,

Can we please expedite HS for this case.

Jsd

From: Calero, Wilfred (ACF)

Sent: Wednesday, February 1, 2017 7:10:07 PM
To: {bl!6l•
IMeyerstein, Shaanan (ACF); Keila Alvarado; tb)(6)
r,;:b.;,)
(6~
).:!:::::::=======;;:::e----;-L---;
A:--'
Cruz James ACF · (b)(6)
Bartholomew, Michae l
--"=""=- .......-=-........,,..........,=,.......,.,.........,.......,..--=-----.---..-T"""=
.........
~=- .......
..,......,,.,..............
Medical; Houppert

Subject: RE: Termination of Pregnancy request

Just to clarify she does not have a 3 rd grade education. She indicated to me that she almost completed
her third level of school, which was confused with third grade. She actually complete ~~~
)(vears

of school which would have beenkb)(6)

I

EXT-18-241-N-000277

 003912

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

D
wilfred.calero@acf.hhs.gov

From:

""l
(b.;..;
)(6
....;.
)_____________

_.@
~ sw
~k~e""'y
~.o~rql

Sent: Wednesday, Februa ry 01, 2017 5:06 PM

To: Meyerstein, Shaanan (ACF); Keila Alvarado·
Wilfred ACF · De LA Crnz James ACF b)(6l

b)(6)

Calero

(b)(6 )

Bartho lomew,
Michael (ACF); Kim, Curi (ACF); De LA Cruz , James (ACF); DCS - UAC Medical; Houppert
(Ruhkamp ), Gail (ACF)
Subject: Re: Termination of Pregnancy request

Hello Team

From my expe rience working with this UC, I am NOT feeling that she has developmental delays

EXT-18-241-N-000278

 003913

She was nervous in court and felt intimidated , this may the reason for her lack or articu lation
with the judge

Also, keep in mind she has only a 3rd grade educat ion

I am feeling that it is these two reasons that she is strugg ling to aitic ulate, not a development
delay

I am not a psychologi st so I wou ldn't object to psycho log ical testing to make the determ ination

._f
b)_(6)____

__.tif C,

LPC

Clinician office 501

Program 921: Kokopelli

Phone: 480-500-1076 Extension l(b)(6)

I

Email:
l(b)(6)

tyswkey.org

Regular Work Schedule: Tuesday -- Saturday, Bam-4pm

EXT-18-241-N-000279

 003914

From: Meyerstein, Shaanan (ACF) <Shaanan.Meyerstein@acf.hhs.gov >

Sent: Wednesday, February 1, 2017 11:33:51 AM
To: Keila Alvarado; (b)(6)
(ACF); De LA Cruz , ames

Ca lero, Wi lfred
;

b)(6)

Bart o omew , Mic ae
(ACF); Kim, Curi (ACF); De LA Cruz, Ja mes (ACF); DCS Med ical; Houppert (Ruhkamp), Ga il
(ACF)
b)(6)

Subject: Termination of Pregnancy request

Good afternoon,

We will be cancelling the conference call for this afternoon. After a conversation with Jim De La Cruz as
to the best way forward with this case we have decided the following:

1)
The judge called into quest ion this minor's capacity for medical decision making and the field
staff and she lter staff have noted that she is "de layed" . As I have done in prior comp lex cases
that involve a serious medical
procedure , we are requesting that this minor undergo formal evaluation by a psychologist to
assess her menta l capac ity in the next few days. If it is determi ned that she is sign ificantly
delayed and with cogn itive impairment, that will raise the issue whethe r
or not we can override her legal right to confidentiality in not disclosing to her parents and
getting parenta l consent for termination about her pregna ncy as it will put her life in danger for
var ious reasons
2)

The sponsor needs to have an expedited in depth home study for a number ofreasons - 1) the
possibility that his younger sister has a developmental delay and she will require more support
than he might be able to provide;

EXT-18-241-N-000280

 003915

2) the possibility that he would have to care for her if we were to release her being pregnant if
she agrees to disclose her pregnancy to him; 3) to ensure the minor's safety with the brother;
I have cc'd Gail Houppert who directs the Home studies and PRSto ensure that this home study
is expedited given the time sensitivity with this young lady advancing in her pregnancy
3)

I am requesting that the FFS identify a possible OB practice in the sponsor's community in
advance in the event that we come to the conclusion that we will discharge this young lady
4)

The shelter staff and case management staff should continue to work with the minor to help
understand her situation and the importance of disclosing her medical condition to her parents or
brother .

I would like to raise one additional curveball, that if she is discharged to her brother and was
willing to disclose her pregnancy to her brother but not her parents, that in some states (I don't
know

the laws in Florida) that still would not suffice for consent.

I think it is important that we set a firm deadline for ourselves to have these tasks accomplished given
the fact that she is 13 weeks pregnant and state laws limit procedures passed a certain gestational age.

Please respond with updates to the FFS Wilfred Calero on all of these matters by 2/ 10. The
Medical Team will be happy to consult once we have a more complete picture of the situation.

Thank you for your time and help on this case.

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement

EXT-18-241-N-000281

 003916

Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)

_.tceII)

Yb_)(6_) ___
,_

Shaanan.meyerstein@acf.hhs.gov

From: Meyerstein, Shaanan (ACF)

Sent: Wednesday, February 01, 2017 9:12 AM
To: Keila Alvarado
..,,..,.,,a-:______________
....,__
__
-'---__
_ ____.-'---_--,
Cc: b)(6)
Calero,
Wilfred___.,ACF
; De LA
Cruz, James ACF ; b)(5 )
Bartholomew , Michael (ACF); Kim, Curi
b)(6 )
(ACF); De LA Cruz, James (ACF) ; DCS - UAC Medical
i__

_____

Subject: RE: Arizona Laws regarding abort ion

4pm EST/2 pm MTN works. Keila can you set up a conference call line please?
Please reply to Keila if you will be on the call and what your role is in the case is since there are so many
staff members included on this email.

EXT-18-241-N-000282

 003917

Thanks,

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services

{202) 401 -4639 (office)
rb )_(6)__
._

_.I(cell)

Shaanan.meyerstein@acf.hhs.gov

From: Keila Alvarado [ mailto:kalvarado@swkey.org 1

Sent: Tuesday , January 3 1, 2017 9:32 PM

To: Meyer stein, Shaanan (ACF)
Cc: bl! 6l
Cruz , Jam es ACF ;
,_b_)(6_) ___________

Calero , Wilfred (ACF) ; De LA
b)(6)

__,Bartholomew, Michael (ACF); Kim, Curi

(ACF)
Subject: Re: Arizona Laws regarding abortion

EXT-18-241-N-000283

 003918

Hello Dr. Meyerstein, I propose 1 pm EST (11 am MTN) or 4 pm EST(2 pm MTN). I hope the times
proposed work for all.

Thank you,

Keila Alvarado, LLM

Program Director

Southwest Key Programs-Kokopelli 921

l(b)(6)

Sent from my iPhone

On Jan 31, 2017, at 6:45 PM, Meyerstein , Shaanan (ACF)
<Shaanan.Meyerstein@acf.hhs.gov> wrote:

This case is very complex, far beyond email exchanges.

EXT-18-241-N-000284

 003919

Can we please schedule a conference call to discuss this minor's case tom?
After 1pm EST?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
~l
(bl_<6_
l --~l

(cell)

Shaanan.meyerstein@acf.hhs.gov

From: cfb.:..:.l
<6:..:.
l ____________

--1"'fP
-=sw
'-'-k
=e....
v..:..;:
.o=rgl

Sent: Tue sday, January 31, 2017 6: 17 PM

To: Meye rstein, Shaanan (ACF);
Wilfred (ACF)
Cc:

._l
<b_J(6
_J____________

__.1
Calero,

(b)(6l

l<b_J(6
...
_l __________

~I Keila Alvarado

Subj ect : RE: Arizona Laws regarding abortion

EXT-18-241-N-000285

 003920

Good Afternoon Shaanan,

The sponsor is the brothe rj(b)(6 vears of age, resides in Florida. If the minor was indeed
medically stable for discharge, we could of course discharge the minor to the sponsor.
However, the sponsor would still

be unaware of the client being pregnant from being sexually assaulted, and wanting
an abortion. Therefore , the sponsor wou ld not be prepared for the release of the
minor , and possible withdrawal from being a sponsor. Further assessment is still
needed at this
time to ensure a safe release of the minor.

Please let me know if you have any questions.

Thank you,

Case Manager
Southwest Key Program - Kokopelli
6

l(b-}(_ l_____
...

__.
~ swkey.org

Fax: 480-452-0603
Phone:

f._b_
)(6_) ___

__.

From: Meyerstein, Shaanan (ACF) [mailto :Shaanan.Meyerstein @acf.hhs.gov]

Sent: Tuesday, January 31, 20 17 2:40 PM

EXT-18-241-N-000286

 003921

@swkey.org >;

To : kbl(6l

pswkey.org>; ICb)(6)
Calero , Wilfred (ACF) <Wilfred.Calero@acf.hhs.gov >

ICb)(6)

Cc:

fbl(6)

!@swkey .org>;

b)(6)

b)(6)

Subj ect: RE: Arizona Laws regarding abortion

To be clear - if I told you that the minor was medically stable for discharge, then she could

be discharged to her sponsor?
Who is the sponsor and where do they reside?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
fb_)(6_) ___
....

__.
Fell)

Shaanan.meyerstein@acf.hhs.gov

EXT-18-241-N-000287

 003922

From:

___J
@
= sw
.:...:..:..;.
ke=y-'-'.o
=r-=g
l

1.:...l
<b..:..:
><
....:6
)____________

Sent: Tuesday , January 31, 2017 1:03 PM
...._)<5_>____________
To: Meye rstein, Shaanan (ACF); l<b
Wilfred (ACF)
Cc:

__.I
Calero,

l(b)(6)

6 >___________
~l
<b_)<_

~1Keila A lvarado

Subject : RE: Arizona Laws regarding abortion

Good Morning Shaanan,

The law confirms the gestational age in Arizona below:
Prohibiting Abortions Past 20 Weeks of Pregnancy (A.R.S. § 36-2159) - Prohibits abortions
past 20 weeks gestation, except in the case of a me dical emergency . t

The sponsor for this minor is in Florida, and the status of reunification is pending the
medical condition of the client. All other documentation has been provided by the sponsor
for reunification.

Thank you,

EXT-18-241-N-000288

 003923

Case Manager
Southwest Key Program - Kokopelli

l(b)(6)

~swkey.org

Fax: 480-452-0603
Phone:

f~b-)(6_) ___

~

From: Meyerstein, Shaanan (ACF) fmailto:Shaanan.Meyerstein@acf.hhs.gov ]

Sent: Tuesday, January 31, 2017 10:58 AM

To: l<bl/6l
l@swkey.org>; j(b)(6)
6
@swkey.org>; j(b)(6)
@swkey.org>;
l(b)( )
Calero , Wilfred (ACF) <Wilfred.Calero@acf.hhs.gov >
Cc: Jb)(6)
(b)(6)
4
l(b)(6)
(b)(6)

@swkey.org> ;Kb
l(6l
@swkey.org> ;~b)(6)
@swkey.org> ;~b)(6)
i.;=--~=-.l---'--·o~r-=>
;l~
(b_)(6_)_______
.or >;
alvarado@swkey.org>

@swkey.org>;
~

I

Subject: RE: Arizona Laws regarding abortion

Can someone please confirm Gestational Age in Arizona when abortion is legal for
whatever circumstance?
Where is the sponsor for this minor and what is the status of reunification?

EXT-18-241-N-000289

 003924

Shaanan Meyerstein, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration

for Children and Families

U.S. Department of Health and Human Services
(202) 401-4639 (office)
f,_b_
)C6_l ___

_,~cell)

Shaanan.meyerstein@acf.hhs.gov

From: 1.:..l
(b..:..;
l(....:6
l____________

_J @P--=sw~ke=--y~.o=r-=g
l

Sent: Tuesday, January 31, 2017 12:46 PM
To:Kb l(6)

Meyerstein, Shaanan (ACF); Calero ,

Wilfred (ACF)

Cc:

b)(6)

~I
Cb_)C6_l__________

~I Keila Alvarado

Subject: RE : Arizona Law s regarding abortion

EXT-18-241-N-000290

 003925

Good Morning!

As previously staffed with our leadership, it was determined that the notarized letter from
the parents would not be sufficient for the termination to take place. The client may be
open to speaking with her mother

if we were able to obtain pernlission to proceed w ith the notari zed letter of consent
from the mother in home country.

However, as I am under the assumption that we would only be able to proceed with the
termination once we appealed to the court to obtain the judicial bypass because the
mother would not be able to attend the

abortion procedure.

As the clinician has stated below, that the client does not feel comfortable informing her
family, and would like to appeal. Please let me know if there are any questions.

Thank you,
l(b)(6)

Case Manager
Southwest Key Program - Kokopelli
pswkey.org
Fax: 480-452-0603
Phone: ~I
Cb_)C6_l ___

FromL..J
(b..;..
)('--'
6)______

~

_.

EXT-18-241-N-000291

 003926

Sent: Tuesday , January 31, 2017 9:54 AM
To: ICb)(6)
l@swkey.org >; Meyerstein, Shaanan (ACF)
<Shaanan.Meyerstein@acf.hhs.gov >; Calero, Wilfred (ACF)
<Wilfred. Calero@acf.hhs.gov >
Cc: fLb:...:..
)(6..:....
) __________

__Jr}
_..s~w~k~ec...;.y~.o~rg
>

Subject: Re: Arizona Laws regarding abortion

The client continues to not want to inform any family members, her parents nor
her Sponsor

She wants to appeal the Judge's decision, I have emailed the lawyers assigned to
her and have not heard back.

My concern is the timeliness of this issue

~fbl_(6_)

----~

rvtC, LPC

Clinician office 501

Program 921: Kokopelli

Phone: 480-500-1076 Extension~

Email:
t~b_)(6_) ---~

l§>swkey.org

EXT-18-241-N-000292

 003927

Regular Work Schedule: Tuesday -- Saturday, 8am-4pm

Fromf....
b_)(6_) ____

___,

Sent: Tuesday , January 31, 2017 9:52:01 AM
To: Meyer stein, Shaanan (ACF); Calero, Wilfred (ACF)
Cc: ....
tb_)(6
_) ____________

____.

Subject: RE : Arizona Law s regarding abortion

Good morning!

I have copied her case manager and clinician to this email.
They may be better able to answer this question for you.

Thanks

©

EXT-18-241-N-000293

 003928

l(b)(6 )

Lead Medical Coordinator
Southwest Key Programs

Casa Kokopelli #921

:□
F: (480) 393-8104

fb)(6)

f@swkey .org

CONFIDENTIALITY NOTICE: This ema il, including attachments, is for t he so le use of the in t ended recipien t (s) and

may contain confidential and privileged information covered by the Electronic
Communications Privacy Act, 18 U.S .C. 2510-2521. Any unauthorized review, use,
or disclosure or distribution is proh ibited. If you are not the intended recipient,
please contact
the sender immediately and destroy all copies of the original message.

From: Meyerstein, Shaanan (ACF) (mailto :Shaanan.Meyerstein@acf .hhs.gov]

Sent: Monday , January 30, 2017 4:22 PM
To: $bJ(6l
(@swkey.org> ; Ca lero, Wilfred (ACF)
<Wilfred.Calero @acf.hhs.gov>
Subj ect : RE: Arizona Laws regarding abortion

l(b)(6lland Wilfred,
Since the judge denied the judicial bypass, did the minor speak with her parents about her
pregnancy over the weekend? Did the parents consent?

EXT-18-241-N-000294

 003929

Thanks,

Shaanan Meyerstein,

MD, MPH, FAAP

LCDR, US Public Health Service
Medical Officer - Unaccompanied

Children's Program

Office of Refugee Resettlement
Administration
U.S. Department

for Children and Families
of Health and Human Services

(202) 401-4639 (office)
tb )(6)

l(cell)

Shaanan.meyerstein@acf.hhs.gov

From:

cl
<b~
)(6:.:_
)_________

__r
~=
sw
""'k..:.::
e:.L
y-=-=
.o~rq .l

Sent: Monday , January 23, 2017 12:27 PM
To: Meyerstein , Shaanan (ACF)
Subject: Arizona Law s regarding abortio n

EXT-18-241-N-000295

 003930

AZ Laws regarding Abortion :

Arizona law requires that women under 18 years old seeking an abortion must either have
the

notarized written permission of one of their parents/legal guardian or permission
from a Superior Court Judge.

Ensuring Adequate Consent
• Parental Consent (A.R.5. § 36-2152)- Requires parental consent for minors seeking
abortions but allows for judicial bypass. Requires the parental consent to be obtained on a
form to ensure that parents are informed of all of the medical

risks of abortion before giving consent . Require s parental consent to be notarized.
Allows par ents to sue (I) an abortion provider who p erforms an abortion on their
minor daughter without parental consent or (2) any person who assists a minor in
obtaining
an abortion withou t parental consent.
• Informed Consent (A.R.5. § 36-2153) - Information must be provided 24 hours in advance
to a woman seeking an abortion about the risks and alternatives of the procedure, the
probable gestational age and physiological characteristics

of the preborn child, and the services available from public and private agencies to
assist during pregnancy and after birth. Requires that the information is provided at
an in-person consultation with a doctor. Allows a woman to file a lawsuit against
an
abortion provider who fails to obtain informed consent. Requires the Department of
Health Services to create and maintain a website providing unbiased information
about fetal development, the risks of abortion, and information about alternatives to
abortion.
• Informed Consent for Lethal Condition (A.R.5. § 36-2158) - When a woman discovers that
her child may have a life-threatening birth defect or other fetal condition, information must
be provided 24 hours in advance about the support that

is available to her, including perinatal hospice . Requires the Department of Health
Services to create and maintain a website providing unbiased information about
p erinata l hospice and assistance available for children with special needs.
• Opportunity to View Ultrasound (A.R.5. § 36-2156) - Requires an ultrasound to be
performed at least 24 hours before every abortion, and a woman seeking abortion must be
offered the opportunity to view the ultrasound and hear the baby's

heartbeat, if audible .

EXT-18-241-N-000296

 003931

• Coercion Prohibited (A.R.S. § 36-2153) - Prohibits a person from intimidating or coercing
another person into having an abortion and allows minors to obtain public assistance
benefits if parents cut off financial support because the

minor refi,ses to have an abortion. Requires that all abortion clinics conspicuously
post signs that state it is unlawful for any person to intimidate or coerce another
person into having an abortion.
•Foster Parents (A.R.S. § 8-514.05) - Foster parents may not consent to abortion for a
foster child.
• Fiduciaries (Arizona Code of Jud.

Admin. § 7-202) - Fiduciaries may not consent to abortion for a ward without a
court order.

- See more at:

https://www .planned parenthood. org/p lanned-parenthood-arizona/ online-healthcenter /minors-and-abortion-law#sthash. lWOGvCcD. dpuf

~(b)(6)

Lead Medical Coordinator
Southwest Key Programs

Casa Kokopelli #921
D:Db)(6)

C:
F: (480) 393-8104
J(b)(6)

p2swkey.org

CONFIDENTIALITY NOTICE: This ema il, including attachments , is for t he sole use of th e in t ended recipient(s) and

may contain confidential and privileged information covered by the Electronic
Communications Privacy Act, 18 U.S .C. 2510 -2521. Any unauthorized review, use,
or disclosure or distribution is prohibited. If you are not the intended recipien t,
please contact
the sender immediately and destroy all copies of the origina l message .

EXT-18-241-N-000297

 003932

Sender:
Recipient :

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,
WIL>
(b)(6)
l:llswkey.org>";
"Erika Rivero <Erika.Rivero@l(b)(6 lcom>"

Sent Date : 2017/02/06 12:46:23
From:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8
E-CALERO,WIL>

"Houppert (Ruhkamp), Gail (ACF) </o =Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/cn=4d88928c06a84498a966d9352f344094-Ruh
kamp, Ga>";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To:
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d
119ab4cd6a77b34616dc3366c-De LA Cruz,>";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,>"
Subject: Re: Termination of Pregnancy request
Date: 2017/02/06 10:56:02
Priority: Normal
Type: Note

b)(6)

EXT-18-241-N-000298

 003933

From: Houppert (Ruhkamp ), Gail (ACF)

Sent: Monday, February 6, 2017 10:52:09 AM
To: Calero, Wilfred (ACF); De LA Cruz, Jame s (ACF); Velazquez, Ivonne (ACF)
Subject: RE: Terminat ion of Pregnancy request

I can get this home study expedited if I have the A#.

Thanks,
Gail

Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement

330 D Street SW, Mai lro om 5123
Washington, DC 20201
Gail.Houppert@acf.hhs.gov
Office: 202-401-9324
Cell: ""!{b"""}(6=}
__

___,

From: Calero, Wilfred (ACF)

EXT-18-241-N-000299

 003934

Sent: Monday, February 06, 2017 10:46 AM
To: De LA Cruz, James (ACF); Velazquez , Ivonne (ACF)
Cc: Houppert (Ruhkamp ), Gail (ACF)
Subject: Re: Terminat ion of Pregnancy r~uest

Will work on the need to expedite today.

Will Calero

From: De LA Cruz, James (ACF)

Sent: Monday, February 6, 2017 10:40:45 AM
To: Calero, Wilfred (ACF); Velazquez , Ivonne (ACF)
Cc: Houppert (Ruhkamp), Gail (ACF)
Subject: Fw: Termination of Pregnancy request

Wifred and Gail,

EXT-18-241-N-000300

 003935

Can we please exped ite HS for this case .

Jsd

From: Calero, Wilfred (ACF)

Sent: Wednesday, February 1, 2017 7:10:07 PM
Tof bl(6l
IMeyerstein, Shaanan (ACF); Keila Alvarad g bl(5l
!(b)(6)
I; De LA Cruz, James (ACF) } bl(6l
I
b)(6)
Bartholomew , Michael
(ACF); Kim, Curi (ACF); De LA Cruz, Ja mes (ACF); DCS - UAC Med ical; Houppert
(Ruhkamp ), Gail (ACF)

Subject: RE: Termin ation of Pregnancy request

Just to clarify she does not have a 3 rd grade education. She indicated to me that she almost completed
her third level of school, which was confused with third grade. She actually completed ~ ears

6l
of school which wou ld have been thel<bl(

I

Wilfred Calero

EXT-18-241-N-000301

 003936

Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

CJ
wilfred.calero@acf.hhs.gov

From: .,_!
(b.....
)(6....,_
) _____________

__.
lq)
=sw""'k"'"'e
....
v=.o:.:....;,.
rgl

Sent: Wednesday, February 01, 2017 5:06 PM
To: Meyerstein , Shaanan (ACF); Keila Alvarado;
Wilfred (ACF); De LA Cruz, James (ACF); (b)(6l

b)(6)

Calero,

(b)(6)

Michael (ACF); Kim , Curi (ACF); De LA Cruz , James (ACF); DCS - UAC Medical; Houppert
(Ruhkamp ), Gail (ACF)
Subject: Re: Termination of Pregnancy re uest

Hello Team

From my experience working with this UC, I am NOT feeling that she has developmental delays

She was nervous in court and felt intimidated, this may the reason for her lack or articulation
with the judge

EXT-18-241-N-000302

 003937

Also, keep in mind she has only a 3rd grade education

I am feeling that it is these two reasons that she is struggling to articulate , not a development
delay

I am not a psychologist so I wouldn't object to psycho logica l testing to make the determination

._l
(b_)(6_) ___

___,I
MC, LPC

Clinician office 50I

Program 921: Kokopelli

Phone: 480-500-1076 Extension ~

Email:

@swkey.org

Regular Work Schedule: Tuesday - Saturday, Bam-4pm

EXT-18-241-N-000303

 003938

From: Meyerstein, Shaanan (ACF) <Shaanan.Meyerstein@acf.hhs .gov>

Sent: Wednesday, February 1, 2017 11:33:51 AM
To: Keila Alvarado· b)(6)
Calero , Wilfred
....,,,
__ ....,....,...
-=-==.,.,,...,.=c---------------____.-------,
(ACF); De LA Cruz, James (ACF); (b)(6)
Bartholomew, Michael
b)(6)
(ACF); Kim , Curi (ACF); De LA Cruz, James (ACF); DCS Medica l; Houppert (Ruhkamp) , Gai l
(ACF)
Subject: Terminat ion of Pregnancy request

Good afternoon,

We will be cancelling the conference call for this afternoon . After a conversation with Jim De La Cruz as
to the best way forward with this case we have decided the following:

1)
The judge called into question this minor's capacity for medical decision making and the field
staff and shelter staff have noted that she is "delayed". As I have done in prior complex cases
that involve a serious medical
procedure, we are request ing that this minor unde rgo formal evaluation by a psyc hologist to
assess her mental capacity in the next few days. If it is determined that she is significantly
delayed and with cognitive impairment , that will raise the issue whether
or not we can overr ide her legal right to confident iality in not disclosing to her parent s and
getting parenta l consent for termination about her pregnancy as it will put her life in danger for
vanous reasons
2)

The sponsor needs to have an expedited in depth home study for a number of reasons - 1) the
possibility that his younger sister has a developmental delay and she will require more support
than he might be able to provide;
2) the possibility that he would have to care for her ifwe were to release her being pregnant if
she agrees to disclose her pregnancy to him; 3) to ensure the minor' s safety with the brother;

EXT-18-241-N-000304

 003939

I have cc'd Gail Houppert who directs the Home studies and PRSto ensure that this home study
is expedited given the time sensitivity with this young lady advancing in her pregnancy

3)

I am requesting that the FFS identify a possible OB practice in the sponsor's community in
advance in the event that we come to the conclusion that we will discharge this young lady
4)

The shelter staff and case management staff should continue to work with the minor to help
understand her situation and the importance of disclosing her medical condition to her parents or
brother.

I would like to raise one additional curveball, that if she is discharged to her brother and was
willing to disclose her pregnancy to her brother but not her parents, that in some states (I don't
know

the laws in Florida) that still would not suffice for con sent.

I think it is important that we set a firm deadline for ourselves to have these tasks accomplished given
the fact that she is 13 weeks pregnant and state laws limit procedures passed a certain gestational age.

Please respond with updates to the FFS Wi lfred Calero on all of these matter s by 2/10. The
Medical Team will be happy to consult once we have a more comp lete picture of the situation.

Thank you for your time and help on this case.

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services

EXT-18-241-N-000305

 003940

(202) 401-4639 (office)
~j
<b_)(6_) __

~

l(cell)

Shaanan.meyerste in@ acf.hhs.gov

From: Meyerste in, Shaanan (ACF)

Sent : Wednesday , February 01, 2017 9:12 AM
To: Keila Alvarado
Cc:

Calero , Wilfred (ACF); De LA

b)(6)

i<b)(6)

(ACF); De LA Cruz, James (ACF);

~ artholomew, Michael (ACF); Kim, Curi
CS - UAC Medica l

Subject: RE: Arizona Laws regarding abort ion

4pm EST/2 pm MTN works. Keila can you set up a conference call line please?
Please reply to Keila if you will be on the call and what your role is in the case is since there are so many
staff members included on this email.

Thanks,

EXT-18-241-N-000306

 003941

Shaanan Meyerstein, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services

(202) 401 -4639 (office)
Kb___
._
)(6___
) ___

__,!
(cell)

Shaanan.meyerstein@acf.hhs.gov

From: Keila Alvarado [ mailto:kalvarado@swkey.org 1

Sent : Tuesday , January 31, 2017 9:32 PM

To: Meyerstein, Shaanan (ACF)
Cc: (b)(6)
Cmz , James (ACF);
b)(6 )

~--------------'
(ACF)

Calero , Wilfred (ACF); De LA
(b)(6)

Bartholomew , Michael (ACF) ; Kim, Curi

Subject: Re: Arizona Laws regarding abortion

EXT-18-241-N-000307

 003942

Hello Dr. Meyerstein, I propose 1 pm EST(11 am MTN) or 4 pm EST(2 pm MTN) . I hope the times
proposed work for all.

Thank you,

Keila Alvarado, LLM

Program Director

Southwest Key Programs-Kokopelli 921

Kb)(6)

Sent from my iPhone

On Jan 31, 2017, at 6:45 PM, Meyerstein , Shaanan (ACF)
<Shaanan.Meyerstein@acf.hhs.gov >wrote :

This case is very complex, far beyond email exchanges.
Can we please schedule a conference call to discuss this minor's case tom?
After 1pm EST?

EXT-18-241-N-000308

 003943

Shaanan Meyerstein, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration

for Children and Families

U.S. Department of Health and Human Services
(202) 401 -4639 (office)

_..l (cell)

Q
,_
Cb_)(6_) __

Shaanan.meyerstein@acf.hhs.gov

From:

..f"
@~s~w_k~eY~·~o_rg
l

!L.
(b__
)(B
_) ____________

Sent: Tuesday , Janu ary 31, 20 17 6:17 PM
To: Meye rstein, Shaanan (ACF);
Wilfred (ACF)

~k
b~
)(6~) ____________

~I Calero,

Cc: kb)(6)
~tb_)C6_l ___________

Keila Alvarado

....,.,I

Subject: RE: Arizona Laws regarding abortion

EXT-18-241-N-000309

 003944

Good Afternoon Shaanan,

The sponsor is the brother, ~ years of age, resides in Florida. If the minor was indeed
medically stable for discharge, we could of course discharge the minor to the sponsor.
However, the sponsor would still

be unaware of the client being pregnant from being sexually assaulted , and wanting
an abortion. Therefore , the sponsor would not be prepared for the release of the
minor, and possib le withdrawal from being a sponsor. Further assessment is still
needed at this
time to ensure a safe release of the minor.

Please let me know if you have any questions .

Thank you,

l(b )(6)

Case Manager
Southwest Key Program - Kokopelli
~ swkey.org

l(b )(6)

Fax: 480-452-0603

l.....

Phone: <b_J(6
_l ___

___.

From: Meyerstein, Shaanan (ACF) [mailto :Shaanan.Meyerstein@acf.hhs .gov]

Sent: Tuesday, January 31, 2017 2:40 PM
To:

tuswkey.org > ; fbl(6)

!(b )(6)

@swkey.org > ; l<b)(6)

@swkey.org >;

EXT-18-241-N-000310

 003945

Ca lero, Wilfred (ACF) <Wilfred.Calero@acf.hhs.gov>

Cc: (bl(6l
1 b)(6)
b)(6)
b)(6)

.or> ;
o <kal varado@swkey.o rg>

Subject : RE : Arizona Laws regarding abortion

To be clear - if I told you that the minor was medically stable for discharge, then she could
be discharged to her sponsor?
Who is the sponsor and where do they reside?

Shaanan Meyerste in, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services

(202) 401-4639 (office)
k~
b~)(6~) ---~'

cell)

Shaanan.meyerstein@acf.hhs.gov

EXT-18-241-N-000311

 003946

_@~sw~ke=--y~.o=r-=q
l

From : "'"l
(b__
)(-6)_____________

Sent: Tuesday, January 31, 20 17 1:03 PM
To: Meyerste in, Shaanan (ACF); f~b-)(6_) ____________
Wilfred (ACF)

~ r=alero,

Cc: fb )(6)
rb_)(6_) ___________
....

_.IKeila Alvarado

Subject: RE: Arizona Laws regarding abortion

Good Morning Shaanan,

The law confirms the gestational age in Arizona below:
Prohibiting Abortions Past 20 Weeks of Pregnancy (A.R.S. § 36-2159) - Prohibits abortions
past 20 weeks gestation, except in the case of a medical emergency. t

The sponsor for this minor is in Florida, and the status of reunification is pending the
medical condition of the client. All other documentation has been provided by the sponsor
for reunification.

Thank you,

EXT-18-241-N-000312

 003947

Case Manager
Southwest Key Program - Kokopelli
l@swkey.org

~b)(6)

Fax: 480-452-0603
Phone :~j<b_l<6_l ___

~

From: Meyerstein, Shaanan (ACF) [mailt o:Shaanan.Meyerst ein@acf .hhs.gov]

Sent: Tue sday, January 31, 2017 10:58 AM
To:

b)(6)

l@swkey.org> ; .._
<b_l<_6l________
Calero, Wilfred (ACF ) <Wilfred.Calero@acf.hhs.gov>
fb )(6)

_.. ~~'-'--'-=

Cc: (b)(6)
(b)(6)
b)(6)
b)(6)

Subject: RE : Arizona Law s regarding abortion

Can someone please confirm Gestational Age in Arizona when abortion is legal for
whatever circumstance?
Where is the sponsor for this minor and what is the status of reunification?

EXT-18-241-N-000313

 003948

Shaanan Meyerstein, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration

for Children and Families

U.S. Department of Health and Human Services
(202) 401-4639 (office)
~~
(b_)C6_)

--~l

(cell)

Shaanan.meyerstein@acf.hhs

From:

.gov

"""s
~
"""
w""'k=e"""y"""
.o~rq l

li.:..
(b-'-'
)( 6
....:.
) _____________

Sent: Tuesday, Ja nuary 31, 20 17 12:46 PM
To: k=b=H6""'l_____________
Wilfred (ACF)

__.lMeyerstein, Shaanan (ACF); Calero,

Cc: ICb)(6)
~I
Cb_)(6_l __________

~I Ke 1la A lvara do

Subject : RE : Arizona Laws regarding abort ion

Good Morning!

EXT-18-241-N-000314

 003949

As previously staffed with our leadership, it was determined that the notarized letter from
the parents would not be sufficient for the termination to take place. The client may be
open to speaking with her mother

if we were able to obtain permission to proceed with the notari zed letter of consent
from the mother in home country.

However, as I am under the assumption that we would only be able to proceed with the
termination once we appealed to the court to obtain the judicial bypass because the
mother would not be able to attend the

abortion procedure.

As the clinician has stated below, that the client does not feel comfortable informing her
family, and would like to appeal. Please let me know if there are any questions .

Thank you,

Case Manager
Southwest Key Program - Kokopelli
~ swkey.org
Fax: 480 -452-0603

Phone: f~b_
lC6_l ____

From: ....
1(b_l(_
6______
l

~

~

Sent: Tuesday , January 31, 20 17 9:54 AM

EXT-18-241-N-000315

 003950

To: Jb )(6)
@swkey.org>; Meyerstein , Shaanan (ACF)
< Shaanan.Meyerstein@acf.hhs.gov >; Calero , Wilfred (ACF)
<Wilfred.Calero@acf.hhs.gov >
@swkey.org>

Cc: l(b)(6)

Subject : Re : Arizon a Law s regarding abortion

The client continues to not want to inform any family members , her parents nor
her Sponsor

She wants to appeal the Judge's decision , I have emai led the lawyers assigned to
her and have not heard back.

My concern is the ti meliness of th is issue

.._!
(b....
)(6....;,
)_____

_.IMC, LPC

Clinician office 501

Program 921: Kokopelli

Phone: 480-500-1076 Extension~

Email:
l<b_)(6_) ___
.....

_,~ swkev.org

EXT-18-241-N-000316

 003951

Regular Work Schedule: Tuesday-- Saturday, Bam-4pm

From :fb
...._)<6
_>____

__,

Sent: Tuesday, January 31, 2017 9:52:01 AM
To : Meyerstein, Shaanan (ACF); Calero , Wilfred (ACF)
Ccfb )(6)

Subject: RE: Arizona Laws regarding abortion

Good morning!

I have copied her case manager and clinician to this email.
They may be better able to answer this question for you.

Thanks
©

EXT-18-241-N-000317

 003952

~(b)(6)

Lead Medical Coordinator
Southwest Key Programs

Casa Kokopelli #921
D:Db)(6)

C:
F: (480) 393-8104
kb)(6)

pswkey .org

CONFIDENTIALITY NOTICE: Thi s emai l, inclu ding attachments, is for the sole use of the inte nded recipient(s) and

may contain confidential and privileged information covered by the Electronic
Communications Privacy Act , 18 U.S.C. 2510-2521. Any unauthorized review, use,
or disclosure or distribution is prohibited. If you are not the intended recipient ,
please contact
the sender immediately and destroy all copies of the orig inal message .

From: Meyerstein, Shaanan (ACF) fmailto :Shaanan.Meyerstein@acf.hhs .gov]

Sent: Monday , January 30, 2017 4:22 PM
To:l

(b)(6)

@swkey.org >; Calero , Wilfred (ACF)

<Wilfr ed. Calero@acf.hhs.gov>

Subject: RE: Arizona Law s regarding abort ion

l(b)(6)

Ind Wilfred,

Since the judge denied the judicial bypass, did the minor speak with her parents about her
pregnancy over the weekend? Did the parents consent?

EXT-18-241-N-000318

 003953

Thanks,

Shaanan Meyerstein, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration

for Children and Families

U.S. Department of Health and Human Services
(202) 401 -4639 (office)
i<b)(6)

I(cell)

Shaanan.meyerstein@acf.hhs.gov

From : L.f
b_)(6_) _________

_

~=sw
~ k=e"""
y~.o'-'--"
rg.l

Sent: Monday , January 23, 2017 12:27 PM
To: Meye rstein, Shaanan (ACF)
Subject: Arizona Laws regarding abortion

EXT-18-241-N-000319

 003954

AZ Laws regarding Abortion :

Arizona law requires that women under 18 years old seeking an abortion must either have
the

notarized written permission of one of their parents/legal guardian or permission
from a Superior Court Judge.

Ensuring Adequate Consent
• Parental Consent {A.R.5. § 36-2152) - Requires parental consent for minors seeking
abortions but allows for judicial bypass. Requires the parental consent to be obtained on a
form to ensure that parents are informed of all of the medical

risks of abortion before giving consent . Requires parental consent to be notarized.
Allows parents to sue(]) an abortion provider who performs an abortion on their
minor daughter without parental consent or (2) any person who assists a minor in
obtaining
an abortion without parental consent.
• Informed Consent {A.R.5. § 36-2153) - Information must be provided 24 hours in advance
to a woman seeking an abortion about the risks and alternatives of the procedure, the
probable gestational age and physiological characteristics

of the preborn child, and the services available from public and private agencies to
assist during pregnancy and after birth. Requires that the information is provided at
an in-person consultation with a doctor. Allows a woman to file a lawsuit against
an
abortion provider who fails to obtain informed consent. Requires the Department of
Health Services to create and maintain a website providing unbiased information
about fetal development, the risks of abortion, and information about alternatives to
abortion.
• Informed Consent for Lethal Condition {A.R.5. § 36-2158) - When a woman discovers that
her child may have a life-threatening birth defect or other fetal condition, information must
be provided 24 hours in advance about the support that

is available to her, including perinatal hospice . Requires the Department of Health
Services to create and maintain a website providing unbiased information about
perinatal hospice and assistance available for children with special needs.
• Opportunity to View Ultrasound (A.R.5. § 36-2156) - Requires an ultrasound to be
performed at least 24 hours before every abortion, and a woman seeking abortion must be
offered the opportunity to view the ultrasound and hear the baby's

heartbeat, if audible.
• Coercion Prohibited {A.R.5. § 36-2153) - Prohibits a person from intimidating or coercing
another person into having an abortion and allows minors to obtain public assistance
benefits if parents cut off financial support because the

EXT-18-241-N-000320

 003955

minor refuses to have an abortion. Requires that all abortion clinics conspicuously
post signs that state it is unlawful for any person to intimidate or coerce another
person into having an abortion.
• Foster Parents (A.R.5. § 8-514.05) - Foster parents may not consent to abortion for a
foster child.
• Fiduciaries (Arizona Code of Jud.

Adm in. § 7-202) - Fiduciaries may not consent to abortion for a ward without a
court order .

- See more at:

https://www.plannedparenthood.org /planned-parenthood-arizona/online-healthcenter/minors-and-abortion-law#sthash.lWOGvCcD.dpuf

Lead Medical Coordinator
Southwest Key Programs

Casa Kokope lli #921

:C]
F: (480) 393-8104
t b)(6)

~swkey .org

CONFIDENTIALITY NOTICE: This ema il, including attachments, is for th e sole use of the int ended recipien t( s) and

may co ntain confide ntial and privileged information covered by the Electronic
Communicat ions Privacy Act, 18 U.S .C. 2510-2521. Any unauthorized review , use,
or disclosure or distribution is prohibited. If you are not the intended recipient,
please contact
the sende r immed iately and destroy all copies of the original message .

EXT-18-241-N-000321

 003956

Sender:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE ADMINISTRATIVE GROUP
(FYDIBOHF23SPDLT)/C N= RECIPIENTS/CN = 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,WIL>

"Hou ppert (Ruhkamp), Gail (ACF) </o=Exchangelabs/ou=Exchange
Adminis t rat ive Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=4d88928c06a84498a966d9352f344094-Ruhkamp,
Ga> ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange
Administ rat ive Group
Recipient :
(FYDIBOHF23SPDLT)/cn=Recipients/cn= 2eba9Sdl 19ab4cd6a77b34616dc3366c-De LA Cruz,>";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange
Adm inistrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,>"

Sent Date: 2017/02/06 10:56:00
Delivered Date: 2017/02/06 10:56:02

From:

Houppert (Ruhkamp), Gail (ACF) </O = EXCHANGELABS/OU= EXCHANGEADMI NISTRATIVE GROUP
( FYDIBOHF23SPDLT)/C N= RECIPIENTS/CN =4D88928C06A84498A966D9352F344094 - RUHKAMP, GA>

"Calero, Wilfred (ACF) </o = Exchangelabs/ou = Exchange Adm inist rat ive Group
(FYDIBOHF23SPDLT)/cn= Recipients/en= 7fcd lfabef934452bff7378f6365fa8e-Calero,
Wil> ";
"De LA Cruz, James (ACF) </o=Exchan gelabs/ou=Exchange Administrat ive Group
To:
(FYDIBOHF23SPDLT)/cn=Recipients/cn= 2eba95d119ab4cd6a77b34616dc3366c-De LA Cruz,>";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou = Exchange Administ rative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,>"

Subject: RE: Termination of Pregnancy request
Date: 2017/02/06 12:4 1:06
Priority: Urgent
Type: Note

Good Afternoon,
This minor is not listed on the home study referral list so cannot be accepted as a provider. Please go
into the portal to make sure the home study request has been done properly and is listed on the
pending home study referral list. Not currently there. If you have problems please contact the UAC
Portal helpdesk. Please let me know when the referral is posted to the list and I will get it expedited.
Thank you,
Gail
Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mailroom 5123
Washington, DC 20201

EXT-18-241-N-000322

 003957

Gail.Houppert@acf.hhs.gov
Office: 202-401-9324
I
Cell: !{b}{6}

From : Calero, Wilfred (ACF)
Sent: Monday, February 06, 2017 10:56 AM
To : Houppert (Ruhkamp), Gail (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: Re: Termination of Pregnancy request

l(b)(6)

From : Houppert (Ruhkamp), Gail (ACF)
Sent: Monday, February 6, 2017 10:52 :09 AM
To: Calero, Wilfred (ACF); De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE:Termination of Pregnancy request

I can get this home study expedited if I have the A#.
Thanks,
Gail
Gail Houppert
Project Officer
Division of Children Services
Office of Refugee and Resettlement
330 D Street SW, Mailroom 5123
Washington, DC 20201
Gail.Houppert@acf.hhs.gov
Office: 202-401-9324
I
Cell: !{b}{6}

From: Calero, Wilfred (ACF)
Sent: Monday, February 06, 2017 10:46 AM
To : De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Cc: Houppert (Ruhkamp ), Gail (ACF)
Subject: Re: Termination of Pregnancy request
Will work on the need to expedite today.

Will Calero
From: De LA Cruz, James (ACF)
Sent : Monday, February 6, 2017 10:40:45 AM
To: Calero, Wilfred (ACF); Velazquez, Ivonne (ACF)

EXT-18-241-N-000323

 003958

Cc: Houppert (Ruhkamp), Gail (ACF)
Subject: Fw: Termination of Pregnancy request

Wifred and Gail,
Can we please expedite HS for this case.
Jsd
From : Calero, Wilfred (ACF)
Sent: Wednesday, February 1, 20 17 7:10:07 PM
To : kb)(6)
I Meyerstein Shaanan ACF · Keila Alvarado· b)(6)

!(b)(6)
pe LA Cruz, James (ACF); b)(6)
b)(6)
artholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz, James
(ACF); DCS- UAC Medica l; Houppert (Ruhkamp), Gail (ACF)
Subject: RE:Termination of Pregnancy request
Just to clarify she does not have a 3rd grade education. She indicated to me that she almost completed
her third level of school, which was confused with third grade. She actually completed ~ ears of school
which would have been the l(b)(5)

I

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement
r b)(6)

wilfred.ca lero@acf .hhs.gov

From:l(b)(6l
pswkey.orgl
Sent : Wednesday, February 01, 2017 5:06 PM
To: Meyerstein, Shaanan (ACF); Keila Alvarado; -(b-)(-6)----------~
(ACF); De LA Cruz, James (ACF); b)(6)
bl(6l
a o omew, 1c ae
James (ACF); DCS - UAC Medical; Houppert (Ruhkamp), Gail (ACF)
Subject: Re: Terminat ion of Pregnancy request

Calero, Wilfred
ruz,

Hello Team
From my experience working with this UC , I am NOT feeling that she has developmental delays
She was nervo us in court and felt intimidated , this may the reason for her lack or articulation
with the judge
Also, keep in mind she has only a 3rd grade education

EXT-18-241-N-000324

 003959

I am feeling that it is these two reasons that she is struggling to articulate, not a development
delay
I am not a psychologist so I wouldn't object to psycho logical testing to make the detennination
l<b)(6)

IM C, LPC

Clinician office 50I
Program 921: Kokopelli
Phone: 480-500-1076 Extension ~
tg>swkey.org
Email: f b)(6)
Regular Work Schedule: Tuesday -- Saturday, 8am-4pm

From : Meyerstein , Shaanan (ACF) <Shaanan.M eyerstein @acf.hh s.gov>
Sent : Wednesday, February 1, 2017 11:33 :51 AM
To : Keila Alvarado; (b)(6)

LA Cruz, James (ACF
~;=

~----------------->------------,

(b)(6)

alero, Wi lfred (ACF); De
ruz, ames

Subject : Termination of Pregnancy request

Good afternoon,
We will be cancelling the conference call for this afternoon. After a conversation with Jim De La Cruz as
to the best way forward with this case we have decided the following:
1)

The judge called into question this minor's capacity for medical decision making and the field
staff and shelter staff have noted that she is "delayed". As I have done in prior complex cases
that involve a serious medical procedure, we are requesting that this minor undergo formal
evaluation by a psychologist to assess her menta l capacity in the next few days. If it is
determined that she is significantly delayed and with cognitive impairment, that will raise the
issue whether or not we can override her legal right to confidentiality in not disclosing to her
parents and getting parental consent for termination about her pregnancy as it will put her life
in danger for various reasons
2) The sponsor needs to have an expedited in depth home study for a number of reasons - 1) the
possibility that his younger sister has a developmenta l delay and she will require more support
than he might be able to provide; 2) the possibility that he wou ld have to care for her if we were
to release her being pregnant if she agrees to disclose her pregnancy to him ; 3) to ensure the
minor ' s safety with the brother;
I have cc'd Gail Houppert who directs the Home studies and PRSto ensure that this home study
is expedited given the time sensitivity with this young lady advancing in her pregnancy
3) I am requesting that the FFSidentify a possible OB practice in the sponsor's community in
advance in the event that we come to the conclusion that we will discharge this young lady
4) The shelter staff and case management staff should continue to work with the minor to help
understand her situation and the importance of disclosing her medical condition to her parents
or brother.

EXT-18-241-N-000325

 003960

I would like to raise one additional curveball , that if she is discharged to her brother and was
willing to disclose her pregnancy to her brother but not her parents, that in some states (I don't
know the laws in Florida) that still would not suffice for consent .
I think it is important that we set a firm deadline for ourselves to have these tasks accomplished given
the fact that she is 13 weeks pregnant and state laws limit procedures passed a certain gestational age.
Please respond with updates to the FFSWilfred Calero on all of these matters by 2/10. The Medical
Team will be happy to consult once we have a more complete picture of the situation.

Thank you for your time and help on this case.

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
~b)(6)
!cell)
Shaanan.meyerste in@acf.hhs.gov

From: Meyerstein, Shaanan (ACF)
Sent: Wednesday, February 01, 2017 9:12 AM
To : Keila Alvarado
Cc (b)(6)
b)(6)
Calero Wilfred ACF · De LA Cruz James
(ACF); (b)(B)
Bartholomew, Michael (ACF); Kim, Curi (ACF); De LA Cruz, James (ACF); DCS - UAC
(b)(6)
Medical
Subject : RE: Arizona Laws regarding abortion
4pm EST/2 pm MTN works. Keila can you set up a conference call line please?
Please reply to Keila if you will be on the call and what your role is in the case is since there are so many
staff members included on this email.
Thanks,
Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services

EXT-18-241-N-000326

 003961

(202) 401-4639 (office)
€b)(6)
!(cell)
Shaanan.meyerstein@acf.hhs.gov

From: Keila Alvarado [ mailto:kalvarado@swkey.org 1
Sent: Tuesday, January 31, 2017 9:32 PM
To : Meyerstein, Shaanan (ACF)
Cc: (b)(6)
(ACF); b)(6)
art o omew, 1c ae
; 1m,
b)(6)
Subject : Re: Arizona Laws regarding abortion

Calero, Wilfred (ACF); De LA Cruz, James

Hello Dr. Meyerstein, I propose 1 pm EST(11 am MTN) or 4 pm EST(2 pm MTN). I hope the times
proposed work for all.
Thank you,
Keila Alvarado, LLM
Program Director
Southwest Key Programs-Kokopelli 921
l(b)(6)

I

Sent from my iPhone
On Jan 31, 2017, at 6:45 PM, Meyerstein, Shaanan (ACF) <Shaanan.Meyerstein@acf.hhs.gov >wrote:
This case is very complex, far beyond email exchanges.
Can we please schedule a conference call to discuss this minor's case tom?
After 1pm EST?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR, US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
{202) 401-4639 (office)
l<b )(6 )
l(cell)
Shaanan.meyerstein@acf.hhs.gov

From: lu<::b:.!.a
)(:::..!.6
)____________
Sent: Tuesday, January 31, 2017 6:17 PM
To : Meyerstein, Shaanan (ACF); -!(b-)(6-)----------~t
(ACF)
Cc :""'
(b.,...,
)(6=
)--------------------------~

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@
=s=w""'k=e::.,.
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Calero, Wilfred

EXT-18-241-N-000327

 003962

fb)(6)

Keila Alvarado

Subject: RE: Arizona Laws regarding abortion
Good Afternoon Shaanan,
The sponsor is the brother, l~b)(6vears of age, resides in Florida. If the minor was indeed
medically stable for discharge, we could of course discharge the minor to the sponsor.
However, the sponsor would still be unaware of the client being pregnant from being
sexually assaulted, and wanting an abortion. Therefore, the sponsor would not be
prepared for the release of the minor, and possible withdrawal from being a sponsor.
Further assessment is still needed at this time to ensure a safe release of the minor.
Please let me know if you have any questions.
Thank you,
l(b)(6)

Case Manager
Southwest Key Program - Kokopelli
fbl(6l
pswkey.org
Fax: 480-452-0603
Phone: 480-500-1894
From: Meyerstein, Shaanan (ACF) [ma ilto :Shaanan.Meyerstein@acf .hhs.gov1
Sent: Tuesday, January 31, 2017 2:40 PM
To : l(b)(6)

l@swkey.org >;Kb)(6)

Cc:Kb)(6l

(b)(6)

1-'----':c..:..:..:=c.:..::c..:_c

l@swkey.org >; b)(6)
k alderon@swkey .0
1r-_g_>_; "'b..,..,
)("6)
",---i

b)(6)

swke .or >; Keila Alvarado <kalvarado@swkey.org >
Subject: RE:Arizona Laws regard ing abortion

I

l(b)(6)
To be clear - if I told you that the minor was medically stable for discharge, then she could
be discharged to her sponsor?
Who is the sponsor and where do they reside?

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
l<b)(6)
!(cell)

EXT-18-241-N-000328

 003963

Shaanan.meyerstein@acf.hhs.gov

From : i.:..l
<b
..:..:
><
c....:6
)____________
___.J
@F--=sw~ke=y~.o=r_..:,.g
l
Sent: Tuesday, January 31, 2017 1:03 PM
To : Meyerstein, Shaanan (ACF); j-(b-)(6-)----------~I
Calero, Wilfred
(ACF)
Cc : =!
(b-)(=
6)--------------------------~
l(b)(6)
IKeila Alvarado

Subject: RE: Arizona Laws regarding abortion
Good Morning Shaanan,
The law confirms the gestational age in Arizona below:
Prohibiting Abortions Past 20 Weeks of Pregnancy (A.R.S. § 36-2159) - Prohibits abortions
past 20 weeks gestation, except in the case of a medical emergency .t
The sponsor for this minor is in Florida, and the status of reunification is pending the
medical condition of the client. All other documentation has been provided by the sponsor
for reunification.
Thank you,
l(b)(6)

Case Manager
Southwest Key Program - Kokopelli
fb)(6)
l@swkey.org
Fax: 480-452-0603
Phone: K
._b__
)(6--)___

___,

From: Meyerst ein, Shaanan (ACF) [mailto:Shaanan.Meyerstein@acf.hhs.gov ]
Se nt: Tuesday, January 31, 2017 10:58 AM
To : (b)(6)

b)(6)
swke .or >; (b)(6)
.or >; Calero, Wilfred
(ACF)<Wilfred.Calero@acf.hhs.gov >
Cc:l(b)(6)
~ swkey.org >; fb)(6)
I
t b)(6)
~swkey .org>; Kb)(6)
@swkey.org>;L(b_)(_6)...r,:-;
~ ---.J
6>__ _.
{
~wke y.org >; (b)(6)
swke .or >._
<b
_)<_
(b)(6)
swke .or >; Keila Alvarado <kalvarado@swkey.org >
Subject : RE: Arizona Laws regarding abortion
Can someone please confirm Gestational Age in Arizona when abortion is legal for
whatever circumstance?
Where is the sponsor for this minor and what is the status of reunification?

EXT-18-241-N-000329

 003964

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
fb )(6)
[cell)
Shaanan.meyerstein@acf .hhs.gov

From: j(b)(6)
Sent: Tuesday, January 31, 2017 12:46 PM
To:! (b)(6)

[Qlswkey.orgl

l: Meyerstein, Shaanan (ACF); Calero, Wilfred

(AC;;,-F)~
------------------------,

Cc~ (b)(6)

!Keila Alvarado
Subject: RE: Arizona Laws regarding abortion

l(b)(6)

Good Morning!
As previously staffed with our leadership, it was determined that the notarized letter from
the parents would not be sufficient for the termination to take place. The client may be
open to speaking with her mother if we were able to obtain permission to proceed with
the notarized letter of consent from the mother in home country.
However, as I am under the assumption that we would only be able to proceed with the
termination once we appealed to the court to obtain the judicial bypass because the
mother would not be able to attend the abortion procedure.
As the clinician has stated below, that the client does not feel comfor t able informing her
family, and would like to appeal. Please let me know if there are any questions .
Thank you,

Case Manager
Southwest Key Program - Kokopelli
@swkey.org

i<b)(6)

Fax: 480-452-0603
Phone: f~b~
l(6~l ---~
From: ...
kb"""
l(_,6
)~------'
Sent: Tuesday, January 31, 2017 9:54 AM

!@swkey.org>; Meyerstein, Shaanan (ACF)
<Shaanan.Meyerstein@acf .hhs.gov>; Calero, Wilfred (ACF)<Wi lfred.Calero@acf.hhs.gov >

To : l(b)(6)

EXT-18-241-N-000330

 003965

p)swkey.o rg>

Cdb )(6)

Subject: Re: Arizona Laws regarding abortion

The client continues to not want to inform any family members, her parents nor
her Sponsor
She wants to appea l the Judge's decision, I have emai led the lawyers assigned to
her and have not heard back.
My concern is the timel iness of t his issue

I

MC, LPC
Clinician office 501

l(b)(6)

Program 921: Kokopelli
Phone: 480-500-1076 Extension kbl(6l I
Email: f b)(6)
@swkey.org
Regular Work Schedule: Tuesday -- Saturday, 8am-4pm

From: ~~
<b~)<
~B>
~---~
Sent: Tuesday, January 31, 2017 9:52:01 AM
To: Meyerstein, Shaanan (ACF); Calero, Wilfred (ACF)

Cc: !Cb)(6)

I

SubJect: RE: Arizona Laws regarding abortion

Good morning!
I have copied her case manager and clinician to this email.
They may be better able to answer this question for you.

Thanks ©

Lead Medical Coordinator
Southwest Key Programs
Casa Kokopelli #921
g1b )(6)
0

F: (480 ) 393 -8104
l(b)(6)
Wswkey .org
CONFIDENTIALITY NOTICE:This emai l, including attachments , is for the sole use of the intended recipien t (s) and m ay
conta in confident ial and priv ilege d infor mation covered by the Electronic Com mun icat ions Privacy Act, 18 U.S.C. 25102521. Any unauthorized rev iew, use, or disclosu re or distr ibution is pro hibit ed. If yo u are not the int ended recipient,
please contac t the sender immediate ly and destroy all cop ies of the orig inal message.

From: Meyerstein, Shaanan (ACF) [mailto:Shaanan.Meyerstein@acf.hhs.gov ]
Sent : Monday, January 30, 2017 4:22 PM

g>swkey.org >; Calero, Wilfred (ACF)
<Wilfred.Calero@acf.hhs.gov >
Subje ct: RE: Arizona Laws regarding abortion
To : ¥b)(6)

EXT-18-241-N-000331

 003966

~
nd Wilfred,
Since the judge denied the judicial bypass, did the minor speak with her parents about her
pregnancy over the weekend? Did the parents consent?
Thanks,

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)

~ell)
Shaanan.meyerstein@acf.hhs.gov
l<b)(6)

From: fbl(6l
~swkey.orgl
Sent : Monday,January 23, 2017 12:27 PM
To: Meyerstein,Shaanan(ACF)
Subject : Arizona Laws regarding abortion
AZ Laws regarding Abortion :

Arizona law requires that women under 18 years old seeking an abortion must either have
the notarized written permission of one of their parents/legal guardian or permission from
a Superior Court Judge.
Ensuring Adequate Consent
• Parental Consent (A.R.S. § 36 -2152) - Requires parental consent for minors seeking
abortions but allows for judicial bypass . Requires the parental consent to be obtained on a
form to ensure that parents are informed of all of the medical risks of abortion before
giving consent. Requires parental consent to be notarized. Allows parents to sue (1) an
abortion provider who performs an abortion on their minor daughter without parental
consent or (2) any person who assists a minor in obtaining an abortion without parental
consent.
• Informed Consent (A.R.S. § 36 -2153) - Information must be provided 24 hours in advance
to a woman see king an abortion about the risks and alternatives of the procedure, the
probable gestational age and physiological characteristics of the preborn child, and the
services available from public and private agencies to assist during pregnancy and after
birth. Requires that the information is provided at an in-person consultation with a doctor.
Allows a woman to file a lawsuit against an abortion provider who fails to obtain informed
consent. Requires the Department of Health Services to create and maintain a website
providing unbiased information about fetal development, the risks of abortion, and
information about alternatives to abortion.

EXT-18-241-N-000332

 003967

• Informed Consent for Lethal Condition {A.R.S. § 36-2158) - When a woman discovers that
her child may have a life-threatening birth defect or other fetal condition, information must
be provided 24 hours in advance about the support that is available to her, including
perinatal hospice. Requires the Department of Health Services to create and maintain a
website providing unbiased information about perinatal hospice and assistance available
for children with special needs.
• Opportunity to View Ultrasound (A.R.S. § 36-2156) - Requires an ultrasound to be
performed at least 24 hours before every abortion, and a woman seeking abortion must be
offered the opportunity to view the ultrasound and hear the baby's heartbeat, if audible.
• Coercion Prohibited (A.R.S. § 36-2153) - Prohibits a person from intimidating or coercing
another person into having an abortion and allows minors to obtain public assistance
benefits if parents cut off financial support because the minor refuses to have an abortion.
Requires that all abortion clinics conspicuously post signs that state it is unlawful for any
person to intimidate or coerce another person into having an abortion.
• Foster Parents (A.R.S. § 8-514.05) - Foster parents may not consent to abortion for a
foster child.
• Fiduciaries (Arizona Code of Jud. Admin. § 7-202) - Fiduciaries may not consent to
abortion for a ward without a court order.
- See more at : https://www.plannedparenthood.org/planned
-parenthood -arizona/online health -center/minors -and-abortion -law#sthash.lWOGvCcD.dpuf

l(b)(6)

Lead Medical Coordinator
Southwest Key Programs
Casa Koko elli #921
D b)(6)

C._ ____

__,

F: (480) 393-8104
(b)(6)
swke .or
TIALITY NOTICE: This emai l, including attachments, is for t he sole use of the int ended recipient(s) and m ay
conta in confident ial and priv ileged infor mation covered by the Elect ronic Com mun icat ions Privacy Act, 18 U.S.C. 25102521. Any unauthorized rev iew, use, or d isclosure or distr ibution is pro hibited . If yo u are not the intended recipient,
please contac t t he sender immedia t ely and destroy all cop ies of t he orig inal message.

Sender:

Houppert (Ruhkamp), Gail (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMI NISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
=4D88928C06A84498A966D9352F344094
-RUHKAM
P, GA>

"Calero, Wilfred (ACF) </o=Exchangelabs/o u=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/en= ?fedlfabef934452bff7378f636Sfa8e-Calero, Wil> ";
"De LA Cruz, James (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
Recipient:
(FYDIBOHF23SPDL
T)/ cn=Recipients/cn=2eba95dl 19ab4cd6a77b34616dc3366c
-De LA Cruz,>";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF23SPDL
T)/cn = Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,
>"
Sent Date: 2017/02/06 12:41:06
From: Gonzalez, GuadalupeM <Guadalupe.Gonzalez@!(b)(6) lorn>

"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=?fed1fabef934452bff7378f6365fa8e-C
alero, Wil>"
n \/ R
"'~..,,,~,.org>" ;
b)(6)
@swkey.org> ";
CC: b)(6)
@swkev.org> ";
(b)(6)
~swkey .org>";
To:

EXT-18-241-N-000333

 003968

(b)(6)

tllsw key.org>";
b\/6\
talswkev.org> ";
b)(6)
lglswkey.org > ";
"Centeno, Raquel (ACF) (CTR) </o = Exchangelabs/ou = Exchange Administrat ive Group
IffYDIBOHF23SPDLTl/en= Recioients/cn=4124a2c24e2146dfa41490bceefc5285 -Centeno, Ra>";
t

'( 6)

"ORRCC@GDIT.com";
"Weech, Ana V <Ana.Weech@~om>

~~ey.org> ";
swkey.org> ";
"

Subject: HS Recommendation: Discretionary Home Study l(b)(6)

IA# kb)(6)

I

Date: 2017/0 2/03 02 :03 :58
Priority: Normal

Type: Note

Will,

Reviewer concurs with recommendation of conducting a discretionary home study prior to release. UAC
Portal has been updated.

Thank you,

Lupita Gonzalez, MSW

Supervisory Case Coordinator
General Dynamics Information Technology
ORR Case Coordination Program
Western Region- Phoenix, AZ

EXT-18-241-N-000334

 003969

~~(b_)(6_) --~

~ell

Guadalu

www.gdit.com

*Currently assigned to A New Leaf (Dorothy Mitchel Residence) and SWK Kokopelli

From~l
(b_)(6
_l____________

~ ~swkey .org]

Sent : Tuesday, January 31, 2017 5:06 PM
To: Gonzalez, Guadalupe M <Guadalupe.Gonzalez@l(b)(6) 1com>; ORRCC
<ORRCC@GDIT.com>

Subject: Kokopelli: Discretion ary Home Study Request forl.(b
,_-'-'
l(....:.
6)_________
rb)(6)

i

___,!A#

EXT-18-241-N-000335

 003970

Hello,

Based on sponsor's young age and under ORR procedures, CM and CL are recommending discretionary
FL. Please refer to UAC
home study of client to Sponsor/brother. Sponsor resides infb)(6)
porta l for further comments and information .

I

Thank you,

Case Manager
Southwest Key Program - Kokope lli
@swk ey.org

!(b)(6)

Fax: 480-452-0603
Phone:

l.....
5
<b_><_>___

__.

Sender: Gonzalez, Guadalupe M <Guadalupe.Gonzalez~ (b)(6) ~om>
"ca lero, Wilfred (ACF) </o = Exchangelabs/ou = Exchange Administrative Group
11FYDIBOHF23SPDL
T)/cn = Recipients/en= 7fcd 1fabef934452bff7378f636Sfa8e -Calero, Wil > ";

'( b)(6)

lruswkey.org >" ;
lllSWkey.org>";
b)(6)
@swkey.org> ";
'( b)(6)
~swkey .org>";
'
swkey.org> ";
l§lswkey.org> ";
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(b)(6)
(9lswkey.org>";
"Centeno, Raquel (ACF) (CTR) </o = Exchangelabs/ou = Exchange Adm inistrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn = 4 124a2c24e2146dfa41490bceefc5285-Centeno, Ra>";
~swkey.org> ";
'Kb)(6)
"rh\/R\
rnswkey.org> ";
"ORRCC@lltill.I .com";
"Weech, Ana V <Ana .Weech~om>
"
, /h\/n \

Sent Date: 2017/02/03 02:03:46

EXT-18-241-N-000336

 003971

Delivered Date : 2017/02/03 02:03:58
From: [b )(6)

~swkey.org>

"Gonzalez, Guadalupe M <Guadalupe.Gonza lez@1(b)(6)tom>";
To:
"ORRCC@GDIT.com"
l!lSwkev.org>";
fJ)swkey.org>";
.,.,,,,wi<.~y.ury/ ;
pswkey.org> ";
"lrh\/n\
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ln\c\A/ltO\I ,org> ";
CC: (b)(6)
@swkey.org>";
"Centeno, Raquel (ACF) (CTR) </o=Exchangelabs/ou=Exchange Adm inistrative Group
( FYDIBOHF23SPDLT)/cn= Recipients/c n=4124a2c24e2146dfa41490bceefc5285 -Centeno, Ra>";
b)(6)
~swkey.org> ";
'"Calero, Wiltrea (ACF) </o - Exchangelabs/ou=Exchange Administrat ive Group
(FYDIBOHF23SPDLT)/cn= Recipients/en= 7fcd lfabef934452bff7378f6365fa8e-Calero, Wil>"
h\/R\

l(bl(6l
i (b)(6)

Subject : RE: Kokopelli: Discretionary Home Study Request forKb)(6)

1# Jb)(6)

I

Date : 2017/02 /0 2 12: 19:59
Priority: Normal
Type: Note

Good Morning

l(b)(6)

I have forwarded the email trend from Shaanan Meyerstein from yesterday. I apologize for the not
advising for the home stu dy. However, I have staffed the case with my leads, APD, and FFSbefore
sending the referral.

I hope to be able to give you a call after 1pm today , however I may be attending court with this
client all afternoon. I will call you with the CL asap when I have a chance after 1 pm.

Again, I apologize that you were not included in the staffing and were not aware of the HS request
before now.

Thank you,

EXT-18-241-N-000337

 003972

Case Manager
Southwest Key Program - Kokopelli
f._b_
J<
6_l ___

_. ~ swkey.org

Fax: 480-452-0603

Phone:l._
<b
_l<6_l___

~

From : Gonzalez, Guadalupe M [mailto:Guadalupe.Gonzalez@ ~b)(6)l com]

Sent: Wednesday, February 01, 2017 9:38 PM

To: l(b)(
6)

@swkey.org>; ORRCC <ORRCC@GDIT.com>

Cc: b)(6l
1 (bl(6l

~swkey.org> b)(6l
swkey.org>; b)(6l
@swkey.org>; b)(6l
sw._
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@swkey.org>; raquel.centeno@acf.hhs.gov; l<bH
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_)_______
_. @swkey.org>; wilfred.calero@acf.hhs.gov

4

I

Subject : RE: Kokope lli: Discretionary Home Study Request for ~._
(b_)(6_)_____
IA# fb)(6)
kb)(6)

I

_.

Hello fbl(6)

EXT-18-241-N-000338

 003973

Please contact me to staff this case. Discretionary HS was not staffed prior to your submission.

I am available from 8-9:30 AM tomorrow morning or after 1 PM.

Thank you,

Lupita Gonzalez, MSW

Supervisory Case Coordinator
General Dynamics Information Techno logy
ORR Case Coordination Program
Western Region- Phoenix, AZ
l._
(b_)(6_> __

_.~ ell

Guadalu e.Gonzalez
www.gdit.com

From: k.._b
___
ll...
6\_____________

_...
l@_s~w~k~e~v~.o~r~g
l

Sent : Tuesday , January 31, 2017 5:06 PM

To: Gonzalez , Guadalupe M <Guadalupe.Gonzalez @!(b)(6) ~om> ; ORRCC
<ORRCC @GDIT.com >

EXT-18-241-N-000339

 003974

Cc: !/h\/R\

C,

1

1

1 1

1(b)(6)
(b)(6)
1(b)(6)

fi?swkey.org > ;

b)(6)

@swkey.org >; ~(b)(6)
tg1swkey.org> ;
.or >; Gregory Oca sio
swke .or >;

(b)(6)

ra ue .Centeno ac . s. ov; "-(b..:..:
)('-'
6)__________
wilfred.calero@acf. hhs .gov

__,=..:..:....:.:=.i...-=-=-e

Subject: Kokopelli: Discretionary Home Study Request for ....
Kb_)<6_l _________
l(b)(6)

I

__.l
A#

Hello,

Based on sponsor's young age and under ORR procedures, CM and CL are recommending discretionary
home study of client to Sponsor/brother. Sponsor resides in Fort Lauderdale, FL. Please refer to UAC
porta l for further comments and information .

Thank you,

Case Manager
Southwest Key Program - Kokope lli
l@swkey.org
Fax: 480-452-0603
Phone: 1
....
<b_l(6_l ____

~

EXT-18-241-N-000340

 003975

Sender: (b)(6)

fi)swkey.org>

"Gonzalez, Guadalupe M <Guadalupe.Gonza lez@~(b)(6 FOm>";
"ORRCC@GDIT.com";
J;!lswkey.org> ";
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Recipient :
llc!'swkey.org>";
fh \/R\
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blswkey.org > ";
"Centeno, Raquel (ACF) (CTR) </o = ExchangeLabs/ou = Exchange Admin istrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=4124a2c24e2146dfa41490bceefc5285-Centeno,
Ra>";
K!)swkey.org> ";
'l(b)(6)
"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange
Administrative Group
( FYDIBOHF23SPDLT)/cn= Recipients/en= 7fcd 1fabef934452bff7378f6365fa8e -Calero, Wil>"

Sent Date: 2017/02/02 12:19:14
Delivered Date: 2017/02/02 12: 19:59

From:
To:

Calero, Wilfred (ACF) </O = EXCHANGELABS/OU= EXCHANGEADMINISTRATIVE GROUP
( FYDIBOHF23SPDLT)/CN = RECIPIENTS/CN= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,WIL>
"Centeno, Raquel (ACF) (CTR) </o = Exchangelabs/ou = Exchange Adm inistrat ive Group
(FYDIBOHF23SPDLT)/cn= Recipients/cn=4124a2c24e2146dfa41490bceefc5285 -Centeno, Ra>"

Subject: Re: Kokopelli: Discretionary Home Study Request for l(b)(6)

( b)(6)

IA# l(b)(6)

I

Date: 2017/02/02 09:39:40
Priority : Normal
Type: Note

That is why Im your boss and get paid big bucks.

Fro m: Centeno , Raque l (ACF) (CTR)

Sent: Thur sday, February 2, 20 17 7:38:09 AM

EXT-18-241-N-000341

 003976

To: Calero , Wilfred (ACF)

____,!A
# kh 11R1I

Subject: RE: Kokopelli: Discretionary Home Study Reque st for ""'"Kb-'-')(6'"""
) ________
rb)(6)

i

Yes, thank you. You put into words what I was trying to say.

Raquel Centeno, MSW
Contract Field Specialist , (CTR)
U.S. Department
Administration

of Health and Human Services
for Children and Families

Office of Refugee Resettlement
Division of Children's Services
Phoenix, Arizona
Phone: ~l
(b_)(6_)____

~

Email: raquel.centeno@acf.hhs.gov

From : Calero, Wilfred (ACF)

Sent: Thursday, February 02, 2017 7:13 AM
To: Centeno , Raquel (ACF) (CTR)
Subject: Re: Kokopelli: Discretionary Home Study Request for fb l(6)
A # fb )(6)

I ----

--

~--------~

EXT-18-241-N-000342

 003977

I think what she wants is notice so that everyone is on same page and so that if CC is opposed we dont
go throught the back and forth of program submitting CC putting in a recommendation that is opposed
and then

me getting involved and reversing it.

What she wants is communicatio n we all agree then we all move forward without the mess. The
real pro blem is that Lupita comm unication seems like program needs her perm ission which is not
the case. Message is correct but her delivery is poo r. Ill talk to her.

Will

From: Centeno, Raquel (ACF) (CTR)

Sent: Thursday, February 2, 20 17 6:44:49 AM
To: Calero, Wilfred (ACF)

Subject : FW : Kokopelli : Discretionary Home Study Request for f b)(6)
A# !(b)(6)

I

~---------~

Good morning Will,

EXT-18-241-N-000343

 003978

I have to ask, because as far as I know, the case coordinators do not need to be doing this, the program
can submit their own independent recommendation regardless of what the CC believes. So not sure why
she's

asking for the CM to staff this case with her when obviously the program has made their
recommendation .?

Raquel Centeno, MSW
Contract Field Specialist, (CTR)
U.S. Department of Health and Human Services
Administration for Children and Familie s
Office of Refugee Resettlement
Division of Children's Services
Phoenix, Arizona
Phone:

._l
(b_)(_6 )____

___,

Email:

raquel.centeno@acf.hhs .gov

From: Gonzalez, Guadalupe M [ mailto:Guadalupe.Gonzalez@f5x6Q om]

Sent: Wedne sday , February 01, 2017 9:38 PM
To:fb

)(6)

Cc:

b)(6)

pRRCC
6)
I Centeno , Raquel (ACF) (CTR); ,....._
(b)(_____

~b)(6)

_,

Calero , Wilfred (ACF)
Subject: RE: Kokopelli : Discretionary Home Study Reque st for l(b)(6)
~b)(6)

j:\# 1(b)(6)

I --

---

._______

___,

EXT-18-241-N-000344

 003979

Hello l(b)(6)

Please contact me to staff this case. Discretionary HS was not staffed prior to your submission.

I am available from 8-9:30 AM tomorrow morning or after 1 PM.

Thank you,

Lupita Gonzalez, MSW

Supervisory Case Coordinator
General Dynamics Information Technology
ORR Case Coordination Program
Western Region- Phoenix, AZ
._!
(b_)(6
_) __

_.lc

ell

Guadalu

om

www.gdit.com

From : ~Lb.:..:.
)(6....:.
)_____________

Jw
~s~w~k=e~v-=o~rg~
l

EXT-18-241-N-000345

 003980

Sent: Tuesday, January 31, 2017 5:06 PM

To: Gonzalez, Guadalupe M <Guadalupe.Gonzalez@ l(b)(6) ~
<ORRCC@GDIT.com >
Cc: (b}(6)
b)(6)
b)(6)
1b)(6)
b)(6)
raquel.centeno@acf.hhs. govfbl(6l
wilfred.calero@acf. hhs.gov

>; ORRCC

@swkey.org>;

Subject: Kokopelli: Discretionary Home Study Request for .....
~b_)(6_l ___
~

I

___,l
fbl(6)

~#
____ ___,

Hello,

Based on sponsor's young age and under ORR procedures, CM and CL are recommending discretionary
home study of client to Sponsor/brother. Sponsor resides in Fort Lauderdale, FL. Please refer to UAC
portal for further comments and information .

Thank you,

l(b )(6)

Case Manager
Southwest Key Program - Kokopelli
l(b)(6)

@swkey.org

Fax: 480-452-0603

Phone:~l
(b_l(6_l ___

~

EXT-18-241-N-000346

 003981

Sender:
Recipient:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU
=EXCHANGEADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8
E-CALERO,WIL>
"Centeno, Raquel (ACF) (CTR) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/cn=4124a2c24e2146dfa41490bceefc5285
-Centeno, Ra>"

Sent Date: 2017/02/02 09:39:39
Delivered Date: 2017/02/02 09:39:40

From:
To:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN= 7FCD1FABEF934452BFF7378F6365FA8E-CAL
ERO, WIL>
"Centeno, Raquel (ACF) (CTR) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/cn=4124a2c24e2146dfa41490bceefc5285
-Centeno, Ra>"

Subject: Re: Kokopelli: Discretionary Home Study Request for j(b)(6)

IA# l(b)(6)

I

Date: 2017/02/02 09: 12:42
Priority : Normal
Type: Note

I thin ~b )(5);(b)(6)
l(b)(5);(b)(6)

r

J(SJ;(b)(6)

EXT-18-241-N-000347

 003982

Will

From : Centeno , Raquel (ACF) (CTR)

Sent: Thursday, February 2,20 17 6:44:49 AM
To: Calero, Wilfred (ACF)
Subject: FW: Kokopelli: Discretionary Home

I

tb )(6)

Study

Request for

~l
<b_)(_6)________

~1A~

Good morning Will,

b)(5);(b)(6)

Raquel Centeno, MSW

Contract Field Specialist, (CTR)
U.S. Department
Administration

of Health and Human Services
for Children and Families

Office of Refugee Resettlement
Division of Children's Services
Phoenix, Arizona
Phone:

~l
<b_)(6
_) ___

~

EXT-18-241-N-000348

 003983

Email: raquel.centeno@acf.hhs.gov

From: Gonzalez, Guadalupe M [mailto:Guadalupe .Gonzalez~com]

Sent: Wednesday, February 01, 2017 9:38 PM
To : ~K
b_
JC
6_l ____

~IORRCC

Cc: b)(6l
~K
b_)(6_l ___________

~I Centeno, Raquel (ACF) (CTR); ._I
Cb
_JC6
_l ___

__,

Calero, Wilfred (ACF)
Subject: RE: Kokopelli : Discret ionary Home Study Request for ICb)(6)
IA# 1Cb)(6)

I

l(b)(6)

--

~-----~

I....

Hello Cb_)C6
_l _~

Please contact me to staff this case. Discretionary HS was not staffed prior to your submission.

I am available from 8-9:30 AM tomorrow morning or after 1 PM.

Thank you,

Lupita Gonzalez, MSW

EXT-18-241-N-000349

 003984

Supervisory Case Coordinator
General Dynamics Information Technology
ORR CaseCoordination Program
Western Region- Phoenix, AZ

-tb_)(6_) --~I

cell

Guadalu
www .gdit.com

__t~"""'s'-'-w'-'-k=e"'"'y.=o~rg
]

From : Ll
(b....:.
)(6....:.
)____________

Sent: Tuesday, January 31, 2017 5:06 PM

To: Gonzalez, Guadalupe M <Guadalupe.Gonzalez@j<b)(6) born>; ORRCC
<ORRCC@GDIT.com>
Cc: tb)(6)

l@swkey.org>; l(b)(6)
@swkey.org>;

I

swke .or >;
raguel.centeno@acf.hhs.gov ; l<b)(6)
wilfred.calero@acf. hhs.gov

P4swkey.org>;

Subject: Kokopelli: Discretionary Home Study Request for -fb_)(6_)_________
fb)(6)

I

~1
A#

Hello,

EXT-18-241-N-000350

 003985

Based on sponsor's young age and under ORR procedures, CM and CL are recommending discretionary
I FL.Please refer to UAC
home study of client to Sponsor/brother. Sponsor resides in !(b)(6)
portal for further comments and information.

Thank you,

Case Manager
Southwest Key Program - Kokope lli
l@swkey.org
Fax: 480-452-0603
Phone:

._l
(b-)(6_l ____

_.

Sender:
Recipient :

Calero, Wilfred (ACF) </OaaEXCHANGELABS/OUaaEXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN"' RECIPIENTS/CN
"' 7FCD1FABEF934452BFF7378F6365FA8E
-CALERO,WIL>
"Centeno, Raquel (ACF) (CTR) </oaaExchangelabs/ouaaExchange
Administrative Group
(FYDIBOHF23SPDL
T)/cn aaRecipients/cnaa4124a2c24e2146dfa41490bceefc5285-Centeno
, Ra>"

Sent Date: 2017/02/02 09:12:40
Delivered Date: 2017/02/02 09:12:42

From:
To:

Centeno, Raquel (ACF) (CTR) </OaaEXCHANGELABS/QUaaEXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CNaaRECIPIENTS/CN
aa
4124A2C24E2146DFA41490BCEEFC5285
-CENTENO,RA>
"Calero, Wilfred (ACF) </ oaaExchangelabs
/ ouaaExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn aaRecipients/cnaa7fcdlfabef934452bff7378f636Sfa8e-Calero, Wil >"

Subject: FW: Kokopelli: Discretionary Home Study Request fori(b)(6)

IA# Vh\lo\

I

Date: 2017/02/02 08:44:50
Priority : Normal
Type: Note

EXT-18-241-N-000351

 003986

Good morning Will,
(b)(5)

Raquel Centeno, MSW
Contract Field Specialist, (CTR)
U.S. Department of Health and Human Services
Administration for Children and Families
Office of Refugee Resettlement
Division of Children's Services
Phoenix, Arizona
Phone: ~
!(b_)(6
_)____
~
Email: raquel.centeno@acf.hhs.gov
From : Gonzalez, Guadalupe M [mailto:Guadalupe.Gonzalez@~om]
Sent : Wednesday, February 01, 2017 9:38 PM
To: kbl(6l
IORRCC
Cc: bl/6l
Kb)(6)
!Centeno, Raquel (ACF) (CTR); bl(6l
Calero Wilfred ACF)
Subject : RE: Kokopelli: Discretionary Home Study Request for ~b_)(6_l ________
~ A# l(b)(6l
J(b)(6)
!

I

Hello fb)(6)
Please contact me to staff this case. Discretionary HS was not staffed prior to your submission.
I am available from 8-9:30 AM tomorrow morning or after 1 PM.
Thank you,

Lupita Gonzalez, MSW
Supervisory Case Coordinator
General Dynamics Information Technology
ORR Case Coordination Program
Western Region- Phoenix, AZ
fbl(6)
Fell
Guadalu e.Gonzalez
www.gdit.com

EXT-18-241-N-000352

 003987

From : kbl/6)

@swkey.org ]

Se nt : Tuesday, January 31, 2017 5:06 PM
To : Gonzalez, Guadalupe M <Guadalupe.Gonzalez@ fbX6[}: om >; ORRCC<ORRCC@GDIT.com>

f

Cc:Kb)(6)

@swkey.org >;Kb)(6)

b)(6)
~'--;=====

I

: swkev.or~ >; ~b)(6)
tg>swkey.o~ >; Kb)(6)
~~""':s""'w"'-k=e_._y_""'.o"'"r
'"';
g>; ~b)(6)
l@.swkey.org>;""'!
(b"""
l("""
6l___
<fh\rR\
@swkey.org >; l(b}(6)
jg>swkey.org >;
@swkey.org >;
raquel.cente no@acf.h hs.gov; fb )(6)
wilfred.calero@acf.hhs.gov
Subject : Kokopelli: Discretionary Home Study Request for ICb)(6)

i(b) (6 )

I

_.

6_l _ _.
IA#._~
b_)C

Hello,
Based on sponsor's young age and under ORR procedures, CM and CL are recommending discretionary
home study of client to Sponsor/brother. Sponsor resides in Kb)(6)
I FL. Please refer to UAC
portal for further comments and information.
Thank you,

Case Manager
Southwest Key Program - Kokopelli
fbl(6)

@swkey.o rg

Fax: 480 -452 -0603
~

Phone: l~
<b_)(6_) ___

Sender:
Recipient :

Centeno, Raquel (ACF) (CTR) </O = EXCHANGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN=4124A2C24E2146DFA41490BCEEFC5285-CENTENO,
RA>
"Calero, Wilfred (ACF) </o=Exchangelabs/ou = ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=7fcdlfabef934452bff7378f6365fa8e-Calero,Wil>"

Sent Date : 2017/02/02 08:44:49
Delivered Date: 2017/02/02 08:44:50

From: Gonzalez, GuadalupeM <Guadalupe.Gonzalez@q(b}(6 to m>
To:

~h\ /R\

t;i)swkey.org> ";

"ORRCC
@GDIT.com"

laJSwkev.o
rg> ";
jswkey.org>";
l@JSW
key.org>";
swkey.org>";
Kb)(6)
bswkey.org>";
"j (b)/6)
!@swkey.org>";
CC:
tb )(6)
~swkey.org>";
"Centeno, Raquel (ACF) (CTR) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/cn=4124a2c24e2146dfa41490bceefc5285
-Centeno, Ra>";
'l(b)(6)
~swkey.org> ";
"Calero, Wilfred (ACF) </ o= Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=7fcdlfabef934452bff7378f6365fa8e-Calero, Wil> "
I

\l hl

(b)(6)
(b)(6)

Subject: RE: Kokopelli: Discretionary Home Study Requestfor Kb)(6)

~# fb )(6)

I

EXT-18-241-N-000353

 003988

Date: 2017/02/01 23:38:04
Priority: Normal

Type: Note

Hello K"""b"""
)(6"'""
) _ _,

Please contact me to staff this case. Discretionary HS was not staffed prior to your submission.

I am available from 8-9:30 AM tomorrow morning or after 1 PM.

Thank you,

Lupita Gonzalez, MSW

Supervisory Case Coordinator
General Dynamics Information Technology
ORR Case Coordination Program
Western Region- Phoenix, AZ
._I
Cb_)(6
_)___

_,Fell

Guadalu

EXT-18-241-N-000354

 003989

www.gdit.com

From : ....
l<b.;..;
)(6
..;..
)____________

__,~swkey.org]

Sent: Tuesday, January 31, 2017 5:06 PM
To: Gonzalez, Guada lupe M <Guada lupe.Gon zalez@tb)(6) !com>; ORRCC
<ORRCC@GDIT.com >

Cc: ifol<6l
1b)(6)

@}swkey.org>; !{b){6)
@swkey.org>; [bJ(6)
{~============.::....
@o--:swkey.org>; !(b)(6)
@swkey.org>; ....
fb_
)(6_) __
j(b)(6)
l@swkey.org>;
fb)(6)
fyswkey.org>; raquel.centeno @acf.hhs.go v; (b) (6)
~:;:;::::=======::::::;:::::---;-I<b_
....
)(6_)________
..........,
@swkey. org>; wilfred.calero@acf.h hs.gov
6>
~swkey.org >;fb><

....
_K6_)_________
Subject: Kokopelli: Discretionary Home Study Request for [b
!(b){6)
I

____.

__.!A
#

Hello,

Based on sponsor's young age and under ORR procedures, CM and CLare recommending discretionary
!FL.Please refer to UAC
home study of client to Sponsor/brother. Sponsor resides irfbK6)
portal for further comments and information.

Thank you,

Case Manager

EXT-18-241-N-000355

 003990

Southwest Key Program - Kokopelli
fb )(6)

@swkey.org

Fax: 480-452-0603

Phone: rb
..._}<5
_l ____

_.

Sender : Gonzalez, Guadalupe M <Guada lupe.GonzaleZ\\!-l(b
)(6) ~om>
!@swkey.org>";

:l!I~:i!
rw1~1ll
I caw"·
!

b)(6)
/ h\/~

\

~swkey.org> ";
rswkey.org>";

-

" cy.U

~V

,

~swkey.org>";
sw key.org>";
Recipient:
p)swkey.org> ";
r h\/~\
b)/6)
l'!lswkey.org>";
"Centeno, Raquel (ACF) (CTR) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/ en= Recipients/cn=4124a2c24e2146dfa41490bceefc5285-Centeno , Ra>";
fb )/6)
IDswkey.org>";
"Calero, Wilfred (ACF) </ o=Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF23SPDLT)/cn= Recipients/en= 7fcd lfabef934452bff7378f6365fa8e -Calero, Wil>"
(b)(6)

Sent Date: 2017/02/01 23:37 :57
Delivered Date: 2017/02/01 23:38 :04
From : Keila Alvarado <ka lvarado @swkey.org>

To:

"Meyerstein, Shaanan (ACF) </o=Exchangelabs/ou=Exchange Administrat ive Group
(FYDIBOHF23SPDLT)/ en= Recipients/en= 73d538e5aeda4 197b3381ec6ef84ed75-Meyerstein, > "
(b)(6)

pswkey .org > ";
@swkey.org > ";
f b)/6)
!Pswkey.org> ";
"Calero, Wilfred (ACF) </o = Exchangelabs/ou = Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/en = 7fcd lfabef934452bff73 78f6365fa8e -Calero, Wil> ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn= 2eba9Sdl 19ab4cd6a77b34616dc3366c -De LA Cruz,> ";
~wkey.org>";
[ b)(6)
sw key.org> ";
CC: h\ /R\
mswkey.org>";
f b)/6)
i:jlswkey.org>";
"Bartholomew, Michael (ACF) </o = Exchangelabs/ou = Exchange Admin istrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=Bartholomew, Michael> ";
"Kim, Curi (ACF) </o=Exchangelabs/ou=Exchange Administrat ive Group
(FYDIBOHF23SPDLT)/cn= Recipients/cn=ff860dcb9fb64cd799d9a98fcc0ff8cf-Kim, Curi_3 > ";
"ORR DHUC </o = Exchangelabs/ou=Exchange Administrative Group
FYDIBOHF23SPDLTl/en= Recipients/en= 6dfea50a0f5043538el 4b4e34f0920f0-DUCS Medica>";
(b)/6)
fllswkev.org>";
(b)(6)
Jjlswkey.org>";
/ 1.-.\( t:' \

EXT-18-241-N-000356

 003991

"Fanny Rivera <fr ivera@swkey.org>"

Subject: Re: Arizona Laws regarding abort ion

Date: 2017/02/0112:54 :23
Priority: Normal

Type: Note

Hello all,

as per Dr. Meyer stein' s reque st we are having a conference call today 02/01/ 17 at 2 PM (MTN)
(4 pm EST) to discuss the request of minotj(b)(6)
pr term ination of pregnancy.

The conference call number is 1-877-275-6071
Code : ~l
<b_l<6_>_~

For SWK Kokopell i the attendee s will be :

(b)(6)

.__

______

~MC

_, '\.LCM

EXT-18-241-N-000357

 003992

I

(b)(6)

l~-

-~

CL

Keila Alvarado , PD
._l
<b_
)(6_
) ___

__,IAPD

Thank you,

Keila Alvarado, L.L.M.
Southwest Key Programs
Program Director
Kokopelli-921
b_
)(6_
) ---~
Cell phone ~r

WARNING

The information contained in this communication is confidential, and is intended only for
the use of addressee. Unauthorized use, disclosure or copying is strictly prohibited and
may be unlawful.

EXT-18-241-N-000358

 003993

From: Meyerstein , Shaanan (ACF) <Shaanan.Meyerstein @acf.hhs.gov >

Sent: Wednesday, February 1, 2017 7:12 AM
To: Keila Alvarado

Cc: (b)(6)
Cruz, James (ACF)

Calero, Wilfred (ACF); De LA
b)(6)

l(b)(6 )

IBartholomew , Michael (ACF); Kim , Curi

(ACF); De LA Cruz , James (ACF); DCS Medical
Subject: RE: Arizona Laws regarding abortion

4pm EST/2 pm MTN works . Keila can you set up a conference call line plea se?

Please reply to Keila if you will be on the call and what your role is in the case is since there are
so many staff members included on this email.

Thanks,

Shaanan Meyerstein , MD, MPH , FAAP

LCDR, US Public Health Service

EXT-18-241-N-000359

 003994

Medical Officer - Unaccompanied Children's Program

Office of Refugee Resettlement

Administration for Children and Families

U.S. Department of Health and Human Services

(202) 401-4639 (office)

~~(b_l( 6_l

------

~ell)

Shaanan.meyerstein @acf.hhs .gov

From : Keila Alvarado [mailto:kalvarado@swkey.org]

Sent: Tuesday , January 31, 2017 9:32 PM
To: Meyerstein , Shaanan (ACF)
Cc: b)(6l
Calero , Wilfred (ACF) ; De LA
~--;-:--:
~
----;:;:::;::;::;:;::===============---_;__--~-......:....:.----,
Cruz , James (ACF); (b)(6)
,....._
__, Bartho lomew , Michael (ACF); Kim, Curi
b)(6)
(ACF)

___________

Subject: Re: Arizona Laws regarding abortion

EXT-18-241-N-000360

 003995

Hello Dr. Meyerstein, I propose 1 pm EST ( 11 am MTN) or 4 pm EST (2 pm MTN). I hope the
times proposed work for all.

Thank you,

Keila Alvarado, LLM

Program Director

Southwest Key Programs-Kokopelli 921

Sent from my iPhone

EXT-18-241-N-000361

 003996

On Jan 31, 2017, at 6:45 PM, Meyerste in, Shaanan (ACF)
<Shaanan.Meyer stein@acf.h hs.gov>wrote :

This case is very complex, far beyond email exchanges .

Can we please schedule a conference call to discuss this minor's case tom?

After 1pm EST?

Shaanan Meyerstein, MD, MPH, FAAP

LCDR, US Public Health Service

Medical Officer - Unaccompanied Children's Program

Office of Refugee Resettlement

Administration for Children and Families

U.S. Department of Health and Human Services

(202) 401-4639 (office)

EXT-18-241-N-000362

 003997

-K
b)_(6_) ____

( ce ll)

Shaanan .meyerstein@acf.hhs.gov

From:

__,@
~sw~k~e~y~
.o~rq
l

1.:.:l
<b..:..:.
)(6""'"
) ___________

Sent: Tuesday, Jan uary 31, 20 17 6: 17 PM
To : Meyerstein , Shaanan (ACF) ;f._b_)<6_>____________
W ilfred (ACF)
Cc: Jb)(6)
f....
~_
H6_>__________

-JiCalero,

-JIKeila A lvarado

Sub_ject: RE : Ar izona Laws regarding abort ion

Good Afternoon Shaanan,

EXT-18-241-N-000363

 003998

The sponsor is the brother, ~
ears of age, resides in Florida. If the minor was
indeed medically stable for discharge, we could of course discharge the minor to the
sponso r. However, the spo nsor would still be unaware
of the client being pregnant from being sexually assaulted, and wanting an abortion.
Therefore , the sponsor would not be prepare d for the re lease of the minor , and
poss ible withdrawa l from being a sponso r. Further assessment is still needed at th is
time to
ensure a safe release of the minor.

Please let me know if you have any questions .

Thank.you ,

Case Manager

Southwest Key Program - Kokopelli

j(b)(6)

j@sw key.org

Fax: 480-452-0603

Phon e:~l
<b_)(6_l___

~

From: Meyerstein , Shaanan (ACF) [mailto:Shaanan.Meyer stein @acf. hhs.gov ]

EXT-18-241-N-000364

 003999

Sent: Tuesday , January 31, 2017 2:40 PM
To: !(b)(6)
l@swkey.org >; ~l
(b_l(6_l______
fb)(6)
@swkey.org> ;
¥bl/6l
@swkey.org> ; Calero, Wilfred (ACF)
<Wilfred.Calero@acf.hhs.gov >

~

Cc: !(b)(6)
@swkey.org> ;~f
b_)(6_)____
~
l(b)(6)
@swkey.org> ;
fb)(6)
l@swkey.org >;l(b)(6l
(b)(6)
@swkey.org> ;
'----:_-=,-:_-=_-=_-=_-=_~------.
5_l_______
_(b
)(6l
l@swkey.org> f....
b_lC
_,
6
fbl( )
[yswkey.org>;
Kei la Alvarado <kalvarado@swkey.org>

1

Sub_ject: RE: Arizona Laws regarding abortion

l(b)(6)

To be clear - if I told you that the minor was medically stable for discharge, then she
could be discharged to her sponsor?

Who is the sponsor and where do they reside?

Shaanan Meyerstein, MD, MPH, F AAP

LCDR, US Public Health Service

Medical Officer - Unacco mpan ied Childr en's Program

EXT-18-241-N-000365

 004000

Office of Refugee Resettlement

Administration for Children and Families

U.S. Department of Health and Human Services

(202) 401-4639 (office)

~l
<b_J<6_l

---~!

cell)

Shaan an.mey erstein @acf.hh s.gov

From:

L..l
(b.;_;
)(6--') ____________

K!)o--c----sw
_k~e~y~.o~rg
l

Sent : Tuesday, Ja nuary 31, 20 17 1:03 PM
To: Me yerstein , Shaanan (ACF) ; ._l
(b_)(6_l ____________
Wilfred (ACF)

__.1Calero ,

EXT-18-241-N-000366

 004001

Cc: rb)(6)
f b_)C6_l ___________
....

l

.... Keila

Alvarado

Sub_ject: RE: Arizona Laws regarding abortion

Good Morning Shaanan,

The law confirms the gestational age in Ar izona below:

Proh ibiting Abort ions Past 20 Week s of Pregnancy (A.R.S. § 36-2 159) - Proh ibits
abortions past 20 weeks gestation, except in the case of a medical emergency.t

The sponsor for this minor is in Florida , and the status of reunification is pending the
medical cond ition of the client. All other documentat ion has been provided by the
sponso r for reunification.

Thank you,

l(b)(6)

Case Manager

Southwest Key Program - Koko pelli

EXT-18-241-N-000367

 004002

@swkey .org

Fax: 480-452-06 03

Phone: l~<b~)<6~>---~

From : Meye rstein, Shaanan (ACF) [mailto:Shaanan.Meyerstein@acf.hhs.gov

]

Sent : Tuesday, Jan uary 31, 20 17 10:58 AM
To : l(b)(6)

tyswkey.org > ; ~l<
b~)<6
~>------~
@swkey.org> ;
¥ b)(6)
@swkey .org>; Calero, Wilfred (ACF)
<Wilfred.Calero@acf.hhs.gov >
1 bl(6l

Cc: (b)(6)

w.sw e .or > ;
Kei la Alvarado <kalvarado@swkey.org >
b)(6)

Subj ect : RE: Ari zona Laws regarding abor tion

Can someone please confirm Gestational Age in Arizona when abort ion is legal for
whatever circum stance?

EXT-18-241-N-000368

 004003

Where is the sponsor for this minor and what is the status of reunification?

Shaanan Meyerstein, MD, MPH, F AAP

LCDR, US Public Health Service

Medical Officer - Unaccompanied Children's Program

Office of Refugee Resettlement

Administration for Children and Families

U.S. Depa1tment of Health and Human Services

(202) 401-4639 (office)

.._l
<b_)(6_) ___

_.I(cell)

Shaanan. meyerstein @ac f.hhs.gov

EXT-18-241-N-000369

 004004

From:

!i.,:
(b~)(6:..!.
)____________

___,W
......,s"'"w-'-'
k=e'-Ly'"".o'--'-"'rg
1

Sent: Tue sday, January 31, 2017 12:46 PM
To: t....
b""""
)(6-'-) ____________
Wilfred (ACF)
Cc

__,!
Meyerstein , Shaanan (ACF); Calero,

(b)(6)

◄.,_
(b....,,
)(6--'-)___________

__,K
eila Alvarado

Subject: RE: Arizona Laws regarding abortion

Good Morning!

As previously staffed with our leadership, it was determined that the notarized letter
from the parents would not be sufficient for the termination to take place. The client
may be open to speaking with her mother if we
were able to obtain permi ssion to proceed with the notariz ed letter of consent from
the moth er in home country .

However , as I am under the assumption that we would only be able to proceed with
the termination once we appealed to the court to obtain the judicial bypass because
the mother would not be able to attend the abortion procedure .

EXT-18-241-N-000370

 004005

As the clinician has stated below, that the client does not feel comfortable informing
her family, and would like to appeal. Please let me know if there are any questions.

Thank you,

i<b)(6)

Case Manager

Southwest Key Program - Kokopelli

@swkey.org

Fax: 480-452-0603

Phone: ._I
Cb_Jc5_l ___

From : 1....
Cb_JC
6
_l ______

_.

_,

Sent: Tuesday , January 31, 20 17 9:54 AM

To: ICb)(6)
@swkey.org> ; Meyerste in, Shaanan (ACF)
<Shaanan.Meyerstein @acf.hhs.gov> ;
Calero, Wilfred (ACF) <Wilfred.Calero @acf.hhs.gov>
Cc: !Cb)(6)

!g1swkey.org>

Subject : Re: Arizona Laws regarding abortion

EXT-18-241-N-000371

 004006

The client continues to not want to inform any family members, her parents nor
her Sponsor

She wants to appeal the Judge's decision, I have emailed the lawyers assigned to
her and have not heard back.

My concern is the timeliness of this issue

.._l
<b_)(6_) ___

___,I
MC, LPC

Clinician office 501

Program 921: Kokopelli

Phone: 480-500-1076 Extensio~

Email:
kb)(6)

wswkey.org

EXT-18-241-N-000372

 004007

Regular Work Schedule: Tuesday -- Saturday, Bam-4pm

From: ~j
<b_l<6
_>____

~

Sent: Tuesday, January 31, 2017 9:52:01 AM
To: Meyerstein, Shaanan (ACF); Calero, Wilfred (ACF)
Ccj (b)(6)

Subject: RE: Arizona Laws regarding abortion

Good morning!

I have copied her case manager and clinician to this email.

They may be better able to answer this question fo r you.

EXT-18-241-N-000373

 004008

Thanks
©

Lead Medical Coordinator

Southwest Key Programs

Casa Kokope lli #921

D b)(6)

C

F: (480 ) 393 -8104

kb)(6)

1swkey.org

CONFl DENTIALITY NOTICE:This emai l, including attachments, is for the sole use of the intended recipient(s) and m ay
conta in confident ial and priv ileged

information covered by the Electron ic Communications Privacy Act, 18 U.S .C.
2510-2521. Any unauthori zed review , use, or disclosure or distribution is prohibited.
If you are not the intended recipient , please contact the sender immediate ly and
destroy all copies
of the original message.

EXT-18-241-N-000374

 004009

From: Meyerstein, Shaanan (ACF) [mailto:Shaanan.Meyerstein@acf.hhs.gov ]

Sent: Monday, January 30, 2017 4 :22 PM

To: fbl(6l
@swkey.org >; Calero, Wilfred (ACF)
<Wilfred .Calero@acf.hhs.gov>
Sub,ject: RE: Arizona Laws regarding abortion

~

nd Wilfred,

Since the judge denied the judicial bypass, did the minor speak with her parents
about her pregnancy over the weekend? Did the parent s consent?

Thanks,

Shaanan Meyerstein, MD, MPH, F AAP

LCDR, US Public Health Service

Medical Officer - Unaccompanied Children's Program

EXT-18-241-N-000375

 004010

Office of Refugee Resettlement

Administration for Children and Families

U.S. Department of Health and Human Services

(202) 401-4639 (office)

l<b_J(6_l ___
.....

__.I
(cell)

Shaanan.meyerstein@acf.hhs.gov

From:"""l
rh"""
1rn
=1_________

....J
@=sw.:..:..:..:;ke=y'-'-'.o=r..;,.g
.l

Sent : Monday, January 23, 2017 12:27 PM
To : Meyerstein, Shaanan (ACF)
Subject : Arizona Laws regarding abortion

EXT-18-241-N-000376

 004011

AZ Laws regarding Abortion :

Arizona law requires that women under 18 years old seeking an abortion must
either have the
notarized written permission of one of their parents/legal guardian or permission
from a Superior Court Judge.

Ensuring Adequate Consent

•Par ental Consent (A.R.S. § 36-2152) - Requires parental consent for minors
seeking abortions but allows for judicial bypass. Requires the parental consent to be
obtained on a form to ensure that parents are informed of all of the medical risks of
abortion
before giving consent. Requ ires parental consent to be notari zed. Allows par ents to
sue (1) an abortion provider who performs an abortion on their minor daughter
without parental consent or (2) any person who assists a minor in obtaining an
abortion without
par ental consent.

•Informed Consent (A.R.S. § 36-2153) - Information must be provided 24 hours in
advance to a woman seeking an abortion about the risks and alternatives of the
proc edure, the probable gestational age and physiological characterist ics of the
preborn child,
and the services available from public and private agencies to assist during
pregnancy and after birth. R equires that the information is provid ed at an in-person
consultation with a doctor. Allows a woman to file a lawsuit against an abortion
provider who
fails to obtain informed consent. Requires the Department of Health Services to
create and maintain a website providing unbiased information about fetal
development, the risks of abortion, and information about alternatives to abortion .

•Informed Consent/or Lethal Condition (A.R .S. § 36-2158)- When a woman
discovers that her child may have a life-threatening birth defect or other fetal
condition, information must be provided 24 hours in advance about the suppo rt that
is available to her,
including perinatal hospice. Requires the Department of Health Services to create
and maintain a website providing unbiased information about perinatal hospice and
assistance available for children with special needs.

EXT-18-241-N-000377

 004012

•Opportunity to View Ultrasound (A.R.S. § 36-2156) - Requires an ultrasound to be
performed at least 24 hours before every abortion, and a woman se eking abortion
must be offered the opportunity to view the ultrasound and hear the baby's
heartbeat, if audible .

•Coercion Prohibited (A.R.S. § 36-2153) - Prohibits a person from intimidating or
coercing another person into having an abortion and allows minors to obtain public
assistance benefits ifparents cut off financial support because the minor refuses to
have
an abortion. Requires that all abortion clinics conspicuously post signs that state it
is unlawful for any person to intimidate or coerce another person into having an
abortion.

•Foster Parents (A.R.S. § 8-514.05) - Foster parents may not consent to abortion
for a foster child.

•Fiduciaries (Arizona Code of Jud. Admin . § 7-202) - Fiduciaries may not consent
to abortion for a ward without a court order .

- See more at:
https://www.plannedparenthood.org /planned-parenthood-arizona/online-healthcenter /minors-and-abortion-law #sthash.lWOGvCcD .dpuf

l(b)(6)

Lead Medical Coordinator

Southwest Key Programs

EXT-18-241-N-000378

 004013

Casa Kokopelli #921

D: (b)(6)

C:

F: (480) 393-8104

kb)(6)

r@swkey.org

CONFIDENTIALITY NOTICE: This ema il, inclu ding attachments , is fo r t he sole use of th e int ended recipie nt( s) and may
contain confid ent ial and pri vileged

information covered by the Electronic Communications Privacy Act, 18 U.S.C.
2510-2521. Any unauthorized rev iew, use, or disclosure or distribution is prohib ited.
If you are not the intended recipient, please contact the sender immediate ly and
destroy all copies
of the original message.

Sender: Keila Alvarado <ka lvarado@swkey.org>
"Meyerstein, Shaanan (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
FYDIBOHF23SPDLTl/en= Recioients/cn= 73d538e5aeda4197b3381ec6ef84ed75-Meyerstein, > ";
(b)(6)
l§>swkey.org>";
b)(6)
19)swkey.org >";
wswKey.org> ";
h\/n\
"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrat ive Group
( FYDIBOHF23SPDLT)/cn= Recipients/en= 7fcd lfabef934452bff7378f636Sfa8e-Calero, Wil> ";
Recipient:
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrat ive Group
(FYDIBOHF23SPDLT)/cn=Recioients/cn= 2eba9Sdl 19ab4cd6a77b346 16dc3366c-De LA Cruz,>";
b)(6)
~wkey.org>";
swkey.org>";
/b)/6)
lilswkev.ora> ";
l(b)/6)
@swkey.org>";
"Bartholomew, Michael (ACF) </o=Excha ngelabs/ou=Exchange Admin istrative Group

EXT-18-241-N-000379

 004014

(FYDIBOHF23SPDLT)/cn =Recipients/cn = Bartholomew, Michael>";
"Kim, Curi (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn= Recipients/cn=ff860dcb9fb64cd799d9a98fcc0ff8cf-Kim, Curi_3 >";
"ORR DHUC </o = Exchangelabs/ou = Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn= Recipients/cn=6dfea50a0f5043538el 4b4e34f0920f0-DUCS Medica>";
lj)swkeborg> ";
"kbl(fll
f b)(6)
swkey .org>";
"Fanny Rivera <fr ivera@swkey.org>"

Sent Date: 2017/02/01 12:53:38
Delivered Date: 2017/02/01 12:54:23
From : (b)(6)

f!)swkey.org>

To:

"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Admin istrative Group
(FYDIBOHF23SPDLT)/cn= Recipients/en= 7fcd lfabef934452bff7378f6365fa8e-Calero, Wil> ";
"Meyerstein, Shaanan (ACF) </o = ExchangeLabs/ou=Exchange Adm inistrat ive Group
(FYDIBOHF23SPDLT)/cn= Recipients/en= 73d538e5aeda4 197b3381ec6ef84ed75-Meyerstein, >"

CC:

"ORR DHUC </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn =6dfea 50a0f5043538el 4b4e34f0920f0 -DUCS Medica>"

Subject: RE: UC seeking TOP, SWK Kokopelli
Date: 2017/01/25 14:05:09
Priority: Normal
Type: Note

Good morning,

Attached are the OB notes including US results.

Please feel free to contact me if you need anything.

Thank you,

l(b)(6)

EXT-18-241-N-000380

 004015

Lead Medical Coordinator
Southwest Key Programs

Casa Kokopelli #921
l(b)(6)

F: (480) 393-8104
l(b)(6)

@swkey .org

CONFIDENTIALITY NOTICE:This email, incl ud ing attachments, is fo r the sole use of the intended recipient(s) and may contain

confidential and privileged information covered by the Electronic Communications Privacy Act,
18 U.S.C. 2510-2521. Any unauthori zed review, use , or disclosure or distribution is prohibited.
If you are not the intended recipient, please contact the sender immediately
and destroy all cop ies of the origina l message .

From : ._I
Cb_l(_
6l____

_.

Sent: Wednesday , January 25, 2017 10:00 AM
To: 'Calero, Wilfred (ACF)' <W ilfred.Calero @acf.hhs.gov >; Meyer stein, Shaan an (ACF)
<Shaanan .Meyerstein @acf.hhs.gov>

Cc: DCS Medical <DCSMedical @acf.hhs.gov >
Subject: RE: UC seeking TOP, SWK Kokopelli

Good morning,

They did not provide a physical copy of the ultrasound .
I will contact Planned Parenthood and see if they can provide a copy.

EXT-18-241-N-000381

 004016

Thank you,

l(b)(6)

Lead Medical Coordinator
Southwest Key Programs

Casa Kokopelli #921
D:~

c:L___J
F: (480) 393-8104
Kb}(6)

@sw key.org

CONFIDENTIALITY NOTICE: This email, inclu d ing attachments, is for t he sole use of t he int ended recip ient (s ) and may conta in

confidential and privileged information covered by the Electronic Communications Privacy Act,
18 U.S.C. 2510 -2521 . Any unauthorized review, use, or disclosure or distribution is prohibited.
If you are not the intende d recipient, please contact the sender immediately
and destroy all copies of the original message.

From: Calero, Wilfred (ACF) [mailto:Wilfred.Ca lero@acf.hhs .gov]

Sent: Wednesday , January 25, 2017 7:07 AM
To: Meyerstein , Shaanan (ACF) <Shaanan.Meyerstein@acf.hhs.gov >; f._
b_)(6_l____
i<b)(6) f:yswkey .org>

_.,

Cc: DCS Medical <DCSMedical@acf.hhs.gov >
Subject: RE: UC seeking TOP, SWK Kokopelli

EXT-18-241-N-000382

 004017

Dr. Meyerstein,

Just providing a follow up, I will be arriving on site to complete the authorization to proceed with the
UC's TOP on the day of the procedure.

If you have any further questions please let me know.

Thanks for your attention on this matter.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

wilfred.ca lero@acf .hhs.gov

From: Meyerstein, Shaanan (ACF)

EXT-18-241-N-000383

 004018

Sent: Tuesday, January 24, 2017 11:21 PM
To:f

~b)_(6_) ---~

Cc: DCS - UAC Medical; Calero, Wilfred (ACF)
Subject: RE: UC seeking TOP, SWK Koko elli

l(b)(6)

Can you please send me the US results? I don't see any US that was performed today ...
Also, if this minor will be terminating her pregnancy, there is no need to perform Zika Testing.
Just confirming that Wilfred is on board with the plan to be present at the clin ic to sign consent since the
minor requires consent in the State of Arizona and she does not want to disclose to her family.
As soon as I get the US, I will have the ORR director review the request and when I have an answer, will
let you know.
Thank you .

Shaanan

From: .._
kb.._.
)(6_)._
_________

__.@
~sw~k=e=--s.y~.o=r=q
l·

Sent: Tuesday , January 24, 2017 5:23 PM

To: Meyer stein, Shaanan (ACF)

EXT-18-241-N-000384

 004019

Subject: FW: UC seeking TOP , SWK Kokopelli
Importance: High

Here it is.

l(b)(6)

Lead Med ical Coordinator
Southwest Key Programs

Casa Kokopelli #92 1

D: □
)(6)
C:
F: (480) 393-8104
Kb)(6)

p2swkey.org

CONFIDENTIALITY NOTICE:This email, includ ing attachments, is for the sole use of the intended recip ient(s) and may contain

confidential and privileged information covered by the Electronic Communications Privacy Act,
18 U.S.C. 2510-2521. Any unauthori zed review, use, or disclosure or distribution is prohibited.
If you are not the intended recipient, please contact the sender immed iately
and destroy all cop ies of the original message .

6>____
Fromf~b_)(_

~

Sent: Tuesday , January 24, 2017 3: 12 PM
To: DCS Med ica l <DCSMedical@acf.hhs .gov>; 'Meyerste in, Shaanan (ACF)'
<Shaanan .Meyerstein@acf. hhs. gov>

EXT-18-241-N-000385

 004020

Cc: ~b)(6)

IDswkey.org>; ,_f
b_l<6_l _________

_.._
@
~s_w_k_e..,._y_.o_r...,.g
>

Subject: UC seeking TOP, SWK Kokopelli

Good afternoon,

This email is to update you regarding minor:
!(b)(6)

Minor went to Planned Parenthood today for an informational session.
Minor received an ultrasound to confirm pregnancy.
Minor's gestational age is 13 weeks and 3 days.

Being that the gestational age exceeds 9 weeks, minor will have to receive a surgical abortion.

I also spoke with James Washington, Vice President of Patient Services from Planned Parenthood .

The following documents will be needed at the time of the procedure:

1.
Demographic sheet
2.
ORR Medical and Placement Authorization Forms

3.
Required Parental Consent
a.
This form will need to be completed and notarized

EXT-18-241-N-000386

 004021

Mr. Washington explained to me that per Arizona law, UC must wait at least 24 hours after the
informational session before proceeding.
At this time, UC has still expressed desire to continue with the termination to her case manager .
Appointment has been set for 1/27/2017 at 7:30 AM .

I have also attached the forms provided during the visit.

Thank you,

r )(6)

Lead Med ical Coordinator
Southwest Key Programs

Casa Kokopelli #921

:□
F: (480) 393-8104

l(b)(6)

tcusw key.org

CONFIDENTIALITY NOTICE:Th is em ail, incl ud ing attachmen t s, is fo r the sole use of the intended recip ient(s) and may contain

confidential and privileged information covered by the Electronic Communications Privacy Act,
18 U.S.C. 2510-2521. Any unauthori zed review , use , or disclosure or distribution is prohibited.
If you are not the intended recipient, please contact the sender immed iately
and destroy all cop ies of the orig inal message .

EXT-18-241-N-000387

 004022

Sender: Kb)(6)

l§lswkey.org >

"ca lero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF235PDL
T)/cn= Recipients/en=7fcdlfabef934452bff7378f6365fa8e-Calero,Wil> ";
"Meyerstein, Shaanan (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
Recipient :
(FYDIBOHF23SPDL
T)/cn= Recipients/en=73d538e5aeda4197b3381ec6ef84ed75-Meyerstein,
> ";
"ORR DHUC</o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/cn=6dfea50a0f5043538el4b4e34f0920f0-DUCSMedica>"
Sent Date: 2017/01/25 14:04:40
Delivered Date: 2017/01/25 14:05:09
From:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXC
HANGEADMINISTRATIVEGROUP
(FYDIBOHF235PDL
T)/CN= RECIPIENTS/CN= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,
WIL>

"Meyerstein, Shaanan (ACF) </o= Exchangelabs/ou=Exchange Administrative Group
To: ( FYDIBOHF235PDL
T)/cn = Recipients/en= 73d538e5aeda4197b3381ec6ef84ed75
-Meyerstein,> ";
"Alexandra Garcia <agarcia@swkey.org>"
"ORR DHUC</o=Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF235PDL
T)/cn = Recipients/cn=6dfea50a0f5043538el4b4e34f0920f0-DUCSMedica>";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn=Recipients/cn= 2eba95dl 19ab4cd6a77b34616dc3366c-De
LA Cruz,>";
CC:
"Kim, Curi (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/cn=ff860dcb9fb64cd799d9a98fcc0ff8cf-Kim, Curi_3>";
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF235PDL
T)/cn= Recipients/en=Bartholomew, Michael>"
Subject: RE: UC seeking TOP, SWK Kokopelli
Date: 2017/01/25 12:15:00
Priority : Normal
Type: Note

Affirmative, we will start the process of reaching out today.
Thanks for the follow up.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

r)(
6

)

I

wilfred.calero@acf.hhs.gov

From: Meyerstein, Shaanan (ACF)
Sent : Wednesday, January 25, 2017 10:14 AM
To :f b)(6)

~alero, Wilfred (ACF)

Cc: DCS - UAC Medical; De LA Cruz, James (ACF); Kim, Curi (ACF); Bartholomew, Michael (ACF)
Subject: RE: UC seeking TOP, SWK Kokopelli
Wilfred,

EXT-18-241-N-000388

 004023

Apparently what has happened in the past with the other SWK program in Arizona where an FFSsigned
for consent was not the right process. In the State of Arizona, a judicial bypass needs to be attained for
th is minor to have a termination without the consent of her parents. You should have a local legal aid
group who can help facilitate this process.
Thank you.

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
fh\ln \
Kcell)
Shaanan.meyerstein@acf.hhs.gov

From: Meyerstein, Shaanan (ACF)
Sent: Wednesday, January 25, 2017 1:21 AM
To: !(b)(6)
Cc: DCS- OACMedical; Calero, Wilfred (ACF)
Subject: RE: UC seeking TOP, SWK Kokopelli

I

l(b)(6)

Can you please send me the US results? I don't see any US that was performed today ...
Also, if this minor will be terminating her pregnancy, there is no need to perform Zika Testing.
Just confirming that Wilfred is on board with the plan to be present at the clinic to sign consent since the
minor requires consent in the State of Arizona and she does not want to disclose to her family.
As soon as I get the US, I will have the ORRdirector review the request and when I have an answer, will
let you know .
Thank you .
Shaanan

From:~ (b)(6)
l:llswkey.orq l
Sent: uesday, January 24, 2017 5:23
To: Meyerstein, Shaanan (ACF)
Subject: FW: UC seeking TOP, SWK Kokopelli
Importance: High

PM

Here it is.

Lead Medical Coordinator

EXT-18-241-N-000389

 004024

Southwest Key Programs
Casa Kokope lli #921

D:(b)(6)
C:

F:"Tr."""""....,...,,,,.....,'""""
,.,......

CONFIDENTIALITY NOTICE:This email, incl ud ing attachments, is for the sole use of the intended recip ient(s) and may contain confidential
and priv ileged information covered by the Electronic Commun icat ions Privacy Act, 18 u.s.c.2510-2521.Any unauthorized review, use, or
disclosure or distr ibut ion is pr ohib ite d. If you are not th e inten ded recip ient, please contact the sender immediate ly and dest roy all cop ies
of t he orig inal message.

Fromf....
b_)(6
_l____
__.
Se nt : Tuesday, January 24, 2017 3:12 PM
To : DCS Medical <DCSMedical@acf.hhs.gov >; 'Meyerste in, Shaanan (ACF)'
<Shaanan.Meyerstein@acf.hhs.gov >
Cc:l(b)(6)
~ swkey.org >;i:....
kb.:..:
)(6
....:.
)_________
__~~s~w~k~
ey-'--'.=o-'-Urg
>
Subject: UC seeking TOP, SWK Kokopelli

Good afternoo n,
This email is to u date ou regarding minor:
b)(6)
A# (b)(6)
Minor went to Planned Parenthood today for an informational session .
Mino r received an ultrasound to confirm pregnancy.
Mino r's gesta tional age is 13 weeks and 3 days .
Being that the gestational age exceeds 9 weeks, minor will have to receive a surgical abortion.
I a lso spoke with James Washington, Vice President of Patient Services from Planned Parenthood .
The following documents will be needed at the time of the procedure:
1. Demog raphic sheet
2. ORR Medica l and Placement Authorizat ion Forms
3. Required Parenta l Consent
a. This form wi ll need to be completed and notarized
Mr. Washington exp lained to me that per Arizona law , UC must wait at least 24 hours after the
informational session before proceeding .
At this time, UC has still expressed desi re to continue with the termination to her case manager .
Appointment has been set for 1/27/2017 at 7:30 AM.
I have also attached the forms provided during the visit.

Thank you,

EXT-18-241-N-000390

 004025

~swke y.org
CONFIDEflALITY NOTICE:This email, includ ing attachmen t s, is for the sole use of the intended recip ient(s) and may cont ain confidential
and privileged info rmation covered by the Elect ronic Commun icat ions Privacy Act, 18 U.S.C.2510-2521.Any unauthorized review, use, or

l(b) (6)

disclosure or distr ibution is prohib it ed. If you are not th e int ended recip ient, please contact th e sender imm ediate ly and destroy all cop ies
of t he original message.

Sender:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRA
TIVE GROUP
( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,
WIL>

"Meyerstein, Shaanan (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF23SPDL
Tl/en= Recipients/en=73d538e5aeda4197b3381ec6ef84ed75
-Meyerstein, > ";
lb )(6)
lnswkey.org>";
"ORR DHUC</o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/ en= Recipients/cn=6dfea50a0f5043538el4b4e34f0920f0-DUCSMedica> ";
Recipient: "De LA Cruz, James (ACF) </o = ExchangeLabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn
= Recipients/cn=2eba95dl19ab4cd6a77b34616dc3366c-DeLA Cruz,>";
"Kim, Curi (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/cn=ff860dcb9fb64cd799d9a98fcc0ff8cf-Kim,Curi_ 3>";
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/cn= Bartholomew, Michael>"
Sent Date: 2017/01/25 12:15:59
Delivered Date: 2017/01/25 12:15:00
From:

Meyerstein, Shaanan(ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRAT
I VE GROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 73D538ESAEDA4197B3381
EC6EF8
4ED75-MEYERSTEIN,
>

~b)(6)
~swkey.org>";
To: ca lero, Wilfred (ACF) </o = ExchangeLabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/en= 7fcdlfabef934452bff7378f6365fa8e-Calero, Wil>"

"ORR DHUC</o = ExchangeLabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/cn=6dfea50a0f5043538el4b4e34f0920f0-DUCSMedica> ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
=Recipients/cn= 2eba95d119ab4cd6a77b34616dc3366c-De LA Cruz,>";
CC: (FYDIBOHF23SPDLT)/cn
"Kim, Curi (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn
= Recipients/cn=ff860dcb9fb64cd799d9a98fcc0ff8cf-Kim,Curi_ 3>";
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn=Recipients/cn= Bartholomew, Michael>"
Subject: RE: UC seeking TOP, SWK Kokopelli
Date: 2017/01/25 12:14:25
Priority: Normal
Type: Note

Wilfred,
Apparently what has happened in the past with the other SWK program in Arizona where an FFSsigned
for consent was not the right process. In the State of Arizona, a judicial bypass needs to be attained for
this minor to have a termination without the consent of her parents. You should have a local legal aid
group who can help facilitate this process.
Thank you .

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompan ied Children's Program

EXT-18-241-N-000391

 004026

Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)
fb )(6)
!cell)
Shaanan.meyerstein@acf.hhs.gov

From: Meyerstein, Shaanan (ACF)
Sent: Wednesday, January 25, 2017 1:21 AM

I

To* b)(6)

Cc: DCS - UAC Medical; Calero, Wilfred (ACF)
Subject: RE: UC seeking TOP, SWK Kokopelli

Can you please send me the US results? I don't see any US that was performed today ...
Also, if this minor will be terminating her pregnancy, there is no need to perform Zika Testing .
Just confirming that Wilfred is on board with the plan to be present at the clinic to sign consent since the
minor requires consent in the State of Arizona and she does not want to disclose to her family.
As soon as I get the US, I will have the ORRdirector review the request and when I have an answer, will
let you know.
Thank you.
Shaanan

From: j(b)(6)
@swkey.org 1
Sent: Tuesday, January 24, 2017 5:23 PM
To : Meyerstein, Shaanan (ACF)
Subject: FW: UC seeking TOP, SWK Kokopelli
Importance: High
Here it is.
l(b)(6)

Lead Medical Coordinator
Southwest Key Programs
Casa Koko elli #921
D (b)(6)

CL.-____

__.

F: (480) 393-8104
Kb)(6)
IDswkey.org
CONFIDENTIALITYNOTICE:This email, includ ing attachments, is for the sole use of the inten ded recip ient(s) and may contain confidential
and priv ileged information covered by the Electronic Commun icat ions Privacy Act, 18 U.S.C.2510-2521.Any unauthorized review, use, or
disclosure or distr ibution is prohib ited. If you are not the intended recipient, please contact the sender immediate ly and destroy all copies
of the orig inal message.

From:"'l
<b...
l/..._6
l ____
.....
__.
Sent: Tuesday, January 24, 2017 3:12 PM
To: DCSMedical <DCSMedical@acf.hhs.gov >; 'Meyerstein, Shaanan (ACF)'

EXT-18-241-N-000392

 004027

<Shaanan.Meyerstein@acf.hhs.gov >

Cc: f b)(6)
tpswkey.org >; ~Lb..:.
)(6
..:.)________
Subject: UC seeking TOP, SWK Kokopelli

...J"
W
-'s"""'
w"'"'
k""'e'"""y""'
.o'""""'rg
>

Good afternoon ,
This email is to update ou regarding minor :
(b)(6)
A# b)(6)

Minor went to Planned Parenthood today for an informational sess ion.
Minor received an ultrasound to confirm pregnancy.
Minor's gestational age is 13 weeks and 3 days.
Being that the gestational age exceeds 9 weeks, minor will have to receive a surgical abortion.
I a lso spoke with James Washington, Vice President of Patient Services from Planned Parenthood .
The following documents will be needed at the time of the procedure:
1. Demog raphic sheet
2. ORR Medical and Placement Authorization Forms
3. Required Parenta l Consent
a. This form will need to be completed and notarized
Mr. Washington exp lained to me that per Arizona law , UC must wait at least 24 hours after the
informat ional session before proceeding .
At this time, UC has still expressed desire to continue with the termination to her case manager .
Appointment has been set for 1/27/2017 at 7:30 AM .
I have also attached the forms provided during the visit.

Thank you,

Lead Medical Coordinator
Southwest Key Programs
Casa Kokopelli #921

I

g :r b)(6)

F: 480 393-8104
b)(6)
CONFIDENTIALITY NOTICE:This email, includ ing attachmen t s, is for the sole use of the intended recip ient(s) and may cont ain confidential
and priv ileged information covered by the Electronic Commun ications Privacy Act, 18 U.S.C. 2510-2521.Any unauthorized review, use, or
disclosure or distribution is prohib ited . If you are not the intended recip ient, please contact the sender immediate ly and destroy all copies
of t he original message.

Sender:

Meyerstein, Shaanan(ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN= 73D538ESAEDA4197B3381
EC6EF84ED75-MEYERST
EIN, >
(b)(6)
k.ruswkey
.org> ";

"ca lero, Wilfred (ACF) </o=Exchangelabs/ou = ExchangeAdministrative Group
Recipient: (FYDIBOHF23SPDL
T)/cn= Recipients/en=?fedlfabef934452bff7378f6365fa8e-Calero, Wil> ";
"ORR DHUC</o = Exchangelabs/ ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/cn=6dfea50a0f5043538el4b4e34f0920f0-DUCSMedica>";

EXT-18-241-N-000393

 004028

"De LA Cruz, James (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,> ";
"Kim, Curi (ACF) </o=Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/cn=ff860dcb9fb64cd799d9a98fcc0ff8cf
-Kim, Curi_3>";
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=Bartholomew,Michael>"
Sent Date: 2017/01/25 12:14:23
Delivered Date: 2017/01/25 12:14:25

From:l~(b)(6)

rg>swkey.org>

To:

"Calero, Wilfred (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
( FYDIBOHF
23SPDL
T)/cn= Recipients/en= ?fedlfabef934452bff7378f6365fa8e-Calero,Wil > ";
"Meyerstein,Shaanan(ACF) </o=Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=73d538e5aeda4197b3381ec6ef84ed75-Meyerste
in, >"

CC:

"ORRDHUC</o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/cn=6dfea50a0f5043538el4b4e34f0920f0-DUCSMedica>"

Subject : RE: UC seekingTOP, SWK Kokopelli
Date : 2017/01/25 12:01:06
Priority : Normal
Type: Note

Good morning,

They did not provide a physical copy of the ultrasound .
I will contact Planned Parenthood and see if they can provide a copy .

Thank you,

_j(b)(6)

Lead Medical Coordinato r

EXT-18-241-N-000394

 004029

Southwest Key Programs

Casa Kokopelli #921

o:rr-7

c:L__J

F: (480) 393-8104
l(b)(6)

~ swkey.org

CONFIDENTIALITY NOTICE:This email, incl ud ing attachmen ts, is for the sole use of the intended recipient(s) and may contain

confidential and privileged information covered by the Electronic Communications Privacy Act ,
18 U.S.C. 2510 -2521. Any unauthori zed review , use , or disclosure or distribution is prohibited .
If you are not the intended recipient, please contact the sender immediately
and destroy all cop ies of the origina l message .

From : Calero, Wilfred (ACF) [mailto:Wilfred.Ca lero@acf .hhs.gov]

Sent: Wedne sday , January 25, 2017 7:07 AM
To : Meyerstein, Shaanan (ACF) <Shaanan.Meyer stein@acf.hhs.gov > ; l(b)(6)
1(b)(6)
• fYswkey.org>
~-----~
Cc: DCS Medical <DCSMedical @acf.hhs .gov>
Subject: RE: UC seeking TOP, SWK Kokopelli

Dr. Meyerstein,

Just providing a follow up, I will be arriving on site to complete the authorization to proceed with the
UC's TOP on the day of the procedure.

EXT-18-241-N-000395

 004030

If you have any further questions please let me know.

Thanks for your attention on th is matter .

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

D
wilfred.calero@acf.hhs.gov

From: Meyerstein, Shaanan (ACF)

Sent: Tuesday, January 24, 2017 11:21 PM
To: l(b)(6)

Cc: DCS - UAC Medical; Calero, Wilfred (ACF)
Subject: RE: UC seeking TOP, SWK Kokopelli

EXT-18-241-N-000396

 004031

l(b)(6)

Can you please send me the US results? I don't see any US that was performed today ...
Also, if this mino r will be terminating her pregnancy, there is no need to perform Zika Testing.
Just confirming that Wilfred is on board with the plan to be present at the clinic to sign consent since the
minor requires consent in the State of Arizona and she does not want to disclose to her family.
As soon as I get the US, I will have the ORR director review the request and when I have an answer, will
let you know .
Thank you.

Shaanan

From : IL
(b.;...:
)(6....:.
)_________

__,@
~s~w~k~ec,_y~.o~rg
.l

Sent: Tuesday, January 24, 2017 5:23 PM
To: Meyer stein, Shaanan (ACF)
Subject: FW: UC seeking TOP , SWK Kokopell i
Importance: High

Here it is.

EXT-18-241-N-000397

 004032

Lead Medica l Coordi nator
Southwest Key Programs

Casa Kokopelli #921
D: Db)(6)

C:
F: (480) 393-8104
kb}(6}

@swkey.org

CONFIDENTIALITY NOTICE:Th is email, includ ing attachments , is for t he sole use of the int ended recipien t(s) and may conta in

confidential and privileged information cover ed by the Electron ic Commun ications Privacy Act ,
18 U.S.C. 2510-2521. Any unauthor ized review , u se, or disclo sure or distribution is prohib ited.
If you are not the intended recipient, plea se contact the sender immediately
and destroy all copie s of the original me ssage.

Fromf....
b_l(_6l_____

_.

Sent: Tuesday , January 24, 2017 3: 12 PM
To: DCS Medic al <DCSMed ical@acf. hhs.gov> ; 'Meyer stein , Shaanan (ACF)'
<Shaanan .Meye rstein@acf. hhs. gov>
Cc : !(b)(6)

k!}swkey.org > ; ~L..
b_)(6_) _________

.,..
@
__
s~w_k_e....,_y_.o~r
....
g>

Subject: UC seeking TOP , SWK Kokopelli

Good afternoon ,

This emai l is to update you regarding minor:
l(b )(6)

EXT-18-241-N-000398

 004033

Minor went to Planned Parenthood today for an informational sess ion.
Minor received an ultrasound to confirm pregnancy .
Minor's gestational age is 13 weeks and 3 days.

Being that the gestational age exceeds 9 weeks, minor will have to receive a surgical abortion .

I also spoke with James Wash ington, Vice President of Patient Services from Planned Parenthood .

The following documents will be needed at the time of the procedure:
1.

Demographic sheet
2.
ORR Medical and Placement Authorizat ion Forms

3.
Required Parental Consent
a.
This form will need to be completed and notarized

Mr. Washington explained to me that per Arizona law, UC must wait at least 24 hours after the
informational session before proceeding .
At this time , UC has still expressed desire to continue with the term ination to her case manager.
Appointment has been set for 1/27/2017 at 7:30 AM.

I have also attached the forms provided during the visit.

EXT-18-241-N-000399

 004034

Thank you,

l(b)(6)

Lead Med ical Coordinator
Southwest Key Programs

Casa Kokopelli #92 1

D: □
)(6)
C:
F: (480) 393-8104
kb)(6)

wsw key.org

CONFIDENTIALITY NOTICE: This em ail, inclu d ing att achment s, is fo r t he sole use of t he inte nd ed recip ient(s) and may cont ain

confidential and privileged information covered by the Electro nic Communicatio ns Privacy Act,
18 U.S.C. 2510-252 1. Any unauthorized review, use, or disclosure or distribution is prohibited.
If you are not the intended recipient, please contact the sender immediate ly
and destroy all copies of the origina l message.

Sender: b)(6)

l@swkey.org >

"Calero, Wilfred (ACF) </o=Exchangelabs/ou=ExchangeAdminist rative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=7fcd lfabef934452bff7378f6365fa8e-Calero, Wil> ";
"Meyerstein, Shaanan(ACF) </o = Exchangelabs/ou= Exchange Administrative Group
Recipient:
(FYDIBOHF23SPDL
T)/cn= Recipients/en= 73d538e5aeda4197b3381ec6ef84ed75
-Meyerstein, > ";
"ORR DHUC</o=Exchangelabs/ ou=ExchangeAdministrative Group
T)/cn= Recipients/cn=6dfea50a0f5043538el
4b4e34f0920f0-DUCSMedica>"
(FYDIBOHF23SPDL
Sent Date: 2017/01/ 25 12:00:11
Delivered Date: 2017/01/ 25 12:01:06

From:
To:

Velazquez, Ivonne (ACF) </O= EXCHANGELABS
/ OU=EXCHANG
E ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
=39E67B42D96043C688E84
FA6CEF42570-VELAZQUEZ
,>
"Calero, Wilfred (ACF) </o = Exchangelabs/ou = Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=7fcdlfabef934452bff7378f6365fa8e-Calero
, Wil>"

"De LA Cruz, James(ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95dl19ab4cd6a77b34616dc3366c
-De LA Cruz,> "
IA#
j(b)(6)
Subject : Re: Kokopelli: Next Appointment for kb)(6)
I

CC:

Date: 2017/01/25 09:56:47

EXT-18-241-N-000400

 004035

EXT-18-241-N-000401

 004036

If you have any further questions please let me know.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

D
wilfred.calero@acf.hhs.gov

From: l._
<b-)(6~)____________

@swkey.org]

Sent: Tuesday, January 24, 2017 4:53 PM
To: Calero , Wilfred (ACF)

_____________________________

Cc: .__
b)(6)

Subject: Kokopelli: Next Appointment for._l
<b_)<6_>_________

____.

_.IAtfb)(6 )

Good Afternoon Will,

EXT-18-241-N-000402

 004037

Per our conversation today, please see below information regarding the appointment from this
morning. The next appointment is scheduled for Friday(l/27/2017) at 7:30am at Tempe location : 1250
E. Apache Blvd,

Ste 108, Tempe, AZ 85281.

The clinician ,_l
<b
_)(6
_)_ _.lhas agreed to accompany the client to this appointment.

Please let me know if you have any other questions or concerns.

Thank you,
rb )(6)

Case Manager
Southwest Key Program - Kokopelli
!(b)(6)

@swkey.org

Fax: 480-452-0603
Phonef~b)(6_>___

~

From :~l
{b_)(6_) ____

_.

Sent: Tuesday , January 24, 2017 3:36 PM
To: Keila Alvarado <kalvarado@swkey.org> ;l(b)(6)
"4b)(6)
~swkey.org> ~(b)(6)
!(b)(6)
@swke y.org>

@swkey.org> ;

EXT-18-241-N-000403

 004038

Cc:K._b_)(6_) _________

.,_._s_w_k_e
@
___
y_.o_r...,.g
>

Subject: Minor seeking TOP

Good afternoon ,

CM
b)(6)

ttended an informational session at Planned Parenthood today with minor l(b
....
_)(_6)___
A# (b)(6)
regarding terminat ion of pregnancy .

(b)(6)

~

During this visit, it was noted that the current gestational age is 13 weeks and 3 days.
Being that the gestational age exceeds 9 weeks, minor will have to receive a surgical abortion .

The cost for the term ination will be $725 .
The program will cover these costs on the day of the procedure.
There also may be an additional fee of $95 if the client had an RH- blood type.

At this time, ORR Medical is going by the last statement provided by the client , that the pregnancy was a
result of rape.
With that being said, the procedure would be eligible for federal funding .

Dr. Meyerste in with ORR Medical called me earlier today.
He informed me that he was working on a memo that would be signed by the ORR director .
This memo would be signed and sent back stating that federal funding .

I have been in contact with the LMCs from other facil ities that were more familiar with this process.
I was informed that the FFS was the one who signed the parenta l consent (as legal guardian).
Once the parental consent is signed, it needs to be notarized .

EXT-18-241-N-000404

 004039

FFS would then have to be present at Planned Parenthood the day of the procedure .

The surgical termination does not require any follow up visits .
An informational form was provided stating the risks of the procedure .
Detailed instructions were also provided for the day of the procedure.

I spoke with James Washington, Vice President with Patient Services.
He informed me that the following items will need to be provided the day of the procedure:
1.
SWK Demographic sheet

2.
ORR placement and medical authorization forms
3.
Required parental consent

a.
Signed and notarized

4.
Payment

Per my conversation with .....
l(b-)(6
_)_

_.fhe minor still expressed

desire to termi nate the pregnancy.

At the time of visit , an appo intment was set for the procedure .
Appointment is set for Friday 1/27/2017 at 7:30 AM.

If you have any additional questions, don 't hesitate to contact me.

Thank you,

EXT-18-241-N-000405

 004040

l(b)(6)

Lead Medical Coordinator
Southwest Key Programs

Casa Kokopelli #921

D
F: (480) 393 -8104
Kb)(6)

IDswkey.org

CONFIDENTIALITY NOTICE:Th is email, includ ing attachments, is for t he sole use of th e int ended recipien t(s) and

may contain confidential and privileged information covered by the Electronic Communication s
Privacy Act, 18 U.S.C. 2510-2521. Any unauthorized review, use, or disclosure or distribution is
prohibited. If you are not the intended recipient, please contact
the sender immediately and destroy all copies of the original message.

Sender:

Rec ipient :

Velazquez, Ivonne (ACF) </O=EXCHANGELABS/OU
=EXCHANGEADMINISTRATIVEGROUP
( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
=39E67B42D96043C688E84FA6CEF42570
-VELAZQUEZ,
>
"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF23SPDL
T)/cn= Recipients/en=7fcdlfabef934452bff7378f6365fa8e-Calero, Wil> ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>"

Sent Date: 2017/01/25 09:56:46
Delivered Date: 2017/01/25 09:56:47
From:
To:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8E
-CALERO, WIL>
"Velazquez, Ivonne (ACF) </o= Exchangelabs/ ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn= Recipients/en=39e67b42d96043c688e84fa6cef42570-Velazquez,>"

Subject : FW: Kokopelli: Next Appointment for 1(b)(6)

IA# l(b)(6)

I

Date : 2017/01/25 09:04:00
Priority: Normal
Type: Note

Ivonne,

EXT-18-241-N-000406

 004041

Below you will find the appointment date for the above referenced UC's schedule TOP. I will arrive on
site to monitor the approval and will be with the UC at the commencement of the procedure. The
program has agreed to provide the UC clinician to accompany and remain with the UC throughout the
procedure.
If you have any further questions please let me know.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement
j<b)(6)
wilfred.calero@acf.hhs.gov

From: l(b)(6)
fPswkey.org]
Sent: Tuesday, January 24, 2017 4:53 PM
To: Calero, Wilfred (ACF)
Cc: (b)(6)
Sub1ect: Ko ope i: Next Appointment or ._b_)<6
_>________

_.A# (b)/6)

Good Afternoon Will,
Per our conversation today , please see below information regarding the appointment from this
morning. The next appointment is scheduled for Friday(l/27/2017) at 7:30am at Tempe location : 1250
E. Apache Blvd, Ste 108, Tempe, AZ 85281.
The clinician ...
l(b_)(_
6)_ __.~ as agreed to accompany the client to this appointment.
Please let me know if you have any other questions or concerns.
Thank you,

Case Manager
Southwest
j<b)(6)

Key Program - Kokopelli
j!?swkey.org

Fax: 480-452 -0603
Phone :._l
<b
_)<6_>___
_.
From: ._l
<b_)<6
_>____

_.

Sent: Tuesday, January 24, 2017 3:36 PM
To: Keila Alvarado <kalvarado@swkey.org >; l(b)(6)
6>___________
!(b)(6)
!swke~or~ ;,_f
b_)<_
Cc:l<b)(6)
l@swkey.org >
Subject: Minor seeking TOP

@swkey.org >;
_,,r@
_s_w_k_e~y_.o_r~g
>

EXT-18-241-N-000407

 004042

Good afternoon ,
CM

ttended an informational session at Planned Parenthood today with minor f bl(6)
IA# (b)(6)
regarding terminat ion of pregnancy.
-----~
During this vIsIt, It was noted that the current gestational age is 13 weeks and 3 days.
Being that the gestational age exceeds 9 weeks, minor will have to receive a surgical abortion.
b)(6)

Kb)(6)

The cost for the termination will be $725.
The program will cover these costs on the day of the procedure .
There also may be an additional fee of $95 if the client had an RH- blood type .
At this time, ORR Medical is going by the last statement provided by the client , that the pregnancy was a
result of rape.
With that being said, the procedure would be eligible for fede ral funding.
Dr. Meyerstein with ORR Medica l called me earlier today.
He informed me that he was working on a memo that would be signed by the ORR director.
This memo would be signed and sent back stating that federal funding.
I have been in contact with the LMCs from other facil ities that were more familiar with this process .
I was informed that the FFS was the one who signed the parenta l consent (as legal guardian).
Once the parental consent is signed, it needs to be notarized .
FFS wou ld then have to be present at Planned Parenthood the day of the procedure .
The surg ical termination does not require any follow up visits.
An informational form was provided stating the risks of the procedure .
Detailed instructions were also provided for the day of the procedure .
I spoke with James Washington, Vice President with Patient Services.
He informed me that the following items will need to be provided the day of the procedure:
1. SWK Demographic sheet
2. ORR placement and medical authorization forms
3. Required parental consent
a. Signed and notarized
4. Payment
Per my conversation with ~b)(6)
~he minor still expressed desire to terminate the pregnancy.
At the time of visit , an appointment was set for the procedure.
Appointment is set for Friday 1/27/2017 at 7:30 AM.

If you have any additional questions, don 't hesitate to contact me.

Thank you,
Lead Medical Coordinator
Southwest Key Programs
Casa Kokope lli #921

g:

l(b)(6)

I

F: 480 393-8104
h\/o \
CONFIDENTIALITY NOTICE:This email, including attachments, is for the sole use of the intended recipient(s) and may contain confidential
and priv ileged information covered by the Electronic Commun ications Privacy Act, 18 u.s.c. 2510-2521.Any unauthorized review, use, or

EXT-18-241-N-000408

 004043

disclosur e or distribut ion is pro hibited. If you a re not th e intended recip ient, p lease contact the sen der imme diate ly and destroy all cop ies
of t he original message .

Sender:
Recipient:

Calero, Wilfred (ACF) </O =EXCHANGELABS/OU
=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF235PDL
T)/CN= RECIPIENTS/CN= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,
WIL>
"Velazquez, Ivonne (ACF) </o =ExchangeLabs/ou= ExchangeAdministrative Group
(FYDIBOHF235PDL
T)/cn= Recipients/en=39e67b42d96043c688e84fa6cef42570-Velazquez,>"

Sent Date: 2017/01/25 09:04:45
Delivered Date: 2017/01/25 09:04:00
=EXCHANGE ADMINISTRAT
IVE GROUP
From: Calero, Wilfred (ACF) </O =EXCHANGELABS/OU

(FYDIBOHF235PDL
T)/CN= RECIPIENTS/CN= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,
WIL>

"Meyerstein, Shaanan (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To: (FYDIBOHF235PDL
T)/cn= Recipients/en=73d538e5aeda4197b3381ec6ef84ed75-Meyerstein,
> ";
111swkey.org>
"
"Kb)(6)

CC:

"ORR DHUC</o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF235PDL
T)/cn= Recipients/cn=6dfea50a0f5043538el4b4e34f0920f0-DUCSMedica>"

Subject: RE: UC seeking TOP, SWK Kokopelli
Date: 2017/01/25 09:06:00
Priority : Normal
Type: Note

Dr. Meyerstein,
Just providing a follow up, I will be arriving on site to complete the authorization to proceed with the
UC's TOP on the day of the procedure.
If you have any further questions please let me know.
Thanks for your attention on this matter.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement
rb)(6)

i

wilfred.calero@acf.hhs.gov

From: Meyerstein, Shaanan (ACF)
Sent: Tuesday, January 24, 2017 11:21 PM
To : j(b)(6)
Cc: DCS - UAC Medical; Calero, Wilfred (ACF)
Subject: RE: UC seeking TOP, SWK Kokopelli

I

l(b)(6)

EXT-18-241-N-000409

 004044

1

Can you please send me the US results? I don t see any US that was performed today ...
Also, if this minor will be terminating her pregnancy, there is no need to perform Zika Testing.
Just confirming that Wilfred is on board with the plan to be present at the clinic to sign consent since the
minor requires consent in the State of Arizona and she does not want to disclose to her family.
As soon as I get the US, I will have the ORRdirector review the request and when I have an answer, will
let you know.
Thank you.
Shaanan

From: l(b)(6)
@swkey.org l
Sent: Tuesday, January 24, 2017 5:23 PM
To: Meyerstein, Shaanan (ACF)
Subject: FW: UC seeking TOP, SWK Kokopelli
Importance: High
Here it is.

Lead Med ical Coordinator
Southwest Key Programs
Casa Koko elli #921
D b)(6)

C

F:'-r,r;"'""...,.,.,.,,,.,....,.rT7'1".-'
(b)(6)

CONFIDENTIALITY NOTICE:This email, incl ud ing attachments, is for the sole use of the intended recip ient(s) and may contain confidential
and priv ileged info rm ation covered by the Electronic Commun ications Privacy Act, 18 U.S.C. 2510-2521.Any unauthorized review, use, or
disclosure or distribution is prohib ited. If you are not the intended recip ient, please contact the sender imm ediate ly and destroy all cop ies
of the original message.

From : f~b_
)(6_) ____

~

Sent : Tuesday, January 24, 2017 3:12 PM
To: DCSMedical <DCSMedical@acf.hhs.gov >; 'Meyerste in, Shaanan (ACF)'
<Shaanan. Meyerstei n@acf. h hs.gov>
Cc:l(b)(6)
@swkey.org >; l(b)(6)
Subject : UC seeking TOP, SWK Kokopelli

@swkey.org >

Good afternoon ,
This emai l is to update you regarding minor:
t b)(6)
A#!(b )(6)

I

Minor went to Planned Parenthood today for an informational sess ion.
Minor received an ultrasound to confirm pregnancy.
Minor's gestational age is 13 weeks and 3 days.
Being that the gestational age exceeds 9 weeks, minor will have to receive a surgical abortion.
I also spoke with James Washington, Vice President of Patient Services from Planned Parenthood.

EXT-18-241-N-000410

 004045

The following documents will be needed at the time of the procedure:
1. Demographic sheet
2. ORR Medical and Placement Authorizat ion Forms
3. Required Parental Consent
a. This form will need to be completed and notarized
Mr. Washington explained to me that per Arizona law, UC must wait at least 24 hours after the
informational session before proceeding.
At this time, UC has still expressed desire to continue with the termination to her case manager.
Appointment has been set for 1/27/2017 at 7:30 AM.
I have also attached the forms provided during the visit.

Thank you,

l(b)(6)

Lead Medical Coordinator
Southwest Key Programs
Casa Koko elli #921

D:(b)(6)
C:.__ ___
____.
F: 480 393-8104
b)(6)
swke .or
CONFIDENTIALITY NOTICE:This email, including attachments, is for the sole use of the intended recip ient( s) and may contain confidential
and priv ileged information covered by the Electronic Commun ications Privacy Act, 18 U.S.C. 2510-2521.Any unauthorized review, use, or
disclosure or d istribution is prohib ited. If you are not the intended recip ient, please contact the sender immediate ly and destroy all cop ies
of the orig inal message.

Sender:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU
=EXCHANGEADMINISTRATIVE GROUP
(FYDIBOHF23SPDL
T)/ CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8
E-CALERO,WIL>

"Meyerstein, Shaanan (ACF) </ o= Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF23SPDL
T)/ cn= Recipients/en= 73d538e5aeda4197b3381ec6ef84ed75
-Meyerstein,> ";
Recipient: b)(6)
talswkey.org> ";
"ORR DHUC</ o= Exchangelabs/ ou= ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn= Recipients/cn=6dfea50a0f5043538el 4b4e34f0920f0-DUCSMedica>"
Sent Date: 2017/01/25 09:06:55
Deliv e red Date : 2017/01/25 09:06:00
From:

Meyerstein, Shaanan(ACF) </O = EXCHANGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN= 73D538ESAEDA419783381
EC6EF8
4 ED75-MEYERSTEIN,
>

To: Kb)(6)

~swkey.org>"

"ORR DHUC</o = Exchangelabs/ou = Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/cn=6dfea50a0f5043538el4b4e34f0920f0-DUCSMedica>";
CC:
"Calero, Wilfred (ACF) </ o=Exchangelabs/ ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/en= 7fcdlfabef934452bff7378f636Sfa8e-Calero, Wil >"
Subject: RE: UC seeking TOP, SWK Kokopelli
Date: 2017/ 01/ 25 01:21:17
Priority: Normal
Type: Note

l(b)(6)

EXT-18-241-N-000411

 004046

1

Can you please send me the US results? I don t see any US that was performed today ...
Also, if this minor will be terminating her pregnancy, there is no need to perform Zika Testing.
Just confirming that Wilfred is on board with the plan to be present at the clinic to sign consent since the
minor requires consent in the State of Arizona and she does not want to disclose to her family.
As soon as I get the US, I will have the ORRdirector review the request and when I have an answer, will
let you know.
Thank you.
Shaanan

From: j(b)(6)
miswkey.org]
Sent: Tuesday, January 24, 2017 5:23 PM
To: Meyerstein, Shaanan (ACF)
Subject: FW: UC seeking TOP, SWK Kokopelli
Importance: High
Here it is.

NTIALITY NOTICE:This email, incl ud ing attachments, is for the sole use of the intended recip ient(s) and may contain confidential
and priv ileged info rmation covered by the Electronic Commun ications Privacy Act, 18 U.S.C. 2510-2521.Any unauthorized review, use, or
disclosure or distribution is prohib ited. If you are not the intended recip ient, please contact the sender imm ediate ly and destroy all copies
of the original message.

From : ~l
<b_)(_6)____
~
Sent: Tuesday, January 24, 2017 3:12 PM
To: DCSMedical <DCSMedical@acf.hhs.gov >; 'Meyerstein, Shaanan (ACF)'
<Shaanan. Meyerstei n@acf. h hs.gov>
Cc:!(b)(6)
l@swkey.org >;Kb)(6)
Subject: UC seeking TOP, SWK Kokopelli

!@swkey.org >

Good afternoon ,
This emai l is to update you regarding minor:

A#

~i (b)(6)

I

Minor went to Planned Parenthood today for an informational sess ion.
Minor received an ultrasound to confirm pregnancy.
Minor's gestational age is 13 weeks and 3 days.
Being that the gestational age exceeds 9 weeks, minor will have to receive a surgical abortion.
I also spoke with James Washington, Vice President of Patient Services from Planned Parenthood.

EXT-18-241-N-000412

 004047

The following documents will be needed at the time of the procedure:
1. Demographic sheet
2. ORR Medical and Placement Authorizat ion Forms
3. Required Parental Consent
a. This form will need to be completed and notarized
Mr. Washington explained to me that per Arizona law, UC must wait at least 24 hours after the
informational session before proceeding.
At this time, UC has still expressed desire to continue with the termination to her case manager.
Appointment has been set for 1/27/2017 at 7:30 AM.
I have also attached the forms provided during the visit.

Thank you,

l(b )(6)

Lead Med ical Coordinator
Southwest Key Programs
Casa Kokope lli #921
6)

gr)(

I

F: (480) 393-8104
@sw key.org

!rh \l R\

CONFIDENTIALITY NOTICE:This email, including attachments, is for the sole use of the intended recip ient( s) and may contain confidential
and priv ileged information covered by the Electronic Commun ications Privacy Act, 18 U.S.C. 2510-2521.Any unauthorized review, use, or
disclosure or d istribution is prohib ited. If you are not the intended recip ient, please contact the sender immediate ly and destroy all cop ies
of the orig inal message.

Sender:

Meyerste in, Shaanan (ACF) </ O=EXCHANGELABS/OU=EXCHANGEADMINIS TRATIVE GROUP
( FYDIBOHF23SPDLT)/ CN= RECIPIENTS/CN= 73D538ESAEDA4197B3381 EC6EF84ED75-MEYERSTEIN,>

b)(6)
!))swkey .org> ";
"ORR DHUC </o=Exchangelabs/ou=Exchange
Administrative Group
Recipient: (FYDIBOHF23SPDLT)/cn= Recipients/cn=6dfea50a0f5043538el 4b4e34f0920f0-DUCS Medica>";
"ca lero, Wilfred (ACF) </ o= Exchangelabs/ou = Exchange Adm inistrative Group
(FYDIBOHF23SPDLT)/cn= Recipients/en= 7fcd l fabef934452bff7378f6365fa8e-Cale ro, Wil>"

Sent Date: 2017/01/25 01:21:12
Delivered Date: 2017/01/25 0 1:2 1:17
From: b)(6)

fglswkey .org >

"(a lero, Wilfred (ACF) </o = Exchangelabs / ou = Exchange Administrat ive Group
To:
(FYDIBOHF23SPDLT)/ cn= Recipients/en= 7fcd lfabef934452bff7378f636Sfa8e-Calero
b)(6)

CC:

(b)(6)

, Wil>"

howkey.org>";
swkey.org>";
~swkey.org>";
w key.org> "

Subject: Kokopelli: Next Appointment for ~b)(6)

~# l(b)(6)

I

Date: 2017/ 01/ 24 18:53 :03
Priority: Normal
Type: Note

EXT-18-241-N-000413

 004048

Good Afternoon Will,

Per our conversation today, please see below information regarding the appointment from this
morning. The next appointment is scheduled for Friday(l/27/2017) at 7:30am at Tempe location: 1250
E. Apache Blvd,

Ste 108, Tempe , AZ 85281 .

The clinician Y
.....
b_)(6_) _ _,lhas agreed to accompany the client to this appointment.

Please let me know if you have any other questions or concerns.

Thank you,
l(b)(6)

Case Manager
Southwest Key Program - Kokopelli
l(b)(6)

~swkey.org

Fax: 480-452-0603

Phonf.....
b_)<6_)___

From: L..
Kb.;_;
)(6...;..
)____

____,

__.

EXT-18-241-N-000414

 004049

Sent: Tuesday , January 24, 2017 3:36 PM
To: Keila Alvarado <kalvarado@ swkey .org>; fbl(6)
l(b)(6)
lyswkey.org> ;Lt:~:t;
)(6~)---~~-------,.l
6
l<b)()
J@swkey.org >
b_)(6_) ________
Cc: l<
.....

I

@.,,.........s
_w....-J
key.org > ; ] (b)(6)

_,~s wkey.org>

Subject: Minor seeking TOP

Good afternoon ,

CM
(b)(6)

attended an informational session at Planned Parenthood today with minor f b)(6)
A# (b)(6)
regarding termination of pregnancy .
~-----'

(b)(6)

During this visit, it was noted that the current gestational age is 13 weeks and 3 days.
Being that the gestational age exceeds 9 weeks, minor will have to receive a surgical abortion.

The cost for the term ination will be $725 .
The program will cover these costs on the day of the procedure .
There also may be an additional fee of $95 if the client had an RH- blood type.

At this time , ORR Medical is going by the last statement provided by the client , that the pregnancy was a
result of rape.
With that being said, the procedure would be eligible for fede ral funding.

Dr. Meyerstein with ORR Medical called me earlier today.
He informed me that he was work ing on a memo that would be sig ned by the ORR director.
This memo would be signed and sent back stating that federal fu nding.

EXT-18-241-N-000415

 004050

I have been in contact with the LMCs from other facil ities that were more familiar with this process.
I was informed that the FFS was the one who signed the parenta l consent (as legal guard ian).
Once the parental consent is signed, it needs to be notarized .
FFS would then have to be present at Planned Parenthood the day of the procedure .

The surgical termination does not require any follow up visits.
An informational form was provided stating the risks of the procedure .
Detailed instructions were also provided for the day of the procedure.

I spoke with James Washington, Vice President with Patient Services.
He informed me that the following items will need to be provided the day of the procedure:
1.
SWK Demographic sheet
2.
ORR placement and medical authorization forms

3.
Required parental consent

a.
Signed and notarized

4.
Payment

Per my conversation with

l<b)(6)

Ithe minor still expressed desire to terminate the pregnancy.

At the time of visit, an appointment was set for the procedure .
Appointment is set for Friday 1/27/2017 at 7:30 AM .

EXT-18-241-N-000416

 004051

If you have any additional questions, don 't hesitate to contact me.

Thank you,
l(b)(6)

Lead Med ical Coordinator
Southwest Key Programs

Casa Kokopelli #921
D:~

c:l_j
F: (480) 393-8104

CONFIDENTIALITY NOTICE:This email, including attachments, is for t he sole use of the int ended recip ient( s) and may conta in

confidential and privileged information covered by the Electronic Communications Privacy Act,
I 8 U.S.C. 2510-2521. Any unauthori zed review, use , or disclosure or distribution is prohibited.
If you are not the intende d recipient, please contact the sender immed iate ly
and destroy all cop ies of the orig inal message .

Sender : l<h)/n)

~swkey.org>

"Calero, Wilfred (ACF) </o = Exchangelabs /ou= Exchange Administrative Group
FYDIBOHF23SPDL
T)/cn = Recipients/en= 7fcd lfabef934452bff7378f636Sfa8e -Calero, Wil > ";
b)(6)
~wkey .org>";
Recipient:
swkey.org>";
'( b)(6)
~swkey .org>";
wkey .org>"
'

Sent Dat e : 2017/01/24 18:52:32
Delivered Date: 2017/01/24 18:53:03
From: (b)(6)

l@swkey.org>

"Keila Alvarado <kalvarado@swkey.org>";
piswkey.org> ";
/h )/fl)
"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To:
/ FYDIBOHF23SPDLT)/cn = Recioients cn= 7fcdlfabef934452bff7378f636Sfa8e-Calero,
l b)(6)
l~key.org>";
@swkey.org>"

Wil>";

EXT-18-241-N-000417

 004052

CC: ~b)(6)

l§lswkey.org> "

Subject: FW: UC seeking TOP, SWK Kokopelli

Date: 2017/01/24 17:15:15
Priority: Normal

Type: Note

Good afternoon,

Please see email below that was sent to DCS medical regarding minor in our care seeking termination of
pregnancy.

Thank you,

l(b)(6)

Lead Medical Coordinator
Southwest Key Programs

Casa Kokopelli #921

:□
F: (480) 393-8104

l(b)(6)

~ sw key.orq

CONFIDENTIALITY NOTICE: This email, inc lud ing attachments, is for the sole use of the intended recipient(s) and may contain

EXT-18-241-N-000418

 004053

confidential and privileged information covered by the Electronic Communications Privacy Act,
18 U.S.C. 2510-2521. Any unauthorized review, use, or disclos ure or distribution is prohibited.
If you are not the intended recipient , please contact the sender immediate ly
and destroy all copies of the original message.

From:~l
<b_)(6
_)____

~

Sent: Tuesday, January 24, 2017 3: 12 PM

To: DCS Med ica l <DCSMedica l@acf.hhs .gov>; 'Meye rstein, Shaanan (ACF)'
<Shaanan.Meyerstein@acf.hhs.gov>
Cc: ~b)(6)

~swkey.o rg>; ~l
<b
_)(6
_l________

~l @swkey .org>

Subject: UC seeking TOP, SWK Kokopelli

Good afternoon,

This emai l is to update you regarding minor:

Minor went to Planned Parenthood today for an informational session .
Minor received an ultrasound to confirm pregnancy.
Minor's gestational age is 13 weeks and 3 days .

Being that the gestational age exceeds 9 weeks, minor will have to receive a surgical abortion.

EXT-18-241-N-000419

 004054

I also spoke with James Washington, Vice President of Patient Services from Planned Parenthood .

The following documents will be needed at the time of the procedure:

1.
Demographic sheet
2.
ORR Medical and Placement Authorization Forms
3.
Required Parental Consent

a.
This form will need to be completed and notarized

Mr. Washington explained to me that per Arizona law, UC must wait at least 24 hours after the
informat ional session before proceeding.
At this time, UC has still expressed desire to continue with the termination to her case manager .
Appointment has been set fo r 1/27/2017 at 7:30 AM .

I have also attached the forms provided during the visit.

Thank you,

Lead Medical Coordinator
Southwest Key Programs

Casa Kokope lli #921

EXT-18-241-N-000420

 004055

:□
F: (480) 393-8104

~b)(6)

@swke y.org

CONFIDENTIALITY NOTICE: Th is em ail, includ ing at ta chments, is for t he sole use of th e int ended recipien t(s) and may contain

confidentia l and privileged information covered by the Electronic Comm unications Privacy Act,
18 U.S.C. 2510-2521. Any unauthorized review, use , or disclosure or distribution is prohibited.
If you are not the intended recipient , please contact the sender immediately
and destroy all cop ies of the orig inal message .

Sender: kb)(6)

~swkey.org>

"Keila Alvarado <kalvarado@swkey.org>";
i b)(6)
~swkey.org>";
"calero, Wilfred (ACF) </o = Exchangelabs/ou= ExchangeAdministrativeGroup
Recipient: I(FYDIBOHF23SPDL
Tl/en = Recipients/en= 7fcdlfabef934452bff7378f6365fa8e-Calero,Wil> ";
b)(6)
~~ey .org>"i
swkey.org>";
b)(6)
~swkey.org> "
Sent Date: 2017/01/24 17:13:20
Delivered Date: 2017/01/24 17:15:15

From:
To:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHA
NGEADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF93
4452BFF7378F6365FA8E-CALERO,
WIL>
"Velazquez,Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,>"

Subject: Re: Kokopelli: Abortion request fo~(b)(6)

lc\#l(b)(6)

I

Date: 2017/01/18 09:59:20
Priority : Normal

Type: Note

EXT-18-241-N-000421

 004056

We are waiting on that. They are. Aware.

Hey did u get a chance to approve my weekend overtime. Thanks.

See you tonite.

Will

From : Velazquez , Ivonne (AC F)

Sent: Wednesday, January 18, 2017 7:57:39 AM
To: Calero , Wilfred (ACF)
Subject : Re : Kokopelli: Abortion req uest for f....
b_)(6
_)_________

_,~ # f b)(6)

Yes, we need to make sure that HQ medical has elevated the situation. We need their acknowledgment
in writing.

From: Calero, Wilfred (AC F)

Sent: Wednesday, January 18, 2017 6:37:29 AM
To: Velazquez, Ivonne (ACF)
Subject: FW: Kokopelli: Abort ion request foJf....
b_)(6_)_________

_,!A# i<b)(6)

Ivonne,

EXT-18-241-N-000422

 004057

Just wanted to let you know that a date has been set for UC first appointment and subsequent
appointment for the termination procedure. Do we need to staff with HQ in regards to proceeding with
the procedure.

Thanks.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

D

wilfred .calero@acf.hhs .gov

From:-l(b_)C6_l_____________

fPswkey.org]

Sent: Tuesday, January 17, 2017 10:43 AM
To: Calero, Wilfred (ACF); Gonzalez, Guadalupe M

Cc:ICb)(6)
l(b) (6 )

Subject: RE: Koko elli: Abortion re uest for ~~b_
)(6_l _________

~IA# i(b)(6)

EXT-18-241-N-000423

 004058

Good Morning Will,

Here are the details regarding the appointment:

The appointment is on 1/24/2017 at 10:05 AM.
This appointment is at their Tempe location.

1250 E. Apache Blvd.
Suite 108
Tempe , AZ 85281

The cost for the 1st initial appointment is $80.
As stated before , at this time, she will have a ultrasound to confirm pregnancy and gestational age.
Minor will also be provided with information about her options.

Thank you,

Case Manager
Southwest Key Program - Kokopelli
~swkey .org
Fax: 480-452-0603
5

Phone: f~~-l<_l ---~

EXT-18-241-N-000424

 004059

From: ....
rb_
)C
6_l____

_.

Sent: Monday, January 16, 2017 10:30 AM
To: 'Calero, Wilfred (ACF)' <Wilfred.Calero@acf.hhs.gov>; Gonzalez, Guadalupe M
6l k om>
<Guadalupe.Gonzalez@ICb)C

Cc:kb)(6)
~b)(6)
(b)(6)
r )(6)
Kb)(6)

@swkey.org> Jb)(6)
tyswkey.org>;
@swkey.org>; ICb)(6)
jY§wkey.org>;
)(6)----------.
"""
l@swkey.org>; "'"fb.,.,.
l@swkey.org>

Subject: RE: Kokopelli : Abortion request forl....
Cb_)C
6_l _________

lq}swkey.org>;
@swkey.org>;
@swkey.org> ;
6l
__,I
A#ICb)C

Good Morning Will,

Thank you, I am following up with medical for when the procedure is scheduled and will let you know as
soon as possible.

Thank you,

Case Manager
Southwest Key Program - Kokopelli

EXT-18-241-N-000425

 004060

EXT-18-241-N-000426

 004061

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

CJ
wilfred.calero@acf.hhs.gov

From: Ll
<b.:..:.
)(6....:..
)___________

___rl
@""-"'-'sw'"'"'k"'""e'-'-y'""
.o-'-"'rq
l

Sent: Friday, January 06, 2017 2:25 PM
To: Calero, Wilfred (ACF); Gonza lez, Guada lupe M
Cc: fb)(6)
~b)(6)
Subject: Koko elli: Abortion re uest for-fb_)<6_>__________

IA# l{b){6)

Hi Will,

EXT-18-241-N-000427

 004062

The clien~(b)(6)
~ as sexually assaulted in COO. Please see attached SIRfor more
information and the client is now requesting an abort ion. The following is the plan prov ided by two
different clinics, and the Arizona

laws for abortion. CM and CL are requesting authorization to have the procedure of abortion for
this client.

Clinic Planned Parenthood:
An initial appoi ntment would be made for the above client. She would receive an ultra sound to confirm
the exact age of the fetus , and a counseling session to advise t he client on additional options regarding
abortion , adoption, foster
care, etc. The abortion can happen up unti l the 16th week of the pregnancy at this clinic,

however, the older the fetus the more expensive the procedure will cost. The initial appointment
will cost $80. The client will be seen within 24 hours for
the actual abo rtion. As the cost ranges based on how far along the fetus is at the time of the
abortion, CM was unable to determine the actua l cost. However, the client can apply for
additiona l funds to have this cost reduced. After disclos ing for the second
appo intment that her parents wo uld be unable to atte nd, that we as legal guardians could attend
with client, they stated that we would need to prov ide documentat ion of proof that we are legal
guardians.

Clinic Desert Star Family Planning :
An initial appoi ntment would include the ultrasound, counseling session and cost $50. The second visit
would cost $510 .00 and would be within 24 hou rs that the procedure wou ld take place. This clinic stated
t hat the client could take two

pills if she was not already 11 weeks. They can proceed up until 23 weeks and the cost would
remain the same of a total of $560.00. The clinic works with NNAF for additional funds for low
to no income pat ients , however NNAF have an automated message (1/6/20 17)
stating that they are out of funds until February 1st .

AZ Law s regarding Abortion :

Arizona law requires that women under 18 years old seeking an abortion must either have the

notarized written permission of one of their parents/legal guardian or permission from a
Superior Court Judge .

EXT-18-241-N-000428

 004063

Ensuring Adequate Consent
• Parental Consent (A.R.S. § 36 -2152) - Requires parental consent for minors seeking abortions but
allows for judicial bypass . Requires the parental consent to be obtained on a form to ensure that parents
are informed of all of the medical

risks of abortion before giving consent. Requir es par enta l consent to be notarized. Allows
parents to sue (1) an abortion provider who performs an abortion on their minor daughter
withou t parental conse nt or (2) any person who assists a minor in obtaining
an abortion without par ental consent.
• Informed Consent {A.R.S. § 36-2153) - Information must be provided 24 hours in advance to a woman
seeking an abortion about the risks and alternatives of the procedure, the probable gestational age and
physiological characteristics

of the preborn child, and the services available from public and private agencies to assist during
pregnancy and after birth. Requires that the if!formation is provided at an in-person consultation
with a doctor. Allows a woman to file a Lawsuit against an
abortion provider who fails to obtain informed consent. Requires the Department of Health
Service s to create and maintain a website providing unbiased information about fetal
development , the risks of abortion, and information about alternatives to abortion.
• Informed Consent for Lethal Condition {A.R.S. § 36-2158) - When a woman discovers that her child may
have a life-threatening birth defect or other fetal condition, information must be provided 24 hours in
advance about the support that

is available to her, including perinatal hospice. Requ ires the D epartment of Health Services to
create and maintain a website providing unbiased information about perinatal hospice and
assistance available for children with specia l needs .
• Opportunity to View Ultrasound {A.R.S. § 36-2156) - Requires an ultrasound to be performed at least 24
hours before every abortion, and a woman seeking abortion must be offered the opportunity to view the
ultrasound and hear the baby's

heartbeat, if audible.
•Coercion Prohibited {A.R.S. § 36 -2 153} - Prohibits a person from intimida ting or coercing another
person into having an abortion and allows minors to obtain public assistance benefits if parents cut off
financial support because the

minor refuses to have an abortion. Requires that all abortion clinics consp icuously post signs
that state it is unlawful for any person to intimidate or coerce another person into having an
abortion.
• Foster Parents (A.R.S. § 8-514 .05) - Foster parents may not consent to abortion for a foster child.
• Fiduciaries (Arizona Code of Jud.

Admin. § 7-202)-Fiduciaries

may not cons ent to abortion for a ward without a court order.

EXT-18-241-N-000429

 004064

- See more at:

https ://www.p lannedparenthood.org /planned-parenthood-arizona/online-health-center/minorsand-abortion-law#sthash.lWOGvCcD.dpuf

Thank you,

Case Manager
Southwest Key Program - Kokope lli
~ swkey.org
Fax: 4 80-452-0603
~

Phone:l~
<b_>5<
_>___

Sender:
Recipient:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,
WIL>
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou = Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/cn=39e67b42d96043e688e84fa6eef42570-Velazquez,
>"

Sent Date : 2017/01/18 09:59: 18
Delivered Date: 2017/01/18 09:59:20
From:
To:

Velazquez, Ivonne (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN = RECIPIENTS/CN
=39E67B42D96043C688E84FA6CEF42570-VELAZQUEZ,
>
"Calero, Wilfred (ACF) </o=Exehangelabs/ou=Exehange Administrative Group
(FYDIBOHF23SPDL
T)/en = Recipients/en= ?fedlfabef934452bff7378f6365fa8e-Calero, Wil>"

Subject: Re: Kokopelli: Abortion request fo r!(b)(6)

IA# Kb)(6)

I

Date: 2017/01/18 09:57:39
Priority: Normal
Type: Note

EXT-18-241-N-000430

 004065

Yes, we need to make sure that HQ medical has elevated the situation. We need their acknowledgment
in writing .

From: Calero , Wilfred (ACF)

Sent: Wednesday, January 18, 2017 6:37:29 AM
To: Vela zquez, Ivonne (ACF)
Subj ect: FW : K okopelli: Abort ion request for ....
Kb_)(_
6)_________

...,!
A# ~b)(6)

Ivonne,

Just wanted to let you know that a date has been set for UC first appointment and subsequent
appointment for the termination procedure. Do we need to staff with HQ in regards to proceed ing with
the procedure.

Thanks.

Wilfred Calero
Federal Field Specialist

EXT-18-241-N-000431

 004066

Division of Children's Services
Office of Refugee Resettlement

D

wilfred.calero@acf.hhs.gov

From: ~k
b~)<B
~)------------~

~swkey.org]

Sent: Tuesday, January 17, 2017 10:43 AM
To: Calero, Wilfred (ACF); Gonzalez, Guadalupe M
Cc: fb)(6)
l(b)(6)

Subject: RE: Koko elli: Abortion request for l~
Cb_)C
6_l _________

~IA# l(b)(6)

Good Morning Will,

Here are the details regarding the appointment:

The appointment is on 1/24/2017 at 10:05 AM.
This appointment is at their Tempe location.

1250 E. Apache Blvd.

EXT-18-241-N-000432

 004067

Suite 108
Tempe , AZ 85281

The cost for the 1st initial appointment is $80.
As stated before , at this time, she will have a ultrasound to confirm pregnancy and gestational age.
Minor will also be provided with informat ion about her options.

Thank you,

Case Manager
Southwest Key Program - Kokopelli

l(b)(6)

g?swkey.org

Fax: 480-452-0603

....
~_)(6_) ___
Phone : ¥

From : ....
l(b_)(6_l ____

_.

_,

Sent: Monday , January 16, 2017 10:30 AM

To: 'Calero , Wilfred (ACF)' <Wilfred.Calero@acf.hhs.gov >; Gon za lez, Guadalupe M
<Guadalupe. Gonzalez@ i(b)(6) jcom >
Cc: i(b)(6)
~b)(6)

l@swkey.org >; lb)(6)
l@swkey.org >;

r@swkey.org > ;

EXT-18-241-N-000433

 004068

~b)(6)

l

~b)(6)
Lr
b_)(_6)_____________

@swk ey.org>; l(b)(6)
1£12swkey.org
>;
@._
swkey_.org>;
@swkev.org> ; .,,..f
b.,..,.
)(6)-----------.
"'"
r}swkey.org>;
__,p.1
@--=-sw"-'--=k=ey..,_.'-"o-=-rg..,_
>

Subject: RE: Kokopelli : Abort ion request for ._l
(b_)(6
_) ________

___,I
A#l....
(b_l(6_l __

~

Good Morning Will,

Thank you, I am following up with medical for when the procedure is scheduled and will let you know as
soon as possible.

Thank you,

Case Manager
Southwest Key Program - Kokopelli

fb)(6)

@swkey.org

Fax: 480-452-0603
Phone :~~K6
_l ___

___,

From: Calero, Wilfred (ACF) fmailto:Wilfred.Calero@acf.hhs.gov ]

EXT-18-241-N-000434

 004069

Sent: Monday , January 16, 2017 7:16 AM
To: ~b)(6)
<Guadalup e.Gonzalez @(b)(6) !£Qm>

l@swkey.org> ; Gonzalez, Guadalupe M

Cc: b)(6)
(b)(
6)

@ swkey.org>;
kmswkey.org>;

(b)(6)
b)(6)
Subject: RE: Kokopelli: Abortion request for !._
(b_)(6_l_________

l@swkey.org>;

f.....

_,IA # bl_<6_l _ _.

~b)(6)

Please ensure that I am advised as soon as the procedure is scheduled to occur.

Thanks and great job on the summary.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

EXT-18-241-N-000435

 004070

wilfred.calero@acf.hhs.gov

From:.._I
Cb_l(_
6l_____________

..r-lj)
~s_w_k_ey-._o_rgl

Sent : Friday, January 06, 2017 2:25 PM
To : Calero, Wilfred (ACF); Gonzale z, Guadalupe M
Cc: b)(6)
b)(6)

Subject: Kokopelli: Abortion request for ~rb_)(6_) --------~I

A#

6
j(b)( )

Hi Will,

The clien~(b)(6)
~as sexually assaulted in COO. Please see attached SIRfor more
information and the client is now requesting an abortion . The following is the plan provided by two
different clinics, and the Arizona

laws for abortion. CM and CL are requesting authori zation to have the procedure of abortion for
this client.

Clinic Planned Parenthood :
An initial appointment would be made for the above client. She would receive an ultra sound to confirm
the exact age of the fetus, and a counseling session to advise t he client on additional options regardi ng
abortion, adoption, foster

care, etc. The abortion can happen up until the 16th week of the pregnancy at this clin ic,
however, the older the fetus the more expensive the procedure will cost. The initial appointment
will cost $80. The client will be seen within 24 hours for
the actual abort ion. As the cost ranges based on how far along the fetus is at the time of the
abortion, CM was unable to determine the actual cost. However, the client can apply for
additional funds to have this cost reduced. After disclosing for the second

EXT-18-241-N-000436

 004071

appointment that her parents would be unable to attend, that we as legal guardians could attend
with client, they stated that we would need to prov ide documentat ion of proof that we are legal
guardians .

Clinic Desert Star Family Plann ing:
An initial appointment would include the ultrasound, counseling session and cost $50. The second visit
would cost $510.00 and would be within 24 hours that the procedure wou ld take place. This clinic stat ed
that the client could take two

pills if she was not already 11 weeks . They can proceed up until 23 weeks and the cost would
remain the same of a total of $560.00. The clinic works with NNAF for additiona l funds for low
to no income patien ts, however NNAF have an automated message (1/6/20 17)
stating that they are out of funds until February 1st .

AZ Laws regarding Abortion :

Arizona law requires that women under 18 years old seeking an abortion must either have the

notarized written permission of one of their parents/legal guardian or permission from a
Superior Court Judge.

Ensuring Adequate Consent
• Parental Consent (A.R.S. § 36-2152) - Requires parental consent for minors seeking abortions but
allows for judicial bypass. Requires the parental consent to be obtained on a form to ensure that parents
are informed of all of the medical

risks of abortion before giving consent. Requires parental consent to be notarized. Allows
parents to sue (1) an abortion provider who pe1forms an abortion on their minor daughter
without parental consent or (2) any person who assists a minor in obtaining
an abortion without parental consent.
• Informed Consent (A.R.S. § 36-2153)- Information must be provided 24 hours in advance to a woman
seeking an abortion about the risks and alternatives of the procedure, the probable gestational age and
physiological characteristics

of the preborn child, and the services available from public and private agencies to assist during
pregnancy and after birth. Requires that the information is provided at an in-person consultation
with a doctor. Allows a woman to file a lawsuit against an

EXT-18-241-N-000437

 004072

abortion provid er who fails to obtain informed consent. Requires the Dep art ment of Health
Service s to create and maintain a website providing unbiased information about fetal
development , the risks of abortion, and information about alternatives to abortion.
• Informed Consent for Lethal Condition (A.R.S. § 36-2158) - When a woman discovers that her child may
have a life-threatening birth defect or other fetal condition, information must be provided 24 hours in
advance about the support that

is available to her, including perinatal hospice. Requ ires the D epartment of Health Services to
create and maintain a websi te providing unbiased information about perinatal hospice and
assistance available for children with specia l needs.
• Opportunity to View Ultrasound (A.R.S. § 36-2156) - Requires an ultrasound to be performed at least 24
hours before every abortion, and a woman seeking abortion must be offered the opportunity to view the
ultrasound and hear the baby's

hear tbeat, if audible.
•Coercion Prohibited {A.R.S. § 36-2153} - Prohibits a person from intimidating or coercing another
person into having an abortion and allows minors to obtain public assistance benefits if parents cut off
financial support because the

minor refuses to have an abortion. Requires that all abortion clinics consp icuously post signs
that state it is unlawful for any person to intimidate or coerce another person into having an
abortion .
• Foster Parents (A.R.S. § 8-514 .05) - Foster parents may not consent to abortion for a foster child.
•Fiduciaries (Arizona Code of Jud.

Admin. § 7-202)-Fidu ciaries may not consent to abortion for a ward without a court order.

- See more at :

https ://www.plannedparenthood.org /planned-parenthood-arizona /online-health-center /minorsand-abort ion-law #sthash .lW OGvCcD. d puf

Thank you,

Case Manager
Southwest Key Program - Kokope lli

l(b)(6)

~ swkey.org

EXT-18-241-N-000438

 004073

Fax: 480-452-0603

~

)C
6_l____
Phone: f~~-

Sender:
Recipient:

Velazquez,Ivonne (ACF) </O=EXCHANGELABS/OU
=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDLT)/CN=REC
I PIENTS/CN=39E67B42D96043C688E84FA6CEF42570-VELAZQUEZ,>
"(a lero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en= 7fcd1fabef934452bff7378f636Sfa8e-Calero, Wil>"

Sent Date: 2017/01/18 09:57:39

From:
To:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F636SFA8E
-CALERO,WIL>
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=39e67b42d96043c688e84fa6cef42570
-Velazquez,>"

Subject: FW: Kokopelli: Abortion request forl(b)(6)

IA# ~b)(6)

I

Date: 2017/01/ 18 08:37:00
Priority : Normal
Type: Note

Ivonne,
Just wanted to let you know that a date has been set for UC first appointment and subsequent
appointment for the termination procedure. Do we need to staff with HQ in regards to proceeding with
the procedure.
Thanks.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

rb)(6)

i

wilfred.calero@acf.hhs.gov

From: ~I
Cb_lC6_l_____________
Sent : Tuesday, January 17, 2017 10:43 AM

lnswkey.org]

EXT-18-241-N-000439

 004074

To: Calero, Wilfred (ACF); Gonzalez, Guadalupe M
Cc: (b)(6)
b)(6)

Subject: RE: Kokopelli: Abort ion request for "-!
(b.;..:.
)(6--'l _______

__,!A# ~b)(6)

Good Morning Will,
Here are the details regarding the appointment:
The appointment is on 1/24/2017 at 10:05 AM.
This appointment is at their Tempe location.

1250 E. Apache Blvd.
Suite 108
Tempe, AZ 85281
The cost for the 1st initial appointment is $80.
As stated before, at this time, she will have a ultrasound to confirm pregnancy and gestational age.
Minor wil l also be provided with information about her options.
Thank you,

Case Manager
Southwest

Key Program - Kokope lli

l(b)(6)

1@swkey.org

Fax : 480-452-0603
Phone: .....
l<b_J(6
_l ___

_,

~
Se nt : Monday , January 16, 2017 10:30 AM
From : ~l
<b_l<6_l ___

To : 'Calero, W ilfred (ACF)' <Wilfred.Calero@acf.hhs.gov >; Gonzalez, Guadalupe M
<Guadalu e.Gonzalez b)(6) com >
Cc: b)(6)

l(b)(6)
i(b)(6)
b)(6)

b)(6l

swke .or >

Subject: RE: Kokopelli: Abort ion request for l(b)(6)

jA# "Kb-'--')(6--'-) __

_.

Good Morning Will,
Thank you, I am following up with medical for when the procedure is schedu led and will let you know as
soon as possible.
Thank you,

EXT-18-241-N-000440

 004075

l(b)(6)

Case Manager
Southwest
fb)(6)

Key Program - Kokopelli
!@swkey.org

Fax: 480-452-0603
Phone: ._f
b_)(6_) ___

_.

From : Calero, Wilfred (ACF) (mailto:Wilfred.Calero@acf.hhs.gov 1
Sent : Monday , January 16, 2017 7:16 AM
To: kbl(6)
@swkey.org >; Gonzalez, Guadalupe M
<Guadalupe.Gonzalez@@)@J::om >
Cc:l lh\ln\
@swkey.org >; !(b)(6)
@swkey.org >;";:k
b:::::
)(6~)===-----.
lPswkey.org >f~~~
l(...;..
6)___
_.
!(b)(6)
~ swkey.org >; J(b)(6)
1b)(6)
!@swkey.org >; =k
b..:.:.
l<6
=l==;==========
;:;
@
:;-c
s~w~k~e~y~.o~rg
>;Kb)(6)
'l<bl(6l
l@swkey.org >; !(b)(6)
l@swkey.org >; L..J
(b.;..;
)(6
...;..
)_____
_.
@swkey.org >
<kbl(6l
Subject: RE: Kokopelli: Abortion request for ._f
b_)(6
_)________
....,!
A# !(b)(6)

I

Please ensure that I am advised as soon as the procedure is scheduled to occur.
Thanks and great job on the summary.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement
r b)(6)

wilfred.calero@acf.hhs.gov

From: Kb)(6)
@swkey.org l
Sent: Friday, January 06, 2017 2:25 PM
To : Calero, Wilfred (ACF); Gonzalez, Guadalupe M

Cc:

(b)(6)

(b)(6)
Subject : Kokopelli: Abortion request for ._b_)(6_)________

~ A# Kb)(6)

Hi Will,
The clientj (b)(6)
1was sexually assaulted in COO. Please see attached SIRfor more
information and the client is now requesting an abortion. The following is the plan prov ided by two

EXT-18-241-N-000441

 004076

different clinics, and the Arizona laws for abortion. CM and CL are requesting authorization to have the
procedure of abortion for this client.

Clinic Planned Parenthood :
An initial appointment would be made for the above client. She would receive an ultra sound to confirm
the exact age of the fetus, and a counseling session to advise t he client on additional options regarding
abortion, adoption, foster care, etc . The abortion can happen up until the 16th week of the pregnancy at
this clinic, however, the older t he fetus the more expensive the procedure wi ll cost. The initial
appointment will cost $80. The client will be seen within 24 hours for the actual abortion. As the cost
ranges based on how far along the fetus is at the time of the abortion, CM was unable to dete rmine the
actual cost. However, the client can apply for additional funds to have this cost reduced. After disclosing
for the second appointment that her parents would be unable to attend, that we as legal guardians
could attend w ith client, they stated that we would need to provide documentation of proof that we are
legal guardians.

Clinic Desert Star Family Planning :
An initial appointment would include the ultrasound, counseling session and cost $50. The second visit
would cost $510 .00 and would be within 24 hours that the procedure wou ld take place. This clinic stated
that the client could take two pills if she was not already 11 weeks. They can proceed up until 23 weeks
and the cost would remain the same of a total of $560 .00. The clinic works with NNAF for additional
funds for low to no income patients, however NNAF have an automated message (1/6/2017) stating that
they are out of funds until February 1st.

AZ Laws regarding Abortion :

Arizona law requires that women under 18 years old seeking an abortion must either have the notarized
written permission of one of their parents/legal guardian or permission from a Superior Court Judge .
Ensuring Adequate Consent
• Parental Consent (A.R.S. § 36 -2152) - Requires parental consent for minors seeking abortions but
allows for judicial bypass . Requires the parental consent to be obtained on a form to ensure that parents
are informed of all of the medical risks of abortion before giving consent. Requires parental consent to be
notarized . Allows parents to sue (1) an abortion provider who performs an abortion on their minor
daughter without parental consent or (2) any person who assists a minor in obtaining an abortion
without parental consent.
• Informed Consent {A.R.S. § 36-2153) - Information must be provided 24 hours in advance to a woman
seeking an abortion about the risks and alternatives of the procedure, the probable gestational age and
physiological characteristics of the pre born child, and the services available from public and private
agencies to assist during pregnancy and after birth. Requires that the information is provided at an inperson consultation with a doctor. Allows a woman to file a lawsuit against an abortion provider who
fails to obtain informed consent. Requires the Department of Health Services to create and maintain a
website providing unbiased information about fetal development, the risks of abortion, and information
about alternatives to abortion.
• Informed Consent for Lethal Condition (A.R.S. § 36-2158)- When a woman discovers that her child may
have a life-threatening birth defect or other fetal condition, information must be provided 24 hours in
advance about the support that is available to her, including perinatal hospice. Requires the Department

EXT-18-241-N-000442

 004077

of Health Services to create and maintain a website providing unbiased information about perinatal
hospice and assistance available for children with special needs.
• Opportunity to View Ultrasound {A.R.S. § 36-2156) - Requires an ultrasound to be performed at least 24
hours before every abortion, and a woman seeking abortion must be offered the opportunity to view the
ultrasound and hear the baby's heartbeat, if audible.
•Coercion Prohibited (A.R.S. § 36-2153) - Prohibits a person from intimidating or coercing another
person into having an abortion and allows minors to obtain public assistance benefits if parents cut off
financial support because the minor refuses to have an abortion. Requires that all abortion clinics
conspicuously post signs that state it is unlawful for any person to intimidate or coerce another person
into having an abortion.
• Foster Parents (A.R.S. § 8-514.05) - Foster parents may not consent to abortion for a foster child.
• Fiduciaries (Arizona Code of Jud. Admin. § 7-202) - Fiduciaries may not consent to abortion for a ward
without a court order.
- See more at: https://www.p lannedparenthood.org/planned-paren t hood-arizona/online-hea lthcente r/minors-and-a bortion-law#sthash. lWOGvCcD.dpuf
Thank you,

Case Manager
Southwest Key Pro gram - Kokope lli
l<b)(6)
l@swkey.org
Fax: 4 80-452-0603
Phone:

~

*~b_)(6_) ___

Sende r:
Recipient :

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU
=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO
, WIL>
"Velazquez,Ivonne (ACF) </o =Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazque
z,> "

Sent Date: 2017/01/18 08:37:27
Delive red Date : 2017/01/18 08:37:00
From: b)(6)

piswkey.org>

"calero, Wilfred (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
To: (FYDIBOHF23SPDL
T)/cn= Recipients/en= 7fcd1fabef934452bff7378f6365fa8e
-Calero, Wil> ";
"Gonzalez, Guadalupe M <Guadalupe.Gonza
lez@wii(6)lcom>"
h\/n \
b)(6)
b)(6)
b)(6)

CC:

h \/ R\
Vk \/ 0<\

b)(6)
b)(6)
b)(6)

1@swkey.org>";
l.g)swkey.org>
";
~swkey.org> ";
l®swkey.org>";
n1swkey.org> ";
tnswkey.org>";
l:ruswk
ey.org>" ;
f;!)swkey.org>";
twswkey.org>"

Subj ect : RE: Kokopelli: Abortion request for Kb)(6)

~ # l(b)(6)

I

Date : 2017/01/ 17 12:44:36
Priority : Normal
Type: Note

EXT-18-241-N-000443

 004078

Good Morning Will,

Here are the details regarding the appointment:

The appointment is on 1/24/2017 at 10:05 AM.
This appointment is at their Tempe location.

1250 E. Apache Blvd.
Suite 108
Tempe , AZ 85281

The cost for the 1st initial appointment is $80.
As stated before, at this time, she will have a ultrasound to confirm pregnancy and gestational age.
Minor will also be provided with information about her options.

Thank you,

Case Manager
Southwest Key Program - Kokopelli

EXT-18-241-N-000444

 004079

fb )(6)

@swkey .org

Fax: 480-452-0603
Phone:

~k
b_)(6_) ___

~

From: ~f
b_)(6_) ---~

Sent: Monday, January 16, 2017 10:30 AM
To: 'Calero, Wilfred (ACF)' <Wilfred.Calero@acf.hhs.gov>; Gonzalez, Guadalupe M
6) I.com>
<Guadalupe.Gonzalez@<b)(

Cc: (b)(6)
.,,.
b.,..,,
)(6")"____________

swkey.org.,,.
>.,.-!,
;1<,,,..
b)_(6_) ___
:--"
swkey.org>; Kb
)(6)

--,-__

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@swkey.org>;

(b)(6)
@swkey.org>;L.,.
b_)(6_)________
....1
~ swkey.org>; j<b)(6)
~========< ~:....:.:s
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_>___________
____.
~swkey.org>

l

1;;,.-

Subject: RE: Kokopelli: Abortion request for L..l
(b_)(6_>_________

.....
~#

fbl(6)

Good Morning Will,

Thank you, I am following up with medical for when the procedure is scheduled and will let you know as
soon as possible.

Thank you,

EXT-18-241-N-000445

 004080

l(b)(6)

Case Manager
Southwest Key Program - Kokop elli
f b)(6)

@swkey.org

Fax: 480 -452-0603
Phone ~l
(b_)(6_) ___

~

From : Calero, Wilfred (ACF) [mailto:Wilfred.Calero@acf.hhs.gov ]

Sent: Monday, January 16, 2017 7: 16 AM
To: fb)(6)
<Guadalupe. Gonzalez@Jb)(6)
Cc: l(b)(6)
Kbl(6l
$b)(6)
fb)(6)
l(b)(6)
._l
(b_)(6_)____________

@swkey.org> ; Gonzalez, Guadalupe M
porn>
@swkey.org>; rb)(6)
l@swkey.org>;
@swkey.org>; .,,.l
(b.,..,
)(6")'"________
l@swkey .org>;
@swke_v.org>; l(b)(6)
_,_
@-=s~w~k=e..,_y~.o-"-=rg>

Subject: RE: Kokopelli : Abortion request forf~
b_)(6_) _________

~ swkey.org>;
@swkey.org>;
l@swkey.org> ;
~IA# f._
b_)(6_) __

_,

EXT-18-241-N-000446

 004081

Please ensure that I am advised as soon as the procedure is scheduled to occur.

Thanks and great job on the summary .

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

D
wilfred.calero@acf.hhs.gov

Fromji:..
(b..:..:
l<....:.
6l_____________

_p
@
=s=w-'-'
k=e:..r..
y.:.;:.
o:..:...;i.
rgl

Sent: Friday, January 06, 2017 2:25 PM
To: Calero, Wilfred (ACF); Gonz alez, Guadalupe M

Cc fbl(6J
l(b )(6)

Subject: Kokopelli : Abortion re uest for ......
~b_l<6_l ________

__.I
A#fbl(6)

EXT-18-241-N-000447

 004082

Hi Will,

The clientKb)(6)
f,vassexually assaulted in COO. Please see attached SIRfor more
information and the client is now requesting an abort ion . The following is the plan prov ided by two
different clinics, and the Arizona

laws for abortion. CM and CL are requesting authorization to have the procedure of abortion for
this client.

Clinic Planned Parent hood :
An initial appointment would be made for the above client. She would receive an ultra sound to confirm
the exact age of the fetus, and a counseling session to advise the client on additional options regarding
abortion, adoption, foster
care, etc. The abortion can happen up until the 16th week of the pregnancy at this clinic,

however, the older the fetus the more expensive the procedure will cost. The initial appointment
will cost $80. The client will be seen within 24 hours for
the actual abortion . As the cost ranges based on how far along the fetus is at the time of the
abortion , CM was unable to determine the actua l cost. However , the client can apply for
additional funds to have this cost reduced. After disclosing for the second
appointment that her parent s would be unable to attend, that we as legal guardians could attend
with client , they stated that we would need to prov ide documentation of proof that we are legal
guardians .

Clinic Desert Sta r Family Plann ing:
An initial appointment would include the ultrasound, counseling session and cost $50. The second visit
would cost $510 .00 and would be within 24 hours that the procedure wou ld take place. This clinic stated
that the client could take two

pills if she was not already 11 weeks . They can proceed up until 23 weeks and the cost would
remain the same of a total of $560.00. The clinic works with NNAF for additional funds for low
to no income patients, however NNAF have an automated message (1/6/2017)
stating that they are out of funds until February 1st .

EXT-18-241-N-000448

 004083

AZ Laws regarding Abortion :

Arizona law requires that women under 18 years old seeking an abortion must either have the

notarized written permission of one of their parents/legal guardian or permission from a
Superior Court Judge .

Ensuring Adequate Consent
•Parental Consent (A.R.S. § 36-2152) - Requires parental consent for minors seeking abortions but
allows for judicial bypass. Requires the parental consent to be obtained on a form to ensure that parents
are informed of all of the medical

risks of abortion before giving consent. Require s parental consent to be notarized. Allows
parents to sue (1) an abortion provider who performs an abortion on their minor daughter
without parental consent or (2) any person who assists a minor in obtaining
an abortion without parental consent .
•Informed Consent {A.R.S. § 36 -2153)- Information must be provided 24 hours in advance to a woman
seeking an abortion about the risks and alternatives of the procedure, the probable gestational age and
physiological characteristics

of the preborn child, and the services available from public and private agencies to assist during
pregnancy and after birth. Requir es that the information is provided at an in-person consultati on
with a doctor . Allows a woman to file a lawsuit against an
abortion provider who fails to obtain informed consent. Requires the Department of Health
Services to create and maintain a website providing unbiased information about fetal
development, the risks of abortion, and information about alternatives to abortion.
• Informed Consent for Lethal Condition {A.R.S. § 36-2158} - When a woman discovers that her child may
have a life-threatening birth defect or other fetal condition, information must be provided 24 hours in
advance about the support that

is available to her, including perinatal hospice. Requires the Department of Health Services to
create and maintain a website providing unbiased information about perinatal hospice and
assistance available for children with special needs.
•Oppor tunity to View Ultrasound {A.R.S. § 36-2156} - Requires an ultrasound to be performed at least 24
hours before every abortion, and a woman seeking abortion must be offered the opportunity to view the
ultrasound and hear the baby's

heartbeat , if audibl e.
• Coercion Prohibited (A.R.S. § 36-2153) - Prohibits a person from intimidating or coercing another
person into having an abortion and allows minors to obtain public assistance benefits if parents cut off
financial support because the

minor refuses to have an abortion. Require s that all abortion clinics conspicuously post signs
that state it is unlawful for any person to intimidate or coerce another person into having an
abortion.

EXT-18-241-N-000449

 004084

•Foster Parents (A.R.S. § 8-514.05) - Foster parents may not consent to abortion for a foster child.
•Fiduciaries (Arizona Code of Jud.

Admin . § 7-202) - Fiduciaries may not consent to abortion for a ward without a court order.

- See more at:

https://www.plannedparenthood.org /planned-parenthood-arizona /online-health-center /minorsand-abortion-law#sthash.l W OGvCcD .dpuf

Thank you,

Case Manager
Southwest Key Program - Kokopelli
~ swkey.org

l(b)(6)

Fax: 480 -452-0603

5

Phone :[b
....
_H_>____

_.

Sender : (b)(6)

p:pswkey.org>

"ca lero, Wilfred (ACF) </o=Exehangelabs/ou=Exehange Administrative Group
(FYDIBOHF23SPDL
T)/ en= Recipients/en= 7fedlfabef93 4452bff7378f6365fa8e-Calero, Wil> ";
"Gonzalez, Guadalupe M <Guadalupe.Gonzalez@kbl(6l lorn>";
):b)(6)
tpswkey.org> ";
fi, vm
j{q)swkey.org>";
R • • t ~b)(6)
! @swkey.org>";
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"l(b)(6)
"!(b)(6)

15wkey.org>";
lilswkey.org>" ;
l@swkey.org>";
f@swkey.org>"

Sent Date: 2017/01/17 12:43 :27
Delivered Date: 2017/01/17 12:44:36

EXT-18-241-N-000450

 004085

From:

Velazquez,Ivonne (ACF) </O = EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
=39E67B42D96043C688E84FA6CEF42570-VELAZQUEZ,
>

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2e
ba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/en= ?fedlfabef934452bff7378f6365fa8e-Calero,Wil>"
A# l(b)(6)
Subject: FW: Kokopelli: Abortion request forf:b)(6)
To:

I

I

Date: 2017/01/16 16:11:31
Priority: Normal
Type: Note

Dear Jim,
FYI, Program is working with ORR HQ Medica l team to coordinate a plan and prov ide the UC with
requested medical termination of her pregnancy
Summary :
lwas sexually assaulted in COO. Please see attached SIRfor more
The client 4<bl(6l
information and the client is now requesting an abortion. The following is the plan provided by two
different clinics, and the Arizona laws for abortion. CM and CL are requesting aut horization to have the
procedure of abortion for this client.

Clinic Pla nned Parenthood :
An initial appointment would be made for the above client. She would receive an ultra sound to confirm
the exact age of the fetus, and a counseling session to advise t he client on additional options regarding
abortion, adoption, foster care, etc. The abortion can happen up until the 16th week of the pregnancy at
th is clinic, however, the older t he fetus the more expensive the procedure wi ll cost. The initial
appointment will cost $80. The client will be seen within 24 hours for the actual abortion. As t he cost
ranges based on how far along the fetus is at the time of the abortion, CM was unable to dete rmine the
actual cost. However, t he client can apply for additional funds to have this cost reduced. After disclosing
for the second appointment that her parents would be unable t o attend, tha t we as legal guardia ns
could at t end w ith client, they stated that we would need to provide documen t atio n of proof that we are
legal guardians.

Clinic Desert Star Family Planning :
An initial appointment would include the ultrasound, counseling session and cost $50. The second visit
would cost $510.00 and would be within 24 hours that the procedure wou ld take place. This clinic stated
that the client could take two pills if she was not already 11 weeks. They can proceed up until 23 weeks
and the cost would remain the same of a total of $560.00. The clinic works with NNAF for additional
funds for low to no income patients, however NNAF have an automated message (1/6/2017) stating that
they are out of funds until February 1st_

AZ Laws regarding Abortion:

EXT-18-241-N-000451

 004086

Arizona law requires that women under 18 years old seeking an abortion must either have the notariz ed
written permission of one of their parents/legal guardian or permission from a Superior Court Judge.
Ensuring Adequate Consent
• Parental Consent (A.R.S. § 36-2152) - Requires parental consent for minors seeking abortions but
allows for judicial bypass. Requires the parental consent to be obtained on a form to ensure that parents
are informed of all of the medical risks of abortion before giving consent. Requires parental consent to be
notarized. Allows parents to sue (1) an abortion provider who performs an abortion on their minor
daughter without parental consent or (2) any person who assists a minor in obtaining an abortion
without parental consent.
• Informed Consent (A.R.S. § 36-2153)- Information must be provided 24 hours in advance to a woman
seeking an abortion about the risks and alternatives of the procedure, the probable gestational age and
physiological characteristics of the preborn child, and the services available from public and private
agencies to assist during pregnancy and after birth. Requires that the information is provided at an inperson consultation with a doctor. Allows a woman to file a lawsuit against an abortion provider who
fails to obtain informed consent. Requires the Department of Health Services to create and maintain a
website providing unbiased information about fetal development, the risks of abortion, and information
about alternatives to abortion.
•Informed Consent for Lethal Condition (A.R.S. § 36-2158} - When a woman discovers that her child may
have a life-threatening birth defect or other fetal condition, information must be provided 24 hours in
advance about the support that is available to her, including perinatal hospice . Requires the Department
of Health Services to create and maintain a website providing unbiased information about perinatal
hospice and assistance available for children with special needs .
•Opportunity to View Ultrasound (A.R.S. § 36-2156)- Requires an ultrasound to be performed at least 24
hours before every abortion, and a woman seeking abortion must be offered the opportunity to view the
ultrasound and hear the baby's heartbeat, if audible .
•Coercion Prohibited (A.R.5. § 36 -2 153} - Prohibits a person from intimida ting or coercing another
person into having an abortion and allows minors to obtain public assistance benefits if parents cut off
financial support because the minor refuses to have an abortion. Requires that all abortion clinics
conspicuously post signs that state it is unlawful for any person to intimidate or coerce another person
into having an abortion .
•Foster Parents {A.R.S. § 8-514 .05) - Foster parents may not consent to abortion for a foster child.
•Fiduciaries (Arizona Code of Jud. Admin . § 7-202) - Fiduciaries may not consent to abortion for a ward
without a court order.
- See more at: https://www.plannedparenthood.org/planned-parenthood-arizona/online-healthcenter/minors-and-abortion-law#sthash.lWOGvCcD.dpuf

Sender:

Recipient:

Velazquez, Ivonne (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
=39E67B42D96043C688E84FA6CEF42570-VELAZQUEZ,
>
"De LA Cruz, James (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn=Recipients/cn= 2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"(a lero, Wilfred (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=7fcd1fabef934452bff7378f6365fa8e-Calero,Wil>"

Sent Date: 2017/01/16 16:11:30
Delivered Date: 2017/01/16 16:11:31

EXT-18-241-N-000452

 004087

From: b)(6)

@swkey.org>

"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To: (FYDIBOHF23SPDLT)/cn= Recipients/en= 7fcd 1~-452bff7378f6365fa8e-Calero,
"Gonzalez, Guadalupe M <Guadalupe .Gonzalez (b)(6) com>"
Kb)(6)
n lf h

(b)(6)

CC: (b)(6)
b)(6)
(b)(6)
b)(6)

Wil> ";

@swkey.org>";
1ruswkev.ora>";
t ®sw key .org >";
swkey.org>";
l@swkey.org>";
~wkey.org> ";
swkey.org> ";
lncwkPv.org>";
@swkey.org>"

Subject: RE: Kokopelli: Abortion request forKb)(6)

IA#f:b)(6)

I

Date : 2017/01/16 12:31:04

Priority: Normal
Type: Note

Good Morning Will,

Thank you, I am following up with medical for when the procedure is scheduled and will let you know as
soon as possible.

Thank you,

Case Manager

Southwest Key Program - Kokope lli
!(b)(6)

@swk ey.o rg

Fax: 480-452 -0603

EXT-18-241-N-000453

 004088

5

Phone: f~
b-lC_l ___

~

From: Calero, Wilfred (ACF) [mailto :Wilfred.Ca lero@acf.hhs .gov]

Sent: Mo nday , January 16, 2017 7: 16 AM
To b)(6)
<Guadalup e.Gon zalez@ Cbl(6l

@swkey .org> ; Gon zalez, Guadalupe M
om>

Cc: lCb)(6)
@s wkey.or g>; Kb)(6)
pswk ey.org>;
..,....,...,,,.,....===========:::;-;::::-'
j(b)(
6)
l(i:yswk ey .org>; (b)(6)
:;:f
b;:;:
l/6;:;:::
l====:;-':
@swkey.o rg>:Cb)(6)
@swkey.org > ~~
Cb_)C
6_l ____
fbl(6l
kcYs
wkey .org>;
rb)(6)
§?swkey.org >fb)(6)
@swkey .org>;
..,,.[
b.,..,
)(6=)-----------~-----,
IDswkey.o rg>
Subject: RE: Kokope lli: Abortion requ es t for f~
b_)C
6_l _________

~!A#!(b)(6)

Please ensure that I am advised as soon as the procedure is scheduled to occur.

Thanks and great job on the summary.

EXT-18-241-N-000454

 004089

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement

CJ
wilfred.calero@acf.hhs.gov

From~.._
b_l<6_l____________

_.l~@~s~w~k=ey~·~or'"-'q
l

Sent: Friday, January 06, 2017 2:25 PM

To: Calero, Wilfred (ACF); Gonzalez, Guadalupe M
Cc: fbl(6)

l(b)(6)

Subject: Kokopelli: Abortion request for ._K
b"-)(6...;.
)_________

__.!A,.
#Kbl(6)

Hi Will,

The client !(b)(6)
~as sexually assaulted in COO. Please see attached SIRfor more
information and the client is now requesting an abortion . The following is the plan provided by two
different clinics, and the Arizona

laws for abortion. CM and CL are requesting authorization to have the procedure of abortion for
this client.

EXT-18-241-N-000455

 004090

Clinic Planned Parenthood:
An initial appointment would be made for the above client. She would receive an ultra sound to confirm
the exact age of the fetus, and a counseling session to advise the client on additional options regarding
abortion, adoption, foster

care, etc. The abortion can happen up until the 16th week of the pregnancy at this clinic,
however, the older the fetus the more expens ive the procedure will cost. The initial appointment
will cost $80. The client will be seen within 24 hours for
the actual abortion. As the cost ranges based on how far along the fetus is at the time of the
abortion, CM was unabl e to determine the actual cost. However , the client can apply for
additional funds to have this cost reduced. Afte r disclosing for the second
appointment that her parents would be unable to attend, that we as legal guardians could attend
with client , they stated that we would need to provide documentation of proof that we are legal
guardians .

Clinic Desert Star Family Planning :
An initial appointment would include the ultrasound, counseling session and cost $50 . The second visit
would cost $510.00 and would be within 24 hours that the procedure wou ld take place. This clinic stated
that the client could take two

pills if she was not already 11 weeks. They can proceed up until 23 weeks and the cost would
remain the same of a total of $560.00. The clinic works with NNAF for additional funds for low
to no income pat ients, however NNAF have an automated message (1/6/2017)
stating that they are out of funds until February 1st .

AZ Laws regarding Abortion:

Arizona law requires that women under 18 years old seeking an abortion must either have the

notarized written permission of one of their parents/legal guardian or permission from a
Superior Court Judg e.

Ensuring Adequate Consent

EXT-18-241-N-000456

 004091

• Parental Consent {A.R.S. § 36-2152) - Requires parental consent for minors seeking abortions but
allows for judicial bypass. Requires the parental consent to be obtained on a form to ensure that parents
are informed of all of the medical
risks of abortion before giving consent. Requires parental consent to be notari zed. Allows
parents to sue (1) an abortion provider who performs an abortion on their minor daughter
without parental consent or (2) any person who assists a minor in obtaining
an abortion without parental consent.
•Informed Consent (A.R.S. § 36-2153)- Information must be provided 24 hours in advance to a woman
seeking an abortion about the risks and alternatives of the procedure, the probable gestational age and
physiological characteristics
of the preborn child, and the services available from public and private agencies to assist during
pregnancy and after birth. R equir es that the information is provided at an in-person consultation
with a doctor. Allows a woman to file a lawsu it against an
abortion provider who fails to obtain informed consent. Requires the Department of Health
Services to create and maintain a website providing unbiased information about fetal
development, the risks of abortion, and information about alternatives to abortion.
•Informed Consent for Lethal Condition (A.R.S. § 36-2158) - When a woman discovers that her child may
have a life-threatening birth defect or other fetal condition, information must be provided 24 hours in
advance about the support that
is available to her, including perinatal hospice. Requires the Department of Health Services to
create and maintain a website providing unbiased information about perinatal hospice and
assistance available for children with special needs.
• Opportunity to View Ultrasound {A.R.S. § 36-2156)- Requires an ultrasound to be performed at least 24
hours before every abortion, and a woman seeking abortion must be offered the opportunity to view the
ultrasound and hear the baby's
heartbeat , if audible.
• Coercion Prohibited {A.R.S. § 36 -2153) - Prohibits a person from intimidating or coercing another
person into having an abortion and allows minors to obtain public assistance benefits if parents cut off
financial support because the
minor refuses to have an abortion. Requires that all abortion clinics consp icuousl y post signs
that state it is unlawful for any person to intimidate or coerce another person into having an
abortion .
•Foster Parents {A.R.S. § 8-514 .05) - Foster parents may not consent to abortion for a foster child.
• Fiduciaries (Arizona Code of Jud.
Admin . § 7-202) - Fiduciaries may not consent to abortion for a ward without a court order.

- See more at :

https://www.plannedparenthood.org/planned-parenthood-ari
and-abortion -Iaw#sthash.lWOGvCcD .dpuf

zona/online-health-center /minors-

EXT-18-241-N-000457

 004092

Thank you,

Case Manager
Southwest Key Program - Kokope lli
l@swkey.org

Kb)(6)

Fax: 480-452-0603

~

Phone: ~fb_)<B
_>___

Sender: (b)(6)

l'.Q)swkey.org>

"Calero, Wilfred (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=7fcdlfabef934452bff7378f636Sfa8e-Calero,Wil> ";
"Gonzalez Guadaluoe M <Guadalupe.Gonzalez@fb l(6*om> ";
(bl(6)
l@swkey.org>";
[Q)swkey.org>
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bl(6l
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b)(6)
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(b)(6)
('g)swkey.org>";
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b)(6)
i:iiswkey.org>"
/h\ /R\
Sent Date: 2017/01/16 12:30:28
Delivered Date : 2017/01/16 12:31:04

From:

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,
WIL>

truswkey.org>";
To: (bl(6l
"Gonzalez, Guadalupe M <Guadalupe.Gonza
lez@f5i<6ilcom>"
~b)(6)
h\ /R\

b)(6)
(b)(6)

CC:

h\ /R\
1/h \/R\

(b)(6)
~h\/R\

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plswkey.org>";
lllSWkey.org>";
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l@swkey.org>";
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.org> ";
@swkey.org>"

Subject: RE: Kokopelli: Abortion request forl(b)(6)

IA# ~b)(6)

I
EXT-18-241-N-000458

 004093

Date : 2017/01/16 09: 15:00
Priority : Normal

Type : Note

l(b)(6)

Please ensure that I am advised as soon as the procedure is scheduled to occur.
Thanks and great job on the summary.

Wilfred Calero
Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement
r b)(6)

i

wilfred.calero@acf.hhs.gov

From: l(b)(6)
~swkey .org]
Sent: Friday, January 06, 2017 2:25 PM
To: Calero Wilfred ACF · Gonzalez Guadalu e M
C b)(6)

Subject: Kokopelli: Abortion request for ....
(b_l(_
6l________

6l
__.A# i<bH

Hi Will,
f,vassexually assaulted in COO. Please see attached SIRfor more
The clientKb)(6)
information and the client is now requesting an abortion. The following is the plan provided by two
different clinics, and the Arizona laws for abortion. CM and CL are requesting authorization to have the
procedure of abortion for this client.

Clinic Pla nned Parenthood :
An initial appointment would be made for the above client. She would receive an ultra sound to confirm
the exact age of the fetus, and a counseling session to advise the client on additional options regarding
abortion, adoption, foster care, etc. The abortion can happen up until the 16th week of the pregnancy at
th is clinic, however, the older the fetus the more expensive the procedure will cost. The initial
appointment will cost $80. The client will be seen within 24 hours for the actual abortion. As the cost
ranges based on how far along the fetus is at the time of the abortion, CM was unable to dete rmine the
actual cost. However, the client can apply for additional funds to have this cost reduced. After disclosing
for the second appointment that her parents would be unable to attend, that we as legal guardians
could attend with client, they stated that we would need to provide documentation of proof that we are
legal guardians.

EXT-18-241-N-000459

 004094

Clinic Desert Star Family Plann ing:
An initial appointment would include the ultrasound, counseling session and cost $50. The second visit
would cost $510.00 and would be within 24 hours that the procedure wou ld take place. This clinic stated
that the client could take two pills if she was not already 11 weeks. They can proceed up until 23 weeks
and the cost would remain the same of a total of $560.00. The clinic works with NNAF for additional
funds for low to no income patients, however NNAF have an automated message (1/6/2017) stating that
they are out of funds until February 1st .

AZ Laws regarding Abortion :

Arizona law requires that women under 18 years old seeking an abortion must either have the notarized
written permission of one of their parents/legal guardian or permission from a Superior Court Judge .
Ensuring Adequate Consent
•Parental Consent (A.R.S. § 36 -2152) - Requires parental consent for minors seeking abortions but
allows for judicial bypass . Requires the parental consent to be obtained on a form to ensure that parents
are informed of all of the medical risks of abortion before giving consent. Requires parental consent to be
notarized . Allows parents to sue (1) an abortion provider who performs an abortion on their minor
daughter without parental consent or (2) any person who assists a minor in obtaining an abortion
without parental consent.
• Informed Consent {A.R.S. § 36 -2153)- Information must be provided 24 hours in advance to a woman
seeking an abortion about the risks and alternatives of the procedure, the probable gestational age and
physiological characteristics of the preborn child, and the services available from public and private
agencies to assist during pregnancy and after birth. Requires that the information is provided at an inperson consultation with a doctor . Allows a woman to file a lawsuit against an abortion provider who
fails to obtain informed consent. Requires the Department of Health Services to create and maintain a
website providing unbiased information about fetal development, the risks of abortion, and information
about alternatives to abortion .
• Informed Consent for Lethal Condition {A.R.S. § 36-2158) - When a woman discovers that her child may
have a fife-threatening birth defect or other fetal condition, information must be provided 24 hours in
advance about the support that is available to her, including perinatal hospice. Requires the Department
of Health Services to create and maintain a website providing unbiased information about perinatal
hospice and assistance available for children with special needs.
•Opportunity to View Ultrasound (A.R.S. § 36-2156) - Requires an ultrasound to be performed at least 24
hours before every abortion, and a woman seeking abortion must be offered the opportunity to view the
ultrasound and hear the baby's heartbeat, if audible.
•Coercion Prohibited (A.R.S. § 36-2153) - Prohibits a person from intimidating or coercing another
person into having an abortion and allows minors to obtain public assistance benefits if parents cut off
financial support because the minor refuses to have an abortion. Requires that all abortion clinics
conspicuously post signs that state it is unlawful for any person to intimidate or coerce another person
into having an abortion.
•Foster Parents (A.R.S. § 8-514.05) - Foster parents may not consent to abortion for a foster child.
•Fiduciaries (Arizona Code of Jud. Admin. § 7-202) - Fiduciaries may not consent to abortion for a ward
without a court order.

EXT-18-241-N-000460

 004095

- See mo re at: https://www.plannedparenthood.org/planned-parenthood-arizona/online-healthcenter/minors-and-abortion-law#sthash.lWOGvCcD.dpuf
Thank you,

Case

Manager

Southwest

Key Program

J(b)(6)

- Kokopelli

l@swkey.org

Fax: 480 -452-060 3

~

5
b-l( _l ____

Phonef~

Sender:

Calero, Wilfred (ACF) </O = EXCHANGELABS/OU= EXCHANGEADMINISTRATIV E GROUP
(FYDIBOHF23SPDLT)/CN = RECIPIENTS/CN = 7FCD1FABEF934452BFF7378F6365FA8E-CALERO, WIL>

Kbl /6)
~@swkey.o~
"Gonzalez, Guadalupe M <Guadalupe .Gonzalez (b)(6) com>";
](b)(6)
ll)swkey.org>';
1191swKey.org>
";
l(bl(6l
(b)(6)
p"lswkey.org> ";
plswkey.org>";
Recipient: (b)(6)
wswkey.org>" ;
h\/n \
/ h \/ R\
1ruswkey.org>";
b)(6)
swkey.org> ";
h\ /R\
hlswkey.org>";
19Jswkey.org >"
b)(6)

Sent Date : 2017/01/16 09:15:58
Delivered Date: 2017/01/16 09:15:00

From: Calero, Wilfred (ACF) </O = EXCHANGELABS/OU= EXCHANGE ADMINISTRATIVE GROUP

(FYDIBOHF23SPDLT)/C N= RECIPIENTS/CN= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,WIL>

To:

"Velazquez, Ivonne (ACF) </o =Exchangelabs/ou = Exchange Adm inistrative Group
( FYDIBOHF23SPDLT)/cn= Recipients/cn=39e6 7b42d96043c688e84fa6cef42570-Velazquez, >"

Subject: RE: Kokopelli : Abort ion request fo ~(b)(6)

I A# ~b)(6)

I

Date: 2017/01/16 09 :15:00
Priority: Normal
Type: Note

Ivonne,
This is the case I spoke to you about last week. Program is working with ORR HQ to coordinate a plan
and provide the UC with requested medical termination of her pregnancy .
Was not sure if you wanted me to send to Jim directly or if you wanted to review and staff prior to the
send up. The appointment for the procedure has not been scheduled as of yet.

Wilfred Calero

EXT-18-241-N-000461

 004096

Federal Field Specialist
Division of Children's Services
Office of Refugee Resettlement
rb)(6)

i

wilfred.calero@acf.hhs.gov
Summary:
The client fb)(6)
~as sexually assaulted in COO. Please see attached SIR for more
information and the client is now requesting an abort ion. The following is the plan prov ided by two
different clinics, and the Arizona laws for abortion. CM and CL are requesting aut horization to have the
procedure of abortion for this client.

Clinic Planned Parenthood :
An initial appoi ntment would be made for the above client. She would receive an ultra sound to confirm
the exact age of the fetus , and a counseling session to advise t he client on additional options regarding
abort ion, adoption, foster care, etc . The abortion can happen up until the 16th week of the pregnancy at
th is clinic, however, the older th e fetus the more expensive the procedure wi ll cost. The initial
appointment will cost $80. The client will be seen within 24 hours for the actual abortion. As t he cost
ranges based on how far along the fetus is at the time of the abortion, CM was unable to dete rmine the
actual cost. However, t he client can apply for additional funds to have this cost reduced. After disclosing
for the second appointment that her parents would be unable to attend, that we as legal guardians
could attend w ith client, they stated that we would need to provide documentation of proof that we are
legal guardians.

Clinic Desert Sta r Family Planning :
An initial appoi ntment would include the ultrasound, counseling session and cost $50. The second visit
would cost $510.00 and would be within 24 hours that the procedure wou ld take place. This clinic stated
that the client could take two pills if she was not already 11 weeks. They can proceed up until 23 weeks
and the cost would remain the same of a total of $560.00. The clinic works with NNAF for additional
funds for low to no income patients , however NNAF have an automated message (1/6/2017) stating that
they are out of funds until February 1st .

AZ Laws regarding Abortion:

Arizona law requires that women under 18 years old seeking an abortion must either have the notarized
written permission of one of their parents/legal guardian or permission from a Superior Court Judge.
Ensuring Adequate Consent
• Parental Consent {A.R.S. § 36-2152) - Requires parental consent for minors seeking abortions but
allows for judicial bypass. Requires the parental consent to be obtained on a form to ensure that parents
are informed of all of the medical risks of abortion before giving consent. Requires parental consent to be
notarized. Allows parents to sue (1) an abortion provider who performs an abortion on their minor
daughter without parental consent or (2) any person who assists a minor in obtaining an abortion
without parental consent.

EXT-18-241-N-000462

 004097

• Informed Consent (A.R.S. § 36-2153} - Information must be provided 24 hours in advance to a woman
seeking an abortion about the risks and alternatives of the procedure, the probable gestational age and
physiological characteristics of the preborn child, and the services available from public and private
agencies to assist during pregnancy and after birth. Requires that the information is provided at an inperson consultation with a doctor. Allows a woman to file a lawsuit against an abortion provider who
fails to obtain informed consent. Requires the Department of Health Services to create and maintain a
website providing unbiased information about fetal development, the risks of abortion, and information
about alternatives to abortion.
•Informed Consent for Lethal Condition (A.R.S. § 36-2158)- When a woman discovers that her child may
have a life-threatening birth defect or other fetal condition, information must be provided 24 hours in
advance about the support that is available to her, including perinatal hospice. Requires the Department
of Health Services to create and maintain a website providing unbiased information about perinatal
hospice and assistance available for children with special needs.
•Opportunity to View Ultrasound (A.R.S. § 36-2156)- Requires an ultrasound to be performed at least 24
hours before every abortion, and a woman seeking abortion must be offered the opportunity to view the
ultrasound and hear the baby 's heartbeat, if audible.
•Coercion Prohibited (A.R.S. § 36-2153) - Prohibits a person from intimidating or coercing another
person into having an abortion and allows minors to obtain public assistance benefits if parents cut off
financial support because the minor refuses to have an abortion. Requires that all abortion clinics
conspicuously post signs that state it is unlawful for any person to intimidate or coerce another person
into having an abortion .
•Foster Parents {A.R.S. § 8-514 .05} - Foster parents may not consent to abortion for a foster child.
•Fiduciaries (Arizona Code of Jud. Admin . § 7-202} - Fiduciaries may not consent to abortion for a ward
without a court order.
- See more at: https://www .plannedparenthood .org/planned-pa rent hood-arizona/onl ine-health center/minors -and-abortion -law#sth ash.lWOGvCcD.dpuf

Sender:
Recipient :

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8E-CALERO,
WIL>
"Velazquez,Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=39e67b42d96043c688e84fa6cef42570-Velazquez,
>"

Sent Date: 2017/01/16 09:15:28
Delivered Date: 2017/01/16 09:15:00

From: /h\/R\

1@swkey.org>

"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To: (FYDIBOHF23SPDL
T)/cn= Recipients/en=7fcdlfffl:452bff7378f6365fa8e-Calero,

"Gonzalez, Guadalupe M <Guadalupe.Gonza
lez (b)(6) om>"

"[ h \/R\
, h \/R\
l/h\/R\

"l'b)(6)
CC: ' bl(6l
Kb)(6)
'Eb)(6)
l<b)/6)

Wil> ";

~swkey .org>";
1swkey.org>";
1@swkey.org> ";
lruswkey.org> ";
k.alswkey.org>";
~wkey.o rg>";
swkey.org> ";
~swkey.org>";
~swkey.org >"

Subject: Kokopelli: Abortion request for ~b)(6)

IA#l(b)(6)

I

Date: 2017/01/06 16:26:10

EXT-18-241-N-000463

 004098

EXT-18-241-N-000464

 004099

An initial appoi ntment would include the ultrasound, counseling session and cost $50. The second visit
would cost $510.00 and would be within 24 hours that the procedure wou ld take place. This clinic stated
that the client could take two

pills if she was not already 11 weeks. They can proceed up unti l 23 weeks and the cost would
remain the same of a total of $560 .00. The clinic works with NNAF for additiona l funds for low
to no income pat ients, however NNAF have an automated message (1/6/20 17)
stating that they are out of funds until February 1st .

AZ Laws regarding Abortion:

Arizona law requires that women under 18 years old seeking an abortion must either have the

notarized written permission of one of their parents/legal guardian or permission from a
Superior Court Judge.

Ensuring Adequate Consent
•Parental Consent (A.R.S. § 36 -2152) - Requires parental consent for minors seeking abortions but
allows for judicial bypass . Requires the parental consent to be obtained on a form to ensure that parents
are informed of all of the medical

risks of abortion before giving consent. Requires parental consent to be notarized. Allows
parents to sue (1) an abortion provider who pe1forms an abortion on their minor daughter
without parental consent or (2) any person who assists a minor in obtaining
an abortion without parental consent.
• Informed Consent (A.R.S. § 36-2153) - Information must be provided 24 hours in advance to a woman
seeking an abortion about the risks and alternatives of the procedure, the probable gestational age and
physiological characteristics

of the preborn child, and the services available from public and private agencies to assist during
pregnancy and after birth. Requires that the information is provided at an in-person consultation
with a doctor. ALiows a woman to file a Lawsuit against an
abortion provider who fails to obtain informed consent. Requires the Department of Health
Services to create and maintain a website providing unbiased information about fetal
development, the risks of abortion, and information about alternatives to abortion .
• Informed Consent for Lethal Condition (A.R.S. § 36-2158) - When a woman discovers that her child may
have a life-threatening birth defect or other fetal condition, information must be provided 24 hours in
advance about the support that

is available to her, including perinatal hospice. Requires the Department of Health Services to
create and maintain a website providing unbiased information about perinatal hospice and
assistance available for children with special needs .

EXT-18-241-N-000465

 004100

• Opportunity to View Ultrasound {A.R.5. § 36-2156) - Requires an ultrasound to be performed at least 24
hours before every abortion, and a woman seeking abortion must be offered the opportunity to view the
ultrasound and hear the baby's

heartbeat , if audible.
•Coercion Prohibited {A.R.5. § 36-2153) - Prohibits a person from intimidating or coercing another
person into having an abortion and allows minors to obtain public assistance benefits if parents cut off
financial support because the

minor refuses to have an abortion. Requires that all abortion clinics conspicuously post signs
that state it is unlawful for any person to intimidate or coerce another person into having an
abortion .
•Foster Parents {A.R.5. § 8-514.05) - Foster parents may not consent to abortion for a foster child.
•Fiduciaries (Arizona Code of Jud.

Admin. § 7-202)-Fiduciaries

may not consent to abortion for a ward without a court order.

- Seemore at:

https:/ /www.plannedparenthood.org /planned-parenthood-arizona /online-health-center /minorsand-abortion-law#sthash.l WOGvCcD .dpuf

Thank you,

Case Manager
Southwest Key Program - Kokopelli
l(b_)<B
.....
_>____

_.~ swkey.org

Fax: 480 -452-0 603
6

Phone: .....
fb_><
_>---~

EXT-18-241-N-000466

 004101

Sender: l(b)(6)

l§lswkey .org >

"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en= 7fcd lfa~452bff7378f6365fa8e-Calero,
"Gonzalez, Guadalupe M <Guadalupe.Gonzalez@ b)(6lcom>";
191swkey
.org> ";
b\/6\
Vh\f R\
1mswkey.org>";
@swkey.org>";
\(fl\
Recipient:
' b)(6)
@swkey.org> ";
@swkey.org> ";
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swkey.org> ";
piswkey.org>";
1rn1
"lt h \/ A\
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Wil> ";

'lh

rlc~/
'lrh

Sent Date : 2017/01/06 16:25:22
Delivered Date: 2017/01/06 16:26:10

EXT-18-241-N-000467

 004102

White, Jonathan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN= E9B5FE526F1D4BA0A6CC8DDEE8EC4D87JONATHANWH>
"Acuna, Griselda (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=8c83ee08f90d454dba24118c12fbd4fd
-Acuna, Gris>";
"Tota, Kenneth (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPD
LT)/cn =Recipients/cn=Sc0919fe56454c2b8e7c59c38646ebec-Tota,
Kenne>";
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To:
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= le32d334f481495291265lab60e4fde6-Gonzalez,J> ";
"De LA Cruz, James (ACF) </o =Exchangelabs/ou =ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>"

CC:

"Gregg, Laura (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2e7ff3fld0ba483990c0f80827410056-Gregg,Laur>"

Subject: RE: Materials and Instructions for FFSto take child to the hospital
Date: 2017/03/04 23:18:53
Priority: Normal

Type: Note

Received. Stand by.
And thank you.
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 11:18 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz, James
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to t he hospital

Dr. Callanan stated that the minor will be safe if it is less than 12 weeks.
I also spoke with the minor and she wants to continue with terminating her pregnancy .
Please advise.
Thank you .
From: White, Jonathan (ACF)
Sent: Saturday , March 4, 2017 10:07:40 PM
To: Acuna, Grise lda (ACF); Tota, Kenneth (ACF); Gonzalez , Jose (ACF); De LA Cruz,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Thanks . I think the important thing is to understand if the minor still requests an
abortion , based on information from the doctor.

EXT-18-241-N-000468

 004103

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 20 17 11:03 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz, James
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instruc t ions for FFS to take child to the hospital

Yes, sir.
I will ask the physician and I will in form you.
Thank you.
Fro m: White, Jonathan (ACF)
Sent: Saturday , March 4, 2017 9:56:19 PM
To: Acuna, Griselda (ACF); Tota , Kenneth (ACF); Gonza lez, Jose (ACF); De LA Cruz ,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Griselda,
I am advised to ask you:
(b)(S)

Can you have this discuss ion?
Jonathan

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 10:51 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz, James
(ACF); Bartho lomew, Michael (ACF)

IX
''I
EXT-18-241-N-000469

 004104

Cc: Gregg, Laura (ACF)
Subject : Re: Materials and Instructions for FFS to take child to the hospital

Thank you. We will be in the lobby.
From: White , Jonathan (ACF)
Sent: Saturday , March 4, 2017 9:49:05 PM
To: Acuna, Griselda (ACF); Tota , Kenneth (ACF); Gonzalez, Jose (ACF) ; De LA Cruz,
Jame s (ACF); Bartholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Stand by. We will advise next steps momentarily.
From: Acuna, Griselda (ACF)
Sent: Saturday, March 04, 2017 10:48 PM

To: White, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz, James
(ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Nurse is here and providing discharge documents.
Please advise.
Thank you!
From: Acuna, Griselda (ACF)
Sent: Saturday , March 4, 2017 9:37:12 PM
To: White , Jonathan (ACF); Tota , Kenneth (ACF) ; Gonzalez, Jose (ACF) ; De LA Cruz,
Jame s (ACF); Bartholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instruction s for FFS to take child to the hospital

Dr. Callanan just informed me that as per the ultrasound results, the fetus has a heart beat
and is 9 weeks and 1 day.
The medication did not cause spontaneous abortion. The risk is pretty small and there are
no signs of miscarriage (bl(6l
ay be cramping and vital signs are fine. We are
waiting for doctor's documen s or release.
What would you like for me to do next?
Thank you!
From: Acuna , Griselda (ACF)
Sent: Saturday , March 4, 2017 8:57:39 PM
To: White, Jonathan (ACF); Tota , Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz ,

EXT-18-241-N-000470

 004105

James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re : Materials and Instruction s for FFS to take child to the hospital
You are welcome, Sir.
From: White , Jonathan (ACF)
Sent: Saturday , March 4, 2017 8:55:59 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); Gonzalez , Jose (ACF); De LA Cruz,
Jam es (ACF); Baitholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instruct ions for FFS to take child to the hospital

Thank you. I am really glad that you are the one there with her in this situation.
From: Acuna, Griselda (ACF)

Se nt: Saturday, March 04, 2017 9:55 PM
To: Tota, Kenneth (ACF); Gonzalez, Jose (ACF); White, Jonathan (ACF); De LA Cruz, James
(ACF); Bartholomew, Michael (ACF)

Cc: Gregg, Laura (ACF)
Subject : Re: Materials and Instr uctions for FFS to take child to the hospital

f~b-)(B
_>_~

fs doing well and calm. She also reported a small blood stain.

From: Tota , Kenneth (ACF)
Sent: Saturday , March 4, 2017 8:51:29 PM
To: Acuna , Griselda (ACF); Gonzalez, Jose (ACF); White , Jonathan (ACF); De LA
Cruz, Jame s (ACF) ; Bartho lomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Thank you Griselda.
How is ~
fb_l<6_>-~

~oing?

Thank you.

On: 04 March 2017 21 :49, "Acuna , Griselda (ACF)"
<Gr iselda.Acuna@acf. hhs .gov>wrote:
7:53pm-8:30pm est.
The ultrasound was completed by Ultrasound Technician l(b)(B) !She stated that the
ultrasound results will be submitted to the radiologist/doctor and they will let us know as

EXT-18-241-N-000471

 004106

soon as possible.
Thank you .
From: Gonzale z, Jose (ACF)
Sent: Saturday, March 4, 2017 7:55 :36 PM
To: White, Jonathan (ACF); Acuna , Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz ,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re : Materials and Instructions for FFS to take child to the hospital
Copy.
From: W hite, Jonathan (ACF)
Sent: Saturday, March 4, 2017 7:49 :04 PM
To: Gonzalez, Jose (ACF); Acuna , Griselda (ACF); Tota , Kenneth (ACF) ; De LA Cru z,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE : Materials and Instructions for FFS to take child to the hospital
Stand by. Ken is working to obtain a POC from HHS leadership to refer attorneys to.

From: Gonzalez, Jose (ACF)

Sent: Saturday, March 04, 2017 8:32 PM
To: White, Jonathan (ACF); Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Ema il frorrf._b)_(6_) ___

_.

Hi JoseThanks for taking my calljhas a court order for
As I stated on the call, the attorney ad litem for the client ~b)(6)
release of information (court # and Case #) from the client's file.

I

We have advised the attorne )1bl(6l
to contact Griselda Ocuna the local federa l
field specialist who is the local ORR representative and can guide the process and advise
the program.
i<b)(6)
ldid say she has the court order in hand and wants to personally deliver m
order to move forward.
The attorney's information :

EXT-18-241-N-000472

 004107

l(b )(6)

Locu st Street Professional Building
206 E. Locust
San Antonio, Texas 78212
Telephone ...,.l
<b=)(6,....,
),..,.......,.....,,.....,......,,...,,-=-=-_.
Telecopier (210) 224-0075
MAILING ADDRESS:
2206 E . Commerce Street
San Antonio, Texas 78203
www.whi tleylawfirmpc.com

From: Gon zale z, Jo se (ACF )
Sent: Saturday , March 4, 20 17 7:30:57 PM
To: White, Jona than (ACF); Acuna, Griselda (ACF); Tota, Kenn eth (ACF); De LA Cruz,
James (ACF); Bartholom ew, Micha e l (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instruc tion s for FFS to take child to the hospital
All will be send ing contact information for attorney who is upset and is demanding we
release her the court case # and other information from the file.
She informed rb)(5)
lover a call about thirty minutes ..

From: White , Jonathan (ACF)
Sent: Saturday , March 4, 20 17 7:12:21 PM
To: Ac un a, Grise lda (ACF); Tota , K enne th (ACF); De LA Cruz, James (ACF);
Gonzalez, Jo se (ACF); Bartholomew, Mi chae l (ACF)
Cc: Gr egg, Laura (ACF)
Subject: RE: Materials and In struct ion s for FFS to tak e child to the hospital
thanks
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 8:12 PM
To: White, Jonat han (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF); Gonzalez, Jose
(ACF); Bartholomew, Michael (ACF)

Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instr uctions for FFS to take child to the hospital

EXT-18-241-N-000473

 004108

We continue to wait for the ultrasound. Patient access representative ~l
<b_l<6_l _~l came in the
room and requested signatures for intake paperwork .
Thank you.
From: W hite, Jonathan (ACF)
Sent: Saturday, March 4, 2017 6:29 :28 PM
To: Acun a, Griselda (ACF); Tota , Kenneth (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE : Materials and Instruction s for FFS to take child to the hospital
Copy.
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 7:28 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF); Gonzalez, Jose
(ACF); Bartholome w, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instr uctions for FFS to take chi ld to t he hospita l

You are welcome, Sir.
Swk Casa Blanca medical coordinator and clinician are waiting in the lobby.
From: White, Jonathan (ACF)
Sent: Saturday , March 4, 20 17 6:25: 15 PM
To: Acuna, Grise lda (ACF); Tota , Kenneth (ACF); De LA Cruz, James (ACF) ;
Gonzalez, Jose (ACF); Bartholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject : Re : Material s and Instruction s for FFS to take child to the hospital
Thank you. I appreciate your keeping us in the loop.
CDR Jonathan White
Deputy Director for Children's Programs
Office of Refugee Resettlement
Administration for Children and F amities
Incident Commander, Unaccompanied Children Influx Response
(202) 690-6984 (office)
fbl(6l
Kblackberry)
Jonathan. whi te@acf.hhs.gov
From: Acuna, Griselda (ACF)
Sent: Saturday , March 4, 2017 7:24:38 PM
To: White , Jonathan (ACF); Tota, Kenn eth (ACF); De LA Cruz , James (ACF);
Gonzalez , Jose (ACF) ; Bartholo mew, Michael (ACF)

EXT-18-241-N-000474

 004109

Cc: Gregg, Laura (ACF)
Subject: Re: Material s and Instruction s for FFS to take child to the hospital

I am here with the minor in one of the ER rooms and Dr. Callanan asked the minor if she
is in pain. The minor said her stomach pain was very little.
Dr . Callanan stated that they are going to perform an ultrasound and the results will be
reviewed by the on call obstetrician.
Thank you.
From: White, Jonathan (ACF)
Sent: Saturday, March 4, 2017 5:37:46 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonz alez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE: Materials and Instruction s for FFS to take child to the hospital

Thank you .
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:37 PM
To: White, Jonathan (ACF); Tot a, Kenneth (ACF); De LA Cruz, James (ACF); Gonzalez, Jose
(ACF); Bartholomew , Michael (ACF)

Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instr uctions for FFS to take child to the hospital

Will do.
The nurse is taking her vitals at this presnt time. Minor is doing well and reports that she
does not have any pain.
From: White, Jonatha n (ACF)
Sent: Saturday , March 4, 2017 5:35:47 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonza lez, Jose (ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subj ect: RE: Materials and Instructions for FFS to take child to the hospital

Griselda,
Please keep us updated as things develop in the hospital. And let us know anything you
may need .
Jonathan

EXT-18-241-N-000475

 004110

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:26 PM
To: Tota, Kenneth (ACF); White, Jonathan (ACF); De LA Cruz, James (ACF); Gonzalez, Jose
(ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Copy.
Thank you.
From: Tota , Kenneth (ACF)
Sent: Saturday, March 4, 2017 5:25:46 PM
To: White , Jonathan (ACF); Acuna , Griselda (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

SWK can complete the intake.
From: White, Jonathan (ACF)

Sent: Saturday, March 04, 2017 6:23 PM
To: Acuna, Griselda (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF); Gonzalez, Jose
(ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Copy.
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:22 PM
To: White, Jonathan (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF); Gonzalez, Jose
(ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

She is here.
From: W hite, Jonathan (ACF)
Sent: Saturday, March 4, 2017 5: 19:28 PM
To: Acuna, Griselda (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF) ;
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Michael has finished speaking with the hospital. They are able to assess the status of the
pregnancy via ultrasound. They are not set up to take any actions to complete the
evacuation of contents if the ultrasound determines there is no fetal life, but Michael

EXT-18-241-N-000476

 004111

conveyed that ORR could arrange to transfer her elsewhere to take those steps if the
abortion is already complete.
So the hospital can receive the UC for ultrasound and exam.
From: White, Jonathan (ACF)

Sent: Saturday, March 04, 2017 6:06 PM
To: Acuna, Griselda (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF); Gonzalez, Jose
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject : RE: Materials and Instructions for FFS to take child to the hospita l

Copy. Thanks.
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:05 PM
To: White, Jonathan (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF); Gonzalez, Jose
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject : Re: Materials and Instructions for FFS to take child to the hospital

She is not here yet.

From: White , Jonathan (ACF)
Sent: Saturday, March 4, 2017 5:04 :23 PM
To: De LA Cruz , James (ACF); Acuna, Griselda (ACF); Tota, Kenneth (ACF);
Gon za lez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE : Material s and Instruction s for FFS to tak e child to the hospital
Has the girl yet arrived at the hospital?
Michael is calling the doctor back.
From: De LA Cruz, James (ACF)

Se nt: Saturday, March 04, 2017 6:00 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); White, Jonathan (ACF); Gonzalez, Jose (ACF);
Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Hi Griselda. I suggest answering this after the girl arrives and the hospital presents
specific documents to sign. They might not need anything other than the letter from HQ.
Jsd

From: Acuna , Griselda (ACF)
Sent: Saturday, March 4, 2017 5:57 :23 PM
To: Tota, Kenn eth (ACF); White, Jonathan (ACF); Gonzalez , Jose (ACF); Bartholomew ,

EXT-18-241-N-000477

 004112

Micha el (ACF); De LA Cruz, James (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Material s and Instruction s for FFS to take child to the hospital
Understood.
Does SWK needs to complete the hospital intake paperwork?
Please advise.
From: Tota , Kenneth (ACF)
Sent: Saturday, March 4, 2017 4:52:33 PM
To: White , Jonathan (ACF); Acuna , Griselda (ACF); Gonzalez, Jose (ACF);
Bartholomew , Michael (ACF); De LA Cruz, James (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Let me know if confirmation as the Act ing Director is needed in any way .
From: White, Jonathan (ACF)

Sent: Saturday, March 04, 2017 5:48 PM
To: Acuna, Griselda (ACF); Gonzalez, Jose (ACF); Bartholomew, Michael (ACF); De LA Cruz,
James (ACF)
Cc: Gregg, Laura (ACF); Tota, Kenneth (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Michael is calling ER doc. Stand by.

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 5:46 PM
To: White, Jonathan (ACF); Gonzalez, Jose (ACF); Bartholomew, Michael (ACF); De LA Cruz,
James (ACF)
Cc: Gregg, Laura (ACF); Tota, Kenneth (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

I'm here at the ER. SWK Casa Blanca Medical Coord inator contacted me that they are on
their way.

From: White , Jonathan (ACF)
Sent: Saturday, March 4, 2017 4:38:50 PM
To: Gonzalez, Jose (ACF) ; Acuna , Griselda (ACF); Bartholomew , Micha el (ACF); De
LA Cruz, James (ACF)
Cc: Gregg , Laura (ACF) ; Tota , Kenneth (ACF)
Subject: RE: Material s and Instructions for FFS to take child to the hospital

EXT-18-241-N-000478

 004113

I made a mistake when I said 5PM our time. I meant 6PM Eastern, 5PM Central.
From: Gonzalez, Jose (ACF)
Sent : Saturday, March 04, 2017 5:38 PM
To: White, Jonathan (ACF);Acuna, Griselda (ACF); Bartholomew, Michael (ACF); De LACruz,
James (ACF)
Cc: Gregg, Laura (ACF);Tota, Kenneth (ACF)
Subject: Re: Materials and Instructions for FFSto take child to the hospital

Hello Ladies and gentleman is there a POC we can ask for?

From: White, Jonathan (ACF)
Sent: Saturday, March 4, 2017 3:54 :49 PM
To : Acuna, Griselda (ACF); Gon zalez , Jose (ACF); Bartholomew , Michael (ACF); De
LA Cruz , James (ACF)
Cc: Gregg , Laura (ACF); Tota , Kenneth (ACF)
Subject: Materia ls and Instructions for FFS to take child to the hospital
Attached please find the materials for Griselda to present at the hospital.
Michael is calling hospital now .
The hospital is The Children's Hospita l of San Antonio located at 333 N Santa Rosa St,
San Antonio, TX 78207.

I

ER Telephone Number l(b)(6)
Michael will call ER. He will need approx . an
hour to make call so the child should not arrive before 5PM our time .
Griselda, can you advise when you can be at the hospital with these printed materials?
Ken is contacting Southwest Key.

From: Wynne, Maggie (HHS/IOS)
Sent: Saturday, March 04, 2017 4:47 PM
To: White, Jonathan (ACF)
Cc: Tota, Kenneth (ACF);Gregg, Laura (ACF); Barlow, Amanda (ACF)
Subject: Acting ORR Director Memo, 2008 medical policy, Tota ACFID

Jonathan,
Attached are documents the Federal Field Specialist can present at the hospital , if needed .
Maggie

Se

nd

White, Jonathan (ACF) </O = EXCHANGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
er: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS
/ CN= E9B5FE526F1D4BA0A6CC8DDEE8EC4D87-

EXT-18-241-N-000479

 004114

JONATHA
N WH>
"Acuna, Griselda (ACF) </o=Exchangel abs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/en=8c83ee08f90d454dba24118c12fbd4fd-Acu
na, Gris>";
"Tota, Kenneth (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recip
ients/cn=Sc0919fe56454c2b8e7c59c38646ebec
-Tota, Kenne>";
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= le32d334f481495291265lab60e4fde6-Gonzalez,J> ";
Recipient:
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn=Recipients/cn=2eba95dl 19ab4cd6a77b34616dc3366c
-De LA Cruz,>";
" Bartholomew,Michael (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>";
"Gregg, Laura (ACF) </o=Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2e7ff3fld0ba483990c0f80827410056-Gregg,Laur>"
Sent Date: 2017/03/04 23:18:52
Delivered Date: 2017/03/04 23:18:53

EXT-18-241-N-000480

 004115

l@swkey.org>
From: (b)(6)
b)(6)
l@swkey.org>";
"Acuna, Griselda (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To: (FYDIBOHF23SPDL
T)/cn =Recipients/cn=8c83ee08f90d454dba24118c12fbd4fd-Acu
na, Gris>";
" De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>"
b)(6)

~swkey.org>";
ey.org>";
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
CC:
(FYDIBOHF23SPDLT)/cn =Recipients/cn = le32 d334f481495291265lab60e4fde6-Gonzalez,J> ";
" MartinezBerrios,Diana (ACF)(CTR) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDI BOHF23SPDL
T)/cn =Recipients/cn=4a 184d9ccce4478ea0e2
d242a87f3da7-Soto, Diana>"
Subject: Re: UC~b)(6)

I

Date: 2017/03/06 16:02:38
Priority: Normal
Type: Note

5
Please advise as to ema il below concern ing mino~....
(b_lc_l __

_.

Thank you,

~f
bl_(6_
)

----~IMS

, LPC

Lead Clinician

Southwest
Key ProgramsCasa Blanca 954

EXT-18-241-N-000481

 004116

San
Antonio, TX

P:

(830) 980 -1470 (ext ._f
bl_C6_) ____.

C:l(b)(6)

F:
(210) 587 -2420

@swkey.org

EXT-18-241-N-000482

 004117

PRIVILEGEDAND CONFIDENTIAL:This comm unicat ion, includ ing attachments, is for th e exclusive use of addressee and may contain
propriet ary, confidential and/o r privilege d infor matio n. If you

are not the intended recipient, any use, copying, disclosure, dissemination or
distribution is strictly prohibited. If you are not the intended recipient, please notify the
sender immediately by return emai l, delete this communication and destroy all copies.

From:

_fb_)(6
_)___

~

Sent: Monday , March 6, 2017 2:34:09 PM
To: Acuna, Grise lda (ACF)
Cc:

1.....
<b_)(6_) _______________

~~~:UCJ _~_~_>______

_.

_

Griselda,

EXT-18-241-N-000483

 004118

The attorney that representedfb l(6)
~or the Judicial Bypass advised the program that
she will be coming to the shelter to speak with the UC in approximately an hour. We do
not have a G-28 on fi le. I would like to make certain that it is all right that
The attorney's information is below, please advise.
she speak tqb) (6)

I

l(b )(6)

Whitley Law Firm:

Address:
2206 E Commerce St, San Antonio, TX 78203

Phone :

Hours:
Open today·
8AM-6PM

On-call number is:t~b_)(6
_)___

~

EXT-18-241-N-000484

 004119

Respectfully ,

Case Management Coordinator

Southwest Key Pro grams

Tel:~l<b_l<B
_l ----~

email:
l(b)(6)

@swkey.org

EXT-18-241-N-000485

 004120

Sender: (b)(6)

j@swkey.org >

b)(6)
l@swkey.org> " ;
"Acuna, Griselda (ACF) </o = Exchangelabs/ou = Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn = 8c83ee08f90d454dba2 4 l 18cl2fbd4fd -Acu na, Gris> ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recip ients/cn=2eba95dl19ab4cd6a7 7b34616dc3366c -De LA Cruz,> ";
Recipient: (b)(6)
[eswkey.org>";
y .org> ";
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn =Recipients/cn = le32d334f48 l 495291265 lab60e4fde6-Gon zalez, J> ";
"Mart inezBerrios, Diana (ACF) (CTR) </o=Exchange l abs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/ cn = Recipients/cn = 4a 184d9ccce4478ea0e2d242a87f3da7 - Soto, Diana> "

Sent Date: 2017/03/06 16:01:39
Delivered Date: 2017/03/06 16:02 :38

EXT-18-241-N-000486

 004121

Meyerstein, Shaanan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN= 73D538ESAEDA4197B338
1EC6EF84ED75MEYERSTEIN,>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>";
"Calero, Wilfred (ACF) </o=Exchangelabs/ou =ExchangeAdministrative Group
To:
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= ?fed1fabef934452bff7378f6365fa8e-Calero, WiI>";
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn =Bartholomew, Michael>"

CC:

"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= 39e67b42d96043c688e84fa6cef42570-Velazquez,>"

Subje ct: REj(b)(6) ~ase
Date : 2017/03/06 16:54:32
Priority: Normal
Type: Note

I am working on this now ... I know you have deadline
From: De LA Cruz, James (ACF)

Sent: Monday, March 06, 2017 4:36 PM
To: Calero, Wilfred (ACF); Bartholomew, Michael (ACF); Meyerstein, Shaanan (ACF)
Cc: Velazquef, Ivon~e (ACF)
Subject: RE b)(6) ase

Thank you.

James S. De La Cmz
DHHS /ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Serv ices
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washi ngton, DC 20201
Office : 202-690-8477
Cell: !(bl(6l
I
Fax: 202-401-1022
http://www. acf .hhs.gov/programs/orr/program s/ucs

From: Calero, Wilfred (ACF)

Sent: Monday, March 06, 2017 4:25 PM
To: De LA Cruz, James (ACF); Bartholomew, Michael (ACF); Meyerstein, Shaanan (ACF)
Cc : Velazquez, Ivonne (ACF)
Subject: RE:~Case

Mr. De LA Cruz,

EXT-18-241-N-000487

 004122

I have reviewed the documents and documents, no changes to make.

Wilfred Calero
Federa l Field Specialist
Division of Children's Services
~
gee Resettlement

~

@acf.hhs.g ov

From: De LA Cruz, James (ACF)

Sent: Monday, March 06, 2017 2:13 PM

,
1

To: Bartholomew, Michael (ACF); Meyerstein, Shaanan (ACF)
Cc: Velazque Ivon ne (ACF); Calero, Wilfred (ACF)
Subject: RE:(b)(6) Case
1

The case time line request now appears to be complete. Please review the documents and
time line and let me know if an chan es are needed on the time line. l(b)(5 )
(b)(5)

~-----~

James S. De La Cruz
DHHS /ACF /ORR/DCS
Senior Federa l Field Speci alist Supervi sor
Office of Refugee Res ettlement
Division of Children ' s Servi ces
Ma1y E. Switzer Bui lding , 5th Floor (Room : 5223)
330 C Street SW
Washington , DC 20201
Office: 202-690-8477
I
Cell: !(b)(6 )
Fax: 202-401 -1022
http: //www.acf.hhs.gov /programs / orr/programs /ucs

From: De LA Cruz, James (ACF)

Sent: Monday, March 06, 2017 2:34 PM
To: Bartholomew, Michael (ACF); Meyerstein, Shaanan (ACF)
Cc: Velazrez, I~onne (ACF); Calero, Wilfred (ACF)
Subject: b)(6) ase

Here is a hyperlink for where I have email s fo~(b)(5) ~ase. Wilfred is working on part of
the tim e line for her case. When he sends that I will update the summary that is partially
comp leted. To use the hyperlink right click on the link and select ope n hype rlink. You
have to be on the network or VPN to open the link .

EXT-18-241-N-000488

 004123

S :\ORR\DCS\ Shared\Ops\Int akes\Data Reguests\Pregnancy Termination Request
0306201 7
James S. De La Cruz
DHHS /ACF/ORR/DCS
Senio r Federa l Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children ' s Services
Ma1y E. Switzer Bui lding, 5th Floor (Room : 5223)
330 C Street SW
Washington , DC 20201
Office: 202 -690-8477
Cell: l<bl(6l
I
Fax: 202-401- 1022
http ://www.acf. hhs.gov/programs/orr/programs/ucs

Meyerstein, Shaanan (ACF) </O = EXCHANGELABS/OU
=EXCHANGE
ADMINISTRATIVE GROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN= 73D538ESAEDA4197B338
1EC6EF84ED75
MEYERSTEIN
,>
"De LA Cruz, James (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>";
"Calero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn = ?fed1fabef934452bff7378f6365fa8e-Calero, WiI>" i
Recipient:
" Bartholomew, Michael (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>";
"Velazquez, Ivonne (ACF) </o= Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Vela
zquez, >"
Sent Dat e: 2017/03/06 16:54:32

EXT-18-241-N-000489

 004124

White, Jonathan (ACF) </O= EXCHA
NGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= E9B5FE526F1D4BA0A6CC8DDEE8EC4D87JONATHANWH>
To:

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>"

Subject : Re: Guidanceto Care ProvidersAbout how to Proceedwith Casesof ExpectingUC
Date: 2017/03/09 20:27:29
Priority : Normal
Type: Note

Thanks, Jim. I really appreciate the prompt reply.

I think it'll be important that as requests and notifications surface we get them elevated to Ken.

CDRJonathan White
Deputy Director for Children 's Programs
Off ice of Refugee Resettlement
Administration for Children and Families
Incident Commander, Unaccompanied Children Influx Response
(202) 690-6984 (office)
5
f....
b_)<_>___

____.t
blackberry)

Jonathan.white@acf .hhs.gov

EXT-18-241-N-000490

 004125

From: De LA Cruz, James (ACF)
Sent: Thursday, March 9, 2017 8:20:32 PM
To: Volovar, Jill (ACF); Velazquez, Ivonne (ACF); Gonzalez, Jose (ACF); Brooks, Teresa
(ACF); Fink, David (ACF)
Cc: White, Jonathan (ACF); Bartholomew, Michael (ACF); Sualog, Jallyn (ACF); Swartz, Tricia
(ACF); Tota, Kenneth (ACF)
Subject: Guidance to Care Providers About how to Proceed with Cases of Expecting UC

Hello FFSSupervisors,

As you are aware ORR is reviewing case process for pregnant UC. This includes when a UC is
found to be pregnant and what to do

BEFORE the care provider proceeds to explore with the UC what her options are. After
send ing you this message I will send the FFS team guidan ce that they must sha re with
their assigned care provider case managers , clinicians, and medical staff.
That guidance is:

•

If the care provider discovers that they have a pregnant UC in their faci lity they should
immed iately subm it an SIR as they normally wo uld .

•
The care provider should contact the FFS directly with any questions or requests in
wr iting . Requests shou ld include clarification and instruct ion,
in advance, about how to proceed with offering the g irl guidance for her birth options or
medical procedures .

•

The FFS will need to follow up with you, their supervisor, and medical staff (to be
ident ified by Dr. Bartholomew) before the care provider takes next steps in the girl 's
case. Unti l instruction s are prov ided to the she lters they should
not proceed with next steps in the case unless the girl has an emergency medical concern
which of course will require the care provider to immediately not ify their FFS or on call
ORR staff.

EXT-18-241-N-000491

 004126

Thank you for your assistance in this issue and please know that Senior Management will send
out updated guidance as policy and procedures are developed.

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washington, DC 20201
Office: 202-690-8477
Cell: u.::kb""'l
("""6l
_____

...,

Fax: 202-401-1022
http://www.acf.hhs.gov/programs/orr/programs/ucs

White, Jonathan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= E9B5FE526F1D4BA0A6CC8DDEE8EC4D87JONATHANWH>
Recipient:

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/ en=Recipients/cn=2eba95d1l 9ab4cd6a77b34616dc3366c
-De LA Cruz,>"

Sent Date: 2017/03/09 20:27:28
Delivered Date: 2017/03/09 20:27:29

EXT-18-241-N-000492

 004127

De LA Cruz, James (ACF) </O=EXCHANGELABS/OU=EXC
HANGEADMINISTRATIVEGROUP

From: ( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
=2EBA9SD119AB4CD6A77B34616DC3366C-DE
LA
CRUZ,>
To:

"ORRDUCO- Federal Field Specialists</o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/cn=92699e6580f84Sef9bdcd
16dc9beb6d0-DUCSFedera>"

CC:

"Viola, Sarah (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en= 394164lc7 lba463aa7a089412fe4Sd7f-Vio
la, Sara>"

Subj ect: Follow Up Pregnant UC Guidancefor ORR FFS03/09/2017

Date: 2017/03/09 22:15:45
Priority: Normal
Type: Note

Hello FFS,
This email contains an attachment that you should open, read, and fo rw ard to your assigned Care
Provider Case Managers, Clinicians, and Medical Staff. In addition to the attachment please find below
instructions for you to follow as Care Provider staff alert you of any cases of pregnant UC. (Sarah please
work with the POsto ensure that Care Provider Administrators are also provided with the attached
guidance.)
As you are aware ORR is reviewing case process for pregnant UC. This includes when a UC is found to be
pregnant and what to do BEFORE the care provider proceeds to explore with the UC what her options
are. That guidance is:
•
If the care provider discovers that they have a pregnant UC in their facility they should
immediately submit an SIRas they normally wou ld. (You the FFSand the ORR Medical Team
should be copied.)
•
The care provider should contact you the FFSdirectly with any questions or requests in writing.
Requests should include clarification and instruction, in advance, about how to proceed with
offering the girl guidance for her birth options or medical procedures.
•
It is important to know that ORR's Acting Director, Ken Tota, should be informed of the case by
your FFSSupervisor as soon as cases are identified and as care providers request guidance.
•
You the FFSwill need to follow up with your supervisor, and medical staff (to be identified by
Dr. Bartholomew) before the care provider takes next steps in the girl's case. Until instructions
are provided to the shelters they should not proceed with next steps in the case.
•
If the UC has an emergency medical concern then the care provider should immediately seek
emergency medical care and immediately notify you, their FFS,FFSSupervisor, or on call ORR
staff during non-business hours .
Thank you for your assistance in this issue and please know that Senior Management will send out
updated guidance as policy and procedures are developed . If you have any questions please contact
your FFSSupervisor .
James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services

EXT-18-241-N-000493

 004128

Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washington, DC 20201
Office: 202-690-8477
!{b.....
}{....
6}_____
....,
Cell: ..,
Fax: 202-401-1022
http://www.acf .hhs.gov/programs/orr/programs/ucs

Sender:

De LA Cruz, James (ACF) </O=EXCHANGELABS/OU=EXCHANGE ADMINISTRATIVE GROUP
( FYDIBOHF23SPDLT)/C N= RECIPIENTS/CN=2EBA95Dl 19AB4CD6A77B34616DC3366C-DE LA CRUZ,>

"ORR DUCO - Federal Field Specialists </o=Exchangelabs/ou=Exchange
Administrative Group
( FYDIBOHF23SPDLT)/cn = Recipients/cn =92 699e6580f845ef9bccd 16dc9beb6d0-DUCS Fed era>";
Recipient:
"Vio la, Sarah (ACF) </o=Exchangelabs/ou=Exchange
Administrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn = 394164 lc71ba463aa7a089412fe45d7f-Vio la, Sara> "

Sent Date: 2017/03/09 22: 15:42
Delivered Date : 2017/03/09 22: 15:45
Subject: Additiona l Pregnant UC Guidance for care Providers 03/09/2017
Date: 2017/03/09 22:15:02
Priority: Normal

Type: Note

Hello Care Provider Case Managers, Clinicians, and Medica l Staff,
As you are aware ORRis reviewing case process for pregnant UC. This includes when a UC is found to be
pregnant and what to do BEFORE you as a care provider proceed to explore with the UC what her
options are. If you have a pregnant UC in your care or you discover that a UC is pregnant it is important
that you proceed with the following steps:
•
Immediately submit an SIR, and copy your assigned FFSand ORRMedical Care Coordinator in
advance of t aking addition al action.
•
For each case you should send to your assigned FFSquestions about how to proceed and
include all questions and concerns expressed by the UC. (Copy the supervisor for your assigned
FFS.)
•
Before taking additional steps you should wait for WRITTEN instructions from your FFSor FFS
Supervisor.
•
If the UC is experiencing an emergency medical event that requires immediate emergency
medical services you should proceed to seek emergency medical care and immediately contact
your assigned FFSor on-call ORRstaff.
Thank you for your patience in assisting ORR by following the interim or temporary guidance in this
email. ORRSenior Management, the ORR Medical Team, and ORR Policy Team are all working hard to
develop guidance for pregnant UC. In the near future you will receive updated long term guidance .
James S. De La Cruz
DHHS/ACF/ORR/DCS

EXT-18-241-N-000494

 004129

Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washington, DC 20201
Office: 202-690-8477
I
Cell: !<bl{6l
Fax: 202-401 -1022
http://www.acf. hhs.gov/programs/orr/programs/u

cs

Delivered Date: 2017/03/ 09 22:15:02
Message Flags: Unsent NotifyRead

EXT-18-241-N-000495

 004130

Acuna, Griselda (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN=8C83EE08F90D454DBA24118C12FBD4FD-ACUNA,
GRIS>
"White, Jonathan (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=e9b5fe526fld4ba0a6cc8ddee8ec4d87Jonathan Wh> ";
"De LA Cruz, James (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn=Recip
ients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"Tota, Kenneth (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To:
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=Sc0919fe56454c2b8e7c59c38646ebec
-Tota, Kenne>";
"Gonzalez, Jose (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= le32d334f481495291265lab60e4fde6-Gonzalez,J> ";
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>"

CC:

"Gregg, Laura (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2e7ff3fld0ba483990c0f80827410056-Gregg,Laur>"

Subject : Re: Materials and Instructions for FFSto take child to the hospital
Date: 2017/03/04 23:39: 15
Priority : Normal

Type: Note

Thank you!

Can I provide the discharge paperwork to swk casa blanca staff?

From: White , Jonathan (ACF)
Se nt: Saturday , March 4, 2017 10:37:51 PM
To: De LA Cruz, James (ACF); Acuna , Griselda (ACF); Tota , Kenneth (ACF); Gonzalez , Jose
(ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instruc tions for FFS to take child to the hospital

EXT-18-241-N-000496

 004131

Griselda,

Please send the child back to SWK shelter with the clinician from SWK. And head on home
yourself.

And thank you very much.

Jonathan

From: De LA Cruz, James (ACF)

Sent: Saturday, March 04, 2017 11:30 PM
To: Acuna , Griselda (ACF); Wh ite, Jonathan (ACF); Tota , Kenneth (ACF); Gonzalez ,
Jose (ACF) ; Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)

Subject: Re: Materials and Instructions for FFS to take child to the hos ital

I have one question if OK to ask. Does the Dr have any new recommendations to provide based
on current information?

Jsd

EXT-18-241-N-000497

 004132

From: Acuna, Griselda (ACF)

Sent: Saturday , March 4, 2017 11:25:27 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz ,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instruction s for FFS to take child to the hospital

As stated by the physician, it is ok to continue with the medication to terminate the pregnancy.

From: White, Jonathan (ACF)

Sent: Saturday , March 4, 2017 10:21:16 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); Gonzalez , Jose (ACF); De LA Cruz ,
Jam es (ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE: Material s and Instruction s for FFS to take child to the hospital

EXT-18-241-N-000498

 004133

Just one clarification: when Dr. Callanan stated that the minor will be safe if it is less than 12
weeks, could you clarify? Safe as in "the medication regimen for the medical abortion procedure
will be safe

for her up until the twelfth week of gestation"? Just want to make sure I understood your
ema il.

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 11:18 PM
To: White , Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez , Jose (ACF); De LA Cruz,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)

Subject: Re: Materials and Instructions for FFS to take child to the hospital

Dr. Callanan stated that the minor will be safe if it is less than 12 weeks.

I also spoke with the minor and she wants to continue with terminating her pregnancy.

Please advise.

Thank you.

EXT-18-241-N-000499

 004134

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 10:07:40 PM
To: Acuna , Griselda (ACF); Tota , Kenneth (ACF) ; Gonzalez , Jose (ACF); De LA Cruz ,
James (ACF); Bartholomew , Michael (ACF)

Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Thanks. I think the important thing is to understand if the minor still requests an abort ion,
based on information from the doctor.

From: Acuna, Griselda (ACF)

Sent: Saturday , March 04, 2017 11:03 PM
To: White , Jonathan (ACF) ; Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz,
James (ACF) ; Bartholomew, Michael (ACF)

Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hos ital

Yes, sir.

EXT-18-241-N-000500

 004135

I will ask the physician and I will in form you.

Thank you.

From : White, Jonathan (ACF)

Sent: Saturday , March 4, 2017 9:56: 19 PM

To: Acuna, Grise lda (ACF); Tota, Kenneth (ACF); Gonzalez , Jose (ACF); De LA Cruz ,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE : Materials and Instruction s for FFS to tak e child to the hospital

Griselda,

I am advised to ask you:

(b)(S)

EXT-18-241-N-000501

 004136

(b)(5)

Can you have this discussion?

Jonathan

From: Acuna, Griselda(ACF)

Sent: Saturday , March 04, 2017 10:51 PM

To: White, Jonathan (ACF); Tota, Kenneth (ACF); Gonza lez, Jose (ACF); De LA Cruz,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hos ital

Thank you. We will be in the lobby.

EXT-18-241-N-000502

 004137

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 20 17 9:49 :05 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz ,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE : Mater ials and Instruction s for FFS to take child to the hospital

St and by. We will advise next st eps momentari ly.

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 10:48 PM
To: Wh ite, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez , Jose (ACF); De LA Cruz,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Material s and Instruction s for FFS to take child to the hospital

Nurse is here and providing discharge docu ments .

EXT-18-241-N-000503

 004138

Please advise.

Thank you!

From: Acuna, Griselda (ACF)

Sent: Saturday , March 4, 2017 9:37: 12 PM

To: White, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz ,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re : Materials and Instructions for FFS to take child to the hospital

Dr. Callanan just informed me that as per the ultrasound results, the fetus has a heart beat and
is 9 weeks and 1 day.

The medication did not cause spontaneo us abortion . The risk is pretty sma ll and there are
no signs of miscarriage~may
be cramp ing and vital signs are fine. We are
waiting for doctor's doc~r
release.

What would you like for me to do next?

Thank you!

EXT-18-241-N-000504

 004139

From: Acuna, Griselda (ACF)

Sent: Saturday , March 4, 2017 8:57:39 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz ,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instruction s for FFS to take child to the hospital

You are welcome, Sir.

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 8:55:59 PM
To: Acuna, Griselda (ACF); Tota , Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Thank you. I am really glad that you are the one there with her in this situa t ion.

EXT-18-241-N-000505

 004140

From: Acuna, Griselda (ACF)

Sent: Saturday , March 04, 2017 9:55 PM
To : Tota, Kenneth (ACF); Gonzalez, Jose (ACF); Wh ite, Jonathan (ACF); De LA Cruz,
James (ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subje ct: Re: Materials and Instructions for FFS to take child to the hospital

Is doing well and calm. She also reported a small blood stain.

From: Tota , Kenneth (ACF)

Sent: Saturday , March 4, 20 17 8:51 :29 PM
To : Acuna, Griselda (ACF); Gonzalez, Jose (ACF); White, Jonathan (ACF); De LA
Cruz, James (ACF); Bartho lomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject : Re: Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000506

 004141

Thank you Griselda.

How isfb)(6)

!doing?

Thank you.

On: 04 March 2017 21:49 , "Acuna , Grise lda (ACF)"
<Griselda .Acuna@acf. hhs.gov>wrote:

7:53pm -8:30pm est.

I

The ultrasound was completed by Ultrasound Technician fb)(B) She stated that the
ultrasound results will be submitted to the radiologist/doctor and they will let us know as
soon as poss ible.

Thank you .

EXT-18-241-N-000507

 004142

From: Gonzalez, Jose (ACF)

Sent: Saturday, March 4, 2017 7:55:36 PM
To: White , Jonathan (ACF); Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instruction s for FFS to take child to the hospital

Copy.

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 7:49:04 PM
To: Gonzalez , Jose (ACF); Acuna, Grise lda (ACF); Tota, Kenn eth (ACF); De LA Cruz,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE: Material s and Instruction s for FFS to take child to the hospital

EXT-18-241-N-000508

 004143

Stand by. Ken is working to obtain a POC from HHS leadership to refer attorneys to.

From: Gonzalez,Jose (ACF)

Sent: Saturday, Marc h 04, 2017 8:32 PM
To: White, Jonathan (ACF); Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA
Cruz , James (ACF); Bartho lomew , Michael (ACF)
Cc: Gregg , Laura (ACF)

Subject: Re : Materials and Instructions for FFS to take child to the hospital

Ema ii fro rrf~b-)(6_)___

~

Hi Jose-

Thanks for taking my call-

As I stated on the call , the attorney ad litem for the client ~as
release of information (court # and Case #) from the client~

a court order for

We have advised the attomey l(b)(6)
Ito contact Griselda Ocuna the local federa l
fie ld spec ialist who is the loca l ORR representative and can gu ide the process and advise
the program .

EXT-18-241-N-000509

 004144

fblC6l

~id say she has the court order in hand and want s to per sonally deliver in
order to move forward.

The attorney ' s information:

1Cb)(6)

Locu st Street Profe ssional Bui lding
206 E. Locust
San Antonio , Texa s 78212
1Cb_)C
6_l ___
Telephone ...

____,

Telecopier (210) 224-0075

MAILING ADDRESS :
2206 E. Commerce Street
San Antonio, Texa s 78203

www.w hitleylawfi rmpc .com

EXT-18-241-N-000510

 004145

From : Gonzalez, Jose (ACF)

Sent: Saturday , March 4, 2017 7:30:57 PM
To: Wh ite, Jonathan (ACF); Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

All will be sending contact information for attorney who is upset and is demanding we release
her the court case# and other information from the file.

She informed ~f
b_)(6_l ___

~l ove r a call about thirty minutes . .

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 7: 12:21 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000511

 004146

thanks

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 8: 12 PM
To: Wh ite, Jonat han (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hos_pital

We continue to wait for the ultrasound. Patient access representativ ~~b_
)(6_) -~t
and requested signatures for intake paperwork.

ame in the room

Thank you .

From: White, Jonathan (ACF)

Sent: Saturday , March 4, 2017 6:29:28 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, Jame s (ACF) ;
Gonzalez, Jose (ACF) ; Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)

EXT-18-241-N-000512

 004147

Subject: RE: Materials and Instructions for FFS to take child to the hospital

Copy.

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 7:28 PM
To: White , Jonathan (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew, Michae l (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

You are welcome, Sir.

Swk Casa Blanca medical coordinator and clinician are waiting in the lobby.

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 6:25: 15 PM

EXT-18-241-N-000513

 004148

To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonza lez, Jose (ACF); Bartholomew, Michae l (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re : Materials and Instructions for FFS to take child to the hospital

Thank you. I appreciate your keeping us in the loop.

CDR Jonathan White
Deputy Director for Children's Programs
Office of Refugee Resettlement
Adm inistration for Children and Fami lies
Incident Commande r, Unaccompanied Children Influx Response
(202) 690-6984 (office)
5
._f
b_)<_l ___

__.rblackberry)

Jonathan.white@acf.hhs.gov

From: Acuna, Griselda (ACF)

Sent: Saturday, March 4, 2017 7:24:38 PM
To: White , Jonathan (ACF); Tota, Kenneth (ACF) ; De LA Cruz, James (ACF) ;
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)

EXT-18-241-N-000514

 004149

Subject: Re: Materials and Instructions for FFS to take child to the hospital

I am here with the minor in one of the ER rooms and Dr. Callanan asked the minor if she is in
pain. The minor said her stomach pain was very little.

Dr. Callanan stated that they are going to perform an ultrasound and the results will be
rev iewed by the on ca ll obstetrician.

Thank you.

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 5:37:46 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Thank you .

EXT-18-241-N-000515

 004150

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:37 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonza lez, Jose (ACF); Bartholomew, Michae l (ACF)
Cc : Gregg , Laura (ACF)
Subject: Re: Mater ials and Instructions for FFS to take child to the hospital

W ill do .

The nurse is taking her vitals at this presnt time. Minor is doing well and reports that she
does not have any pain.

From : White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 5:35:47 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000516

 004151

Griselda,

Please keep us updated as things develop in the hospital. And let us know anything you may
need.

Jonathan

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:26 PM
To: Tota, Kenneth (ACF); White, Jonathan (ACF); De LA Cruz, James (ACF);
Gonzale z, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the ho~ ital

Copy.

Thank you.

EXT-18-241-N-000517

 004152

From: Tota, Kenneth (ACF)

Sent: Saturday, March 4, 20 17 5:25:46 PM
To: White, Jonathan (ACF); Acuna, Griselda (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)

Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

SWK can complete the intake.

From: White, Jonathan (ACF)

Sent: Saturday , March 04, 2017 6:23 PM
To: Acuna , Griselda (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF);
Gonzale z, Jose (ACF); Bartholomew , M ichael (ACF)

Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hos ital

Copy.

EXT-18-241-N-000518

 004153

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:22 PM
To: White, Jonathan (ACF); De LA Cruz , James (ACF); Tota, Kenneth (ACF);
Gonzalez, Jose (ACF); Bartholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospita l

She is here.

From: White, Jonath an (ACF)

Sent: Saturday, March 4, 20 17 5:19:28 PM
To: Acuna, Griselda (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF);
Gonzale z, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Michael has finished speaking with the hospital. They are able to assessthe status of the
pregnancy via ultrasound. They are not set up to take any actions to complete the evacuation of
contents if the ultrasound

determines there is no fetal life, but Michael conveyed that ORR could anange to transfer
her elsewhere to take those steps if the abortion is already complete.

EXT-18-241-N-000519

 004154

So the hospital can receive the UC for ultrasound and exam.

From: White, Jonathan (ACF)

Sent: Saturday, March 04, 2017 6:06 PM
To: Acuna, Griselda (ACF); De LA Cruz, Jame s (ACF); Tota, Kenneth (ACF);
Gonzalez , Jose (ACF) ; Bartholomew, Michae l (ACF)
Cc: Gregg , Laura (ACF)

Subject: RE: Materials and Instructions for FFS to take child to the hospital

Copy. Thanks.

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:05 PM
To: White , Jonathan (ACF); De LA Cruz , James (ACF); Tota , Kenneth (ACF);
Gonzalez , Jose (ACF); Bartholomew, Michae l (ACF)
Cc: Gregg , Laura (ACF)

Subject: Re: Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000520

 004155

She is not here yet .

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 5:04:23 PM
To: De LA Cruz, James (ACF); Acuna, Griselda (ACF); Tota, Kenneth (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Has the girl yet arrived at the hospital?
Michael is calling the doctor back.

From: De LA Cruz, James (ACF)

Sent: Saturday, March 04, 2017 6:00 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); Wh ite, Jonathan (ACF); Gonzalez ,
Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000521

 004156

Hi Griselda. I suggest answering this after the girl arrives and the hospital presents specific
documents to sign. They might not need anything other than the letter from HQ.

Jsd

From: Acuna, Griselda (ACF)

Sent: Saturday, March 4, 2017 5 :57 :23 PM
To: Tota, Kenneth (ACF); White, Jonathan (ACF); Gonzalez , Jose (ACF); Bartholomew ,
Michael (ACF); De LA Cruz , James (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Understood .

Does SWK needs to comp lete the hospita l intake paperwork?

Please advise.

EXT-18-241-N-000522

 004157

From: Tota, Kenneth (ACF)

Sent: Saturday, March 4, 2017 4:52 :33 PM
To: White , Jonathan (ACF); Acuna, Griselda (ACF); Gonzalez, Jose (ACF);
Bartholomew , Michael (ACF); De LA Cruz, James (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE : Materia ls and Instruction s for FFS to take child to the hospital

Let me know if confirmation as the Acting Director is needed in any way.

From: White, Jonathan (ACF)

Sent: Saturday, March 04, 2017 5:48 PM
To: Acuna, Griselda (ACF); Gonzalez, Jose (ACF); Bartholomew , Michael (ACF); De
LA Cruz, James (ACF)
Cc: Gregg, Laura (ACF); Tota, Kenneth (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Michael is calling ERdoc. Stand by.

EXT-18-241-N-000523

 004158

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 5:46 PM
To : Wh ite, Jonat han (ACF); Gonza lez, Jose (ACF); Bartholomew , Michae l (ACF); De
LA Cruz, James (ACF)
Cc : Gregg, Laura (ACF); Tota, Kennet h (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

I'm here at the ER.SWK Casa Blanca Medical Coordinator contacted me that they are on their
way .

From : White, Jonathan (ACF)

Sent : Saturday, March 4, 2017 4:38 :50 PM
To : Gonzalez, Jose (ACF) ; Acuna , Grise lda (ACF); Bartho lomew , Michael (ACF); De
LA Cruz, James (ACF)
Cc: Gregg, Laura (ACF); Tota , Kenneth (ACF)
Subject: RE : Mater ials and Instructio ns for FFS to take child to the hospital

EXT-18-241-N-000524

 004159

I made a mistake when I said 5PM our time . I meant 6PM Eastern, 5PM Central.

From: Gonzalez, Jose (ACF)

Sent: Saturday, March 04 , 2017 5:38 PM
To: White , Jonathan (ACF); Acuna, Griselda (ACF); Bartholomew , Michae l (ACF); De
LA Cruz, James (ACF)
Cc: Gregg, Laura (ACF); Tota, Kenneth (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Hello Ladies and gentleman is there a POCwe can ask for?

From: White, Jonathan (ACF)

Sent: Saturday , March 4, 2017 3 :54:49 PM
To: Acuna, Grise lda (ACF); Gonzalez , Jose (ACF); Ba1tholomew , M ichae l (ACF); De
LA Cruz , James (ACF)
Cc: Gregg , Laura (ACF); Tota , Kenneth (ACF)
Subject: Materials and Instructions for FPS to take child to the hospita l

EXT-18-241-N-000525

 004160

Attached please find the materials for Griselda to present at the hospital.

Michael is calling hospital now.

The hospital is The Children's Hospital of San Antonio

located at 333 N Santa Rosa St, San Antonio , TX 78207.

ERTelephone Number Kb)(6)
~ ichael will call ER. He will need approx. an hour to make
call so the child should not arrive before 5PM our time.

Griselda, can you advise when you can be at the hospital with these printed materials?

Ken is contacting Southwest Key.

From: Wynne, Maggie (HHS/IOS)

Sent: Saturday , March 04, 2017 4:47 PM
To: White, Jonathan (ACF)
Cc: Tota, Kenneth (ACF); Gregg , Laura (ACF); Barlow , Amanda (ACF)

Subject: Acting ORR Director Memo , 2008 medical olicy, Tota ACF ID

EXT-18-241-N-000526

 004161

Jonathan,

Attached are documents the Federal Field Specialist can present at the hospital, if needed.

Maggie

EXT-18-241-N-000527

 004162

Acuna, Griselda (ACF) </O=EXCHANGEI.ABS/OU=EXCHA
NGE ADMI NISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
=8C83EE08F90D4
54DBA24118C12FBD4FD
-ACUNA,
GRIS>
"White, Jonathan (ACF) </o = ExchangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=e9b5fe526f ld4ba0a6cc8ddee8ec4d87-Jonathan Wh> ";
"De LA Cruz, James (ACF) </o=ExchangeLabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recip
ients/cn=2eba95dll9ab4 cd6a77b34616dc3366c-DeLA Cruz,>";
"Tota, Kenneth (ACF) </o = ExchangeLabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/ en=Recipients/cn=Sc0919fe56454c2b8e7c59c38646ebec-Tota,
Kenne>";
Recipient :
"Gonzalez, Jose (ACF) </o=ExchangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= le32d334f481495291265lab60e4fde6-Gonzalez, J> ";
" Bartholomew, Michael (ACF) </o = ExchangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>";
"Gregg, Laura (ACF) </o=ExchangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn =Recipients/cn= 2e7ff3fld0ba483990c0f80827410056-Gregg,Laur>"
Sent Date: 2017/03/04 23:39:14
Delivered Date: 2017/03/04 23:39:15

EXT-18-241-N-000528

 004163

White, Jonathan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= E9B5FE526F1D4BA0A6CC8DDEE8EC4D87JONATHANWH>
"Acuna, Griselda (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=8c83ee08f90d454dba24118c12fbd4fd
-Acuna, Gris>";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPD
LT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De LA Cruz,>";
"Tota, Kenneth (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To:
(FYDIBOHF23SPDLT
)/cn =Recipients/cn=Sc0919fe56454c2b8e7c59c38646ebec
-Tota, Kenne>";
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= le32d334f481495291265lab60e4fde6-Gonzalez,J> ";
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>"

CC:

"Gregg, Laura (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2e7ff3fld0ba483990c0f80827410056-Gregg,Laur>"

Subject: RE: Materials and Instructions for FFSto take child to the hospital
Date: 2017/03/04 23:40:09
Priority: Normal

Type: Note

Yes, but please ask them to send a copy to Michael Bartholomew ASAP as well. Thanks .
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 11:39 PM
To: White, Jonathan (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF); Gonzalez, Jose
(ACF); Bartholomew, Michael (ACF)

Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Thank you!
Can I provide the discharge paperwork to swk casa blanca staff?
From: White, Jonathan (ACF)
Sent: Saturday,March4,201710 :37:51 PM
To: De LA Cruz, James (ACF); Acuna, Griselda (ACF); Tota, Kenneth (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE : Materials and Instruction s for FFS to take child to the hospital

Griselda ,
Please send the child back to SWK shelter with the clinician from SWK. And head on
home yourself.
And thank you very much.
Jonathan

EXT-18-241-N-000529

 004164

From: De LA Cruz, James (ACF)
Sent : Saturday, March 04, 2017 11:30 PM
To: Acuna, Griselda (ACF); White, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF);
Bartholomew, Michael (ACF)
Cc : Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

I have one question if OK to ask.
KbK5)

!

b)(5)

~-------------------~

Jsd
From: Acuna, Griselda (ACF)
Sent: Saturday , March 4, 2017 11:25:27 PM
To: White , Jonathan (ACF); Tota, Kenneth (ACF) ; Gonzalez, Jose (ACF) ; De LA Cruz,
Jame s (ACF); Bartholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

As stated by the physician, it is ok to continue with the medication to terminate the
pregnancy.
From: White, Jonathan (ACF)
Sent: Saturday, March 4, 2017 10:21: 16 PM
To: Acuna , Griselda (ACF); Tota, Kenneth (ACF); Gonzalez , Jose (ACF); De LA Cruz ,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE : Materials and Instructions for FFS to take child to the hospital

Just one clarification: when Dr. Callanan stated that the minor will be safe if it is less
than 12 weeks, could you clarify? Safe as in "the medication regimen for the medical
abortion procedure will be safe for her up until the twelfth week of gestation"? Just want
to make sure I understood your email.
From: Acuna, Griselda (ACF)
Sent: Saturday, March 04, 2017 11:18 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz, James
(ACF); Bartho lomew, Michael (ACF)
Cc : Gregg, Laura (ACF)
Subject : Re: Materials and Instructions for FFS to take child to the hospital

Dr. Callanan stated that the minor will be safe if it is less than 12 weeks.
I also spoke with the minor and she wants to continue with terminating her pregnancy.
Please advise.
Thank you.

EXT-18-241-N-000530

 004165

From: W hite, Jonathan (ACF)
Sent: Saturday , March 4, 2017 10:07:40 PM
To: Acuna, Griselda (ACF); Tota , Kenneth (ACF); Gonzalez, Jose (ACF) ; De LA Cruz,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE : Materials and Instructions for FFS to take child to the hospital

Thanks. I think the important thing is to understand if the minor still requests an
abortion, based on information from the doctor.
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 11:03 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz, James
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Yes, sir.
I will ask the physician and I will in form you.
Thank you.
From: White , Jonathan (ACF)
Sent: Saturday , March 4, 2017 9:56: 19 PM
To: Acuna , Griselda (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF) ; De LA Cruz,
Jame s (ACF); Bartholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Griselda,
I am advised to ask you:
b)(5)

EXT-18-241-N-000531

 004166

b)(5)

Can you have this discussion?
Jonathan

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 10:51 PM
To : White, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz, James
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Thank you. We will be in the lobby.
From: White , Jonathan (ACF)
Sent: Saturday, March 4, 2017 9:49:05 PM
To: Acuna , Griselda (ACF); Tota, Kenneth (ACF); Gonzalez , Jose (ACF); De LA Cruz ,
James (ACF) ; Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE : Material s and Instruction s for FFS to take child to the hospital

Stand by. We will advise next steps momentari ly.
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 10:48 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz, James
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject : Re: Materials and Instructions for FFS to take child to the hospital

Nurse is here and providing discharge documents.
Please advise.
Thank you!
From: Acuna, Griselda (ACF)
Sent: Saturday, March 4, 2017 9:37: 12 PM
To: White , Jonathan (ACF); Tota , Kenneth (ACF) ; Gonzale z, Jose (ACF) ; De LA Cruz,
James (ACF) ; Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re : Material s and Instruction s for FFS to take child to the hospital

EXT-18-241-N-000532

 004167

Dr. Callanan just informed me that as per the ultrasound results , the fetus has a heart beat
and is 9 weeks and 1 day.
The medication did not t ause spl ntaneous abortion . The risk is pretty small and there are
no signs of miscarriage b)C5l
may be cramping and vital signs are fine. We are
waiting for doctor's documents for release.
What would you like for me to do next?
Thank you!
From: Acuna, Griselda (ACF)
Sent: Saturday , March 4, 2017 8:57:39 PM
To: White , Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

You are welcome , Sir.
From: White , Jonathan (ACF)
Sent: Saturday , March 4, 2017 8:55:59 PM
To: Acuna, Grise lda (ACF); Tota, Kenneth (ACF); Gonza lez, Jose (ACF); De LA Cruz ,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Thank you. I am really glad that you are the one there with her in this situation.
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 9:55 PM
To: Tota, Kenneth (ACF); Gonzalez, Jose (ACF); White, Jonathan (ACF); De LA Cruz, James
(ACF); Bartholomew, Michael (ACF)

Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital
~b)(6)

!is doing well and calm. She also repo1ted a small blood stain.

From: Tota, Kenneth (ACF)
Sent: Saturday, March 4, 2017 8:51:29 PM
To: Acuna , Grise lda (ACF); Gonzalez , Jose (ACF); Wh ite, Jonathan (ACF) ; De LA
Cruz, Jame s (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instruction s for FFS to take child to the hospital

Thank you Griselda.

EXT-18-241-N-000533

 004168

How is ....
~b-)(6_) _ _.~oing ?
Thank yo u.

On: 04 March 2017 21:49, "Acuna, Griselda (ACF)"
<Griselda.A cun a@acf .hh s.gov>wrote:
7:53pm-8 :30pm est.
The ultrasound was completed by Ulh·aso und Techn ician!(bl/6l IShe stated that the
ultrasound results will be submitted to the radiologist/doctor and they will let us know as
soon as possible.
Thank you .

From: Gon zalez, Jose (ACF)
Sent: Saturday, Ma rch 4, 20 17 7:55 :36 PM
To: White, Jonathan (ACF); Acuna, Gri selda (ACF); Tota, Kenneth (ACF); De LA Cruz,
James (ACF); Bartholomew , Micha el (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re : Material s and Instructions for FFS to take child to the ho spital
Copy.

From: W hite, Jonathan (ACF)
Sent: Saturday, Ma rch 4, 20 17 7:49 :04 PM
To: Gonza lez, Jose (ACF); Acuna , Griselda (ACF); Tota, Kenneth (ACF) ; De LA Cruz,
James (ACF); Bartholomew , Micha el (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE : Materials and In structions for FFS to take child to the hospital
Stand by. Ken is working to obtain a POC from HHS leadership to refer attorneys to.

From: Gonzalez, Jose (ACF)

Sent: Saturday, March 04, 2017 8:32 PM
To: White, Jonat han (ACF); Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instr uctions for FFS to take child to t he hospital

Ema il from "--K
b-'--')(6...;_
) ___

__.

Hi Jose-

EXT-18-241-N-000534

 004169

Thanks for taking my calllhas a court order for
As I stated on the call, the attorney ad litem for the client l(b)(6)
release of information (court # and Case #) from the client's file.
We have advised the attorney l(b)(6)
Ito contact Griselda Ocuna the local federal
field specialist who is the local ORR representative and can guide the process and advise
the program.
i<b)(6)
ldid say she has the court order in hand and wants to personally deliver m
order to move forward.
The attorney's information :

Locust Street Professional Building
206 E. Locust
San Anton io, Texas 78212
5>
Telephone fb><
Telecopier (210) 224-0075

I

MAILING ADDRESS :
2206 E. Commerce Street
San Antonio, Texas 78203
www.whitleyl aw firmpc.com

From: Gonzalez, Jose (ACF)
Sent: Saturday, Ma rch 4, 20 17 7:30 :57 PM
To: White , Jonathan (ACF); Acuna , Griselda (ACF); Tota , Kenneth (ACF); De LA Cruz,
James (ACF); Bartholomew , Micha el (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re : Material s and Instruction s for FFS to take child to the hospital
All will be sending contact information for attorney who is upset and is demanding we
release her the court case # and other information from the file .
lover a call about thirty min utes . .
She informed fbl(6)

From: W hite, Jonathan (ACF)
Sent: Saturday, March 4, 2017 7: 12:21 PM

EXT-18-241-N-000535

 004170

To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonza lez, Jose (ACF); Bartholomew, Michae l (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

thanks
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 8:12 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF); Gonzalez, Jose
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

We continue to wait for the ultrasound. Patient access representative ~b
.....
_
l<6_l _ .....
~ame in the
room and reque sted signatures for intake paperwork .
Thank you.
From: White, Jonathan (ACF)
Sent: Saturday, March 4, 2017 6:29:28 PM
To: Acuna, Griselda (ACF); Tota , Kenneth (ACF); De LA Cruz, James (ACF);
Gonzale z, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE : Materials and Instructions for FFS to take child to the hospital

Copy.
From: Acuna, Griselda (ACF)

Se nt: Saturday, March 04, 2017 7:28 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF); Gonzalez, Jose
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

You are welcome, Sir.
Swk Casa Blanca medical coordinator and clinician are waiting in the lobby.
From: White, Jonathan (ACF)
Sent: Saturday, March 4, 2017 6:25: 15 PM
To: Acuna , Grise lda (ACF); Tota , Kenneth (ACF); De LA Cruz, James (ACF) ;
Gonzalez , Jose (ACF) ; Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re : Materials and Instructions for FFS to take child to the hospital

Thank you. I appreciate your keeping us in the loop.

EXT-18-241-N-000536

 004171

CDR Jonathan White
Deputy Director for Ch ildren's Programs
Office of Refugee Resett lement
Administration for Children and Families
Incident Commander , Unaccompanied Children Influx Response
(202) 690-6984 (office)
fbJ(6)
!(blackberry)
Jonathan .white @acf.hhs.gov

From: Acuna, Griselda (ACF)
Sent: Saturday, March 4, 2017 7:24 :38 PM
To: White , Jonathan (ACF); Tota , Kenneth (ACF) ; De LA Cruz, James (ACF);
Gon zalez, Jose (ACF) ; Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instruction s for FFS to take child to the hospital
I am here with the minor in one of the ER rooms and Dr. Callanan asked the minor if she
is in pa in. The mino r said her stomach pain was very little.
Dr. Callanan stated that they are going to perform an ultrasound and the results will be
reviewed by the on call obstetrician.
Thank you .

From: White , Jonathan (ACF)
Sent: Saturday , March 4, 2017 5:37 :46 PM
To: Acuna , Griselda (ACF); Tota, Kenneth (ACF) ; De LA Cruz , James (ACF) ;
Gon zalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE : Material s and In struction s for FFS to take child to the hospital
Thank you.
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:37 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF); Gonzalez, Jose
(ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Will do.

The nurse is taking her vita ls at this presnt time. Minor is doing well and reports that she
does not have any pain.

From: White , Jonathan (ACF)
Sent: Saturday , March 4, 2017 5:35 :47 PM

EXT-18-241-N-000537

 004172

To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonza lez, Jose (ACF); Bartholomew, Michae l (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Griselda,
Please keep us updated as things develop in the hospital. And let us know anything you
may need.
Jonathan
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6 :26 PM
To: Tota, Kenneth (ACF); White, Jonathan (ACF); De LA Cruz, James (ACF); Gonzalez, Jose
(ACF); Bartho lomew, Michael (ACF)
Cc : Gregg, Laura (ACF)
Subject : Re: Materials and Instructions for FFS to take child to the hospital

Copy.
Thank you.
From: Tota , Kenneth (ACF)
Sent: Saturday , March 4, 2017 5:25:46 PM
To: White , Jonathan (ACF); Acuna, Griselda (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE : Mater ials and Instructions for FFS to take child to the hospital
SWK can complete the intake .
From: White, Jonathan (ACF)

Sent : Saturday, March 04, 2017 6:23 PM
To: Acuna, Griselda (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF); Gonzalez, Jose
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospita l

Copy.
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:22 PM
To: White, Jonathan (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF); Gonzalez, Jose
(ACF); Bart holomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000538

 004173

She is here.
From: White , Jonathan (ACF)
Sent: Saturday , March 4, 2017 5:19:28 PM
To: Acuna , Griselda (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF) ;
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Mic hael has finished speaking with the hospita l. They are able to assess the status of the
pregnancy via ultrasound. They are not set up to take any actions to complete the
evacuation of contents if the ultrasound determines there is no fetal life, but Michael
conveyed that ORR could arrange to transfer her elsewhere to take those steps if the
abortion is already comp lete.
So the hospital can receive the UC for ultrasound and exam.
From: White, Jonathan (ACF)

Sent: Saturday, March 04, 2017 6:06 PM
To: Acuna, Griselda (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF); Gonzalez, Jose
(ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Copy. Thanks.
From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:05 PM
To: White, Jonathan (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF); Gonzalez, Jose
(ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject : Re: Materials and Instructions for FFS to take child to the hospital

She is not here yet.
From: White, Jonathan (ACF)
Sent: Saturday, March 4, 2017 5:04:23 PM
To: De LA Cruz , Jame s (ACF); Acuna, Griselda (ACF); Tota, Kenneth (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE : Material s and Instruction s for FFS to tak e child to the hospital

Has the girl yet arrived at the hospital?
Michael is calling the doctor back.
From: De LA Cruz, James (ACF)

Sent : Saturday, March 04, 2017 6:00 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); White, Jonathan (ACF); Gonzalez, Jose (ACF);

EXT-18-241-N-000539

 004174

Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instruct ions fo r FFS to take child to the hospital

Hi Griselda. I suggest answering this after the girl arrives and the hospital presents
specific documents to sign. They might not need anything other than the letter from HQ.
Jsd
From: Acuna, Griselda (ACF)
Sent: Saturday, March 4, 2017 5:57:23 PM
To: Tota, Kennet h (ACF); White, Jonat han (ACF); Gonzalez , Jose (ACF); Bartholomew,
Michael (ACF); De LA Cruz, James (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re : Mate rials and Instruction s for FFS to take child to the hosp ital

Understood.
Does SWK needs to complete the hospital intake paperwork?
Please advise.
From: Tota, Kenneth (ACF)
Sent: Saturday , March 4, 2017 4:52:33 PM
To: White , Jonathan (ACF); Acuna , Griselda (ACF); Gonzalez, Jose (ACF);
Bartho lomew, Michael (ACF); De LA Cruz, James (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Let me know if confirmation as the Act ing Director is needed in any way .
From: White, Jonathan (ACF)

Sent: Saturday, March 04, 2017 5:48 PM
To: Acuna, Griselda (ACF); Gonzalez, Jose (ACF); Bartholomew, Michael (ACF); De LA Cruz,
James (ACF)
Cc: Gregg, Laura (ACF); Tota, Kenneth (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospita l

Michael is calling ER doc. Stand by.

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 5:46 PM
To: White, Jonathan (ACF); Gonzalez, Jose (ACF); Bartholomew, Michael (ACF); De LA Cruz,
James (ACF)
Cc: Gregg, Laura (ACF); Tota, Kenneth (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000540

 004175

I'm here at the ER. SWK Casa Blanca Medical Coord inator contacted me that they are on
thei r way .

From: White , Jonathan (ACF)
Sent: Saturday, March 4, 2017 4:38 :50 PM
To: Gonza lez, Jose (ACF); Acuna, Grise lda (ACF); Bartho lomew, M ichae l (ACF); De
LA Cruz, James (ACF)
Cc: Gregg, Laura (ACF); Tota , Kenneth (ACF)
Subject: RE : Mater ials and Instruction s for FFS to take child to the hospital
I made a mistake when I said 5PM our time. I meant 6PM Eastern, 5PM Central.
From: Gonzalez, Jose (ACF)
Sent: Saturday, March 04, 2017 5:38 PM
To: White, Jonathan (ACF);Acuna, Griselda (ACF);Bartholomew, Michael(ACF);De LACruz,
James (ACF)
Cc: Gregg, Laura (ACF); Tota, Kenneth (ACF)
Subject : Re: Materialsand Instructions for FFSto take child to the hospital

Hello Ladies and gentleman is there a POC we can ask for?

From: White, Jonathan (ACF)
Sent: Saturday, March 4, 2017 3:54:49 PM
To: Acuna, Gr ise lda (ACF); Gonzalez , Jose (ACF); Ba1tho lomew, M ichae l (ACF); De
LA Cruz, James (ACF)
Cc: Gregg , Laura (ACF) ; Tota , Kenneth (ACF)
Subject: Materia ls and Ins truction s for FFS to take child to the hospita l
Attached please find the materials for Griselda to present at the hospital.
M ichae l is ca lling hospital now.
The hospital is The Ch ildren' s Hospita l of San Anto nio located at 333 N Santa Rosa St,
San Antonio, TX 78207.

I

ER Telephone Number f b)(6)
Michael will call ER. He will need approx. an
hour to make ca ll so the child shou ld not arrive before 5PM our time.
Griselda, can you advise when you can be at the hospital with these printed materials?
Ken is contact ing Southwest Key.

From: Wynne, Maggie (HHS/105)
Sent: Saturday, March 04, 2017 4:47 PM

EXT-18-241-N-000541

 004176

To: White, Jonat han (ACF)
Cc: Tota, Kenneth (ACF); Gregg, Laura (ACF); Barlow, Amanda (ACF)
Subject: Acting ORR Director Memo, 2008 medical policy, Tota ACF ID

Jonathan ,
Attac hed are document s the Federal Field Speciali st can present at the hospital, if needed .
Magg ie

White, Jonathan (ACF) </O=EXCHANGELABS/OU=EXCHANGE ADMINIS TRATIVE GROUP

Sender: (FYDIBOHF23SPDLT)/CN=RECIPIENTS/CN = E9B5FE526F1D4BA0A6CC8DDEE8EC4D87JONATHAN WH>
"Acuna, Griselda (ACF) </o=ExchangeLabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn = 8c83ee08f90d454dba2 411 8c12fbd4fd-Acu na, Gris> ";
" De LA Cruz, James (ACF) </o = ExchangeLabs/ou = Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn=2eba95d119ab4c d6a77b34616dc3366c-De LA Cruz,> ";
"Tota , Kenneth (ACF) </o=Exchan gelabs/ou=Exchange Administrat ive Group
(FYDIBOHF23SPDLT)/cn =Reci pients/cn =5c0919fe56454c2b8e7c59c38646ebec-Tota, Kenne>";
Recipient:
"Gonzalez, Jose (ACF) </o=ExchangeLabs/ou = Exchange Administrat ive Group
(FYDIBOHF23SPDLT)/cn =Reci pients/cn = le32d334f481495291265 lab60e4fde6 -Gonzalez, J> ";
"Bartholo mew, Michael (ACF) </o=Exchangelabs/ou=Exchange
Administrative Group
(FYDIBO HF23SPDLT)/cn =Reci pients/cn =Bartho lomew, Michael>";
"Gregg, Laura (ACF) </o=ExchangeLabs/ou=Exchange Administrat ive Group
(FYDIBOHF23SPDLT)/ en =Reci pients/cn= 2e 7ff3fld0ba483990c0f80827410056-Gregg,
Laur>"

Sent Date: 20 17/03/04 23:40:08
Delivered Date: 20 17/ 03/04 23:40:09

EXT-18-241-N-000542

 004177

De LA Cruz, James (ACF) </O=EXCHANGELABS/OU=EXC
HANGEADMINISTRATIVEGROUP

From: ( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN=2EBA9SD119AB4CD6A77B34616DC3366C-DE
LA
CRUZ,>
To:

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba9Sdl19ab4cd6a77b34616dc3366c-De
LA Cruz,>"

Subject: RE: urgent. termination of pregnancy - Clarification of Information
Date: 2017/03/06 17:01:14
Priority: Normal
Type: Note

Sent this email to myself to rename for filing purposes.

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washington, DC 20201
Office: 202-690-8477
Cell: !(b)(6)
I
Fax: 202-40 1-1022
http ://www.acf.hh s.gov/program s/orr/programs/ucs

From: Acuna, Griselda (ACF)
Sent : Monday, February 27, 2017 10:59 AM
To : Meyerstein, Shaanan (ACF); Gonzalez, Jose (ACF)
Cc: Fields, Marivic (Maria) (ACF); De LA Cruz, James (ACF); Kim, Curi (ACF); Bartholomew, Michael
(ACF)
Subject: RE: urgent. termination of pregnancy
Hello,
The program is not asking for federal funding. SWKEYinformed me that they are working with Jane's
Due Process, nonprofit organization. The organ ization's goal is to ensure legal representation for
pregnant minors in Texas and with the Attorney General's Office cover the cost of the procedure.
As per the Lead Clinician, there appears to be some inconsistencies in UC's narrative about having her
last menstrual cycle in December before she left HC early January. Minor reported the sexual assault by
the guide occurred early February (a few days prior to entering the US border) . Based on conflicting
information it may be the case minor was pregnant before she departed from HC. At th is time minor
confirmed she does not wish for her family or sponsor to know about her pregnancy or sexual abuse.

EXT-18-241-N-000543

 004178

Please let me know if you have any further questions,
Thank you,
Griselda Acuna
Federal Field Specialist
USDHHS
ACF-ORR-DUCO
l(b)(6)

I

Griselda.acuna@acf.hhs.gov
http://www.acf.hhs.gov/programs/orr/programs/ucs

From: Meyerstein, Shaanan (ACF)
Sent: Monday, February 27, 2017 8:41 AM
To: Gonzalez, Jose (ACF); Acuna, Griselda (ACF)
Cc: Fields, Marivic (Maria) (ACF); De LA Cruz, James (ACF); Kim, Curi (ACF); Bartholomew, Michael
(ACF)
Subject: RE: urgent. termination of pregnancy

Jose and Griselda,
Please clarify From all of the documentation, it appears that you are not seeking Federally Funding for this
Termination of pregnancy request as you have secured private funding and this is more of an FYI?
I have also dissected the background history and the SIRtext and want to be very clear about the
circumstances of this pregnancy. If you are not seeking Federal Funding then it
Is not as relevant, but to be clear : the minor has been dated by her OG-GYN and Ultrasound at almost 9
weeks Gestational age. She alleges that the rape possibly happened the last week of January and the
first week of February, which would be inconsistent with the GA Dating. Her last reported date of
consensual sex with her boyfriend in COO was 1/5 which wou ld make sense vis a vis dating of
pregnancy.
Am I correct in my understanding of this situation? I have highlighted relevant parts of text in red.
Under Background :

Background
UC found out that urine pregnanc y test was positi ve during initial medical appointment at previous care
provider' s shelter onK§Ky20J7. She voiced that the pregnancy was an outcome of sexual abuse. Minor
states that during her journey she was sexually assaulted by a male who she did not know but was a part
of the group she was travelling with durin g her journey to the Unit ed States. Minor states that this male
touched her body and her genital area. Minor states that he also forced her to have vaginal sex with him
and she is unsure if he used protection. Minor does not remember seeing bodily fluids. Minor disclo sed
I if
that the man who raped her was unarmed but threatened to have the guide sent her back to kbl(6l
she did not comply. Minor stated she was fearful he would hurt her and bel ieved his threat. Minor stated
that no one else in the group was aware of her sexual assau lt. At this time, the minor is pregnant and
seeking termination . Minor denies having any past or current nightmare s, trouble sleeping, or
conce ntrating after the event. Minor does not want to disclose her sexual abuse, pregnancy , or termin ation
with her parents or sponsors .
Assigned clinician submitted a SIR and TDFPS report (SIR and TD FPS report filed on 2/23/17 at
after youth stated that she was sexually assaulted in home
l :50PM, £-Confirmation Number t b)(6)
country by an unknown male. The youth verbalized her desire to terminate the pregnancy

I

EXT-18-241-N-000544

 004179

The SIR States:
Please describe how the pregnancy occurred and if there are any medical compl ications related to the
pregnancy:
Minor has disclosed that she was having consensual sex with her boyfriend in home country and wou ld
use protection in the form of
condoms but she sometimes did not use protection. Minor was also raped during her journey and the
minor is unsu re if the male was
wearing protection. At this time, medical is setting an appointment w ith OB/GYN to confirm how far
along she is in her pregnancy. SIR
ADDENDUM REPORTED BY CLIN ICIANl(b)(6)
lLMSW on 02/24/2017: Minor
disclosed having consensual sex with her
boyfriend in home country before travelling to the United States on O1/05/20 17. Minor disclosed she had
a six month relationship with
her boyfriend in which they engaged in protected and unprotected sex. Minor also disclosed that during
her trip to the United States
IMexico and she does not know if
she was raped by one of the males of her group while inl(b)(6)
he was using pro tection.
Minor is not sure of the exact date that she was sexually assaulted but believes it was soon before crossing
the border into the United
States. Approximately between the last week of January or the first week of February.
Other Contact or Threats to UC while in ORR Care (from smuggling syndicates , organized crime, other
criminal actors

Also, Jose in your Memo, just wanted to make you aware that under the issue section it is a bit
confusing: In the State of Texas consent is requ ired from a legal guardian unless one gets a judicial
bypass
l )Under first paragraph - Issue
An unaccompanied child (UC) in ORR Custody has requested to terminate her pregnancy . Consent by a
parent or legal guardian is not requi red under Texas law for a minor to te rminate her pregnancy.
Southwest Key Casa Blanca is currently working with Jane's Due Process to coord inate medica l and legal
proceedings in accordance to state law. Jane's Due Process has allocated and secured private funds to
cover cost of termination proceedings .
*Consent is required under Texas Law for TOP which is the who le reason to pursue a judicial bypass

Thanks,

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)

EXT-18-241-N-000545

 004180

[cell)
Shaanan.meyerstein@acf.hhs.go v

kbl (6)

From: Gonzalez, Jose (ACF)
Sent: Monday, February 27, 2017 9:12 AM
To : Meyerstein, Shaanan (ACF); Fields, Mariv ic ( Maria) (ACF); De LA Cruz, James (ACF); Kim, Curi
(ACF)
Subject: Fw: urgent. terminat ion of pregnancy
Hello all. I have not had the chance to update memo. Please see details of pending case.
From: Acuna, Griselda (ACF)

Sent : Friday, February 24, 2017 3:51 :53 PM
To : Gonzalez, Jose (ACF)

Subjec t: RE: urgent . te rm inat ion of pregnancy
Hi Jose,

Please see attachments.

If you have any further questions, please let me know.

Thank you,
Griselda Acuna
Federal Field Specialist
USDHHS
ACF-ORR-DUCO
r b)(6)

i

Griselda .acuna@acf.hhs.gov
http ://www .acf.hhs.gov/programs/orr/programs/ucs

From: Gonzalez, Jose (ACF)
Sent: Friday, February 24, 2017 12:50 PM
To : Acuna, Griselda (ACF)
Subject: FW: urgent. t erminat ion of preg nancy
Griselda read quickly. I need the circumstances of the case.
Jose Gonzalez, LMSW, FFSSupervisor
USDHHS-ACF-ORR-DUCO
Jose.gonzalez@acf.hhs.gov

EXT-18-241-N-000546

 004181

l(b)(6)
http :// www.acf .hhs.gov/p rograms/ orr /pr ogram s/u cs

From: Fields, Marivic (Maria) (ACF)
Sent: Friday, February 24, 2017 12:42 PM
To : Gonzalez, Jose (ACF); De LA Cruz, James (ACF); Meyerstein, Shaanan (ACF)
Subject: RE: urgent. termination of pregnancy
Hi Jose,
I will defer to Jim and Shaanan for policy/procedure on handling these cases and for Shaanan to weigh in
on medical clearance.
She is 17 years old and sexually assaulted during her travel which resulted in her pregnancy? Or was she
already pregnant when she traveled then sexually assaulted?
Marivic

From: Gonzalez, Jose (ACF)
Sent: Friday, February 24, 2017 1:31 PM
To : De LA Cruz, James (ACF); Meyerstein, Shaanan (ACF); Fields, Marivic (Maria) (ACF)
Subject: Fw: urgent. termination of pregnancy
Hello all. I wanted to get guidance on my situation below.
I have not had this situation below but is time sensitive. Program is process of documenting serious
medical procedure but want to lean forward for you medical and child welfare guidance.
The SWK casa Blanca program wrote:
Hi all,
At this time fetus is 8 weeks 4 days gestional age. Minor was explained by the OBGYNthat a surgical
procedure is recommended but also offered j(b)(6)
lhe option to have the pill by no later than next
Friday 3/4/17 Jb)(6) Iwas explained the process for both procedures and elected on the pill procedure.
OBGYNwarned against the pill in part due to that minor will spontaneously miscarry while at the
~nd clinician that minor will suddenly experience cramping and
shelter. OBGYN explained to !(b)(6)
~ffirmed she wants to move forward with the
pain along with heavy bleeding as she miscarries fb )(6)
pill procedure.
Due to the limited time we have and Texas Law allowing 5 days for judicial bypass hearings, we will be
taking her to request hearing today. She will be assigned a free attorney at the courthouse who speaks
Spanish. We should have obtained the hearing no later than this next Thursday to have the procedure
scheduled for Friday.
Physician will be issuing a prescription for medical to fill and super absorbency maxi pads for minor as
she goes through procedure.
Griselda/Medical, due to the time restraint we have please advise how you recommend we

EXT-18-241-N-000547

 004182

address/manage minor having the pill procedure and having the effects of it here at the shelter. Based
on the information provided, minor will have a miscarriage here while at the shelter and as mentioned
will spontaneously experience heavy cramping, pain and heavy menstrual bleeding.

From: Acuna, Griselda (ACF)
Sent: Friday, February 24, 2017 11:56:59 AM
To: Gonzalez, Jose (ACF)
Subject: termination of pregnancy
Hi Jose,

As indicated in the email below, the mino r!(b)(6)
!is requesting to
terminate her pregnancy . OBGYN explained the surgical procedure and pill procedure and the minor
wants to take the pill procedure.
Can you please provide guidance regarding this case?

Thank you!
Griselda Acuna
Federal Field Specialist
USDHHS
ACF-ORR-DUCO

l(b)(6)

I

Griselda.acuna@acf.hhs.gov
http :// www.acf .hhs.gov/ programs / orr / program s/ucs
From:~ b)(6)

@swkey.org l

Sent: Friday, February 24, 2017 11:40 AM

I
To :kbl(6l
Cc: Alvaro Armendari z; Acuna, Griselda (ACF); Martine zBerrios, Diana (ACF) (CTR); ,._l
(b"""'
l("""
6l____
~~

Subject: Re: Case UpdateF
....
~_)(6_) __________

_,

I

__,

Hi all,

At this time fetus is 8 weeks 4 days gestional age. Minor was explained by the OBGYN
that a surg ical pro cedure is recommended but also offereclfbl(6l
lthe opt ion to have the
jwas explained the process for both
pill by no later than next Friday 3/ 4/17.fbl(6l
procedure s and elected on the pill procedure.
OBGYN warned against th e pill in part due to that minor will spontaneous ly miscarry
land clinician that minor will suddenly
wh ile at the shelter. OBGYN explain ed to l(b)(6)
experience cramp ing and pain along with hea vy bleedin g as she miscarrie s. l(b)(6)
affirmed she wants to move forward with the pill procedure.

I

EXT-18-241-N-000548

 004183

Due to the limited time we have and Texas Law allowing 5 days for judicial bypass
hearin gs, we will be taking her to request hearing toda y. She will be assigned a free
attorney at the courthouse who speaks Spanish. We should have obtained the hearing no
later than thi s next Thursday to have the procedure schedul ed for Friday.
Physician will be issuing a prescription for medical to fill and sup er absorbency maxi pads
for minor as she goes through procedure.
Griselda/Medical, due to the time restraint we have please advise how you recommend
we address/manage minor having th e pill procedure and having the effects of it her e at
th e she lter. Based on the information provid ed, minor will have a miscarriage here while
at th e shelter and as mentioned will spontaneous ly experience heavy cramping, pain and
heavy menstrual bleeding.
Thank you your att ention in this matter.

~1Ms,LPc

6
~r
b}_( )____

Lead Clinician
Southwest Key Programs - Casa Blanca 954
San Anton io, TX
P: (830) 980-1470 (ext

J(b)(

I

C:Kb)(6)

I

F: (210) 587-2420

fb)(6)

@swkey.or g

PRIVILEGED AND CONFIDENTIAL: This communicat ion, incl uding attac hments, is fo r t he exclusive use of addressee and may cont ai n proprie t ary,
confid ent ial and/ or pri vileged info rmati on. If you are not th e intended recipient , any use, copying, disclosure, disseminati on or distr ibution is
strictl y pro hibite d. If you are not t he inten ded recipient, please not ify th e sender immed iat ely by retu rn email, delete th is comm unicat ion and
destroy all co pies.

Fromf,__
b-'""'
)(6....:.
) ___

_.

Sent: Friday , February 24, 2017 10:53 AM
To : 1
Cb)(6)
Cc: Alvaro Armendariz; Acuna, Grise lda (ACF); Mart inezBerrios, Diana (ACF) (CTR)j~(b~)(~
6)____
Subject: Re: Case Update i(b)(6)

I

i

~

Thank you Griselda.
12.24.17 : Janes Due Process facilitated setting up an init ial appointm ent
Updat e on 1Cb)(6)
at OBGYN for sonogram and cou nseling portion at the clinic that will likely conduct the
procedure. Janes Due Proc ess submitted a voucher to cover the cost for appointment and
the en tir e procedure will likely be covered by the clinic and private donors.

EXT-18-241-N-000549

 004184

At this time, it appears she may be further along than we initially had on received
documentation. Update to follow on SIR/SIR Addendum once minor and clinician return
to Casa Blanca.
Minor appears to be anxious and nervo us at the OBGYN per clinician's observation.
Depending on how far along she is, it is likely Jane 's Due Process will assist us with
obtaining a judicial bypass as early as Tuesday.
We will await to receive guidance on any approvals that need to occur from ORR once
judicial bypass is obtained.
Thank you,
l(b)(6)

IM.S., LPC

Lead Clinician
Southwest Key Programs- Casa Blanca-954
San Antonio, TX
Pj (b)(6)

I

C: (936) 494-5374
F: (210) 587-2420
rb )(6)
t@swkey.org

PRIVILEGEDAND CONFIDENTIAL: This communication, including attachments, is for
the exclusive use of addressee and may contain proprietary, confidential and /o r privileged
information. If you are not the intended recipient, any use, copying, disclosure ,
dissem ination or distribution is strictly prohibited. If you are not the int en ded recipient,
please notify the sender immediately by return email, delete this communication and
destroy all copies.
Sent from my iPhone
On Feb 23, 2017, at 2:56 PM, l(b)(6)

@swkey.org>wrote:

In speaking with the case worker at Jane's Due Process, it appears we may be
able to have the ent ire proc ess paid for by the clinic that is performing the
procedure.
Its a likelihood we may be able to have the initial appointment as early as
tomorrow morning and the hearing sometime between tomorrow afternoon
and Tuesday.

EXT-18-241-N-000550

 004185

Griselda,
Do we need any signed documentat ion or approva l from O RR Direc tor, FFS,

or oth er stakeholder conside ring Texas has the judicial bypass process in place
for minors requesting termi nation procedure?
Th an k you ,

___,
I MS, LPC

._fb
)_(
6)___

Lead Clini cian
South west Key Pro gram s- Casa Blanca 954

San Antonio , TX
P: (830) 980-1470 (ex !(b){6)

C: !/b)/6)
F: (210) 587-2420

I

!

mflores@swkey.o rg

PRIVILEGED AND CONFIDENTIAL:This comm unication, including attach ments, is for t he exclusive use of addressee and may
conta in prop riet ary, confident ial and/or priv ileged information . If you are not the inte nded recipient, any use, copying,
d iscl osure, disseminati on or d istri buti on is strict ly proh ibited. If you are not t he intended recipient, please not ify t he sender
immediate ly by ret urn email, delete th is comm unicat ion and destroy all copies .

From: Rivera, Hecto r J <Hector.Rivera@ ~
om >
Sent: Thursday, February 23, 2017 8:52 :22 AM

I

To: Kb)(6)

Cc: (b) (6)
f b)(6)

Acun a, Griselda (ACF); Ma rtin ezBerr ios, Diana (ACF) (CT R)J b)(6)

I

Subject : Case Update.._!
(b___
)(___
6)___________

__.

Good Morning All,
At you earliest conven ience could you give us an update for UC f bl(6)

I

f b)(6)

....._
___ ___.

Thank You
Hector Rivera
Functional Analyst
ORR Case Coor dination Program
Texas Region - San Anton io
___.,_
Cell : ...._
b)( 6 l

_____

Hector .Rivera
11

I

gd_it_logo

EXT-18-241-N-000551

 004186

Sender:
Recipient :

De LA Cruz, James (ACF) </ O=EXCHANGELABS/OU
=EXCHANGE ADMINISTRATIVE GROUP
(FYDIBOHF23SPDLT
)/CN=RECIPIENTS/CN=2EBA9SD119AB4CD6A77B34616DC3366C-DE
LA CRUZ,>
"De LA Cruz, James(ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2e
ba9Sd119ab4cd6a77b34616dc3366cDe LA Cruz,>"

Sent Date : 2017/03/06 17:01:13
Delivered Date : 2017/03/06 17:01:14

EXT-18-241-N-000552

 004187

Smith, Danna (ACF) (CTR) </O =EXCHANGELABS/OU
=EXCHANGEADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN=443B8E0D86814593A04BC029F93214AF-SMITH,
DANN>
"Ahlberg, Jeffrey (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= 7981be3a32454e08b3blleba320f95d 1-Ahlberg, Je>";
"Volovar, Jill (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=f452fcel b8e9475lb340f7ebd6f4ee4b-Volovar, Ji> ";
"Fink, David (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn = Sa98e80eaf5146c4add7ec6316638bc2-Fink,
David>";
To:
"Gonzalez, Jose (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= le32d334f481495291265lab60e4fde6-Gonzalez,J> ";
"Brooks, Teresa (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=0a2883a19e184fffb906bb06591b568a-Brooks,Ter> ";
"Velazquez,Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,
>"

CC:

" De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>"

Subject: RE: UC Program Weekly Report
Date: 2017/03/01 07:44:08
Priority: Normal
Type: Note

Thank you Jeff

Danna Smith
Sr. Assistant/Program
Division of Unaccompan ied Children Operations (DUCO)
Office of Refugee Resettlement
Direct (202) 401.5726
Fax (202) 401.1022
Ema il: danna. smith@acf.hh s.gov

Smith, Danna (ACF) (CTR) </O =EXCHANGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN=443B8E0D86814593A04BC029F93214AF-SMITH,
DANN>
"Ahlberg, Jeffrey (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= 7981be3a32454e08b3bl1eba320f95d1-Ahlberg, Je>";
"Volovar, Jill (ACF) </o =Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=f452fcel b8e9475lb340f7ebd6f4ee4b-Volovar, Ji>";
"Fink, David (ACF) </o= Exchangelabs/ou= Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn = 5a98e80eaf5146c4add7ec6316638bc2-Fink,
David>";
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
Recipient:
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= le32d334f481495291265lab60e4fde6-Gonzalez,J> ";
"Brooks, Teresa (ACF) </o =Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=0a2883a19e184fffb906bb06591b568a-Brooks,Ter> ";
"Velazquez,Ivonne (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,>";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>"
Sent Date: 2017/03/01 07:44:08
Ahlberg, Jeffrey (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
11EBA320F95Dl-AHLBERG,
From: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN= 7981BE3A32454E08B3B
JE>

EXT-18-241-N-000553

 004188

"Volovar, Jill (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=f452fcel b8e9475lb340f7ebd6f4ee4b-Volovar, Ji>";
"Fink, David (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Sa98e80eaf5146c4add7ec6316638bc2-Fink,
David>";
"Smith, Danna (ACF)(CTR) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=443b8e0d86814593a04bc029f93214af-Sm
ith, Dann>";
To:
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= le32d334f481495291265lab60e4fde6-Gonzalez,J> ";
"Brooks, Teresa (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Oa2883a19e184fffb906bb06591b568a-Brooks,Ter> ";
"Velazquez,Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,
>"

CC:

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>"

Subject: RE: UC Program Weekly Report
Date: 2017/02/28 21:23:55
Priority: Normal
Type: Note

Good evening everyone,
Please find attached compiled report .
Jeff Ahlberg , LCSW
Federal Field Specia list- Florida
U.S. Dept of Health and Human Services
ACF/ORR/DCS
202-823-2141
Homestead Phone Extension 188
From: Volovar, Jill (ACF)

Sent: Tuesday, February 28, 2017 4:02 PM
To: Fink, David (ACF); Smith, Danna (ACF) (CTR); Gonzalez,Jose (ACF); Brooks, Teresa (ACF);
Velazquez,Ivonne (ACF)
Cc: De LA Cruz, James (ACF); Ahlberg, Jeffrey (ACF)
Subject: RE: UC Program Weekly Report

Yes he is. I just copied him to this email.
From: Fink, David (ACF)

Se nt: Tuesday, February 28, 2017 4:02 PM
To: Smith, Danna (ACF) (CTR); Gonzalez,Jose (ACF); Brooks, Teresa (ACF); Velazquez,Ivonne
(ACF); Volovar, Jill (ACF)
Cc: De LA Cruz, James (ACF)
Subje ct : RE: UC Program Weekly Report

No I was including Jill. I believe Jeff is supposed to turn in the weekly report.
David Fink
Federal Field Spec ialist Supervisor
U.S. Dept of Health and Human Services

EXT-18-241-N-000554

 004189

Administration of Children and Families
Office of Refugee Resettlement
Division of Unaccompan ied Children Operatio ns
202-401-5013 (0)
KM)
202-401-1022 (F)
David.Fink@acf. hhs.gov

l(b )(6)

From: Smith, Danna (ACF) (CTR)

Sent: Tuesday, February 28, 2017 3:52 PM
To: Fink, David (ACF); Gonzalez,Jose (ACF); Brooks, Teresa (ACF); Velazquez,Ivonne (ACF);
Volovar, Jill (ACF)
Cc: De LA Cruz, James (ACF)
Subject: RE: UC Program Weekly Report

David did you intend to attach the report ?

Danna Smith
Sr. Assistant/Program
Division of Children's Services
Office of Refugee Resettlement
Direct (202) 401.5726
Fax (202) 401.1022
Ema il: danna. smith@acf.hhs.gov

Ahlberg, Jeffrey (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= 7981BE3A32454E08B3B
11EBA320F95D1
-AHLBERG,
JE>
"Volovar, Jill (ACF) </o=Exc hangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=f452fce1b8e94751b340f7ebd6f4ee4b
-Volovar, Ji>";
" Fink, David (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Sa98e80eaf5146c4add7ec6316638bc2-Fink,
David>";
"Smith, Danna (ACF)(CTR) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn =443b8e0d86814593a04bc029f93214af-Sm
ith, Dann>";
"Gonzalez, Jose (ACF) </o= Exchangelabs/ou=ExchangeAdministrative Group
Recipient:
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= 1e32d334f4814952912651ab60e4fde6-Gonzalez,
J>";
" Brooks,Teresa (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Oa2883a19e184fffb906bb06591b568a-Brooks,Ter> ";
"Velazquez,Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Vela
zquez, >" ;
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>"
Sent Date: 2017/02/28 21:23:53
Delivered Date: 2017/02/28 21:23:55

EXT-18-241-N-000555

 004190

Smith,Elicia(ACF)</O=EXCHA
NGELABS/O
U=EXCH
ANGE
ADMINISTRATIVE
GROUP
(FYDIBOHF23SPDL
T)/CN=RECIP
IENTS/CN
=3CDB964AB90D4310BD202C084B7E6097-SMITH,
ELIC>
"De
LACruz,James (ACF)</o=Exchangelabs/ou=Exchange
Administrative
Group
To:
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4c
d6a77b34616dc3366c
-De LACruz,>"
"Velazquez,
Ivonne
(ACF)
</o=Exchangelabs/ou=Exchange
Administrative
Group
CC:
(FYDIBOHF23SPDL
T)/cn=Recipients/cn=39e67b42d9604
3c688e84fa6cef42570
-Velazquez,>"
Subject: YoloFW:Reportof significant IncidentEvent94812
Date: 2017/03/1000:17:17
Priority : Normal
Type: Note
From:

FYI: SIR out lining media articles published

re: .....
kb"'-')(6--') _ _..,

Elicia
From:k bl(6)

l@yolocounty.org]

Sent: Thursday, March 09, 2017 2:13 PM
To: ACF SIRHOTLINE (ACF); Boss, Mark (ACF); Smith, Elicia (ACF); Bornales, Maria L (NONUS)
(Maria.Bornales@lill§LJ:om); Rowland-Dunn, Caroline (ACF) (CTR)
Cc:

h\ 1n1

fb )(6)

I

SubJect: Report of significa nt Incident Event 94812
Synopsis of th e event: Media expos ur e
R epor ted by l~
<b_)(6_l____

~ f=ase Manager

C ase Manager
D etention Officer II
Yolo Cou nt y Ju ve nil e Detention Facil ity
2880 East Gibson Rd Woodland, CA 95776
Office: g )(6)
1cell: Kb)(6)
Fax: 5J-6 69-I 5'/4 Email:fbl (6l
@ y olocounty.org

l

T hi s em a il &a ny files transm itted with it m ay co nt a in confide nti al and p ri vileged materia l
for the so le use of the intended recipient( s ). Any review , use, distribution , or disclosure
by others is stri ctly prohibited. If you are not the intended recipient ( or authorized to
rece ive for rec ip ient), pl ease contac t sende r by emai l and delete th is m essage
Smith,Elicia(ACF) </O=EXCHA
NGE
LABS/O
U=EXC
HANGE
ADMINISTRA
TIVE GROUP
Sender: (FYD
IBOHF23SPDL
T)/CN=RECIPIENTS/CN
=3CDB964AB90D431
0BD202C084B7E6097-SMITH,
ELIC>
"De LACruz, James (ACF)</o=Exchangelabs/ou=Exchange
AdministrativeGroup
(FYDIBOHF23SPDLT)/cn
=Recipients/cn
=2eba95d119ab4cd6a77b34616dc3366c-De
LACruz,>";
Recipient:
"Velazquez,Ivonne(ACF)</o=Exchangelabs/ou
=ExchangeAdministrative
Group
(FYDIBOHF23SPDL
T)/cn=Recipients/cn=39e67b42d9604
3c688e84fa6cef42570-Vela
zquez,>"
Sent Date: 2017/03/1000:17:17

EXT-18-241-N-000556

 004191

EXT-18-241-N-000557

 004192

Acuna, Griselda (ACF) </O =EXCHANGELABS/OU
=EXCHANGEADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
=8C83EE08F90D454DBA24118C12FBD4FD-ACUNA,
GRIS>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>";
"White, Jonathan (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPD
LT)/cn =Recipients/cn=e9b5fe526fld4ba0a6cc8ddee8ec4d87-Jonathan Wh> ";
"Tota, Kenneth (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To:
(FYDIBOHF23SPDLT
)/cn =Recipients/cn=Sc0919fe56454c2b8e7c59c38646ebec
-Tota, Kenne>";
"Gonzalez, Jose (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= le32d334f481495291265lab60e4fde6-Gonzalez,J> ";
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>"

CC:

"Gregg, Laura (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2e7ff3fld0ba483990c0f80827410056-Gregg,Laur>"

Subject: Re: Materials and Instructions fo r FFSto take child to the hospital
Date: 2017/03/04 23:44:14
Priority: Normal

Type: Note

As per the Dr.'s discharge paperwork.

Additional instructions:
"She in conjuction with her caregivers, will need to decide what the next step is"
"She should consult with the clinic where she was seen on Monday to determine future options"

Have a good night.

From: De LA Cruz, James (ACF)

EXT-18-241-N-000558

 004193

Sent: Saturday, March 4, 2017 l 0:29:45 PM
To: Acuna , Griselda (ACF); White , Jonathan (ACF); Tota , Kenneth (ACF); Gonzalez , Jose
(ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instruct ions for FFS to take child to the hospital

I have one question if OK to ask. Does the Dr have any new recommendations to provide based
on current info rmat ion?

Jsd

From: Acuna, Griselda (ACF)
Sent: Saturday, March 4, 2017 11:25:27 PM
To: White, Jonathan (ACF); Tota , Kenneth (ACF) ; Gonzalez , Jose (ACF) ; De LA Cruz, James
(ACF); Bartholomew , Michael (ACF)
Cc: Gre gg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

As stated by the physician, it is ok to continue with the medication to terminate the pregnancy.

From: White, Jonathan (ACF)
Sent: Saturday, March 4, 2017 l 0:2 1: 16 PM
To: Acuna , Griselda (ACF); Tota , Kenneth (ACF); Gonzalez , Jose (ACF); De LA Cruz, James
(ACF); Bartholomew , Micha el (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE : Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000559

 004194

Just one clarification: when Dr. Callanan stated that the minor will be safe if it is less than 12
weeks, could you clarify? Safe as in "the medication regimen for the medical abortion procedure
will be safe

for her up until the twelfth week of gestation"? Just want to make sure I understood your
email.

From: Acuna, Griselda (ACF)

Sent: Saturday , March 04, 2017 11: 18 PM
To: White , Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz,
James (ACF) ; Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hos ital

Dr. Callanan stated that the minor will be safe if it is less than 12 weeks.

I also spoke with the minor and she want s to cont inue with terminating her pregnancy .

Please advise.

Thank you.

EXT-18-241-N-000560

 004195

From : White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 10:07:40 PM
To : Acuna, Griselda (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz ,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Thanks. I think the important thing is to understand if the minor still requests an abortion,
based on information from the doctor.

From: Acuna, Griselda (ACF)

Sent: Saturday, Marc h 04, 2017 11:03 PM
To : White , Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez , Jose (ACF); De LA Cruz,
James (ACF); Bartho lomew, Michael (ACF)
Cc : Gregg , Laura (ACF)
Subje ct: Re: Materials and Instr uctions for FFS to take child to the hospital

Yes, sir.

EXT-18-241-N-000561

 004196

I will ask the physician and I will in form you.

Thank you.

From : White, Jonathan (ACF)

Sent: Saturday , March 4, 2017 9:56: 19 PM

To: Acuna, Grise lda (ACF); Tota, Kenneth (ACF); Gonzalez , Jose (ACF); De LA Cruz ,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE : Materials and Instruction s for FFS to tak e child to the hospital

Griselda,

I am advised to ask you:

(b)(5)

EXT-18-241-N-000562

 004197

b)(5)

Can you have this discussion?

Jonathan

From: Acuna, Griselda(ACF)

Sent: Saturday , March 04, 2017 10:51 PM

To: White, Jonathan (ACF); Tota, Kenn eth (ACF); Gonza lez, Jose (ACF); De LA Cruz,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instruction s for FFS to take child to the hos ital

Thank you. We will be in the lobby.

EXT-18-241-N-000563

 004198

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 20 17 9:49 :05 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz ,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE : Mater ials and Instruction s for FFS to take child to the hospital

St and by. We will advise next st eps momentari ly.

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 10:48 PM
To: Wh ite, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez , Jose (ACF); De LA Cruz,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Material s and Instruction s for FFS to take child to the hospital

Nurse is here and providing discharge docu ments .

EXT-18-241-N-000564

 004199

Please advise.

Thank you!

From: Acuna, Griselda (ACF)

Sent: Saturday , March 4, 2017 9:37: 12 PM

To: White, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz ,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re : Materials and Instructions for FFS to take child to the hospital

Dr. Callanan just informed me that as per the ultrasound results, the fetus has a heart beat and
is 9 weeks and 1 day.

The medication did not cause spontaneo us abortion . The risk is pretty sma ll and there are
no signs of miscarriage .~b)(6)
lmay be cramp ing and vital signs are fine. We are
waiting for doctor's documents for release.

What would you like for me to do next?

Thank you!

EXT-18-241-N-000565

 004200

From: Acuna, Griselda (ACF)

Sent: Saturday , March 4, 2017 8:57:39 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz ,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instruction s for FFS to take child to the hospital

You are welcome, Sir.

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 8:55:59 PM
To: Acuna, Griselda (ACF); Tota , Kenneth (ACF); Gonzalez, Jose (ACF); De LA Cruz,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Thank you. I am really glad that you are the one there with her in this situa t ion.

EXT-18-241-N-000566

 004201

From: Acuna, Griselda (ACF)

Sent: Saturday , March 04, 2017 9:55 PM
To: Tota, Kenneth (ACF); Gonzalez , Jose (ACF); Wh ite, Jonath an (ACF); De LA Cruz,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Material s and Instruction s for FFS to take child to the hospital

!(b)(6)

f's doing well and calm. She also reported a small blood stain.

From: Tota, Kenneth (ACF)

Sent: Saturday , March 4, 20 17 8:51 :29 PM
To: Acuna, Griselda (ACF); Gonzalez , Jose (ACF); White, Jonathan (ACF); De LA
Cruz , James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject : Re: Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000567

 004202

Thank you Griselda.

How isfb)(6)

!doing?

Thank you.

On: 04 March 2017 21:49, "Acuna , Griselda (ACF)"
<Griselda.Acun a@acf.hhs.g ov>wrote:

7:53pm-8:30pm est.

The ultra sound was completed by Ultrasound Technician rb)(6) IShe stated that the
ultrasound results will be submitted to the radiologist/doctor and they will let us know as
soon as possible.

Thank you.

EXT-18-241-N-000568

 004203

From: Gonzalez, Jose (ACF)

Sent: Saturday, March 4, 2017 7:55:36 PM
To: White , Jonathan (ACF); Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz,
James (ACF); Bartholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instruction s for FFS to take child to the hospital

Copy.

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 7:49:04 PM
To: Gonzalez , Jose (ACF); Acuna, Grise lda (ACF); Tota, Kenn eth (ACF); De LA Cruz,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE: Material s and Instruction s for FFS to take child to the hospital

EXT-18-241-N-000569

 004204

Stand by. Ken is working to obtain a POC from HHS leadership to refer attorneys to.

From: Gonzalez,Jose (ACF)

Sent: Saturday, March 04, 2017 8:32 PM
To: White, Jonathan (ACF); Acuna, Griselda (ACF); Tota , Kenneth (ACF); De LA
Cruz, James (ACF); Bartho lomew, Michael (ACF)
Cc: Gregg, Laura (ACF)

Subject: Re: Materials and Instructions for FFS to take child to the hospital

Email from ._l
(b_)(6
_) ___

_.

Hi Jose-

Thanks for taking my call-

As I stated on the call, the attorney ad litem for the client ~b)(6)
~as a court order for
release of information (court# and Case#) from the client's file.

jto contact Griselda Ocuna the local federal
We have advised the attorney ~b)(6)
fie ld specialist who is the loca l ORR representative and can gu ide the process and advise
the program .

EXT-18-241-N-000570

 004205

~b)(6)

Idid say she has the court order in hand and want s to pe rsonally deliver

in

order to move forward.

The attorney ' s information:

l(b)(6)

Locust Street Profe ssiona l Bui lding
206 E. Locust
San Antonio , Texa s 78212
Telephone

-~b_)(6_) ---~

Telecop ier (210) 224-0075

MAILING ADDRESS :
2206 E. Commerce Street
San Antonio, Texa s 78203

www.w hitleylawfi rmpc .com

EXT-18-241-N-000571

 004206

From : Gonzalez, Jose (ACF)

Sent: Saturday, March 4, 2017 7:30:57 PM
To: White, Jonathan (ACF); Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz,
James (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

All will be sending contact information for attorney who is upset and is demanding we release
her the court case# and other information from the file.

She informed ~!<b_)(6_l ___

~p ver a call about thirty minutes . .

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 7: 12:21 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000572

 004207

thanks

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 8: 12 PM
To: Wh ite, Jonat han (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hos_pital

We continue to wait for the ultrasound. Patient access representative
and requested signatures for intake paperwork.

5
f b)( )

~ame in the room

Thank you .

From: White, Jonathan (ACF)

Sent: Saturday , March 4, 2017 6:29:28 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, Jame s (ACF) ;
Gonzalez, Jose (ACF) ; Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)

EXT-18-241-N-000573

 004208

Subject: RE: Materials and Instructions for FFS to take child to the hospital

Copy.

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 7:28 PM
To: White , Jonathan (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew, Michae l (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

You are welcome, Sir.

Swk Casa Blanca medical coordinator and clinician are waiting in the lobby.

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 6:25: 15 PM

EXT-18-241-N-000574

 004209

To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonza lez, Jose (ACF); Bartholomew, Michae l (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re : Materials and Instructions for FFS to take child to the hospital

Thank you. I appreciate your keeping us in the loop.

CDR Jonathan White
Deputy Director for Children's Programs
Office of Refugee Resettlement
Adm inistration for Children and Fami lies
Incident Commande r, Unaccompanied Children Influx Response
(202) 690-6984 (office)
6

I._
Cb_)C _)

___

_.!(blackberry)

Jonathan.white@acf.hhs.gov

From: Acuna, Griselda (ACF)

Sent: Saturday, March 4, 2017 7:24:38 PM
To: White , Jonathan (ACF); Tota, Kenneth (ACF) ; De LA Cruz, James (ACF) ;
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg, Laura (ACF)

EXT-18-241-N-000575

 004210

Subject: Re: Materials and Instructions for FFS to take child to the hospital

I am here with the minor in one of the ER rooms and Dr. Callanan asked the minor if she is in
pain. The minor said her stomach pain was very little.

Dr. Callanan stated that they are going to perform an ultrasound and the results will be
rev iewed by the on ca ll obstetrician.

Thank you.

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 5:37:46 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Thank you .

EXT-18-241-N-000576

 004211

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:37 PM
To: White, Jonathan (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonza lez, Jose (ACF); Bartholomew, Michae l (ACF)
Cc : Gregg , Laura (ACF)
Subject: Re: Mater ials and Instructions for FFS to take child to the hospital

W ill do .

The nurse is taking her vitals at this presnt time. Minor is doing well and reports that she
does not have any pain.

From : White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 5:35:47 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000577

 004212

Griselda,

Please keep us updated as things develop in the hospital. And let us know anything you may
need.

Jonathan

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:26 PM
To: Tota, Kenneth (ACF); White, Jonathan (ACF); De LA Cruz, James (ACF);
Gonzale z, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the ho~ ital

Copy.

Thank you.

EXT-18-241-N-000578

 004213

From: Tota, Kenneth (ACF)

Sent: Saturday, March 4, 20 17 5:25:46 PM
To: White, Jonathan (ACF); Acuna, Griselda (ACF); De LA Cruz, James (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)

Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

SWK can complete the intake.

From: White, Jonathan (ACF)

Sent: Saturday , March 04, 2017 6:23 PM
To: Acuna , Griselda (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF);
Gonzale z, Jose (ACF); Bartholomew , M ichael (ACF)

Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hos ital

Copy.

EXT-18-241-N-000579

 004214

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:22 PM
To: White, Jonathan (ACF); De LA Cruz , James (ACF); Tota, Kenneth (ACF);
Gonzalez, Jose (ACF); Bartholomew, Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospita l

She is here.

From: White, Jonath an (ACF)

Sent: Saturday, March 4, 20 17 5:19:28 PM
To: Acuna, Griselda (ACF); De LA Cruz, James (ACF); Tota, Kenneth (ACF);
Gonzale z, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Michael has finished speaking with the hospital. They are able to assessthe status of the
pregnancy via ultrasound. They are not set up to take any actions to complete the evacuation of
contents if the ultrasound

determines there is no fetal life, but Michael conveyed that ORR could anange to transfer
her elsewhere to take those steps if the abortion is already complete.

EXT-18-241-N-000580

 004215

So the hospital can receive the UC for ultrasound and exam.

From: White, Jonathan (ACF)

Sent: Saturday, March 04, 2017 6:06 PM
To: Acuna, Griselda (ACF); De LA Cruz, Jame s (ACF); Tota, Kenneth (ACF);
Gonzalez , Jose (ACF) ; Bartholomew, Michae l (ACF)
Cc: Gregg , Laura (ACF)

Subject: RE: Materials and Instructions for FFS to take child to the hospital

Copy. Thanks.

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 6:05 PM
To: White , Jonathan (ACF); De LA Cruz , James (ACF); Tota , Kenneth (ACF);
Gonzalez , Jose (ACF); Bartholomew, Michae l (ACF)
Cc: Gregg , Laura (ACF)

Subject: Re: Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000581

 004216

She is not here yet .

From: White, Jonathan (ACF)

Sent: Saturday, March 4, 2017 5:04:23 PM
To: De LA Cruz, James (ACF); Acuna, Griselda (ACF); Tota, Kenneth (ACF);
Gonzalez, Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Has the girl yet arrived at the hospital?
Michael is calling the doctor back.

From: De LA Cruz, James (ACF)

Sent: Saturday, March 04, 2017 6:00 PM
To: Acuna, Griselda (ACF); Tota, Kenneth (ACF); Wh ite, Jonathan (ACF); Gonzalez ,
Jose (ACF); Bartholomew , Michael (ACF)
Cc: Gregg , Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

EXT-18-241-N-000582

 004217

Hi Griselda. I suggest answering this after the girl arrives and the hospital presents specific
documents to sign. They might not need anything other than the letter from HQ.

Jsd

From: Acuna, Griselda (ACF)

Sent: Saturday, March 4, 2017 5 :57 :23 PM
To: Tota, Kenneth (ACF); White, Jonathan (ACF); Gonzalez , Jose (ACF); Bartholomew ,
Michael (ACF); De LA Cruz , James (ACF)
Cc: Gregg, Laura (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Understood .

Does SWK needs to comp lete the hospita l intake paperwork?

Please advise.

EXT-18-241-N-000583

 004218

From: Tota, Kenneth (ACF)

Sent: Saturday, March 4, 2017 4:52 :33 PM
To: White , Jonathan (ACF); Acuna, Griselda (ACF); Gonzalez, Jose (ACF);
Bartholomew , Michael (ACF); De LA Cruz, James (ACF)
Cc: Gregg, Laura (ACF)
Subject: RE : Materia ls and Instruction s for FFS to take child to the hospital

Let me know if confirmation as the Acting Director is needed in any way.

From: White, Jonathan (ACF)

Sent: Saturday, March 04, 2017 5:48 PM
To: Acuna, Griselda (ACF); Gonzalez, Jose (ACF); Bartholomew , Michael (ACF); De
LA Cruz, James (ACF)
Cc: Gregg, Laura (ACF); Tota, Kenneth (ACF)
Subject: RE: Materials and Instructions for FFS to take child to the hospital

Michael is calling ERdoc. Stand by.

EXT-18-241-N-000584

 004219

From: Acuna, Griselda (ACF)

Sent: Saturday, March 04, 2017 5:46 PM
To : Wh ite, Jonat han (ACF); Gonza lez, Jose (ACF); Bartholomew , Michae l (ACF); De
LA Cruz, James (ACF)
Cc : Gregg, Laura (ACF); Tota, Kennet h (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

I'm here at the ER.SWK Casa Blanca Medical Coordinator contacted me that they are on their
way .

From : White, Jonathan (ACF)

Sent : Saturday, March 4, 2017 4:38 :50 PM
To : Gonzalez, Jose (ACF) ; Acuna , Grise lda (ACF); Bartho lomew , Michael (ACF); De
LA Cruz, James (ACF)
Cc: Gregg, Laura (ACF); Tota , Kenneth (ACF)
Subject: RE : Mater ials and Instructio ns for FFS to take child to the hospital

EXT-18-241-N-000585

 004220

I made a mistake when I said 5PM our time . I meant 6PM Eastern, 5PM Central.

From: Gonzalez, Jose (ACF)

Sent: Saturday, March 04 , 2017 5:38 PM
To: White , Jonathan (ACF); Acuna, Griselda (ACF); Bartholomew , Michae l (ACF); De
LA Cruz, James (ACF)
Cc: Gregg, Laura (ACF); Tota, Kenneth (ACF)
Subject: Re: Materials and Instructions for FFS to take child to the hospital

Hello Ladies and gentleman is there a POCwe can ask for?

From: White, Jonathan (ACF)

Sent: Saturday , March 4, 2017 3 :54:49 PM
To: Acuna, Grise lda (ACF); Gonzalez , Jose (ACF); Ba1tholomew , M ichae l (ACF); De
LA Cruz , James (ACF)
Cc: Gregg , Laura (ACF); Tota , Kenneth (ACF)
Subject: Materials and Instructions for FPS to take child to the hospita l

EXT-18-241-N-000586

 004221

Attached please find the materials for Griselda to present at the hospital.

Michael is calling hospital now.

The hospital is The Children's Hospital of San Antonio

located at 333 N Santa Rosa St, San Antonio , TX 78207.

ERTelephone Number !(b)(6)
IMichael will call ER. He will need approx. an hour to make
call so the child should not arrive before 5PM our time.

Griselda, can you advise when you can be at the hospital with these printed materials?

Ken is contacting Southwest Key.

From: Wynne, Maggie (HHS/IOS)

Sent: Saturday , March 04, 2017 4:47 PM
To: White, Jonathan (ACF)
Cc: Tota, Kenneth (ACF); Gregg , Laura (ACF); Barlow , Amanda (ACF)

Subject: Acting ORR Director Memo , 2008 medical olicy, Tota ACF ID

EXT-18-241-N-000587

 004222

Jonathan,

Attached are documents the Federal Field Specialist can present at the hospital, if needed.

Maggie

EXT-18-241-N-000588

 004223

Acuna, Griselda (ACF) </O = EXCHANGELABS/OU= EXCHANGE ADMINISTRATIVE GROUP

Sender: ( FYDIBOHF23SPDLT)/CN =RECIPI ENTS/CN=8C83EE08F90D454D BA24118C 12FBD4FD-ACUNA,
GRIS>
Adminis t rative Group
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange
(FYDIBOHF23SPDLT)/cn=Recip ients/cn=2eba95dl 19ab4cd6a77b34616dc3366c-De LA Cruz,> ";
"White, Jonathan (ACF) </o = Exchangelabs/ou = Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn = e9b5fe526fl d4ba0a6cc8ddee8ec4d87 -Jonathan Wh > ";
Administrat ive Group
"Tota, Kenneth (ACF) </o=Exchangelabs/ou=Exchange
(FYDIBOHF23SPDLT)/cn =Reci pients/cn=Sc0919fe56454c2b8e7c59c38646ebec-Tota,
Kenne> ";
Recipient :
"Gonzalez, Jose (ACF) </o = Exchangelabs/ou = Exchange Adm inistrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn = le32d334f481495291265 lab60e4fde6 -Gonzalez, J> ";
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange
Administrative Group
(FYDIBOHF23SPDLT)/cn =Reci pients/cn=Bartho lomew, Michael>";
"Gregg, Laura (ACF) </o=Exchangelabs/ou=Exchange
Administrat ive Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn = 2e 7ff3fld0ba483990c0f80827410056-Gregg,
Laur>"

Sent Date: 20 17/03/04 23:44:14

EXT-18-241-N-000589

 004224

From:

Bartholomew, Michael (ACF) </O = EXCHANGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDLT)/CN=RECIP
I ENTS/CN=BAR
T HOLOMEW,MICHAEL>
b)(6)

~iswkey.org>";
swkey.org> ";
b)(6)
~swkey.org> ";
b)(6)
~rswkey.org> ";
rg> ";
To: (b )(6)
J:!)SWkey.org>
";
aanan (ALt-J </o =Exchangel abs/ou=Exchange Administrative Group
IvIeyers
t eIn, :,11
FYDIBOHF23SPDL
Tl/en =Recipients/cn= 73d538e5aeda4197b3381ec6ef84ed75-Meyerstein,> ";
(b)(6)
l!iswkey.org>";
b)(6)
fjlswkey.org> ";
..i-anny KIvera <mvera(QlswKey.org>
"
"Acuna, Griselda (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=8c83ee08f90d454dba24118c12fbd4fd
-Acuna, Gris>";
" De LA Cruz, James (ACF) </o =Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De LA Cruz,>";
CC:
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn =Recipients/cn= 1e32d334f4814952912651ab60e4fde6-Gonzalez,J> ";
"White, Jonathan (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDI BOHF23SPDL
T)/cn =Recipients/cn=e9b5fe526fl d4ba0a6cc8ddee8ec4d87
-Jonathan Wh>"
Subject: Re: Further Medical Guidance
Date: 2017/03/06 22:19:13

Priority: Normal
Type: Note

Sorry about that.. ...that time frame will be perfect.

Thank you

Michae l

EXT-18-241-N-000590

 004225

On: 06 March 2017 20:52, '1._
(b_}(6
_)_________

_,_
@swkey.org>wrote:

Dr. Bartholomew, I will continue with 24 hour Case Update until told otherwise. Please
let me know if you prefer a different time frame. Thank you .

Respectfully,
l(b_)(6_)
....

----~I

LVN, CPt

Lead Medical Coordinator
SWK Casa Blanca 954

(P) l(b)(6)
(C)k~b)~<6~) --~

From: Bartholomew, Michael (ACF) <Michael.Bartholomew @acf.hhs.gov >

Sent: Monday , March 6, 2017 7:48 :20 PM
To:

l(b)(6)

IMeyerstein , Shaanan

(ACF); Fanny Rivera;fb l(6)

(b)(6)

EXT-18-241-N-000591

 004226

Cc: White, Jonathan (ACF); Gonzalez, Jose (ACF); Acuna, Griselda (ACF); De LA
Cruz , James (ACF)
Subject: Re: Further Medical Guidance

Thank you for the update.

On: 06 March 2017 20:00, ....
l<b
_)(6_)_________

___.
@swkey.org>wro te:

Case Update :

SIR ADDENDUM REPORTED BY : fb)(6)
ILVN, LMC Minor was
Ifor eva luation of vaginal bleed ing seconda ry to
eva luated by PCP!(b)(6)
tennination of preg nancy. Bleeding on level 3. Patient continues to bleed but deni es
cramps. Minor denies
current expu lsion of tissue. Patient eating well; denies vomiting, pain, and dizziness.

* Doctor ordered a pelvic ultra sound. Continued bed rest for the next 24 hour s. Minor is

a llowed to go outside for 15 minute breaks but is to remain on close observation . No
PE/rec for 2 weeks. Encourage increased fluid intake and regu lar meals as
sched uled by SWK.

EXT-18-241-N-000592

 004227

Vitals: BP 90/54, Temp 98.3, HR 74bpm, RR 17.

0

1481902393800

_ untitled. png

LVN
Lead Medical Coordinator

Southwest Key Casa Blanca 954

San Antonio, TX

Work Cell:
!(b)(6)

Offi ce Phone:!~<b
~)/~6)~-~

Note: Privileged/Confide11Jia
l i11
fo rmatio11may be co11
Jai11
ed in this message

and may be subject to legal privilege. Access to this e-mail by anyone other than the
intended is unauthorized. If you are not the intended recipient (or responsible for delivery
of the message to such person), you may not use, copy, distribute or deliver
to anyone this message (or any part of its contents) or take any action in reliance on it.
In such case, you should destroy this message, and notify us immediately. If you have
received this email in error, please notify us immediately by e-mai l or telephone

EXT-18-241-N-000593

 004228

and delete the e-mail from any computer.

From:f~b_)(6_) --~

Sent: Monday , March 6, 20 17 11:02:46 AM
To : Meyerstein , Shaanan (ACF) ; Fanny Rivera; (bl(6l
(b)(6)

Cc: Bartho lomew , Micha el (ACF); White, Jonathan (ACF) ; Gon zale z, Jose (ACF);
Acuna, Grisel da (ACF) ; De LA Cru z, James (ACF)
Subject: Re: Furth er Medical Guidanc e

My apo logies,
I failed to include ~f
b_J(6_l ________
to this emai l.

~

Thank you.

0

1481902393800

_ untitled .png

l(b)( 6 )

LVN

EXT-18-241-N-000594

 004229

Lead Medical Coordinator

Southwest Key Casa Blanca 954

San Antonio, TX

Work Cell:
kbl/6)

Office Phone: ,_K
b_)(6
_)_

____,

Note: Privileged/Confid ential information may be contained in this message

and may be subject to legal privilege. Access to this e-mail by anyone other than the
intended is unauthorized. If you are not the intended recipient (or responsible for delivery
o.fthe message to such person), you may not use, copy, distribute or deliver
to anyone this message (or any part of its contents) or take any action in reliance on it.
In such case, you should destroy this message, and notify us immediately. If you have
received this email in error, please not[fy us immediately by e-mail or telephone
and delete the e-mail from any computer.

From : f._~_
)(6
_)___

~

Sent: Monday, March 6, 20 17 10:51:59 AM

To: Meye rstein, Shaanan (ACF); Fanny Rivera; ,_fb_)(6_) __________
f b)(6)

I

~

Cc : Bartholomew, M ichael (ACF); White, Jonathan (ACF); Gonzalez , Jose (ACF);
Acuna, Griselda (ACF); De LA Cruz, James (ACF)
Subject: Re: Further Medical Guidance

EXT-18-241-N-000595

 004230

Message received.
On call nurse ~as
informed the time and date medica tion was administered
(Sunday 3/5/2017 @ 1500) this morning.
Notes have been requested from clinic and will be picked up first thing tomorrow
morning as the clinic is closed today.
Minor is sched uled to consult with our PCP, ....
l<b_l<6_l___

__.lthis afternoon.

1481902393800_untitled.png
!(b)(6)

LVN
Lead Medical Coordinator

So uthwest Key Casa Blanca 954

Sa n Anton io, TX

Work Cell:
Kb)(6)

Office Phonek
._b_)(_
6)__

~

Note: Privileged/Confldemial informal ion may be conlained in !his message

EXT-18-241-N-000596

 004231

and may be subject to legal privil ege. Ac cess to this e-mail by anyone other than the
intended is unauthorized. If y ou are not the intended recipient (or responsible for delive1y
of the message to such person), you may not use, copy, distribu te or deliver
to anyone this message (or any part of its contents) or take any action in reliance on it.
In such case, you should destroy this message, and notify us immediately. If you have
received this email in error, please not(fy us immediately by e-mail or telephone
and delete the e-mail from any computer.

From : Meyerste in, Shaanan (ACF) <Shaanan.Meyerstein @acf.hhs.go v>

Sent: Monday, March 6, 20 17 10:38:08 AM
To: b)(6)
"""
(b.,...,
)(=
6).---------.

Fanny Rivera;

b)(6)
~----------------~

Cc: Bartholomew, Michael (ACF); Wh ite, Jonathan (ACF); Gonzalez, Jose (ACF);
Acuna, Griselda (ACF); De LA Cruz, James (ACF)
Subject: Further Med ical Guidance

SWK Casa Blanca,

Good morning,

Thank you for the update regarding the minor this morning .

SWK health team should use the after-hours emergency line to connect with the Clinic, if they
have not done so already. The minor ' s OB-GYN at the reproductive

EXT-18-241-N-000597

 004232

health clinic should be made aware if they are not already aware that the Cytotec was
administered at the date/time the patient self-administered it Sunday 3/5 rather than
Saturday @ 1500, since that may affect her care .

At this point, the medical case has become a routine post-chemical termination of pregnancy,
and the recommendation by the reproductive health clinic was

to follow up 3/ 17 barring any new unforeseen changes, complications which they listed
explicitly in the discharge instructions . If instructed to go to the ER by the reproductive
health clinic, than do so. At this point , the Primary Physician/Pediatrician Dr
~b)(6)
µ,ho recently saw this young lady in his office prior to the termination should be
the on-site conductor driving any further work-up or evaluation . If he feels that the minor
needs a medical evaluation non-emergently then he should see her in his office.
If he feels that she needs an 0B-GYN evaluation then I think an office setting would be
more suitable by the provider who cares for the pregnant teens canying their pregnancy
to term .

In general, the DHUC will not be managing the direct provision of healthcare of this minor; that
will be left to local medical authorities at this point.

The minor's safety and health must remain the paramount concern. Please do keep us
informed .

Thank you.

Shaanan Meyerstein, MD, MPH, FAAP
LCDR,US Public Health Service
Medical Officer - Unaccompanied Children's Program
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
(202) 401-4639 (office)

EXT-18-241-N-000598

 004233

._f
b_)(6_) ___

_.K
cell)

Shaanan.meyerstein@acf.hhs.gov

From:._l <b_)(6
_) _________

~j9) swkey.org]

Sent: Monday, March 06, 2017 8:43 AM
To: Bartholomew, Michael (ACF); Fanny Rivera; Meyerstein , Shaanan (ACF)

Cc

(b)(6)

Subject: Minor YYO

At 0732 this mornin g I called Women's Reproductive Services and scheduled a follow-up
as instructed by Dr. Braid and minor will be seen at the soonest available date which is
Friday, March 17, 2017 at 3:30 pm.
N urse instructed me a full medical record can be requested on the date of
appointment and can be available as soon as the Saturday after (18th). Nurse stated
medications administered and discharge instructions/notes for Friday's
visit (3/3/ 17) can be requested for a fee of $25 and we would need to have the minor
pre sent to sign off requ est. Minor will be transported to clinic tomorrow morning and we
will request notes to be uploaded on UAC Portal right after.

I am requesting permission to transport minor to the local ER at Nort h Central
Baptist to have a sonogram performed and be evaluated by MD this morning. Please
reply at your earliest convenience.

EXT-18-241-N-000599

 004234

1481902393800

_ untitled .png

__,IL
VN

f....
b)_(6_) ____

Lead Medica l Coo rdin ator
So uthwest Key Casa Blanca 954
San A ntonio, TX
Work Ccll :..,.il
h..::
\f.:.:.
fl\,..._ _

_,

Offi ce Phone: .._!
(b__
)(__
6__
) __

_.

Note: Privileged!Conjidetttial inform.atiott may be comained in.this messageattd may be subject to legal privilege.Access to this ema il by a11
yot1e other than the inte nded is un.authorizetl.

If you

are not the intended recipient (or responsib le for delivery of the message to such
p erson), you may not use, copy , distribute or deliver to anyone this message (or any part
of its contents) or take any action in reliance on it. In such case, you should
destroy this message , and nottfy us immediatel y . If you have received this email in err or,
plea se notify us immediately by e-mail or telephone and delete the e-mail from any
computer.

Sender:

Bartho lomew, Michael (ACF) </O=EXCHANGELABS/OU=EXCHA NGE ADMIN I STRATIVE GROUP
(FYDIBOHF23SPDLT )/CN = RECJPIENTS/CN=BART HOLOMEW, MICHAEL>

(b) (6)

j)sw key .org>" ;
J swkey .org> ";
'(b) (6)
@swkey.o rg> " ;
Recipient: (b)(6)
~swkey.org> ";
'(b) (6)
g>swkey.org> " ;
(b)(6)
§lswkey.org>";
"Meyerste in, Shaanan (ACF) </ o =Exchange l abs/ou= Exchange Administrative Group

'ih\ tR\ -

·-

EXT-18-241-N-000600

 004235

(FYDIBOHF23SPDLT)/cn = Recipients/cn = 73d538e5aeda4197b338 l ec6ef84ed75-Meye rstein, > " ;
(b)(6)
torg>";
swkey.org>";
"Fanny Rivera <frivera@swkey.org> ";
"Acuna, Griselda (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn =Reci pients/cn=8c83ee08f90d454dba24118c12fbd4fd-Acu na, Gris> ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Adminis t rative Group
(FYDIBOHF23SPDLT)/cn= Recipients/cn = 2eba95d119ab4cd6a77b34616dc3366c-De LA Cruz,> ";
"Gonzalez, Jose (ACF) </o = Exchangelabs/ou = Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn =Reci pients/cn= le32d334f481495291265 lab60e4fde6-Gon zalez, J> ";
"Wh ite, Jonathan (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn = e9b5fe526fld4ba0a6cc8ddee8ec4d87 -Jonathan Wh>"

Sent Date: 2017/03/06 22 :19: 12
Delivered Date: 2017/03/06 22:19 : 13

EXT-18-241-N-000601

 004245

Johnson, Harmony (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP

From: ( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN= E23C9B9A749D48FBB652B03FF73AD
lCCJOHNSON,HA>
"Gonzalez,Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/en=le32d334f481495291265lab60e4fde6-Gonzalez, J> ";
"Velazquez, Ivonne (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=39e6
7b42d96043c688e84fa6cef42570-Velazquez,>";
To:
"Volovar, Jill (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn = Recipients/cn=f452fcelb8e9475lb340f7ebd6f4ee4b-Volovar, Ji>";
"Brooks, Teresa (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF23SPDL
T)/cn = Recipients/cn=0a2883a19e184fffb906bb06591b568a-Brooks,Ter>"
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95dl19ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"Houppert (Ruhkamp), Gail (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
CC: (FYDIBOHF23SPDL
T)/cn=Recipients/cn=4d88928c06a84498a966d9352f344094-Ruhkamp,
Ga>";
"Jacobs Gainor, Rachel(ACF) </o = ExchangeLabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/cn=8012b4d4380540cca2d637cbfbfd72abJacobs, Rae>"

Subject:

FW: question regarding: FW: OTIP referral submitted after case was referred for discretionary
home study: RE: ACCEPTED
: Home Study((b)(6) I

Date: 2017/10/23 13:50:07

Priority : Normal
Type: Note

Hi guys,
Here's an example of a case where an OTIP letter was submitted by the facility but then a discretionary
HS was requested since OTIP had not yet made a determination on the case. This is very confusing for
the HS provider, as noted below, because of previous practice.
b)(5)

Harmony
Harmony Johnson, MSW
Special Assistant I Office of Refugee Resettlement
Administration for Children and Families
U.S. Dept. of Health and Human Services
Phone: l(b )(6)
Email: Harmony.John son@acf .hhs.gov

I

EXT-18-241-N-000602

 004246

= =
cid:image001.png@01D2EC32.412FB0S0

I

From: j(b)(6)
[ma ilto~maryscenter
.org]
Sent: Monday, October 23, 2017 11:32 AM
To: Johnson, Harmony (ACF)
Cc: !{b)(6)
I
Subject: quest ion regarding: FW: OTIP referra l submitted after case was referred for discretionary
home study: RE: ACCEPTED:Home Study kb)(6)
I
Good afternoon, Harmony,
After this discretionary home study was referred to USCRI,we learned that an OTIP referral had been
made on behalf of the minor by the facility. Therefore, I reached out to the assigned FFSasking if the
home study would be reclassified as a TVPRA-mandated home study since it seemed the minor might be
a potential trafficking victim (please see email chain below). FFSRuben Pelayo replied that the case
would remain a discretionary home study for now .
Here are some details from the SIRfor this minor who was raped by her 20-year-old neighbor and then
forced by her grandmother/caregiver in home country to go live with the rapist:

Assigned clinician met with UCfor session. UC disclosed to clinician that she was forced to live
with him by grandmother due
to fear of her being pregnant. She reported she was held aga inst her will by the perpetrator
and reported his mother treated her horribly. UC
reported that she was not "taken back" by her grandmother. She reported she went to go do a
"mandado " (errand) and the perpetrator's
mother informed perpetrator that she had left him and left with someone else. She heard from
others that he was looking for her and she
feared for her life as he was telling others "si yo no la puedo tener, nadie la va tener" (if I can't
have her no one will). UC stated she went to
her grandmother and told her everything. UCreported she remained in her grandmother 's home
for approximately a month, more or less,
and did not go outside in fear . She reported the perpetrator would come over often and wait
outside the home for her. The perpetrator mad e
threats such as "si no me la train patras 1 me voy a 1/evar una de el/as " (if you don't bring her
back I will tak e one of them[in refer ence to her
younger sisters]). UC'sfamily decided it would be safe for her to travel and be in care of her
older brother and away from the perpetrator.
(b)(5)

EXT-18-241-N-000603

 004247

(b)(S)

Thank you.
~ Donate now-e signature
!(b)(6)
ILCSW-C
Home Study and Post Release Services Program Officer

Mary's Center I 3912 Georgia Ave. , NW I Washington, D.C 20011

I

l(b)(6)

G

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icon pack-red-PNG\48px\YouTube-social-sguircle
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Descript ion: Descr iption: amazon

Mary's Center is a subgrantee of USCRI
IMPORTANT: THIS EMAIL IS CONFIDENTIAL,INTENDEDONLY FORTHE NAMED RECIPIENT(S)AND MAY
CONTAIN INFORMATION THAT IS PRIVILEGEDOR EXEMPT FROM DISCLOSUREUNDERAPPLICABLE
LAW. IF YOU ARE NOT THE INTENDED RECIPIENT,YOU ARE NOTIFIEDTHAT DISSEMINATION,
DISTRIBUTIONOR COPYINGOF THIS MESSAGEIS STRICTLYPROHIBITED. IF YOU RECEIVETHIS
MESSAGEIN ERROR,OR ARE NOT THE NAMED RECIPIENT,PLEASENOTIFYTHE SENDERAT THE EMAIL
ADDRESSABOVEAND DELETETHIS EMAIL FROM YOUR COMPUTER. THANK YOU.

From: Pelayo, Ruben (mailto:Ruben.Pelayo@acf.hhs.gov]
Sent: Frida October 20, 2017 5:22 PM
To: b)(6)
Cc: (b)(6)
cf=s.=n~et"
;
Homestud re erral; b)(6)
bets.net·
~~~~~~.:..;..:_~~~:.:..::..:.:::....:..::.:::..:...:::.:.L.!:~
9 ~;;;:b=
I
bets.net ib l/6)
kb=lr6
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=1===1;;-r( ::-eb
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cf;:s-.n-et~ (;.::,b
)i(ii'6rr-)--=- """'"---'- --~"TI~f--,;::::--:b-:cf~s-=.n-=ce~t
=-==

Subject: RE: OTIP referral submitted after case was referred for discretionary home study: RE:
ACCEPTED:Home Study Kb)(6)

I

To my understanding case was referred to OTIP for precautionary measures but it
is still not determined by OTIP if she meets trafficking criteria. For now case
should remain a discretionary home study. If anything changes case manager will
notify you and your team immediately.
Ruben Pelayo Jr.
Federal Field Specialist

EXT-18-241-N-000604

 004248

U.S. Department of Health and Human Senrices
Administration of Children and Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operations
ruben.pelayo@ acf.hhs.gov

!

!(b)(6)

I

From: fbl{6)
[mailtofbl(6) @maryscenter.orgl
Sent: Friday,October 20, 2017 3:57 PM
To : Pelayo,Ruben

Cc: (b)(6)
,
FA=in~e=l=ic=a.
=M=a=t
a=::::1
.b>
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:..;<
.;.
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)<
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l"-k§l=b=
cf=s=.n=e~t;
Homestudyreferral; lb)(6) @bcfs.net;
(b)(6)
Subject: OTIP referral submitted after case was referred for discretionary home study: RE: ACCEPTED:
HomeStudy!(b)(6)
I
Good afternoon, Ruben,
The case manager who is completing the home study for this case notified me today that the facility
submitted an OTIP referral for this minor after the case was referred for a discretionary home study
(please see below). I would like to know if you plan to reclassify this home study as a TVPRA-mandated
home study now that the minor has been identified as a potential victim of human trafficking.
Thank you for your attention to this matter.
ILCSW-C
~ Donate now-e signature
Home Study and Post Release Services Program Officer

l(b)(6)

Mary's Center I 3912 Georgia Ave. , NW I Washington , D.C 20011

I

j(b)(6)

G

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Description: Description: Description: H:\Pictures\Social Media lcons\FB-f-

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Description: Description: Descr iption: H:\Pictures\Social Media

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Description: Description : Description: H:\Pictures\Social Media

lcons\lnstagram Icon Large.png G Description : Description: Description: H:\Pictures\Social
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Descnp
. t·I0n: Descnp
. t·I0n: amazon

Mary's Center is a subgrantee of USCRI
IMPORTANT: THIS EMAIL IS CONFIDENTIAL, INTENDED ONLY FOR THE NAMED RECIPIENT(S) AND MAY
CONTAIN INFORMATION THAT IS PRIVILEGED OR EXEMPT FROM DISCLOSURE UNDER APPLICABLE
LAW. IF YOU ARE NOT THE INTENDED RECIPIENT, YOU ARE NOTIFIED THAT DISSEMINATION,
DISTRIBUTION OR COPYING OF THIS MESSAGE IS STRICTLY PROHIBITED. IF YOU RECEIVE THIS

EXT-18-241-N-000605

 004249

MESSAGEIN ERROR,OR ARE NOT THE NAMED RECIPIENT,PLEASENOTIFYTHE SENDERAT THE EMAIL
ADDRESSABOVEAND DELETETHIS EMAIL FROM YOUR COMPUTER. THANK YOU.

From: .(b) (6)

[mailto: (b)

@uscridc.org1

Sent: Monday, October 16, 2017 1:33 PM~-To:! (D)(6)

Cc:

~bcfs.net ; Homestudyreferral

b)(6)

bcfs.net ; Ruben Pelayo; Angelica.Mata~

com

b) (6)

~...;_..,.....,,,..===-..,...,....-.....,,....__,,.---r;:-=----------------------'
Subject:
ACCEPTED:Home Study (b)(6)
Importance: High
Good Afternoon ,
USCRI is initiating Home Study services for this UAC in Randalls town, MD....
!(b_)(_6 )__
will be our case worker.

_.lcopied

here,

We have retrieved the attached documentat ion from the UAC portal, however we are still in need of the
follow ing documentation :
Third Part y Recomm endation
Fa mily Reunification Packet
Release Request
Risk Assess ment
Case Re,•iew
UAC Assessment
SIR
Medical Record s
Educational Records
Home Stud y Report
Sponsor Information
Initial Intake As sessment
Verification of Relea se
Discharg e Notification

X

X

We ask that you please forwa rd these documents at your earliest poss ible convenience.
Thank you,
!(b)(6)

Referral Coordinator
Post Release Services

II :>CI
cid:image003. jpg @ 01D l 38DO.C0737480

2231 Crystal Drive, Suite 350
Ar lington, VA 22202
refugees.o rg

EXT-18-241-N-000606

 004250

p: 703-310- 1130 ~
f: 703-769- 424 1
Important: t his email is confidential, inte nded o nly for the named recipient(s) and may contain info rmation that is privileged or exempt from
disclosure under applicable law. If you are not the int ended recipient, you are notified that dissemination, distr ibution or copying of this
message is strictly prohibited. If you receive this message in error, or are not the named recipient, please notify the sender at the email address
above and delete this email from you r computer. Thank you.

Disclaimer
The information contained in this commun icat ion from the sender is confidential. It is intended so lely for use by the
recipient and others authorized to rece ive it. If you are not the recipient, you are hereby notified that any
disclosure, copy ing, distribution or taking action in relation of the contents of this information is strict ly prohibited
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Sender:

Johnson, Harmony (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
= E23C9B9A749D48FBB652B03FF73AD
1CC-JOHNSON,HA>
(FYDIBOHF23SPDL
T)/CN = RECIPIENTS/CN

"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=le32d334f481495291265 lab60e4fde6 -Gonzalez, J> ";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=39e67b42d96043c688e84fa6cef42570-Velazquez,>";
"Volovar, Jill (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF23SPDL
T)/ en= Recipients/cn=f452fce lb8e9475 l b340f7ebd6f4ee4b-Volovar, Ji> ";
"Brooks, Teresa (ACF) </o = Exchangelabs/ou= Exchange Administrative Group
Recipient:
(FYDIBOHF23SPDL
T)/cn = Recipients/cn=0a2883a19e184fffb906bb06591b568a-Brooks, Ter>";
"De LA Cruz, James (ACF) </o = Exchangelabs/ou= Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn=Recipients/cn= 2eba95dl 19ab4cd6a77b34616dc3366c-DeLA Cruz,>";
"Houppert (Ruhkamp), Gail (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/cn=4d88928c06a84498a966d9352f344094-Ruhkamp, Ga>";
"Jacobs Gainor, Rachel (ACF) </o=Exchangelabs/ou= Exchange Administrat ive Group
(FYDIBOHF23SPDL
T)/cn = Recipients/cn =8012b4d4380540cca2d637cbfbfd72ab-Jacobs, Rae>"

Sent Date: 2017/10/23 13:50:05
Delivered Date: 2017/ 10/23 13:50:07

EXT-18-241-N-000607

 004251

Gonzalez,Jose (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN= 1E320334F4814952912651AB60E4FDE6GONZALEZ,J>
"Sinkins, Katherine (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=fld9a3d ld 1784269b4b9bf43506452d8-Sink
ins, Ka>";
To:
"Valdez, Erika (ACF) </o =Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2bf73c3a5ed946e5b2836e18cada657a-Valdez,Eri>"

CC:

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-DeLA Cruz,>"

Subject : REkb)(6)

In San Antonio LTFC

Date: 2017/03/2110:37 :58
Priority : Normal
Type: Note

I am following up on the case of l(b)(6)
KAl(b)(5)
~ whom
ORR is considering relea sing to his foster parents. r spoke with the adoption expert at
users and she is going to get back to me about whet her there is any way releasing him
to his foster parents could hurt his adoption case.
The Hague Convention on Adoption does not come into play here since the UC is already
in the U.S . and is a lawful permanent resident.
We discussed termination of parental rights in both 1<b)(6)
l(Dad) and ._l
<b_)(6_) _ _.
(mom) and lack of birth certificate . The UAC portal notes said there was a hospital record
with mom's name, child's name and correct date of birth. Does ORR have that document
since family /juvenile court will need to be proof of who his biological parents are. Has
anyone at ORR been in touch with the Mom , ~ in the past 1-2 years? Th1b)(6)
lady was the lady that lied about being mom. ~
sed the DNA, and was the owner ot
th~b)(6)
Is there any further mfonnat10n for why the child didn't reunify with her ? There is
documentation but the short answer is that this lady was a fraud and was not related to
UC. l(b)(6)
l<b)(6)
IUAC Portal notes said
child was told he was coming to US to reunify with mom. ifl recall correctly he thought
he was coming to be with a lady not sure who she was and was coached all the way to
the border. r have the program already working on a summary for you. This case has
more information that was before the portal became active and is in the permanent file.
I There was none as per
Has anyone at ORR been in touch with the Dad irj(b)(6)
research and efforts. Also , does the UC have any contact with either parent via Skype ,
letters , phone call s, etc.
There is no contacts, or no BC.

I

7

I

A lawyer specializing in adoption will be able to advise the foster parents how to give
notice to the bio logical parents and start the process of termination of parenta l rights . I
should have an answer from users by tomorrow COB . Thanks for working so hard to
help this little boy. Great example of the important work you do every day in the field.

EXT-18-241-N-000608

 004252

Jose Gonzalez, LMSW, FFS Supervisor
USDHHS-ACF-ORR-DUCO
Jose. gonzalez@acf.hhs. gov
l(b)(6)
http ://www.acf .hhs .gov/programs / orr/programs /ucs

I

From: Sinkins, Katherine (ACF)

Sent: Tuesday, March 21, 2017 9:24 AM
To: Gonzalez,Jose (ACF); Valdez, Erika (ACF)
Cc: De LA Cruz, James (ACF)
Subject : Geovanny in San Antonio LTFC

Hi everyone,
f whom
I am following up on the case of l(b)(6)
(Afbl(6)
ORR is considering releasing to his foster parents. I spoke with the adoption expert at
USCIS and she is going to get back to me about whether there is any way releasing him
to his foster parents could hurt his adoption case.

The Hague Convention on Adoption does not come into play here since the UC is already
in the U.S . and is a lawful permanent resident.
We discussed termination of parental rights in both fbl(6)
l(Dad) and ~l
(b_)(6_l -~
(mom) and lack of birth certificate . The UAC portal note s said there was a hospital record
with mom's name, child's name and correct date of birth. Does ORR have that document
since family /juvenile court will need to be proof of who his biological parents are. Has
in the past 1-2 years ? Is there any
anyone at ORR been in touch with the Mom , l(b)(6)
further information for why the chi ld didn't reunify with her? UAC Portal notes said
child was told he was coming to US to reunify with mom . Has anyone at ORR been in
Also , does the UC have any contact with either parent
touch with the Dad in l(b)(6)
via Skype , letters , phone calls , etc.

I

r

A lawyer specializing in adoption will be able to advise the foster parents how to give
notice to the biological parents and start the process of termination of parental rights. I
should have an answer from USCIS by tomorrow COB. Thanks for working so hard to
help this little boy. Great example of the importa nt work you do every day in the field .
Katherine Sink.ins, Esq.
Immigration Specialist
United States Department of Health and Human Services
Administration for Children and Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operations
(202) 205 -8067

EXT-18-241-N-000609

 004253

Katherine. Sinkins @acf.hhs.gov
*Please note that I telework on Fridays and can be reached at l,_
(b_)(6
_)____

_,

Gonzalez,Jose (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= 1E32D334F4814952912651AB60E4FDE6GONZALEZ,J>
"Sinkins, Katherine (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=fld9a3d ld 1784269b4b9bf43506452d8-Sink
ins, Ka>";
"Valdez, Erika (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
Recipient:
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2bf73c3a5ed946e5b2836e
18cada657a-Valdez,Eri>";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>"
Sent Date : 2017/03/2110:37:57
Delive red Date: 2017/03/2110:37:58

EXT-18-241-N-000610

 004254

Gonzalez,Jose (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN= 1E320334F4814952912651AB60E4FDE6GONZALEZ,J>
"Sinkins, Katherine (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=fld9a3d ld 1784269b4b9bf43506452d8-Sink
ins, Ka>";
To:
"Valdez, Erika (ACF) </o =Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2bf73c3a5ed946e5b2836e18cada657a-Valdez,Eri>"

CC:

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-DeLA Cruz,>"

Subject : RfKb)(6)

lin San Antonio LTFC

Date: 2017/03/2110:38 :27
Priority : Normal
Type: Note

Oh and thank you also! we appreciate the expertise!
Jose Gonzalez, LMSW , FFS Supervisor
USDHHS-ACF-ORR-DUCO
Jose. gonzalez@acf.hhs.gov
!(b)(6)

I

http ://www.acf.hhs .gov/programs / orr/programs /ucs
From: Sinkins, Katherine (ACF)
Sent: Tuesday, March 21, 2017 9:24 AM
To: Gonzalez,Jose (ACF); Valdez, Erika (ACF)
Cc: De LA Cruz, James (ACF)
Subj ect :fbl(6)
in San Antonio LTFC

I

Hi everyone ,

I

I am following up on the case of l(b)(6)
(A~b)(6)
whom
ORR is considering releasing to his foster parents. I spoke with the adoption expert at
USCIS and she is going to get back to me about whet her there is any way releasing him
to his foster parents could hurt his adoption case.
The Hague Convention on Adoption does not come into play here since the UC is already
in the U.S . and is a lawful permanent resident.

I

We discussed termination of parental rights in both tb)(6)
l(Dad) andl(b)(5)
(mom) and lack of birth certificate . The UAC portal notes said there was a hospital record
with mom's name, child's name and correct date of birth. Does ORR have that document
since family/juvenile court will need to be proof of who his biological parents are. Has
anyone at ORR been in touch with the Momfb)(6)
lin the past 1-2 years? Is there any
further information for why the child didn't reunify with her? UAC Portal notes said
child was told he was coming to US to reunify with mom . Has anyone at ORR been in
touch with the Dad in Kb
)(6)
rAlso, does the UC have any contact with either parent
via Skype, letters, phone calls, etc.

EXT-18-241-N-000611

 004255

A lawyer spec ializing in adopt ion will be able to advise the foster parents how to give
notice to the biological parents and start the process of termination of parenta l rights. I
should have an answer from USCIS by tom01TowCOB. Thanks for working so hard to
help this little boy. Great example of the important work you do every day in the field.
Katherine Sinkins, Esq .
Immigration Specialist
United States Department of Health and Human Services
Adm inistration for Children and Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operations
(202) 205-8067
Katherine. Sinkins@acf.hhs. gov
*Please note that I telework on Fridays and can be reached at (703) 963-6048.

Gonzalez, Jose (ACF) </O ==EXCHANGELABS/OU
==
EXCHANGE
ADMINISTRATIVEGROUP
==1E32D334F4814952912651AB60E4FDE6
Sender: (FYDIBOHF23SPDL
T)/CN==
RECIPIENTS/CN
GONZALEZ,J>
"Sinkins, Katherine (ACF) </o ==Exchangelabs/ou==
ExchangeAdministrative Group
Recipients/cn==
fld9a3d ld 1784269b4b9bf43506452d8-Sinkins,Ka>";
(FYDIBOHF23SPDL
T)/cn ==
"Valdez, Erika (ACF) </o==Exchangelabs/ou==Exchange
Administrative Group
Recipient:
(FYDIBOHF23SPDL
T)/cn ==Reci
pients/cn ==2bf73c3a5ed946e5b2836e
18cada657a-Valdez, Eri> ";
" De LA Cruz, James (ACF) </o ==
Exchangelabs/ou==
ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn==Recip
ients/cn==2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>"
Sent Date: 2017/03/2110:38:26
Delivered Date: 2017/03/2110:38:27

EXT-18-241-N-000612

 004256

Velazquez, Ivonne (ACF) </O = EXCHANGELABS/O
U=EXCHANGEADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN=39E67B42096043C688E84F
A6CEF42570VELAZQUEZ,>
To:

" De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23S
PDLT)/cn=Recipients/cn=2eba95dll9ab4c d6a77b34616dc3366c-De LA Cruz,>"

Subject: Fw: Report of Significant Event Addendum 2- Event #95014
Date: 2017/03/ 17 12:42:35
Priority: Normal
Type: Note

Are you aware of this directive?

From: Hillin, Myriam (ACF)

Sent: Friday, Ma rch 17, 20 17 9:3 1: 16 AM
To: Ve lazquez, Ivonne (ACF)
Subj ect: FW: Report of Significant Event Addendum 2- Even t #95014

FYI

Myriam Hillin, MA-MSPC
Federal Field Specialist
Division of Unaccompanied Children's Operations (DUCO)

EXT-18-241-N-000613

 004257

Office of Refugee Resettlement
Western Region - Phoenix

~b)(6
)
Myriam.H illin@acf.hhs.gov

From: Irizarry, Tamara (ACF) (CTR)

Sent: Friday, March 17, 2017 9:28 AM
To (b)(6)
Thomas, Debra (ACF);
:--~----:::==~-,-------;:----:--;-;-.....--;a;:::;=::;;;=;=;;;;==,,--~
;:::E.::...:ri==k=-a·=-Ri=·v
_e~r
-=o""""-b
-)(_6)---'--=co.:...:m~;
L=.,,;,;_au=-=-rie.:...:.K=:.:.alff(q}:b)
(6) lcom; Buriel, Celestina (ACF) (CTR);
._b_)(6_>__________
_. UMP Medical; Boss, Mark (ACF); ACF
SIRHOTLINE (ACF); SIR Reports;
Hillin, Myriam (ACF); ORR DHUC

Cc:fbl(6)

1928 Leadership Team; 928 Medical

Subject: RE: Re ort of Significant Event Addendum 2- Event #95014

Hi,

Please contact Help Desk to delete all the Medical Complaints entered for
Pregnancy/pregnancy-related, and the Well -chi ld visit related to pregnancy. Add

all of them as Update Visits under the Initial Medical Exam, where the
Pregnancy/pregnancy-related diagnosis was captured.
Childbirth was entered correctly.

EXT-18-241-N-000614

 004258

Thank you,

Tamara Irizarry
Medical Services Coordinator
U.S. Department
Administration

(GDIT/CTR)

of Health and Human Services
of Children and Families

Office of Refugee Resettlement
Division of Health for Unaccompanied

Children

Phone: 202-205-5785
tamara .irizarry@acf.hhs.gov

From:KL,.b_)(6_) _________

,_@
-=s-'-'w=
ke=--y'-'.o=r...,_q
1

Sent: Thursday , March 16, 2017 6:47 PM

Thomas, Debra (ACF); _
.com; Laurie.Kalff~.com;
Buriel, Celestina (ACF) (CTR);
~b)(6)
UMP Medical; Boss, Mark (ACF); ACF
SIRHOT LINE (ACF); SIR Reports ; Hillin , Myriam (ACF); ORR DHUC
To b)(6)
Erika.Ri vero

Cc: f b)(6)

b)(6 )

I

I928 Leadership Team; 928 Medical

Subject: Report of Significa nt Event Addendum 2- Event #95014

Good afternoon ,

EXT-18-241-N-000615

 004259

Please review Addendum 2 to SIR.

SIR Addend um 2: Southwest Key-Campbell (Phoenix, Arizona)
Event # : 95014
Summary: Not ification of additional medical information regarding newborn includin g
results of ultrasound /imaging "See Addendum for further details"

Thank you,

!(b)(6)

Lead Medical Coordinator
Southwest Key Program-Campbell
Phone: 602-841-1038 Ext.

~b)(61

Email:
f b)(6)

l@swkev .org

CONFIDENTIALITY NOTICE: This comm unication is intended only for the use of the
individual or entity to which it is addressed and may contain information that is
privileged , confidential, and exempt from disclosure under applicable
law. If you have received this email in error please notify the sender by email , delete and
destroy this message and its attachments . If you are not the intended recipient, you are
notified that any use, dissemination , distribution, or copying of the communication
is strictly prohibited

EXT-18-241-N-000616

 004260

5
From:._l
<b_J<
_i ___

_.

Sent: Tuesday , March 14, 2017 2 :06 PM
To: Emi ly De Santiago; Claud ia Clark; _
debra.lagrow@acf. hhs.gov ; Erika.Rivero @bl(6l
Laur ie.Ka lff@(b)(6) lcom; _
celestina. burie l@acf.hhs.g ov; ....
~b_J(6_l___________
Bo ss; SIR Hotline ; SIR Report s;
Myriam .Hillin@ac f.hhs.gov

Cc:l(b)(6)

I928 Leadership

born;

_,tUMP Medical ; Mark

Team ; 928 Medical

Subject: Report of Significant Ev ent Add endum - Event #950 14

Good afte rnoon ,

Please review Adde ndum to SIR .

SIR Addend um: Southwe st Key -Campbe ll (Phoenix, Ar izona)
Event # : 95014
Summ ary : Not ificat ion of Childbirth on 03/ 14/20 17 at 05 :55am- St. Joseph 's Hosp ital
" See Addend um for further details"

EXT-18-241-N-000617

 004261

Thank you,

l(b)(6)

Lead Medical Coordinator
Southwest Key Program-Campbell
Phon e: 602-841-1038 Ext. fbH6

I

Email:
l<b)(6)

lrfuwkev.org

CONFIDENTIALITY NOT ICE: This communication is intended only for the use of the
individual or entity to which it is addressed and may contain information that is
privil eged, confidential , and exempt from disclosure under applicable
law. If you have received this emai l in error please notify the sender by email , delete and
destroy this message and its attachments . If you are not the intended recipient, you are
notified that any use, dissemination , distribution, or copying of the communication
is strictly prohib ited

EXT-18-241-N-000618

 004262

From :l<b
...._)(6
_l___

__,

Sent: Monday, March 13, 2017 3:18 PM
To: l<b)(6l
!; debra.lagrow@acf.hhs.gov; Erika.Rivero@l<bl(6l lcom;
Laurie.Kalff@ ~
com; _
celestina.buriel@acf.hhs.gov; ._l
<b_)(6
_l___________
Bo ss; SIR Hotline; SIR Report s
Cc:l <bl(6l

l 928 Leadership

_.lUMP Medical; Mark

Team ; 928 Medical

Subject: Report of Significant Event - Event #95014

Good afternoon,

Please review the following SIR

SIR- SWKey Campbell (Phx, Arizona)
Event: 95014
Summary- No tification of Ho spital Admission - St. Joseph's Ho spital Labor &delivery
Client is currently 40.4 weeks into her pregnancy. Client is being closely monitored at St.
Jo seph 's Ho spital Medical Center 5th floor labor and delivery. Medical attention will
contin ue as per Dr. Order s. A SWKey Staff member is with UC to provide suppo1t during
the delivery process.

Reported by-f....
b_J<6
_l ___

__.I
Lead Medical

Coordinator

Thank you,

EXT-18-241-N-000619

 004263

l(b)(6)

Lead Medical Coordinator
Southwest Key Program -Campbell
Phone: 602-841-1038 Ext •

l(b)(
6)

I

Email:
l(b)(5l

@ewkey.org

CONFIDENTIALITY NOT ICE: This communicatio n is intended only for the use of the
individual or entity to which it is addressed and may contain information that is
privileged, confidential, and exempt from disclosure under applicable
law. If you have received this email in error please notify the sender by email, delete and
destroy this message and its attachments. If you are not the intended recipient, you are
notified that any use, dissemination , distr ibution, or copying of the communication
is strictly prohib ited

Velazquez, Ivonne (ACF) </O=EXCHANGELABS/O
U=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
=39E67842096043C688E84F
A6CEF42570VELAZQUEZ,>
Recipient:

" De LA Cruz, James (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn=Recip
ients/cn=2eba95d119ab4cd6a77b34616dc3366c-DeLA Cruz,>"

Sent Date: 2017/03/17 12:42:32
Deliver ed Date: 2017/03/17 12:42:35

EXT-18-241-N-000620

 004264

White, Jonathan (ACF) </O= EXCHA
NGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= E9B5FE526F1D4BA0A6CC8DDEE8EC4D87JONATHANWH>
To:
Subject:

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>"
RE: [Ken- for your reveiw and approval]: 2 RockvilleHigh students charged with rape after
brutal bathroom assault

Date: 2017/03/2117:16 : 12
Priority: Normal
Type: Note.SMIME

White, Jonathan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= E9B5FE526F1D4BA0A6CC8DDEE8EC4D87JONATHANWH>
Recipient:

"De LA Cruz, James (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn=Recip
ients/cn=2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>"

Sent Date: 2017/03/2117:16 : 10
Delivered Date: 2017/03/2117:16 : 12

EXT-18-241-N-000621

 004265

From:

Bartholomew, Michael (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDLT)/CN=RECIP
I ENTS/CN=BAR
T HOLOMEW,MICHAEL>

"Brooks, Teresa (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=0a2883a19e184fffb906bb06591b568a-Brooks,Ter> ";
"De LA Cruz, James (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
To:
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba9Sd119ab4cd6a77b34616dc3366c
-De LA Cruz,>";
"Tota, Kenneth (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Sc0919fe56454c2b8e7c59c38646ebec-Tota,
Kenne>"

Subject: Re: Report of Significant Incident-Event # 95439
Date: 2017/03/22 18:24:43
Priority: Normal

Type: Note

+Jonathan White

On: 22 March 2017 18:04, "Brooks, Teresa (ACF)"
<Teresa .Brooks@ACF .hhs.gov>wrote:

All

This information is being provided to you for your information and awareness.

Please see the attached SIRfor a female UC at the SWK Casa Presidente Program in Brownsville,
TX. Per the attached document, the UC is pregnant as the result

of a sexual assault which occuned in her country of origin. Also, per the attached
document , the UC is not seeking to terminate her situation, but instead has voiced that
she will be proceeding in her pregnancy.

Please advise as to if additional information is requested in this item.

EXT-18-241-N-000622

 004266

Sincerely,

Teresa

Teresa Brooks
Federal Field Specialist Supervisor, South Texas
HHS ACF ORR DUCO
l(b) (6)

Teresa.Brooks@acf.hhs.gov

From: Cantu, Kristopher (ACF)

Sent: Tuesday, March 21, 2017 5:08 PM
To: Brooks , Teresa (ACF)
Cc: Cervantes, America

Subject: FW : Re ort of Significant Incident-Event #95439

HI Teresa,

Not sure if this case was brought to your attention as per Jims guidance attached.

EXT-18-241-N-000623

 004267

Kristopher Cantu- Federal Field Specialist
Department of Health and Human Services
Administration of Children &Families
Office of Refugee Resettlement
Division of Unaccompanied Children's Operations

Kristopher .cantu@acf.hhs.gov

From: K._
b_)(6
_l___________

.j'@_s_w_k_e~y_.o_rg~J

Sent: Tuesday, March 21, 2017 11:07 AM
To: ACF SIRHOTLINE (ACF); Young, April (ACF); Cantu, Kristopher (ACF);
Hernandez , Miguel ACF) (CTR);
Cb
-)(6-)----~
Mar arita.Lewis bl(6l com;l~
Cc b)(6)
UMP Medical; f bl(6)
959 Medical; Irizan-y, Tamara (ACF) (CTR); 959._,,
C,,....
a-se__,,.....
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Clinical; UM - REDs - South Texas

Subj ect: R~ort of Significant Incident-Event #95439

SIR: CASA EL PRESIDENTE

EXT-18-241-N-000624

 004268

CLIENTS NAME: rb)(6) 1

A#tb )(61

SUMMARY: Postive HCG/Sexual Abuse

E- Confirmation

Number: ,_
fbl_(6_l _

Reported Bvj~<bl_(6_
l ---~

_,

Medical Coordinator

~ccMA

rb )(6)

Medical Coordinator
SWKey Casa El Presidente-959
Office:

-fb_
H6
_l ----~

Fax: 956-517-2024

EXT-18-241-N-000625

 004269

CONFIDENTIALITY NOTICE: This communication is intended only for the use of
the individual or entity to which it is addressed and may contain information that is
privileged, confidential, and exempt from disclosure under
applicable law. If you have received thi s email in error please notify the sender by
email, delete and destroy this message and its attachments. If you are not the
intended recipient, you are notified that any use, dissemination, distribution, or
copying of
the communication is strictly prohibited.

S

d . Bartholomew, Michael (ACF) </O = EXCHANGELABS/OU= EXCHANGE ADMINISTRATIVE GROUP
en er. (FYDIBOHF23SPDLT)/CN=RECIPIENTS / CN=BARTHOLOMEW, MICHAEL>

EXT-18-241-N-000626

 004270

" Brooks,Teresa (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=0a2883a19e184fffb906bb06591b568a-Brooks,Ter> ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
Recipient:
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>";
"Tota, Kenneth (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn =Recipients/cn=Sc0919fe56454c2b8e7
c59c38646ebec-Tota, Kenne>"
Sent Date: 2017/03/22 18:24:43

EXT-18-241-N-000627

 004271

Fields, Marivic (Maria) (ACF) </O = EXCHANGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP

From: ( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN= 1C431157E76644449B009E353355B110-F
I ELDS,
MAR>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
To:
(FYDIBOHF23SPDLT)/cn
= Recipients/cn=2eba9Sdl19ab4cd6a77b34616dc3366c-De
LA Cruz,>"

Subject: FW: ACF Media Clips for March 22, 2017
Date: 2017/03/22 19:11:49
Priority: Normal
Type: Note

Hi Jim,
I read the article in Washington Post about 2 students from Rockville HS who were arrested for rape of a
14-year old student and wondered if the y are UCs. Then I saw the ACF Media Clips which confirmed
that they were UCs recent ly releasedYb)(S)

I

(b)(5)

v/r
CDR Marivic Fields, LMSW, BCD
Senior Advisor for Child Well-being and Safety
Administration for Children and Families
{202) 795-7566 (office)
l(b) (6 )
I (cell)
maria.fields@acf .hhs.gov

From: ACF Media Clips (ACF)
Sent: Wednesday, March 22, 2017 1:45 PM
To : ACF - All ACF Staff
Subject: ACF Media Clips for March 22, 2017

ACF Media Clips for March 22, 2017
Child Care
Maine has a child care access problem and untapp ed resources to address it
In Maine , 15 percent of parents with kids younger than 6 reported in 2011 and 2012 that child
care issues affected their emp loyment , according to the national KIDS COUNT data cente r. For
lower income families, those with incomes below 200 percent of the federal poverty level, the
effect was more pronounced: 18 percent of those parents said child care issues had affected their
employment status.
Opinion
Bangor Daily News, ME
Ma rch 21, 2017

EXT-18-241-N-000628

 004272

-

Bill to freeze child care subsidy rates debated
The Legislature moved quickly through a series of first-reading priority bills Tuesday, but
slowed down on a bill that wou ld freeze pay for providers of child care for low-income workers.
The bill (LB335) would defer any increase in child care rates in 2017 until the next child care
and development fund market rate survey is available, some time in mid-2018 .
Lincoln Journal Star, NE
March 21, 2017

Children, Youth &Families
Ohio attorney general program to help children of addicts
The program to be unveiled Wednesday will aid children abused or neglected due to parental
drug use in 14 southern Ohio counties.
WHIO, OH
March 22, 2017
Arizona child-welfare agency drops policy on 'covert' use of controversial lie-detection
technology
Weiss said the agency was revoking the covert-interview policy, which was set Dec . 23. Weiss
said the department decided to pull the policy last week, after attorney Gregg Woodnick, who
defends parents accused of child abuse or neglect , raised questions about it.
Arizona Republic, AZ
March 22, 2017
State freezes bid to privatize foster care in northwest Texas
The Department of Family and Protective Services has put its request for proposals for "fos ter
care redes ign" on pause, saying in a letter to bidders that the contract is on hold "due to a
possible issue with the eva luation process ." Officials had anticipated awarding a contract in
January.
Austin American-Statesman, TX
March 22, 2017

Child Support
La. parents can now make cash child support payments
In 2016, the state collected $417 million in child support paymen ts but is still pursuing $1. 7
billion in back child support.
KPLC , LA
March 21, 2017
Bill tightening food stamp eligibility moves to full senate without committee support
The bill seeks to change financial requirem ents, and would require that peop le work with child
support services to gain food stamp eligibility. Senator Lou D' Allesandro , who sponsored New
Hampshire's original food stamp bill in the 1970s, called the proposal punitive.
New Hampshire Public Radio, NH

EXT-18-241-N-000629

 004273

March 21, 2017
Bill could help Nevadans collect from deadbeat ex
Assemb ly Bill 119 wou ld give priority to garnishments for spousal support that someone owes
their ex-wife or ex-husband. Under existing law, if a person has garnishme nts from multiple
creditors, the court must give first priority to a garnishment for child support.
Las Vegas Journal-Review, NV
March 21, 2017

Community Services
Eyeing Trump's budget plan, Republican governors say 'no, thanks ' (featuring ACF)
They include the Low Income Home Energy Assistance Program, a $3 billion project in the
Departm ent of Health and Hum an Services that helps people pay for heating and air
cond itioning, and the Community Developm ent Block Grant pro gram, a $3 billion initiative of
the Department of Housing and Ur ban Developmen t that funds local projects from affordab le
housing to Meals on Wheels.
New York Times, NY
March 22, 2017
The growing red-state backlash to Donald Trump(( eaturing A CF)
They include the Appalachian Regional Commission, the Delta Regional Authority, the
Community Block Grant Program and the Low Income Home Energy Assistance Progr amsome of which are on the chopping block in their entirety.
Vanity Fair, NY
March 22, 2017
Trump 's budget plan will hurt Trousdale County (featuring ACF)
The Low Income Home Energy Assistance Program (LIHEAP) has also been targeted for
deletion. This program, administered locally by Mid-Cumberland Action, helps seniors and the
poor pay heatin g and power bills.
Op-Ed
Hartsville Vidette, TN
March 22, 2017
Agencies that serve area seniors warv of Trump's budg et (featuring ACF)
The Low Incom e Hom e Energy Assistance Program, or LIHEAP , is funded throu gh federa l
(HHS) and state dollar s, and under eligibility rules, financially qualified adults 60 and over are
first in line to apply in September for help paying power bills.
Champaign News-Gazette, IL
March 22, 2017
Cuts feared to MO utility bill assistance (featuring A CF)
But that could mean cuts to the Low Income Home Energy Assistance Program also known as
LIHEAP, a program which helps prov ide heating and cooling assistance for people in the Ozark s
who can't affo rd it. More than 22,000 peop le rece ived heating and cooling assista nce last year in
a IO-county area of southwest Missour i.

EXT-18-241-N-000630

 004274

KOLR,MO
March 22, 2017
Trump's budget is a breath of fresh air (featuring ACF)
The Trump blueprint doesn't actually defund Meals on Wheels , since it's not a federal program.
Instead, the blueprint eliminates the Comm unity Services Block Grant and the Commun ity
Development Block Grant, which some local ities in tum use to help fund Meals on Whee ls.
Opinion
Arizona Republic, AZ
March 22, 2017
Trump budget leaves NC families out in cold, advocates say (featuring ACF)
It may be even harder now that the Weatherization Assistance and Low-Income Home Energy
Assistance programs are on the chopping block in President Trump's budget. The weather ization
program offers help to improve energy efficiency for low-income families.
Raleigh Public News Service, NC
March 21, 2017

Family Assistance
Poor Floridians lost benefits through welfare block grants (featuring A CF)
Florida is asking the federal government to cap its funding to the state's Medicaid program.
Florida Gov. Rick Scott and Republican lawmakers say that will mean more flexibility to
provide quality healthcare at an afforda ble cost. But critics point to we lfare reform and say fewer
people will get health care. Florida gives a TANF family of three a max of $303 a month. Florida
has not increased its monthly benefit or kept up with inflation since TANF was created.
WFSU, FL
March 21, 2017

-

Smiling Paul Ryan touts bill to waste millions on drug testing unemploy ed Americans
(featuring A CF)
Despite their vows to eliminate wasteful government spending, the Congressiona l Republicans
and President Donald Trump are now poised to overturn that rule-despite significant evidence
that similar drug testing regimes cost a lot more than they save.
Opinion
Think Progress, DC
March 20, 2017

Head Start
Head Start Hailey faces closur e (featuring A CF)
The board of trustees of the College of Southern Idaho, which hosts the regional Head Start
program , unanimously approved a decision Monday to terminate the program at the Commun ity
Campus, citing projected budget shortfalls of more than $200,000.
Idaho Mountain Express, ID
March 21, 2017

EXT-18-241-N-000631

 004275

-

New start needed for Greater Cleveland Head Start board now mired in disputes and
dysfunction (featuring ACF)
The dysfunction at the board that runs Ohio's largest Head Start preschool program needs to end
-- and the surest way to do that is a clean sweep: Disband and reconstitute the Council for
Econom ic Opportunities in Greater Cleveland, which serves thousands of low-income children in
Cuyahoga County.
Opinion
Cleveland Plain Dealer, OH
March 22, 2017

Refugee Resettlement
School grant helps refugee families integrate in Washington state (featuring ACF)
A grant program is helping refugee students travel the long emotional distance from their homes
to integrate into schoo ls and their communities in the United States. The Office of Refugee
Resettlement distributes Refugee School Impact Grants to 38 states, including Washington , and
helps students who recently have arrived in the country get on their feet.
Public News Service, WA
March 21, 2017

Trafficking
In St. Louis, a push for greater awareness of human trafficking 's toll
Eastern Missouri has four full time police officers dedicated to investiga ting human trafficking
cases, but convictions are rare. Law enforcement officials say it's hard to build cases against
perpetrators because witnesses are few and victims often are unseen.
St. Louis Public Radio, MO
March 22, 2017
Minnesota boosts state grants for law enforcement to fight sex trafficking
Minnesota law enforcement agenc ies are getting a boost in funding this year for sex trafficking
investigatio ns. The state announced Tuesday that eight grants totaling nearly $800,000 will go
toward police training or new projects and positions. A bill this year is seeking $2.3 million more
in funding to add more shelter beds, resources and youth outreach workers. Another bill seeks
to develop a separate plan for adult victims.
Minneapolis Star Tribune, MN
March 21, 2017
Erasing the 'ownership' tattoos on sex-trafficking victims
During an art-therapy session, Natic ia Leon once stitched toget her fabric dolls without faces.
"That' s what it feels like to be trafficked ," she says. "You 're not your own person. You don ' t
have an identity."
Atlantic, DC
March 21, 2017

EXT-18-241-N-000632

 004276

Grittv film is boosting sex trafficking awareness
The hard-h itting documentary "I Arn Jane Doe" is ope ning peop le's eyes to online child sex
trafficking in the United States that until now they assumed only happened elsewhere. Open in
the United States for a month, the film has prompted calls from around the country and helped
unleash a wave of action against Backpage.com.
Reuters , London
March 20, 2017
Midwest, rural areas not immun e to sex trafficking
Thousands of peop le are sold for sex in the United States each year. But where sex trafficking
happens may surprise you. It's not ju st a big city problem.
Kansas Public Radio, KS
March 20, 2017

Unaccompanied Children
Wealthy Virginia suburb grapples with gang violence after recent homicides
Supervisor Pat Herrity (R-Springfield) blamed the gang problem on the aniva l in Fairfax County
Public Schools of unaccompanied minors from Centra l America , many who came to the United
States illegally after fleeing violence in El Salvador, Guatemala or elsewhe re. Under federa l law,
the school system is required to accept such students . "We've had about 1,500 undocumented
minor children in our school system over the last coup le of years, so this problem really
shouldn't be too surprising," Herrity said.
Washington Post, DC
March 21, 2017
Some of Hogan's statements on Rockvill e rape miss the mark
Hogan blamed the Oba ma admin istratio n for the presence of the two suspects in the Un ited
States. "It appea rs as if this was part of the Obama unaccompanied minor kind of amnesty
program where they allowed these kids to come in," he said. "They sent them to Montgomery
County with no one being provided information." More than 150,000 unaccom panied minors
from Mexico and Central Ame rica have crossed the border illegally over the past three years.
Washington Post, DC
March 21, 2017
Exclusive-immigration expert: Obama's 'catch and release' policy allowed illegal alien
rape suspects into the U.S. (featuring ACF)
An alleged rapist was delivered from Central America to a school hallway in Maryland by
former President Barack Obama's policy of treating economic migrants as if they were victims
of crime, said an expert on illega l immigratio n.
Breitbart News, CA
Ma rch 21, 2017
Two illegal aliens raped a 14-year-old girl in a Maryland high school bathroom (featuring
ACF)

EXT-18-241-N-000633

 004277

Two illega l aliens raped a 14-year-o ld girl in the bathroom of a D.C.-area high school last
Thursday , ju st months after arriving in the country unlawfully and enro lling in classes .
MRCTV, VA
March 21, 2017

This information is provided for internal research purposes and
should not be circulated outside of ACF. Each article is copyrighted
by the source listed, and the prior written permission of the source
. nee d e d f◄or f,u rth er copying.
.
,s
Sender :
Recipient:

Fields, Marivic (Maria) (ACF) </O=EXCHANGELABS
/OU=EXCHANGE
ADMINISTRATIVE
GROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
= 1C431157E766444498009E3533558110-FIELDS,
MAR>
"De LA Cruz, James(ACF) </o=Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>"

Sent Date: 2017/03/22 19:11:49

EXT-18-241-N-000634

 004278

Smith, Elicia (ACF) </O=EXCHANGELABS/O
U=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN=3CDB964AB90D4310BD202C084B7E6097-SMITH,
ELIC>
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=39e67b42d96043c688e84fa6cef42570
-Velazquez,>";
To:
" De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De LA Cruz,>"
Subject: REJb)(6)

lhas been granted asylum

Date: 2017/03/22 20:53:23
Priority: Normal
Type: Note

Hi Ivonne ,
No the minor is not a danger to self or others . Do you want the program to subm it a
release recommendation in the UAC Portal? I did not review the sponsor's FP, the OSSI
referral/FFS denial was proce ssed at a previous placement.
Best,
Elicia
Elicia Smith
Federal Field Spec ialist
U.S. Department of Health &Human Services
Administration for Children &Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operations
San Francisco, CA
Email: elicia.smith@acf.hhs.gov
Mobile: ,__l
(b___
)(......
6)___
_.

From: Velazquez, Ivonne (ACF)

Sent: Wednesday, March 22, 20 17 5:42 PM
To: Smith, Elicia (ACF); De LA Cruz, James (ACF)

Subject: Re: l<bl/6\

h as been granted asylum

Dear Elicia,
+ Jim for his awareness and feedback
Question,
Is the minor danger to self or others? Are the findings from the fingerprints of sponsor's
related to abuse of a minor? Call me in the morning to further discuss the case.
Thanks
Ivonne

EXT-18-241-N-000635

 004279

From: Smith , Elicia (ACF)
Sent: Wed nesday, Marc h 22, 2017 5:27:36 PM
To: Ve lazquez Ivonne ACF)
Subject: FW: (b)(5)
as been granted asylum

Hi Ivonne,
The minor's maternal Uncle ~b)(6)
land his wifekb)(6) !are the family
nto their care. Mr.
members who are in the USA and have agreed to take (b)(5)
was the first identified spon sor but due to an O
re erra l, was ruled out by FFS
fb)(5)
Program
at previous program. The uncle resides at l(b)(6)
has confirmed relationship with a trail of BC.

I

l(b)(6)
land his wife have been very supportive throughout minor 's stay in ORR care
and have even come to visit him at the facil ity. They are on standby to drive up to pick
him up from BCFS.
Please advise ifl am approved to finalize release of this minor with asy lum status from
ORR care to his matern al uncle.
Best,
Elicia
Elicia Sm ith
Federal Field Specialist
U.S. Department of Hea lth &Human Serv ices
Administration for Children &Families
Office of Refugee Resettlement
Division of Unaccompan ied Children Operations
San Francisco , CA
Ema il: elicia .smith@acf.hh s.gov
Mobile j~
(b_)(6
_)___

~

Fromf b)(6)
@lsc-sf.org]
Sent: Wednesday, March 22, 20 17 4:32 PM
To: Smith, Elicia (ACF); Velazquez, Ivonne (ACF)
Cc:

(b)(6) .

Subject b)(6)

has been granted asylum

Good afternoo n Elic ia and Ivonne ,
I'm writing with the excellent news that~b)(6)
!(A Kb)(6)
1was
granted asylum as of 3/6/17. We only found out on Monday 3/20/17 and I received his
approva l notice today . ~
as his notice and 1-94 and wi ll give it to him when she seems
him tomo rrow at BCFS Fairfie ldj(b)(6)
!is no longer an unaccompanied child as he has

EXT-18-241-N-000636

 004280

legal status and his removal proceedings were tern1inated on 3/20/ 17. ORR thus no longer
~nd must release him. I'm attac hin scans of his
has a lega l basis for custody otb)(6)
approva l notice, his I-94 , and the j udge's order term inating proceedi ngs. (b)(B)
has
family infbl(6)
lvith whom he wishes to live. He turns 18 on April b)(6)
t this
time we are advocat ing that he be released to his family as quickly as possible. Er in and I
welcome a conve rsation with ORR and BCFS to plan for his prompt transitio n out of
custody .
Regards,
rono uns: She/Her/Hers)
.......,_~-~~-~
emor ta t Attorney
Legal Services for Children
1254 Market Street, 3rd Floo r
San Franc isco, CA 94102
Direct Line: (415) 780 ~
Fax: (4 15) 863-7708

Smith, Elicia (ACF) </O=EXCHANGELABS/O
U=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDI BOHF23SPDL
T)/CN=RECIPIENTS/CN
=3CDB964AB90D4310BD202C08487E6097-SMITH,
ELIC>
Recipient:

"Velazquez,Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn ==Reci
pients/cn==39e67b42d9604
3c688e84fa6cef42570-Velazquez,
> ";
"De LA Cruz, James (ACF) </o==Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba9Sd119ab4cd6a77b34616dc3366c
-De LA Cruz,>"

Sent Date: 2017/03/22 20:53:22
Delivered Date: 2017/03/22 20:53:23

EXT-18-241-N-000637

 004281

Velazquez,Ivonne (ACF) </O=EXCHANGELABS/O
U=EXCHANGEADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN=39E67B42096043C688E84FA6CEF42570VELAZQUEZ,>
"Smith, Elicia (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn = 3cdb964ab90d4310bd202c084b7e6097-Smith, Elie>";
To:
" De LA Cruz, James (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-DeLA Cruz,>"
Rdb
)(6)
Subject:
has been granted asylum
Date: 2017/03/22 21:00:42
Priority: Normal
Type : Note

Dear Elicia,
Yes, have the program submit a release request with sponsor information. Also, contact the FFS
to see if you can be provided with the fingerprints results. In the event that we need to release
the UC to the sponsor, it will help to know the results of the fingerprints .
It will also help the program to provide us with a plan.
Thanks, ivonne

From: Smith , Elicia (ACF)
Se nt: Wednesda y, March 22, 2017 5:53:22 PM
To: Velazquez , Ivonne (ACF); De LA Cruz , James (ACF)
Sub ject: RE:._k
b.......
l(__
6l_

_.l has been

granted asylum

Hi Ivonne,

EXT-18-241-N-000638

 004282

No the minor is not a danger to self or others. Do you want the program to submit a release
recommendation in the UAC Portal? I did not review the sponsor's FP,the OSSI referral/FFS
denial was processed at a

previous placement.

Best,

Elicia

Elicia Smith
Federal Field Spec ialist
U.S. Department of Health &Human Services
Administration for Children &Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operations
San Franc isco, CA
Email:

elicia.smith@acf.hhs.gov
6l___
Mobile: l(b
...._)C
_

_.

From: Velazquez,Ivonne (ACF)

Sent: Wedne sday, March 22, 2017 5:42 PM
To: Smith, Elicia (ACF) ; De LA Cruz, James (ACF)

EXT-18-241-N-000639

 004283

Subject: Re:~l
<b
_)(6
_) -~l

has been granted asylum

Dear Elicia,

+ Jim for his awareness and feedback
Que stion ,
Is the minor danger to self or others? Are the findings from the fingerprin ts of sponsor's
related to abuse of a minor ? Call me in the morning to further discuss the case.

Thanks
Ivonne

From : Smith, Elicia (ACF)

Sent: Wednesday, March 22, 2017 5:27:36 PM
To: Velazquez, Ivom1e (ACF)
Subject: Fwj~<b
_)<6_) -~l

has been granted asylum

Hi Ivonne,

EXT-18-241-N-000640

 004284

___

___

..,...
..__~
The minor's maternal Uncle..._
b)(6)
and his wife( b)(6) re the family members who
are in the USA and have agreed to tak (b)(B)
to their care. b)(6)
as the first
identified sponsor but due to

an OSSI referral, was rnled out by FFS at previous program. The uncle resides at ._k
b"""
)(6
""""
l_ _.
IProgram has confirmed relationship with a trail of BC.
l(b)(
6)

rb)(B)
land his wife have been very supportive throughout minor's stay in ORRcare and have
even come to visit him at the facility. They are on standby to drive up to pick him up from BCFS.

Please advise if I am approved to finalize release of this minor with asylum status from ORRcare
to his maternal uncle.

Best,
Elicia

Elicia Smith
Federal Field Specialist
U.S. Department of Health &Human Services
Administration for Children &Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operations
San Francisco, CA
Email:

elicia. smith@acf.hhs.gov
Mobile: ._l
<b_)(_B)___

_.

EXT-18-241-N-000641

 004285

From: Ll
<b..:...:
)(6
....:.
l________

..i-~'"""ls=c'-'-s=f=.o..,__.rg]

Sent: Wednesday , March 22, 2017 4:32 PM
To: Smith, Elicia (ACF); Velazquez, Ivonne (ACF)
Cc: b)(6J

Subject: ._f
b_)(6_l_~lh

as been granted asylum

Good afternoon Eliciaand Ivonne,

I

was granted
KAl
(b)(6)
I'm writing with the excellent news that l(b)(6)
asylum as of 3/6/17 . We only found out on Monday3/20/17 and I received his approval notice
today. Erinhas his notice and 1-94 and willgive
it to him when she seems him tomorrow at BCFS Fairfield. l(b)(
6)
lis no longer an
unaccompan ied child as he has legal status and his removal proceedings were terminated
~nd must
on 3/20/17 . ORR thus no longer has a legal basis for custody o~(b)(6)
release
him. I'm attaching scans of his approval notice, his 1-94, and the judge's order
terminating proceedings. b)(6)
as family in £bl(6)
lwith whom he wishes to live.
t t is time we are advocating that he be released to his
He turns 18 on (b)(6)
family as quickly as possible. Erin and I welcome a conversation with ORR and BCFS to
plan for his prompt transition out of custody.

Regards,

._l
<b
_J(6
_l___

_,~Pronouns: She/Her/Hers)

Senior Staff Attorney

EXT-18-241-N-000642

 004286

Legal Services for Children
1254 Market Street, 3 rd Floor
San Francisco, CA 94102

l.....

Direct Line: (b_H6_)___

__,

Fax: (415) 863-7708

Velazquez,Ivonne (ACF) </O=EXCHANGELABS/OU= EXCHANGEADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
=39E67842D96043C688E84FA6CEF42570VELAZQUEZ,>
Recipient:

"Smith, Elicia (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=3cdb964ab90d4310bd202c084b
7e6097-Smith, Elie>";
"De LA Cruz, James (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>"

Sent Date: 2017/03/22 21:00:42

EXT-18-241-N-000643

 004287

White, Jonathan (ACF) </O = EXCHA
NGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN= E9B5FE526F1D4BA0A6CC8DDEE8EC4D87JONATHANWH>
To:

"Brooks, Teresa (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn =0a2883a19e184fffb906bb06591b568a-Brooks,Ter> "

"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>";
"Tota, Kenneth (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
CC:
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Sc0919fe56454c2b8e7c59c38646ebec-To
ta, Kenne>";
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn =Bartholomew, Michael>"
Subject: FW: Report of Significant Incident-Event # 95439
Date: 2017/03/22 22:01:40
Priority: Normal
Type: Note

Teresa,
Thank you for promptly elevating this case for our visibility . We do not think any other
information or action is required at this time, but if HHS Policy Team members have additional
questions or suggestions, we will loop back with you on it . Thanks again.
Jonathan

From: "Brooks , Teresa (ACF)" <Teresa.Brooks @ACF. hhs.gov>
Subject: Report of Significant Incident-Event #95439
Date: 22 March 2017 18:04
To: "De LA Cruz, James (ACF)" <James.DeLACruz @acf.hhs.gov >, "Tota, Kenneth
(ACF)" <kenneth.tota @acf.hhs.gov> , "Bartholomew, M ichael (ACF)"
<M ichae l .Bartha lomew @acf. hhs.gov>
All
This information is being provided to you for your information and awareness .
Please see the attached SIRfor a female UC at the SWK Casa Presidente Program in Brownsville,
TX. Per the attached document, the UC is pregnant as the result of a sexual assault wh ich
occurred in her country of origin. Also, per the attached document, the UC is not seeking to
terminate her situation, but instead has voiced that she will be proceeding in her pregnancy .
Please advise as to if additional information is requested in this item.
Sincerely,
Teresa
Teresa Brooks
Federal Field Specialist Supervisor, South Texas

EXT-18-241-N-000644

 004288

HHS ACF ORR DUCO
!(b)(6)

I

Teresa.Brooks@acf.hhs.gov

From: Cantu, Kristopher (ACF)

Sent: Tuesday, March 21, 2017 5:08 PM
To: Brooks, Teresa (ACF)
f h11r,1
I
Subject : FW: Report of Significant Incident-Event #95439

Cc:

HI Teresa,
Not sure if this case was brought to your attention as per Jims guidance attached .

Kristopher Cantu - Federal Field Specialist
Department of Health and Human Services
Administration of Children &Families
Office of Refugee Resettlement
Division o Unaccom anied Children's Operations
Cell- (b)(5 )

.........,.----=--

Kristopher.cantu@acf.h hs.gov

From: Kb)(6)

@swkey.org]

Sent : Tuesday, March 21, 2017 11:07 AM
To: ACF SI RHOT LINE (ACF); Young, Apr il (ACF); Cantu, Kristopher (ACF); Hernandez, Miguel

I
(ACF) (CTR); Marqarita.Lew is@F52@lcom ; kbl(6l
Cc:j (bl(6b
IUMP Medical; l<bl(6l
I959
Medical; Irizarry, Tamara (ACF) (CTR); 959 Case Managers; 959 Clinical; UM - REDs - South
Texas
Subject: Report of Signifi cant Incident-Event #95439
SIR: CASA EL PRESIDENTE

CLIENTS NAME l(b)(6)

A~

SUMMARY : Post ive HCG/Sexual Abuse

E- Confirmation

Number :~l
(b_)(6
_)_~

EXT-18-241-N-000645

 004289

l Medical

Reported By:Kbl(6)

fbl(6)

Coordinator

~CCMA

Medical Coordinator
SWKey Casa El Presidente-959

Office: 956-589-7410
Fax: 956-517-2024

CONFIDENTIALITY NOTICE: This communication is intended only for the use of
the individual or entity to which it is addressed and may contain informa tion that is
privileged , confidential, and exempt from disclosure under applicable law. If you
have received this email in error please notify the sender by email, delete and
destroy this message and its attachments. If you are not the intended recipient, you
are notifi ed that any use, dissemination , distribution , or copyin g of the
communication is strictly prohibited .

White, Jonathan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/C
N= E9B5FE526F1D4BA0A6CC8DDEE8EC4D87JONATHANWH>
"Brooks, Teresa (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn =0a2883a19e184fffb906bb06591b568a-Brooks,Ter> ";
" De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn=Recipients/cn=2eba95dl 19ab4cd6a77b34616dc3366c-DeLA Cruz,>";
Recipient:
"Tota, Kenneth (ACF) </o=Exchangel abs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn =5c0919fe56454c2b8e7c59c38646ebec-Tota, Kenne>";
" Bartholomew, Michael (ACF) </o=Exchangelabs/o u=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>"
Sent Date : 2017/03/22 22:01:39
Delivered Date: 2017/03/22 22:01:40

EXT-18-241-N-000646

 004290

Velazquez,Ivonne (ACF) </O=EXCHANGELABS/O
U=EXCHANGEADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN=39E67B42096043C688E84FA6CEF42570VELAZQUEZ,>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>";
To:
"Smith, Elicia (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=3cdb964ab90d4310bd202c084b7e6097-Smith, Elie>"

CC:

"Sinkins, Katherine (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=fld9a3d ld l 784269b4b9bf43506452d8-Sink
ins, Ka>"

Subject: RE{b)/6)

~as been granted asylum

Date: 2017/03/22 22:03:55
Priority: Normal
Type: Note

Thank you Jim!

From: De LA Cruz , James (ACF)
Se nt: Wed nesday , March 22, 2017 6:59: 16 PM
To: Velazquez, Ivonne (ACF) ; Smith, E licia (ACF)
Cc: Sinkins, Katherine (ACF)
Sub ject: RE: f._b_l(6_l_ __,ras been granted asylum

I agre ~(b)(S)

EXT-18-241-N-000647

 004291

1~)(5)

Kb)(S)

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senio r Federal Field Specialist Supervisor
Off ice of Refugee Resettlement
Division of Children ' s Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Wash ington, DC 20201
Office: 202-690-8477
Cell: =!{b.....,
l(6'"""l__

_,

Fax: 202-401-1022
ht tp://www .acf.hhs.gov/programs/o rr/programs/ucs

From: Velazquez, Ivonne (ACF)

EXT-18-241-N-000648

 004292

Sent: Wednesday, Marc h 22, 2017 8:42 PM
To: Smith , Elicia (ACF); De LA Crn z, James (ACF)
Subject: Re : l._
<b_)(6_)_ ___,~
as been granted asylum

Dear Elicia,

+ Jim for his awareness and feedback
Question ,
b)(5)

Thanks
Ivonne

From: Smith, Elicia (ACF)

Sent: Wednesday , March 22, 2017 5:27:36 PM
To: Ve lazquez, Ivonne (ACF)
Subject: FW:l(b)(6)

!has been granted asylum

EXT-18-241-N-000649

 004293

Hi Ivonne,

The minor's maternal Uncle 1/=
b~l<~6\~-----.======!..:l
a:..:.
n.:..,
d his wife (b)(6) are the family members who
Into their care b)(5)
as the first
are in the USA and have agreed to take fb)(5)
identified sponsor but due to

an OSSI referral , was ruled out by FFS at previous program. The uncl e resides at fbl(6)
l(b)(6)
IProg ram has confirmed relationship with a trail of BC.

I

fb)(6)
and his wife have been very supportive throughout minor's stay in ORR care and have
even come to visit him at the facility. They are on standby to drive up to pick him up from BCFS.

Please advise if I am approved to finalize release of this minor with asylum status from ORR care
to his maternal uncle.

Best,
Elicia

Elicia Smith
Federa l Fie ld Specialist
U.S. Department of Health &Human Services
Administration for Children &Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operations
San Francisco, CA
Email:

elicia.smith@acf.h hs.gov
Mobile: ~l
(b_)(6
_) __

~

EXT-18-241-N-000650

 004294

From:Ll
<b..:.:
)(6...:.
)_______

_J ~--=lsc=---=sf-'-'.o~rg
l

Sent : Wednesday , March 22, 2017 4 :32 PM

To: Sm ith, Elicia (ACF); Ve lazque z, Ivonne (A CF)
Cc : b)(6l

Subject: JMR 913 has been gi-anted asylum

Good afternoon Elicia and Ivonne,

I

I'm wr iting with the excellent news that !(b)(6)
kAKb
)(6)
was granted
asylum as of 3/6/17. We only found out on Monday 3/20/17 and I received his approval notice

today.(b)

has his notice and 1-94and wil l give

it to him when she seems him tomorrow at BCFS Fairfie ldJ bl(5 >
ls no longer an
unaccompanied chi ld as he has legal status and his remova l proceedings were terminated
~nd must
on 3/20/17. ORR thus no longer has a lega l basis for custody ofTbH6)
release
him. I'm attac hing scans of his approva l notice, his I-94 , and the judge's order
terminat ing proceedings. b)(6)
ias family in l(b)(6 )
r'ith whom he wishes to live.
He turns 18 o b)(6 )
At this time we are advocating that he be re leased to his
family as quick ly as possib le. (b) and I welcome a conversa tion with ORR and BCFS to
plan for his prompt trans ition out of custody.

Regards,

EXT-18-241-N-000651

 004295

....l<6_l ___
fb_

___.~
Pronouns: She/Her/Hers)

Senior Staff Attorney
Legal Services for Chi ldren
1254 M arket Street , 3 rd Floor
San Francisco, CA 9410 2
b~}<....
Direct Line :""K
6)____

_.

Fax: (415) 863-7708

Velazquez,Ivonne (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMI NISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN=39E67842D96043C688E84FA6CEF42570VELAZQUEZ,>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c
-De LA Cruz,>";
"Smith, Elicia (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
Recipient:
(FYDIBOHF23SPDL
T)/cn =Recipients/cn = 3cdb964ab90d4310bd202c084b7e6097-Smith, Elie>";
"Sinkins, Katherine (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=f1d9a3dld 1784269b4b9bf43506452d8-Sinkins,Ka>"
Sent Date: 2017/03/22 22:03:54
Delivered Date: 2017/03/22 22:03:55

EXT-18-241-N-000652

 004296

Hymel, Niky (ACF) </O = EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
=4D 1DC4EFB40F489D8CCF23F92FD3AFE4-HYMEL,
MON!>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recip
ients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>";
To:
" Fuentes-Kerr, Michelle (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=ef5ae8b659a642b895179b68d6a93def-Fuentes,
Mi>"

CC:
Subject:

"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/ en=Recipients/cn= le32d334f481495291265lab60e4fde6-Gonzalez,J>"
Answer: Abortion RequestMemo toj(b)(6)

15iC6]

IA# l(b)(6)

I

Date: 2017/03/23 10:32:37

Priority: Normal
Type: Note

I confirmed with the program that ORRpaid for the procedure. Plus, as mentioned below this
was a judicial bypass review case.

Niky Joubert Hyme l
Federal Field Speciali st
Division of Unacco mpanied Children Operation s (DUCO)
USDHHS-ACF-ORR-DU CO
niky.hym el@acf. hhs.gov
!/9)/6) ,

http://www.acf.hhs .gov/program s/orr/programs /ucs
From: Hymel, Niky (ACF)
Sent: Thursday, March 23, 2017 9 :13 AM
To: De LA Cruz, James (ACF); Fuentes-Kerr, Michelle (ACF)
Cc: Gonzalez,Jose (ACF)
Subject : RE: Abortion Request Memo forf.._b_)(6_) ____________
f b)(6)

I

_,jA#~

I know for sure this was a judicial bypass case and the procedure was going to be funded by
three non-profit organizations. I am verifying with the program that the organizations paid for
the procedure as was planned .

Niky Joubert Hymel
Federal Field Specialist
Division of Unaccompanied Children Operations (DUCO)
USDHHS-ACF-ORR-D UCO
nik .h me l acf.hhs. ov
(b)(6)

http://www.acf.hhs.gov /program s/orr/programs /ucs
From: De LA Cruz, James (ACF)
Sent: Thursday, March 23, 2017 8:57 AM
To: Fuentes-Kerr, Michelle (ACF)
Cc: Gonzalez,Jose (ACF); Hymel, Niky (ACF)

EXT-18-241-N-000653

 004297

Subject: RE: Abortion Request Memo for¥~b_)(6_)___________

I

fb)(6)

~! A# l<b)(6)

I

Aside from the payment issue, was this a judicial by pass case?

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor {Room: 5223)
330 C Street SW
Washington, DC 20201
Office: 202-690-8477
Cell: !{bl/6)
I
Fax: 202-401-1022
http://www.acf.hhs.gov/programs/orr/programs/ucs

From: Fuentes-Kerr, Michelle (ACF)
Sent: Thursday, March 23, 2017 8:54 AM
To: De LA Cruz, James (ACF)
Cc: Gonzalez, Jose (ACF); Hymel, Niky (ACF)
Subject: RE: Abortion Request Memo for ""'l
<b-)(-6)-----------~I
l<b)(6)

I

A# l(b)(6)

I

(b)(S)

Michelle Fuentes-Kerr, MA
Federal Field Specialist
DHHS/ ACF/ORR/DU CO
Houston Region

I

fb )(6)

From: De LA Cruz, James (ACF)
Sent: Thursday, March 23, 2017 7:52 AM
To: Fuentes-Kerr, Michelle (ACF)
Cc: Gonzalez, Jose (ACF); Hymel, Niky (ACF)
Subject: Re: Abortion Request Memo for ""'l<
b.,....,
l/6
.,,..,.
l--------------.LA.
!(b)(6)

# l<bl/6\ I

!

EXT-18-241-N-000654

 004298

Hi Michelle, the memo would best be provided by the source that informed you the procedure
was approved.
I do have a thought that might help provide perspective. fbl(5)

I

b)(5)

Was the case judicial by pass related and did ORR pay for the procedure?
Jsd
From: Fuentes- Kerr, Michelle (ACF)
Sent: Thursday, March 23, 2017 8:07:29 AM
To: De LA Cru z, James (ACF)
Cc: Gonzalez, Jose (ACF); Hymel, Niky (ACF)
Subject: Abortion Request Memo fo l=
(b-)(6
=)------------~I

A# l<b)(6)

Hello Jim,
Would you all happen to have the official abortion approval memo for this minor listed?
did received the email stating that it was approved in June of 2016, but we never received
the memo with the official signature.
Due to the heightened medical procedures, the program is asking for the official memo for
their records.
Please let me know ifwe should be requesting this elsewhere ..
Thank you!

Michelle Fuentes-Kerr, MA
Federal Field Specialist
DHHS/ ACF/ORR/DU CO
Houston Re ion
(b)(6)
From:fb)(6)

1:9?
swkey.orgl

Sent: Thursday, March 09, 2017 9:53 AM
To: Fuentes-Kerr, Michelle (ACF)
Subject: Abortion Request Memo

Good Morning Michelle,

EXT-18-241-N-000655

 004299

back in June 28, 2016, you sent Casa Quetzal an approved memo for an abortion
request from one of our minors. I am seeing the memo, but it is not signed by ORR.

Would you happen to have the signed memo?

Minor is:""
!(b=l(=6
l_____________

____.l
A#l(bl(6l

fb )(6)
~ Lead CaseManager
Southwest Key Programs I Casa Quetza l - 961
7407 North Freeway I Houston, TX 77076
fo..,..
\/'"""
6\,-----,
Office· 832-844-2423 Ext rb \/6\ Cel· ""
l(b)(6)
l'i>swkev.org I www.swke'i.org

I

Hymel, Niky (ACF) </O=EXCHANGELABS/OU=EXCHANGE ADMINISTRATIVE GROUP

Sender: (FYDIBOHF23SPDLT)/CN =RECIPIENTS/CN=401DC4EFB40F489D8CCF23F92FD3AFE4-HYMEL,
MONI>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange
Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c -De LA Cruz,>";
"Fuentes -Kerr, Michelle (ACF) </o=Exchangelabs/ou=Exchange
Administrative Group
Recipient :
Mi>";
(FYDIBOHF23SPDLT)/cn =Reci pients/cn=ef5ae8b659a642b895179b68d6a93def-Fuentes,
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange
Adm inistrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn= le32d334f4814952912651ab60e4fde6-Gonzalez, J>"

Sent Date : 2017/03/23 10:32:36
Delivered Date : 2017/03/23 10:32:37

EXT-18-241-N-000656

 004300

Hymel, Niky (ACF) </O = EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN=4D 1DC4EFB40F489D8CCF23F92FD3AFE4-HYMEL,
MON! >
"Fuentes-Kerr, Michelle (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn =ef5ae8b659a642b895179b68d6a93def-Fuentes,
Mi>";
To:
" De LA Cruz, James (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-DeLA Cruz,>"
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/ en=Recipients/cn= le32d334f481495291265lab60e4fde6-Gonzalez,J>"
IA# f b)(6)
Subject: RE: Abortion RequestMemo fo~b)(6)
I

CC:

Date: 2017/03/23 10:38:06
Priority: Normal
Type: Note

Thanks, Michelle!

Niky Joubert Hyme l
Federal Field Specialist
Division of Unaccompanied Children Operations (DUCO)
USDHHS-ACF-ORR-D UCO
niky.hym el@acf.hhs.gov

!

fb )(6)

http ://www .acf.hhs .gov/pro grams/orr/programs/ucs
From: Fuentes-Kerr, Michelle (ACF)

Sent: Thursday, March 23, 2017 9:32 AM
To: Hymel, Niky (ACF); De LA Cruz, James (ACF)
Cc: Gonzalez, Jose (ACF)
Subject: RE:Abortion Request Memo for f b)(5)
!(b)(6)

I

~-----------~

IA# l(b)(6)

I

Thanks Jim and Niky.
I know this was your case Niky, but since I handled it when you went on leave, I just wanted
to follow through.

Miche ll e Fuentes -Kerr, MA
Federa l Field Specia list
DHHS/ ACF/ORR/DUCO
Houston Region
t b)(6)

From: Hymel, Niky (ACF)

Sent: Thursday, March 23, 2017 9 :13 AM
To: De LA Cruz, James (ACF); Fuentes-Kerr, Michelle (ACF)
Cc: Gonzalez, Jose (ACF)

EXT-18-241-N-000657

 004301

fs~i

:
1

RE: Abortion Request Memo for ...
Kb_)(6
_)___________

_.I A# l<b)(6)I

I know for sure this was a judicial bypass case and the procedure was going to be funded by
three non-profit organizations. I am verifying with the program that the organ izations paid for
the procedure as was planned.

Niky Joub ert Hy mel
Federa l Field Specialist
Division of Unaccompanied Children Operations (DUCO)
USDHHS -ACF-ORR-DUCO

From: De LA Cruz, James (ACF)

Sent: Thursday, March 23, 2017 8:57 AM
To: Fuentes-Kerr, Michelle (ACF)
Cc: Gonzalez, Jose (ACF); Hymel, Niky (AC.,;-F..,..)
____________
Subject: RE: Abortion Request Memo fo~b)(6)
fb)(6)

I

_,
IA#flillfilJ

Aside from the payment issue, was this a judicial by pass case?

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Off ice of Refugee Resettlement
Division of Childr en's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washington, DC 20201
Office: 202-690-8477
Cell: !{bl(6l
I
Fax: 202-401-1022
http://www.acf.hhs.gov/programs/orr/programs/ucs

From: Fuentes-Kerr, Michelle (ACF)

Sent: Thursday, March 23, 2017 8:54 AM
To: De LA Cruz, James (ACF)
Cc: Gonzalez, Jose (ACF); Hymel, Niky (AC
,.,,.
F.,...
)=---------------.
Subject: RE: Abortion Request Memo for l(b)(B)
fb )(6)

I

IA# l<b)
(B) I

I am going to defer to Niky on this?

EXT-18-241-N-000658

 004302

Niky, do you remember who paid for this? I know we were waiting and received and official
memo from ORR approving the procedure, but when we received the approval email, the
memo had no signature.

Michelle Fuentes-Kerr, MA
Federal Field Specialist
DHHS/ ACF/ORR/DU CO
Houston Re.qion

I

fb)(6)

From: De LA Cruz, James (ACF)
Sent: Thursday, March 23, 2017 7:52 AM
To: Fuentes-Kerr, Michelle(ACF)
Cc: Gonzalez, Jose (ACF); Hymel, Niky (ACF)
Subject: Re: Abortion Request Memo for ,.,,.K
b.,...,
)(6=
)-------------.I
l(b)(6)

I

A# l(b)(6

I

Hi Michelle, the memo would best be provided by the source that informed you the procedure
was approved.

I

I do have a thought that might help provide perspective. ~b)(5l
(b)(5)

Was the case judicial by pass related and did ORRpay for the procedure?
Jsd
From: Fuentes-Kerr, Michelle (ACF)
Sent: Thursday, March 23, 2017 8:07 :29 AM
To: De LA Cruz, James (ACF)

Cc: Gonzalez, Jose (ACF);Hymel, Niky (ACF)
Subject: Abortion Request Memo for l~
(b-)(6
- )------------~I

A#fbl(6)

Hello Jim,
Would you all happen to have the official abortion approval memo for this minor listed?
did received the email stating that it was approved in June of 2016, but we never received
the memo with the official signature.
Due to the heightened medical procedures, the program is asking for the official memo for
their records.
Please let me know if we should be requesting this elsewhere ..
Thank you!

EXT-18-241-N-000659

 004303

Michelle Fuentes-Kerr, MA
Federal Field Specialist
DHHS/ ACF/ORR/DU CO
Houston Region
fb)(6)

From: ~bl(6l
@swkey.org1
Sent: Thursday, March 09, 2017 9:53 AM
To: Fuentes-Kerr, Michelle (ACF)
Subject: Abortion Request Memo

Good Morning M iche lle,

back in June 28, 2016 , you sent Casa Quet zal an approved memo for an abortion
request from one of our minors. I am seeing t he memo, but it is not signed by ORR.

Would you happen to have the signed memo?

fb_H6
_l ____________
Minor is: ...

____.~~(bl(6l

Lead Case Manager

1-0-u- w
- e~s- e"""
y Programs I CasaQuetzal - 961
07.,.6,.,.,...
__
7407 North Freeway I Houston, TX 77.,.
Office: 832-844-2423 Ext~
el: f b)(6)
fb)(6)
pi swkey.org I www .swkey.org._____

_,
....,

Hymel, Niky (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
=4D 1DC4EFB40F489D8CCF23F92FD3AFE4-HYMEL,
MONI>
"Fuentes-Kerr, Michelle (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/ en=Recipients/cn=ef5ae8b659a642b895179b68d6a93def
-Fuentes, Mi>";
" De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
Recipient:
(FYDIBOHF23SPDLT)/cn=Recip
ients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"Gonzalez, Jose (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= le32d334f481495291265lab60e4fde6-Gonzalez,J>"
Sent Date: 2017/03/ 23 10:38:06

EXT-18-241-N-000660

 004304

Smith, Elicia (ACF) </O=EXCHANGELABS/OU= EXCHANGEADMINISTRATIVE GROUP

From: (FYDIBOHF23SPDLT)/CN =RECIPI ENTS/CN=3CDB964AB90D4310BD202C084B7E6097 - SMITH,
ELIC>
"Sinkins, Kather ine (ACF) </o=Exchangelabs/ou=Exchange
Administrative Group
(FYDIBOHF23SPDLT)/cn = Reci pients/cn = fld9a3d ld 1784269b4b9bf43506452d8-Sink ins, Ka>";
"Velazquez, Ivonne (ACF) </o = Exchangelabs/ou = Exchange Administrative Group
To:
(FYDIBOHF23SPDLT)/cn =Reci pients/cn=39e67b42d9604 3c688e84fa6cef42570 -Velazquez, > ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange
Adminis t rative Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn = 2eba95dl 19ab4cd6a77b34616dc3366c -De LA Cruz,>"

Subject: RE:l(b)(6)

~as been granted asylum

Date: 201 7/03/23 12:32 :36
Priority: Norma l
Type : Note

Hi Kate,
Grandmother was also ruled out and no other sponsors have come forward. Uncle has
maintained contact with Case Manager and stated an intent to learn more from ORR
regarding the conditions of his sponsorship denial. FFS denied Uncle after OSSI referral
while UC was in care at SWK Casa Kokopeli. FFS Will Calero has sent me the FP to
review.
Due to the fact that both Grandmother and Uncle were not viable sponsors per ORR
policy , current care plan is to submit Post 18 plan to FOJC two weeks prior to age out.
We have a smooth Post 18 process establis hed in collaboration with programs, LSC and
the San Francisco FOJC. Plans generally utilize services, support and housing offered
through Lark Inn http ://larkinstreetyouth.org/lark-inn/ .
Best,
Elicia
Elicia Smith

Federal Field Specialist
U.S. Department of Health &Human Services
Administration for Children &Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operations
San Francisco, CA
Email: elicia.smith@acf.hhs.gov
Mobile: ....
fb_)(_
6)___

__.

From: Sinkins, Katherine (ACF)

Sent: Thursday, March 23, 2017 5:52 AM
To: Velazquez,Ivonne (ACF); De LA Cruz, James (ACF); Smith, Elicia (ACF)
Subject: RE:Kb)(6)
has been granted asylum

EXT-18-241-N-000661

 004305

Elicia and Ivonne,
b)(S)

Katherine Sinkins , Esq.
Immigration Specialist
United States Department of Health and Human Services
Administration for Children and Families
Office of Refugee Resettlement
Division of Unaccompan ied Children Operations
(202) 205-8067
Katherine. Sinkins@acf.h hs.gov
<b_)(6
_)____
*Please note that I telework on Fridays and can be reached at l.....

_,

From: Velazquez, Ivonne (ACF)

Sent: Wednesday, March 22, 2017 10:04 PM
To: De LA Cruz, James (ACF); Smith, Elicia (ACF)
Cc: Sinkins, Katherine (ACF)
Subject: Rel(b)(6)
,i as been granted asylum

Thank you Jim!
From : De LA Cruz , James (ACF)
Sent : Wedne sday, Marc h 22, 2017 6:59:16 PM
To: Ve lazquez , Ivonne (ACF); Smith, Elicia (ACF)
Cc: Sinkins , Katherine (ACF)
Subject: RE: !(b}(6)
lhas been granted asylum

EXT-18-241-N-000662

 004306

b)(S)

b)(S)

James S. De La Cruz
DHHS /ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children 's Services
Mary E. Switzer Building , 5th Floor (Room: 5223)
330 C Street SW
Washi ngton, DC 20201
Office : 202-690-8477
Cell: !(b)(6 l
I
Fax: 202-401-1022
http://www.acf .hhs.gov/program s/orr/program s/ucs

From: Velazquez, Ivonne (ACF)

Sent: Wednesday, March 22, 2017 8:42 PM
To: Smith, Elicia (ACF); De LA Cruz, James (ACF)

Subject: Re: ~b)(6)

~as been granted asylum

Dear Elicia,
+ Jim for his awareness and feedback

ef stion
,
hanks
Ivonne
From: Smith , Elicia (ACF)
Sent: Wednesday , March 22, 2017 5:27:36 PM
To: Ve lazquez , Ivonne (ACF)
Subject: FW: JMR 913 has been granted asylum

Hi Ivonne ,
The minor's maternal Uncle l<b)(6l
~nd his wifi b)(6l are the family
nto their care. Mr.
members who are in the USA and have agreed to take b)(5l
l(b)(6 l
!was the first identified sponsor but due to an OSSI referra l, was ruled out by FFS

EXT-18-241-N-000663

 004307

at previous program. The uncle resides at l._
<b_
)(_
6)___________

__,1Program

___

has confirmed relation ship with a trail of BC.

b)(6)

.__

_, and his wife have been very supportive throughout minor's stay in ORR care

an ave even come to visit him at the facility. They are on standby to drive up to pick
him up from BCFS.
Please advise if f am approved to finalize release of this minor with asylum status from
ORR care to his maternal uncle.
Best,

Elicia
Elicia Smith
Federal Field Specialis t
U.S. Departm ent of Health &Human Services
Administration for Children &Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operations
San Francisco, CA
Email: elicia .smith@acf.hhs .gov
Mobile: ""!
(b""
)(;6)
..;
____

_,

From: kb\(6\
Wisc-sf.oral
Sent: Wednesday,March 22, 2017 4:32 PM

To: Smith, Elicia(ACF); Velazquez,Ivonne (ACF)
Cc: b)(6)
Subject (b)(6)

has been granted asylum

Good afternoon Elicia and Ivonne,

I'm writing with the excellent news thafbl(6>
l(A fbl(6)
bwas
granted asylum as of 3/ 6/ 17. We only found out on Monday 3/20/17 and I received his
s his notice and 1-94and will give it to him when she seems
approval notice today~a
lis no longer an unaccompanied child as he has
him tomorrow at BCFS Fa1rfieldf )<6)
legal status and his remova l proceed ings were terminated on 3/20/ 17. ORR thus no longer
has a legal basis for custody of fb X6)
~nd must release him. I'm attachin scans of his
appro val not ice, hi s I-94 , and the Judge's orde r term inating proceedin s. b)(5)
as
family in California with whom he wishes to live. He turns 18 on (b)(G)
A t this

time we are advocating that he be released to his family as quickly as possible. ~~~ and I
welcome a conversation with ORR and BCFS to plan for his prompt transition out of
custody.
Regards,

EXT-18-241-N-000664

 004308

(b) (6)

(Pronouns: She/Her/Hers)

Senior Staff Attorney
Legal Services for Chi ldren
1254 Market Street, 3rd Floor

San Francisco, CA 94102
Direct Line: 1(b) (9)
Fax: (415) 863-7708

Smith, Elicia (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVE
GROUP
Sender: (FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN=3CDB964AB90D431
OBD202C084B7E6097-SMITH,
ELIC>
"Sinkins, Katherine (ACF) </o=Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/cn=fld9a3d ldl 784269b4b9bf43506452d8-Sinkins,
Ka>";
"Velazquez,Ivonne (ACF) </o=Exchangelabs/ou=ExchangeAdministrativeGroup
Recipient:
(FYDIBOHF23SPDL
T)/cn=Recipients/cn= 39e67b42d96043c688e84fa6cef42570-Velazquez,
>";
"De LA Cruz,James(ACF) </o=Exchangelabs/ou=Exchange AdministrativeGroup
(FYDIBOHF23SPDL
T)/cn=Recipients/cn=2eba95d
119ab4cd6a77b34616dc3366c-De
LA Cruz,>"
Sent Date: 2017/03/23 12:32:36

EXT-18-241-N-000665

 004309

Houppert (Ruhkamp), Gail (ACF) </O=EXCHANGELABS/O
U=EXCHANGEADMINISTRATIVE
From: GROUP(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
=4D88928C06A84498A966D9352F344094RUHKAMP,GA>
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recip
ients/cn=39e67b42d96043c688e84fa6cef42570
-Velazquez,>";
" Brooks,Teresa (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Oa2883a19e184fffb906bb06591b568a-Brooks,Ter> ";
To:
"Volovar, Jill (ACF) </o=Exehangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/en =Recipients/en=f452feel b8e9475lb340f7ebd6f4ee4b-Volovar, Ji>";
"Gonzalez, Jose (ACF) </o = Exehangelabs/ou= ExehangeAdministrative Group
(FYDIBOHF23SPDL
T)/ en=Recipients/en= le32d334f481495291265lab60e4fde6-Gonzalez,J>"
" De LA Cruz, James (ACF) </o=Exehangelabs/ou=Exehange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95dl19ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"Viola, Sarah (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=394164lc?l ba463aa7a089412fe45d7f-Viola,Sara>";
CC:
"Schipper, Julia (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= 7d429e7fc56e4bd9a6c5937953e3927d-Schi
pper, J>";
"Johnson, Harmony (ACF) </o=Exchangelabs/ou=E xchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Reeipients/en=e23c9b9a749d48fbb652b03ff73adlee-Johnson, Ha>"
Subject: Expedited home study and post release request
Date: 2017/0 3/24 09:37:24
Priority: Normal

Type: Note

Good Morning FFS Supervisor Team ,
b)(5)

EXT-18-241-N-000666

 004310

Best,
Gail
Gail Houppert
Project Officer
Division of Unaccompan ied Children Operations
Office of Refugee and Resett lement
330 D Street SW, Mailroom 5123
Washington , DC 20201
Gail.Houppert@acf.hhs.gov
Office : 202-40 1-9324
Cell: !(bl(6l
I

Houppert (Ruhkamp), Gail (ACF) </O=EXCHANGELABS/O
U= EXCHANGE
ADMINISTRATIVE
Sender: GROUP (FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN=4D88928C06A84498A966D93
52F344094RUHKAMP,GA>
"Velazquez, Ivonne (ACF) </o=Ex changelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazque
z, > ";
" Brooks,Teresa (ACF) </o =Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Oa2883a19e184fffb906bb06591b568a-Brooks,Ter> ";
"Volovar, Jill (ACF) </o=ExchangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=f452fcel b8e9475lb340f7ebd6f4ee4b-Volovar, Ji>";
"Gonzalez, Jose (ACF) </o=ExchangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn = le32 d334f481495291265lab60e4fde6-Gonzalez,J> ";
Recipient:
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-DeLA Cruz,>";
"Viola, Sarah (ACF) </o=ExchangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=394164l c71ba463aa7a089412fe45d7f-Viola, Sara>";
"Schipper, Julia (ACF) </o=ExchangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn= 7d429e7fc56e4bd9a6c5937953e3927d-Schi
pper, J>";
"Johnson, Harmony (ACF) </o=ExchangeLabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=e23c9b9a749d48fbb652b03ff73adlee-Johnson, Ha>"
Sent Date: 2017/03/24 09:37:23
Delivered Date: 2017/03/24 09:37:24

EXT-18-241-N-000667

 004311

White, Jonathan (ACF) </O = EXCHANGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= E9B5FE526F1D4BA0A6CC8DDEE8EC4D87JONATHANWH>
"Bartholomew, Michael (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartho lomew, Michael>";
To:
"Velazquez,Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDI BOHF23SPDLT)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,> "

CC:

"Misegades, Lara (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=bb 1ce43ecb18472b86f2b1dd90441103-Misegades,> ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recip
ients/cn=2eba95d119ab4cd6a77b34616dc3366c-DeLA Cruz,>"

Subject: RE: UC requesting pregnancy terminat ion
Date: 2017/03/29 12:48:58
Priority: Normal
Type: Note

Michael and Ivonne,
(I am looping in Ivonne cc'ing Jim for clarity in communications.)
b)(5)

Please advise.
Jonathan

From: Bartholomew, Michael (ACF)

Sent: Wednesday, March 29, 2017 11: 16 AM
To: White, Jonat han (ACF)
Cc: Misegades, Lara (ACF)
Subject: RE: UC requesti ng pregnancy termi nat ion
Received. Do I understand correctly:

1~)(5)

EXT-18-241-N-000668

 004312

(b)(5)

Michael L. Bartholomew, M.D., FAAP
CDR, U.S. Public Health Service
Director, Division of Health for Unaccompanied Children (DHUC)
Unaccompanied Children Programs
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
Mary E. Switzer Building
330 C St SW, MS 5123
Washington, DC 20201
Phone : 202-401-5375
michael .bartholomew@acf .hhs.gov
www .acf .hhs.gov

From: White, Jonathan (ACF)

Sent: Wednesday, March 29, 2017 11:11 AM
To: Bartholomew , Michael (ACF)
Cc: Misegades, Lara (ACF)
Subject : RE: UC requesting pregnancy te rmination
Received. Do I understand correctly:
•

(b)(5)

•

•
•

EXT-18-241-N-000669

 004313

If I understand correctly, I will recommen

b)(S)

(b)(S)

~--r---,--,..---,~-----,,,...,....--...,.....-

~ - .,.,.,....
-.---.-

.,.,.,...
....
0..,R
...R.--=
D,....
i r-ec_t-o~
,, r.

Please confirm my

From: Bartholomew, Michael (ACF)
Sent: Wednesday, March 29, 20 17 11:04 AM
To: White, Jonathan (ACF)
Cc: Misegades, Lara (ACF)
Subject : FW: UC requesting pregnancy termination
Importance: High
Jonathan,
Please see the email below .
b)(S)

Can I proceed?
Michael L. Bartho lomew, M.D., FAAP
CDR, U.S. Public Health Service
Director, Division of Health for Unaccompanied Children (DHUC)
Unaccompanied Children Programs
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
Mary E. Switzer Building
330 C St SW, MS 5123
Washington, DC 20201
Phone: 202-401-5375
michael. bart ho lomew@acf.hhs.gov
w ww .acf.hhs .gov

From: ~b)(6)
!@swkey.org ]
Sent: Tuesday, March 28, 20 17 6:14 PM
To: Bartholomew, Michael (ACF)
6 ____
Cc:f b)(6)
ISanchez, Alex (ACF); fb
...._l<_>

___.

EXT-18-241-N-000670

 004314

b)(6)
Subject : UC requesting pregnancy termination

Hello Dr. Bartholomew, I am writing in regards to fema le minor¥b)(6)
~he is
the youth that arrived at Las Palmas Program 924 and was requesting to terminate her
pregnancy. At this time minor has been taken to OB/GYN appointment where it is
confirmed that she is~weeks ~days pregnant. Case manager notified us that the only
things pending to reunify minor was medica l (xray, labs, ect). Upon requesting chest
xray, PCP noted that youth's xray was abnormal. Although she is negative for TB
condition, the follow ing findings were documented.

Findings as reported by Erica Yang MD: There is a dextroconvex thoracolumbar scoliosis
measuring approx 8 degrees, with apex at T12-L1, with suspicion butterfly vertebrae at
T12 and possibly Tll.
For this reason PCP is referr ing to neurologist for furthe r evaluation. We have called to
schedu le an appointment for neuro logist in which they are telling us that it will be about
3 weeks for an appointment and they need to verify they can see a pregnant minor.
Taking into consideration her pregnancy and her decis ion to terminate, keep ing her
here will add weeks to her pregnancy to or about 12 weeks. I am asking for your
guidance as to how to proceed from here.
Will mino r be able to proceed with pregnancy terminat ion? (She stil l refuses to te ll mom
in COO, sponsor is aware of pregnancy)
Is the neurologist visit necessary here or can that be followed up with upon reunification ?

Thank you in advance.

Thank you,
._l
(b}_(6_
) __

__.I
LVN

Lead Medical Coordinator

Casa Las Palmas
Southwest Key Program 924
Cell : .....
l<b_l<5_l ___

~ti f t here is no answer, please call .....
fb_)(6_)___

___,

EXT-18-241-N-000671

 004315

'What we do for ourselves dies with us. What we dofor others and the world remains and is
immortal. "

-Albert Pine

CONFIDENTIALITYNOTICE:This communication is intended on ly for the use of the
individual or entity to which it is addressed and may contain information that is
privileged, confidential, and exempt from disclosure under applicable law. If you have
received this email in error please notify the sender by emai l, delete and destroy this
message and its attachments. If you are not the intended recipient, you are notified that
any use, dissemination, distribution, or copying of the communication is strictly
prohibited.

White, Jonathan (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= E9B5FE526F1D4BA0A6CC8DDEE8EC4D87
JONATHANWH>
"Bartholomew, Michael (ACF) </o =Exchangelabs/ou =Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=Bartholomew, Michael>";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,
> ";
Recipient :
"Misegades, Lara (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=bb 1ce43ecb184 72b86f2b1dd90441103-Misegades,> ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>"

Sent Date: 2017/03/29 12:48:57
Delivered Date: 2017/0 3/29 12:48:58

EXT-18-241-N-000672

 004316

Velazquez,Ivonne (ACF) </O = EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: ( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN= 39E67B42D96043C688E84
FA6CEF42570VELAZQUEZ,>
"De LA Cruz, James (ACF) </o=Exchangelabs/o u=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
= Recipients/cn=2eba95dl19ab4cd6a77b34616dc3366c-DeLA Cruz,>";
To:
"Smith, Elicia (ACF) </o =Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/ cn= Recipients/en=3cdb964ab90d4310bd202c084b7e6097-Smith, Elie> "

Subject: RE:[b )/6)

has been granted asylum

Date: 2017/03/29 20:15:54
Priority : Normal
Type: Note

ok

Ivonne Velazquez, LCSW
Federal Field Specialist Supervisor
United States Department of Health and Human Services
Admin istrat ion of Child ren and Fami lies
Office of Refugee Resettlement
Division of Unaccompanied Children Operations
Cell: ICb)(6)

I

http://www. acf.hhs.gov/progr ams/orr

X
Get answe rs about the Health Insurance Marketplace & Obamacare

lnf6rmese acerca del mercado de seguros medicos y sus nuevas opciones de
cobertura.

From: De LA Cruz, James (ACF)
Sent: Wednesday, March 29, 2017 4:50 PM
To : Velazquez, Ivonne (ACF); Smith, Elicia (ACF)
Subject: Re*bl(6l
!has been granted asylum
(b)(5)

EXT-18-241-N-000673

 004317

Jsd
From: Velazquez, Ivonne (ACF)
Sent: Wednesday, March 29, 2017 6:18:13 PM
To: De LA Cruz, James (ACF); Smith, Elicia (ACF)
Subject: FW:l(b)(6)
lhas been granted asylum

Dear Jim,
Please see t he ema il below, UC won an asylum case. We only have two release options for th is UC
1. Release to uncle wi t h attached charges wh ich this is what he wasn't to do .
2. Release him to Huckleberry House - we should be hearing from them by the end of the day
today .
b)(5)

Thanks Ivonne

-----Original Message----From : Smith, Elicia (ACF)
Sent: Wednesday, March 29, 2017 2:59 PM
To: Velazquez, Ivonne (ACF); De LA Cruz, James (ACF)
Cc: Sinkins, Katherine (ACF)
!has been granted asylum
Subject: RE:!(bl(6l
Hello All,

I wanted to loop back to this email with updates and get feedback befo re moving forwa rd with emai ling
Jonathan.

b)(5)

EXT-18-241-N-000674

 004318

I spoke with ~from
afternoon 03/30/2017.

LSCthis morning and she's expecting an update from me by tomorrow

Per Ivonne's guidance thi s morning LSCand the BCFSCase Managers are working on a concurrent
placement option with Huckleberry House. If the re is capacity we're certain that he will be accepted as
there are no behavioral or safety concerns regarding his release to the community. That said, I think that
there are concerns about minor choosing to remain in care knowing that he prefers to live with his
uncle.

land maintains that he intends on living with his uncle. I believe that it is
Minor turns 18 on fbl(6)
appropriate to release to th is fami ly member/uncle as this is the minor's desire and the lo ng-term plan
for this family.

Thank you,
Elicia

Elicia Smith
Federal Field Specialist
U.S. Department of Health &Human Services
Administration for Children &Fam ilies
Office of Refugee Resettlement
Division of Unaccompanied Children Operations
San Francisco, CA
Email: elicia .smith@acf .hhs.gov
6
_l ___
b_)C
Mobile: ~r

~

From: Velazquez, Ivonne (ACF)
Sent: Wednesday, March 22, 2017 7:04 PM
To: De LA Cruz, James (ACF); Smith, Elicia (ACF)
Cc: Sinkins, Katherine (ACF)

EXT-18-241-N-000675

 004319

Subject: ReJ...
~b-)(6_l _ _,lhas been granted asylum

Thank you Jim!

From: De LA Cruz, James {ACF)
Sent: Wednesday , March 22, 2017 6:59:16 PM
To: Velazquez, Ivonne (ACF); Smith, Elicia (ACF)
Cc: Sinkins, Katherine ACF)
as been granted asylum
Subject: RE: b)(5 l

(b)(5)

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room : 5223)
330 C Street SW
Washington, DC 20201
Office: 202-690-8477
Cell: -1<b~}<6~}--~
Fax: 202-401-1022

EXT-18-241-N-000676

 004320

http://www.acf.hhs.gov/programs/orr/programs/ucs

From: Velazquez, Ivonne (ACF)
Sent: Wednesday, March 22, 2017 8:42 PM
To: Smith, Elicia {ACF); De LA Cruz, James {ACF)
Subject: Rej(b)(6)
~as been granted asylum

Dear Elicia,
+ Jim for his awareness and feedback
Question,
b)(5)

Thanks
Ivonne

From: Smith, Elicia {ACF)
Sent: Wednesday, March 22, 2017 5:27:36 PM
To: Velazquez, Ivonne (ACF)
lhas been granted asylum
Subject: FW: l<b)(G)

Hi Ivonne,

The minor's maternal Uncle (b)(6)
and his wife b)(6) are the family members who are in the
nto their care. b)(G)
was the first identified sponsor but due
USA and have agreed to tak b)(G)
!in
to an OSSIreferral, was ruled out by FFSat previous program . The uncle resides at ~b)(6)
6
fbl( l
Program has confirmed relationship with a trail of BC.

I

kb)(6)
Ind his wife have been very supportive throughout minor's stay in ORR care and have even
come to visit him at the facility. They are on standby to drive up to pick him up from BCFS.

Please advise if I am approved to finalize release of this minor with asylum status from ORRcare to his
maternal uncle.

Best,
Elicia

EXT-18-241-N-000677

 004321

Elicia Smith
Federal Field Specialist
U.S. Department of Health &Human Services
Administration for Children &Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operat ions
San Francisco, CA
Email: elicia.smith@acf.hhs.gov
Mobile: ....
fb_)(6
_)___

___,

From f b)(6)
@lsc-sf.org]
Sent: Wednesday , March 22, 2017 4 :32 PM
To: Smith, Elicia (ACF); Velazquez, Ivonne (ACF)
Cc:(b)(6)
has been granted asylum
Subject (b)(6)

Good afternoon Elicia and Ivonne,

I'm writing with the excellent news thafb )(6)
!Al(b)(6)
lwas granted asylum
as of 3/6/17. We only found out on Monday 3/20/17 and I received his approval notice today . ~as
his notice and 1-94 and will give it to him when she seems him tomorrow at BCFSFairfield . l(b)(6)
Is no
longer an unaccompanied child as he has legal status and his removal proceedings were terminated on
3/20/17. ORRthus no longer has a legal basis for custody ofb )(6)
~nd must release him. I'm
attaching scans of his approval notice, his 1-94, and the judge's order terminating proceedings ~"""
b""'
)("6)
"'---.
has fami ly in i(b)(6)
lwith whom he wishes to live. He turns 18 orf b)(6)
At this time we are
advocating that he be released to his family as quick ly as possibl~nd
I welcome a conversation
with ORRand BCFSto plan for his prompt transition out of custody .

I

Regards,

rb_)(6_) ___
....

~1Pronouns: She/Her/Hers)

EXT-18-241-N-000678

 004322

Senior Staff Attorney
Legal Services for Children
1254 Market Street, 3rd Floor
San Francisco, CA 94102
5

Direct Line: l~
(b_J<
_l___

~

Fax: (415) 863-7708

Sender:

Recipient:

Velazquez, Ivonne (ACF) </O = EXCHANGELABS/OU
=EXCHANGEADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
=39E67B42D96043C688E84FA6CEF42570-VELAZQUEZ
,>
"De LA Cruz, James (ACF) </o = Exchangelabs/ ou= ExchangeAdministrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"Smith, Elicia (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
( FYDIBOHF23SPDL
T)/cn = Recipients/cn=3cdb964ab90d4310bd202c084b7e6097-Smith, Elie>"

Sent Date: 2017/03/ 29 20:15:53
Delivered Date: 2017/03/ 29 20:15:54

EXT-18-241-N-000679

 004323

Velazquez,Ivonne (ACF) </O=EXCHANGELABS/O
U=EXCHANGEADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN=39E67B42096043C688E84FA6CEF42570VELAZQUEZ,>
"Smith, Elicia (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn = 3cdb964ab90d4310bd202c084b7e6097-Smith, Elie>";
To:
" De LA Cruz, James (ACF) </o =Exchangelabs/ou=ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-DeLA Cruz,>"
Subject: Re: f b)(6) ~as been granted asylum
Date: 2017/03/29 21:27: 11

Priority: Normal
Type : Note

Great news!

From: Smith, Elicia (ACF)
Sent: Wednesday , March 29, 20 17 6:24:37 PM
To: De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: RE: ~~
b_)<6_>_~l has been granted asylum

Hello Jim and Ivonne,

Another family member confirmed that he is available to come pick~
p as well. The
details are included below in the CaseWorker Update below. I'm also including the
programs current behavioral

assessment to confirm that there are no concerns for this minor successfu lly integrating
in the communit y. I don't have confirmat ion of HH acceptance yet but I will follow up in
the morning.

EXT-18-241-N-000680

 004324

Case Worker UPDATE: 3/29/17 CW received call from minor's maternal Uncle l(bl(6l

I who

l(bl(6l
otj(b)(6)

lives i~(b)(6)

Imiles north

I

,.

The relation is as follows: Minor's maternal grandmother is (b)(6)
r ated he would be an alternative caregiver fo b)(6l
rbl(5l
stepped fmward and accepted spon sorship fo~
additional HHM that were unwilling

ather's sister.
It is to be noted that

but was not viable at the time due to

to undergo the sponsorship requirements. !{b
)(6)
1added that he will be willing to
~:-:-;-;::::::;::;;;:::=:;;'
seek other housing for them both, together wit tfbl(6) ~ he decided to stay in ICb)(6)
l(b)(6)
l~(b)(6)
ultimately wanted to reside with addi tional family members in the fbl(6l
area , Mr.
6
1Cb)( l
lwould care for him until proper arrangements were made with family .

I

I

I

I

BCFSFairfield SS BEHAVIORALASSESSMENT:

Since arrival to progra q(b)(6l lhas been able to adhere to the behavioral standards of our
program and was quickly promoted to our highest level (level 4) in our behavioral level
syste rtj(b)(6) lhas successfully
been able to maintain this level wit h only 3 behavioral issues (SIR) in his 150 day s in
care ~o
ntinues to pass all weekly risk assessments and has attended community
outing with no issues to report as he does not present a risk to himself or the community.

I

Furthermore, a comprehensive safety plan has been created and discussed with l(bl(6l
with specific identified factors that will keep him on the right track. ~
as stated that
he wishes to earn
his high schoo l diploma and po ssibly later become a border patrol officer as he stated that
he would understand the population he wou ld work with be more empathetic to their
situati on.

~
nd his family are aware if the great opportunit ~
now has here in the US and
are committed to take proper measures to assure that he stays on track and creates the
life he desires. Lastly,

EXT-18-241-N-000681

 004325

BCFS has no behavioral or mental health concerns that will prev ent him from safely and
succe ssfully integrating into a new comm unity.

Thank you,
Elicia

Elicia Smith
Federa l Fie ld Specialist
U.S. Department of Health &Human Services
Admin istration for Children &Families
Office of Refugee Resettleme nt
Division of Unaccompan ied Children Operations
San Franc isco, CA
Email:

elicia.smi th@acf.hhs.gov
Mobile: l(b
...._)(_6)___

_.

From: De LA Cruz, James (ACF)

EXT-18-241-N-000682

 004326

Sent: Wednesday , March 29, 2017 5:53 PM
To: Smith, El icia (ACF); Velazquez, Ivonne (ACF)
6)
Subject: Re: j<b)(

las been granted asylum

This is very helpful.

Jsd

From: Smith, Elicia (ACF)

Sent: Wednesday, March 29, 2017 8:02:15 PM
To: De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)

_l_~Ihas been granted asylum

Subject: RE:~f
b_)<6

Thanks Jim,

Yes, UC prefers Uncle and intends to live with him long-term after his 18th birthday
l(b)(6 )
Uncle has been incredibly communicative and available to offer any support
possible to UC and the

I

BCFS team.

EXT-18-241-N-000683

 004327

Best,

Elicia

Elicia Smith
Federal Field Specialist
U.S. Department of Health &Human Services
Admin istration for Children &Families
Office of Refugee Resettlement
Division of Unaccompan ied Children Operations
San Franc isco, CA
Email:

elicia. smith@acf.hhs.gov
Mobile: ~!
(b~)(_6)~--~

From: De LA Cruz, James (ACF)

Sent: Wednesday, March 29, 2017 4 :50 PM
To: Velazque z, Ivonne (ACF); Smith, Elicia (ACF)

Subject: Re : ~,_
<b_l<_6l_ ___,
~a s been granted asylum

EXT-18-241-N-000684

 004328

(b)(S)

Jsd

From: Velazquez, Ivonne (ACF)

Sent: Wednesday, March 29, 2017 6:18:13 PM
To: De LA Cruz, James (ACF); Smith, Elicia (ACF)
Subject: FW:....
l(b_)<5_) _ ____.l
has been granted asylum

Dear Jim,

(b)(S)

EXT-18-241-N-000685

 004329

Thanks Ivonne

-----Origi na I Message-----

From: Smith, Elicia (ACF)
Sent: Wednesday , March 29, 2017 2:59 PM
To: Velazquez , Ivonne (ACF); De LA Cruz, James (ACF)
Cc: Sink.ins, Kathe rine (ACF)
Subject:

~

5
~(b_l<_i __

~~as been granted asylum

Hello All,

b)(5)

EXT-18-241-N-000686

 004330

Uncle's FP results are attached for your review. No significant criminal history since 2009

I spoke wit~ (b)(6) from LSCthis morning and she's expecting an update from me by tomorrow
afternoon 03/30/2017.

Per Ivonne' s guidance this morning LSCand the BCFSCase Managers are working on a
concurrent placement option with Huckleberry House. If there is capacity we're certain that he
will be accepted as there are no behavioral or safety

concerns regard ing his release to the comm unity. That said, I think that there are concerns
about minor choosing to remain in care knowing that he prefers to live with his uncle.

I

Minor turns 18 onl(b)(B)
and maintains that he intends on living with his uncle. I believe
that it is appropriate to release to this family member/uncle as this is the mino r' s desire and the
long-term plan for this family.

Thank you,

Elicia

Elicia Smith

EXT-18-241-N-000687

 004331

Federal Field Specialist

U.S. Department of Health &Human Services

Administration for Children &Families

Office of Refugee Resettlement

Division of Unaccompanied Children Operations

San Francisco, CA

Email: elicia.smith@acf.hhs.gov

Mobile: l._
(b_)(6_) ___

_.

From: Velazquez, Ivonne (ACF)
Sent: Wednesday, March 22, 2017 7:04 PM

EXT-18-241-N-000688

 004332

To: De LA Cruz, James (ACF); Smith, Elicia (ACF)
Cc: Sinkins, Katherine (ACF)
(b_)(6_) _~p
Subject: Re: ~!

as been granted asylum

Thank you Jim!

From : De LA Cruz, James (ACF)
Sent: Wednesday, March 22, 2017 6:59:16 PM

To: Velazquez, Ivonne (ACF); Smith, Elicia (ACF)
Cc: Sinkins, Katherine (ACF)
Subject : RE{b)(6)

lhas been granted asylum

(b)(5)

EXT-18-241-N-000689

 004333

(b) (5)

James S. De La Cruz

DHHS/ACF/ORR/DCS

Senior Federal Field Specialist Supervisor

Office of Refugee Resettlement

Division of Children's Services

Mary E. Switzer Building, 5th Floor (Room: 5223)

330 C Street SW

Washington, DC 20201

Office: 202 -690-84 77

Cell: kb...._\
....(6
""'"}
__

__,

EXT-18-241-N-000690

 004334

Fax: 202-401-1022

http://www

.acf.hhs.gov/programs/orr/programs/ucs

From: Velazquez, Ivonne (ACF)
Sent: Wednesday, March 22, 2017 8 :42 PM
To: Smith, Elicia (ACF); De LA Cruz, James (ACF)
b_)(6_) _
Subject : Re:l<
....

_.Ihas been granted asylum

Dear Elicia,

+ Jim for his awareness and feedback
Question,

Thanks
Ivonne

From: Smith, Elicia (ACF)

EXT-18-241-N-000691

 004335

Sent: Wednesday, March 22, 2017 5:27:36 PM
To: Velazquez, Ivonne (ACF)
Subject: FW!....
<b
_)(6
_l_~I

has been granted asylum

Hi Ivonne,

!and his wife l(b)(6) !are the family members who
The minor's maternal Unclefb)(6)
are in the USA and have agreed to takefbl(6)
linto their care. l(b)(6l
I was the first
identified sponsor but due to an 0551 referral, was ruled ~-----------~
5
out by FFS at previous program . The uncle reside s aj....
(b_l<_
l__________
__,,

~-

Program has confirmed relationship with a trail of BC.

rbl(6l
rnd his wife have been very supportive throughout minor's stay in ORRcare and have
even come to visit him at the facility . They are on standby to dr ive up to pick him up from BCFS.

Please advise if I am approved to finalize release of this minor with asylum status from ORRcare
to his maternal uncle .

Best,

Elicia

EXT-18-241-N-000692

 004336

Elicia Smith

Federal Field Specialist

U.S. Department

Administration

of Health &Human Services

for Children &Families

Office of Refugee Resettlement

Division of Unaccompanied

Children Operations

San Francisco, CA

Email: elicia.smith@acf.hhs.gov

5

Mobile: l._
(b_)(_l___

6 l________
From: 1..l
(b_)(_

___.

_i~,......=ls~c-~sf~.o=r-=gl

EXT-18-241-N-000693

 004337

Sent: Wednesday, March 22, 2017 4:32 PM
To : Smith, Elicia (ACF); Velazq uez, Ivonne (ACF)
Cc: (b)(6)
Subject: '"-K
b'-')(6_) _ _,~as been granted asylum

Good afternoon Elicia and Ivonne,

I'm writing with the excellent news that fb)(6)
l(A !(b)(6)
!was granted
asylum as of 3/6/17 . We only found out on Monday 3/20/17 and I received his approval notice
today. l~b)(Slhas his notice and 1-94 and wi ll give

it to him when she seems him tomorrow at BCFS Fairfield. fb)(6)
lis no longer an
unaccompanied child as he has legal status and his removal proceedings were terminated
on 3/20/ 17. ORR thus no longer has a legal basis for custody of ~b)(6)
~nd must
release
him. I'm attaching scans of his approval notice, his 1-94, and the judge's order
tenninating proceedings. Kb)(6)
!has family in fb)(6)
!with whom he wishes to live.
He turns 18 on J(b)(6)
I At this time we are advocating that he be released to his
I !rb}/6}
I a conversat ion with ORR and BCFS to
fam ily as quick ly as poss ible~and
plan for his prompt transition out of custody.

Regards,

~l
(b_)(6_) __

~t

Pronouns : She/Her/Hers)

Senior Staff Attorney

EXT-18-241-N-000694

 004338

Legal Services for Chi ld ren

1254 Market Street, 3rd Floor

San Francisco, CA 94102

Direct Line ~~
(b_)(_
6)____

~

Fax: (415) 863-7708

Velazquez, Ivonne (ACF) </ O=EXCHANGELABS/OU= EXCHANGEADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/ CN=39E67B42D96043C688E84FA6C
EF42S70VELAZQUEZ,>
"Smith, Elicia (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=3cdb964ab90d4310bd202c084b7e6097-Smith, Elie>";
Recipient:
" De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-DeLA Cruz,>"
Sent Date: 2017/03/29 21:27:11

EXT-18-241-N-000695

 004339

Sinkins, Katherine (ACF) </O = EXCHANGELABS/OU= EXCHANGEADMINISTRATIVE GROUP

From: (FYDIBOHF23SPDLT)/CN =RECIPIENTS/CN= F1D9A3DlDl 784 2698489BF43506452D8-SINKINS,
KA>
"Smith, Elicia (ACF) </o=Exchangelabs/ou=Exchange
Administrative Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn = 3cdb964ab90d4 310bd202c084b 7e6097 -Smith, Elie> ";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange
Adminis t rative Group
To:
(FYDI BOHF23SPDLT)/cn =Reci pients/cn=39e67b42d9604 3c688e84fa6cef42570 -Velazquez, > ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange
Adminis t rative Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn = 2eba95dl 19ab4cd6a77b34616dc3366c -De LA Cruz,>"

Subject: REi bl/6\

has been granted asylum

Date: 20 17/03/30 09:47:16
Priority: Norma l
Type: Note

Hi Elicia,
(b)(5)

Kather ine Sinkins, Esq.
Imm igration Specialist
United States Department of Health and Human Services
Admin istration for Children and Families
Office of Refugee Resettlement
Division of Unaccompan ied Children Operations
(202) 205-8067
Kather ine.Sinkins@acf .hhs.gov
b_)(_6_) ___
* Please note that I te lework on Fridays and can be reached at f,_

_.

-----Orig inal Message----From: Smith, Elicia (ACF)
Sent: Wednesday, March 29, 2017 5:59 PM
To: Velazquez, Ivonne (ACF); De LA Cruz, James (ACF)
Cc: Sinkins, Kather ine (ACF)
~as been granted asylum
Subject: R~(b)(6)
Hello All,

EXT-18-241-N-000696

 004340

I wanted to loop back to this email with updates and get feedback before moving fo rwa rd with emailing Jonathan.

(b)(S)

Thank you,
Elicia

Elicia Smith
Federal Field Specialist
U.S. Department of Health & Human Services
Administrat ion for Children & Families
Office of Refugee Resettlement
Division of Unaccompan ied Children Operations
San Francisco, CA
Email: elicia.smith @acf.hhs.gov

kb....

Mobile: .. l/.,.
6"l ___

....,

From: Velazquez, Ivonne (ACF)
Sent: Wednesday, March 22, 2017 7:04 PM

EXT-18-241-N-000697

 004341

To: De LA Cruz, James (ACF); Smith, Elicia (ACF)
Cc: Sinkins, Katherine (ACF)
Subject: Re: f b\/6\
~as been granted asylum

Thank you Jim!

From: De LA Cruz, James (ACF)
Sent: Wednesday, March 22, 2017 6:59:16 PM
To: Velazquez, Ivonne (ACF); Smith, Elicia (ACF)
Cc: Sinkins, Katherine (ACF)
Subject: R~(b)(6)
jasbeen granted asylum

b)(5)

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Superv isor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washington, DC 20201
Office: 202-690 -8477
Cell'. !ib\/6\
Fax: 202-401 -1022
http:/ /www .acf.hhs.gov/programs/orr/programs/uc:s

From: Velazquez, Ivonne (ACF)
Sent: Wednesday, March 22, 2017 8:42 PM
To: Smith, Eli i A F ; De LA Cruz, James (ACF)
Subject: Re: b)(6)
has been granted asylum

EXT-18-241-N-000698

 004342

Dear Elicia,
+ Jim for his awareness and feedback

Ivonne

From: Smith, Elicia (ACF)
Sent: Wednesday, March 22, 2017 5:27:36 PM
e.j:ACF)
To: Velazquei~n
Subject: FW: ~as
been granted asylum

Hi Ivonne,

'Js

Lre

~nd his wife fb )(6)
the family members who are in the USA and have
The minor's mitecoal 11ic1ef b)(6)
nto their care.(b) (6)
thefirstjdentjfjed
sponsor
butduefo an OSSI referral, was ruled
agreed to take {b)(6)i
out by FFSat previous program . The uncle resides a b)(6)
Program has confirmed
relationship with a tra il of BC.

fb )(6)

td

his wife have been very supportive throughout minor's stay in ORR care and have even come to visit him

at merac111
. They are on standby to drive up to pick him up from BCFS.

Please advise if I am approved

to finalize release of this minor with asylum status from ORR care to his maternal uncle.

Best,
Elicia

Elicia Smith
Federal Field Specialist
U.S. Department of Health & Human Services
Administration for Children & Families
Office of Refugee Resettlement
Division of Unaccompanied Children Operations
San Francisco, CA
Email: elicia.smith@acf.hhs.gov
....
l(.._
6l....___
Mobile: ._kb

_.

EXT-18-241-N-000699

 004343

From: Kb)(6)
~lsc-sf .org]
Sent: Wednesday, March 22, 2017 4:32 PM
To: Smith, Elicia (ACF); Velazquez, Ivonne (ACF)
Cc: !/bl/6l
SubjectKb)(6)
has been granted asylum

Good afternoon Elicia and Ivonne,

I

I

I'm writing with the excellent news thatllh\/n\
(A !(bl/ 6)
was granted asylum as of 3/6/17. We
only found out on Monday 3/20/17 and I received his ap roval notice today. !lh\/ !has his notice and I-94 and will give it
to him when she seems him tomorrow at BCFSFairfield. bl/ 6)
is no longer an unaccompanied child as he has legal
status and his removal proceedings were terminated on 3/20/17. ORR thus no longer has a legal basis for custody of
!(bl/6)
~nd must release him. I'm attachin scans of his approval notice, his I-94, and the judge's order term inat ing
proceedings. R5i(6)7 has family in b)(6)
ith whom he wishes to live. He turns 18 on !lh\/n\
14.tthis time
ily as quickly as possiblellliRfil],d I welcome a conversation with ORR
we are advocatingthat he be release
and BCFSto plan for his prompt transition out of custody.

Regards,

rb_)(_6)___
...

....,I
Pronouns: She/Her/Hers)

Senior Staff Attorney
Legal Services for Children
1254 Market Street, 3rd Floor
San Francisco, CA 94102
tb_)(_6_) ___
Direct Line:..

....,

Fax: (415) 863-7708

Sinkins, Katherine (ACF) </O = EXCHANGELABS/OU
= EXCHANGEADMINISTRATIVE GROUP

Sender: {FYDIBOHF23SPDLT)/CN =RECIPIENTS/CN= F1D9A3D1017842698489BF43506452D8-SINKINS,
KA>
"Smith, Elicia (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn =Reci pients/cn=3cdb964ab90d4 310bd202c084b 7e6097-Smith, Elie>";
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
Recipient:
(FYDIBOHF23SPDLT)/cn = Recipients/cn = 39e67b42d9604 3c688e84fa6cef42570 -Velazquez, > ";
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De LA Cruz,>"

Sent Date: 2017/03/30 09:47 : 15
Delivered Date: 2017/03/30 09:47 : 16

EXT-18-241-N-000700

 004344

Velazquez,Ivonne (ACF) </O=EXCHANGELABS/O
U=EXCHANGEADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPI ENTS/CN=39E67B42096043C688E84FA6CEF42570VELAZQUEZ,>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
=Recipients/cn=2eba95dll9ab4cd6a77b34616dc3366c-De LA Cruz,>";
"Smith, Elicia (ACF) </o = Exchangelabs/ou=ExchangeAdministrative Group
To:
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=3cdb964ab90d4310bd202c084b7e6097-Smith, Elie>";
"Sinkins, Katherine (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn =fld9a3d 1dl 784269b4b9bf43506452d8-Sink
ins, Ka>"
Subject: Re:l(b)(6)

~as been granted asylum

Date: 2017/03/30 14:35:21
Priority: Normal
Type : Note

Thank you Jim!
From: De LA Cruz, James (ACF)
Sent: Thursday, March 30, 2017 11:34:08 AM
To: Smith, Elicia ACF · Sinkins, Katherine (ACF); Velazquez, Ivonne (ACF)
Subject: Re (b)(6)
as been granted asylum
Hi Elicia, I am working on guidance for you via policy and Senior Management. I will get back to you.
Jsd

From: Smith, Elicia (ACF)
Sent: Thursday, March 30, 2017 1:46:52 PM
To: Sinkins, Katherine (ACF); Velazquez,Ivonne (ACF); De LA Cruz, James (ACF)
Subject: RE: ~ has been granted asylum
Hi Kate,
b)(5)

EXT-18-241-N-000701

 004345

10 of this minor remaining in ORR care aft er notification that he was granted asylum.

Best,
Elicia
From: Sinkins, Katherine (ACF)
Sent: Thursday, March 30, 2017 6:47 AM
To: Smith, Elicia (ACF); Velazquez, Ivonne (ACF); De LA Cruz, James (ACF)
Subject: REl/bl/ 6)
las been granted asylum
Hi Elicia,
b)(S)

Katherine Sinkins, Esq.
Imm igration Specialist
United States Departmen t of Health and Human Services Administrat ion for Children and Families Office of Refugee
Resettle ment Division of Unaccompanied Children Operations
(202) 205-8067
Katherine .Sinkins@acf.hhs.gov
* Please note that I te lework on Fridays and can be reached at ....
!(b_)_
(6_) ___

_..

----- Original Message----From: Smith, Elicia (ACF)
Sent: Wednesday, March 29, 2017 5:59 PM
To: Velazquez, Ivonne (ACF); De LA Cruz, James (ACF)
Cc: Sinkins, Katherine (ACF)
Subject: RE:l(b)(6)
~as been granted asylum
Hello All,

I wanted to loop back to this email with updates and get feed back before mov ing forwa rd with emailing Jonathan .

b)(S)

EXT-18-241-N-000702

 004346

(b)(5)

Than k you,
Elicia

Elicia Smith
Federal Field Specialist
U.S. Department of Healt h & Human Services
Administration fo r Children & Families
Office of Refugee Resettlement
Division of Unaccompan ied Children Operations
San Francisco, CA
Email: elicia.smith@acf.hhs.gov
Mobile: ....
r b_l(_6l___

_.

From: Velazquez, Ivonne (ACF)
Sent: Wednesday, March 22, 2017 7:04 PM
To: De LA Cruz, James (ACF); Smith, Elicia (ACF)
Cc: Sinkins, Kather ine (ACF)
Subject: Re: JMR 913 has been granted asylum

Than k you Jim!

From: De LA Cruz, James (ACF)
Sent: Wednesday, March 22, 20 17 6:59:16 PM

EXT-18-241-N-000703

 004347

To: Velazquez, Ivonne (ACF); Smith, Elicia (ACF)
Cc: Sinkins, Katherine (ACF)
Subject: RE: f h\lR\
las been granted asylum

(b)(5)

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washington, DC 20201
Office: 202-690-8477
Cell: !ib\/6\
Fax: 202-401 - 1022
http ://www.ad .hhs.gov/programs/or r/programs/ucs

From: Velazquez, Ivonne (ACF)
Sent: Wednesday, March 22, 2017 8:42 PM
To: Smith, Elicia (ACF); De LA Cruz, James (ACF)
Subject: Re:!(b)(6)
~as been granted asylum

Dear Elicia,
+ Jim for his awareness and feedback

r\al\Ks

Ivonne

EXT-18-241-N-000704

 004348

From: Smith, Elicia (ACF)
Sent: Wednesday, March 22, 2017 5:27:36 PM
To: Velazquez, Ivonne (ACF)
Subject: FWfb )(6)
~as been granted asylum

Hi Ivonne,

)(::::6'.;..
) _---li rn,;-;-..111.1""'7
'is wif (b)(6) are the family members who are in th e USA and have
The minor's materna l Unclei::b~
into t eir care b)(6)
an OSSI refe rral, was ruled
agreed to ta kel(b)(6)
out by FFS at previous program. The unc e res1
rogram has confirme d
relationship with a trail of BC.

l

l(b)(6)

tn d his wife have been very support ive throughout minor's stay in ORR care and have even come to vis it him
They are on standby t o drive up to pick him up from BCFS.

at metaciii)'.

Please advise if I am approved to finalize release of this minor with asylum status fro m ORR care to his materna l uncle.

Best ,
Elicia

Elicia Smith
Federal Field Specialist
U.S. Depart ment of Health & Human Services
Administrat ion fo r Children & Families
Office of Refugee Resettlement
Division of Unaccompan ied Children Operations
San Francisco, CA
Email: elicia.smith@acf.hhs.gov
Mobile: ._l
(b_)(_6)___

___.

From:l(b)(6)
jgllsc-sf.org ]
Sent: Wednesday, March 22, 20174 :32 PM
To: Smith, Elicia (ACF); Velazquez, Ivonne (ACF)
Cc: h\lR\
Subject (b)(6)
as been granted asylum

Good afternoon Elicia and Ivonne,

EXT-18-241-N-000705

 004349

I'm writing with the excellent news that !/b)/6)
!(A b)(6)
was granted asylum as of 3/6/17. We
only found out on Monday 3/20/ 17 and I received his approval notice today. b)(6 as his notice and I-94 and will give it
to him when she seems him tomorrow at BCFSFairfield ¥h\lR\
Us no longer an unaccompanied child as he has legal
status and his removal proceedings were terminated on 3/20/17. ORR thus no longer has a legal basis for custody of
l(b)(6)
~nd !Oase
him . I'm attaching scans of his approval notice, his I-94, and the judge's order terminating
prOceedlngs. (b)(6)
has family ir( b)(6)
~ith whom he wishes to live. He turns 18 on ( b)(6)
jAt this time
we are advocat ing t at he be released to his fami ly as quickly as possiblef b)(6) ~nd I welcome a conversation with ORR
and BCFSto plan for his prompt transition out of custody.

Regards,

6
~rb_)(_ _) --~t

Pronouns: She/Her/He rs)

Senior Staff Attorney
Legal Services for Children
1254 Market Street, 3rd Floor
San Francisco, CA 94102
(b..._
l(.,.
6....
) ___
Direct Line: ...,l

_.

Fax: (415) 863-7708

Velazquez, Ivonne (ACF) </O=EXCHANGELABS/OU=EXCHANGEADMINISTRATIVE GROUP

Sender: (FYDIBOHF23SPDLT)/CN=RECIPIENTS/CN=39E67842D9604 3C688E84FA6CEF42570VELAZQUEZ,>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn= Recipients/cn = 2eba95d119ab4cd6a77b34616dc3366c -De LA Cruz,>";
"Smith, Elicia (ACF) </o = Exchangelabs/ou = Exchange Administrative Group
Recipient:
(FYDIBOHF23SPDLT)/cn =Reci pients/cn = 3cdb964ab90d4 310bd202c084b 7e6097-Smith, Elie> ";
"Sinkins, Katherine (ACF) </o=Exchangelabs/ou=Exchange Administrat ive Group
(FYDIBOHF23SPDLT)/cn = Recipients/cn=f l d9a3d ld 1784269b4b9bf43506452d8-Sink ins, Ka>"

Sent Date: 2017/03/30 14:35:20
Delivered Date: 2017/03/30 14:35:21

EXT-18-241-N-000706

 004350

Velazquez,Ivonne (ACF) </O = EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: ( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN= 39E67B42D96043C688E84
FA6CEF42570VELAZQUEZ,>
"De LA Cruz, James (ACF) </o=Exchangelabs/o u=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
= Recipients/cn=2eba95dl19ab4cd6a77b34616dc3366c-DeLA Cruz,>";
To:
"Calero, Wilfred (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/ cn= Recipients/en=?fedlfabef934452bff7378f636Sfa8e-Calero, Wil> "

Subject: RE: Will\Ivonne stop what you are doing and read this email ...
Date: 2017/03/30 14:51:47
Priority : Normal
Type: Note

Received and understood!

Ivonne Velazquez, LCSW
Federal Field Specialist Supervisor
United States Departmen t of Health and Human Services
Admin istrat ion of Child ren and Fami lies
Office of Refugee Resettle ment
Division of Unaccompanied Children Operations
Cell: 1Cb)(6)

I

http://www. acf.hhs.gov/progr ams/orr

X
Get answers about the Health Insurance Marketplace & Obamacare

lnf6rmese acerca del mercado de seguros medicos y sus nuevas opciones de
cobertura.

From: De LA Cruz, James (ACF)
Sent: Thursday, March 30, 2017 11:48 AM
To : Calero, Wilfred (ACF); Velazquez, Ivonne (ACF)
Subject: Will\ Ivonne stop what you are doing and read this email ...
Will and or Ivonne,

EXT-18-241-N-000707

 004351

Senior Management has directed us to ensure that the grantee or the federal field staff must not ify
~arents
of the termination in this case.
7hTs'shou ld happen alongside of resources to the UAC for post-abortion counseling as part of postrelease care.
I understand that as of yesterday travel plans we re being arranged so there should be time to ensure
these directives before ICb)(6) Is discharged from the program. If you have questions let me know, if I
cannot answer the questions I will elevate to Senior Management.
Please let me know when the mother has been contacted and that one of you reviewed the post release
service plan to ensure that resources for post-aborti on counseling has been identified and explained to
~nd
her care provider.

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washington, DC 20201
Office: 202-690-8477
I
Cell: !(b)(6)
Fax: 202-401-1022
http://www.acf.hhs.gov/programs/orr/programs/ucs

Sender:

Velazquez,Ivonne (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
=39E67B42D96043C688E84FA6CEF42570-VELAZQUEZ,
>

"De LA Cruz, James(ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn=Recipients/cn=2eba9Sd119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
Recipient:
"Calero, Wilfred (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en=7fcd1fabef934452bff7378f636Sfa8e-Calero, Wil>"
Sent Date: 2017/03/30 14:51:46
Delivered Date: 2017/03/30 14:51:47

EXT-18-241-N-000708

 004352

Calero, Wilfred (ACF) </O = EXCHA
NGELABS/O
U=EXCHANGE
ADMINISTRATIVEGROUP
From: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F636SFA8E-CALERO,
WIL>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recip
ients/cn=2eba95dll9ab4c d6a77b34616dc3366c-De LA Cruz,>";
To:
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDI BOHF23SPDLT)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,> "
Subject: Re: Will\Ivonne stop what you are doing and read this email ...
Date: 2017/03/30 14:53:02

Priority: Normal
Type : Note

Mr. De La Cruz

Do we also advise the UC of the disclosure? Also can we inform mothe r on ly or boh parents?
What about the UC Sponsor, the bro t her?

Thank you. Release is still pending review.

Will Calero

From : De LA Cruz, James (ACF)
Sent: Thursday, March 30, 2017 2:48:24 PM
To : Calero, Wilfred (ACF); Velazquez, Ivonne (ACF)
Subject: Will\Ivonne stop what you are doing and read this email ...

EXT-18-241-N-000709

 004353

Will and or Ivonne,

Senior Management has directed us to ensure that the grantee or the federal field staff must
notify~arents
of the termination in this case.
This should happen alongside of resources to the UAC for post-abortion counseling as part of
post-release care.

I understand that as of ye sterday trav el plans were being arranged so there should be time
to ensure these directives beforef b)(6) lis discharged from the program. If you have
question s let me know , if I cannot answer the questions I will elevate to Senior
Management.

Please let me know when the mother has been contacted and that one of you reviewed the post
release service plan to ensure that resources for post-abortion counseling has been identified
and explained tol <b)(5) land her care provider.

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washington, DC 20201
Office : 202-690-8477

EXT-18-241-N-000710

 004354

Cell: ""!(
b"'-'l/
""
6l'-- __

_,

Fax: 202-401 -1022
http://www.acf.hhs.gov/prog

rams/o rr/programs/ucs

Calero, Wilfred (ACF) </O=EXCHANGELABS/OU
= EXCHANGE
ADMINISTRATIVEGROUP
Sender: (FYDIBOHF23SPDL
T)/CN=RECIPIENTS/CN
= 7FCD1FABEF934452BFF7378F6365FA8E
-CALERO,
WIL>
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recip
ients/cn=2eba95d119ab4cd6a77b34616dc3366c-DeLA Cruz,>";
Recipient:
"Velazquez, Ivonne (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn =Recipients/cn=39e67b42d96043c688e84fa6cef42570-Velazquez,
>"
Sent Date: 2017/03/30 14:53:02

EXT-18-241-N-000711

 004355

Velazquez,Ivonne (ACF) </O = EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVEGROUP
From: ( FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN= 39E67B42D96043C688E84
FA6CEF42570VELAZQUEZ,>
"De LA Cruz, James (ACF) </o=Exchangelabs/o u=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn
= Recipients/cn=2eba95dl19ab4cd6a77b34616dc3366c-DeLA Cruz,>";
To:
"Calero, Wilfred (ACF) </o = Exchangelabs/ou= ExchangeAdministrative Group
(FYDIBOHF23SPDL
T)/ cn= Recipients/en=?fedlfabef934452bff7378f636Sfa8e-Calero, Wil> "

Subject: RE: Will\Ivonne stop what you are doing and read this email ...
Date: 2017/03/30 16:17:35
Priority : Normal
Type: Note

Will do!

Ivonne Velazquez, LCSW
Federal Field Specialist Supervisor
United States Departmen t of Health and Human Services
Admin istrat ion of Child ren and Fami lies
Office of Refugee Resettle ment
Division of Unaccom anied Children Operations
Cell: (b)(5)

http:

s.gov/programs/orr

X
Get answers about the Health Insurance Marketplace & Obamacare

lnf6rmese acerca del mercado de seguros medicos y sus nuevas opciones de
cobertura.

From: De LA Cruz, James (ACF)
Sent: Thursday, March 30, 2017 1:16 PM
To : Calero, Wilfred (ACF); Velazquez, Ivonne (ACF)
Subject: RE: Will\Ivonne stop what you are doing and read this email .. .
HI Wi ll,

EXT-18-241-N-000712

 004356

In regards to one or both parents - at a minimum, the parent who provided consent for the present
should be informed.
sponsor to be responsible fo ~

Thanks,
James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washington, DC 20201
Office: 202-690-8477
Cell: !(b)(6)
I
Fax: 202-401-1022
http ://www.acf.hhs.gov/programs/orr/programs/ucs

From : calero, Wilfred (ACF)
Sent : Thursday, March 30, 2017 2:53 PM
To : De LA Cruz, James (ACF); Velazquez, Ivonne (ACF)
Subject: Re: Will\Ivonne stop what you are doing and read this email ...
Mr. De La Cruz

Thank you. Release is still pending review.
Will Calero

From: De LA Cruz, James (ACF)
Sent: Thursday, March 30, 2017 2:48:2 4 PM
To: Calero, Wilfred (ACF); Velazquez, Ivonne (ACF)
Subject: Will\lvonne stop what you are doing and read this email ...
Will and or Ivonne,
Senior Management has directed us to ensure that the grantee or the federal field staff must not ify
~arents
of the termination in this case.
This should happen alongside of resources to the UAC for post-abortion counseling as part of postrelease care.

EXT-18-241-N-000713

 004357

I understand that as of yesterday travel plans were being arranged so there should be time to ensure
these directives before~s
discharged from the program. If you have questions let me know, if I
cannot answer the questions I will elevate to Senior Management.
Please let me know when the mother has been contacted and that one of you reviewed the post release
service plan to ensure that resources for post-abortion counseling has been identified and explained to
fb )(6 )
rnd her care provider .

James S. De La Cruz
DHHS/ACF/ORR/DCS
Senior Federal Field Specialist Supervisor
Office of Refugee Resettlement
Division of Children's Services
Mary E. Switzer Building, 5th Floor (Room: 5223)
330 C Street SW
Washington, DC 20201
Office: 202-690-8477
I
Cell: !(b)(6)
Fax: 202-401 -1022
http://www .acf.hhs.gov/programs/orr/programs/ucs

Sender:

Recipient:

Velazquez,Ivonne (ACF) </O=EXCHANGELABS/OU=EXCHANGE
ADMINISTRATIVE GROUP
=39E67B42D96043C688E84FA6CEF42570-VELAZQUEZ
,>
(FYDIBOHF23SPDL
T)/CN= RECIPIENTS/CN
"De LA Cruz, James (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDLT)/cn=Recipients/cn=2eba95d119ab4cd6a77b34616dc3366c-De
LA Cruz,>";
"(a lero, Wilfred (ACF) </o=Exchangelabs/ou=Exchange Administrative Group
(FYDIBOHF23SPDL
T)/cn= Recipients/en= 7fcdlfabef934452bff7378f6365fa8e-Calero,Wil>"

Sent Date: 2017/03/30 16:17:34
Delivered Date: 2017/03/30 16:17:35

EXT-18-241-N-000714

 ~, •-' .. rh\>1'$ , ,

( ~EPARTMEIIT

OF HEALTH & HUMAN SERVlCES

Office of the Secretary
Assistant Secretary for Public Affairs
Washington, D.C. 20201

Request No. 2018-00042 -C-OS
Equity Forward v. HHS, Civil No. 18-0241 (D.D.C.)
February 28, 2019

ECEIVEn

Ms. Ma ry Alice Carter
Equity Forward
902 Broadway, 6 11' Floor
New York, NY 10010
Dear Ms. Carter:
This letter is the seventh interi m response to your December 11, 2017, Freedom ofTnforrnation Act
1
(FOIA) request, which you submitted to the U.S. Department of Healt h and Human Services (HHS or
Department) , Administration for Childre n and Families .
Specifically, you requested access to and copies of certain correspondence involving the following 11
offic ials and emp loyees within the Department, Administration for Childr en and Families:
• Scott Lloyd
• Maggie Wynne
• Jonathan White
• Curi Kim
• Judith Haron
• Anna Marie Bena
• Scott Logan
• Tricia Swartz (Associate Deputy , ORR)
• Jallyn Sualog (Director of Children Services)
• Jame s De La Cruz (Houston Field Supervisor )
• Dr. David Teusche r (Region 6 Director)
You also specifically requested access to and copies of all correspondence sent by, sent to, or carboncopying ("CC") any of these individuals dw·ing the months of March , May, September or October 2017,
which included any of the following 24 keyword s or phrases:
• "pregnancy "
• "pregnant"
• "ORR director "
• "abortion"
• "ru-486 "
• "CPC"
• "ultrasound "
• "rape "
• "nonconsensual"
• "Gestat iona l"
• "judicial bypass"

1

5 U.S.C. § 552

u

: MAR
O7 2019

 Page 2of 3
Request No. 2018-00042-C-OS
Equity Forward v. HHS, Civil No.18-0241 (D.D.C.)
• "life affirming"
• "unborn child"
• "spiritual counseling"
• "options counseling"
• "WTF"
• "Terminating"
• "terminate"
• "termination"
• "Pregnancy notification"
• "Pregnancy notivations"
• "Scott is"
• "Scott said"
• "from Scott"
Your request was forwarded to this office to conduct a search for records from custodians Maggie
Wynne, Judith Haran and Dr. David Teuscher.
For this seventh interim response, the HHS Office of the Secretary has processed 916 pages of
potentially responsive records captured in the agency's search of Maggie Wynne's records. After
perfonning a careful review of those records, I have determined that 35 pages should be sent for
consultation to other government agencies to review their equities and return to this office for final
response to you. The disposition of the remaining records is as follows:
•
•
•
•

182 pages are being released in full;
259 pages are being fully withheld, pursuant to Exemption (b)(5); 2
436 pages are being released with redactions, which were made pursuant to Exemptions
(b)(5), and (b)(6) of the FOIA, and; 3
Four (4) pages are being referred to the Department of Justice for direct response.

The contact information for the Department of Justice FOIA office is below:
Chief, Initial Request Staff
Office oflnformation Policy
Department of Justice
Suite 11050
1425 New York Avenue, N.W.
Washington, DC 20530-0001
Phone: (202) 514-FOIA
FOIA exemption (b)(5) protects inter-agency or intra-agency memoranda or letters which would not be
available by law to a party other than an agency in litigation with the agency. This exemption protects
docwnents that would be covered by any privilege an agency could assert in a civil proceeding. These
privileges include, among others, the deliberative process privilege, the attorney-client privilege, and the
attorney work-product privilege.

2
5 U.S.C. § 552(b)(5)
3 5 U.S.C. §§ 552(b)(5), (b)(6)

AM: HICA\J

PVERSIGHT

 Page3of 3
Request No. 2018-00042-C-OS
Equity Forwardv. HHS, Civil No. 18-0241 (D.D.C)
FOIA exemption (b)(6) permits a Federal agency to withhold information and records about individuals in
"personnel and medical files and similar files, the disclosure of which would constitute a clearly
unwarranted invasion of personal privacy." The definition of"similar files" has historically been broadly
interpreted to include a wide variety of files, and the United States Supreme Court has held that Congress
intended the term "similar files" to be interpreted broadly, rather than narrowly. I have analyzed these
records and find they meet the threshold requirement of this exemption. Additionally, 1have reviewed
and weighed the public interest in disclosure of this information against the privacy interest in
nondisclosure, and found that the privacy interest outweighs the public's interest in disclosure.
We will continue to review the remaining records as efficiently and expeditiously as possible, consistent
with our available resources and the Order of the Court. Should you have questions or concerns regarding
the Department's response and\or the processing of your request, any such issues should be
communicated to your legal counsel and Department of Justice Attorney representing the Department in
this matter.
Sincerely yours,

Michael S. Marquis
Director
Freedom of Information and Privacy Acts Division

cc: Cerissa Cafasso, Esq.

 Page 1 redacted for the following reason:
--------------------Referral to the Dept. of Justice for Direct Response, 4 Pages

HHS-OS-EF Lit. 18-0241 00003557

EXT-18-241-O-000001

 Page 2 redacted for the following reason:
--------------------Referral to the Dept. of Justice for Direct Response, 4 Pages

HHS-OS-EF Lit. 18-0241 00003558

EXT-18-241-O-000002

 Page 3 redacted for the following reason:
--------------------Referral to the Dept. of Justice for Direct Response, 4 Pages

HHS-OS-EF Lit. 18-0241 00003559

EXT-18-241-O-000003

 Page 4 redacted for the following reason:
--------------------Referral to the Dept. of Justice for Direct Response, 4 Pages

HHS-OS-EF Lit. 18-0241 00003560

EXT-18-241-O-000004

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Wynne, Maggie (HHS/IOS)
Thursday, March 23, 2017 8:07 PM
Bowman , Matthew (HHS/OGC); Lloyd, Scott (ACF); Horn , Wade (HHS/IOS) (CTR);
Stannard, Paula (HHS/IOS); Flick, Heather (OS/OGC)
RE:ACF Policy on Grants to Faith-Based Organizations

Matt ,
(b)(5)

Maggie

Confidentialpredecisionaldeliberativepolicy and attorney client privilege
From: Bowman, Matthew (HHS/0GC)

Sent: Thursday, March 23, 2017 1 :27 PM
To: Wynne, Maggie (HHS/l05);
Heather 05/0GC

Lloyd, Scott (ACF}; Horn, Wade (HHS/IOS} (CTR}; Stannard, Paula (HHS/l05};

Flick,

(b)(5)

(b)(5)

HHS-OS-EF Lit. 18-0241 00003561

EXT-18-241-O-000005

 (b)(5)

Confidentialpredecisionaldeliberativepolicy and attorney client privilege

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791

matthew.bowman @hhs.gov

From: Wynne, Maggie (HHS/IOS)

Sent: Thursday, March 23, 2017 1:13 PM
To: Lloyd, Scott (ACF); Horn, Wade (HHS/IOS) (CTR); Stannard, Paula (HHS/IOS); Flick, Heather (OS/OGC); Bowman,
Matthew (HHS/OGC)
Subject: ACF Policy on Grants to Faith-Based Organizations

H
(b)(5)

. th ACF

.

:

G

t t

F ·th B

d0

~

. f

hich appears to be an ACF policy, not an HHS policy .

htt ps://www. acf. h hs.gov/ acf-po Iicy-on-grants-to-faith-based-organizations

ACF Policy on Grants to Faith-Based Organizations
The American people have long shown their considerable compassion and generosity through a broad range of
community-based entities, including a diverse group of faith-based organizations. Faith-based groups provide critical
human services, and, in emergencies, they consistently stand shoulder-to-shoulder with government in the first line of
response. Our nation is stronger for their work.
As a result of the considerable capabilities of faith-based organizations, the federal government frequently provides
grants or contracts to them to carry out needed services. For the Administration for Children and Families in HHS, faithbased organizations have long been and will continue to be partners in our work.
We are mindful that some potential grantees may have religious objections to providing certain kinds of services,
including referrals. This administration is committed to providing the full range of legally permissible services to people
who need them, and to doing so in a timely fashion and in a manner that respects the diverse religious and cultural
backgrounds of those we serve. At the same time, we also are committed to finding ways for organizations to partner
with us even if they object to providing specific services on religious grounds.
The following are ways in which organizations with such objections may be able to participate in human services
programs:
• Serve as subgrantees: In many cases, subgrantees do not need to provide every service for which the grantee is
responsible, so long as all clients served have access to all services required under the grant in a timely and
respectfu I manner. Grantees must ensure that their overall program provides all of the required services, but
grantees can use subgrantees to provide some services. Under this arrangement, as long as other subgrantees
2

HHS-OS-EF Lit. 18-0241 00003562

EXT-18-241-O-000006

 •

•

are readily available to provide clients w ith the objected-to services, a subgrantee may participate in the grant
program whi le declining to provide services to which they have religious objection.
Apply in a consortium : A second possibi lity is for faith-based organizations to apply in a consortium with one or
more partners. The consortium would allow for a division of responsibility consistent with each organization's
principles. Again, as long as clients have timely access to all required services, different organizations could
divide up the services provided.
Not ify granter: A third possibility in some circumstances would be for the grantee to notify the federal program
office responsible for the grant if a client's needs or circumstances may require services, including referrals, to
which t he organization has a religious object ion. It would t hen be t he federal agency's responsibility t o follow
through with the needed services, or, if appropriate, transfer the case to anot her provider.

ACFwill consider any combination of these approaches and is open to considering other approaches that wou ld
accomplish the goal of ensuring that people have access to a full range of services whi le enabling qualified fait h-based
organizations to participate in the delivery of those services in a manner consistent with their principles.
The United States has a unique history of providing a safe haven for people of all faiths while also upholding both t he
free exercise of religion and the non-establishment of religion, as basic Constitutional principles . In the tradition
consistent with this history, the administration will continue to work to provide all necessary services to people in need,
recognizing t heir diverse religious and cultural backgrounds, while respecting our faith -based partners' values.

3
HHS-OS-EF Lit. 18-0241 00003563

EXT-18-241-O-000007

 Bell. Michael (OS/ASPA)
From:
Sent:
To:
Subject:

Bowman, Matthew (HHS/10S)
Thursday, March 09, 2017 9:16 PM
Wynne, Maggie (HHS/IOS); Lloyd, Edward (ACF)
Re: HHS policy on grants to faith-based groups ..

(b)(5)

On: 09 March 2017 21: 10, "Wynne, Maggie (HHS/I OS
...as ado ted b Obama Administration.

(b)(5)

Text further below. I

•

•

-

-

(b)(5)

htt ps://www. acf. h hs.gov/ acf-po Iicy-on-grants-to-fa it h-based-orga n izati on s
This is the policy ORRfederal staff referenced as guiding their relationships with faith-based providers. ORRstaff said
that while policy statements or guidance documents for the UAC program specifically were prepared and discussed,
none was ever adopted, so this general guidance was the default.
ACF Policy on Grants to Faith-Based Organizations

The American people have long shown their considerable compassion and generosity through a broad range of
community-based entities, including a diverse group of faith-based organizations. Faith-based groups provide critical
human services, and, in emergencies, they consistently stand shoulder-to-shoulder with government in the first line of
response. Our nation is stronger for their work.
As a result of the considerable capabilities of faith-based organizations, the federal government frequently provides
grants or contracts to them to carry out needed services. For the Administration for Children and Families in HHS, faithbased organizations have long been and will continue to be partners in our work.
We are mindful that some potential grantees may have religious objections to providing certain kinds of services,
including referrals. This administration is committed to providing the full range of legally permissible services to people
who need them, and to doing so in a timely fashion and in a manner that respects the diverse religious and cultural
backgrounds of those we serve. At the same time, we also are committed to finding ways for organizations to partner
with us even if they object to providing specific services on religious grounds.
The following are ways in which organizations with such objections may be able to participate in human services
programs:
•
Serve as subgrantees: In many cases, subgrantees do not need to provide every service for which the grantee is
responsible, so long as all clients served have access to all services required under the grant in a timely and
respectfu I manner. Grantees must ensure that their overall program provides all of the required services, but
grantees can use subgrantees to provide some services. Under this arrangement, as long as other subgrantees
are readily available to provide clients with the objected-to services, a subgrantee may participate in the grant
program while declining to provide services to which they have religious objection.
•
Apply in a consortium: A second possibility is for faith-based organizations to apply in a consortium with one or
more partners. The consortium would allow for a division of responsibility consistent with each organization's
principles. Again, as long as clients have timely access to all required services, different organizations could
divide up the services provided.
HHS-OS-EF Lit. 18-0241 00003564

EXT-18-241-O-000008

 •

Not ify grantor : A th ird possibility in some circumstances would be for the grantee to notify the federal program
office responsible for the grant if a client's needs or circumstances may require services, including referrals, to
which the organization has a religious objection. It would then be the federal agency's responsibility to follow
through with the needed services, or, if appropriate, transfer the case to another provider .

ACFwill consider any combination of these approaches and is open to considering other approaches that would
accomplish the goal of ensuring that people have access to a full range of services whi le enabling qualified faith-based
organ izations to participate in the delivery of those services in a manner consistent with their principles.
The United States has a unique history of providing a safe haven for people of all faiths while also upholding both the
free exercise of religion and the non-establishmen t of religion , as basic Constitutional principles . In the tradition
consistent with this histo ry, the administration will continue to work to provide all necessary services to people in need,
recognizing t heir diverse religious and cultural backgrounds, while respect ing our faith-based partners' values.

2
HHS-OS-EF Lit. 18-0241 00003565

EXT-18-241-O-000009

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Bowman , Matthew (HHS/10S)
Thursday, March 09, 2017 9:50 PM
Wynne , Maggie (HHS/IOS); Lloyd, Edward (ACF)
Re: HHS policy on grants to faith-based groups ..

(b)(5)

(b)(5)

HHS-OS-EF Lit. 18-0241 00003566

EXT-18-241-O-000010

 but only
activities

that
such an organization
with direct
financial

may not
assistance

f und these
from the

Department

.

(3) Independence
of faith-based
organizations.
The ru l e makes c l ea r
t hat a re l igious
o r ganization
that
part i c i pates
in Department
prog r ams
retains
its
independence
and may continue
to carry
out its mission ,
including
the definition
, practice
, and expression
of its
re l igious
bel i e f s , p r ov i ded that
i t does not use direct
f i nancial
ass i stance
fr om
the Department
to support
any i nherent l y rel i g i ous act i v i t i es , such as
wor sh i p , re l igious
i nstruct
i on , or p r oselyt i zat i on . Among othe r things ,
a faith-based
organization
may use space in its
facilities
to provide
Department - funded
services
wi thout
removing
re l igious
art , icons ,
sc ri ptures , or other
re l igious
symbols . In addition
, a re l igious
organization
that
rece i ves f i nancial
ass i stance
fr om the Depa r tment
retains
its authority
over i ts i nternal
governance
and i t may r etain
re l igious
terms
in its
organization
' s name , se l ect its board members on
a re l igious
basis , and inc l ude religious
references
in its
organ i zat i on ' s miss i on statements
and othe r gove r ning documents
in
accordance
wi th al l pr o gram requ ir ements , statutes
, and other
applicable
requ i rements
governing
the conduct
of Department-funded
activities
.

From: Bowman, Matthew (HHS/IOS)
Sent: Thursday, March 09, 2017 9:16 PM
To: Wynne, Maggie (HHS/IOS); Lloyd, Edward (ACF)
Subject: Re: HHS policy on grants to fa ith-based groups ..
(b)(5)

(b)(5)
(b)(5)

https ://www .acf.h hs.gov/ acf-po Iicy-on-grants-to-fa it h-based-orga n izati on s
This is the policy ORRfederal staff referenced as guiding their relationships with fa ith -based prov iders. ORRstaff said
that wh ile policy statements or guidance documents for the UAC program specifica lly were prepared and discussed,
none was ever adopted , so this general guidance was the default .
ACF Policy on Grants to Faith-Based Organizations

The American people have long shown their considerable compassion and generosity through a broad range of
community-based entities, includ ing a dive rse group of faith-based organ izations. Faith-based groups provide critical
human services, and, in eme rgencies, they consistently stand shoulder-to-shoulde r with government in the fi rst line of
response. Our nat ion is stronge r for their work .
As a result of the considerab le capabi lit ies of faith-based organizations, the federa l government frequent ly provides
grants or contracts to them to carry out needed services. For the Admin istration for Child ren and Families in HHS, faithbased organizations have long been and will continue to be partne rs in our work.
We are mindfu l that some potent ial grantees may have religious objections to providing certain kinds of services,
includ ing referrals . This administration is committed to providing the full range of legally permiss ible services to people
who need them, and to doing so in a t ime ly fashion and in a manner t hat respects the diverse religious and cult ural
2

HHS-OS-EF Lit. 18-0241 00003567

EXT-18-241-O-000011

 backgrounds of those we serve. At the same time, we also are committed to finding ways for organizations to partner
with us even if they object to providing specific services on religious grounds.
The following are ways in which organizations with such objections may be able to participate in human services
programs:
•
Serve as subgrantees: In many cases, subgrantees do not need to provide every service for which the grantee is
responsible, so long as all clients served have access to all services requ ired under the grant in a timely and
respectful manner. Grantees must ensure that their overall program provides all of the required services, but
grantees can use subgrantees to provide some services. Under this arrangement, as long as other subgrante es
are readily available to provide clients with the objected-to services, a subgrantee may participate in the grant
program while declining to provide services to which they have religious objection.
•
Apply in a consortium: A second possibility is for faith-based organizations to apply in a consortium with one or
more partners. The consortium would allow for a division of responsibility consistent with each organization's
principles. Again, as long as clients have timely access to all required services, different organizations could
divide up the services provided.
•
Notify granter: A third possibility in some circumstances would be for the grantee to notify the federal program
office responsible for the grant if a client's needs or circumstances may requ ire services, including refer rals, to
which the organization has a religious objection. It would t hen be the federal agency's respo nsibility to follow
through with the needed services, or, if appropriate, transfer the case to another provider.
ACFwill consider any combination of these approaches and is open to considering other approaches that would
accomplish the goal of ensuring that people have access to a full range of services whi le enabling qualified faith-based
organizations to participate in the delivery of those services in a manner consistent with their principles.
The United States has a unique history of providing a safe haven for people of all faiths while also upholding both the
free exercise of religion and the non-establishment of religion, as basic Constitutional principles. In the tradition
consistent with this history, the administration will continue to work to provide all necessary services to people in need,
recognizing their diverse religious and cultural backgrounds, while respecting our faith-based partners' values.

3
HHS-OS-EF Lit. 18-0241 00003568

EXT-18-241-O-000012

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:
Attachments :

Carr, Elizabeth (OS/IEA)
Friday, September 15, 2017 11:15 AM
Trueman, Laura (HHS/IEA); Ecoffey, Stacey (HHS/IEA)
Wynne, Maggie (HHS/IOS); Stevenson, Sarah-Lloyd (HHS/IOS); Norton, Jane (OS/IEA);
Lagomarsino , Katie (OS/IOS); Seidel, Elizabeth (OS/IEA)
RE: Power Point on Tribal 101
HHS Tribal 101 FINAL.PPTX

Attached.
Please let me know if you have any questions.
Thanks!

From: Trueman, Laura (HHS/IEA)
Sent: Friday, September 15, 2017 11: 13 AM
To: Ecoffey, Stacey (HHS/IEA); Carr, Elizabeth (OS/IEA)
Cc: Wynne, Maggie (H HS/IOS); Stevenson, Sarah-Lloyd (H HS/IOS); Norton, Jane (OS/IEA); Lagomarsino, Katie
(OS/IOS); Seidel, Elizabeth (OS/IEA)
Subject: Power Point on Trib al 101

When coming back from the WH IHS trib al health event with sec retary price, I told him about the PowerPoint
you all had created that was a Triba l 101.
I asked him if he wanted to see that before he went to Oklahoma. He indicated he would.
I had made an edited version which cut down the 50/60 slides that you all had come up with, but when I went to
retrieve it on my computer, it talked about "corrupted" and I couldn't pull it up.
Stacey and Liz - are you able to se nd me that Pow erPoi nt again?
Katie L- when is the drop dead point for getting some thing in his book for the weekend?
Thanks!
Laura

HHS-OS-EF Lit. 18-0241 00003569

EXT-18-241-O-000013

 Bell. Michael (OS/ASPA)
Friedman, Richard (HHS/OGC)
Friday, September 15, 2017 2:20 PM
Kemper , Laura (HHS/ASL); Lawrence, Courtney (HHS/ASL); Arbes , Sarah (HHS/ASL);
Clark, Barbara (HHS/ASL); Keckler, Charles (HHS/IOS); McGuffee, Tyler Ann (HHS/ASL);
Morse, Sara (HHS/ASL); Wh itley, Edward (HHS/AS L); Davis, Ms. Cynthia (ACF); Logan,
Scott (ACF); Sulton, Jae (ACF); Ginieczki, Boyce (AHRQ/IOD); Perry, Wendy (AHRQ/OC) ;
Klin gbeil, Martin (CDC/OD/CDCWO); Schattner, Aimee (CDC/OD/CDCWO); FDA
incoming control box; Craig, Nina (IHS/HQ); Hodson, Corbrett (IHS/HQ); Tracy, June
(IHS/HQ); ASAIO Staff; Barcus, Lea (PSC/OD); Earles, Vertrice (HHS/ASA) (CTR); Chlet sos,
Lori (PSC/OD) (CTR); Duncan , Constance (HHS/ASFR); Smith-Simpson , Jacqlyn
(HHS/ASFR); ASPR Legislation (OS/ASPR); Vandegr ift, Serina (OS/ASPR/COO); Leavelle,
Cannon (OS/ONC); Stauffer, Rachel (OS/ONC); ASPEClearances (OS/ASPE); Jackson,
Caldwell (ACL); Lutz, Brian T. (AoA/CPA); Nicholls , Richard (ACL); Broehm, Jason E.
(CDC/OD/CDCWO); Rogers, Barbara A. (CDC/OD/CDCWO); Brady, Kevin (CMS/OL);
Talbert, Ada L. (CMS/OL); Wikelius, Kristin (CMS/OL); Atkinson, Leslie (HRSA); Brooks,
John (HHS/IOS); Sealy, Camille (HRSA); Higgins , Lauren (NIH/OD) [E]; Tatem , Anne
(NIH/OD) [E]; Vo, Thuy (NIH/OD) [E]; A ltm an, Brian (SAMHSA); Lampasone, Kara
(SAMHSA); Rice, Peggie (HHS/ASFR); Slothouber, Doug (SAMHSA); Adams, Claudia
(HHS/OS); Brockett, Sharon (HHS/OCR); Householder, Donna (HHS/OS); Lawson,
Heather (HHS/OCR); Mo rgan, Sherri (OS/OCR); Schmidt, Peggy (HHS/OCR); East, Janet
(HHS/OASH); Stallion , Vivian (HHS/OS); Lapinski, Mary-Sumpter (HHS/IOS); Stevenson,
Sarah- Lloyd (HHS/IOS); Wynne, Maggie (HHS/IOS); Brandt Hansberge r, Patricia
(NIH/OD) [E]
Malliou, Ekaterini (OS/IOS); Davis, Jeffrey (HHS/OGC); Hertzog, Christian (HHS/OGC);
Khalife, Alexandra (HHS/ASL); Brandt Hansberger, Patricia (NIH/OD) [E]; Klingbeil,
Martin (CDC/OD/CDCWO); Foster, Joseph (CDC/OCOO/OGC); Blackwell, Edith
(HHS/OGC); Johnson, Linda (OS/OGC); Bird, Cather in e (OS/OGC); Bowman, Matthew
(HHS/OGC); Stimson , Brian (HHS/OGC); Flick, Heather (OS/OGC); Johnson-Webb ,
Mechelle D (IHS/HQ); Slacter, Ann R (IHS/HQ); Vanderwagen, Luke (IHS/HQ); Haran,
Judith (HHS/OGC); Jeffries, Elizabeth (HHS/OGC); Terry, Minnie (HHS/OGC); Barry,
Daniel J (HHS/OGC); OS GCGL, EMAIL (HHS/OS); Huff, Bonita (HHS/OGC); Schuham ,
Aaron (HHS/OGC); Benor, David E.(HHS/OGC); Naiman, David (HHS/OGC); OGC PH and
S BRANCH CONTROLS; PHD NIH Branch Controlled Cor respondence (NIH/OD); Kocher,
Paula L. (CDC/OCOO/OGC); OGC CDC Branch Controls (CDC); OS GCE, EMAIL
(HHS/OS); Bess, Demetr ice (FDA/OC); Genera l mail box; Shillingford, Mahala (FDA/OC);
Fisher, Barbara (HHS/OGC); OIGClearances@oig.hhs.gov
Reply by 1PM, 9/19 : proposed response to 0MB re: HR 70 (FACA Amendments of
2017)
hr70.pdf; hr70.omb.doc

From:

Sent:
To:

Cc:

Subject:
Attachments:

0MB has asked our views on H.R. 70, the "Federal Advisory Committee Act Amendments of
(b)(5)
2017". This same bill has been introduced in the revious two Con resses ·
(b)(5)

(b)(5)
(b)(5)
(b)(5)

HHS-OS-EF Lit. 18-0241 00003570

EXT-18-241-O-000014

 Please clear or recommend spec ific changes by 1:00 pm Tuesday, 9/ 19. I'm attaching a copy of the bill
for your convenience.
Richard Fried man
202-690- 77 66

2
HHS-OS-EF Lit. 18-0241 00003571

EXT-18-241-O-000015

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:

Subject :
Attachments :

TO:

ASL
ACF
AHRQ
CDC
FDA
IHS
ASA/PSC
ASFR

Willoughby, Michelle (HHS/OGC)
Thursday, September 14, 2017 10:13 AM
Kemper, Laura (HHS/ASL); Lawrence, Courtney (HHS/ASL); Arbes, Sarah (HHS/ASL);
Clark, Barbara (HHS/ASL); Keckler, Charles (HHS/IOS); McGuffee , Tyler Ann (HHS/ASL);
Morse, Sara (HHS/ASL); Whit ley, Edward (HHS/ASL); Davis, Ms. Cynthia (ACF); Logan,
Scott (ACF); Sulton, Jae (ACF); Ginieczki, Boyce (AHRQ/IOD); Perry, Wendy (AHRQ/OC);
Klingbeil, Martin (CDC/OD/CDCWO); Schattner, Aimee (CDC/OD/CDCWO); FDA
incoming control box; Craig, Nina (!HS/HQ); Hodson, Corbrett (IHS/HQ); Tracy, June
(IHS/HQ); ASAIO Staff; Barcus, Lea (PSC/OD); Earles, Vertrice (HHS/ASA) (CTR); Chletsos,
Lori (PSC/OD) (CTR); Duncan, Constance (HHS/AS FR); Smith -Simpson, Jacqlyn
(HHS/ASFR); ASPR Legislat ion (OS/ASPR); Vandegrift, Serina (OS/ASPR/COO); Leavelle,
Cannon (OS/ONC); Stauffer, Rachel (OS/ONC); ASPEClearances (OS/ASPE); Jackson,
Caldwell (ACL); Lutz, Brian T. (AoA/CPA); Nicho lls, Richard (ACL); Broehm, Jason E.
(CDC/OD/CDCWO); Rogers, Barbara A. (CDC/OD/CDCWO); Brady, Kevin (CMS/OL);
Talbert, Ada L. (CMS/OL); W ikelius, Kristin (CMS/OL); Atkinson, Leslie (HRSA); Brooks,
Joh n (HHS/IOS); Sealy, Camille (HRSA); Higgins, Lauren (NIH/OD) [E); Tatem, Anne
(NIH/OD) [E]; Vo, Thuy (NIH/OD) [E); Altman, Brian (SAMHSA); Lampasone, Kara
(SAMHSA); Rice, Peggie (HHS/ASFR); Slothoube r, Doug (SAMHSA); Adams, Claud ia
(HHS/OS); Brockett, Sharon (HHS/OCR); Householde r, Donna (HHS/OS); Lawson,
Heather (HHS/OCR); Morgan, Sherri (OS/OCR); Schmidt, Peggy (HHS/OCR); East, Janet
(HHS/OASH); Stallion, Vivian (HHS/OS); Lapinski, Mary -Sumpter (HHS/IOS); Stevenson,
Sarah- Lloyd (HHS/IOS); Wynne, Maggie (HHS/IOS)
Mal liou, Ekaterini (OS/IOS); Davis, Jeffrey (HHS/OGC); Friedman, Richard (HHS/OGC);
Hertzog , Christ ian (HHS/OGC); Khalife, Alexandra (HHS/ASL); Brandt Hansberger ,
Patricia (NIH/OD) [E]; Klingbei l, Martin (CDC/OD/CDCWO); Foster, Joseph
(CDC/OCOO/OGC); Blackwe ll, Edith (HHS/OGC); Johnson, Linda (OS/OGC); Bird,
Catherine (OS/OGC); Bowman, Matthew (HHS/OGC); Stimson, Brian (HHS/OGC); Flick,
Heather (OS/OGC); Johnson-Webb, Mechelle D (IHS/HQ) ; Slacter, Ann R (!HS/HQ);
Vanderwagen, Luke (IHS/HQ); Haran, Jud ith (HHS/OGC); Jeffries, Elizabeth (HH S/OGC);
Terry, Minnie (HHS/OGC); Barry, Daniel J (HHS/OGC); OS GCGL, EMAIL (HHS/OS); Huff,
Bonita (HHS/OGC); Schuham, Aaron (HHS/OGC); Benor, David E.(HHS/OGC); Naimon,
David (HHS/OGC); OGC PH and S BRANCH CONTROLS; PHD NIH Branch Controlled
Correspondence (NIH/OD); Kocher, Paula L. (CDC/OCOO/OGC); OGC CDC Branch
Controls (CDC); OS GCE, EMAIL (HHS/OS); Bess, Demet rice (FDA/OC); General mail box;
Shillingford, Mahala (FDA/OC); Fisher, Barbara (HHS/OGC); OIGClearances@oig.hhs.gov
Reply by 1PM, 9/19:OMB RFVs:HR70(Federal Advisory Comm ittee Act Amendments of
2017)
hr70.pdf

ASPE
ACL
ATSDR
CMS
HRSA
NIH
SAMHSA
OCR
HHS-OS-EF Lit. 18-0241 00003572

EXT-18-241-O-000016

 ASPR
ONC

FROM:

ASH
IOS/OS

Office of the General Counse l/Legislation Division

SUBJECT: 0MB Request for Views on HR 70 -- Federal Advisory Comm ittee Act
Amendments of 2017

(b)(5)

(b)(5)

The Office of Management and Budget has asked for the Department's views on
th is bill as passed the House.
In order that we may respond promptly to this request, please give your
comments as soon as poss ible but no later than 1 :00 P.M., TUESDAY, SEPTEMBER
19 to both (1) RICHARD FRIEDMAN of this Division and (2) cc: our general e-mailbox
(ema il.gcl@hhs .gov) (Microsoft Outlook users , select: OS GCL , EMAIL from the Global
Address List).
To ensure that the Department's comments are given fu ll cons ideration, please
observe the following guide lines in provid ing your office's comments:
(b)(5)

If you have any questions , call the GCL staff attorney named above, at

202.690.7766 , or our Legislative Reference Service, at 202.690.7750.
Attachments
2

HHS-OS-EF Lit. 18-0241 00003573

EXT-18-241-O-000017

 cc:

OIG
GC/ 10
GC/CFA
GC/GLD
GC/CR
GC/ PH
GC/ Ethics
GC/ FD
GC/CMS
GCL (Hertzog)

<:J1i.cAell
eJ..awc.en.ceCWi.LL
ou3/J,1J.
Office of the General Counsel/Legis lation Division
l egislat ive Reference Service
202.690.7750 fax 202.690.7309
Michelle.W illoughby@hhs.gov

This message is intended for the exclusive use of the recipient(s) named above. It may conta in information t hat is
PROTEC
TED and/or PRIVILEGED,and it should not be disseminated, distributed, or copied to persons not author ized to
receive such info r mation . If you are not the intended recipient , any dissemination, distr ibut ion, or copying is st rictly
proh ibited . If you have received th is communication in error, please erase all copies of the message and its attachments
and not ify us immediate ly.

3
HHS-OS-EF Lit. 18-0241 00003574

EXT-18-241-O-000018

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:

Subject :
Attachments :

Willoughby , M ichelle (HHS/OGC)
Thursday, September 28, 201710:47 AM
Arbes , Sarah (HHS/ASL); Clark, Barbara (HHS/ASL); Keckler, Charles (HHS/IOS);
McGuffee, Tyler Ann (HHS/ASL); Morse , Sara (HHS/AS L); Whitley , Edward (HHS/ASL);
Kemper, Laura (HHS/ASL); Lawrence, Courtney (HHS/ASL); Stevenson, Sarah-L loyd
(HHS/IOS); Wynne, Maggie (HHS/IOS); Lapinski, Mary -Sump ter (HHS/IOS ); Davis, Ms.
Cynthia (ACF); Logan, Scott (ACF); Sulton, Jae (ACF); ASAIO Staff; Barcus, Lea (PSC/OD);
Earles, Vertrice (HHS/ASA) (CTR); Duncan , Constance (HHS/ASFR); Smith - Simpson ,
Jacqlyn (HHS/ASFR); ASPEC!earances (OS/ASPE); ASPR Legislation (OS/ASPR);
Vandegrif t, Serina (OS/ASPR/COO); Klingbeil , Martin (CDC/OD/CDCWO ); Schattner,
Aimee (CDC/OD/CDCWO) ; Haron, Judith (HHS/OGC ); Jeffries , Elizabeth (HHS/OGC);
Terry, Minn ie (HHS/OGC); Atk inson, Leslie (HRSA); Brooks, John (HHS/IOS); Sealy,
Camille (HRSA); Mason , James (HHS/IEA); East, Janet (HHS/OASH); Stallion, Vivian
(HHS/OS); Adams , Claudia (HHS/OS); Brockett, Sharon (HHS/OCR); Householder ,
Donna (HHS/OS); Lawson, Heather (HHS/OCR); Morgan, Sherr i (OS/OCR); Altman, Brian
(SAMHSA); Lampasone, Kara (SAMHSA); Rice, Peggie (HHS/ASFR); Slothouber , Doug
(SAMHSA); Craig, Nina (IHS/HQ); Hodson , Corbrett (IHS/HQ); Tracy, June (IHS/HQ);
Global Health (HHS/OGA); Stannard, Paula (HHS/IOS)
Mal liou , Ekaterini (OS/IOS); Davis, Jeffrey (HHS/OGC); Brown , Joshua H. (HHS/OGC);
Hertzog , Chr istian (HHS/OGC); Friedman, Richard (HHS/OGC); Sherman , Susan
(HHS/OGC); Ray Gorrie, Jennifer (HHS/OGC); Blackwell, Edith (HHS/OGC); Johnson,
Linda (OS/OGC); Bird, Catherine (OS/OGC); Bowman, Matthew (HHS/OGC); Stimson ,
Brian (HHS/OGC); Flick, Heather (OS/OGC); Johnson-Webb, Mechelle D (!HS/HQ);
Slacter, Ann R (!HS/HQ); Vanderwagen, Luke (IHS/HQ) ; Huff, Bonita (HHS/OGC);
Schuham , Aaron (HHS/OGC); Barry, Daniel J (HHS/OGC); OS GCGL, EMAIL (HHS/OS);
Benor, David E.(HHS/OGC); Naimon , David (HHS/OGC); OGC PH and S BRANCH
CONTROLS; Kocher, Paula L. (CDC/OCOO/OGC); OGC CDC Branch Controls (CDC);
OIGClearances@oig .hhs .gov; Hodgkins , Juliet (OIG/OCIG)
REVISEDDEADLINE: Reply by lPM,9/29:OMB RFVs:HR 3548(Building America 's Trust
Act)
McCaul _0SS HR 3548 (border) ANS v.17.docx; MCCAU L ANS 9_27_2017 .pdf;
REDLINE.DOCX

0MB just learned that the House Homeland Security Committee is scheduled to markup HR 3548 on
October 4th. As such, the new deadline for review of this referral is 1 :00 P.M. , FRIDAY ,
SEPTEMBER 29 .
My apologies for the compressed timeframe. Also, the latest version of the bill is
attached in Word and PDF formats and in case it is helpful, 0MB has also given us a redline
document comparing the latest bill text to the version that was original ly circulated.
Thanks

Michelle
From: Wil loughby, Michelle (HHS/OGC)

Sent: Wednesday, September 27, 2017 7:37 AM
To: Arbes, Sarah (HHS/ASL); Clark, Barbara (HHS/ASL);

Keckler, Charles (HHS/IOS); McGuffee, Ty ler Ann (HHS/ASL);
Morse, Sara (HHS/ASL); Whitley, Edward (HHS/ASL); Kemper, Laura (HHS/ASL); Lawrence, Courtney (HHS/ASL);
Stevenson, Sarah-Lloyd (HHS/IOS); Wynne, Maggie (HHS/IOS); Lapinsk i, Mary-Sumpter (HHS/IOS); Davis, Ms. Cynthia
1
HHS-OS-EF Lit. 18-0241 00003575

EXT-18-241-O-000019

 {ACF); Logan, Scott {ACF); Sulton, Jae {ACF); ASAIO Staff; Barcus, Lea {PSC/OD); Earles, Vertrice {HHS/ASA) {CTR);
Duncan, Constance {HHS/ASFR); Smith-Simpson, J acqlyn {HHS/ASFR); General lnbox; ASPR Inbox; Vandegrift, Serina
{OS/ASPR/COO); Klingbeil, Martin {CDC/OD/CDCWO); Schattner, Aimee {CDC/OD/CDCWO); Haran, Jud ith {HHS/OGC);
Jeffries, Elizabeth (HHS/OGC); Terry, Minn ie (HHS/OGC); Atk inson, Leslie (HRSA); Brooks, John {HHS/IOS); Sealy,
Camille (HRSA); Mason, James (HHS/IEA); East, J anet (HHS/OASH); Stall ion, Vivian (HHS/OS); Adams, Claudia
{HHS/OS); Brockett, Sharon {HHS/OCR); Householder, Donna {HHS/OS); Lawson, Heather {HHS/OCR); Morgan, Sherri
{OS/OCR); Altman, Brian {SAMHSA); Lampasone, Kara {SAMHSA); Rice, Peggie {HHS/ASFR); Slothouber, Doug
{SAMHSA); Craig, Nina {IHS/HQ); 'Hodson, Corbrett {IHS/HQ)'; Tracy, J une {IHS/HQ); Global Health {HHS/OGA)
Cc: Malliou, Ekaterini {OS/IOS); Davis, J effrey {HHS/OGC); Brown, J oshua H. {HHS/OGC); Hertzog, Christian {HHS/OGC);
Friedman, Richard {HHS/OGC); Sherman, Susan {HHS/OGC); Ray Gorrie, Jennifer {HHS/OGC); Blackwell, Edith
{HHS/OGC); Johnson, Linda {OS/OGC); Bird, Catherine {OS/OGC); Bowman, Matthew {HHS/OGC); Brian Stimson; Flick,
Heather {OS/OGC); Johnson-Webb, Mechelle D {IHS/HQ); Slacter, Ann R (IHS/HQ); Vanderwagen, Luke {IHS/HQ); Huff,
Bonita {HHS/OGC); Schuham, Aaron {HHS/OGC); Barry, Daniel J {HHS/OGC); OS GCGL, EMAIL {HHS/OS); Benor, David
E.{HHS/OGC); Naima n, David {HHS/OGC); OGC PH and S BRANCH CONTROLS; Kocher, Paula L. {CDC/OCOO/OGC); 'OGC
CDC Branch Contro ls {CDC)'; 'OI GClearances@oig.hhs.gov'; Hodgkins,Juliet {OIG/OCIG)
Subject: Reply by 11AM, 10/2:OMB RFVs:HR 3548{Bui lding America 's Trust Act)

TO :

L/H
ACF
ASA
ASFR
ASPE
ASPR
CDC
GC/ CFA
IOS/OS

L/HS
HRSA
IEA
OASH
OCR
OGA
SAMHSA
IHS
OIG

FROM:

Office of the General Counsel / Legislation Division

SUBJECT:

0MB Request for Views on HR 3548 - Building America's Trust Act

(NOTE: Attached, please find H.R. 3548 , the Border Security for America Act of 2017 ,
which is similar to the first two t itles of S. 1757, the Building America's Trust Act. Tha t
bill was circulated for your review on Sept. 19, 2018.)

The Office of Management and Budget has asked for the Department's views on this

Qill.

In order that we may respond promptly to this request, please give your comments as soon as
possible but no later than 1 :00 P.M., FRIDAY , SEPTEMBER 29 11 :00 A.M., MONDAY, OCTOBER 2
to both (1) JOSH BROWN of this Division and (2) cc: our general e-mailbox
(email.gcl@hhs.gov ) (Microsoft Outlook users , select: OS GCL, EMAIL from the Global Address
List).
To ensure that the Department 's comments are given full consideration, please observe the
following guidelines in providing your office's comments:

2
HHS-OS-EF Lit. 18-0241 00003576

EXT-18-241-O-000020

 (b)(5)

If you have any questions , call the GCL staff attorney named above, at 202 -401-6097, or our
Legislative Reference Service, at 202.690.7750.
Attachments
cc:

OIG
GC/I0
GC/CR
GC/GLD
GC/PH
10S/OS
GCL (Friedman/Hertzog)

c/licAelle.J.a.W'r.e.n.ce.
O,Villou9./1.l,IJ.
Office of the General Counsel/Legislation Division
Legislative Reference Service
202.690.7750 fax 202.690.7309
Michelle.Willoughby@hhs.gov

This message is intended for the exclusive use of the recipient(s) named above . It may conta in information that is
PROTECTEDand/or PRIVILEGED,and it should not be disseminated, distributed, or copied to persons not authorized to
receive such informat ion. If you are not the intended recipient, any dissemination, distr ibut ion, or copy ing is str ictly
proh ibited . If you have rece ived this communication in error, please erase all copies of the message and its attachments
and notify us immediately .

3
HHS-OS-EF Lit. 18-0241 00003577

EXT-18-241-O-000021

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

Lapinski, Mary-Sumpter (H HS/IOS)
Tuesday, October 31, 2017 4:48 PM
Stannard, Paula (HHS/IOS); Gartland, Molly (HHS/IOS); Lenihan, Keagan (HHS/IOS);
Schaefer, Nina (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki,
Kristin (HHS/IOS)
Smith, Andrew (HHS/IOS)
RE:30-day updates
30-day look -ahead Oct 31 - STAFFEDITSps msl.docx

Addit ional edits
From: Stannard, Paula (HHS/IOS)
Sent: Tuesday, October 31, 2017 2:53 PM
To: Gartland, Molly (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Lapinski, Mary-Sumpter
(HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Smith, Andrew (HHS/IOS)
Subject: RE: 30-day updates
A few suggestions in the attached .
Paula
From: Gartland, Molly (HHS/IOS)

Sent: Tuesday, October 31, 2017 10:50 AM
To: Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Lapinski, Mary-Sumpter
(HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, Jo hn (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Smith, Andrew (HHS/IOS)
Subject: RE: 30-day updates
Sorry, attached here.
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary- HHS
0: (202) 260-7503

C:(b)(6)
From: Gartland, Molly (HHS/IOS)

Sent: Tuesday, October 31, 2017 10: 13 AM
To: Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Lapinski, Mary-Sumpter
(HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, Jo hn (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Smith, Andrew (HHS/IOS)
Subject: 30-day updates
Hi all,
Please see this week's updates. I apologize for the delay in getting these out but if you could have your edits to me by
COB today, it would be greatly appreciated!
HHS-OS-EF Lit. 18-0241 00003578

EXT-18-241-O-000022

 Best,
Molly Gartland
Special Assistant to the Chief of Staff

Office of the Secretary - HHS
0: (202) 260-7503
(b)(6)
C

2
HHS-OS-EF Lit. 18-0241 00003579

EXT-18-241-O-000023

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

Stannard, Paula (HHS/IOS)
Tuesday, October 31, 2017 2:53 PM
Gartland , Molly (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS);
Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS);
Skrzycki, Kristin (HHS/IOS)
Smith , Andrew (HHS/IOS)
RE:30-day updates
30-day look -ahead Oct 31 - STAFF EDITSps.docx

A few suggest ions in the attached .
Paula

From: Gartland, Molly (HHS/IOS)

Sent: Tuesday, October 31, 2017 10:50 AM
To: Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Lapinski, Mary-Sumpter
(HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Smith, Andrew (HHS/IOS)
Subject: RE: 30-day updates
Sorry, attached here.
Best,
Mo lly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary - HHS
0: (202) 260-7503

C:(b)(6)
From: Gartland, Molly (HHS/IOS)

Sent: Tuesday, October 31, 2017 1O:13 AM
To: Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Lapinski, Mary-Sumpter
(HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Smith, Andrew (HHS/IOS)
Subject: 30-day updates
Hi all,
Please see this week's updates. I apologize for the delay in getting these out but if you could have your edits to me by
COB today, it would be greatly appreciated!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary - HHS
0: {202} 260-7503

C:(b)(6)

HHS-OS-EF Lit. 18-0241 00003580

EXT-18-241-O-000024

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Smith, Andrew (HHS/IOS)
Tuesday, October 31, 2017 12:51 PM
Wynne , Maggie (HHS/IOS)
FW: 30-day updates
30-day look -ahead Oct 31 - STAFFEDITSAS.docx

Not much from our folks in here. My edits attached.

From: Gartland, Molly (HHS/IOS)

Sent: Tuesday, October 31, 2017 10:50 AM
To: Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Lapinski, Mary-Sumpter
(HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Smith, Andrew (HHS/IOS)
Subject: RE: 30-day updates
Sorry, attached here.
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary - HHS
0: (202) 260-7503

C:(b)(6)
From: Gartland, Molly (HHS/IOS)

Sent: Tuesday, October 31, 2017 1O:13 AM
To: Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Lapinski, Mary-Sumpter
(HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Smith, Andrew (HHS/IOS)
Subject: 30-day updates
Hi all,
Please see this week ' s updates . I apologize for the delay in getting these out but if you could have your edits to me by
COB today, it would be greatly appreciated!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary - HHS
0: {202) 260-7503
(b)(6)

C.

HHS-OS-EF Lit. 18-0241 00003581

EXT-18-241-O-000025

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

Gart land, Molly (HHS/1OS)
Tuesday, October 31, 2017 10:50 AM
Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS);
Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/1OS);
Skrzycki, Kristin (HHS/IOS)
Smith, Andrew (HHS/IOS)
RE:30-day updates
30-day look -ahead Oct 31 - STAFFEDITS.docx

Sorry, attached here.
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary - HHS
0 : (202} 260-7503

C:(b)(6)
From: Gartland, Molly (HHS/IOS)

Sent: Tuesday, October 31, 2017 1O:13 AM
To: Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Lapinski, Mary-Sumpter
(HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Smith, Andrew (HHS/IOS)
Subject: 30-day updates
Hi all,
Please see this week ' s updates . I apologize for the delay in getting these out but if you could have your edits to me by
COB today, it would be greatly appreciated!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary - HHS
0: (202} 260-7503

C:(b)(6)

HHS-OS-EF Lit. 18-0241 00003582

EXT-18-241-O-000026

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Smith, Andrew (HHS/IOS)
Tuesday, October 17, 2017 6:16 PM
Wynne , Maggie (HHS/IOS)
RE:30-day - Oct 17
30-day look-ahead Oct 17 STAFFEDITSAS.docx

Edited to reflect my conversation with Anna just now that Jerry is speaking at the adoption event and the Act ing Sec has
been invited .

From: Smith, Andrew (HHS/IOS)

Sent: Tuesday, October 17, 2017 10:57 AM
To: Wynne, Maggie (HHS/105)
Subject: RE: 30-day - Oct 17
(b)(5)

From: Wynne, Maggie (HHS/IOS)

Sent: Monday, October 16, 2017 10:00 AM
To: Smith, Andrew (HHS/IOS)
Subject: FW: 30-day - Oct 17
Please give an initial review .
It looks like Molly isn't including you anymore. Oversight?

From: Gartland, Molly (HHS/IOS)

Sent: Monday, October 16, 2017 9:58 AM
HHS-OS-EF Lit. 18-0241 00003583

EXT-18-241-O-000027

 (b)(6)

HHS-OS-EF Lit. 18-0241 00003584

EXT-18-241-O-000028

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Smith, And rew (HHS/IOS)
Tuesday, October 17, 2017 11:13 AM
Wy nne, Maggie (HHS/IOS)
RE: 30-day - Oct 17
30-day loo k-ahead Oct 17 STAFFEDITSAS.docx

(b)(5)

From: Wyn ne, Maggie (HHS/IOS)

Sent: Monday, October 16, 20 17 10:00 AM
To: Smith, Andrew (HHS/IOS)
Subject: FW: 30-day - Oct 17
Please give an initial review.
It looks like Molly isn't including you anymore. Oversight?

From: Gartland , Molly (HHS/IOS)

Sent: Monday, October 16, 20 17 9:58 AM
To: Skrzycki, Kristin (HHS/IOS); Lenihan, Keagan (HHS/IOS); Lapinski, Mary-Sumpte r (HHS/IOS); Wynne, Maggie
(HHS/IOS); Schaefer, Nina (HHS/IOS); Stannard, Paula (HHS/IOS); Brooks, Jo hn (HHS/IOS)
Subject: 30-day - Oct 17
Hi all,
Please see attac hed ed its for th is week. Thanks!

HHS-OS-EF Lit. 18-0241 00003585

EXT-18-241-O-000029

 Best,
Molly Gartland
Special Assistant to the Chief of Staff
Office of the Secretary- HHS
0 : 202 260 -7503
(b)(6)

C:

2

HHS-OS-EF Lit. 18-0241 00003586

EXT-18-241-O-000030

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Gartland , Molly (HHS/IOS)
Monday, October 16, 2017 9:58 AM
Skrzycki, Kristin (HHS/1OS); Lenihan , Keagan (HHS/1OS); Lapinski, Mary -Sumpter
(HHS/IOS); Wynne, Maggie (HHS/IOS); Schaefer, Nina (HHS/IOS); Stannard , Paula
(HHS/1OS); Brooks, John (HHS/IOS)
30-day - Oct 17
30-day look-ahead Oct 17 STAFF EDITS.docx

Hi all,
Please see attached ed its for this week. Thanks!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary - HHS
0: (202) 260 -7503
(b)(6)
C

HHS-OS-EF Lit. 18-0241 00003587

EXT-18-241-O-000031

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Stannard, Paula (HHS/IOS)
Wednesday, October 11, 2017 8:00 AM
Gartland, Molly (HHS/IOS); Wynne , Maggie (HHS/IOS); Lapinski, Mary -Sumpter
(HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John
(HHS/IOS); Skrzycki, Kristin (HHS/IOS)
RE:30-day updates
30-day look-ahead Oct 10 STAFF EDITSmsl maw ps.docx

My edits in the attached.
Paula

From: Gartland, Molly (HHS/IOS)

Sent: Wednesday, October 11, 2017 7:51 AM
To: Wynne, Maggie (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Stannard, Paula (HHS/IOS); Lenihan, Keagan
(HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)

Subject: RE: 30-day updates
Hi all,
Please send all edits by 10:30am today if at all possible. We're a tad behind the deadline due to the holiday, my fault
entirely. Thank you for your help!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary - HHS
0: 202 260-7503
(b)(6)

From: Wynne, Maggie (HHS/IOS)

Sent: Tuesday, October 10, 2017 8:28 PM
To: Lapinski, Mary-Sumpter (HHS/IOS); Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Lenihan, Keagan
(HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)

Subject: RE: 30-day updates
Mine added, too.

From: Lapinski, Mary-Sumpter (HHS/IOS)

Sent: Tuesday, October 10, 2017 10:04 AM
To: Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS);
Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: RE: 30-day updates
Suggested edits.

From: Gartland, Molly (HHS/IOS)

Sent: Tuesday, October 10, 2017 9:54 AM
To: Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Wynne, Maggie (HHS/IOS);
HHS-OS-EF Lit. 18-0241 00003588

EXT-18-241-O-000032

 Lapinski, Mary-Sumpter (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)

Subject: 30-day updates
Hi all,
Please see this week's updates attached.

(b)(6)

2

HHS-OS-EF Lit. 18-0241 00003589

EXT-18-241-O-000033

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Wynne, Maggie (HHS/IOS)
Tuesday, October 10, 2017 8:28 PM
Lapinski, Mary -Sumpter (HHS/IOS); Gartland, Molly (HHS/IOS); Stannard, Paula
(HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John
(HHS/IOS); Skrzycki, Kristin (HHS/IOS)
RE:30-day updates
30-day look-ahead Oct 10 STAFFEDITSmsl maw.docx

Mine added, too.
From: Lapinski, Mary-Sumpter (HHS/IOS)
Sent: Tuesday, October 10, 2017 10:04 AM
To: Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS);
Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: RE: 30-day updates
Suggested edits.

From: Gartland, Molly (HHS/l05)

Sent: Tuesday, October 10, 2017 9:54 AM
To: Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/l05); Schaefer, Nina (HHS/l05); Wynne, Maggie (HHS/l05);
Lapinski, Mary-Sumpter (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: 30-day updates
Hi all,
Please see this week's updates attached.
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary- HHS
0: 202 260-7503
(b)(6)

C:

HHS-OS-EF Lit. 18-0241 00003590

EXT-18-241-O-000034

 Bell. Michael (OS/ASPA)
Lapinski, Mary-Sumpter (H HS/IOS)
Tuesday, October 10, 2017 10:04 AM
Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS);
Schaefer, Nina (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki,
Kristin (HHS/IOS)
RE:30-day updates
30-day look-ahead Oct 10 STAFFEDITS msl.docx

From:

Sent:
To:

Subject:
Attachments:

Suggested edits.
From: Gartland, Molly (HHS/IOS)
Sent: Tuesday, October 10, 2017 9:54 AM
To: Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Wynne, Maggie (HHS/IOS);
Lapinski, Mary-Sumpter (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: 30-day updates
Hi all,
Please see this week's updates attached.
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary0: {202) 260-7503

HHS

C:(b)(6)

HHS-OS-EF Lit. 18-0241 00003591

EXT-18-241-O-000035

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Gartland , Molly (HHS/1OS)
Tuesday, October 10, 2017 9:54 AM
Stannard , Paula (HHS/IOS); Lenihan , Keagan (HHS/1OS); Schaefer, Nina (HHS/IOS);
Wynne, Maggie (HHS/1OS); Lapinski, Mary -Sumpter (HHS/IOS); Brooks, John (HHS/1OS);
Skrzycki, Kristin (HHS/IOS)
30-day updates
30-day look-ahead Oct 10 STAFF EDITS.docx

Hi all,
Please see this week's updates attached.
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary - HHS
0: (202) 260 -7503

C:(b)(6)

HHS-OS-EF Lit. 18-0241 00003592

EXT-18-241-O-000036

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Wynne, Maggie (HHS/IOS)
Tuesday, October 03, 2017 8:22 PM
Lapinski, Mary -Sumpter (HHS/IOS); Gartland, Molly (HHS/IOS); Stannard, Paula
(HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John
(HHS/IOS); Skrzycki, Kristin (HHS/IOS); Smith, Andrew (HHS/IOS)
RE:30-day Oct 3
30-day look-ahead Oct 3 STAFFEDITS msl AS mw.docx

Molly, Please see additional edits from Andrew and me.
Thanks,
Magg ie

From: Lapinski, Mary-Sumpter (HHS/IOS)

Sent: Monday, October 02, 2017 12:16 PM
To: Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS);
Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Smith , Andrew (HHS/IOS)
Subject: RE: 30-day Oct 3
Suggested edits.

From: Gartland, Molly (HHS/IOS)

Sent: Friday, September 29, 2017 3:21 PM
To: Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Wynne, Maggie (HHS/IOS);
Lapinski, Mary-Sumpter (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Smith, Andrew (HHS/IOS)
Subject: 30-day Oct 3
Hi all,
Please see updates attached. Thank you!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary- HHS
0: {202) 260-7503

C: (b)(6)

HHS-OS-EF Lit. 18-0241 00003593

EXT-18-241-O-000037

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Smith, Andrew (HHS/IOS)
Tuesday, October 03, 2017 3:28 PM
Wynne , Maggie (HHS/IOS)
RE:30-day Oct 3
30-day look -ahead Oct 3 STAFFEDITS msl AS mw.docx

Back to you. The grants were awarded, so edits to reflect that are in there as you requested .

From: Wynne, Maggie (HHS/IOS)

Sent: Monday, October 02, 2017 3:56 PM
To: Smith, Andrew (HHS/IOS)
Subject: RE: 30-day Oct 3
See my question on page one.
Thanks

From: Smith, Andrew (HHS/IOS)

Sent: Monday, October 02, 2017 3:43 PM
To: Wynne, Maggie (HHS/IOS)
Subject: FW: 30-day Oct 3
Attached with my suggestions.

From: Lapinski, Mary-Sumpter (HHS/IOS)

Sent: Monday, October 02, 2017 12:16 PM
To: Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS);
Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Smith, Andrew (HHS/IOS)
Subject: RE: 30-day Oct 3
Suggested edits.

From: Gartland, Molly (HHS/IOS)

Sent: Friday, September 29, 2017 3:21 PM
To: Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Wynne, Maggie (HHS/IOS);
Lapinski, Mary-Sumpter (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Smith, Andrew (HHS/IOS)

Subject: 30-day Oct 3
Hi all,
Please see updates attached. Thank you!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary- HHS
0: {202) 260-7503

C:(b)(6)
HHS-OS-EF Lit. 18-0241 00003594

EXT-18-241-O-000038

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Smith, Andrew (HHS/IOS)
Monday, October 02, 2017 3:43 PM
Wynne , Maggie (HHS/IOS)
FW: 30-day Oct 3
30-day look -ahead Oct 3 STAFFEDITS msl AS.docx

Attached with my suggestions.

From: Lapinski, Mary-Sumpter (HHS/IOS)

Sent: Monday, October 02, 2017 12:16 PM
To: Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS);
Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Smith, Andrew (HHS/IOS)
Subject: RE: 30-day Oct 3
Suggested edits.

From: Gartland, Molly (HHS/IOS)

Sent: Friday, September 29, 2017 3:21 PM
To: Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Wynne, Maggie (HHS/IOS);
Lapinski, Mary-Sumpter (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Smith, Andrew (HHS/IOS)

Subject: 30-day Oct 3
Hi all,
Please see updates attached . Thank you!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary- HHS
0: {202) 260-7503

C:(b)(6)

HHS-OS-EF Lit. 18-0241 00003595

EXT-18-241-O-000039

 Bell. Michael (OS/ASPA)
Lapinski, Mary-Sumpter (H HS/IOS)
Monday, October 02, 2017 12:16 PM
Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS);
Schaefer, Nina (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki,
Kristin (HHS/IOS); Smith , Andrew (HHS/IOS)
RE:30-day Oct 3
30-day look-ahead Oct 3 STAFF EDITS msl.docx

From:

Sent:
To:

Subject:
Attachments:

Suggested edits.

From: Gartland, Molly (HHS/IOS)

Sent: Friday, September 29, 2017 3:21 PM
To: Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Wynne, Maggie (HHS/IOS);
Lapinski, Mary-Sumpter (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Smith, Andrew (HHS/IOS)
Subject: 30-day Oct 3
Hi all,
Please see updates attached. Thank you!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary0: {202) 260 -7503
C (b)(6)

HHS

HHS-OS-EF Lit. 18-0241 00003596

EXT-18-241-O-000040

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Gartland , Molly (HHS/IOS)
Friday, September 29, 2017 3:21 PM
Stannard , Paula (HHS/IOS); Lenihan , Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS);
Wynne, Maggie (HHS/IOS); Lapinski, Mary -Sumpter (HHS/IOS); Brooks, John (HHS/IOS);
Skrzycki, Kristin (HHS/IOS); Smith, Andrew (HHS/IOS)
30-day Oct 3
30-day look-ahead Oct 3 STAFF EDITS.docx

Hi all,
Please see updates attached . Thank you!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary - HHS

0: 202 260-7503
(b)(6)
C

HHS-OS-EF Lit. 18-0241 00003597

EXT-18-241-O-000041

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Smith , Andrew (HHS/IOS)
Monday, September 25, 2017 6:23 PM
Wynne , Maggie (HHS/IOS)
FW: 30-day Sept 26
30-day look -ahead Sept 26 STAFFEDITS ps AS.docx

Attached with my edits.

From: Schaefer, Nina (HHS/IOS)
Sent: Monday, September 25, 2017 1:56 PM
To: Lapinski, Mary-Sumpter (HHS/IOS); Stannard, Paula (HHS/IOS); Gartland, Molly (HHS/IOS); Wynne, Maggie
(HHS/IOS); Smith, Andrew (HHS/IOS); Lenihan, Keagan (HHS/IOS); Brooks, J ohn (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: RE: 30-day Sept 26
I added a comment in this version.

From: Lapinski, Mary-Sumpter (HHS/IOS)
Sent: Monday, September 25, 2017 1:53 PM
To: Stannard, Paula (HHS/IOS); Gartland, Molly (HHS/IOS); Wynne, Maggie (HHS/IOS); Smith, Andrew (HHS/IOS);
Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: RE: 30-day Sept 26
Additional edits.

From: Stannard, Paula (HHS/IOS)
Sent: Sunday, September 24, 2017 9:52 PM
To: Gartland, Molly (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Smith, Andrew
(HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John ( HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: RE: 30-day Sept 26
Attached is a version with my suggested revisions and comments.
Paula
From: Gartland, Molly (HHS/IOS)

Sent: Friday, September 22, 2017 4:04 PM
To: Lapinski, Mary -Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Smith, Andrew (HHS/IOS); Lenihan, Keagan
(HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: 30-day Sept 26

Hi all,
Please see attached for this week's upda t es.
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary- HHS
HHS-OS-EF Lit. 18-0241 00003598

EXT-18-241-O-000042

 (b)(6)

HHS-OS-EF Lit. 18-0241 00003599

EXT-18-241-O-000043

 Bell. Michael (OS/ASPA)
Schaefer, Nina (HHS/IOS)
Monday, September 25, 2017 1:56 PM
Lapinski, Mary -Sumpter (HHS/IOS); Stannard, Paula (HHS/IOS); Gartland, Molly
(HHS/IOS); Wynne, Maggie (HHS/IOS); Smith, Andrew (HHS/IOS); Lenihan, Keagan
(HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
RE:30-day Sept 26
30-day look-ahead Sept 26 STAFFEDITS ps msl_nina.docx

From:

Sent:
To:

Subject:
Attachments:

I added a comment in this version.

From: Lapinski, Mary-Sumpter (HHS/IOS)
Sent: Monday, September 25, 2017 1:53 PM
To: Stannard, Paula (HHS/IOS); Gartland, Molly (HHS/IOS); Wynne, Maggie (HHS/IOS); Smith, Andrew (HHS/IOS);
Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, Jo hn (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: RE: 30-day Sept 26
Addit ional edits.
From: Stannard, Paula (HHS/IOS)
Sent: Sunday, September 24, 2017 9:52 PM
To: Gartland, Molly (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Smith, Andrew
(HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, Jo hn (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: RE: 30-day Sept 26
Attached is a version w ith my suggested rev isions and comments.
Paula
From: Gart land, Molly {HHS/IOS)
Sent: Friday, September 22, 2017 4:04 PM
To: Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Smith, Andrew (HHS/IOS); Lenihan, Keagan
(HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John {HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: 30-day Sept 26

Hi all,
Please see attached for this week's updates.
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary0: {202) 260-7503
C (b)(6)

HHS

HHS-OS-EF Lit. 18-0241 00003600

EXT-18-241-O-000044

 Bell. Michael (OS/ASPA)
Lapinski, Mary-Sumpter (HHS/I OS)
Monday, September 25, 2017 1:53 PM
Stannard, Paula (HHS/IOS); Gartland, Molly (HHS/IOS); Wynne, Maggie (HHS/IOS);
Smith, Andrew (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS);
Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
RE:30-day Sept 26
30-day look-ahead Sept 26 STAFFEDITS ps msl.docx

From:

Sent:
To:

Subject:
Attachments:

Addit ional edits.

From: Stannard, Paula (HHS/IOS)
Sent: Sunday, September 24, 2017 9:52 PM
To: Gartland, Molly (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Smith, Andrew
(HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, Jo hn (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: RE: 30-day Sept 26
Attached is a version w ith my suggested rev isions and comments.
Paula
From: Gart land, Molly (HHS/IOS)
Sent: Friday, September 22, 2017 4:04 PM
To: Lapinski, Mary-Sumpter (HHS/1OS);Wynne, Maggie (HHS/IOS); Smith, Andrew (HHS/IOS); Lenihan, Keagan
(HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: 30-day Sept 26

Hi all,
Please see attached for this week's updates.
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary0: 202 260-7503

HHS

C:(b)(6)

HHS-OS-EF Lit. 18-0241 00003601

EXT-18-241-O-000045

 Bell. Michael (OS/ASPA)
Stannard, Paula (HHS/IOS)
Sunday, September 24, 2017 9:52 PM
Gartland , Molly (HHS/IOS); Lapinski, Mary -Sumpter (HHS/IOS); Wynne , Maggie
(HHS/IOS); Smith, Andrew (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina
(HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
RE:30-day Sept 26
30-day look-ahead Sept 26 STAFFEDITS ps.docx

From:

Sent:
To:

Subject:
Attachments:

Attached is a version w ith my suggested rev isions and comments.
Paula
From: Gart land, Molly (HHS/IOS)
Sent: Friday, September 22, 2017 4:04 PM
To: Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Smith, Andrew (HHS/IOS); Lenihan, Keagan
(HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: 30-day Sept 26

Hi all,
Please see attached for this week's updates.
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary0: 202 260-7503

HHS

C:(b)(6)

HHS-OS-EF Lit. 18-0241 00003602

EXT-18-241-O-000046

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Gartland , Molly (HHS/IOS)
Friday, September 22, 2017 4:04 PM
Lapinski, Mary -Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Smith , Andrew
(HHS/IOS); Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina
(HHS/IOS); Brooks, John (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
30-day Sept 26
30-day look-ahead Sept 26 STAFF EDITS.docx

Hi all,
Please see attached for this week's updates .
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary - HHS
0: (202) 260 -7503

C: (b)(6)

HHS-OS-EF Lit. 18-0241 00003603

EXT-18-241-O-000047

 Bell. Michael (OS/ASPA)

Subject:
Attachments:

Smith, Andrew (HHS/IOS)
Monday, September 18, 2017 6:35 PM
Wynne , Maggie (HHS/IOS)
FW: 30-day for Sept 19
30-day look -ahead Sept 19 STAFFEDITSps msl AS.docx

Due By:
Flag Status:

Tuesday, September 19, 2017 9:00 AM
Flagg ed

From:
Sent:
To:

30-day report with my suggested edits .

From: Lapinski, Mary-Sumpter (HHS/IOS)

Sent: Monday, September 18, 2017 6: 12 PM
To: Stannard, Paula (HHS/IOS); Gartland, Molly (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS);
Skrzycki, Kristin (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Smith, Andrew (HHS/IOS)
Subject: RE: 30-day for Sept 19
My edits on top of Paula's.
(b)(5)

From: Stannard, Paula (HHS/IOS)

Sent: Monday, September 18, 2017 3:42 PM
To: Gartland, Molly (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Skrzycki, Kristin (HHS/IOS);
Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Smith, Andrew (HHS/IOS)

Subject: RE: 30-day for Sept 19
My comments in the attached.
Paula

From: Gart land, Molly (HHS/IOS)

Sent: Sunday, September 17, 2017 10:00 PM
To: Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Skrzycki, Kristin (HHS/IOS);
Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Smith, Andrew (HHS/IOS)

Subject: 30-day for Sept 19
Hi all,
Please see this week's edits attached. Thank you!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice ofthe Secretary- HHS
0: (202) 260-7503

C:(b)(5)

HHS-OS-EF Lit. 18-0241 00003604

EXT-18-241-O-000048

 Bell. Michael (OS/ASPA)
Lapinski, Mary-Sumpter (HHS/I OS)
Monday, September 18, 2017 6:12 PM
Stannard, Paula (HHS/IOS); Gartland, Molly (HHS/IOS); Lenihan, Keagan (HHS/IOS);
Schaefer, Nina (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Wynne, Maggie (HHS/IOS);
Brooks, John (HHS/IOS); Smith, Andrew (HHS/IOS)
RE:30-day for Sept 19
30-day look -ahead Sept 19 STAFFEDITS ps msl.docx

From:

Sent:
To:

Subject:
Attachments:

My edits on top of Paula's.
(b)(5)

From: Stannard, Paula (HHS/IOS)

Sent: Monday, September 18, 2017 3:42 PM
To: Gartland, Molly (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Skrzycki, Kristin (HHS/IOS);
Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Smith, Andrew (HHS/IOS)

Subject: RE: 30-day for Sept 19
My comments in the attached.
Paula

From: Gartland, Molly (HHS/IOS)

Sent: Sunday, September 17, 2017 10:00 PM
To: Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Skrzycki, Kristin (HHS/IOS);
Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Smith, Andrew (HHS/IOS)

Subject: 30-day for Sept 19
Hi all,
Please see this week's edits attached. Thank you!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary0: {202) 260-7503

HHS

C:(b)(6)

HHS-OS-EF Lit. 18-0241 00003605

EXT-18-241-O-000049

 Bell. Michael (OS/ASPA)
Stannard, Paula (HHS/IOS)
Monday, September 18, 2017 3:42 PM
Gartland, Molly (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS);
Skrzycki, Kristin (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie
(HHS/IOS); Brooks, John (HHS/IOS); Smith, Andrew (HHS/IOS)
RE:30-day for Sept 19
30-day look-ahead Sept 19 STAFFEDITS ps.docx

From:

Sent:
To:

Subject:
Attachments:

My comments in the attached.
Paula

From: Gartland, Molly (HHS/IOS)

Sent: Sunday, September 17, 2017 10:00 PM
To: Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Skrzycki, Kristin (HHS/IOS);
Lapinski, Mary-Sumpter (HHS/1O5); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/1O5); Smith, Andrew (HHS/IOS)
Subject: 30-day for Sept 19
Hi all,
Please see this week's edits attached. Thank you!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary0: {202) 260-7503

HHS

C:(b)(6)

HHS-OS-EF Lit. 18-0241 00003606

EXT-18-241-O-000050

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Gartland, Molly (HHS/IOS)
Sunday, September 17, 2017 10:00 PM
Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS);
Skrzycki, Kristin (HHS/lOS); Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie
(HHS/IOS); Brooks, John (HHS/IOS); Smith, Andrew (HHS/IOS)
30-day for Sept 19
30-day look-ahead Sept 19 STAFF EDITS.docx

Hi all,
Please see this week's edits attached . Thank you!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary - HHS
0 : (202) 260 -7503
C (b)(6)

HHS-OS-EF Lit. 18-0241 00003607

EXT-18-241-O-000051

 Bell. Michael (OS/ASPA)
Wynne, Maggie (HHS/IOS)
Tuesday, May 30, 2017 12:12 PM
Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Lapinski, Mary -Sumpter
(HHS/IOS); Gartland, Molly (HHS/IOS); Lenihan, Keagan (HHS/IOS); Brooks, John
(HHS/IOS); Skrzycki, Kristin (HHS/IOS)
RE:30-daylook -ahead
30-day look-ahead 5-30 staff edits msl_nina and ps and magg ie.docx

From:

Sent:
To:

Subject:
Attachments:

With my edits and comments on top.
From: Stannard, Paula (HHS/IOS)
Sent: Tuesday, May 30, 2017 12:02 PM
To: Schaefer, Nina (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Gartland, Molly (HHS/IOS); Lenihan, Keagan
(HHS/IOS); Brooks,John (HHS/IOS); Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: RE: 30-day look-ahead
(b)(5)

I have updated the document

Paula
From: Stannard, Paula (HHS/IOS)
Sent: Tuesday, May 30, 2017 11:50 AM
To: Schaefer, Nina (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Gartland, Molly (HHS/IOS); Lenihan, Keagan
(HHS/IOS); Brooks,John (HHS/IOS); Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: RE: 30-day look-ahead
A coup le of edits on top of MSL and Nina.
Paula
From: Schaefer, Nina (HHS/IOS)

Sent: Tuesday, May 30, 2017 11:24 AM
To: Lapinski, Mary-Sumpter (HHS/IOS); Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Lenihan, Keagan
(HHS/IOS); Brooks,John (HHS/IOS); Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: RE: 30-day look-ahead
One edit on my end on top of MSL.
From: Lapinski, Mary-Sumpter (HHS/IOS)
Sent: Tuesday, May 30, 2017 10:28 AM
To: Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS);
Brooks, Jo hn (HHS/IOS); Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Subject: RE: 30-day look-ahead
My edits attached
From: Gartland, Molly (HHS/IOS)
Sent: Tuesday, May 30, 2017 8:00 AM
To: Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John (HHS/IOS);
HHS-OS-EF Lit. 18-0241 00003608

EXT-18-241-O-000052

 Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)

Subject: 30-day look-ahead
Hi all,
My apologies for not getting this sent out over the weekend. Attached are the newest subm issions to the 30-day lookahead. As a reminder, these have not yet appeared in previous reports. Please submit your edits as soon as possible,
again my apologies on the delay .
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary - HHS
0: (202) 260-7503
(b)(6)
C

2

HHS-OS-EF Lit. 18-0241 00003609

EXT-18-241-O-000053

 Bell. Michael (OS/ASPA)
Stannard, Paula (HHS/IOS)
Tuesday, May 30, 2017 12:02 PM
Schaefer, Nina (HHS/IOS); Lapinski, Mary -Sumpter (HHS/IOS); Gartland, Molly
(HHS/IOS); Lenihan, Keagan (HHS/IOS); Brooks, John (HHS/IOS); Wynne, Maggie
(HHS/IOS); Skrzycki, Kristin (HHS/IOS)
RE:30-daylook -ahead
30-day look-ahead 5-30 staff edits msl_nina and ps.docx

From:

Sent:
To:

Subject:
Attachments:
(b)(5)

I have updated the document

Paula

From: Stannard, Paula (HHS/IOS)

Sent: Tuesday, May 30, 2017 11:50 AM
To: Schaefer, Nina (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Gartland, Molly (HHS/IOS); Lenihan, Keagan
(HHS/IOS); Brooks.John (HHS/IOS); Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)

Subject: RE: 30-day look-ahead
A couple of edits on top of MSL and Nina.
Paula

From: Schaefer, Nina (HHS/IOS)

Sent: Tuesday, May 30, 2017 11:24 AM
To: Lapinski, Mary-Sumpter (HHS/IOS); Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Lenihan, Keagan
(HHS/IOS); Brooks.John (HHS/IOS); Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)

Subject: RE: 30-day look-ahead
One edit on my end on top of MSL.

From: Lapinski, Mary-Sumpter (HHS/IOS)

Sent: Tuesday, May 30, 2017 10:28 AM
To: Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS);
Brooks, Jo hn (HHS/IOS); Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)

Subject: RE: 30-day look-ahead
My edits attached

From: Gartland, Molly (HHS/IOS)

Sent: Tuesday, May 30, 2017 8:00 AM
To: Stannard, Paula (HHS/IOS); Lenihan, Keagan (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John (HHS/IOS);
Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)

Subject: 30-day look-ahead
Hi all,
My apo logies for not getting th is sent out over the weekend. Attached are the newest subm issions to the 30-day lookahead. As a reminder, these have not yet appeared in previous reports. Please submit your edits as soon as possible,
again my apo logies on the de lay.
HHS-OS-EF Lit. 18-0241 00003610

EXT-18-241-O-000054

 Best,
Molly Gartland
Special Assistant to the Chief of Staff
Office of the Secretary-HHS
•I
I
0: I
I(b)(6)

C:
I

2

HHS-OS-EF Lit. 18-0241 00003611

EXT-18-241-O-000055

 Bell, Michael (OS/ASPA)
Gartland, Molly (HHS/1OS)
Tuesday, May 16, 2017 5:32 PM
Lenihan, Keagan (HHS/IOS); Lapinski, Mary -Sumpter (HHS/IOS); Wynne, Maggie
(HHS/1OS);Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/1OS);Brooks, John
(HHS/IOS)
Skrzycki, Kristin (HHS/IOS); Leggitt, Lance (HHS/IOS)
Final Draft - May 15 30-day look-ahead
HHS 30-day report May 16.docx

From:

Sent:
To:

Cc:
Subject:
Attachments:

Hi all,
Attached is the final draft that has been sent to the WH for this week. Please distribute as you see fit.
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary0 : 202 2 -7503
(b)(6)
C

HHS

HHS-OS-EF Lit. 18-0241 00003612

EXT-18-241-O-000056

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Stannard, Paula (HHS/IOS)
Tuesday, May 16, 2017 1:13 PM
Gartland, Molly (HHS/IOS); Lapinski, Mary -Sumpter (HHS/IOS); Wynne , Maggie
(HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John (HHS/IOS); Lenihan, Keagan
(HHS/IOS); Skrzycki, Kristin (HHS/IOS)
RE:30-day look -ahead for May 16
Staff 30-day look ahead with ps comments.docx

Revisions/comments in the attached.
Paula

From: Gartland, Molly (HHS/IOS)
Sent: Tuesday, May 16, 2017 7:38 AM

To: Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Schaefer, Nina (HHS/IOS); Stannard, Paula
(H HS/IOS); Brooks, John (H HS/IOS); Lenihan, Keagan (HHS/IOS ); Skrzycki, Kristin (H HS/IOS)

Subject: RE: 30-day look-ahead for May 16
Importance: High
Hi all,
Just a reminder to look over this by noon today so we can get it submitted to the WH ASAP. Thank you!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary - HHS
0: 202 260-7503
(b)(6)

C:

From: Gartland, Molly (HHS/IOS)
Sent: Friday, May 12, 2017 4:06 PM

To: Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Schaefer, Nina (HHS/IOS); Stannard, Paula
(H HS/IOS); Brooks, John (H HS/IOS); Lenihan, Keagan (H HS/IOS); Skrzycki, Kristin (H HS/IOS)

Subject: 30-day look-ahead for May 16
Hi all,
Attached are the updates I've received th is week from the OpDivs and StaffDivs. There is a change in procedure for th is,
as I have only included NEW items, not the ent ire report. Hopefu lly this makes the process a little easier for everyone.
Please send back with your edits by Monday at noon. Thank you all!

(b)(6)

HHS-OS-EF Lit. 18-0241 00003613

EXT-18-241-O-000057

 Bell, Michael (OS/ASPA)
Gartland , Molly (HHS/1OS)
Friday, May 12, 2017 4:06 PM
Lapinski, Mary -Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Schaefer, Nina
(HHS/1OS); Stannard, Paula (HHS/IOS); Brooks, John (HHS/1OS);Lenihan, Keagan
(HHS/IOS); Skrzycki, Kristin (HHS/IOS)
30-day look -ahead for May 16
Staff 30-day look ahead.docx

From:

Sent:
To:

Subject:
Attachments:

Hi all,
Attached are the updates I've received this week from the OpDivs and StaffDivs . There is a change in procedure for this,
as I have only included NEW items, not the entire report. Hopefully this makes the process a little easier for everyone.
Please send back with your edits by Monday at noon. Thank you all!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary - HHS

0:

C:

'

(b)(6)

.'

'

HHS-OS-EF Lit. 18-0241 00003614

EXT-18-241-O-000058

 Bell, Michael (OS/ASPA)
Gartland, Molly (HHS/IOS)
Tuesday, May 09, 2017 1:36 PM
Lapinski, Mary -Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS);
Skrzycki, Kristin (HHS/IOS); Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS);
Schaefer, Nina (HHS/IOS)
Leggitt, Lance (HHS/IOS)
Final draft - May 9 300-day look ahead
HHS 30-day report May 9.docx

From:

Sent:
To:

Cc:
Subject:
Attachments:

Please see the attached final draft. Thank you for all you r help!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary0 : 202 260-7503

C:

HHS

(b)(6)

HHS-OS-EF Lit. 18-0241 00003615

EXT-18-241-O-000059

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

Stannard, Paula (HHS/IOS)
Tuesday, May 09, 2017 11:58 AM
Gartland , Molly (HHS/IOS); Lenihan, Keagan (HHS/IOS); Lapinski, Mary -Sumpter
(HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS); Schaefer, Nina
(HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Leggitt, Lance (HHS/IOS)
RE:Wh ite House Cabinet Affairs 30-day look-ahead - May 9
WHCA May 9 - first draft (2) with ps comments.docx

My comments are attached .
For next week ' s submiss ion, it might be helpfu l if the new/revised entries are high lighted , so that we can focus our
attention on them .
Paula

From: Gartland, Molly (HHS/IOS)

Sent: Monday, May 08, 2017 8:00 AM
To: Lenihan, Keagan (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John
(HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Leggitt, Lance (HHS/IOS)
Subject: RE: White House Cabinet Affairs 30-day look-ahead - May 9
Please see the updated attachment. FDA was omitted but has been adjusted .
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary - HHS
0 : 202) 260-7503
(b)(6)
C

From: Gartland, Molly (HHS/IOS)

Sent: Friday, May 05, 2017 6:04 PM
To: Lenihan, Keagan (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John
(HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Skrzycki, Kristin (HHS/IOS)

Cc: Leggitt, Lance (HHS/IOS)

Subject: White House Cabinet Affairs 30-day look-ahead - May 9
Hi all,
Attached is what I have received for th is week's update to the 30-day look-ahead . Please take a look at th is over the
weekend so we can pull together the final draft on Monday. Thank you!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary- HHS
0: (202) 260-7503
HHS-OS-EF Lit. 18-0241 00003616

EXT-18-241-O-000060

 (b)(6)

HHS-OS-EF Lit. 18-0241 00003617

EXT-18-241-O-000061

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Wynne, Maggie (HHS/IOS)
Monday, May 08, 2017 7:08 PM
Gartland, Molly (HHS/IOS)
RE:White House Cabinet Affairs 30-day look-ahead - May 9
WHCA May 9 - first draft_mw.docx

Hi Molly,
See my edits under OGA and ACF.
Could you add page numbers to future addit ions? That might make it easier for us to ident ify and you to find where we
made edits.
Thanks!
Maggie

From: Gartland, Molly (HHS/IOS)

Sent: Friday, May 05, 2017 6:04 PM
To: Lenihan, Keagan (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John
(HHS/IOS); Stannard, Paula (HHS/IOS); Schaefer, Nina (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Leggitt, Lance (HHS/IOS)
Subject: White House Cabinet Affairs 30-day look-ahead - May 9
Hi all,
Attached is what I have received for th is week's update to the 30-day look-ahead . Please take a look at th is over the
weekend so we can pull together the final draft on Monday. Thank you!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary- HHS
0: {202} 260-7503
C

(b)(6)

HHS-OS-EF Lit. 18-0241 00003618

EXT-18-241-O-000062

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Gartland, Molly (HHS/1OS)
Tuesday, May 02, 2017 5:40 PM
Lapinski, Mary-Sumpter (HHS/IOS); Wynne, Maggie (HHS/IOS); Brooks, John (HHS/IOS);
Skrzycki, Kristin (HHS/IOS); Lenihan, Keagan (HHS/1OS);Stannard, Paula (HHS/1OS);
Schaefer, Nina (HHS/IOS)
HHS 30-day look -ahead final draft - May 2
HHS 30-day report-may 2.docx

Hi all,
Attached is the final draft of the May 2nd 30-day look -ahead we have submitted to Cabinet Affairs. Please note the
changes made and work with your OpDivs and StaffDivs as they prepare this week's edits. Also, Lance would like the
OpDivs and StaffDivs to create these reports "for the Secretary", not Cabinet Affairs, although the memo information
has been changed on the final draft. Please keep this in mind when working with them.
If you have any questions on the final product, or anything regarding this process, please let me know. Thank you all so
much for your hard work in getting this done. It should get much easier from here on out!
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Office of the Secretary- HHS
0 : (202} 260-7503
(b)(6)
C

HHS-OS-EF Lit. 18-0241 00003619

EXT-18-241-O-000063

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

Wynne, Maggie (HHS/IOS)
Tuesday, May 02, 2017 8:14 AM
Stannard, Paula (HHS/IOS); Brooks, John (HHS/IOS); Lapinski, Mary -Sumpter (HHS/IOS);
Schaefer, Nina (HHS/IOS); Gartland, Molly (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Leggit t, Lance (HHS/IOS)
RE:30-day look -ahead for the week of May 1 - IMPORTANT!
Cabinet 30 Look Ahead Report May 2_nina MSLjhb ps mw.docx

And a few ed its from me, too.
(b)(5)

From: Stannard, Paula (HHS/IOS)
Sent: Monday, May 01, 2017 9: 10 PM
To: Brooks, John (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Schaefer, Nina (HHS/IOS); Gartland, Molly (HHS/IOS);
Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Leggitt , Lance (HHS/IOS)
Subject: RE: 30-day look-ahead for the week of May 1 - IMPORTANT!
And with my edits/comments in add it ion to Nina's, Mary -Sumpter's and John's.
Paula
From: Brooks, John (HHS/IOS)

Sent: Monday, May 01, 2017 8:04 PM
To: Lapinski, Mary-Sumpter (HHS/IOS); Schaefer, Nina (HHS/IOS); Gartland, Molly (HHS/IOS); Stannard, Paula
(HHS/IOS); Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)

Cc: Leggitt , Lance (HHS/IOS)

Subject: RE: 30-day look-ahead for the week of May 1 - IMPORTANT!
And now for the attachment ...

From: Brooks, John (HHS/IOS)

Sent: Monday, May 01, 2017 7:59 PM
To: Lapinski, Mary-Sumpte r (HHS/IOS); Schaefer, Nina (HHS/IOS); Gartland, Molly (HHS/IOS); Stannard, Paula
(HHS/IOS); Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Leggitt , Lance (HHS/IOS)
Subject: RE: 30-day look-ahead for the week of May 1 - IMPORTANT!
Added my edits to Nina's and Mary-Sumpter's .
From: Lapinski, Mary-Sumpter (HHS/IOS)
Sent: Monday, May 01, 2017 6:06 PM
To: Schaefer, Nina (HHS/IOS); Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Brooks, John (HHS/IOS); Wynne,
Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
HHS-OS-EF Lit. 18-0241 00003620

EXT-18-241-O-000064

 Cc: Leggitt, Lance (HHS/IOS)

Subject: RE: 30-day look-ahead for t he week of May 1 - I MPORTANT!
Added my edits on top of Nina's
From: Schaefer, Nina (HHS/IOS)
Sent: Monday, May 01, 2017 4:24 PM
To: Gart land, Molly ( HHS/IOS); Stannard, Paula (HHS/IOS); Brooks,Joh n (HHS/IOS); Lapinski, Mary-Sumpt er (HHS/1OS);
Wyn ne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Leggitt, Lance (HHS/IOS)
Subject: RE: 30-day look-ahead for the week of May 1 - I MPORTANT!
Here are my edits.
(b)(5)

From: Gartland, Molly (HHS/IOS)

Sent: Friday, April 28, 2017 3 :40 PM
To: Schaefer, Nina (HHS/IOS); Stannard, Paula (HHS/IOS); Brooks, John (HHS/IOS); Lapinski, Mary-Sumpt er (HHS/IOS);
Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Leggitt, Lance (HHS/IOS)
Subject: 30-day look-ahead for the week of May 1 - IMPORTANT!
Importance:
High
Hi all,
Attached is what I have received from the OpDivs and StaffDivs based on t he request that went out from Ann. I have
comp iled them fo r you all to review, divided by OpDiv/StaffDiv.
Please edit this document as you see fit for Cabinet Affairs to receive. Please highl ight the policy issues and the
scheduling items that SHOULD be in the final report and return to me by COB Monday . I w ill go back t hrough and
edit/reformat everyth ing based on your recommendations for y'all to take a look at on Monday.

Fair warn ing, the doc ument is 50 pages long as is. I rea lly appreciate all your help on th is! Let me know if you have any
quest ions! Have a wonderful weekend .
Best,
Molly Gartland

Spec ial Assistant to the Chief of Staff
Off ice of the Secreta ry - HHS
0: 202 260-7503
(b)(6)

C:

2

HHS-OS-EF Lit. 18-0241 00003621

EXT-18-241-O-000065

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

Stannard, Paula (HHS/IOS)
Monday, May 01, 2017 9:10 PM
Brooks, John (HHS/IOS); Lapinski, Mary - Sumpt er (HHS/IOS); Schaefer, Nina (HHS/IOS);
Gartland, Molly (HHS/IOS); Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Leggit t, Lance (HHS/IOS)
RE:30-day look -ahead for the week of May 1 - IMPORTANT!
Cabinet 30 Look Ahead Report May 2_nina MSLjhb ps.docx

And with my edits/comments in add it ion to Nina's, Mary -Sumpter's and John's.
Paula
From: Brooks, John (HHS/IOS)

Sent: Monday, May 01, 2017 8:04 PM
To: Lapinski, Mary-Sumpter (HHS/IOS); Schaefer, Nina (HHS/IOS); Gartland, Molly (HHS/IOS); Stannard, Paula
(HHS/IOS); Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Leggitt , Lance (HHS/IOS)
Subject: RE: 30-day look-ahead for the week of May 1 - IMPORTANT!
And now for the attachment...

From: Brooks, John (HHS/IOS)

Sent: Monday, May 01, 2017 7:59 PM
To: Lapinski, Mary-Sumpter (HHS/IOS); Schaefer, Nina (HHS/IOS); Gartland, Molly (HHS/IOS); Stannard, Paula
(HHS/IOS); Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Leggitt , Lance (HHS/IOS)
Subject: RE: 30-day look-ahead for the week of May 1 - IMPORTANT!
Added my edits to Nina's and Mary-Sumpter's.
From: Lapinski, Mary-Sumpter (HHS/IOS)
Sent: Monday, May 01, 2017 6:06 PM
To: Schaefer, Nina (HHS/IOS); Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Brooks, John (HHS/IOS); Wynne,
Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Leggitt, Lance (HHS/IOS)
Subject: RE: 30-day look-ahead for the week of May 1 - IMPORTANT!
Added my edits on top of Nina's
From: Schaefer, Nina (HHS/IOS)
Sent: Monday, May 01, 2017 4:24 PM
To: Gartland, Molly (HHS/IOS); Stannard, Paula (HHS/IOS); Brooks,John (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS);
Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Leggitt, Lance (HHS/IOS)
Subject: RE: 30-day look-ahead for the week of May 1 - IMPORTANT!
Here are my edits.
(b)(5)

HHS-OS-EF Lit. 18-0241 00003622

EXT-18-241-O-000066

 (b)(5)

From: Gartland, Molly (HHS/IOS)

Sent: Friday, April 28, 2017 3 :40 PM
To: Schaefer, Nina (HHS/IOS); Stannard, Paula (HHS/IOS); Brooks,John (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS);
Wynne, Maggie (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
Cc: Leggitt, Lance (HHS/IOS)
Subject: 30-day look-ahead for the week of May 1 - IMPORTANT!
Importance:
High
Hi all,
Attached is what I have received from the OpDivs and StaffDivs based on the request that went out from Ann. I have
compiled them for you all to review, divided by OpDiv/StaffDiv.
Please edit this document as you see fit for Cabinet Affairs to receive. Please highlight the policy issues and the
scheduling items that SHOULD be in the final report and return to me by COB Monday. I w ill go back through and
edit/reformat everything based on your recommendations for y'all to take a look at on Monday.

Fair warn ing, the document is SO pages long as is. I really appreciate all your help on th is! Let me know if you have any
quest ions! Have a wonderful weekend .
Best,
Molly Gartland

Special Assistant to the Chief of Staff
Off ice of the Secretary - HHS
0: {202) 260-7503

C:(b)(6)

2

HHS-OS-EF Lit. 18-0241 00003623

EXT-18-241-O-000067

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

(b)(5)

Hello Maggie,
(b)(5)

Please let me know if we can provide more information.

-OM
David Mansdoerfer

HHS-OS-EF Lit. 18-0241 00003624

EXT-18-241-O-000068

 Bell, Michael (OS/ASPA)
(b)(6)

From:

Sent:

Monday, May 08, 2017 12:35 PM
ie (HHS/IOS)

To:

Cc:
Subject:
Attachments:

(b)(6)

(b)(6)

Hello Margaret ,
I hope that you are well and enjoying the beautiful weather. I am following up on our brief contact at the WHA Listening
Session last Friday , through Wendy Wright.
It was a pleasure to meet you, and as we discussed, I would be interested in participating in commissions or other HHS
activities, and in other roles as well.
If you'd like to discuss this further, I would be happy to do so; please let me know and we can set up a time to talk (or
communicate by e-mail) .
My CV is attached .
Thank you very much and I look forward to hearing from you .

HHS-OS-EF Lit. 18-0241 00003625

EXT-18-241-O-000069

 Bell. Michael (OS/ASPA)
Wynne, Maggie (HHS/IOS)
Monday, May 08, 2017 12:51 PM
Mansdoerfer , David (HHS/IOS)
_ ~ _
LL I
du · I

From:

Sent:
To:

Subject:
Attachments:

(b)(6)

•

t the Listening Session Friday

David,
If you want to give me a call, I have a bit more information I can prov ide on th is expert whose resume I'm forwarding for
consideration for boards and commissions.
I met her last Friday at the Office of Global Affa irs listening session in preparation for the upcoming World Health
Assembly, and I suggested she send me her resume/CV and name any boards or commissions on which she might wish
to be considered to serve . She didn't provide that last information .
Maggie
205-3796
(b)(6)

From II

Sent: ~, -

I

~jjj

y

:

-

-

-,u-

(b)(6)

Hello Margaret ,
I hope that you are well and enjoy ing the beautiful weather . I am following up on our brief contact at the WHA Listening
Session last Friday, through Wendy Wright.
It was a pleasure to meet you, and as we discussed, I wou ld be interested in participating in commissions or other HHS
activities , and in other roles as well.
If you'd like to discuss this further, I would be happy to do so; please let me know and we can set up a time to talk (or
communicate by e-mail).
My CV is attached.
Thank you very much and I look forward to hearing from you .

HHS-OS-EF Lit. 18-0241 00003626

EXT-18-241-O-000070

 Bell. Michael (OS/ASPA)
Wynne, Maggie (HHS/IOS)
Thursday, March 30, 2017 7:05 PM

From:

Sent:
To:

~~

(b)(5)

Subject:

.

. - I.

•

-•- •

-

David,
Is it okay if I outsource this to Juanita to do most of the review of materials and provide a recommendation?
The recommendation will still ultimately be mine, not Juanita's.
Thanks,,
Maggie
(b)(5)

From: Mansdoerfer, David (HHS/105)

Sent: Thursday, March 30, 2017 5:44 PM
To: Wynn

Subject:

..·

(b)(5)

Hello Maggie,
(b)(5)

HHS-OS-EF Lit. 18-0241 00003627

EXT-18-241-O-000071

 (b)(5)

Please let me know if we can provide more information.

-OM
David Mansdoerfer

2

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HHS-OS-EF Lit. 18-0241 00003630

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HHS-OS-EF Lit. 18-0241 00003631

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HHS-OS-EF Lit. 18-0241 00003632

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HHS-OS-EF Lit. 18-0241 00003633

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HHS-OS-EF Lit. 18-0241 00003634

EXT-18-241-O-000078

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

TO: L/H
ACF
ASA
ASFR
ASPE
ASPR
CDC
GC/CFA
IOS/OS
Willoughby, Michelle (HHS/OGC)
Wednesday, September 27, 2017 7:37 AM
Arbes, Sarah (HHS/ASL); Clark, Barbara (HHS/ASL); Keckler, Charles (HHS/IOS);
McGuffee, Tyler Ann (HHS/ASL); Morse, Sara (HHS/ASL); Whitley, Edward (HHS/ASL);
Kemper, Laura (HHS/ASL); Lawrence, Courtney (HHS/ASL); Stevenson, Sarah-Lloyd
(HHS/IOS); Wynne, Maggie (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Davis, Ms.
Cynthia (ACF); Logan, Scott (ACF); Sulton, Jae (ACF); ASAIO Staff; Barcus, Lea (PSC/OD);
Earles, Vertrice (HHS/ASA) (CTR); Duncan, Constance (HHS/ASFR); Smith-Simpson,
Jacqlyn (HHS/ASFR); ASPEClearances (OS/ASPE); ASPR Legislation (OS/ASPR);
Vandegrift, Serina (OS/ASPR/COO); Klingbeil, Martin (CDC/OD/CDCWO); Schattner,
Aimee (CDC/OD/CDCWO); Haron, Judith (HHS/OGC); Jeffries, Elizabeth (HHS/OGC);
Terry, Minnie (HHS/OGC); Atkinson, Leslie (HRSA); Brooks, John (HHS/IOS); Sealy,
Camille (HRSA); Mason, James (HHS/IEA); East, Janet (HHS/OASH); Stallion, Vivian
(HHS/OS); Adams, Claudia (HHS/OS); Brockett, Sharon (HHS/OCR); Householder,
Donna (HHS/OS); Lawson, Heather (HHS/OCR); Morgan, Sherri (OS/OCR); Altman, Brian
(SAMHSA); Lampasone, Kara (SAMHSA); Rice, Peggie (HHS/ASFR); Slothouber, Doug
(SAMHSA); Craig, Nina (IHS/HQ); Hodson, Corbrett (IHS/HQ); Tracy, June (IHS/HQ);
Global Health (HHS/OGA)
Malliou, Ekaterini (OS/IOS); Davis, Jeffrey (HHS/OGC); Brown, Joshua H. (HHS/OGC);
Hertzog, Christian (HHS/OGC); Friedman, Richard (HHS/OGC); Sherman, Susan
(HHS/OGC); Ray Gorrie, Jennifer (HHS/OGC); Blackwell, Edith (HHS/OGC); Johnson,
Linda (OS/OGC); Bird, Catherine (OS/OGC); Bowman, Matthew (HHS/OGC); Stimson,
Brian (HHS/OGC); Flick, Heather (OS/OGC); Johnson-Webb, Mechelle D (IHS/HQ);
Slacter, Ann R (IHS/HQ); Vanderwagen, Luke (IHS/HQ); Huff, Bonita (HHS/OGC);
Schuham, Aaron (HHS/OGC); Barry, Daniel J (HHS/OGC); OS GCGL, EMAIL (HHS/OS);
Benor, David E.(HHS/OGC); Naimon, David (HHS/OGC); OGC PH and S BRANCH
CONTROLS; Kocher, Paula L. (CDC/OCOO/OGC); OGC CDC Branch Controls (CDC);
OIGClearances@oig.hhs.gov; Hodgkins, Juliet (OIG/OCIG)
Reply by 11AM,10/2:0MB RFVs:HR 3548(Building America's Trust Act)
BILLS-115hr3548ih.pdf

L/HS
HRSA
IEA
OASH
OCR
OGA
SAMHSA
IHS
OIG
FROM: Office of the General Counsel/Legislation Division
SUBJECT: OMB Request for Views on HR 3548 - Building America's Trust Act

HHS-OS-EF Lit. 18-0241 00003635

EXT-18-241-O-000079

 (NOTE: Attached, please find H.R. 3548, the Border Security for America Act of 2017,
wh ich is sim ilar to the first two titles of S. 1757 , the Building America's Trust Act. That
bill was circulated for your review on Sept. 19, 2018.)

The Office of Management and Budget has asked for the Department's views on this .!;ill!.
In order that we may respond promptly to this request, please give your comments as soon as
possible but no later than 11 :00 A.M., MONDAY, OCTOBER 2 to both (1) JOSH BROWN of this
Division and (2) cc: our general e-mailbox (email.gcl@hhs.gov ) (Microsoft Outlook users , select: OS
GCL , EMAIL from the Global Address List).
To ensure that the Department's comments are given full consideration , please observe the
fo llowing guidel ines in providing your office's comments:
(b)(5)

If you have any questions , call the GCL staff attorney named above , at 202-401-6097, or our
Legislative Reference Service, at 202.690.7750.
Attachments
cc:

OIG
GC/ IO
GC/CR
GC/GLD
GC/PH
IOS/OS
GCL (Friedman/Hertzog)

c/f.icltelleJ.aw'(fU1CC

CWilloua/,J,,fJ.

Office of the General Counsel/ Legislat ion Division
leg islative Reference Service
202 .690.7750 fax 202 .690 .7309
M ichelle.Willough by@hhs.gov

2

HHS-OS-EF Lit. 18-0241 00003636

EXT-18-241-O-000080

 This message is intended for the exclusive use of the recipient(s) named above. It may contain information that is
PROTECTED
and/or PRIVILEGED,and it shou ld not be disseminated, distributed, or copied to persons not author ized to
receive such info rmation. If you are not the intended recipient, any dissemination, distribution, or copying is strictly
prohibited. If you have received th is communication in error, please erase all copies of the message and its attachments
and notify us immediately .

3
HHS-OS-EF Lit. 18-0241 00003637

EXT-18-241-O-000081

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Robinson, Wilma (HHS/IOS)
Tuesday, September 26, 2017 1:21 PM
Leggit t, Lance (HHS/IOS); Wagner , Steven (ACF);Wynne , Maggie (HHS/IOS)
Agnew, Ann (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Hawkins, Jamar (HHS/OS); Wynne,
Maggie (HHS/IOS)
RE:Immigration Priorit ies (NEW REQUEST)

Hi Lance,
(b)(5)

Thanks,
Wilma M. Robinson, PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
200 Independence AV SW, Rm 603H
Washington, DC 20201
Wilma.Robinson@hhs .gov
-6 (office)
(b)(6)
(BB)

From: Robinson, Wilma (HHS/IOS)
Sent: Tuesday, September 26, 2017 11 :13 AM

To: Leggitt, Lance (HHS/IOS)
Cc: Agnew, Ann (HHS/IOS) (Ann .Agnew@hhs .gov); Skrzycki, Kristin (HHS/IOS); Hawkins, Jamar (HHS/OS)
(jamar.hawkins@h hs.gov); Wagner, Steven (ACF); Wynne, Maggie (HHS/IOS) (Margaret.Wynne@hhs.gov)
Subject: FW: Immigration Priorities (NEW REQUEST)
Importance: High

Good Morning Lance,
As you are aware the WH asked us to review the attached document

(b)(5)

(b)(5)

(b)(5)

HHS-OS-EF Lit. 18-0241 00003638

EXT-18-241-O-000082

 (b)(5)

(b)(5)

Wilma M. Robinson, PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
200 Independence AV SW, Rm 603H
Washington, DC 20201
Wilma.Robinson@hhs.gov
202-690-5627 (office)
(b)(6)
(BB)

From: Robinson, Wilma (HHS/IOS)
Sent: Monday, September 25, 2017 4:06 PM
To: Wynne, Maggie (HHS/IOS); Stevenson, Sarah-Lloyd (HHS/IOS); Smith, Andrew (HHS/IOS); Bowman, Matthew
(HHS/OGC); Flick, Heather (OS/OGC); Moughalian, Jen (HHS/ASFR); Palmer, Ashley (OS/AS FR); Graham, John
(HHS/ASPE); Wagner, Steven (ACF); Lawrence, Courtney (HHS/ASL); Arbes, Sarah (HHS/ASL)
Cc: Agnew, Ann (HHS/IOS); Hawkins, Jamar (HHS/OS)
Subject: FW: Immigration Priorities (NEW REQUEST)
Importance: High
Hi All,

2

HHS-OS-EF Lit. 18-0241 00003639

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--------------------Referral to Other Agency for Consultation (1 Page)

HHS-OS-EF Lit. 18-0241 00003640

EXT-18-241-O-000084

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Robinson, Wilma (HHS/IOS)
Tuesday, September 26, 2017 12:08 PM
Wynne , Maggie (HHS/IOS)
RE:Immigration Priorit ies (NEW REQUESD

Any word from Lance?
Wilma M . Robinson, PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
200 Independence AV SW, Rm 603H
Washington, DC 20201
Wilma.Robinson@hhs.gov
202-690-5627 (office)
(b)(6)
BB)

From: Wynne, Maggie (HHS/IOS)

Sent: Tuesday, September 26, 2017 11:21 AM
To: Robinson, Wilma (HHS/IOS); Leggitt, Lance (HHS/IOS)
Cc: Agnew, Ann (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Hawkins,Jamar (HHS/OS); Wagner, Steven (ACF)
Subject: RE: Immigration Priorities (NEW REQUEST)
(b)(5)

From: Robinson, Wilma (HHS/IOS)

Sent: Tuesday, September 26, 2017 11:13 AM
To: Leggitt, Lance (HHS/IOS)
Cc: Agnew, Ann (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Hawkins,Jamar (HHS/OS); Wagner, Steven (ACF); Wynne,
Maggie (HHS/IOS)
Subject: FW: Immigration Priorities (NEW REQUEST)
Importance: High
Good Morning Lance,
As ou are aware the WH asked us to review the attached document

(b)(5)

(b)(5)

(b)(5)

HHS-OS-EF Lit. 18-0241 00003641

EXT-18-241-O-000085

 (b)(5)

(b)(5)

Wilma M. Robinson, PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
200 Independence AV SW, Rm 603H
Washington, DC 20201
Wilma.Robinson@hhs.gov
202-690-5627 (office)
(b)(6)

(BB)

From: Robinson, Wilma (HHS/IOS)
Sent: Monday, September 25, 2017 4:06 PM
To: Wynne, Maggie (HHS/IOS); Stevenson, Sarah-Lloyd (HHS/IOS); Smith, Andrew (HHS/IOS); Bowman, Matthew
(HHS/OGC); Flick, Heather (OS/OGC); Moughalian, Jen (HHS/ASFR); Palmer, Ashley (OS/AS FR); Graham, John
(HHS/ASPE); Wagner, Steven (ACF); Lawrence, Courtney (HHS/ASL); Arbes, Sarah (HHS/ASL)
Cc: Agnew, Ann (HHS/IOS); Hawkins, Jamar (HHS/OS)
Subject: FW: Immigration Priorities (NEW REQUEST)
Importance: High

2

HHS-OS-EF Lit. 18-0241 00003642

EXT-18-241-O-000086

 Page 87 redacted for the following reason:
--------------------Referral to other agency for consultation (1 Page)

HHS-OS-EF Lit. 18-0241 00003643

EXT-18-241-O-000087

 Bell. Michael (OS/ASPA)

Subject:

Robinson, Wilma (HHS/IOS)
Tuesday, September 26, 2017 11:32 AM
Wynne , Maggie (HHS/IOS); Leggitt, Lance (HHS/IOS)
Agnew, Ann (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Hawkins, Jamar (HHS/OS); Wagner ,
Steven (ACF)
RE:Immigration Priorit ies (NEW REQUEST)

Importance:

High

From:
Sent:
To:

Cc:

Hi Maggie,
(b)(5)

Wilma M. Robinson, PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
200 Independence AV SW, Rm 603H
Washington, DC 20201
Wilma.Robinson@hhs.gov
202-690-5627 (office)
(b)(6)

(BB)

From: Wynne, Maggie (HHS/IOS)
Sent: Tuesday, September 26, 2017 11:21 AM
To: Robinson, Wilma (HHS/IOS); Leggitt, Lance (HHS/IOS)
Cc: Agnew, Ann (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Hawkins,Jamar (HHS/OS); Wagner, Steven (ACF)
Subject: RE: Immigration Priorities (NEW REQUEST)
(b)(5)

From: Robinson, Wilma (HHS/IOS)
Sent: Tuesday, September 26, 2017 11:13 AM
To: Leggitt, Lance (HHS/IOS)
Cc: Agnew, Ann (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Hawkins,Jamar (HHS/OS); Wagner, Steven (ACF); Wynne,
Maggie (HHS/IOS)
Subject: FW: Immigrat ion Priorities (NEW REQUEST)
Importance:
High
Good Morning Lance,
As you are aware the WH asked us to review the attached document

(b)(5)

(b)(5)

HHS-OS-EF Lit. 18-0241 00003644

EXT-18-241-O-000088

 (b)(5)

(b)(5)

(b)(5)

Wilma M. Robinson, PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
200 Independence AV SW, Rm 603H
Washington, DC 20201
Wilma.Robinson@hhs.gov
202-690-5627 (office)
(b)(6)

(BB)

From: Robinson, Wilma (HHS/IOS)

Sent: Monday, September 25, 2017 4:06 PM
2

HHS-OS-EF Lit. 18-0241 00003645

EXT-18-241-O-000089

 Page 90 redacted for the following reason:
--------------------Referral to other agency for consultation (1 Page)

HHS-OS-EF Lit. 18-0241 00003646

EXT-18-241-O-000090

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Wynne, Maggie (HHS/IOS)
Tuesday, September 26, 2017 11:21 AM
Robinson, Wilma (HHS/IOS); Leggitt, Lance (HHS/IOS)
Agnew, Ann (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Hawkins, Jamar (HHS/OS); Wagner,
Steven (ACF)
RE:Immigration Priorities (NEW REQUEST)

(b)(5)

From: Robinson, Wilma (HHS/IOS)
Sent: Tuesday, September 26, 2017 11 :13 AM
To: Leggitt, Lance (HHS/IOS)
Cc: Agnew, Ann (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Hawkins,Jamar (HHS/OS); Wagner, Steven (ACF); Wynne,
Maggie (HHS/IOS)
Subject: FW: Immigration Priorities (NEW REQUEST)
Importance: High
Good Morning Lance,
As you are aware the WH asked us to review the attached documen

(b)(5)

(b)(5)

(b)(5)

HHS-OS-EF Lit. 18-0241 00003647

EXT-18-241-O-000091

 (b)(5)

Wilma M. Robinson, PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
200 Independence AV SW, Rm 603H
Washington, DC 20201
Wilma.Robinson@hhs.gov
202-690 -5627 (office)
(b)(6)
(BB)
From: Robinson, Wilma (HHS/IOS)
Sent: Monday, September 25, 2017 4:06 PM
To: Wynne, Maggie (HHS/IOS); Stevenson, Sarah-Lloyd (HHS/IOS); Smith, Andrew (HHS/IOS); Bowman, Matthew
(HHS/OGC); Flick, Heather (OS/OGC); Moughalian, Jen (HHS/ASFR); Palmer, Ashley (OS/AS FR); Graham, John
(HHS/ASPE); Wagner, Steven (ACF); Lawrence, Courtney (HHS/ASL); Arbes, Sarah (HHS/ASL)
Cc: Agnew, Ann (HHS/IOS); Hawkins, Jamar (HHS/OS)
Subject: FW: Immigrat ion Priorities (NEW REQUEST)
Importance:
High
Hi All,

I

•

I

!

f

th

If I I

I

t

th· b t th

WH . t

k d

t

th' d

t

!

d

(b)(5)

Thanks
Wilma M. Robinson, PhD, MPH
Deputy Executive Secretary
2

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--------------------Referral to other Agency for Consultation (1 Page)

HHS-OS-EF Lit. 18-0241 00003649

EXT-18-241-O-000093

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Wynne, Maggie (HHS/IOS)
Tuesday, September 26, 2017 11:18 AM
Robinson, Wilma (HHS/IOS); Leggitt, Lance (HHS/IOS)
Agnew, Ann (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Hawkins, Jamar (HHS/OS); Wagner,
Steven (ACF)
RE:Immigration Priorities (NEW REQUEST)

Hi,
(b)(5)

Magg ie
Deliberative and pre-decisional communication

From: Robinson, Wilma (HHS/IOS)
Sent: Tuesday, September 26, 2017 11 :13 AM

To: Leggitt, Lance (HHS/IOS)
Cc: Agnew, Ann (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Hawkins,Jamar (HHS/OS); Wagner, Steven (ACF); Wynne,
Maggie (HHS/IOS)
Subject: FW: Immigration Priorities (NEW REQUEST)
Importance: High
Good Morning Lance,
As you are aware the WH asked us to review the attached document

(b)(5)

(b)(5)

HHS-OS-EF Lit. 18-0241 00003650

EXT-18-241-O-000094

 (b)(5)

1.

2.

3.

(b)(5)

Wilma M. Robinson, PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
200 Independence AV SW, Rm 603H
Washington, DC 20201
Wilma.Robinson@hhs.gov
202-690-5627 (office)
(b)(6)

(BB)

From: Robinson, Wilma (HHS/IOS)

Sent: Monday, September 25, 2017 4:06 PM
To: Wynne, Maggie (HHS/IOS); Stevenson, Sarah-Lloyd (HHS/IOS); Smith, Andrew (HHS/IOS); Bowman, Matthew
(HHS/OGC); Flick, Heather (OS/OGC); Moughalian, Jen (HHS/ASFR); Palmer, Ashley (OS/AS FR); Graham, John
(HHS/ASPE); Wagner, Steven (ACF); Lawrence, Courtney (HHS/ASL); Arbes, Sarah (HHS/ASL)
2

HHS-OS-EF Lit. 18-0241 00003651

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 Page 96 redacted for the following reason:
--------------------Referral to other agency for consultation (1 Page)

HHS-OS-EF Lit. 18-0241 00003652

EXT-18-241-O-000096

 Bell. Michael (OS/ASPA)
From:
Sent:

Subject:
Attachments:

Robinson, Wilma (HHS/IOS)
Tuesday, September 26, 2017 11:13 AM
Leggitt, Lance (HHS/IOS)
Agnew, Ann (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Hawkins, Jamar (HHS/OS); Wagner,
Steven (ACF); Wynne, Maggie (HHS/IOS)
FW: Immigration Priorities (NEW REQUEST)
Immigra t ion Priorities 09.24.17.docx

Importance:

High

To:

Cc:

Good Morning Lance,
As you are aware the WH asked us to review the attached document

(b)(5)

(b)(5)

(b)(5)

(b)(5)

HHS-OS-EF Lit. 18-0241 00003653

EXT-18-241-O-000097

 Page 98 redacted for the following reason:
--------------------Referral to other agency for consultation (2 Pages)

HHS-OS-EF Lit. 18-0241 00003654

EXT-18-241-O-000098

 Page 99 redacted for the following reason:
--------------------Referral to other agency for consultation (2 Pages)

HHS-OS-EF Lit. 18-0241 00003655

EXT-18-241-O-000099

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:
Attachments :

Hawkins, Jamar (HHS/OS)
Tuesday, September 26, 2017 10:31 AM
Harrison, Jessica (OS/IOS); Pelekoudas, Kristina (HHS/IOS); Wynne, Maggie (HHS/IOS)
Stevenson, Sarah-Lloyd (HHS/IOS); Smith, Andrew (HHS/IOS)
RE: Briefing for TEP
Cover Memo.docx; Immigration Priorities 09.24.17.docx

Includi ng Maggie on this . Magg ie, are you prepared to do this briefing? This is unique because it's from the WH . I do n't
have additiona l information or a POC .

From: Harrison, Jessica (OS/IOS)

Sent: Tuesday, September 26, 2017 9: 17 AM
To: Pelekoudas, Kristina (HHS/IOS)
Cc: Hawkins, Jamar (HHS/OS)

Subject: RE: Briefing for TEP
We h ave Friday open.

Jessica Harrison

Confidential and pre-decisional communication
From: Pelekoudas, Kristina (HHS/IOS)
Sent: Monday, September 25, 2017 4:42 PM
To : Harrison, J essica (OS/IOS)
Cc: Hawkins, Jamar (HHS/OS)
Subject: Briefing for TEP
Hey Jessica!
Lance asked for the following briefing to be put on the Secretary's schedule sometime this week . See info below . (Jamar
will be back tomorrow and we will work to get the remaining template information fo r you).

Topic:TEP briefing on the Immigration Priorities of the White House

Attendee s:
Wynne, Maggie (HHS/IOS); Stevenson, Sarah-Lloyd (HHS/IOS); Smith, Andrew (HHS/IOS); Bowman, Matthew
(HHS/OGC); Flick, Heather (OS/OGC); Moughalian, Jen (HHS/ASFR); Palmer, Ashley (OS/ASFR); Graham, John
(HHS/ASPE); Wagner, Steven (ACF); Lawrence, Courtney (HHS/ASL); Arbes, Sarah (HHS/ASL)
Cc: Agnew, Ann (HHS/IOS); Pelekoudas, Kristina (HHS/IOS); Jamar Hawkins, Wilma Robinson

PC:Jamar Hawkins

Thanks!

HHS-OS-EF Lit. 18-0241 00003656

EXT-18-241-O-000100

 Kristina Pelekoudas, MPP
Briefing Coordinator
Immediate Office of the Secretary
U.S. Department of Health & Human Services
Office : (202) 260-6194

2
HHS-OS-EF Lit. 18-0241 00003657

EXT-18-241-O-000101

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Robinson, Wilma (HHS/IOS)
Tuesday, September 26, 2017 7:39 AM
Wynne , Maggie (HHS/IOS); Stevenson , Sarah- Lloyd (HHS/IOS); Smith, Andrew
(HHS/IOS); Bowman , Matthew (HHS/OGC); Flick, Heather (OS/OGC); Moughalian, Jen
(HHS/ASFR); Palmer , Ashley (OS/ASFR); Graham, John (HHS/ASPE); Wagner, Steven
(ACF); Lawrence, Courtney (HHS/ASL); Arbes , Sarah (HHS/ASL)
Agnew, Ann (HHS/IOS); Hawkins, Jamar (HHS/OS)
Re: Imm ig rat ion Priorities (NEW REQUEST)

Thank you Maggie .
Just a reminder to everyone to send me comments this morning by 10 AM.
Thanks

On: 25 September 2017 19:06, "Wynne, Maggie (HHS/IOS)" <Margaret.Wynne@hhs.gov > wrote:
Wilma,
(b)(5)

(b)(5)

HHS-OS-EF Lit. 18-0241 00003658

EXT-18-241-O-000102

 Page 103 redacted for the following reason:
--------------------Referral to other agency for consultation (1 Page)

HHS-OS-EF Lit. 18-0241 00003659

EXT-18-241-O-000103

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Wynne, Maggie (HHS/IOS)
Monday, September 25, 2017 7:07 PM
Robinson, Wilma (HHS/IOS); Stevenson , Sarah- Lloyd (HHS/IOS); Smith, Andrew
(HHS/IOS); Bowman, Matthew (HHS/OGC); Flick, Heather (OS/OGC); Moughalian, Jen
(HHS/ASFR); Palmer, Ashley (OS/ASFR); Graham, John (HHS/ASPE); Wagner, Steven
(ACF); Lawrence, Courtney (HHS/ASL); Arbes , Sarah (HHS/ASL)
Agnew, Ann (HHS/IOS); Hawkins, Jamar (HHS/OS)
RE:Immigration Priorities (NEW REQUEST)

Wilma,
(b)(5)

Magg ie Wynne

Deliberative and pre-decisional communication

From: Robinson, Wilma (HHS/IOS)

Sent: Monday, September 25, 2017 4:06 PM
HHS-OS-EF Lit. 18-0241 00003660

EXT-18-241-O-000104

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--------------------Referral to other agency for consultation (2 pages)

HHS-OS-EF Lit. 18-0241 00003661

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--------------------Referral to other agency for consultation (2 pages)

HHS-OS-EF Lit. 18-0241 00003662

EXT-18-241-O-000106

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

Robinson, Wilma (HHS/IOS)
Monday, September 25, 2017 1:26 PM
Wynne , Maggie (HHS/IOS); Stevenson, Sarah- Lloyd (HHS/IOS); Smith, Andrew
(HHS/IOS); Bowman, Matthew (HHS/OGC); Flick, Heather (OS/OGC); Moughalian, Jen
(HHS/ASFR); Palmer, Ashley (OS/ASFR);Graham, John (HHS/ASPE);Wagner, Steven
(ACF); Lawrence, Courtney (HHS/ASL); Arbes, Sarah (HHS/ASL)
Agnew, Ann (HHS/IOS); Hawkins, Jamar (HHS/OS); Pelekoudas, Kristina (HHS/IOS)
RE:Updated Wh ite House Immigration Priorit ies
Imm igration Prior ities 09.24.17.docx

Hi Al l,
(b)(5)
Just doubling checking to see if any of you have comments on the attached documen
(b)(5)
I wi ll let Lance know around 2 and send forward to the White House shortly thereafter. If you have
comments please share now .
Thanks,
Wilma
Wilma M . Robinson, PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
200 Independence AV SW, Rm 603H
Washington, DC 20201

(b)(6)

Wilma.Robinson@hhs.gov
202-690-5627 (office)
(BB)
From: Robinson, Wilma (HHS/IOS)
Sent: Monday, September 25, 2017 10:31 AM
To: Wynne, Maggie (HHS/IOS); Stevenson, Sarah-Lloyd (HHS/IOS); Smith, Andrew (HHS/IOS); Bowman, Matthew
(HHS/OGC); Flick, Heather (OS/OGC); Moughalian, Je n (HHS/ASFR); Palmer, Ashley (OS/AS FR); Graham, John
(HHS/ASPE); Wagner, Steven (ACF); Lawrence, Courtney (HHS/ASL); Arbes, Sarah (HHS/ASL)
Cc: Agnew, Ann (HHS/IOS) (Ann.Agnew@hhs .gov ); Hawkins, Jama r (HHS/OS) ( jamar.hawk ins@hhs.gov); Pelekoudas,
Kristina (HHS/IOS)
Subject: FW: Updated White House Immigration Priorities
Importance:
High
Hi All,
lease find the u dated White House imm igration

riorities document.

(b)(5)

(b)(5)
(b)(5)

(b)(5)

Thanks

Wilma M . Robinson, PhD, MPH
HHS-OS-EF Lit. 18-0241 00003663

EXT-18-241-O-000107

 Page 108 redacted for the following reason:
--------------------Referral to other agency for consultation (1 page)

HHS-OS-EF Lit. 18-0241 00003664

EXT-18-241-O-000108

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Wynne , Maggie (HHS/IOS)
Monday, September 25, 2017 11:01 AM
Stevenson, Sarah- Lloyd (HHS/IOS)
Fwd: PC d iscussion
Paper PC - Core Elements of Immigraton Reform.pdf; Immigration Priorities
09.24.17.docx

Update. I left you a vm on your cell phone.

From: "Lloyd, Scott (ACF)" <Scott.Lloyd@acf.hhs.gov >
Subject: Fwd: PC discussion
Date: 25 September 2017 10:57
To: "Wynne, Maggie (HHS/IOS)" <Margaret.Wynne@hhs.gov >
(b)(5)

From: "Robinson, Wilma (HHS/IOS)" <Wilma.Robinson@hhs.gov>
Subject: RE: PC discussion
Date: 25 September 2017 10:25
To: "Wynne, Maggie (HHS/IOS)" <Margaret.Wynne@hhs.gov>
Cc: "Lloyd , Scott (ACF)" <Scott.Lloyd@acf.hhs.gov>, "Agnew, Ann (HHS/IOS)"
<Ann.Agnew@hhs.gov>, "Hawkins, Jamar (HHS/OS)" <jamar.hawkins@hhs .gov>
Hi Maggie ,
We received another document from the White House this mornin
(b)(5)
shared
it
with
ou
See
attached
word
document
.
(b)(5)
(b)(5)

We have to provide a response by 5 pm today so please review and
provI e comments back to me no later than 2 PM. I will be sharing this with the
larger group that received the original clearance so you will receive again in that
group.
Thank you
Wilma M. Robinson , PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
HHS-OS-EF Lit. 18-0241 00003665

EXT-18-241-O-000109

 200 Independence AV SW, Rm 603H
Washington, DC 20201

(b)(6)

Wilma .Robinson@hhs.gov
202-690-5627 (office)
BB)
From: Agnew, Ann (HHS/l05)

Sent: Monday, September 25, 2017 9:44 AM
To: Robinson, Wilma (HHS/IOS)
Subject: Fwd: PC discussion

Re immigra tion

From: "Wynne, Maggie (HHS/IOS )" <Margaret.Wynne@hhs.gov >
Subject: FW: PC discussion
Date: 25 September 20 17 08: 19
To: "Agnew, Ann (HHS/IOS )" <Ann.Agnew@hhs.gov >, "Hawkins, Jamar (HHS/OS )"
<jamar.hawkins@hhs.gov >
Cc: "Leggitt, Lance (HHS/IOS )" <Lance.Leggitt@hhs.gov >, "Skrzycki, Kristin (HHS/IOS )"
<Kristin.Skrzycki@hhs.gov >, "Lloyd, Scott (ACF)" <Scott.Lloyd@acf.hhs.gov >

Ann and Jamar , please see Scott Lloyd's comment on the immigration proposal.
Maggie

Deliberative and pre-decisional communication
From: Lloyd, Scott (ACF)

Sent: Friday, September 22, 20 17 2:38 PM
To: Wynne, Maggie (HHS/IOS)
Subject: PC discussion
Magg ie,
(b)(5)
(b)(5)

(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003666

EXT-18-241-O-000110

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003667

EXT-18-241-O-000111

 Page 112 redacted for the following reason:
--------------------Referral to other agency for consultation (1 Page)

HHS-OS-EF Lit. 18-0241 00003668

EXT-18-241-O-000112

 To: "Agnew, Ann (HHS/IOS)" <Ann.Agnew@hhs.gov >, "Hawkins, Jamar (HHS/OS)"
<j amar.hawkins@hhs.gov >
Cc: "Leggitt, Lance (HHS/IOS)" <Lance.Leggitt@hhs.gov >, "Skrzycki, Kristin (HHS/IOS)"
<Kristin.Skrzycki@hhs.gov >, "Lloyd, Scott (ACF)" <Scott.Lloyd@acf.hhs.gov >
Ann and Jamar, please see Scott Lloyd's comment on the immigration proposal.
Magg ie

Deliberative and pre-decisional communication
From: Lloyd, Scott (ACF)

Sent: Friday, September 22, 2017 2:38 PM
To: Wynne, Maggie (HHS/105)
Subject: PC discussion
Maggie,
(b)(5)
(b)(5)

(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003669

EXT-18-241-O-000113

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003670

EXT-18-241-O-000114

 Page 115 redacted for the following reason:
--------------------Referral to other agency for consultation (2 pages)

HHS-OS-EF Lit. 18-0241 00003671

EXT-18-241-O-000115

 Page 116 redacted for the following reason:
--------------------Referral to other agency for consultation (2 pages)

HHS-OS-EF Lit. 18-0241 00003672

EXT-18-241-O-000116

 Bell. Michael (OS/ASPA)
From:
Sent:

Cc:
Subject:
Attachments:

Robinson, Wilma (HHS/IOS)
Monday, September 25, 2017 10:31 AM
Wynne, Maggie (HHS/IOS); Stevenson, Sarah- Lloyd (HHS/IOS); Smith, Andrew
(HHS/IOS); Bowman, Matthew (HHS/OGC); Flick, Heather (OS/OGC); Moughalian, Jen
(HHS/ASFR); Palmer, Ashley (OS/ASFR); Graham, John (HHS/ASPE);Wagner, Steven
(ACF); Lawrence, Courtney (HHS/ASL); Arbes, Sarah (HHS/ASL)
Agnew, Ann (HHS/IOS); Hawkins, Jamar (HHS/OS); Pelekoudas, Kristina (HHS/IOS)
FW: Updated White House Immigration Priorities
Immigration Priorities 09.24.17.DOCX

Importance:

High

To:

(b)(5)
(b)(5)

(b)(5)

(b)(5)

Thanks

Wilma M. Robinson, PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
200 Independence AV SW, Rm 603H
Washington, DC 20201

(b)(6)

Wilma.Robinson@hhs.gov
202-690 -5627 (office)
(BB)

From: "Leggitt, Lance (HHS/IOS)" <Lance.Leggitt@hhs.gov >
Subject: FW: Updated White House Immigration Priorit ies
Date: 25 September 2017 08:12
To: "Agnew, Ann (HHS/IOS)" <Ann.Agnew@hhs.gov >
Cc: "Wynne, Maggie (HHS/I OS)" <Margaret.Wynne@hhs.gov >, "Hawkins, Jamar (HHS/ OS)"
<jamar.hawkins@hhs.gov >
Hey Ann - Jamar is out today. Need to get final comments to staff secretary by 5:00 pm today.
Thanks
Lance Leggitt
Chief of Staff
US Department of Health and Human Services
HHS-OS-EF Lit. 18-0241 00003673

EXT-18-241-O-000117

 Page 118 redacted for the following reason:
--------------------Referral to other agency for consultation (1 page)

HHS-OS-EF Lit. 18-0241 00003674

EXT-18-241-O-000118

 Bell. Michael (OS/ASPA)
Robinson, Wilma (HHS/IOS)
Monday, September 25, 2017 10:25 AM
Wynne , Maggie (HHS/IOS)
Lloyd, Scott (ACF);Agnew, Ann (HHS/IOS); Hawkins, Jamar (HHS/OS)
RE:PC discussion
Paper PC - Core Elements of Immigraton Reform.pdf; Immigration Priorities
09.24.17.docx

From:
Sent:
To:

Cc:
Subject:
Attachments:

Importance:

High

Hi Maggie,
We received another document from the White House this morning I believe Lance shared it with you (See attached
(b)(5)
word document).
(b)(5)

Thank you
Wilma M. Robinson, PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
200 Independence AV SW, Rm 603H
Washington, DC 20201
Wilma .Robinson@hhs .gov
202-690-5627 (office)
(b)(6)

(BB)
From: Agnew, Ann (HHS/105)

Sent: Monday, September 25, 2017 9:44 AM
To: Robinson, Wilma (HHS/l05)
Subject: Fwd: PC discussion

Re immigration

From: "Wynne, Maggie (HHS/IOS )" <Margaret.Wynne@hhs.gov >
Subject: FW: PC discussion
Date: 25 September 2017 08:19
To: "Agnew, Ann (HHS/ 1OS)" <Ann.Agnew@hhs.gov >, "Hawkins, Jamar (HHS/ OS)"
<jamar.hawkins@hhs.gov >
Cc: "Leggitt, Lance (HHS/1OS)" <Lance.Leggitt@hhs.gov >, "Skrzycki, Kristin (HHS/1OS)"
(b)(5)

~--

_ I ~ •~

, _ _'_ I I

-~ I

I _

I

~-

_ _

I

_

I

t '

.!.

HHS-OS-EF Lit. 18-0241 00003675

I I

-~ I

EXT-18-241-O-000119

 Magg ie

Deliberative and pre-decisional communication
From: Lloyd, Scott (ACF)

Sent: Friday, September 22, 2017 2:38 PM

To: Wynne, Maggie (HHS/IOS)
Subject: PC discussion
Magg ie,
(b)(5)

b)(5)

(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003676

EXT-18-241-O-000120

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003677

EXT-18-241-O-000121

 Bell. Michael (OS/ASPA)
From:
Sent:

Cc:
Subject:
Attachments:

Leggitt, Lance (HHS/IOS)
Monday, September 25, 2017 8:13 AM
Agnew, Ann (HHS/IOS)
Wynne, Maggie (HHS/IOS); Hawkins, Jamar (HHS/OS)
FW: Updated White House Immigration Priorities
Immigration Priorities 09.24.17.DOCX

Importance:

High

To:

Hey Ann - Jamar is out today. Need to get final comments to staff secretary by 5:00 pm today .
Thanks
Lance Leggitt
Chief of Staff
US Department of Health and Human Services
200 Independence Avenue, SW
Washington, DC 20201
Telephone: (202) 690-7000
(b)(6)

From: Staff Secretary mailto:staffsecretar
Sent: Monday, September 25, 2017 8:03 A
To: Leggitt, Lance (HHS/IOS); Green, Heidi - OSEC, Washington, DC
Cc: Staff Secretary
Subject: Updated White House Immigration Priorities
HHS and USDAAttached please find the updated White House immigration priorities. These are legislative proposals that were sent to
you by DPC recently.
(b)(5)

Send comments by 5PM today.
Thank you,
STAFFSEC

HHS-OS-EF Lit. 18-0241 00003678

EXT-18-241-O-000122

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

White, Laura (ACF)
Friday, September 01, 2017 2:29 PM
Ryant, Trey (ACF)
Wagne r, Steven (ACF); Lloyd, Scott (ACF); Powers, Mary (ACF); Hitt, Linda (ACF);Wynne ,
Maggie (HHS/IOS)
[review requested] UAC program report for S. Miller
REPORTon UAC for S Mil ler (09 012017) CLEAN.docx

Hi Trey,
Can you also upload this into SWIFT? This is a UAC Report for S Miller at DPC. We are request ing exped ited review by
Magg ie.
(b)(5)

Please confirm when completed.
Thanks,
Laura

From: Wagner, Steven (ACF)

Sent: Thursday, August 31, 2017 5:19 PM
To: Lloyd, Scott (ACF); Wynne, Maggie (HHS/IOS)
Cc: Moreno, Pedro (ACF); Bena, Anna Marie (HHS/OGC) (ACF); White, Jonathan (ACF); White, Laura (ACF)
Subject: RE: UAC program report for S. Miller
My comments attached. You' re better off putt ing clearance items in SWIFT.

From: Lloyd, Scott (ACF)

Sent: Thursday, August 31, 2017 2:24 PM
To: Wagner, Steven (ACF); Wynne, Maggie (HHS/IOS); Bowman, Matthew (HHS/OGC)
Cc: Moreno, Pedro (ACF); Bena, Anna Marie (HHS/OGC) (ACF); White, Jonathan (ACF); White, Laura (ACF)

Subject: UAC program report for S. Miller
Importance: High
Hello Everyone,
Attached is a draft of the UAC memo Stephen Miller requested recent ly. I'd like to subm it it to him tomorrow if possible.
(b)(5)

Scott

***

E. Scott Lloyd
Director
Office of Refugee Resettlement
U.S. Department of Health and Human Services
HHS-OS-EF Lit. 18-0241 00003679

EXT-18-241-O-000123

 (b)(6)

2

HHS-OS-EF Lit. 18-0241 00003680

EXT-18-241-O-000124

 (b)(5)

(b)(5)

HHS-OS-EF Lit. 18-0241 00003681

EXT-18-241-O-000125

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003682

EXT-18-241-O-000126

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003683

EXT-18-241-O-000127

 (b)(5)

***

E. Scott Lloyd
Director
Office of Refugee Resettlement
U.S. Department of Health and Human Services
202 40 1-7269
(b)(6)

(ceU)

(b)(5)

See, ORR Guide: Children Entering the United Stat es Unaccompanied, 3.3. l O Te lephone call s, Visitation , and Mail.
http://www.ad

.hhs .gov/programs/orr /resource/chi Id ren-enter ing-the-u nited-states-unacco m panied-section-3#3 .3 .10

ll6J Id.

4

HHS-OS-EF Lit. 18-0241 00003684

EXT-18-241-O-000128

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--------------------Referral to other agencies for consultation (1 page)

HHS-OS-EF Lit. 18-0241 00003685

EXT-18-241-O-000129

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Stevenson, Sarah-Lloyd (HHS/IOS)
Thursday, September 14, 2017 2:21 PM
Lloyd, Scott (ACF); Haron, Judith (HHS/OGC); Wagner , Steven (ACF)
Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)
RE: DPC request

Scott,
(b)(5)

Thanks!
SL

From: Lloyd, Scott (ACF)

Sent: Thursday, September 14, 2017 12:34 PM

To: Haron, Judith (HHS/OGC); Stevenson, Sarah-Lloyd (HHS/IOS); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)
Subject: RE: DPC request

Judy,
(b)(5)

Thank you,
Scott

From: Haron, Judith (HHS/OGC)

Sent: Thursday, September 14, 2017 11 :51 AM

To: Lloyd, Scott (ACF); Stevenson, Sarah-Lloyd (HHS/IOS); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)
Subject: RE: DPC request
(b)(5)

Actually, Matt sent it to us, we are look ing at it here in CFAD.
Notice: The contents of this message and any attachments may be privileged and confidential as attorney-client privi leged/work
product communications . Please do not disseminate without the approval of the Office of the General Counsel. If you are not an
intended recipient, or have received this message in error, please delete it without reading it and please do not print , copy, forward,
disseminate, or otherwise use the information. Also, please notify the sender tha t you have received this communication in error .
Your receipt of this message is not intended to waive any app licable privilege . This document is for INTERNALGOVERNMENTUSE
ONLYand may be exempt from disclosure under the Freedom of Information Act, 5 U.S.C.§§ 552(b)(S), (b)(7).

From: Haron, Judith (HHS/OGC)

Sent: Thursday, September 14, 2017 11 :48 AM

To: Lloyd, Scott (ACF); Stevenson, Sarah-Lloyd (HHS/IOS); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)
Subject: RE:DPC request
HHS-OS-EF Lit. 18-0241 00003686

EXT-18-241-O-000130

 (b)(5)

- Judy Haran Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments may be privileged and confidential as attorney -client privileged/work
product communications . Please do not disseminate without the approval of the Office of the General Counsel. If you are not an
intended recipient, or have received this message in error, please delete it without reading it and please do not print, copy, forward,
disseminate, or otherwise use the information. Also, please notify the sender tha t you have received this communication in error .
Your receipt of this message is not intended to waive any applicable privilege . This document is for INTERNALGOVERNMENTUSE
ONLY and may be exempt from disclosure under the Freedom of Information Act, 5 U.S.C.§§ 552(b)(S), (b)(7).

From: Lloyd, Scott (ACF)

Sent: Thursday, September 14, 2017 11 :46 AM
To: Stevenson, Sarah-Lloyd (HHS/IOS); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS); Haron, Judith (HHS/OGC)
Subject: RE: DPC request
Hi Sarah-Lloyd,
(b)(5)

Scott
From: Stevenson, Sarah-Lloyd (HHS/IOS)
Sent: Thursday, September 14, 2017 11 :42 AM
To: Lloyd, Scott (ACF); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)
Subject: Re: DPC request
(b)(5)

Thanks for all of your swift work on things, Scott. Trying to expedite clearance as these things have to go almost to the
top over here.

On: 14 September 201711:38, "Lloyd, Scott (ACF)" <Scott.Lloyd@acf.hhs.gov > wrote:
Steve and Sarah-Lloyd,
(b)(5)

Let me know.

2

HHS-OS-EF Lit. 18-0241 00003687

EXT-18-241-O-000131

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003688

EXT-18-241-O-000132

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003689

EXT-18-241-O-000133

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003690

EXT-18-241-O-000134

 E. Scott Lloyd

Director
Office of Refugee Resettlement
U.S. Department of Health and Human Services
202 401 -7269
(b)(6)

(b)(5)

1 See, ORR Guide: Children. Entering the United Stat es Unaccompanied, 3.3.10 Telephone calls, Visitation , and Mail.
http://www.acf.hhs.gov/programs/orr/resource/children-entering-the-united-states-unaccompanied-section-3#3.3.10
[161 Id.

6

HHS-OS-EF Lit. 18-0241 00003691

EXT-18-241-O-000135

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Lloyd, Scott (ACF)
Thursday, September 14, 2017 12:34 PM
Haron , Judith (HHS/OGC) ; Stevenson , Sarah - Lloyd (HHS/IOS); Wagner , Steven (ACF)
Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)
RE: DPC request

Judy,
(b)(5)

Thank you,
Scott

From: Haron, Judith (HHS/OGC)

Sent: Thursday,
To: Lloyd, Scott

September 14, 2017 11 :51 AM
(ACF); Stevenson, Sarah-Lloyd (HHS/IOS); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)
Subject: RE: DPC request
(b)(5)

Actually, Matt sent it to us, we are looking at it here in CFAD
Notice: The contents of this message and any attachments may be privileged and confidential as attorney-client privileged/work
product communications . Please do not disseminate without the approval of the Office of the General Counsel. If you are not an
inte nded recipient, or have received this message in error, please delete it without reading it and please do not print, copy, forward,
disseminate, or otherwise use the information. Also, please notify the sender that you have received this communication in error .
Your receipt of this message is not intended to waive any applicable privilege. This document is for INTERNALGOVERNMENTUSE
ONLYand may be exempt from disclosure under the Freedom of Information Act, 5 U.S.C.§§ 552(b)(5), (b)(7}.

From: Haron, Judith (HHS/OGC)

Sent: Thursday,
To: Lloyd, Scott

September 14, 2017 11 :48 AM
(ACF); Stevenson, Sarah-Lloyd (HHS/IOS); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)
Subject: RE: DPC request

(b)(5)

- Judy Haron Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments may be privileged and confidential as attorney-client privileged/work
product communications . Please do not disseminate without the approval of the Office of the General Counsel. If you are not an
inte nded recipient, or have received this message in error, please delete it without reading it and please do not print, copy, forward,
disseminate, or otherwise use the information. Also, please notify the sender that you have received this communication in error .
Your receipt of this message is not intended to waive any applicable privilege. This document is for INTERNALGOVERNMENTUSE
ONLYand may be exempt from disclosure under the Freedom of Information Act, 5 U.S.C.§§ 552(b)(5), (b)(7}.

HHS-OS-EF Lit. 18-0241 00003692

EXT-18-241-O-000136

 From: Lloyd, Scott (ACF)

Sent: Thursday, September 14, 2017 11 :46 AM
To: Stevenson, Sarah-Lloyd (HHS/IOS); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS); Haran, Judith (HHS/OGC)

Subject: RE: DPC request
Hi Sarah-Lloyd,
(b)(5)

Scott

From: Stevenson, Sarah-Lloyd (HHS/IOS)

Sent: Thursday, September 14, 2017 11 :42 AM
To: Lloyd, Scott (ACF); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)

Subject: Re: DPC request
(b)(5)

Thanks for all of your swift work on things, Scott. Trying to expedite clearance as these things have to go almost to the
top over here.

On: 14 September 201711:38, "Lloyd, Scott (ACF)" <Scott .Lloyd@acf .hhs.gov > wrote:
Steve and Sarah-Lloyd,
(b)(5)

Let me know.
Thank you,
Scott
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003693

EXT-18-241-O-000137

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003694

EXT-18-241-O-000138

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003695

EXT-18-241-O-000139

 (b)(5)

***

E. Scott Lloyd
Director
Office of Refugee Resettlement
U.S. Department of Health and Human Services
202 401- 7269
(b)(6)
cell)
hs.gov

5
HHS-OS-EF Lit. 18-0241 00003696

EXT-18-241-O-000140

 (b)(5)

1151See,

ORR Guide: Children. Entering the United Stat es Unaccompani ed, 3.3.10 Telephon e calls, Visitation, and Mail.

http://www

.acf .hhs .gov /programs/arr/resource/chi

Id ren-entering -the - u nited -states -unacco m panied -section -3#3 .3 .10

ll6J Id.

6

HHS-OS-EF Lit. 18-0241 00003697

EXT-18-241-O-000141

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Haron, Judith (HHS/OGC)
Thursday, September 14, 2017 11:51 AM
Lloyd, Scott (ACF); Stevenson, Sarah- Lloyd (HHS/IOS); Wagner , Steven (ACF)
Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)
RE:DPC request
(b)(5)

Actually, Matt sent it to us, we are looking at it here in CFAD.
Notice: The contents of this message and any attachments may be privileged and confidential as attorney-client privileged/work
product communications . Please do not disseminate without the approval of the Office of the General Counsel. If you are not an
intended recipient, or have received this message in error, please delete it without reading it and please do not print, copy, forward,
disseminate, or otherwise use the information. Also, please notify the sender that you have received this communication in error .
Your receipt of this message is not intended to waive any applicable privilege. This document is for INTERNALGOVERNMENTUSE
ONLYand may be exempt from disclosure under the Freedom of Information Act, 5 U.S.C.§§ 552(b)(S), (b)(7).

From: Haren, Judith (HHS/OGC)

Sent: Thursday, September 14, 2017 11 :48 AM
To: Lloyd, Scott (ACF); Stevenson, Sarah-Lloyd (HHS/IOS); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)

Subject: RE: DPC request
(b)(5)

- Judy Haron Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice : The contents of this message and any attachments may be privileged and confidential as attorney-client privileged/work
product communications. Please do not disseminate without the approval of the Office of the General Counsel. If you are not an
intended recipient, or have received this message in error, please delete it without reading it and please do not print, copy, forward,
disseminate, or otherwise use the information. Also, please notify the sender that you have received this communication in error .
Your receipt of this message is not intended to waive any applicable privilege. This document is for INTERNALGOVERNMENTUSE
ONLYand may be exempt from disclosure under the Freedom of Information Act, 5 U.S.C.§§ 552(b)(S), (b)(7).

From: Lloyd, Scott (ACF)

Sent: Thursday, September 14, 2017 11 :46 AM
To: Stevenson, Sarah-Lloyd (HHS/IOS); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS); Haron, Jud ith (HHS/OGC)
Subject: RE: DPC request

Hi Sarah-Lloyd,
(b)(5)

Scott

From: Stevenson, Sarah-Lloyd (HHS/IOS)

Sent: Thursday, September 14, 2017 11 :42 AM
To: Lloyd, Scott (ACF); Wagner, Steven (ACF)
HHS-OS-EF Lit. 18-0241 00003698

EXT-18-241-O-000142

 Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)

Subject: Re: DPC request
(b)(5)

Thanks for all of your swift work on things, Scott. Trying to exped ite clearance as these things have to go almost to the
top over here.

On: 14 September 201711:38, "Lloyd, Scott {ACF)"<Scott.Lloyd@acf.hhs.gov > wrote :
Steve and Sarah-Lloyd,
(b)(5)

Let me know.
Thank you,
Scott
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003699

EXT-18-241-O-000143

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003700

EXT-18-241-O-000144

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003701

EXT-18-241-O-000145

 (b)(5)

***

E. Scott Lloyd
Director
Office of Refugee Resettlement
U.S. Department of Health and Human Services
202 401-7269
(b)(6)
(ceU)
scott.Uoyd@acf.hhs .gov

(b)(5)

HHS-OS-EF Lit. 18-0241 00003702

EXT-18-241-O-000146

 (b)(5)

l l 5J See,

ORR Guide: Children Entering the United States Unaccompanied, 3.3. 10 Te lephone calls, Visitation, and Mail.

http://www.acf.hhs.gov/programs/

orr /resource/chi Idren-entering -the -u nited -states -unacco m panied -section -3#3. 3 .10

r16JId.

6

HHS-OS-EF Lit. 18-0241 00003703

EXT-18-241-O-000147

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Lloyd, Scott (ACF)
Thursday, September 14, 2017 11:46 AM
Stevenson, Sarah- Lloyd (HHS/IOS); Wagne r, Steven (ACF)
Powers, Mary (ACF); Wynne, Maggie (HHS/IOS); Haron , Judith (HHS/OGC)
RE: DPC request

Hi Sarah-Lloyd,
(b)(5)

Scott

From: Stevenson, Sarah-Lloyd (HHS/IOS)

Sent: Thursday, September 14, 2017 11 :42 AM
To: Lloyd, Scott (ACF); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)

Subject: Re: DPC request
(b)(5)

Thanks for all of your swift work on things, Scott . Trying to expedite clearance as these things have to go almost to the
top over here.

On: 14 September 201711:38, " Lloyd, Scott (ACF)" <Scott.Lloyd@acf.hhs.gov > wrote:
Steve and Sarah-Lloyd,
(b)(5)

Let me know .
Thank you,
Scott
(b)(5)

HHS-OS-EF Lit. 18-0241 00003704

EXT-18-241-O-000148

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003705

EXT-18-241-O-000149

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003706

EXT-18-241-O-000150

 (b)(5)

***

E. Scott Lloyd
Director
Office of Refugee Re settlement
U.S. Department of Health and Human Services
(202) 401-7269
(b)(6)

(cell)
scott.lloyd@acf .hhs.gov

4

HHS-OS-EF Lit. 18-0241 00003707

EXT-18-241-O-000151

 (b)(5)

See, ORR Guide: Children Entering the United States Unaccompanied , 3.3. 10 Te lephone calls , Visita tion , and Mail.
http://www.acf .hhs.gov/programs/orr /resource/chi Idren-enter ing-the -u nited -states -unacco m panied-section -3#3.3 .10
1161Id.

5
HHS-OS-EF Lit. 18-0241 00003708

EXT-18-241-O-000152

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Stevenson, Sarah-Lloyd (HHS/IOS)
Thursday, September 14, 2017 11:42 AM
Lloyd, Scott (ACF); Wagner , Steven (ACF)
Powers, Mary (ACF);Wynne, Maggie (HHS/IOS)
Re: DPC request

(b)(5)

Thanks for all of your swift work on th ings, Scott. Trying to exped ite clearance as these things have to go almost to the
top over here.

On: 14 September 201711:38, " Lloyd, Scott (ACF)" <Scott.Lloyd@acf.hhs.gov > wrote:

(b)(5)

Let me know .
Thank you,
Scott
(b)(5)

HHS-OS-EF Lit. 18-0241 00003709

EXT-18-241-O-000153

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003710

EXT-18-241-O-000154

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003711

EXT-18-241-O-000155

 (b)(5)

***

(b)(6)

E. Scott Lloyd
Director
Office of Refugee Resettlement
U.S. Department of Health and Human Services
2 2 4 I- 2)
cell)
scott.lloyd@acf.hhs .gov

(b)(5)

4

HHS-OS-EF Lit. 18-0241 00003712

EXT-18-241-O-000156

 [I SJ See,

ORR Guide: Children Entering the United States Unaccompanied, 3.3.10 Te lephone calls, Visitation, and Mail.

http://www.
[ 16 J

acf . hhs .gov /programs/ orr /resource/ chi Id ren -entering -the - u n ited -states -unacco m pan ied -section -3#3 .3 .10

Id.

5
HHS-OS-EF Lit. 18-0241 00003713

EXT-18-241-O-000157

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Lloyd, Scott (ACF)
Thursday, September 14, 2017 2:40 PM
Stevenson, Sarah- Lloyd (HHS/IOS); Wagner , Steven (ACF)
Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)
RE: DPC request

Thank you, Sarah- Lloyd.
(b)(5)

From: Stevenson, Sarah-Lloyd (HHS/IOS)
Sent: Thursday, September 14, 2017 2:21 PM
To: Lloyd, Scott (ACF); Haron, Judith (H HS/OGC); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)
Subject: RE: DPC request
Scott ,
(b)(5)

Thanks!
SL

From: Lloyd, Scott (ACF)
Sent: Thursday, September 14, 2017 12:34 PM
To: Haron, Judith (HHS/OGC); Stevenson, Sarah-Lloyd (HHS/IOS); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)
Subject: RE: DPC request

Judy,
(b)(5)

Thank you,
Scott

From: Haron, Judith (HHS/OGC)
Sent: Thursday, September 14, 2017 11 :51 AM
To: Lloyd, Scott (ACF); Stevenson, Sarah-Lloyd (HHS/IOS); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)
Subject: RE: DPC request
(b)(5)

Actually, Matt sent it to us, we are look ing at it here in CFAD.

HHS-OS-EF Lit. 18-0241 00003714

EXT-18-241-O-000158

 Notice : The contents of this message and any attachments may be privileged and confidential as attorney-client privileged/work
product communications. Please do not disseminate without the approval of the Office of the General Counsel. If you are not an
intended recipient, or have received this message in error, please delete it without reading it and please do not print , copy, forward,
disseminate, or otherwise use the information. Also, please notify the sender tha t you have received this communication in error .
Your receipt of this message is not intended to waive any applicable privilege . This document is for INTERNALGOVERNMENTUSE
ONLYand may be exempt from disclosure under the Freedom of Information Act, 5 U.S.C.§§ 552(b){S), (b)(7).

From: Haron,Judith (HHS/OGC)

Sent: Thursday, September 14, 2017 11 :48 AM
To: Lloyd, Scott (ACF); Stevenson, Sarah-Lloyd (HHS/IOS); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)

Subject: RE: DPC request
(b)(5)

- Judy Haron Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice : The contents of this message and any attachments may be privileged and confidential as attorney-client privileged/work
product communications . Please do not disseminate without the approval of the Office of the General Counsel. If you are not an
intended recipient, or have received this message in error, please delete it without reading it and please do not print , copy, forward,
disseminate, or otherwise use the information. Also, please notify the sender tha t you have received this communication in error .
Your receipt of this message is not intended to waive any applicable priv ilege. This document is for INTERNALGOVERNMENTUSE
ONLYand may be exempt from disclosure under the Freedom of Information Act, 5 U.S.C.§§ 552(b){S), (b)(7).

From: Lloyd, Scott (ACF)

Sent: Thursday, September 14, 2017 11 :46 AM
To: Stevenson, Sarah-Lloyd (HHS/IOS); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS); Haren, Jud ith (HHS/OGC)

Subject: RE: DPC request
Hi Sarah-Lloyd ,
(b)(5)

Scott

From: Stevenson, Sarah-Lloyd (HHS/IOS)

Sent: Thursday, September 14, 2017 11 :42 AM
To: Lloyd, Scott (ACF); Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Wynne, Maggie (HHS/IOS)

Subject: Re: DPC request
(b)(5)

Thanks for all of your sw ift work on things, Scott . Trying to exped ite clearance as these th i ngs have to go almost to the
top over here.

2

HHS-OS-EF Lit. 18-0241 00003715

EXT-18-241-O-000159

 On: 14 September 201711:38, "Lloyd, Scott (ACF)" <Scott.Lloyd@acf.hhs.gov > wrote:
Steve and Sarah-Lloyd,
(b)(5)

Let me know .
Thank yo u,
Scott
(b)(5)

3
HHS-OS-EF Lit. 18-0241 00003716

EXT-18-241-O-000160

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003717

EXT-18-241-O-000161

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003718

EXT-18-241-O-000162

 (b)(5)

***

E. Scott Lloyd
Director
Office of Refugee Resettlement
U.S. Department of Health and Human Services
(b)(6)
~cell)
~

hhs.gov

(b)(5)

6

HHS-OS-EF Lit. 18-0241 00003719

EXT-18-241-O-000163

 (b)(5)

See, ORR Guide: Children Entering the United States Unaccompanied, 3.3. 10 Te lephone calls, Visitation , and Mail.
http://www.acf.hhs.gov/programs/

orr /resource/ chi Id ren-entering -the -u nited -states -unacco m panied -section -3#3 .3 .10

r16JId .

7
HHS-OS-EF Lit. 18-0241 00003720

EXT-18-241-O-000164

 Bell. Michael (OS/ASPA)
From:
Sent:

Hawkins, Jamar (HHS/OS)
Monday, March 27, 2017 12:19 PM
Moughalian, Jen (HHS/ASFR); Cochran, Norris (HHS/ASFR); Bush, Laina (HHS/ASPE);
Jones, Christopher (HHS/ASPE);Wright, Don (HHS/OASH); Mullen, Jewel (HHS/OASH);
Murphy, Ryan (OS/ASPA); Tignor, Beth (HHS/IOS); Clark, Timothy (HHS/IOS); Hall, Bill
(HHS/ASPA); Schaefer, Nina (HHS/IOS); Stannard, Paula (HHS/IOS); Lapinski, Mary Sumpter (HHS/IOS); Brooks, John (HHS/IOS); Verma, Seema (CMS/QA); Cantwell,
Kathleen M. (CMS/OSORA); Pate, Randy (HHS/IOS); Clark, Cynthia K. (CDC/OD/OCS);
Trueman, Laura (HHS/IOS); Bratcher-Bowman, Nikki (HHS/IEA); Enomoto, Kana
(SAMHSA/OA); Schuchat, Anne MD (CDC/OD); Clark, Cynthia K. (CDC/OD/OCS); Davis,
Jeffrey (HHS/OGC); Flick, Heather (OS/OGC); Bowman , Matt hew (HHS/OGC); Collins,
Francis (NIH/OD) [E]; Tabak, Lawrence (NIH/OD) [E]; Allen-Gifford, Patrice (NIH/OD) [E];
Brennan, Patrick (OS/ASPA); Wynne, Maggie (HHS/IOS)
Agnew, Ann (HHS/IOS); Grove, Matthew R. (HHS/OS); Robinson, Wilma (HHS/IOS)

To:

Cc:
Subject:
Attachments:
Importance:

(b)(5)
(b)(5)

High

Good afternoon :
For your review is a draft
review . We'd appreciate
edits/technical comments
leadership shortly before

Executive Order . Because several divisions are engaged on this topic, Exec Sec is facilitating
high-level comments by 1 :45pm today . (Feel free to email those to me ASAP) Please send
by 3pm today (identify division and use track changes). High leve l comments will be shared w/
2pm.

Included divisions: Counselors, ASFR, ASPE, OASH, ASPA, WHL, CDC, CMS , IEA, SAMHSA, OGG , and NIH.
Deadlines:
High-level comments, 1 :45pm
Technical edits/comments (in track changes): 3pm today (one response from each division/office)

Jamar M. Hawkins
Team Lead - Science & Public Health
U.S. Department of Health and Human Services I Executive Secretariat
200 Independence Ave., SW -Suite 61 SH -Washington, D.C. 20201
Office: 202.205.6380 I Fax: 202.205.2135

HHS-OS-EF Lit. 18-0241 00003721

EXT-18-241-O-000165

 Bell. Michael (OS/ASPA)
Robinson, Wilma (HHS/IOS)
Wednesday, March 01, 2017 3:55 PM
Office of the Executive Secretary Master Calendar (HHS/OS); Stannard , Paula
(HHS/IOS); Schaefer, Nina (HHS/IOS); Wynne, Maggie (HHS/IOS); Flick, Heather
(HHS/IOS); Brooks, John (HHS/IOS); Hawkins, Jamar (HHS/OS); Moore, Hannah
(OS/IOS); Grove, Matthew R. (HHS/OS); Executive Secretary Conference Room (HHS);
Pate, Randy (HHS/IOS); Agnew, Ann (HHS/IOS); Kouzoukas, Demetrios (CMS/CM);
Meszaros, Marie (HHS/IOS); DiBlasio, Carla (HHS/IOS); Horn, Wade (HHS/IOS) (CTR)
RE: EO - ENFORCING THE REGULATORYREFORM AGENDA (call- in#) (see below)

From:

Sent:
To:

Subject:

:• '1111 11 1 1~ 11 1 l k ■ l 1 ',~\ II ' I

[: •, t l• 1111,!lof

' (i

11,r,:l
1,,••,

FYI this is just an initial 1 page summary of the EO.
Wilma M . Robinson, PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
200 Independence AV SW, Rm 603H
Washington, DC 20201
Wilma .Robinson@hhs .gov
202-690-5627 (office)
(BB)

(b)(6)

-----Orig inal Appointment----From: Office of the Executive Secretary Master Calendar (HHS/OS)
Sent: Tuesday, February 28, 2017 10:51 AM
To: Office of the Executive Secretary Master Calendar (HHS/OS); Robinson, Wilma (HHS/IOS); Stannard, Paula
(HHS/IOS); Schaefer, Nina (HHS/IOS); Wynne, Maggie (HHS/IOS); Flick, Heather (HHS/IOS); Brooks,John (HHS/IOS);
Hawkins,Jamar (HHS/OS); Moore, Hannah (OS/IOS); Grove, Matthew R. (HHS/OS); Executive Secretary Conference
Room (HHS); Pate, Randy (HHS/IOS); Agnew, Ann (HHS/IOS); Kouzoukas, Demetr ios (CMS/CM); Meszaros, Marie
(HHS/IOS); DiBlasio, Carla (HHS/IOS); Horn, Wade (HHS/IOS) (CTR)
Cc: Cantwell, Kathleen M. (CMS/OSORA)
Subject: EO - ENFORCING THE REGULATORYREFORMAGENDA (call- in#) (see below)
When: Wednesday, March 01, 2017 4:00 PM-5:00 PM (UTC-05:00) Eastern Time (US & Canada).
Where: Exec Sec Conference Room, 614H

« File: EO Enforcing the Regulatory Reform Agenda.pdf »
(b)(6)

HHS-OS-EF Lit. 18-0241 00003722

EXT-18-241-O-000166

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:
Attachments :

Grove, Matthew R. (HHS/OS)
Wednesday, March 22, 2017 10:40 AM
Agnew, Ann (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks, John (HHS/IOS); Stannard,
Paula (HHS/IOS); Kouzoukas, Demetrios (CMS/CM); Wynne , Maggie (HHS/IOS);
Kalavritinos, Jack (FDA/OC); Abram, Anna (FDA/OC); Flick, Heather (OS/OGC); Pate,
Randy (HHS/IOS); Meszaros, Marie (HHS/IOS); DiBlasio, Carla (CMS/OA); Hawkins,
Jamar (HHS/OS); Moore, Hannah (OS/IOS); Robinson, Wilma (HHS/IOS); Lapinski, Mary Sumpter (HHS/IOS); Horn, Wade (HHS/IOS) (CTR)
Giles, Karen (HHS/OS)
Today 's Meeting on Reg Reform EO - outline attached
RRO Strawman.docx

Exec Sec has prepared an initia l outline respond ing to the Reg Reform Executive Order for discussion at today's 5 :00pm
meeting. We will also transmit this document to you through the outlook calendar appointment .
Please let me know if you have any quest ions .
Thanks.
Matt
Matthew R. Grove
Senior Policy Coordinator/ Services Policy Team Lead
Immediate Office of the Secretary -Executive Secretariat
U.S. Department of Health and Human Services
200 Independence Ave SW - Room 627H
Washington , DC 20201
Phone: (202) 205-8154 Fax: (202) 205-2135
Matthew.Grove@hhs .gov

HHS-OS-EF Lit. 18-0241 00003723

EXT-18-241-O-000167

 Bell, Michael (OS/ASPA)
From :

Sent:
To:

Subject:

For OS announcements to all of HHS <H HS-NEWS-ALL@LIST.NIH .GOV> on behalf of
Price, Thomas (HHS/OS) <Thomas.Price @HHS.GOV>
Monday, September 18, 2017 12:22 PM
H H S-N EWS-ALL@LIST.NIH .GOV
Week in Review

Dear Team:
Thi s past week , HHS person nel from across the Depa rtment continued to respond to our fellow Americans
devastated by Hun-icane Harvey and Hurricane Irm a.
A National Disaster Medical System team from HHS join ed the first wave of federal responders transporte d to
the Florida Keys as part of the Trump Administration's gove rnment-wide effort s to provid e relief to those
affected by Hurrican e Irma. The team was sent to establish a mobile medical unit and begin providing care to
assist a local hospital .
HHS personnel, includin g U.S . Public Health Service Commissioned Corps office rs, were also dispatc hed to
other areas of Florida to help local healthcare workers in caring for evacuees in shelters, as well as to prov ide
care at a shelter in Puerto Rico and at an overwhelmed hospital emergency department in St. Thomas.
For the first time in HHS history, our medical personnel embedded with Defense Departmen t urban search and
rescue teams to find and rescue dialysis patients who did not respond to local authorities' messages to evacuate
from St. Thomas. To find the patients, the territory used the emPOWER Initiative created by ASPR and CMS.
HHS helped the territory evacuate the 137 dialysis patients living on the island.

NDMS personnel at the Pasco County Shelter in Hudson, Florida, make sure patients' medical needs are met in the aftermath of
Hurricane Irma. Photo Credit: Thomas Webb, for HHS

HHS-OS-EF Lit. 18-0241 00003724

EXT-18-241-O-000168

 President Trump, Vice President Pence, Secretary Price, and other members of the Cabinet participate in a Cabinet meeting at Camp
David on September 9 to discuss Hurricane Irma as it approached the coast of Florida. Photo Credit: Shealah Craighead, Official
White House Photo.

ACF emp loyees contin ue to coordinate with the department s of State and Defense to evacuate American
citizen s from the island of St. Mar tin. Th e ACF Office of Refugee Resettlemen t initiated repatria tion efforts to
ensure that American s were safely tran spo11ed back to American soil.
The FDA team is co nfen'in g with farmers, co nsumer repre sentatives, and state official s about how crop s may be
impac ted by hmTicanes Irma and Harvey and about the proper handling of crops that have been exposed to
floodwater s and possible conta minants.
SAMHSA's Disaster Distres s Helpline remains available 24/7 to provide behavioral health support to people
impacted by the crises and in the first three weeks of the storms aided more than 3, 100 helpline callers.
Thank you to everybody who has been work ing and continu es to work 24/7 to ensure swift response and
recove ry. Previous updates regarding HHS activities related to hurricane responses can be found on hhs.gov . To
learn more about HHS resources related to the 20 17 hurricane s, visit the HHS disaster and public health
emergency site .
Besides workin g directly to assist our fellow Amer icans who are struggling in the aftermath of the hurri canes,
many HHS employees have asked how they could help their colleagues in the affected areas. Now, in concert
with OPM guidance, HHS has established an emergency leave transfer progra m.
The program allows you to donate unused annu al leave from one to 104 hours to HHS employees who are
adversely affected by the disaster and who need additional time off from work . Learn more about the program
at http://intranet.hhs.gov/hr/hmTicane-leave .html.
Here are some other updates from around the Department:

Opioid Listening Tour and Grants
As you are aware, no corner of our co untry , from rural areas to urban center s, has escaped the scourge of the
opioid crisis. On Thur sday, HRSA Administrator George Sigo una s and I had the opport unity to visit Goodwin
Community Health in Somer swo rth, New Hampsh ire to make a major grant announceme nt from HRS A.
HRSA is awarding more than $200 million to 1,178 health centers and 13 rural health organizations in every
state, D.C., Puerto Rico, the Virgin Islands, and the Pacific Basin to increase access to substance abuse and
mental health services, espec ially for those suffering from opioi d addict ion.

2
HHS-OS-EF Lit. 18-0241 00003725

EXT-18-241-O-000169

 As Dr. Sigounas said: "In health centers, where people are often most comfortable, staff with varied expertise
have a unique opportunity to provide mental health and substance abuse services to patients who wouldn't
otherwise seek or have access to treatment."

HRSA Administrator Sigounas and Secret ary Price talked with Goodwin Community Health's Janet Laatsch (lef t) and others about
the opioid crisis in New Hampshire. Photo Credit: HHS.

Other new investments we announced included:
•
•

About $ 2.5 million from HRSA to help 10 rural health organizations increase access to treatment and
recovery services for opioid abuse under the Rural Health Opioid Program.
About $670,000 from HRSA under the Substance Abuse Treatment Te lehealth Network Grant Program
for three rural organizat ions to use evidence-based, telehealth program s and networks to improve access
to substance abuse treatment in rural, frontier, and underserved communities.

On Friday, Kellyanne Conway , counselor to President Trump , and I traveled to the southern suburbs of
Philadelphia to continue our listening tour to learn from those on the front lines battling the opioid epidemic .
The session was hosted by the Mirmont Treatment Center where we met with recovery advocates, law
enforcement officials, treatment and prevention speciali sts, survivor s, and affected family members.

At Mirmont Treatment Center, Kellyanne Conway, counselor to the President, and I heard about the opioid crisis from people on the
front lines. Photo Credit: HHS.

We also announced $144.1 million in grants administered by SAMHSA, to prevent opioid use disorder, treat
overdoses and help pregnant and parenting women recove r from addiction. These grants will go to 58
recipients, including states, cities, health care providers, and community organizations.
3
HHS-OS-EF Lit. 18-0241 00003726

EXT-18-241-O-000170

 Tribal Meeting at the White House
On Wedne sday , it was an honor to attend a meeting with tribal leader s at the White House to discuss our three
clinical prioritie s: the opioid crisis, serious mental illness, and childhood obesity . The eve nt was a testament to
President Trump and his Administration's commitment to tribal issues and to maintainin g a strong , po sitive
government-to-government relation ship.

Secretary Price meets with tribal leaders from across the nation at the White House last week. Pho to Credit: Chris Smith, HHS
Photographe r

Thi s week, we plan to visit the Pawnee and Cherokee Nations and attend the first-eve r meeting of the
Secretary 's Trib al Advisory Counci l in Indian Country.
Also in Indian Country, HHS officials are in contact with tribes, states and local communities impacted by the
wildfires in 10 western states. IHS regio nal directors for the Portl and and Billings areas have reached out to the
tribes and are getting updat es on the fires and health issues, especially upper respiratory problems for the
elderly. Two California tribes reported that they had moved some of their elderly members to the coast in order
to avoid smoke irritation .
ACF is also monitorin g the fires and is prepared to help if there are potential human services disruption s.
Thankfully, there are currently no fire dangers near IHS facilities .
State-Federal Partnerships
On Wednesday, we had the opportu nity to meet with governor s' chiefs of staff, other state officials and federal
liaison s at the White House last week to talk about our commitment to state-federal partnerships. We assured
them that the Trump Administration and HHS believe that local leaders are best equipped to understand the
constantly changing needs of patients within their own states. That's why HHS is committed to ushering in a
new era of collaboration with the states on hea lthcare and human services .
The states are integral to the delivery of healthcare and human services and overcom ing the major publi c health
challenge s we face, including our three clinic al prioriti es.
New Medicare Card Design
On Thur sday, CMS gave the public its first look at the newly designed Medicare card to help preven t fraud and
identity theft. The new card contains a uniqu e, randomly-a ssigned numb er that replaces the cunent Social
Secur ity-based numb er.

4
HHS-OS-EF Lit. 18-0241 00003727

EXT-18-241-O-000171

 4_ MED~~RE

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HEALTH INSURANCE

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PARTB

03-03-2016
03-03-2016

CMS will begin mailing the new cards in Apri l 2018 to people with Medicare benefits. All existing Medicare
cards are required to be replaced by April 2019. The new cards will not change benefits that people with
Medicare receive.
Suicide Prevention Awareness
One of the most heart-breaking public health challenges is suicide. The tragedy it represents demands a
proactive and coordinated response from the public sector, local communities and civil society. Particularly
during Natio nal Suicide Prevention Awareness Month in September and last week's National Suicide
Prevention Awareness Week , we need to remind ourselves that working together with compassion and
commitment, we can make a difference and reduce the number of Americans dying by suicide - including our
veterans, youth and older adults.
Agencies across the Department and our public and private partners at the National Action Alliance for Suicide
Prevention are raising awareness of what we each can do to reduce suicide. Last week, SAMHSA awarded
$ 14.5 million in new grants for suicide prevention, under the Zero Suicide program and Cooperative
Agreements to Implement the Nat ional Strategy for Suicide Prevention.
Remember: If you or someone you know is struggling with suicidal thoughts or you think is at risk of suicide ,
call the National Suicide Prevention Lifeline, 1-800-273-TALK (8255), a 24-hour toll-free confidential
hotline.
I am always impressed by the generosity of spirit, compassion and commitment in the work and lives of the
people at HHS. It' s a privilege for me to be a part of the team.
Thank you for all that you do on behalf of our fellow American s.

Tom Price, M.D.
Secretary of Health and Human Services

5
HHS-OS-EF Lit. 18-0241 00003728

EXT-18-241-O-000172

 Bell, Michael (OS/ASPA)
Stevenson, Sarah-Lloyd (HHS/IOS)
Thursday, October 26, 2017 3:27 PM
Wynne, Maggie (HHS/IOS)
DPC M igration Issue for discussion when you return
Global Compact on Migration -- background materials (2 of 2); Furth er to our call
today: Section 4(b) Report on Long -Term Costs of the USRAP;Global Compact on
Migration -- background materials (1 of 2)

From:

Sent:
To:

Subject:
Attachments:

Deliberative and pre-decisional communication

(b)(6)

Sarah-Lloyd Stevenson
Policy Advisor
Immediate Office of the Secretary
tment f Health and Human Services
(202) 260-6255
Sarah-Lloyd.Stevenson@hhs.gov

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HHS-OS-EF Lit. 18-0241 00003729

EXT-18-241-O-000173

 Bell, Michael (OS/ASPA)
Stevenson, Sarah-Lloyd (HHS/IOS)
Tuesday, October 03, 2017 9:19 PM
Wynne, Maggie (HHS/IOS)
Smith, Andrew (HHS/IOS)
Another Proclamation
Adoption Month proclamation.docx

From:

Sent:
To:

Cc:
Subject:
Attachments:

HeyAnother proclamation just popped up in SPS,and since it looks like they want it turned around by COB tomorrow, I took
a stab at it.
(b)(5)

SL
Deliberative and pre-decisional communication

(b)(6)

Sarah-Lloyd Stevenson
Policy Advisor
Immediate Office of the Secretary
ealth and Human Service s
(202) 260-6255
Sarah-Lloyd.Stevenson @hhs.gov

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HHS-OS-EF Lit. 18-0241 00003730

EXT-18-241-O-000174

 Page 175 redacted for the following reason:
--------------------Referred to other agency for consultation (3 Pages)

HHS-OS-EF Lit. 18-0241 00003731

EXT-18-241-O-000175

 Page 176 redacted for the following reason:
--------------------Referred to other agency for consultation (3 Pages)

HHS-OS-EF Lit. 18-0241 00003732

EXT-18-241-O-000176

 Page 177 redacted for the following reason:
--------------------Referred to other agency for consultation (3 Pages)

HHS-OS-EF Lit. 18-0241 00003733

EXT-18-241-O-000177

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Stirrup, Heidi (HHS/IOS)
Thursday, May 11, 2017 3:17 PM
Wynne, Maggie (HHS/IOS)
Background on new political appointees to ACF
SW Resume (govt service).pdf; SW Resume Cover Letter.pdf; Clarence Carter resume Jan 2017 (2).docx; SC short resume.docx; Pedro Moreno

FYI - starting Monday, May 15 we expect these four new political appointees to start in ACF:
•
Steve Wagner - to be Principal Deputy Assistant Secretary (and therefore Acting A/S until our nominee is
confirmed)
• Clarence Carter - to be Director, Office of Family Assistance
•
Shannon Christian - to be Director, Office of Child Care
•
Pedro Moreno - to be Principal Deputy Director for Office of Refugee Resettlement
Resumes for all are attached.

Jfeiai Stirruy
Office of White House Liai son
U.S. Departm ent of Hea lth and Human Servic es
202-868-9828

HHS-OS-EF Lit. 18-0241 00003734

EXT-18-241-O-000178

 Bell, Michael (OS/ASPA)
From:

Sent:
To:
(b)(6)

Subject:
Attachments:

EGCover.docx ; EGResume.do cx

Maggie ,
(b)(6)

Attached you will find

resume.

Mary
Mary Powers
Special Ass ista nt
Department of Health and Human Services

HHS-OS-EF Lit. 18-0241 00003735

EXT-18-241-O-000179

 Bell, Michael (OS/ASPA)

Cc:
Subject:
Attachments:

Gart land, Molly (HHS/IOS)
Tuesday, October 31, 2017 4:59 PM
Skrzycki, Kristin (HHS/IOS); Leggitt , Lance (HHS/IOS); Lapinski, Mary -Sumpter
(HHS/IOS); Lenihan, Keagan (HHS/IOS); Stannard, Paula (HHS/IOS); Wynne, Maggie
(HHS/IOS); Brooks, John (HHS/IOS); Yoest, Charmaine (OS/ASPA); Murphy , Ryan
(OS/ASPA); Flick, Heather (OS/OGC); Stimson , Brian (HHS/OGC)
Morse, Sara (HHS/ASL)
General HHS briefing materials
HHS General Health Policy Q A _October 2017 FINAL.docx

Importance:

High

From:
Sent:
To:

Hi all,
Attached are materials ASL has put together for whoever will become the White House's nom inee for HHS Secretary . It
is intended as a comprehensive overv iew of all of HHS' policy positions, using specifically information that is publicly
available.
Please look over this document and let me know if anything is missing or if anything needs to be removed for any
reason. Please also send any general edits you may have.
If you have any questions , please direct them to Sara Morse or myself.

(b)(6)

HHS-OS-EF Lit. 18-0241 00003736

EXT-18-241-O-000180

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Pilato, Anna (ACF)
Wednesday, May 24, 2017 2:23 PM
Wynne, Maggie (HHS/1OS)
Milner Resume
Resume - 2017 -Jerry M ilner.pdf

Maggie,
As pro mised, attache d is Jerry Mi lner' s resume . He w ill be the new Associate Commissione r, Children's Bureau.
Anna Pilato
Deputy Assistant Secretary, External Affairs
Administration for Children and Families
U.S. Department of Health and Human Services
202 -401-9216
Anna .Pilato@acf .hhs.gov

HHS-OS-EF Lit. 18-0241 00003737

EXT-18-241-O-000181

 Bell, Michael (OS/ ASPA}
From :
Sent:
To:
Cc:

Subject:
Attachments :

Stirrup, Heidi (HHS/IOS)
Friday, May 19, 2017 8:00 AM
Leggitt, Lance (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Wynne, Maggie (HHS/IOS)
Clark, Timothy (HHS/IOS); Mansdoerfer , David (HHS/IOS); Lenihan, Keagan (HHS/IOS);
Schaefer, Nina (HHS/IOS); Stannard, Paula (HHS/IOS); Brooks, John (HHS/IOS); Lapinski,
Mary -Sumpter (HHS/IOS)
New Polit ical Appointees Onboarding !OS
Resume - Bruce D. Greenstein 2018.pdf; Resume.Catherine Bird 2017.pdf; Sarah Lloyd
Stevenson Resume 1-2017.pdf

On Monday, May 22, the following three appointees will be jo ining the HHS team in the IOS:
Bruce Greenstein - Chief Technology Officer & Director, Office of Technology (IOS) - as Chief Technology Officer - he
will be an immediate part of the ongoing defense against cyberattacks.

•

•
•
•

Bruce brings 25 years' experience working for:
technology companies - Quartet Health (tech company transforming behavioral health)
0
0
Blend Health Insights - advisory firm working at the intersection of health and health care;
government; and the technology sectors
State of Louisiana - Dept of Health and Hospitals - chief executive of the department and the
0
Governor's chief health care advisor
Microsoft - Managing Director, Worldwide Health
0
CNSI- technology solutions provider and systems integrator operating in federal and state
0
government markets
0
US HHS- CMS - Center for Medicaid and State Operations Division of Waivers and Demonstrations
0
CMS - Region I - Boston - Division of Medica id and Children' Health
0
US General Accounting Office (GAO) - Seattle, WA Health Care Group - Senior Analyst in charge
0
Friends of the Avalanche Center - non profit
0
Health Care Financing Administration - Region X
State of Florida Department of Elder Affairs
0
o University of Tennessee Medical Center
o Tallahassee Regional Memorial Medical Center
Pursued Doctor of Philosophy, Political Science at Univ of TN
Masters of Science, Florida State Univ (health care policy and ad min)
Bachelor of Science, Florida State Univ (poli sci; economics)

Catherine H. Bird - Advisor (105) Office of WH Liaison GS

•
•
•
•
•
•
•

California State Senator John Moorlach, Sacramento, California, Legislative Director , 2016-Present
Californ ia State Senator Ted Gaines, Sacramento, California, Legislative Aide/District Representative, 2013-2016
Brian Dahle for State Assembly Campaign, Assembly District 1, California Campaign Assistant, 2012
Catherine Bird for Shasta County Supervisor District 4, Shasta County, California, Candidate, 2012 Primary
Election
House Judiciary Committee, Const it ution Subcommi t tee, Wash ington, DC Staff Assistant, 2006-2007
Baylor Universit y School of Law, Waco, Texas - Juris Doctor , Magna Cum Laude, Top 9%, May 2010
Howard Payne University, Brownwood, Texas - Bachelor of Science in Political Science, Summa Cum Laude, May
2006

Sarah-Lloyd Steven son - Policy Advisor for Human Services Policy (IOS) GS

•

Office of United States Senator Roger Wicker, Washington, DC
HHS-OS-EF Lit. 18-0241 00003738

EXT-18-241-O-000182

 o

•
•

•
•

In my six years with Senator Wicker, I have risen from an intern to a seasoned policy adviser, currently
serving as a senior legislative assistant for domestic and global health policy. In the last five years, I have
advised the senator on policies related to labor, education, welfare, Indian affairs, museum and library
services, and national vo lunteerism in addition to health policy.
Serving as the senator's key adviser for domestic health and global health policy
Recent Professional Honors and Opportunities:
o Rare Disease Legislative Advocates Rare Voice Award, Nominee for Federal Advocacy, November 2016
o Georgetown University Health Policy Grand Rounds, National Health Policy Panel Participant, October
2016
o ACT I The App Association Congressional Briefing, Opening Speaker, September 2016
o Amer ican Telemedicine Association Capitol Connection Briefings, Keynote Speaker and Panelist,
February 2016 and September 2016
o American Telemedicine Association 2016 Conference, Congressional Update Panel Participant,
Minneapolis, Minnesota, May 2016
o HIMMS and Kaiser Permanente Center for Total Health Presentation for German Health Delegation,
Speaker, February 2016
o University of Mississippi Medical Center Policy Lecture Series, "Affordable Care Act 101" Speaker,
August 2015
o Malaria No More Congressional Health Staff Delegation Trips: Senegal and Geneva, 2014; Myanmar and
Thailand, 2015; Thailand and Cambodia, 2016
George Washington University, Milken Institute School of Public Health, Washington, DC - Candidate for Master
of Public Health, expected 2019 graduation
Millsaps College, Jackson, Mississippi - Magna Cum Laude, May 2010 B.A. History, B.A. English; GPA: 3.71

Resumes attached. Let me know if you'd like to schedule time with any of them after 3 pm on Monday.

Jfeidl Stirruy
Office of White House Liaison
U.S. Departm ent of Health and Human Services
202-868-9828

2
HHS-OS-EF Lit. 18-0241 00003739

EXT-18-241-O-000183

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Marriott, Brian (ACF)
Wednesday, October 18, 2017 12:35 PM
Wagner , Steven (ACF); Wynne, Maggie (HHS/IOS); Bowman, Matthew (HHS/OGC);
Yoest , Charmaine (OS/ASPA); Oakley, Caitlin B. (OS/ASPA); Lloyd, Matt (OS/ASPA)
Wolfe Kenneth ACF
(b)(5)

(b)(5)

All,
(b)(5)

HHS-OS-EF Lit. 18-0241 00003740

EXT-18-241-O-000184

 Brian T. Marriott
Senior Director, Communications
and Media Relations
U.S. Department of Health and Human Services
Administration for Children and Families
Switzer Building
330 C Street, SW
Washington, DC 20201
(b)(6)

202.401.5705 (0)
(M)

Brian.Marriott@acf.hhs.gov

(All correspondence, notes and language are Pre-Authorization and Pre-Decisional in
nature)

2

HHS-OS-EF Lit. 18-0241 00003741

EXT-18-241-O-000185

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Smith, And rew (HHS/IOS)
Thursday, Octobe r 05, 2017 4:32 PM
Wy nne, Maggie (HHS/IOS)
FW: SPS#00385116/AS-771815: WI Waiver Request Respo nse
IOS_00385116_reviewer_10.1.17_MAW (2).docx

(b)(5)

From: Wright, Natasha (OS/IOS)
Sent: Th ursday, Octobe r 05, 2017 11 :22 AM

To: Smith, Andrew (HHS/IOS)
Subject: Re: SPS#003851 16/AS-7718 15: WI Waiver Request Response

Hi Andr ew,
(b)(5)

Th ank s,
Natasha

(b)(5)

From: Wright, Natasha (OS/IOS)
Sent: Tuesday, October 03, 2017 2: 14 PM

To: Smith, And rew (HHS/IOS)
Subject: FW: SPS#00385 116/AS-77 1815: WI Waiver Request Response
Importance: High
(b)(5)

From: OS OGC-IO Contro lDesk (HHS)
Sent: Tuesday, October 03, 2017 2: 12 PM

To: Wright, Natasha (OS/IOS)
Cc: OS OGC-IO Cont rolDesk (HHS)
Subject: FW: SPS#00385 116/AS-77 1815: WI Waiver Request Response
Importance: High
(b)(5)

Carenda D. Pittman
U.S. Department of Health and Human Services
Office of The General Counsel
Off ice of Legal Resources
200 Independence Avenue, S.W., Room 737F.12
Washington, DC 20201
HHS-OS-EF Lit. 18-0241 00003742

EXT-18-241-O-000186

 (202)205 -9310
Carenda.Pittman@hhs.gov

From: Wright, Natasha (OS/IOS)

Sent: Tuesday, October 03, 2017 11 :03 AM

To: OS OGC-IO ControlDesk (HHS)
Subject: SPS#00385116/AS-771815:

WI Waiver Request Response

Good Morning,
(b)(5)

Thanks,
Natasha

2

HHS-OS-EF Lit. 18-0241 00003743

EXT-18-241-O-000187

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Attachments:

Hayes, Sean (HHS/ASL)
Monday, October 02, 2017 2:43 PM
Lawrence, Courtney (HHS/ASL); Huber, Valerie (HHS/OASH); Wynne, Maggie
(HHS/IOS); Wagner, Steven (ACF)
Stannard, Paula (HHS/IOS); Kemper, Laura (HHS/ASL)
RE:Announcement of OASH/ACF Collaboration for Better Outcomes in Teen Pregnancy
Reduction
FINAL.House.TPPPletter.pdf ; DRAFT TPP Background ps.docx; 072117 - Teen
Pregnancy Program letter FINAL.PDF

(b)(5)

From: Lawrence, Courtney (HHS/ASL)

Sent: Monday, October 02, 2017 2:38 PM
To: Huber, Valerie (HHS/OASH); Wynne, Maggie (HHS/IOS); Wagner, Steven (ACF)
Cc: Stannard, Paula (HHS/IOS); Hayes, Sean (HHS/ASL); Kemper, Laura (HHS/ASL)
Subject: RE: Announcement of OASH/ACF Collaboration for Better Outcomes in Teen Pregnancy Reduction
Looping in our Team here in ASL. Thanks for the heads up Steve

From: Huber, Valerie (HHS/OASH)

Sent: Monday, October 02, 2017 2:20 PM
To: Wynne, Maggie (HHS/IOS); Wagner, Steven (ACF); Lawrence, Courtney (HHS/ASL)
Cc: Stannard, Paula (HHS/IOS)
Subject: RE: Announcement of OASH/ACF Collaboration for Better Outcomes in Teen Pregnancy Reduction
We will send the OASH response to you so you will all have it as well.

Valerie Huber
Chief of Staff
Office of the Assistant Secretary for Health (OASH)
200 Independence Avenue, SW
Washington, DC 20201
202 690 7694
(b)(6)

From: Wynne, Maggie (HHS/IOS)

Sent: Monday, October 02, 2017 1:40 PM
To: Wagner, Steven (ACF); Lawrence, Courtney (HHS/ASL)
Cc: Stannard, Paula (HHS/IOS); Huber, Valerie (HHS/OASH)
Subject: RE: Announcement of OASH/ACF Collaboration for Better Outcomes in Teen Pregnancy Reduction

HHS-OS-EF Lit. 18-0241 00003744

EXT-18-241-O-000188

 Thanks, Steve .
(b)(5)

Deliberative and pre -decisional communication

From: Wagner, Steven (ACF)

Sent: Monday, October 02, 2017 12:44 PM
To: Wynne, Maggie (HHS/IOS); Lawrence, Courtney (HHS/ASL)
Cc: Stannard, Paula (HHS/IOS); Huber, Valer ie (HHS/OASH)
Subject: Announcement of OASH/ACF Collaboration for Better Outcomes in Teen Pregnancy Reduction
(b)(5)

This will all go through normal clearance channe ls ... just wanted you to know it's in the works .
Best,

Steven Wagner
Acting Assistant Secretary
Administration for Children and Families
U.S. Department of Health and Human Services
330 C Street, SW, Washington DC 20201
202-401-1822
Steven. Wagner@acf.hhs.gov

2

HHS-OS-EF Lit. 18-0241 00003745

EXT-18-241-O-000189

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Lawrence, Courtney (HHS/ASL)
Monday, October 02, 2017 2:38 PM
Huber , Valerie (HHS/OASH); Wynne , Maggie (HHS/IOS); Wagner , Steven (ACF)
Stannard, Paula (HHS/IOS); Hayes, Sean (HHS/ASL); Kemper, Laura (HHS/ASL)
RE:Announcement of OASH/ACF Collaborat ion for Better Outcomes in Teen Pregnancy
Reduction

Looping in our Team here in ASL. Thanks for the heads up Steve

From: Huber, Valerie (HHS/OASH)

Sent: Monday, October 02, 2017 2:20 PM
To: Wynne, Maggie (HHS/IOS); Wagner, Steven (ACF); Lawrence, Courtney (HHS/ASL)
Cc: Stannard, Paula (HHS/IOS)
Subject: RE: Announcement of OASH/ACF Collaboration for Better Outcomes in Teen Pregnancy Reduction
We will send the OASH response to you so you will all have it as well.

Valerie Huber
Chief of Staff
Office of the Assistant Secretary for Health (OASH)
200 Independence Avenue, SW
Washington, DC 20201
202 690 7694
(b)(6)

From: Wynne, Maggie (HHS/IOS)

Sent: Monday, October 02, 2017 1:40 PM
To: Wagner, Steven (ACF); Lawrence, Courtney (HHS/ASL)
Cc: Stannard, Paula (HHS/IOS); Huber, Valer ie (HHS/OASH)

Subject: RE: Announcement of OASH/ACF Collaboration for Better Outcomes in Teen Pregnancy Reduction
Thanks, Steve .
(b)(5)

Deliberative and pre-decisional communication

From: Wagner, Steven (ACF)

Sent: Monday, October 02, 2017 12:44 PM
To: Wynne, Maggie (HHS/IOS); Lawrence, Courtney (HHS/ASL)
Cc: Stannard, Paula (HHS/IOS); Huber, Valer ie (HHS/OASH)

Subject: Announcement of OASH/ACF Collaboration for Better Outcomes in Teen Pregnancy Reduction
(b)(5)

HHS-OS-EF Lit. 18-0241 00003746

EXT-18-241-O-000190

 This will all go through normal clearance channels ... just wanted you to know it's in the works.
Best,
Steven Wagner
Acting Assistant Secret ary
Administration for Children and Famllles
U.S. Department of Health and Human Services
330 C Street, SW, Washington DC 20201
202-401-1822
Steven.Wagner @acf.hhs.gov

2
HHS-OS-EF Lit. 18-0241 00003747

EXT-18-241-O-000191

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Huber, Valerie (HHS/OASH)
Monday, October 02, 2017 2:20 PM
Wynne , Maggie (HHS/IOS); Wagner , Steven (ACF); Lawrence, Courtney (HHS/ASL)
Stannard, Paula (HHS/IOS)
RE:Announcement of OASH/ACF Collaborat ion for Better Outcomes in Teen Pregnancy
Reduction

We will send the OASH response to you so you will all have it as well.

Valerie Huber
Chief of Staff
Office of the Assistant Secretary for Health (OASH)
200 Independence Avenue, SW
Washington, DC 20201
202 690 7694
(b)(6)

From: Wynne, Maggie (HHS/IOS)

Sent: Monday, October 02, 2017 1:40 PM
To: Wagner, Steven (ACF); Lawrence, Courtney (HHS/ASL)
Cc: Stannard, Paula (HHS/IOS); Huber, Valer ie (HHS/OASH)

Subject: RE: Announcement of OASH/ACF Collaboration for Better Outcomes in Teen Pregnancy Reduction
Thanks, Steve .
(b)(5)

Deliberative and pre-decisional communication

From: Wagner, Steven (ACF)
Sent: Monday, October 02, 2017 12:44 PM
To: Wynne, Maggie (HHS/IOS); Lawrence, Courtney (HHS/ASL)
Cc: Stannard, Paula (HHS/IOS); Huber, Valer ie (HHS/OASH)
Subject: Announcement of OASH/ACF Collaboration for Better Outcomes in Teen Pregnancy Reduction
(b)(5)

Best,
Steven Wagner
Acting Assistant Secretary
Administration for Children and Families
U.S. Department of Health and Human Services
330 C Street, SW, Washington DC 20201

HHS-OS-EF Lit. 18-0241 00003748

EXT-18-241-O-000192

 202-401 -1822
Steven .Wagner @acf .hhs.gov

2
HHS-OS-EF Lit. 18-0241 00003749

EXT-18-241-O-000193

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Wynne, Maggie (HHS/IOS)
Monday, October 02, 2017 1:40 PM
Wagne r, Steven (ACF); Lawrence, Courtney (HHS/ASL)
Stannard, Paula (HHS/IOS); Huber , Valerie (HHS/OASH)
RE:Announcement of OASH/ACF Collaborat ion for Better Outcomes in Teen Pregnancy
Reduction

Thanks, Steve.
(b)(5)

Deliberative and pre-decisional communication

From: Wagner, Steven (ACF)

Sent: Monday, October 02, 2017 12:44 PM
To: Wynne, Maggie (HHS/IOS); Lawrence, Courtney (HHS/ASL)
Cc: Stannard, Paula (HHS/IOS); Huber, Valer ie (HHS/OASH)

Subject: Announcement of OASH/ACF Collaboration for Better Outcomes in Teen Pregnancy Reduction
(b)(5)

Best,
Steven Wagner
Acting Assistant Secretary
Administration for Children and Families
U.S. Department of Health and Human Services
330 C Street, SW, Washington DC 20201
202-401-1822
Steven. Wagner@acf.hhs.gov

HHS-OS-EF Lit. 18-0241 00003750

EXT-18-241-O-000194

 Bell. Michael (OS/ASPA)
From:

Powers, Mary (ACF)
Friday, September 29, 2017 5:44 PM

Sent:
To:

Wynne, Maggie (HHS/IOS)
Wagner, Steven (ACF); Pilato, Anna (ACF); Stevenson, Sarah-Lloyd (HHS/IOS); Smith,
Andrew (HHS/IOS); Negri, Warren A. (ACF)

Cc:
Subject:
Attachments:

Written Update
Draft Written IOAS Update for IOS 9.29.docx; ACF SITREP 9 - 2017 Hurricane Irma
Region 2 , 4.pdf; Final Recommendations revised sc.docx; ACF Executive Brief
15.Hurricane Harvey.final.docx

Hello Maggie,
Attached you will find the written report for OS, the final background check document , and two situation report s on
hun-icane activities.
Please let us know if you have any questions .
Thank s,
Mary
Mary Powers
Policy Advisor I Immediate Office of the Assistant Secretary
Administration for Children and Familie s I Departmen t of Health and Human Services
330 C Street, SW, Wa shington, DC 20201

Offi~O(b)(6)
Cell :

.

Emai: mary.powers ac .hhs.gov
Confidential and pre-decisional commun ication.

HHS-OS-EF Lit. 18-0241 00003751

EXT-18-241-O-000195

 Bell, Michael (OS/ASPA)

Subject:
Attachments:

Smit h, Andrew (HHS/IOS)
Monday, September 18, 2017 5:52 PM
Wynne , Maggie (HHS/IOS)
FW: Assignment AS-772620 is now available in SPS
$ ACF Comments - W isconsin letter AS.docx

Due By:
Flag Status:

Tuesday, September 19, 2017 4:00 PM
Flagged

From:
Sent:
To:

Hi Maggie,
Welcome back! I'm really excited to catch up tomorrow.
(b)(5)

Looking forward to discussing this and much else,
Andrew

From: natasha. w right2@hhs.gov [ ma i Ito: natasha. wright2@h hs.gov]

Sent: Wednesday, September 13, 2017 4:12 PM
To: Smith, Andrew (HHS/IOS)
Subject:

Assignment AS-772620 is now available in SPS

~•f--~\).ITI J , · ..

~'i

•

~ --

"

I'

"to•.

·'£_. US. De partm e nt of Hea lth a.nd Hum a n Se rvice s

;E

:,,

"'~

·~~
·._
.,_,

•.;J(J

A• •·

. ,' H. A.' ..,

HHS-OS-EF Lit. 18-0241 00003752

EXT-18-241-O-000196

 Assignment AS-772620 is now available in SPS . Follow the link below to view details:

Due Date : 9/ 18/2017
Record Type: Clearance Request
Type: Clearance
Subtype: Standard
Case Subject: Waiver Requests from the Wisconsin Department of Children and Families
Policy Coordinator: Natasha Wright

https ://secretaryspol icysystem .force .com/Gatekeeper/a0 Rt0000000t5J D

Thank you ,
The Secretary 's Policy System Team

This email and its attachments are for the use of the intended rec1p1ent(s)only. If you are not the intended rec1p1ent,
please do not disclose the contents to anyone, bur notify the sender by return email and delete this email (and any
attachments) from your system.

2

HHS-OS-EF Lit. 18-0241 00003753

EXT-18-241-O-000197

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:
Attachments :

Wright, Natasha (OS/1OS)
Thursday, March 23, 2017 9:52 PM
Wynne, Maggie (HHS/1OS)
Robinson, Wilma (HHS/1OS);Shelton, Carrie A (HHS/1OS)
ACF Weekly Report 3/24
ACF Week Ahead Report - 3-24-2017 (ACF).docx

Hi Maggie,
Please see attached for ACF's 3/24 Weekly Report. Per your request at the last ACF check-in meeting, ACF has
highlighted the top 5 items of importance at the beginning of the report. Shortly, I will be sending you all new items on
the report. There will be 17 items in total.
Thanks,
Natasha
Natasha M. Wright, M.A., M.P.H., PMF Classof 2013
Policy Coordinator
Immediate Office of the Secretary IExecutive Secretariat
U.S. Department of Health and Human Services
202.260.7513 I natasha.wright2@hhs.gov

HHS-OS-EF Lit. 18-0241 00003754

EXT-18-241-O-000198

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:
Attachments :

Mella, Emily (ACF)
Thursday, March 09, 2017 5:13 PM
Wright, Natasha (OS/IOS); Horska, Katerina (HHS/IOS)
Wynne, Maggie (HHS/IOS); Barlow, Amanda (ACF); Robinson, Wi lma (HHS/IOS); Sellers,
Angela (ACF)
RE:OpsDiv Mtg w/ ACF
ACF Memo for Secretary Price's Visit on 03-13-2017 .docx; ACF Memo for Secretary
Price's Visit on 03- 13-2017 Attachment _ACF Senior Staff Bios.docx

Dear Natasha and Katerina,
Updated materials for Secretary Price's visit to ACF on Monday, March 13th are attached. Please let us know if we can
provide any additional information .
Best Regards,
Emily

From: Mella, Emily (ACF)

Sent: Wednesday, March 08, 2017 10:50 AM
To: Wright, Natasha (OS/IOS); Horska, Kat erina (HHS/IOS)
Cc: Sellers, Angela (ACF); Robinson, Wilma (HHS/IOS); Barlow, Amanda (ACF) (Amanda.Barlow@ACF.HHS.GOV); Wynne,
Maggie (HHS/IOS)
Subject: RE: OpsDiv Mtg w/ ACF
Good Morning Natasha and Katerina,
The information that you requested from ACF in preparation for Secretary Price's visit tomorrow is attached. Please let
us know if we can provide any additional information.
Warm Regards,
Emily

From: Wright, Natasha (OS/IOS)

Sent: Tuesday, March 07, 2017 1:14 PM
To: Mella, Emily (ACF); Horska, Katerina (HHS/IOS)
Cc: Sellers, Angela (ACF); Robinson, Wilma (HHS/IOS)

Subject: RE:OpsDiv Mtg w/ ACF
Hi Emily,
Could you please send us the following by 12pm Wednesday, March 8?
•
•
•

Bios (1 page or less for each) for ACF Leadership that will be attending the first 15 minutes of the meeting
Short Description about ACF (1-2 pages)
If you have any Agency "hot topics" that you would like to highlight for the Secretary, you may provide those.
You may include approximately 5 hot topics with a 1-2 sentence description for each. An example is attached.

Let me know if you have additional questions.

HHS-OS-EF Lit. 18-0241 00003755

EXT-18-241-O-000199

 Thanks,
Natasha

From: Mella, Emily (ACF)

Sent: Tuesday, March 07, 2017 1:00 PM
To: Wright, Natasha (OS/IOS); Horska, Katerina (HHS/1OS)
Cc: Sellers, Angela (ACF)
Subject: FW: OpsDiv Mtg w/ ACF
Hi Natasha and Katerina,
Do you have some time today for a call to go over what you need from us for Secretary Price's briefing book? I am free
after 2 PM. Let me know if this is easier to do by email.
Thank you very much!
Best,
Emily

From: Robinson, Wilma (HHS/IOS)

Sent: Tuesday, March 07, 201712:45 PM
To: Harrison.Jessica (OS/IOS); Mella, Emily (ACF)
Cc: Barlow, Amanda (ACF); Sellers, Angela (ACF); Twomey, John K.; Wright, Natasha (OS/IOS); Horska, Katerina
(HHS/IOS)
Subject: RE: OpsDiv Mtg w/ ACF
Hi Emily,
I can answer some of the questions below see in red. Please let me know if you have additiona l questions .
Wilma M . Robinson, PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
200 Independence AV SW, Rm 603H
Washington, DC 20201

(b)(6)

Wilma .Robinson@hhs .gov
202-690-5627 (office)
(BB)

From: Harrison, Jessica (OS/IOS)

Sent: Tuesday, March 07, 2017 12:29 PM
To: Mella, Emily (ACF)
Cc: Barlow, Amanda (ACF); Sellers, Angela (ACF); Twomey.John K.; Robinson, Wilma (HHS/IOS)
Subject: RE: OpsDiv Mtg w/ ACF
I will let John T speak to how the rest of the meetings with the OpDivs have gone .
I know we are interested in do ing it however y'all th ink w ill be best . He can do 15 minutes with the senior staff and then
do 30 minutes where he speaks to the rest of the team and takes quest ions. It is mostly just a meet and greet and for
him to check out the office and meet the team . We do create a briefing binder for him so any information you would like
him to have beforehand you can send to us and we will make sure it gets in his binder.
2

HHS-OS-EF Lit. 18-0241 00003756

EXT-18-241-O-000200

 Thanks!

Jessica
From: Mella, Emily (ACF)
Sent: Tuesday, March 07, 2017 10:40 AM
To : Harrison, Jessica (OS/IOS)
Cc: Barlow, Amanda (ACF); Sellers, Angela (ACF); Twomey, John K.
Subject: RE: OpsDiv Mtg w/ ACF
Hi Jessica,
No problem! Yes, we can make that work. With 45 minutes, does he have a preference on how the time is split between
senior staff and the all hands?
Logistics prep:
• What information do you need from us in advance? We are happy to provide whatever is useful to you all and to
Dr. Price. Please reach out to Natasha Wr ight and Katerina Horska on my staff there are specific items that they
will need for the briefing book by Wed .
• Should we plan to have someone introduce Dr. Price? If so, is there something specific that we should prepare
that person to say (like to read his bio)? In Similar meetings with other agencies Dr. Price wa lked in and
introduced himself then Senior leadership introduced key staff. I can talk to you off line about how other offices
did it.
•
Does Dr. Price plan to take questions from staff at the all hands meeting? If so, does he prefer to receive
questions in advance, or should we plan to open the floor for staff to ask questions? He typically gives a little bit
about what his focus is and if time permits allowed for questions from the floor from staff. I imagine with 30
minutes and depending how large your staff is there should be t ime to take several questions . We have not sent
him questions in advance of prev ious meetings with OpDivs. Although, in the materials that my staff pull
together for the briefing book they will request hot topics and that is an opportunity to high light any issues that
you think he should know in advance. Natasha and Katerina can speak more to that.
•
If he still wants to meet with senior staff separately, does he need any special information for that meeting, like
a list of names/bias/pictures? Yes, Natasha and Katerina will need names and bio of senior leadership among
other items which they will go over w ith you.
Angie, feel free to jump in if I'm missing anything!
Best,
Emily
From: Harrison, J essica (OS/IOS)
Sent: Tuesday, March 07, 2017 10:28 AM
To: Mella, Emily (ACF)
Cc: Barlow, Amanda (ACF); Sellers, Angela (ACF); Twomey, John K.
Subject: RE: OpsDiv Mtg w/ ACF
Thank you- we actually now need to push this back from 1-1:45pm on 3/9. Does this sti ll work? I am looping in John
Twomey who knows Dr. Price's preferences a little better than I do. Do you mind emailing us the questions and we will
work together to get you the correct answer? Sorry to be difficult.
Thank you again!
3
HHS-OS-EF Lit. 18-0241 00003757

EXT-18-241-O-000201

 Jessica

From: Mella, Emily (ACF)
Sent: Tuesday, March 07, 2017 10:26 AM
To: Harrison, Jessica (OS/IOS)
Cc: Barlow, Amanda (ACF); Sellers, Angela (ACF)

Subject: RE: OpsDiv Mtg w/ ACF
Good Morning Jessica,
I'm writing to confirm that ACF is happy to host Secretary Price on Thursday (3/9) from 3:45 - 4:15 PM. We will arrange
for him to meet with our senior staff from 3:45 - 4:00 and all ACF staff from 4:00 - 4:15.
I have a few questions about logistics and the Secretary's preferences for the meeting. Do you have a moment today for
a quick phone call?
Thank you so much!
Warm Regards,
Emily

From: Barlow, Amanda (ACF)
Sent: Monday, March 06, 2017 5: 12 PM
To: Harrison, J essica (OS/IOS)

Cc: Mella, Emily (ACF)
Subject: RE: OpsDiv Mtg w/ ACF
We would love to, can I get back to you definitively in the morning?
sure we can make it happen .

I need to pull together the logistics folks to make

Amanda

From: Harrison, Jessica (OS/IOS)
Sent: Monday, March 06, 2017 3:24 PM
To: Barlow, Amanda (ACF)

Subject: FW: OpsDiv Mtg w/ ACF
Hi Amanda,
Is ACF able to do a OpsDiv mtg . w/ Sec. Price on 3/9 at 3:45pm for 30 minutes?
Let me know what you think .
Thank you!

Jessica

From: Wynne, Maggie (HHS/IOS)
Sent: Monday, March 06, 2017 3: 19 PM
To: Harrison, Jessica (OS/1OS); Wright, Natasha (OS/IOS)
4
HHS-OS-EF Lit. 18-0241 00003758

EXT-18-241-O-000202

 Cc: Twomey, John K.

Subject: RE: OpsDiv Mtg w/ ACF
Hi Jessica,
I wasn't sure if you wanted me to make contact with ACF or just go directly to them . I am very okay with the latter.
The two principal points of contact are Amanda Barlow, who is ACF Acting Assistant Secretary, and Ben Goldhaber,
Deputy Assistant Secretary for Administration in ACF. The main one is Amanda .
I' m not sure what kind of space they have there for an all-hands meeting . I would defer to Amanda about how to
proceed.
I hope ACL might follow soon after. It is in the same building and will definitely hear about the ACFvisit.
Thanks!
Maggie

From: Harrison, Jessica (OS/IOS)

Sent: Monday, March 06, 2017 3:04 PM

To: Wright, Natasha (OS/IOS); Wynne, Maggie (HHS/IOS)
Cc: Twomey, John K.

Subject: OpsDiv Mtg w/ ACF
Hi allSecretary Price is interested in doing an OpsDiv Mtg. w/ ACFthis week. I believe y'all are who I need to reach out to , to
get this scheduled.
We were thinking about doing 15 minutes with leadership/ senior staff and then 15 minutes with the whole team. What
do you think? In regards to the other OpsDiv mt g's Sec. Price toured the facility but I have been told that is not
necessary for ACF. Let me know if you all have another idea for how this should go.
Sec. Price has Thursday 3/9 at 3:45open to do this . If this works for the ACFteam.
Thank you,

Jessica Harrison
Deput y Scheduler

5
HHS-OS-EF Lit. 18-0241 00003759

EXT-18-241-O-000203

 Bell. Michael (OS/ASPA)
From:
Sent:
To:

Cc:
Subject:
Attachments:

Importance:

W right, Natasha (OS/1OS)
Wednesday , March 08, 2017 2:11 PM
Wy nne, Maggie (HHS/IOS)
Robinson, W ilma (HHS/1OS)
RE:3/ 3 ACF Week Ahead Re

High

Hi Maggie,
Please see the attached informat ion memos and FOAs for the following:
(b)(5)

Thanks,
Natasha

From: Wyn ne, Maggie (HHS/IOS)
Sent: Tuesday, March 07, 20 17 9:55 PM
To: Wright, Nat asha (0S/IOS)
Cc: Robinson, Wilma (HHS/IOS)
Subject: RE: 3/3 ACF Week Ahead Report
Natasha,
Following up on the other items ....
(b)(5)

From: Barlow, Amanda (ACF)
Sent: Monday, February 13, 20 17 3:02 PM
To: Wynne, Maggie (HHS/l05)

Subject: FYI
(b)(5)

HHS-OS-EF Lit. 18-0241 00003760

EXT-18-241-O-000204

 Amanda Barlow
Acting Assistant Secretary
Administration for Children and Families
U.S. Department of Health and Human Services

(202)401-5009
Amanda .Barlow@acf. h hs.gov
www .acf.hhs.gov

Hi Maggie,
(b)(5)

Thanks,
Natasha

From: Wright, Natasha (0S/IOS)
Sent: Tuesday, March 07, 2017 6:30 PM
To: Wynne, Maggie (HHS/IOS)
Cc: Robinson, Wilma (HHS/IOS)
Subject: RE: 3/3 ACF Week Ahead Report
Importance: High
Hi Maggie,
ACF is asking for a status update on the follow ing items that have been on the Weekly Report since 2/9. Could you
please let me know at your earl iest conven ience?
Thanks,
Natasha
Most significant is:
(b)(5)

2
HHS-OS-EF Lit. 18-0241 00003761

EXT-18-241-O-000205

 From: Wright, Natasha (0S/IOS)
Sent: Thursday, March 02, 2017 4:27 PM
To: Wynne, Maggie (HHS/IOS)
Cc: Robinson, Wilma (HHS/IOS); Shelton, Carrie A (HHS/IOS)

Subject: 3/3 ACF Week Ahead Report
Importance: High
Hi Maggie,
Just wanted to share ACF's upcoming items for your review. Shortly, I will be sending supplemental materials for all
items on the list that you have not yet received.
Thanks,
Natasha

Natasha M. Wright, M.A., M.P.H., PMF Class of 2013
Policy Coordinator
Immediate Office of the Secretary IExecutive Secretariat
U.S. Department of Health and Human Services
202.205.5446 I natasha .wright2@hhs .gov

3
HHS-OS-EF Lit. 18-0241 00003762

EXT-18-241-O-000206

 Bell, Michael (OS/ASPA)
From:
Sent:
To:

Cc:
Subject:
Attachments:

Importance:

Wright, Natasha (OS/1OS)
Monday, March 06, 2017 4:42 PM
Wynne , Maggie (HHS/1OS)
Robinson, Wilma (HHS/1OS)
GAO Draft Report
ALL_STAFF-# 1889316-vl - Draft_Report_for _Agency_Comment _-_Human_Traffickin ....pdf;
GAO-17-325 Technical Comments.docx
High

Hi Maggie,
Please see attached for the GAO report entitled, "Human Trafficking: Action Needed to Identify the Number of Native
American Victims Receiving Federally -funded Services" and technical comments from ACF.(b)(5)
(b)(5)

Could you please review and provide a response by 4:30pm 3/8 so that ASL can transm it to GAO?
Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003763

EXT-18-241-O-000207

 Bell. Michael (OS/ASPA)
From:

Wynne, Maggie (HHS/IOS)
Thursday, March 23, 2017 8:55 PM
Bowman, Matthew (HHS/OGC)

Sent:
To:
(b)(5)

Subject:
Attachments:

Just so you know, you don't have to respond tonight!
(b)(5)

From: Bowman, Matthew (HHS/OGC)

Sent: Thu rsday,
To: Wyn (b)(5)!!'J
Subject

March 23, 2017 8:33 PM
• - ·- ·

(b)(5)

On: 23 March 2017 20:22, "Wynne, Maggie (HHS/IOS)" <Margaret.Wynne@hhs.gov > wrote:
Confidential, predecisional deliberative policy and attorney-client privilege

HHS-OS-EF Lit. 18-0241 00003764

EXT-18-241-O-000208

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003765

EXT-18-241-O-000209

 Bell. Michael (OS/ASPA)
From:

Sent:
To:
Subject:
Attachments:

Wynne, Maggie (HHS/IOS)
Friday, May 19, 2017 6:38 PM
Wagne r, Steven (ACF)
RE:ACF proposed media responses
FY 2018 budget edited_track .docx

Hi Steve,
(b)(5)

Magg ie

From: Wagner, Steven (ACF)

Sent: Friday, May 19, 2017 2:47 PM
To: Wynne, Maggie (HHS/IOS)

Subject: FW: ACF proposed media responses
Magg ie, FYI,these are contingency ta lking po ints regarding the FY18 ACF budget prepared by Anna's shop.
Best,
Steve

From: Pilato, Anna (ACF)

Sent: Friday, May 19, 2017 2:32 PM
To: Lloyd, Matt (OS/ASPA)
Cc: Yoest, Charmaine (OS/ASPA); Wagner, Steven (ACF); Monroe, Johnathan (ACF); Wolfe, Kenneth (ACF)

Subject: ACF proposed media responses
Dear Matt,
The ACF Communication team is sending you draft/pre -decisiona l talking points based off of the "Budget in Brief "
document for your consideration.
I connected with Charmaine today and introduced myself to her . I let her know my office created this document and
that we wanted to send it on to ASPA. She suggested I send it to you directly for your review.
Thank you and I look forward to your feedback.
Anna Pilato
Deputy Assistant Secretary, Ext ernal Affairs
Administration for Children and Families
U.S. Department of Health and Human Services
202-401-9216
Anna.Pilato@acf.hhs.gov

HHS-OS-EF Lit. 18-0241 00003766

EXT-18-241-O-000210

 2
HHS-OS-EF Lit. 18-0241 00003767

EXT-18-241-O-000211

 Bell. Michael (OS/ASPA)
From:

Wynne , Maggie (HHS/IOS)
Tuesday, May 02, 2017 3:42 PM
Barlow, Amanda (ACF)

Sent:
To:

Cc:
Subject:

(b)(5)

Hi Amanda,
(b)(5)

Thanks,
Magg ie

From: Barlow, Amanda (ACF)
Sent: Tuesday, May 02, 2017 2:52 PM

To: Wynne, Maggie (HHS/IOS)
Cc: Powers, Mar (ACF)

Subject. (b)(5)
Importance: High
Magg ie,
(b)(5)

Amanda

HHS-OS-EF Lit. 18-0241 00003768

EXT-18-241-O-000212

 From: Thompson, Peter (ACF)
Sent: Tuesday, May 02, 2017 2:31 PM
To: Barlow, Amanda (ACF)
Cc: Mella, Emil (ACF); Branscomb,Jacque lyn (ACF)
Subject (b)(5)
Importance:
Hig

Hi Amanda,
(b)(5)

So that we can move forward, I'd like to send the language to the program office today.
Let me know what you think.
Thanks!
Peter
Peter Thompson
Director , Division of Grant s Policy
Administration for Children and Families
U.S. Dept. of Health and Human Services
330 C St. SW, Washington , DC 20201
Phone: 202-401-4608 - Fax: 202-205-4014
Email: Peter.Thompson@acf.hhs.gov
www.acf.hhs.gov

2

HHS-OS-EF Lit. 18-0241 00003769

EXT-18-241-O-000213

 Bell. Michael (OS/ASPA)
Barlow, Amanda (ACF)
Tuesday, May 02, 2017 6:55 PM
Wynne, Maggie (HHS/IOS)
ACF

From:

Sent:
To:

Cc:
Subject:

(b)(5)

Thanks for the quick response and input.
Amanda

On: 02 May 2017 15:42, "Wynne, Maggie (HHS/IOS)"<Margaret.Wynne@hhs.gov > wrote:
Hi Amanda,
(b)(5)

Thanks,
Magg ie

From: Barlow, Amanda (ACF)
Sent: Tuesday, May 02, 2017 2:52 PM

To: Wynne, Maggie (HHS/105)
Cc: Powers, Ma

Subject (b)(5)
Importance:

(ACF)
1

HHS-OS-EF Lit. 18-0241 00003770

EXT-18-241-O-000214

 Magg ie,
(b)(5)

Amanda
From: Thompson, Peter (ACF)
Sent: Tuesday, May 02, 20 17 2:31 PM
To: Barlow, Amanda (ACF)
Cc: Mella, Emily (ACF); Branscomb,Jacquelyn (ACF)

Subject (b)(5)
Importance:
Hi Amanda,
(b)(5)

So that we can move forward, I'd like to send the language to the program office today .
Let me know what you think.
Thanks!
Peter
Peter Thompson
Director , Division of Grants Policy
Administration for Children and Families
U.S. Dept. of Health and Human Services
330 C St. SW, Washington, DC 20201
Phone: 202-401-4608 - Fax: 202-205-4014
Emai l : Peter.Thompson@acf.hhs.gov
www .acf.hhs.gov

2

HHS-OS-EF Lit. 18-0241 00003771

EXT-18-241-O-000215

 Bell, Michael (OS/ASPA}
Johnson, Jeffrey (HHS/ASFR)
Tuesday, May 02, 2017 2:45 PM
Agnew, Ann (HHS/IOS); Robinson, Wilma (HHS/IOS); Schaefer, Nina (HHS/IOS); Brooks,
John (HHS/IOS); Stannard, Paula (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Wynne,
Maggie (HHS/IOS)
Moughalian , Jen (HHS/ASFR);Brandon, Andrea (HHS/ASFR);Street, Amanda (HHS/IOS);
Morse, Sara (HHS/ASL);Arbes, Sarah (HHS/ASL); Lenihan, Keagan (HHS/IOS)
RE:Grants 101 Meet ing

From:

Sent:
To:

Cc:
Subject:

All,
Thank you for the opportunity to provide you with a brief overview of grants administrat ion at HHSyesterday afternoon.
During the briefing, a question was asked about the mandatory spending and CMS programs included in the FY2016
repor t for the Department . I've attached a spreadsheet which includes all of the mandatory programs included with in
the definition of Federal assistance for the Department by OPDIV, CFDA number, program name, number of awards and
total dollars . The second tab includes all of the programs that reported federal assistance for CMS.
My office can run customized reports for you on any of the over 500,000 agreements awarded by the Department over
the years. The reports can be sorted by various data elements such as OPDIV, Program, award activity, State,
congressional distric t , recipient, fiscal year among other data fields . Please feel free to reach out to me anytime you
need a customized report or you can develop your own personalized report at https://taggs .hhs.gov/Searc hAdv .
I've also attached a soft copy of the presentation. Due to time constraints, I did not have an opportunity to complete the
presentation so I just wanted to point out that slides 29-37 walks you thru the standard process of administering a grant
agreement. All discretionary federal assistance programs at the Department fo llow this process with limited variations.
If you have any additional questions, recommendations or would like a specific training on any portion of the
Departments regulations, policies or procedures, please feel free to reach out to me.
Once again, thank you for your time and attention yesterday. If you have any suggestions or ideas for
improving/streamlining/consolidating the administration of programs or the stewardsh ip of federal funds I would be
very interested in listening to and discussing your ideas.
I look forward to working with you and strengthen ing the efficiency and effectiveness of our HHS'sfederal assistance
programs.
Best,

11

ir llt11..~.~,1-11,llk-~I

h1•1i-t,1, 1' 1!~1}11 IIJj11,

~'.tr,, ,,,;, r, Mt ·· ,.1,11
,L r, '.•;{· H .'''i:'1,liK•,.,,,...

~ GAPA
Jeffrey D. Johnson
Associate Deputy Assistant Secretary
HHS-OS-EF Lit. 18-0241 00003772

EXT-18-241-O-000216

 US Department of Health and Human Services
OGAPA IDivision of Grants
200 Independence Avenue, SW I Rm 5110.2 I Washington, DC 20201
(b)(6)
I e jeffrey.johnson@hhs.gov
w 202-260-7369 I m

-----Orig inal Appointment----From: Office of the Executive Secretary Master Calendar (HHS/OS)
Sent: Friday, April 07, 2017 1 :30 PM
To: Office of the Executive Secretary Master Calendar (HHS/OS); Agnew, Ann (HHS/IOS); Robinson, Wilma (HHS/IOS);
Schaefer, Nina (HHS/IOS); Brooks, John (HHS/ I OS); Stannard, Paula (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS);
Wynne, Maggie (HHS/IOS); Jo hnson, Je ffrey (HHS/ ASFR)
Cc: Moughalian, Jen (HHS/ASFR); Brandon, Andrea (HHS/ASFR); Street, Amanda (HHS/IOS); Morse, Sara (HHS/ASL);
Arbes, Sarah (HHS/AS L); Lenihan, Keagan (HHS/IOS)
Subject: Grants 101 Meeting
When: Monday, May 01, 2017 2:00 PM-3:00 PM (UTC-05:00) Eastern Time (US & Canada).
Where: Executive Secretary Conference Room (HHS) Room 614H

2

HHS-OS-EF Lit. 18-0241 00003773

EXT-18-241-O-000217

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Bowman, Matthew (HHS/OGC)
Friday, March 24, 2017 7:22 PM
Wynne , Maggie (HHS/IOS)
Re: H RSA FOA for Review

(b)(5)

On: 24 March 2017 19:13, "Wynne, Ma
Do you mean the one I just forwarded .

(b)(5)

(b)(5)

From: Bowman, Matthew (HHS/0GC)

Sent: Friday, March 24, 2017 6:44 PM
To: Wynne, Maggie (HHS/IOS)
Subject: Re: HRSA F0A for Review
(b)(5)

On: 24 March 2017 18:37, "Wynne, Maggie (HHS/IOS)" <Margaret.Wynne@hhs.gov > wrote:
Attorney-client

privilege for consultation:

Matt,
(b)(5)

HHS-OS-EF Lit. 18-0241 00003774

EXT-18-241-O-000218

 (b)(5)

From: Bowman, Matthew (HHS/OGC)

Sent: Friday, March 24, 2017 12:21 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: HRSA FOA for Review

Maggie,
(b)(5)

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791

matthew.bowman @hhs.gov
From: Wynne, Maggie (HHS/IOS)

Sent: Thursday, March 23, 2017 5:13 PM
To: Bowman, Matthew (HHS/OGC)

Subject: FW: HRSAFOAfor Review
(b)(5)

From: Grove, Matthew R. (HHS/OS)

Sent: Thursday, March 23, 2017 4:45 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: HRSA FOA for Review
2

HHS-OS-EF Lit. 18-0241 00003775

EXT-18-241-O-000219

 (b)(5)

From: Wynne, Maggie (HHS/IOS)

Sent: Thursday, March 23, 2017 4:08 PM
To: Grove, Matthew R. (HHS/OS)
Subject: RE: HRSA FOA for Review
Hi Matt,
(b)(5)

Magg ie

From: Grove, Matthew R. (HHS/OS)

Sent: Tuesday, March 21, 2017 3:48 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: HRSA FOA for Review
Hi Maggie,
(b)(5)

Thanks.

3
HHS-OS-EF Lit. 18-0241 00003776

EXT-18-241-O-000220

 ,.
1_

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4
HHS-OS-EF Lit. 18-0241 00003777

EXT-18-241-O-000221

 From: Wynne, Maggie (HHS/IOS)

Sent: Sunday, March 19, 2017 3:01 PM
To: Grove, Matthew R. (HHS/OS)
Subject: RE: HRSA FOA for Review
Matt,
(b)(5)

Thanks,
Maggie

From: Espinosa, Diana (HRSA) [mailto:DEspinosa@hrsa.gov ]

Sent: Friday, March 03, 2017 1:58 PM
To: Wynne, Maggie (HHS/IOS); Valent ine, Steven (HHS/IOS)
Cc: Macrae, J im (H RSA); Grove, Matthew R. (HHS/OS)

Subject: HRSA FOA for Review
Attached is the NURSECorps Continuat ion Scholarship APG for your review . Also, on Monday I sent you the FOA for the
Ryan White HIV/AIDS Program States/Territories Part B Supplemental Grant Program. We had asked for comments on
the Ryan White one by COB today . Thanks.
•

Item: NURSECorps Scholarship Continuat ion App lication and Program Guidance (APG)
Category: Routine
Action Needed By: March 8
Summary : NURSECorps allows current partic ipants to serve full-time for one additiona l year at an eligible crit ical
shortage faci lity or eligible school of nursing. It offers current participants who successfully complete the ir initial
two-year service obligation an opportun ity to further reduce their approved qua lify ing educational loans by an
addit iona l 25 percent in exchange for a third year of service.
Justification: The award date is September 30. HRSAplans to release the NURSECorps Loan Scholarship
Continuat ion APG the week of March 6.

Diana Espinosa
Deputy Administrator
Health Resources and Services Administration/HHS
despinosa@hrsa.gov

301-443-2216

5
HHS-OS-EF Lit. 18-0241 00003778

EXT-18-241-O-000222

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Bowman, Matthew (HHS/OGC)
Friday, March 24, 2017 6:44 PM
Wynne , Maggie (HHS/IOS)
Re: H RSA FOA for Review

(b)(5)

On: 24 March 2017 18:37, "Wynne, Maggie (HHS/IOS)" <Margaret.Wynne@hhs.gov> wrote:
Attorney-client

privilege for consultation:

Matt,
(b)(5)

From: Bowman, Matthew (HHS/OGC)

Sent: Friday, March 24, 2017 12:21 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: HRSA FOA for Review

Maggie,
HHS-OS-EF Lit. 18-0241 00003779

EXT-18-241-O-000223

 (b)(5)

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791
matthew.bowman @hhs.gov
From: Wynne, Maggie (HHS/IOS)

Sent: Thursday, March 23, 2017 5:13 PM
To: Bowman, Matthew (HHS/OGC)
Subject: FW: HRSA FOA for Review
(b)(5)

From: Grove, Matthew R. (HHS/OS)

Sent: Thursday, March 23, 2017 4:45 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: HRSA FOA for Review
(b)(5)

From: Wynne, Maggie (HHS/IOS)
Sent: Thursday, March 23, 2017 4:08 PM
To: Grove, Matthew R. (HHS/OS)
Subject: RE: HRSA FOA for Review
Hi Matt,
(b)(5)

Maggie
From: Grove, Matthew R. (HHS/OS)

Sent: Tuesday, March 21, 2017 3:48 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: HRSA FOA for Review

Hi Maggie,
(b)(5)

HHS-OS-EF Lit. 18-0241 00003780

EXT-18-241-O-000224

 (b)(5)

Thanks.

3
HHS-OS-EF Lit. 18-0241 00003781

EXT-18-241-O-000225

 ,.
1_

Insert

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Review

V iew

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Reviewing Pane •
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(b)(5)

4
HHS-OS-EF Lit. 18-0241 00003782

EXT-18-241-O-000226

 From: Wynne, Maggie (HHS/IOS)

Sent: Sunday, March 19, 2017 3:01 PM
To: Grove, Matthew R. (HHS/OS)
Subject: RE: HRSA FOA for Review
Matt,
(b)(5)

Thanks,
Maggie

From: Espinosa, Diana (HRSA) [mailto:DEspinosa@hrsa.gov ]

Sent: Friday, March 03, 2017 1:58 PM
To: Wynne, Maggie (HHS/IOS); Valent ine, Steven (HHS/IOS)
Cc: Macrae, J im (H RSA); Grove, Matthew R. (HHS/OS)

Subject: HRSA FOA for Review
Attached is the NURSECorps Continuat ion Scholarship APG for your review . Also, on Monday I sent you the FOA for the
Ryan White HIV/AIDS Program States/Territories Part B Supplemental Grant Program. We had asked for comments on
the Ryan White one by COB today . Thanks.
•

Item: NURSECorps Scholarship Continuat ion App lication and Program Guidance (APG)
Category: Routine
Action Needed By: March 8
Summary : NURSECorps allows current partic ipants to serve full-time for one additiona l year at an eligible crit ical
shortage faci lity or eligible school of nursing. It offers current participants who successfully complete the ir initial
two-year service obligation an opportun ity to further reduce their approved qua lify ing educational loans by an
addit iona l 25 percent in exchange for a third year of service.
Justification: The award date is September 30. HRSAplans to release the NURSECorps Loan Scholarship
Continuat ion APG the week of March 6.

Diana Espinosa
Deputy Administrator
Health Resources and Services Administration/HHS
despinosa@hrsa.gov

301-443-2216

5
HHS-OS-EF Lit. 18-0241 00003783

EXT-18-241-O-000227

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Bowman, Matthew (HHS/OGC)
Saturday, March 25, 2017 9:25 AM
Wynne , Maggie (HHS/IOS)
Re: H RSA FOA for Review

(b)(5)

On: 24 March 2017 19: 13, "Wynne, Ma
Do you mean the one I just forwarded?

(b)(5)

(b)(5)

From: Bowman, Matthew (HHS/0GC)

Sent: Friday, March 24, 2017 6:44 PM
To: Wynne, Maggie (HHS/105)
Subject: Re: HRSA F0A for Review
(b)(5)

On: 24 March 2017 18:37, "Wynne, Maggie (HHS/IOS)" <Margaret.Wynne@hhs.gov > wrote:
Attorney -client privilege for consultation:
Matt,
(b)(5)

HHS-OS-EF Lit. 18-0241 00003784

EXT-18-241-O-000228

 (b)(5)

From: Bowman, Matthew (HHS/OGC)
Sent: Friday, March 24, 2017 12:21 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: HRSA FOA for Review

(b)(5)

Matt Bowman

Deputy General Counsel
HHSOGC
202.868.9791
matthew.bowman

@hhs.~ov

From: Wynne, Maggie (HHS/IOS)
Sent: Thursday, March 23, 2017 5:13 PM
To: Bowman, Matthew (HHS/OGC)
Subject: FW: HRSA FOA for Review
(b)(5)

From: Grove, Matthew R. (HHS/OS)
Sent: Thursday, March 23, 2017 4:45 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: HRSA FOA for Review

2

HHS-OS-EF Lit. 18-0241 00003785

EXT-18-241-O-000229

 (b)(5)

From: Wynne, Maggie (HHS/IOS)

Sent: Thursday, March 23, 2017 4:08 PM
To: Grove, Matthew R. (HHS/OS)
Subject: RE: HRSA FOA for Review
Hi Matt,
(b)(5)

Magg ie

From: Grove, Matthew R. (HHS/OS)

Sent: Tuesday, March 21, 2017 3:48 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: HRSA FOA for Review
Hi Maggie,
(b)(5)

Thanks.

3
HHS-OS-EF Lit. 18-0241 00003786

EXT-18-241-O-000230

 ,.
1_

Insert

Page Layout

References

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(b)(5)

4
HHS-OS-EF Lit. 18-0241 00003787

EXT-18-241-O-000231

 From: Wynne, Maggie (HHS/IOS)

Sent: Sunday, March 19, 2017 3:01 PM
To: Grove, Matthew R. (HHS/OS)
Subject: RE: HRSA FOA for Review
Matt,
(b)(5)

Thanks,
Maggie

From: Espinosa, Diana (HRSA) [mailto:DEspinosa@hrsa.gov ]

Sent: Friday, March 03, 2017 1:58 PM
To: Wynne, Maggie (HHS/IOS); Valent ine, Steven (HHS/IOS)
Cc: Macrae, J im (H RSA); Grove, Matthew R. (HHS/OS)

Subject: HRSA FOA for Review
Attached is the NURSECorps Continuat ion Scholarship APG for your review . Also, on Monday I sent you the FOA for the
Ryan White HIV/AIDS Program States/Territories Part B Supplemental Grant Program. We had asked for comments on
the Ryan White one by COB today . Thanks.
•

Item: NURSECorps Scholarship Continuat ion App lication and Program Guidance (APG)
Category: Routine
Action Needed By: March 8
Summary : NURSECorps allows current partic ipants to serve full-time for one additiona l year at an eligible crit ical
shortage faci lity or eligible school of nursing. It offers current participants who successfully complete the ir initial
two-year service obligation an opportun ity to further reduce their approved qua lify ing educational loans by an
addit iona l 25 percent in exchange for a third year of service.
Justification: The award date is September 30. HRSAplans to release the NURSECorps Loan Scholarship
Continuat ion APG the week of March 6.

Diana Espinosa
Deputy Administrator
Health Resources and Services Administration/HHS
despinosa@hrsa.gov

301-443-2216

5
HHS-OS-EF Lit. 18-0241 00003788

EXT-18-241-O-000232

 Bell, Michael (OS/ ASPA)
From :
Sent:
To:
Subject:
Attachments :

Logan, Scott (ACF)
Wednesday, March 22, 2017 3:40 PM
Logan, Scott (ACF)
OLAB Report for March 6-17
OLAB Weekly Report March 6-17.docx

Good afternoon,
Attached is the OLAB repo rt for March 6- 17. Items of note are:
•
•
•

•
•

Eight bi lls related to a cross-cut of ACF programs, ANA, OFA, and ORR were introduced.
Five dear colleague letters related to ACF, Head Start , Torture Victims , homeless progra ms, and pregnancy
prevention/ abstinence education programs were circulated.
Summaries are available for recent heari ngs on Improving Outcome s for Youth in Juvenile Justice, Indian Affair s
Priorities in the Trum p Adm inist rat ion, HHS Appropriations related to early childhood development , and Home
Visiting (M IECHV)reauthorization.
Forty-one press releases relate d to child welfare, Head Start, Home Visiting, homeless youth, the President's
Budget, refugee s, and unaccompanied children were issued.
Two new CRSreports on Mis sing and Exploited Children and El Salvador, whic h contains a discussion of
unaccompanied children , are available.

Please let me know if you have any questions about items with in t he report.
Thank you ,
Scott
Scott Logan
Director
Division of Legislative and Regulatory Affai rs
Office of Legislative Affai rs and Budget
Admin istrat ion for Children and Families
U.S. Department of Health and Human Services
330 C ST, SW Suite 5020F
Washington, D.C. 20201
202.401.4529

Learn more about ACF at:

&
ACFoe

HHS-OS-EF Lit. 18-0241 00003789

EXT-18-241-O-000233

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

Wynne , Maggie (HHS/IOS)
Friday, October 20, 2017 1:16 PM
Powers, Mary (ACF)
Wagne r, Steven (ACF); Negri III, Warren A. (ACF); Bowman, Matthew (HHS/IOS);
Stevenson, Sarah-Lloyd (HHS/IOS); Smith, Andrew (HHS/IOS)
RE: Request for Information in Response to House Report 114-195
$ TVAP data _OMB approved .pdf .pdf; OTIP Response USCCB USCRI Tapestri .pdf

Mary,
(b)(5)

HHS-OS-EF Lit. 18-0241 00003790

EXT-18-241-O-000234

 (b)(5)

I am copying Matt Bowman on this message to request his legal review.
Thank you.
Maggie

Maggie Wynne
Counselor for Human Services Policy
Office of the Secretary
U.S. Department of Health and Human Services

(202) 205-3796
Margaret. Wyn ne@hhs.gov
Deliberative and pre-decisional communication
Attorney-Client privilege requested

From: Powers, Mary (ACF)

Sent: Tuesday, October 03, 2017 2:51 PM
To: Wynne, Maggie (HHS/IOS)
Cc: Wagner, Steven (ACF); Stevenson, Sarah-Lloyd (HHS/IOS); Smith, Andrew (HHS/IOS); Negri, Warren A. (ACF)
Subject: FW: Request for Information in Response to House Report 114-195

Hi Maggie,
Attached you will find the joint response from grantees and Katherine's note below .
Please let me know if you have any questions.
2

HHS-OS-EF Lit. 18-0241 00003791

EXT-18-241-O-000235

 Thanks,
Mary
Mary Powers
Policy Advisor I Immediate Office of the Assistant Secretary
Administration for Children and Families I Department of Health and Human Services
330 C Street, SW, Washington, DC 20201
Office: (202)260 -0084
Cell: (b)(6)
Confidential and pre -decisional communication.
From: Chon, Katherine (ACF)

Sent: Monday, October 02, 2017 10:09 AM
To: Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Negri, Warren A. (ACF); Hightower, Ms. Carolyn (ACF)
Subject: FW: Request for Information in Response to House Report 114-195
Good morning, Steve Here is a response from all three TVAP grantees that came in on Friday night in regards to our most recent request to
respond to House Report 114-195. I will also share with OLAB for their awareness. Please let me know how you would
like to proceed on this matter.
Katherine

From: Lorie Davidson [mailto:LDavidson@uscr idc.org1

Sent: Friday, September 29, 2017 8:59 PM
To: Chon, Katherine (ACF)
Cc: Bill Canny; Lavinia Limon; vanisa@tapestri.org
Subject: Request for Informat ion in Response to House Report 114-195
Dear Ms. Chon,
Kindly find the attached response to your emai l sent on August 22, 2017, and the 0MB Control Number 0970 -0467 .
Please let us know if you have any questions and we look forward to cont inuing to work together on th is issue.
Respectfully,

Lorie Davidson, MSW

2231 Crystal Drive , Suite 350
Arlington, VA 22202-3711
refugees.org
(b)(6)
p/ 703-31 0-11 39

C

f/ 703 -769-4241
Important: this email is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt
from disclosure under applicable law. If you are not the intended recipient , you are notified that dissemination , distribution or copying of
3
HHS-OS-EF Lit. 18-0241 00003792

EXT-18-241-O-000236

 this message is strictly prohibited. If you receive this message in error, or are not the named recipient, please notify the sender at the
email address above and delete this email from your computer. Thank you.

4
HHS-OS-EF Lit. 18-0241 00003793

EXT-18-241-O-000237

 Bell. Michael (OS/ASPA)
From:

Wynne, Maggie (HHS/IOS)
Tuesday, May 23, 2017 8:34 PM
Mansdoerfer , David (HHS/IOS)
Clark, Timothy (HHS/10S)
FW: Reply by COB, 5/25 :0MB RFVs:S 1028(Nationa l Family Caregiving Strategy)
S 1028.docx

Sent:
To:

Cc:
Subject:
Attachments:

David,
The attached legislation would create a new council at HHS -the Family Caregiving Advisory Council whose composition and duties are described in detail in the legislation.
(b)(5)

Thanks,
Maggie

From: Wi lloughby, Michelle (HHS/OGC)

Sent: Tuesday, May 23, 2017 11:34 AM
To: Arbes, Sarah (HHS/ASL); Clark, Barbara (HHS/ASL); McGuffee, Ty ler Ann (HHS/ASL); Whit ley, Edward (HHS/ASL);
Kemper, Laura (HHS/ASL); Lawrence, Courtney (HHS/ASL); Aramanda, Alec (OS/ASL); Davis, Ms. Cynthia (ACF); Logan,
Scott (ACF); Sulton, Jae (ACF); Ta lbert, Ada L. (CMS/OL); Wikelius, Kristin (CMS/OL); ASPEClearances (OS/ASPE); East,
Janet (HHS/OASH); Stallion, Vivian (HHS/OS); ASAIO Staff; Barcus, Lea (PSC/OD); Earles, Vertrice (HHS/ASA) (CTR);
Chletsos, Lori (PSC/OD) (CTR); Molloy, Paula (OS/ASA); Becton, Reginal (OS/ASA/OHR/SPD); Hoffman, Darrell
(HHS/ASA); Major, Christine (HHS/ASA); Zuco, Paola (OS/ASA); Jackson, Caldwell (ACL/OA); Lutz, Brian T. (ACL/OEA);
Nicholls, Richard (ACL/OA); Stauffer, Rachel (OS/ONC); Duncan, Constance (HHS/ASFR); Smith-S impson, Jacq lyn
(HHS/ASFR); Atkinson, Leslie (HRSA); Brooks,John (HHS/IOS); Groves, Garrick (HRSA); Lapinski, Mary-Sumpter
(HHS/IOS); Wynne, Maggie (HHS/IOS); Adams, Claudia (HHS/OS); Brockett, Sharon (HHS/OCR); Householder, Donna
(HHS/OS); Lawson, Heather (HHS/OCR); Morgan, Sherri (OS/OCR); Schmidt, Peggy (HHS/OCR)
Cc: Nelson, Thayer (HHS/OGC); Davis, Jeff rey (HHS/OGC); Friedman, Richard (HHS/OGC); Malliou, Ekaterini (OS/IOS);
Blackwell, Edith (HHS/OGC); Johnson, Linda (OS/OGC); Bowman, Matthew (HHS/OGC); Stimson, Brian (HHS/OGC); Flick,
Heather (OS/OGC); Cleary, Kelly (HHS/OGC); Huff, Bonita (HHS/OGC); Schuham, Aaron (HHS/OGC); Senor, David
E.(HHS/OGC); Naiman, David (HHS/OGC); OGC PH and S BRANCH CONTROLS; Fisher, Barbara (HHS/OGC); Haron,Judith
(HHS/OGC); Jeff ries, Elizabeth (HHS/OGC); Terry, Minnie (HHS/OGC); Barry, DanielJ (HHS/OGC); OS GCGL, EMAIL
(HHS/OS); OIGClearances@oig.hhs.gov
Subject: Reply by COB, 5/25:OMB RFVs:S 1028(National Family Caregiv ing Strategy)

TO:

L(HS)

L(H)

ACF
CMS
ASPE
ASH
ASA/PSC/OH
R

ACL
ONC
ASFR
HRSA
IOS/OS
HHS-OS-EF Lit. 18-0241 00003794

EXT-18-241-O-000238

 FROM:

Office of the General Counsel/Legislation Division

SUBJECT:
Strategy

0MB Request for Views on S 1028 -- National Family Caregiving

(NOTE: Attached please find bill text for S. 1028 , the Recogn ize,
Assist, Include , Support, and Engage (RAISE) Family Caregivers
Act of 2017 . The bill was reported from the Senate HELP
Committee on May 11 .
The RAISE Act wou ld require HHS to establish and maintain a
National Family Caregiving Strategy and to convene a Family
Caregiving Advisory Council. Federal membership would include
CMS, AGL , ONC, and ACF within HHS, as well as representatives
from VA, Labor, SBA , CNCS , and Treasury . The bill would exempt
the committee from FACA requirements .)

The Office of Management and Budget has asked for the Department 's views on
th is bill.
In order that we may respond promptly to this request, please give your
comments as soon as poss ible but no later than COB, THURSDAY, MAY 25 to both (1)
THAYER NELSON of this Division and (2) cc: our general e-mailbox
(ema il.gcl@hhs.gov ) (Microsoft Outlook users, select: OS GCL, EMAIL from the Globa l
Address List) .
To ensure that the Department's comments are given fu ll cons ideration, please
observe the following guide lines in provid ing your office's comments:
(b)(5)

If you have any questions , call the GCL staff attorney named above , at 202-6907747 , or our Legislat ive Reference Service, at 202.690 .7750.
2

HHS-OS-EF Lit. 18-0241 00003795

EXT-18-241-O-000239

 Attachments
cc:

OIG
GC/I0
GC/CMS
GC/CFA
GC/GLD
GC/PH
10S/OS
GCL (R Friedman)

d'[iclr.eileJ.awtr.en.ce CWL1Lou3-IJ,1J.
Office of the General Counsel/ Legislat ion Division
Legislative Reference Service
202 .690.7750 fax 202 .690.7309
Michelle.Willoughby@hhs.gov

This message is intended for the exclusive use of the recipient(s) named above. It may contain information that is
PROTECTEDand/or PRIVILEGED,and it should not be disseminated, distributed, or copied to persons not authorized to
receive such informat ion. If you are not the intended recipient, any dissemination, distribution, or copying is strictly
prohibited. If you have received this communication in error, please erase all copies of the message and its attachments
and notify us immediate ly.

3
HHS-OS-EF Lit. 18-0241 00003796

EXT-18-241-O-000240

 Bell. Michael (OS/ASPA)
From:

Sent:
To:
(b)(5)

Subject:
Attachments:

Steve,
(b)(5)

Let me know if you have any questions.
Thanks,
Magg ie

From: Wagner, Steven (ACF)
Sent: Thursday, May 18, 2017 5: 11 PM
To: Wyn (b)(5)
.. .
Subject

... ---- ·-

(b)(5)

Steve

HHS-OS-EF Lit. 18-0241 00003797

EXT-18-241-O-000241

 Bell, Michael (OS/ ASPA}
Kanodia, Preeti (ACF)
Thursday, May 11, 2017 5:03 PM
Lawrence, Courtney (HHS/ASL); Logan, Scott (ACF); Wynne, Maggie (HHS/IOS)
Clark, Barbara (HHS/ASL)
RE:SOAR TA request

From:

Sent:
To:

Cc:
Subject:

I just spoke to OTIP about this. Hoping to have a confirmation by tomorrow morning.
Thanks for the head's up on the hearing!
Preeti Kanodia

11202.690.8110 11HHS/ACF/OLAB

From: Lawrence, Courtney (HHS/ASL)
Sent: Thursday, May 11, 2017 4:59 PM
To : Kanodia, Preeti (ACF); Logan, Scott (ACF); Wynne, Maggie (HHS/IOS)
Cc: Clark, Barbara (HHS/ASL)
Subject: RE: SOARTA request
Did we get confirmation on this?
Also, just noting the below hearing
House Energy and Commerce Comm ittee hearing on public health
The Health Subcommittee holds a hear ing on "Examining Initiatives to Advance Public Health," including H.R.767, the
"SOARto Healt h and Wellness Act of 2017" ; H.R.931, the "Firefighter Cancer 5 Registry Act of 2017"; and H.R.1876, the
"Goo d Samaritan 5 Health Professionals Act of 2017."

From: Kanodia, Preeti (ACF)
Sent: Tuesday, May 09, 2017 5:00 PM
To: Lawrence, Courtney (HHS/ASL); Logan, Scott (ACF); Wynne, Maggie (HHS/IOS)
Cc: Clark, Barbara (HHS/ASL)

Subject: RE: SOARTA request
Hi Courtney,
We don't believe there is a copyright on the SOARmaterial, but would need to double check our original contract
documents to confirm.
Also, as background - One of the reasons we have not yet distributed SOAR broadly is because the content is still in its
pilot phase and is going through enhancements via a contract. The current training is accred ited so we need to be
careful on how the content is distributed until we create a platform to scale the training more broadly for the public.
I' ll get back to you once we've confirmed the copyright issue with our original contract documents.
Thanks,
Preeti

Preeti Kanodia

11202.690.8110 11 HHS/ACF/OLAB

HHS-OS-EF Lit. 18-0241 00003798

EXT-18-241-O-000242

 From: Lawrence, Courtney (HHS/ASL)
Sent: Tuesday, May 09, 2017 4:03 PM
To: Kanodia, Preeti (ACF); Logan, Scott (ACF); Wynne, Maggie (HHS/IOS)
Cc: Clark, Barbara (HHS/ASL)
Subject: RE: SOAR TA request
Importance:
High
Hi Preeti and Scott, I had one follow up question - is the SOARtraining program/material
Courtney

copyrighted? Thanks!

From: Kanodia, Preeti (ACF)
Sent: Monday, May 08, 2017 10:26 AM
To: Lawrence, Courtney (HHS/ASL); Logan, Scott (ACF); Wynne, Maggie (HHS/IOS)
Cc: Clark, Barbara (HHS/ASL)
Subject: RE: SOAR TA request
Hi Courtney,
Please find ACF TA, attached.
Thanks,
Preeti
Preeti Kanodia 11202.690 .8110 11 HHS/ACF/OLAB

From: Lawrence, Courtney (HHS/ASL)
Sent: Thursday, May 04, 2017 12:52 PM
To: Logan, Scott (ACF); Kanodia, Preeti (ACF); Wynne, Maggie (HHS/IOS)
Cc: Clark, Barbara (HHS/ASL)
Subject: SOAR TA request
Importance:
High
Hi Scott, Preeti, and Maggie,
(b)(5)

Thanks!
Courtney

SEC.

. TRAINING FOR HEALTH PROFESSIONALS .

Section 107(t) of the Trafficking Victims Protection Act of 2000 (22 U.S.C. 7105(f)), as added by section
213(a)(l) of the William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008 (Public Law
110-457), is amended by adding at the end the following:
"(4) TRAINING
FOR HEALTH PROFESSIONALS. "(A)

DEFINITIO

s.- In this paragraph -

2

HHS-OS-EF Lit. 18-0241 00003799

EXT-18-241-O-000243

 "(i) the term 'pi lot program' means the Stop, Observe, Ask, and Respond to Health and
Wellness Training pilot program established under subparagraph (B); and
"(ii) the term 'Secretary' means the Secretary of Health and Human Services.
"(B) PILOTPROGRAM
ESTABLISHED.-

"(i) IN GENERAL.-The Secretary shall establish a pilot program, which shall be known as the
'Stop, Observe, Ask, and Respo nd to Health and Wellness Trainin g pilot program' or the 'SOAR
to Health and Wellness Training pilot program'. The pilot program shall provide training on
human trafficking to health care providers and other related providers, at all levels, in accordance
with the objectives described in clause (ii).
"(ii) OBJECTIVES.
- The objectives of the pilot program shall be to train health care providers
and other related providers "( !) to identify potential human trafficking victims;

"(II) to implement proper protocols and procedure s for working with law enforcement
agencies to report human trafficking and facilitate communication with human trafficking
victims, in accordance with all applicable Federal, State, local, and tribal requirements,
including legal confidentiality requ irements for patients and health care providers;
"(III) to implement proper protocols and procedures for referring such victims to
appropriate social or victims service agencies or organizations;
"(IV) to provide such victims with care that is"( aa) coordinated;
"(bb) victim centered;
"(cc) culturally relevant;
"(dd) comprehensive;
"(ee) evidence based;
"(ff) gender responsive;
"(gg) age appropriate, with a focus on care for youth; and
"(hh) trauma informed; and
"(V) to consider the potential for integrating the training described in subclauses (I)
through (IV) with existing training programs for victims of domestic violence, dating
violence, sexual assault, stalking , child abuse, child neglect, child maltreatment, or child
sexual exploitation.
"(iii) FuNCTIONS."(I) IN GENERAL
- The functions of the pilot program shall include the functions of the
Stop, Observe, Ask, and Respond to Health and Wellness Training program that was
operating on the day before the date of enactment of this paragraph and the authorized
initiatives described in subclause (II).

"(II) AUTHORIZED
lNlTIATlVES.
- The authorized initiatives of the ilot rogram shall
include"(aa) engaging interested entities, including victims of human traffickin g and any
!Federal, State , local, or tribal artners, to develo a flexible training module"(AA) for achieving the objectives described in clause (ii); and
3
HHS-OS-EF Lit. 18-0241 00003800

EXT-18-241-O-000244

 "(BB) that adaRtS to chang ing needs, settings, health care rovider s, and other
related rovider s;
"(bb) making grants availab le to su
diversity in

ort training in health care sites that re resen

"(AA) geogra hy;
"( BB) the demogra hies of the o ulation served;
"(C C) the redominate ty es of hum an trafficking cases; and
"(DD) health care provider profil es;
"(cc) providing technica l assistance for health education programs to implemen
nationwide health care protocol , or develop continuing education training material s,
that assist in achieving the objectives described in clau se (i!};
"(dd) developing a strategy to incentivi ze the utilization of training material s
developed under item (cc) and the impleme ntation of nationwide health care 12.ro
tocol
described in such item, as the Secretary determine s a P.ro riate; and
"(ee ) developin g a reliable methodology for collecti ng data, and reporting such data ,
on the number of human traff icking victims identified and served in health can;
setting s or other related rovid er setting s.
"(iv) TERMINATION.-The ilot rogram shall terminat e on October I , 2022 .
"(C) DATACOLLECTIONAND REPORTING
REQUIREM
ENTS."(i) DATACOLLECTIO
N.- During each of the fiscal years 2018 through 2022, the Secre tary
shall collect data on"(I) the total number of facilities that were operating under the pilot program -

"( aa) during the prev ious fisca l year;
"(bb) betwee n the previous fiscal year and the date of enactme nt of th is parag raph;
and
"(cc) betwee n the date of enactment of this paragrap h and the date of estab lishment
of the Stop, Observe, Ask, and Respond to Hea lth and Wellness Train ing program that
was opera ting on the day before the date of enactment of this paragraph; and
"(II) the total number of health care prov iders and other related prov iders trained through
the pi lot program "( aa) during the previous fisca l year;
"(bb) between the prev ious fiscal year and the date of enactment of this paragrap h;
and
"(cc) betwee n the date of enactme nt of this parag raph and the date of establishment
of the Stop, Observe, Ask, and Respond to Health and Wellness Training program that
was operating on the day before the date of enactment of this paragraph.
"(ii) REPORTING.
- Not later than 90 days after the first day of each of the fisca l years 20 18
through 2022, the Secretary shall prepare and submit to Congress a report on the data collected
under clause (i)." .

Courtney Lawrence
4
HHS-OS-EF Lit. 18-0241 00003801

EXT-18-241-O-000245

 Deputy Assistant Secretary fo r Legislation
U.S. Department of Health and Human Services
(202) 619- 1206 (Direct)
Courtney.Lawrence@hhs.gov

5
HHS-OS-EF Lit. 18-0241 00003802

EXT-18-241-O-000246

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:

Wynne, Maggie (HHS/IOS)
Tuesday, May 09, 2017 5:18 PM
Lawrence, Courtney (HHS/ASL); Kanodia, Preeti (ACF); Logan, Scott (ACF)
Clark, Barbara (HHS/ASL)
Re: SOARTA request

I'm guess ing it's not. If the content was created under an HHS contract , HHS owns it.

On: 09 May 2017 17:01, "Lawrence, Courtney (HHS/ASL)" <Courtney.Lawrence@hh s.gov> wrote:
Thank you
From: Kanodia, Preeti (ACF)
Sent: Tuesday, May 09, 2017 5:00 PM
To: Lawrence, Courtney (HHS/ASL); Logan, Scott (ACF); Wynne, Maggie (HHS/IOS)
Cc: Clark, Barbara (HHS/ASL)
Subject : RE: SOARTA request
Hi Courtney,
We don't believe there is a copyright on the SOARmaterial, but would need to double check our original contract
documents to confirm.
Also, as background - One of the reasons we have not yet distributed SOAR broadly is because the content is still in its
pilot phase and is going through enhancements via a contract. The current training is accredited so we need to be
careful on how the content is distributed until we create a platform to scale the training more broadly for the public.

I'll get back to you once we've confirmed the copyright issue with our original contract documents.
Thanks,
Preeti

Preeti Kanodia

11202.690.8110 11 HHS/ACF/OLAB

From: Lawrence, Courtney (HHS/ASL)
Sent: Tuesday, May 09, 2017 4:03 PM
To: Kanodia, Preeti (ACF); Logan, Scott (ACF); Wynne, Maggie (HHS/IOS)
Cc: Clark, Barbara (HHS/ASL)
Subject: RE: SOARTA request
Importance : High
Hi Preeti and Scott, I had one follow up question-is
Courtney

the SOARtraining program/material copyrighted? Thanks!

From: Kanodia, Preeti (ACF)
Sent: Monday, May 08, 2017 10:26 AM
To: Lawrence, Courtney (HHS/ASL); Logan, Scott (ACF); Wynne, Maggie (HHS/IOS)
HHS-OS-EF Lit. 18-0241 00003803

EXT-18-241-O-000247

 Cc: Clark, Barbara (HHS/ASL)
Subject: RE: SOAR TA request

Hi Courtney,
Please find ACF TA, attached.
Thanks,
Preeti
Preeti Kanodia 11202.690.8110 11 HHS/ACF/OLAB

From: Lawrence, Courtney (HHS/ASL)
Sent: Thursday, May 04, 2017 12:52 PM
To: Logan, Scott (ACF); Kanodia, Preeti (ACF); Wynne, Maggie (HHS/IOS)
Cc: Clark, Barbara (HHS/ASL)
Subject: SOAR TA request
Importance:
High
Hi Scott, Preeti, and Maggie,
(b)(5)

Thanks!
Courtney

SEC.

. TRAINING FOR HEALTH PROFESSIONALS.

Section 107(t) of the Trafficking Victims Protection Act of 2000 (22 U.S.C. 7105(t)), as added by section
213(a)(l) of the William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008 (Public Law
110-457), is amended by adding at the end the following :
"(4) TRAINING
FOR HEALTH PROFESSIONALS."(A) DEFINITIO s.- ln this paragraph "(i) the term 'pilot program' means the Stop, Observe, Ask , and Respond to Health and
Wellness Training pilot program established under subparagraph (B) ; and
"(ii) the term 'Secretary' means the Secretary of Health and Human Services.
"(B) PILOT PROGRAM ESTABLISHED.-

"(i) IN GENERAL- The Secretary shall establish a pilot program, which shall be known as the
'Stop , Observe , Ask , and Respond to Health and Wellness Training pilot program' or the 'SOAR
to Health and We11nessTraining pilot program'. The pilot program shall provide training on
human trafficking to health care providers and other related providers, at all levels, in accordance
with the objectives described in clause (ii).
"(ii) OBJECTIVES
.-The objectives of the pilot program shall be to train health care providers
and other related providers"(!) to identify potential human trafficking victims ;
"(II) to implement proper protocols and procedures for working with law enforcement
agencies to report human trafficking and facilitate communication with human trafficking
2

HHS-OS-EF Lit. 18-0241 00003804

EXT-18-241-O-000248

 victims, in accordance with all app licable Federa l, State , loca l, and triba l requirements,
includ ing legal confident iality requirement s for patients and health care pro viders;
"(III) to impl emen t prop er pro tocols and proc edures for referring such victims to
appropr iate soc ial o r victim s service agencie s or organ izations;
"(IV) to pro vide such victim s with care that is"( aa) coordinated;
"(bb) victim centere d;
"(cc ) culturall y releva nt;
"( dd) compre hensive;
"(ee) evidence based;
"(ff) gender responsive;
"(gg) age appr opriate, with a focus on care for youth ; and
"(hh) trauma informe d ; and
"(V) to consider the potential for integrating the training descri bed in subclau ses (I)
throu gh (IV) with exis tin g training programs for victims of dom estic violence, dating
violence, sexual assa ult, stalking , ch ild abuse, child neglect, child maltreatment, or child
sexual explo itation.
"(iii) F!.JNCTIONS.
"(I) IN GENERAL.
- Th e function s of the pilot program shall includ e the function s of the
Stop, Ob serve, Ask, and Respo nd to Health and Wellnes s Trainin g progra m that was
operating on the day before the date of enactme nt of this paragraph and the authorized
initiative s descri bed in subclau se I!.).
"(ll) AUTHORIZED INITIATIVES.
- The authorized initiatives of the ilot rogram shall
include"(aa) engaging interested ent ities, including victi ms of hum an trafficking and any
Federal, State, local, or tribal partne rs, to deve lop a flexib le training modul e"(AA) for achieving the objectives described in clause (ii); and
"(BB) that adapts to changing needs, settin s, health care roviders , and other
related provider s;
"(bb) making grants available to su ort training in health care sites that re resent
diversity in"(AA) geog raphy;
"(BB) the demographics of the population serve d;
"(CC) the predominate types of human trafficking cases; and
"( DD) healt h care provider profiles;
"(cc) providin g tech nical assis tance for health education programs to impleme n~
nationwide health care protocol , or develop continuing education training materials,
that assist in achieving the objective s described in clau se (ii);
"(dd) developing a strategy to incentivize the utilization of trainin g materials
deve loped under item (cc) and the implementation of nationwide health care _erotoco
described in such item , as the Secretary determine s appropr iate; and
"(ee ) developing a reliab le methodo logy for collecting data , and reporting such data,
on the numb er of hum an traff icking victims identified and served in health earn
settings or other re lated provider settings.
"(iv) TERMINATION.
- The P.ilot program shall terminate on October I, 2022.
"( C) DATACOLLECT
IONANDREPORTING
REQUIREMENTS.
"(i) DATA COLLEC
TION.- Durin g each of the fisca l years 20 18 through 2022, the Sec retary
shall co llect data on"(I) the total number of facilities that were operat ing under the pilot program"(aa) during the previou s fiscal year;
3
HHS-OS-EF Lit. 18-0241 00003805

EXT-18-241-O-000249

 "(bb) between the previous fiscal year and the date of enactment of this paragrap h;
and
"(cc) betwe en the date of enactment of this paragrap h and the date of estab lishment
of the Stop, Observe, Ask, and Respond to Health and Wellness Training progra m that
was operating on the day before the date of enactment of this paragraph; and
"(II) the total number of health care provider s and other related providers trained through
the pilot program"( aa) duri ng the previous fiscal year;
"(bb) between the previou s fiscal year and the date of enactment of this paragrap h;
and
"(cc) between the date of enactme nt of this paragraph and the date of establi shment
of the Stop, Observe, Ask, and Respond to Health and Wellne ss Training progra m that
was operating on the day before the date of enactment of this paragraph.
"(ii) REP0RTING.
- Not later than 90 days after the first day of each of the fiscal years 2018
through 2022, the Secretary shall prepar e and submit to Congress a report on the data collected
under clause (i).".

Courtney Lawrence
Deputy Assistant Secretary for Legislation
U.S. Department of Health and Human Services
(202) 619- 1206 (Direct)
Courtney .Lawrence@hhs .gov

4
HHS-OS-EF Lit. 18-0241 00003806

EXT-18-241-O-000250

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Lawrence, Courtney (HHS/ASL)
Monday, May 08, 2017 11:43 AM
Wynne, Maggie (HHS/IOS)
RE:SOAR TA request

Thanks! Barbara is going to run through GC as well
From: Wynne, Maggie (HHS/IOS)
Sent: Monday, May 08, 2017 11 :31 AM
To: Lawrence, Courtney (HHS/ASL)
Subject: RE: SOARTA request

I'm looking it over now ...
From: Lawrence, Courtney (HHS/ASL)
Sent: Monday, May 08, 2017 10:41 AM
To: Wynne, Maggie (HHS/IOS)
Subject: SOAR TA request
Importance:
High
(b)(5)

From: "Kanodia, Preeti (ACF)" <Preeti.Kanodia@acf.hhs.gov >
Subject: RE: SOAR TA request
Date: 08 May 2017 10:25
To: "Lawrence , Courtney (HH S/ASL)" <Courtney.Lawrence@hhs.gov >, "Logan, Scott (ACF)"
<scott.logan @acf.hhs.gov >, "Wynne , Maggie (HHS/I OS) " <Margaret. Wynne@hhs.gov >
Cc: "Clark, Barbara (HH S/ASL)" <Barbara.Clark@HHS.GOV >
Hi Courtney,
Please find ACF TA, attached.
Thanks,
Preeti
Preeti Kanodia 11202.690.8110 11HHS/ACF/OLAB

From: Lawrence, Courtney (HHS/ASL)
Sent: Thursday, May 04, 2017 12:52 PM
To: Logan, Scott (ACF); Kanodia, Preeti (ACF); Wynne, Maggie (HHS/IOS)
Cc: Clark, Barbara (HHS/ASL)
Subject: SOAR TA request
Importance:
High
Hi Scott, Preeti, and Maggie,

HHS-OS-EF Lit. 18-0241 00003807

EXT-18-241-O-000251

 (b)(5)

Thanks!
Courtney

SEC.

. TRAINING FOR HEALTH PROFESSIONALS.

Section 107(f) of the Trafficking Victim s Protection Act of 2000 (22 U.S.C. 7105(f)), as added by section
213(a)(l) of the William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008 (Public Law
110-457), is amended by adding at the end the following:
"(4) TRAININGFORHEALTH PROFESSIONALS."(A) DEFINITIOs.-In this paragraph "(i) the term 'pilot program' means the Stop, Observe, Ask , and Respond to Health and
Wellness Training pilot program established under subparagraph (B); and
"(ii) the term 'Secretary' means the Secretary of Health and Human Service s.
"( B) PILOTPROGRAM
ESTABLISHED."(i) IN GENERAL
- The Secretary shall establish a pilot program, which shall be known as the
'Stop, Observe , Ask, and Respond to Health and Wellne ss Training pilot program ' or the 'SOAR
to Health and Wellness Training pilot program ' . The pilot program shall provide training on
human trafficking to health care provider s and other related providers, at all levels, in accordance
with the objectives described in clause (ii).
"(ii) OBJECTIVES.-The objectives of the pilot program shall be to train health care providers
and other related providers"( !) to identify potential human trafficking victims;
"(II) to implement proper protocols and procedures for working with law enforcement
agencies to report human trafficking and facilitate communication with human trafficking
victims, in accordance with all applicable Federal, State , local , and tribal requirements ,
including legal confidentiality requirements for patients and health care providers;
"(III) to implement proper protocols and procedures for referring such victims to
appropriate social or victims service agencies or organizations;
"(IV) to provide such victims with care that is"(aa) coordinated;
"(bb) victim centered;
"(cc) cultura lly relevant;
"( dd) comprehensive;
"( ee) evidence based;
"(ff) gender responsive;
"(gg) age appropriate , with a focus on care for youth; and
"(hh) trauma informed; and
"(V) to consider the potential for integrating the training described in subclauses (I)
through (IV) with existing training programs for victims of domestic violence, dating
violence, sexual assault, stalking, child abuse, child neglect, child maltreatment, or child
sexual exploitation.
"(iii) FuNCTIO S."(I) IN GENERAL.-The functions of the pilot program shall include the functions of the
Stop, Observe, Ask, and Respond to Health and Wellness Training program that was
2

HHS-OS-EF Lit. 18-0241 00003808

EXT-18-241-O-000252

 operating on the day before the date of enactme nt of this paragraph and the authorized
initiatives descri bed in subclause (II).
"(II) AUTHORIZED
INITIATIVES.-The authorized initiatives of the ilot rogram shal
include"(aa) engaging interested entities, including victims of human trafficking and any
Federal, State , local, or tribal partners, to develop a flexible training module "(AA) for achieving the objectives described in clause (ii); and
"(BB) that adapts to changing needs , settings, health care roviders , and other
related providers;
"(bb) making grants available to su ort training in health care sites that re resent
diversity in"( AA) geography;
"(BB) the demographics of the population served;
"(CC) the predominate types of human trafficking cases; and
"(DD) health care provider profiles;
"(cc ) providing technical assistance for health education programs to implemen
nationwide health care protocol , or develop continuing education trainin g materials,
that assist in achieving the objectives described in clause (ii);
"(dd) developing a strategy to incentivize the utilization of training materials
developed under item (cc) and the implem entation of nationwide health care rotoco l
described in such item, as the Secretary determines appropriate; and
"(ee) developing a reliable methodology for collecting data, and reporting such data,
on the number of human traff icking victims identified and served in health c~
settings or other related provider settings .
"(iv) TERMINATION.
- The Rilot rogram shall terminate on October 1, 2022.
"(C) DATACOLLECTION
ANDREPORTING
REQUIREMENTS.
"(i) DATACOLLECTION
.-Durin g each of the fiscal years 20 18 through 2022 , the Secretary
shall collect data on"(I) the total number of facilities that were operating under the pilot program "( aa) during the previous fiscal year;
"(bb) between the previous fiscal year and the date of enactment of this paragraph;
and
"(cc) betwee n the date of enactment of this paragraph and the date of esta blishment
of the Stop, Observe, Ask, and Respond to Health and Wellness Training program that
was operating on the day befo re the date of enact ment of this paragraph; and
"(II) the total number of health care providers and other related providers trained through
the pilot program "( aa) during the previous fiscal year;
"(bb) between the previous fiscal year and the date of enactme nt of this paragraph;
and
"(cc) between the date of enactme nt of this paragraph and the date of esta blishment
of the Stop, Observe, Ask, and Respond to Health and Wellness Training program that
was operating on the day before the date of enactment of this paragraph.
"(ii) REPORTING.-Not later than 90 days after the first day of each of the fiscal years 2018
through 2022, the Secretary shall prepare and submit to Congress a report on the data collected
under clause (i).".

Courtney Lawrence
Deputy Assistant Secretary for Legislation
U.S. Department of Health and Human Services
3
HHS-OS-EF Lit. 18-0241 00003809

EXT-18-241-O-000253

 (202) 619- 1206 (Direct)
Courtney.Lawrence@hhs.gov

4
HHS-OS-EF Lit. 18-0241 00003810

EXT-18-241-O-000254

 Bell. Michael (OS/ASPA)
From:
Sent:

Cc:
Subject:
Attachments:

Lawrence, Courtney (HHS/ASL)
Thursday, May 04, 2017 12:52 PM
Logan , Scott (ACF); Kanodia, Preeti (ACF); Wynne, Maggie (HHS/IOS)
Clark, Barbara (HHS/ASL)
SOAR TA request
SOAR.Lang uage.docx

Importance:

High

To:

Hi Scott, Preeti, and Maggie,
(b)(5)

Thanks!
Courtney

SEC.

. TRAININGFOR HEALTHPROFESSIONALS.

Section 107(t) of the Trafficking Victims Protection Act of 2000 (22 U.S.C. 7105(f)), as added by section
213(a)(l) of the William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008 (Public Law
110-457 ), is amended by adding at the end the following:
"(4) TRAININGFORHEALTH PROFESSIONALS."(A) DEFINITTOs.-ln

this paragraph-

"(i) the term 'pi lot program' means the Stop, Observe , Ask, and Respond to Health and
Wellne ss Training pilot program established under subparagraph (B); and
"(ii) the term 'Secretary' means the Secretary of Health and Human Services.
"( B) PILOTPROGRAM
ESTABLISHE
D.-

"(i) IN GENERAL-The Secretary shall establish a pilot program, which shall be known as the
'Stop , Observe, Ask, and Respond to Health and Wellness Training pilot program ' or the 'SOAR
to Health and Wellness Training pilot program'. The pilot program shall provide training on
human trafficking to health care providers and other related providers, at all level s, in accordance
with the objectives described in clause (ii).
"(ii) OBJECTIVES.-The objectives of the pilot program shall be to train health care providers
and other related providers"(!) to identify potential human trafficking victims;

"(II) to implement proper protocols and procedures for working with law enforcement
agencies to report human trafficking and facilitate communication with human trafficking
victims, in accordance with all applicable Federal, State , local, and tribal requirement s,
including legal confidentiality requirements for patients and health care provider s;
HHS-OS-EF Lit. 18-0241 00003811

EXT-18-241-O-000255

 "(III) to implement proper protocols and procedure s for referr ing such victims to
appropriate social or victims service agencie s or organizat ions;
"(IV) to provide such victims with care that is"(aa) coordi nated ;
"(bb) victim centered;
"(cc) culturally relevant ;
"(dd) compre hensive;
"( ee) ev idence based;
"(ff) gen der responsive;
"(gg) age appropriate, with a focus on care for youth; and
"(hh) traum a informed ; and
"(V) to consider the potential for integratin g the training desc ribed in subclauses (I )
through (IV) with existing training programs for victims of domestic vio lence, dating
violence, sexua l assault, stalkin g, child abuse, child neglect , child maltreatment, or child
sexual exploita tion.
"(iii) FuNCTI0NS."(I) IN GENERAL
- The functions of the pi lot program shall include the functions of the
Stop , Observe, Ask, and Respond to Hea lth and Wellne ss Trainin g program that was
operating on the day before the date of enactm ent of this paragraph and the authorized
initiatives described in subclau se (II).
"(II) AUTHORIZED
INITJATJVES.
- The authorized initiatives of the ilot rogram shall
include-

"(aa) engaging interested entities, including victims of human trafficking and an)l
edera l, State, local, or tribal partners, to develo a flexible training modu le"(AA) for achieving the objectives described in clause (ii); and
"(BB) that adapts to changing needs, settings, health care providers, and other
elated.9-roviders;
"(bb) making grants available to su
diversity in-

ort training in health care sites that represent

"(AA) geogra hy;
"(BB) the demogra hies of the P.OP.u
lation served;
"(CC) the redom inate tY)?.eS
of human trafficking cases; and
"(D D) health care rovider profiles;

"(cc) providing technica l assistance for health education programs to imp le men
nationwide health care protocol, or develop continuin g education trainin g materials,
that assist in achieving the object ives described in clause (ii);
"(dd) developing a strategy to incentivize the utilization of training materials
developed under item (cc) and the implementation of nationwide health care rotoco
described in such item, as the Secretary determines aQQro riate; and

2
HHS-OS-EF Lit. 18-0241 00003812

EXT-18-241-O-000256

 "(ee) developing a reliab le methodo logy for collecting data, and reporting such data ,
on the number of human trafficking victims identified and served in health c~
settings or other related Qrovider settings.
"(iv) TERMINATION.
- The ilot rogram shall terminate on October 1, 2022.
"(C) DATA COLLEC
TIONAND REPORTINGREQUIREMENTS
."(i) DATACOLLECTTO
N.-Durin g each of the fisca l years 2018 through 2022, the Secretary
shall co llect data on"( I) the total number of facilitie s that were operating under the pilot progra m-

"(aa) during the previous fiscal year;
"(bb) between the previou s fiscal year and the date of enactment of this paragra ph;
and
"(cc) between the date of enactment of this paragraph and the date of establishment
of the Stop, Observe, Ask, and Respond to Health and Welln ess Training program that
was operati ng on the day before the date of enactment of this paragraph ; and
"(II) the total numb er of health care providers and other related providers train ed throu gh
the pilot program"(aa) durin g the previous fiscal year;
"(bb) between the previous fiscal year and the date of enac tment of this paragraph;
and
"(cc) betwe en the date of enactment of this paragraph and the date of establishment
of the Stop, Observe, Ask, and Respond to Health and Wellness Trainin g program that
was operating on the day before the date of enactment of this paragraph.
"(ii) REPORTING.
- Not later than 90 day s after the first day of each of the fiscal years 2018
through 2022, the Secretary shall prepare and submit to Congre ss a repo rt on the data collected
under clau se (i)." .

Courtney Lawrence
Deputy Assistant Secretary for Legislation
U.S. Department of Health and Human Services
(202) 619- 1206 (Direct)
Courtney. Lawren ce@hhs.gov

3
HHS-OS-EF Lit. 18-0241 00003813

EXT-18-241-O-000257

 Bell, Michael (OS/ASPA)
From:

Wynne, Maggie (HHS/IOS)
Tuesday, May 02, 2017 12:31 PM
Bowman, Matthew (HHS/1OS)
FW: ACF Trafficking NPRM
ATIP NPRM 4 - 2.doc

Sent:
To:

Subject:
Attachments:

Matt,
(b)(5)

Maggie

From: Logan, Scott (ACF)

Sent: Tuesday, May 02, 2017 11 :44 AM
To: Wynne, Maggie (HHS/IOS)
Cc: Mella, Emily (ACF); Barlow, Ama nda (ACF)

Subject: ACF Traffi cking NPRM
Hi Maggie,
Attached is the traff icking NPRM you requested from Amanda.
Please let us know if you need anything else.

Scott
Scott Logan
Acting Director
Office of Legislative Affairs and Budget
Administration for Children and Families
U.S. Department of Health and Human Services
330 C ST, SW Suite 5020D
Washington, D.C. 20201
202.401.4529

fa
Learn more about ACF at:

ACF

HHS-OS-EF Lit. 18-0241 00003814

EXT-18-241-O-000258

 Bell, Michael (OS/ ASPA}
Logan, Scott (ACF)
Tuesday, May 02, 2017 11:44 AM
Wynne , Maggie (HHS/1OS)
Mella, Emily (ACF); Barlow, Amanda (ACF)
ACF Trafficki ng NPRM
A TIP NPRM 4 - 2.doc

From:

Sent:
To:

Cc:
Subject:
Attachment s:

Hi Maggie,
Attached is the trafficki ng NPRM you requeste d from Amanda .
Please let us know if you need anything else.
Scott
Scott Logan
Acting Director
Office of Legislative Affairs and Budget
Administration for Children and Families
U.S. Department of Health and Human Services
330 CST, SW Suite 50200
Washington, D.C. 20201
202.401.4529

ft<
Learn more about ACF at:

ACF

HHS-OS-EF Lit. 18-0241 00003815

EXT-18-241-O-000259

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Wynne , Maggie (HHS/IOS)
Friday, October 20, 2017 12:50 PM
Stevenson , Sarah- Lloyd (HHS/IOS)
DRAFT REPLYTO RE: Request for Informa t ion in Response to House Report 114-195
$ TVAP data_OMB approved.pdf .pdf; OTIP Response USCCB USCRI Tapestri .pdf

Hi Mary,
(b)(5)

HHS-OS-EF Lit. 18-0241 00003816

EXT-18-241-O-000260

 (b)(5)

I am copying Matt Bowman on this message to request his legal review.
Thank you .
Maggie

Deliberative and pre-decisional communication
Attorney -Client privilege requested

From: Powers, Mary (ACF)

Sent: Tuesday, October 03, 2017 2:51 PM
To: Wynne, Maggie (HHS/IOS)
Cc: Wagner, Steven (ACF); Stevenson, Sarah-Lloyd (HHS/IOS); Smith, Andrew (HHS/IOS); Negri, Warren A. (ACF)
Subject: FW: Request for Information in Response to House Report 114-195

Hi Maggie,
Attached you will find the joint response from grantees and Katherine's note below.
Please let me know if you have any questions.
Thanks,
Mary
Mary Powers
Policy Advisor I Immediate Office of the Assistant Secretary
Administration for Children and Families I Department of Health and Human Services
330 C Street, SW, Washington, DC 20201
Office: (202)260 -0084

Cell:(b)(6)
Confidential and pre-decisional communication.
From: Chon, Katherine (ACF)

Sent: Monday, October 02, 2017 10:09 AM
To: Wagner, Steven (ACF)
2

HHS-OS-EF Lit. 18-0241 00003817

EXT-18-241-O-000261

 Cc: Powers, Mary (ACF); Negri, Warren A. (ACF); Hightower , Ms. Carolyn (ACF)
Subject: FW: Request fo r Informat ion in Response to House Report 114-195
Good morning, Steve Here is a response from all three TVAP grantees that came in on Friday night in regards to our most recent request to
respond to House Report 114-195. I will also share with OLAB for their awareness. Please let me know how you would
like to proceed on this matter.
Katherine

From: Lorie Davidson [mai1to:LDavidson@uscr idc.org1

Sent: Friday, September 29, 20 17 8:59 PM
To: Chon, Katherine (ACF)
Cc: Bill Canny; Lavinia Limon; vanisa@tapestri.org
Subject: Request for Informat ion in Response to House Report 114- 195
Dear Ms. Chon,
Kindly find the attached response to you r emai l sent on August 22, 2017, and the 0MB Cont rol Number 0970 -0467 .
Please let us know if you have any questions and we look forward to cont inuing to wo rk togethe r on t his issue.
Respectfully,

Lorie Davidson, MSW

2231 Crystal Drive , Suite 350
A r lington, VA 22202 -37 1 1
refugees .org
(b)(6)

p/ 703 -31 0 -11 39
f/ 703 -769-424 l

C

Important : this email is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt
from disclosure under applicable law. If you are not the intended recipient , you are notified that dissemination , distribution or copying of
this message is strictly prohibited . If you receive this message in error, or are not the named recipient, please notify the sender at the
email address above and delete this email from your computer. Thank you .

3
HHS-OS-EF Lit. 18-0241 00003818

EXT-18-241-O-000262

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Wynne, Maggie (HHS/IOS)
Friday, October 20, 2017 1:02 PM
Stevenson, Sarah- Lloyd (HHS/IOS)
RE: DRAFT REPLYTO RE: Request for Informat ion in Response t o House Report

114-195

Thanks.
(b)(5)

Magg ie Wynne

Deliberative and pre-decisional communication
From: Stevenson, Sarah-Lloyd (HHS/IOS)
Sent: Friday, October 20, 2017 12:59 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: DRAFT REPLYTO RE: Request for Information in Response to House Report 114-195
(b)(5)

From: Wynne, Maggie (HHS/IOS)

Sent: Friday, October 20, 2017 12:50 PM
To: Stevenson, Sarah-Lloyd (HHS/IOS)
Subject: DRAFT REPLYTO RE: Request for Information in Response to House Report 114-195
Hi Mary,
(b)(5)

HHS-OS-EF Lit. 18-0241 00003819

EXT-18-241-O-000263

 (b)(5)

I am copying Matt Bowman on this message to request his legal review .
Thank you.
Maggie
Deliberative and pre-decisional communication
Attorney-Client privilege requested

From: Powers, Mary (ACF)

Sent: Tuesday, October 03, 2017 2:51 PM
To: Wynne, Maggie (HHS/l05)
2

HHS-OS-EF Lit. 18-0241 00003820

EXT-18-241-O-000264

 Cc: Wagner, Steven (ACF); Stevenson, Sarah-Lloyd (HHS/IOS); Smith, Andrew (HHS/IOS); Negri, Warren A. (ACF)
Subject: FW: Request for Information in Response to House Report 114-195
Hi Maggie,

Attached you will find the joint response from grantees and Katherine's note below.
Please let me know if you have any questions.
Thanks ,
Mary
Mary Powers
Policy Advisor I Immediate Office of the Assistant Secretary
Administration for Children and Families I Department of Health and Human Services
330 C Street, SW, Washington, DC 20201
Office: 202 260 -0084

Cell:(b)(6)
Email: mary.powers@acf.hhs.gov
Confidential and pre-decisional communication.
From: Chon, Katherine (ACF)
Sent: Monday, October 02, 2017 10:09 AM
To: Wagner, Steven (ACF)
Cc: Powers, Mary (ACF); Negri, Warren A. (ACF); Hightower, Ms. Carolyn (ACF)
Subject: FW: Request for Information in Response to House Report 114-195
Good morning, Steve Here is a response from all three TVAP grantees that came in on Friday night in regards to our most recent request to
respond to House Report 114-195. I will also share with OLAB for their awareness. Please let me know how you would
like to proceed on this matter.
Katherine

From: Lorie Davidson [mailto:LDavidson@uscr idc.org1

Sent: Friday, September 29, 2017 8:59 PM
To: Chon, Katherine (ACF)
Cc: Bill Canny; Lavinia Limon; vanisa@tapestri.org
Subject: Request for Information in Response to House Report 114-195
Dear Ms. Chon,
Kindly find the attached response to your email sent on August 22, 2017, and the 0MB Control Number 0970-0467.
Please let us know if you have any questions and we look forward to continuing to work together on this issue.
Respectfully,

Lorie Davidson, . MSW

3
HHS-OS-EF Lit. 18-0241 00003821

EXT-18-241-O-000265

 2231 Crystal Drive, Suite 3 50
Arlington, VA 22202-371 l
refugees .org
(b)(6)
p/ 703-310-1139 C
f/ 703 -769-424 l
Important: this email is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt
from disclosure under applicable law . If you are not the intended recipient , you are notified that dissemination , distribution or copying of
this message is strictly prohibited. If you receive this message in error, or are not the named recipient , please notify the sender at the
email address above and delete this email from your computer. Thank you .

4

HHS-OS-EF Lit. 18-0241 00003822

EXT-18-241-O-000266

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Wright, Natasha (OS/IOS)
Thursday, March 16, 2017 6:15 PM
Wynne , Maggie (HHS/IOS)
(ACF) Summary Briefs for PREPProgram
$ - prep_ ia_wise_guys_021317_508.pdf .pdf; $ - PREP_Rural KY_021317.pdf .pdf; $ prep _statewide _021417 _508.pdf; WORKING CLEAN Decision Memo PREPBriefs
3.15.17.- ESeditsdocx.docx .docx

Hi Maggie,
Per the 3/17 Week Ahead report on Page 2, Item 2, please see attached for the memo and three summary briefs
from the Personal Responsibility Education Program Multi Component Evacuation . Summary briefs listed
below:
•
•
•

Implementing a Teen Pregnancy Prevention Program in Rural Kentucky
Wise Guys: Implementing a Boys-Only Teen Pregnancy Prevention Program in Davenport, Iowa
Supporting Statewide Implementation of Evidence-Based Teen Pregnancy Prevention Programs

Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003823

EXT-18-241-O-000267

 Bell, Michael (OS/ ASPA}
From:
Sent:

Subject:
Attachm ents:

Wright, Natasha (OS/1OS)
Wednesday, March 01, 2017 10:51 AM
Wynne, Maggie (HHS/1OS)
Robinson, Wilma (HHS/1OS)
ACF-Incoming Direct Reply Letter re: welfare policy
Incoming letter welfare policy.pdf

Impo rtance :

High

To:

Cc:

Hi Maggie,
ACFjust brought this direct reply assignment to my attention. Please let me know if you approve them to draft a
response for Department clearance and Policy Team approval. I'll bring copies to today's meet ing also.
Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003824

EXT-18-241-O-000268

 Bell. Michael (OS/ASPA)
From:
Sent:
Subject:
Attachments:

Horn , W ade (HHS/10S) (CTR)
Friday, May 26, 2017 3:00 PM
Wy nne, Maggie (HHS/IOS)
FW: OPRE's Build ing Evidence St atement of Work
Evidence Build ing in TAN F RFTOP_SOW.docx

Importance:

Hig h

To:

Hi Maggie,
the attached . Clarence ·ust called me. It is oing to be substantially re-written to
(b)(5)

Wade

From: Carter, Clarence (ACF)
Sent: Friday, May 26, 2017 10:20 AM

To: Horn, Wade (H HS/IOS) (CT R)
Subject: FW: OPRE's Building Evidence Statement of Work
Importance: High
Wade:
(b)(5)
(b)(5)
(b)(5)

Thanks
CHC

From: Frohlich, Lauren (ACF)
Sent: Friday, May 26, 2017 9:58 AM

To: Carter, Clarence (ACF)
Cc: List, Deborah (ACF); Powell, Kevin (ACF)
Subject: OPRE's Build ing Evidence Stateme nt of Work
Importance: High
Hi Clarence ,
OPRE has sent us the Statement of Work fo r the Evidence Bui/din
(b)(5)

HHS-OS-EF Lit. 18-0241 00003825

EXT-18-241-O-000269

 Thanks,
Lauren
Lauren Frohlich
Management and Program Analyst
Office of Family Assistance I Administration fo r Children and Families
U.S. Department of Health and Human Services
(202) 401-4537 I lauren .frohl ich@acf.hhs .gov I 3026F

2
HHS-OS-EF Lit. 18-0241 00003826

EXT-18-241-O-000270

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Wynne, Maggie (HHS/1OS)
Friday, May 12, 2017 12:27 PM
Adair, Geraldine (OS/1OS)
printing request
opportunity _responsibi lity_security _doar _strain_120315_FINAL.pdf; APHSA_TAN F-at -20
_Report_PF4.pdf

Hello Geraldine,
Could I ask you to pr int out two copies each of the attached reports?
I wasn't sure if these should go to a heavy-duty printer as they are on the large size.
Thank you,
Maggie

Maggie Wynne
Counse lor for Human Services Policy
Office of the Secretary
U.S. Departm ent of Health and Human Services
(202) 205-3796
Margaret.Wynne@hhs .gov

HHS-OS-EF Lit. 18-0241 00003827

EXT-18-241-O-000271

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Carter, Clarence (ACF)
Wednesday, October 18, 2017 2:49 PM
Wynne , Maggie (HHS/IOS); Smith, Andrew (HHS/IOS)
FW: Some slides for our 3pm call
Harvard GPL Workforce Proj ects October 2017.pdf

Maggie and Andrew:
I will be on the call at 3:00. Just received the attached slides. Wanted to bring them to your attention.
CHC

From: Liebman, Jeffrey B. (mailto: jeffrey liebman@hks.harvard.edu ]

Sent: Wednesday, October 18, 2017 2:26 PM
To: List, Deborah (ACF); Golonka, Susan (ACF); Mariarosaria Scianname

(b)(6)

Cc: Kleiman, Scott

Subject: Some slides for our 3pm call
Looking forward to connecting soon .
Jeff

HHS-OS-EF Lit. 18-0241 00003828

EXT-18-241-O-000272

 Bell, Michael (OS/ASPA}
Logan, Scott (ACF)
Wednesday, May 03, 2017 2:55 PM
Wynne , Maggie (HHS/IOS); Lawrence, Courtney (HHS/ASL)
Barlow, Amanda (ACF); Sohn, Elizabeth (ACF); Mel la, Emily (ACF)
TANF Legislation
ASPE DRAFTTANF Side by Side_Current Law v W&M and Senate Bills_2 9 17.doc; CRS
Report on TANF Legislation in t he 114th Cong ress_Updated Nov 30, 2016.pdf

From :

Sent:
To:

Cc:
Subject:
Attachm ents:

Hi Maggie and Courtney,
Amanda said you were interested in information on recent TANF legislation. ASPEput together the attac hed side-by side of recent legislation and attached is CRS'report on recent TANF legislat ion.
Please let us know if there is anything else we can hel p wit h .
Scott
Scott Logan
Acting Director
Office of Legislative Affairs and Budget
Administ rat ion for Children and Families
U.S. Department of Health and Human Services
330 CST, SW Suite 5020D
Washington, D.C. 20201
202.401.4529

ft<
Learn more about ACF at:

ACF

HHS-OS-EF Lit. 18-0241 00003829

EXT-18-241-O-000273

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:
Attachments :

Wynne , Maggie (HHS/IOS)
Wednesday , May 31, 2017 7:06 PM
Wright , Natasha (OS/IOS); Grove, Matthew R. (HHS/OS)
Stevenson, Sarah-Lloyd (HHS/IOS)
RE:(ACF) Report to Congress on Head Start Monitoring for FY 2015
$ WORKING - Head Start Monitoring RTC FY 2015_OS rev.docx

Natasha and Matt,
Attached is the HS Report to Congress with only minor technica l edits and comments.
These are suggested changes and not condit ions for clearance.
After edits are accepted or rejected, it is okay to proceed with the next step of submitting the report to Congress.
Thank you,
Maggie

From: Wr ight, Natasha (OS/IOS)

Sent: Thursday, April 27, 2017 5:04 PM
To: Wynne, Maggie (HHS/IOS)
Subject: (ACF) Report to Congress on Head Start Monitoring for FY 2015

Hi Maggie,

Per Page 2, Item l on the 4/28 Week Ahead Report , please see the attached Report to Congress on Head Start
Monitori ng for FY 2015 , memo , and transmission letters to Congre ss. This is a statutori ly required report. It
fulfill s the reporting requirement in Section 641A (t) of the Head Start Act, and it highlight s the enhancement s
made to the FY 2015 monitoring review system, summari zes grantee review outcom es, and describes the types
of finding s most commonly identified in FY 2015.
Thank s
Natasha

HHS-OS-EF Lit. 18-0241 00003830

EXT-18-241-O-000274

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Stevenson, Sarah-Lloyd (HHS/IOS)
Thursday, May 25, 2017 10:05 AM
Wynne , Maggie (HHS/IOS)
RE:(ACF) Report to Congress on Head Start Monitoring for FY 2015
SLS Edits $ WORKING - Head Start Monito ring RTC FY 2015.docx

Hey, MaggieI've finished my rev iew of the Head Start FY 2015 Report to Congress.
(b)(5)

SL
(b)(5)

From: Wynne, Maggie (HHS/IOS)
Sent: Wednesday, May 24, 2017 11:41 AM
To: Stevenson, Sarah-Lloyd (HHS/IOS)
Subject: FW: (ACF) Report to Congress on Head Start Monitoring for FY 2015

From: Wright, Natasha (OS/IOS)
Sent: Thursday, April 27, 2017 5:04 PM
To: Wynne, Maggie (HHS/IOS)
Subject: (ACF) Report to Congress on Head Start Monitoring for FY 2015

Hi Maggie,
Per Page 2, Item 1 on the 4/28 Week Ahead Report, please see the attac hed Report to Congress on Head Start
Monitoring for FY 2015, memo, and transmission letter s to Congre ss. Thi s is a statu torily required report. It
fulfills the reporting requirement in Section 641A(f) of the Head Start Act, and it highlights the enhancements
made to the FY 2015 monitoring review syste m, summarize s grantee review outcomes, and describes the type s
of findings most commonly identified in FY 2015.
Thanks
Natash a

HHS-OS-EF Lit. 18-0241 00003831

EXT-18-241-O-000275

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Wynne, Maggie (HHS/IOS)
Thursday, May 11, 2017 4:16 PM
Gartland, Mol ly (HHS/IOS)
Head Start "one -pager"
Head Start brief 2016.pdf

Molly,
Attached is the two -page one-pager(©) on the Head Start Program.
Let me know if you need anything else.
Maggie

Maggie Wynne
Counse lor for Human Services Policy
Office of the Secretary
U.S. Departmen t of Health an d Human Services
(202) 205-3796
Margaret.Wyn ne @hhs .gov

HHS-OS-EF Lit. 18-0241 00003832

EXT-18-241-O-000276

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

Rathgeb, Colleen (ACF)
Thursday, May 11, 2017 3:10 PM
Wynne , Maggie (HHS/IOS)
Mella, Emily (ACF); Linehan, Ann (ACF); Powers, Mary (ACF); Dugan, Meghan R. (ACF);
Barlow, Amanda (ACF)
RE: Head Start "one -pager" needed
Head Start brief 2016.pdf

(b)(5)

(b)(5)

From: Wynne, Maggie (HHS/IOS)

Sent: Thursday, May 11, 2017 2:37 PM
To: Rathgeb, Colleen (ACF)
Cc: Mella, Emily (ACF); Linehan, Ann (ACF); Powers, Mary (ACF); Dugan, Meghan R. (ACF); Barlow, Amanda (ACF)

Subject: RE: Head Start "one-pager" needed
Hi Colleen,
(b)(5)

Thank you so much for pulling this together so quickly and in such a nice format.
(b)(5)

Thanks,
Maggie

From: Rathgeb, Colleen (ACF)

Sent: Thursday, May 11, 2017 1:57 PM
To: Wynne, Maggie (HHS/IOS)
Cc: Mella, Emily (ACF); Linehan, Ann (ACF); Powers, Mary (ACF); Dugan, Meghan R. (ACF); Barlow, Amanda (ACF)

Subject: RE: Head Start "one-pager" needed
Hi Maggie,
Attached is a one (and a half) pager that I believe has everything you are looking for. Let us know if there is anything
else you want to be added to this or if there is anything else we can do. We will also have the full fact sheet you saw for
2015 updated and on the website soon. Thanks! -Colleen
Colleen C. Rathgeb
Director of Early Childhood Policy and Budget
Administration for Children and Families
(202) 205-7378
colleen. rathgeb@acf. h hs.gov

HHS-OS-EF Lit. 18-0241 00003833

EXT-18-241-O-000277

 From: Rathgeb, Colleen (ACF)

Sent: Wednesday, May 10, 2017 7:36 PM
To: Barlow, Amanda (ACF); Wynne, Maggie (HHS/IOS)
Cc: Mella, Emily (ACF)
Subject: Re: Head Start "one-pager" needed

Maggie's message is clear and we can absolutely do this - thanks!

On: 10 May 2017 17:25, "Barlow, Amanda (ACF)" <Amanda.Barlow@ACF.HHS.GOV > wrote:
Yes, we will pull together something if we don't have it off the shelf . Looping in Colleen in case she has a follow up
question about what exactly you need .

From: Wynne, Maggie (HHS/IOS)

Sent: Wednesday, May 10, 2017 3:54 PM
To: Barlow, Amanda (ACF)
Cc: Mella, Emily (ACF)
Subject: Head Start "one-pager" needed
Hi Amanda,
Would it be possible to receive a one(-to-two)-pager on the Head Start Program fo r FY2016, including some but not all
of the information that appears on the one for FY 2015 (see below) by 3:00 tomorrow?

(b)(5)

I'm sorry for the short turnaround on this request .
Thank you,
Maggie
Maggie Wynne
Counselor for Human Services Policy
Office of the Secretary
U.S. Department of Health and Human Services

(202) 205-3796
Margaret. Wyn ne@hhs.gov

2

HHS-OS-EF Lit. 18-0241 00003834

EXT-18-241-O-000278

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Wynne, Maggie (HHS/IOS)
Thursday, May 11, 2017 2:37 PM
Rathgeb, Colleen (ACF)
Mella, Emily (ACF); Linehan, Ann (ACF); Powers, Mary (ACF); Dugan, Meghan R. (ACF);
Barlow, Amanda (ACF)
RE:Head Start "one -pager" needed

Hi Colleen,
(b)(5)

Thank you so much for pulling this together so quickly and in such a nice format.
(b)(5)

Thanks,
Magg ie

From: Rathgeb, Colleen (ACF)

Sent: Thursday, May 11, 2017 1:57 PM
To: Wynne, Maggie (HHS/IOS)
Cc: Mella, Emily (ACF); Linehan, Ann (ACF); Powers, Mary (ACF); Dugan, Meghan R. (ACF); Barlow, Amanda (ACF)
Subject: RE: Head Start "one-pager" needed
Hi Maggie,
Attached is a one (and a half) pager that I believe has everything you are looking for. Let us know if there is anyth ing
else you want to be added to th is or if there is anyth ing else we can do . We w ill also have the full fact sheet you saw for
2015 updated and on the website soon. Thanks! -Colleen
Colleen C. Rathgeb
Director of Early Childhood Policy and Budget
Admin istration for Children and Families
(202) 205-7378
colleen. rathgeb@acf. h hs.gov

From: Rathgeb, Colleen (ACF)
Sent: Wednesday, May 10, 2017 7:36 PM
To: Barlow, Amanda (ACF); Wynne, Maggie (HHS/IOS)
Cc: Mella, Emily (ACF)
Subject: Re: Head Start "one-pager" needed

Maggie's message is clear and we can absolutely do this - thank s!

> wrote:
On: 10 May 2017 17:25, "Bar low, Amanda (ACF)" <Amanda.Barlow@ACF.HHS.GOV
HHS-OS-EF Lit. 18-0241 00003835

EXT-18-241-O-000279

 Yes, we wi ll pull together someth ing if we don't have it off the shelf . Looping in Colleen in case she has a follow up
quest ion about what exactly you need .

From: Wynne, Maggie (HHS/IOS)

Sent: Wednesday, May 10, 2017 3:54 PM

To: Barlow, Amanda (ACF)
Cc: Mella, Emily (ACF)
Subject: Head Start "one-pager" needed
Hi Amanda,
Would it be possible to receive a one( -to-two)-pager on the Head Start Program for FY2016, including some but not all
of the information that appears on the one for FY 2015 (see below) by 3:00 tomorrow?

(b)(5)

I'm sorry for the short turnaround on this request.
Thank you,
Maggie

Maggie Wynne
Counselor for Human Services Policy
Office of the Secretary
U.S. Department of Health and Human Services
(202) 205-3796
Margaret.Wynne@hhs.gov

2

HHS-OS-EF Lit. 18-0241 00003836

EXT-18-241-O-000280

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Rathgeb, Colleen (ACF)
Wednesday, May 10, 2017 7:36 PM
Barlow, Amanda (ACF);Wynne, Maggie (HHS/IOS)
Mella, Emily (ACF)
Re: Head Start "one-pager" needed

Maggie's message is clear and we can absolutely do this - thank s!

> wrote:
On: 10 May 2017 17:25, "Barlow, Amanda (ACF)" <Amanda.Barlow@ACF.HHS.GOV
Yes, we will pull together someth ing if we don't have it off the shelf. Looping in Colleen in case she has a follow up
quest ion about what exactly you need .
From: Wynne, Maggie (HHS/IOS)

Sent: Wednesday, May 10, 2017 3:54 PM
To: Barlow, Amanda (ACF)
Cc: Mella, Emily (ACF)
Subject: Head Start "one-pager" needed
Hi Amanda,
Would it be possible to receive a one(-to-two)-pager on the Head Start Program for FY2016, including some but not all
of the information that appears on the one for FY 2015 (see below) by 3:00 tomorrow?

(b)(5)

I'm sorry for the short turnaround on this request.
Thank you,
Maggie
Maggie Wynne
Counselor for Human Services Policy
Office of the Secretary
U.S. Department of Health and Human Services

(202) 205-3796
Margaret.Wynne@hhs.gov

HHS-OS-EF Lit. 18-0241 00003837

EXT-18-241-O-000281

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Barlow, Amanda (ACF)
Wednesday, May 10, 2017 5:25 PM
Wynne, Maggie (HHS/IOS)
Mella, Emily (ACF);Rathgeb, Colleen (ACF)
RE:Head Start "one-pager" needed

Yes, we wi ll pull together someth ing if we don't have it off the shelf . Looping in Colleen in case she has a follow up
quest ion about what exactly you need .

From: Wynne, Maggie (HHS/IOS)

Sent: Wednesday, May 10, 2017 3:54 PM
To: Barlow, Amanda (ACF)
Cc: Mella, Emily (ACF)

Subject: Head Start "one-pager" needed
Hi Amanda,
Would it be possible to receive a one(-to-two)-pager on the Head Start Program for FY2016, including some but not all
of the information that appears on the one for FY 2015 (see below) by 3 :00 tomorrow?

(b)(5)

I'm sorry for the short turnaround on th is request .
Thank you,
Maggie
Maggie Wynne
Counselor for Human Services Policy
Office of the Secretary
U.S. Department of Health and Human Services

(202) 205-3796
Margaret. Wyn ne@hhs.gov

HHS-OS-EF Lit. 18-0241 00003838

EXT-18-241-O-000282

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Wynne, Maggie (HHS/1OS)
Monday, March 27, 2017 11:08 AM
Wright, Natasha (OS/1OS)
EHS-CC FOA
EHS Expansion EHS-Child Care Partnership FOA_mw.pdf

Natasha,
I did not see the Head Start, EHS,or AIAN EHSExpansion FOAs in my email, but Ann Linehan had sent a FOA to other
members of the Policy Team in late January that I found, so I reviewed that .
Attached is the EHS-CCFOA with little yellow comment bubbles that have comments and edits from me .
I hope these will inform whatever ACF will send forward per its Tier 1 Priority items .
Thanks,
Maggie

HHS-OS-EF Lit. 18-0241 00003839

EXT-18-241-O-000283

 Bell, Michael (OS/ ASPA}
From:
Sent:
To:
Subject:
Attachments :

Wright , Natasha (OS/IOS)
Friday, March 17, 2017 4:29 PM
Wynne, Maggie (HHS/IOS)
(ACF) HS and/or ES FOA
$CLEAN Decision Memo OHS FOAs_FINAL
_ 2.15.17 - ma.docx; $Sample Head StartEarly Head Start FOA_Mary land.pdf .pdf

Hi Maggie,
Please see attached for the info memo and FOA for the item below. This has been on the list since 2/17, but in my
review today, I realized that ACF never sent to materials necessary for your review.
•

Item: Head Start and/or Early Head Start Funding Opportunity Announcements Publication - Discretionary Award
Cat egory : Routine
Action Needed By: March 1, 2017
Summary: This document requests publication of the Head Start and/or Early Head Start Funding Opportun ity
Announcements (FOA), for the Office of Head Start (OHS) within the Administration for Children and Families
(ACF), Depart ment of Health and Human Services (HHS).
Justification: In order to ensure the timely disbursement of funds appropriated by Congress, and in accordance
with the Head Start Act, these FOAs must be published in a timeframe that allows applicants 60 days to prepare
their applications, and for ACFto review and process app lications . OHS intends to award funding by early summer
so that awardees will have sufficient time to prepare stand up operations for the coming school year, with minimal
disruption to services for children and families.

Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003840

EXT-18-241-O-000284

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Wynne, Maggie (HHS/IOS)
Monday, May 01, 2017 8:43 AM
Wright , Natasha (OS/IOS)
RE:(ACF) - FOA Assets for Independence Demonstration Program
$ - FY 2017 SFOA - HHS-2015-ACF-OCS-EI-1005 - Assets for
Independence _rev_track.d ocx

Natasha,
(b)(5)

Thank you,
Magg ie

From: Wright, Natasha (OS/IOS)

Sent: Thursday, April 27, 2017 4:37 PM
To: Wynne, Maggie (HHS/l05)
Subject: RE: (ACF) - FOA Assets for Independence Demonstration Program
Hi Maggie, Please see attached for the ed itable Word vers ion of this FOA. I've attached the other accompanying
materials for reference also. -thanks , Natasha

From: Wright, Natasha (05/IOS)

Sent: Friday, April 07, 2017 12:48 AM
To: Wynne, Maggie (HHS/l05)
Subject: (ACF) - FOA Assets for Independence Demonstration Program
Hi Maggie,
(b)(5)

Please let me know if you have questions or need additional information .
Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003841

EXT-18-241-O-000285

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Wright, Natasha (OS/IOS)
Friday, May 12, 2017 11:24 AM
Wynne , Maggie (HHS/IOS)
(ACF) FOA CSBG Legal Training and Technical Assistance Center
$ OCS FOA for Policy Team - HHS-2017 -ACF-OCS- ET-1218.pdf .docx; $ Policy Team
Memo for HHS-2017 -ACF-OCS- ET-1218 - Swift # 040720172019 (2).docx .docx; $
Webinar for Policy Team Approval - HHS-2017-ACF -OCS-ET-1218 - Swift#
040720172019.pptx .pptx

Good Morning Maggie,
Per Page 1, Item 1 on the 5/12 Week Ahead Report, please see attached documents related to the Community
Services Block Grant (CSBG) Legal Training and Technical Assistance (Tff A) Center
This document requests approval of two action items:
1. The publication of the FOA
2. The FOA pre-application webinar
ACF intends to announce the availability of $300,000 to be competitively awarded to support the CSBG Legal
T/TA Center. The CSBG Legal Tff A Center is a 3-year T/TA cooperative agreement that focuses on
strengthening and expanding the capacity of CSBG-eligible entities to deal with legal issues, especially issues
that significantly impact the administrative, fiscal, and programmatic policies and operating procedures of
agencies funded under CSBG.
Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003842

EXT-18-241-O-000286

 Bell. Michael (OS/ASPA)
Daniels, Carla (HHS/ASPA)
Thursday, October 19, 2017 3:13 PM
Lloyd, Matt (OS/ASPA); OS HHSPress (HHS/ASPA)
Wolfe, Kenneth (ACF); Wynne, Maggie (HHS/IOS); Yoest, Charmaine (OS/ASPA); Weber,
Mark (HHS/ASPA); Stevenson, Sarah-Lloyd (HHS/IOS); Smith, Andrew (HHS/IOS);

From:

Sent:
To:

Cc:

Subject:
Attachments:

(b)(5)

~

•

~~

• •

■ ■

!

•!

~~

•

:

•I

!

Hi All,
The attached revised documents contain edits from ASFR, OASH and !EA. ASL and OGC cleared the documents. Please
advise if this is still on hold or if we can proceed at 6pm as indicated in the tick tock below. Thanks
(b)(5)

Carla L Daniels
Public Affairs Specialist
U.S. Department of Health and Human Services
OS/ASPA
Office: 202-690-4595
(b)(6)
Cell:
www.hhs .gov/news

From: Lloyd, Matt (OS/ASPA)

Sent: Wednesday, October 18, 2017 1:46 PM
HHS-OS-EF Lit. 18-0241 00003843

EXT-18-241-O-000287

 To: OS HHSPress(HHS/ASPA); OS - ASPA- Clearance; OS - ASPA - Human Services Clearance; OS - ASPA - Health Care
Clearance
Cc: Wolfe, Kenneth (ACF)
(b)(5)
Subject: RE: CLEARANC
■

--..

-

-

e (OS/ASPA); Weber, Mark (HHS/ASPA)

■

Hold please

From : OS HHSPress(HHS/ASPA)

Sent: Wednesday, October 18, 2017 12:27 PM
To: OS - ASPA- Clearance; OS - ASPA - Human Services Clearance; OS - ASPA - Health Care Clearance
Cc: OS HHSPress(HHS/ASPA); Wolfe, Kenneth (ACF); Wynne, Maggie (HHS/IOS); Yoest, Charmaine (OS/ASPA); Weber,
Mark (HHS/ASPA)
(b)(5)
Subject: CLEARANC
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003844

EXT-18-241-O-000288

 Carla L. Daniels
Public Affairs Specialist
US. Department of Health and Human Services
OS/ASPA
Offt°G
'5
(b)(6)
Cell.

www.hhs.gov/news

3
HHS-OS-EF Lit. 18-0241 00003845

EXT-18-241-O-000289

 Bell. Michael (OS/ASPA)
OS HHSPress(HHS/ASPA)
Thursday, October 19, 2017 12:09 PM
OS - ASPA - Clearance; OS - ASPA - Human Services Clearance; OS - ASPA - Healt h
Care Clearance
OS HHSPress(HHS/ASPA)
(b)(5)
FW: UPDATEDCLEARANCE

From:
Sent:
To:
Cc:
Subject:
Attachments:

(b)(5)

Reminder of COMM ENT DEADLINE- 3pm, Thursday, Oct. 19

Carla L Daniels
Public Affairs Specialist
U.S. Department of Health and Human Services
05/ASPA
Office: 202 -690-4595
(b)(6)

From: OS HHSPress(HHSIASPA)

Sent: Wednesday, October 18, 2017 12 :27 PM
To: OS - ASPA- Clearance; OS - ASPA - Human Services Clearance; OS - ASPA - Health Care Clearance
Cc: OS HHSPress(HHSIASPA); Wolfe, Kenneth (ACF); Wynne, Maggie (HHSIIOS); Yoest, Charmaine (OSIASPA); Weber,
Mark (HHS/ASPA)
(b)(5)
Subject: CLEARANC
(b)(5)

HHS-OS-EF Lit. 18-0241 00003846

EXT-18-241-O-000290

 (b)(5)

Carla L Daniels
Public Affairs Specialist
U.S. Department of Health and Human Services
OS/ASPA
(b)(6)

2

HHS-OS-EF Lit. 18-0241 00003847

EXT-18-241-O-000291

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:

Subject:
Attachments :

Daniels, Carla (HHS/ASPA)
Friday, October 20, 2017 2:21 PM
Lloyd, Matt (OS/ASPA); Wynne , Maggie (HHS/IOS); Weber , Mark (HHS/ASPA); Yoest,
Charmaine (OS/ASPA); Marriott, Brian (ACF); Smit h, Andrew (HHS/IOS); Stevenson ,
Sarah-Lloyd (HHS/IOS); Clark, Barbara (HHS/ASL); Don ley, Kath erine (HHS/ASFR);
Pollock, Rachel (HHS/ASFR); Hunt, Gregorio (HHS/IEA); Burbank, Nick (HHS/ASFR);
Wolfe, Kenneth (ACF)
Formoso, Paula (HHS/ASPA); Richards, Monique (ACF); Palmer, Victoria (ACF); Fisher,
Patrick (ACF)
LIHEAP fund ing announcement
LIHEAP statement topline quest ions and answers October 2017 FINAL.docx; LIHEAP
Dear Colleague letter October 2017 FINAL.docx

Good afternoon,
The attached LIHEAP funding announcement materials are final. ACF, please circulate the most up-to-date
tick tock indicating the timing for the actual release of funding. Thanks

Carla L Daniels
Public Affairs Specialist
U.S. Department of Health and Human Services
OS/ASPA
Office: 202-690-4595
(b)(6)

HHS-OS-EF Lit. 18-0241 00003848

EXT-18-241-O-000292

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:

Subject:
Attachments:

Daniels, Carla (HHS/ASPA)
Friday, October 20, 2017 3:05 PM
Lloyd, Matt (OS/ASPA); Wynne, Maggie (HHS/IOS); Weber, Mark (HHS/ASPA); Yoest,
Charmaine (OS/ASPA); Marriott, Brian (ACF); Smith, Andrew (HHS/IOS); Stevenson,
Sarah-Lloyd (HHS/IOS); Clark, Barbara (HHS/ASL); Donley , Katherine (HHS/ASFR);
Pollock, Rachel (HHS/ASFR); Hunt, Gregorio (HHS/IEA); Burbank, Nick (HHS/ASFR);
Wolfe, Kenneth (ACF)
Formoso, Paula (HHS/ASPA); Richards, Monique (ACF); Palmer, Victoria (ACF); Fisher,
Patrick (ACF)
RE: LIHEAP funding announcement
LIHEAP statement topline questions and answers October 2017 FINAL.DOCX; LIHEAP
Dear Colleague letter October 2017 FINAL.DOCX

FYI - Updated tick tock below.
(b)(5)

Carla L Daniels
Public Affairs Specialist
U.S. Department of Health and Human Services
05/ASPA
Office: 202-690-4595
(b)(6)
Cell.
www.hhs.gov/news

From: Daniels, Carla (HHS/ASPA)
Sent: Friday, October 20, 2017 2:21 PM
To: Lloyd, Matt (OS/ASPA); Wynne, Maggie (HHS/IOS); Weber, Mark (HHS/ASPA); Yoest, Charmaine (OS/ASPA);
Marriott, Brian (ACF); Smith, Andrew (HHS/IOS); Stevenson, Sarah-Lloyd (HHS/IOS); Clark, Barbara (HHS/ASL); Donley,
HHS-OS-EF Lit. 18-0241 00003849

EXT-18-241-O-000293

 Katherine (HHSIASFR);Pollock, Rachel(HHSIASFR); Hunt, Gregorio (HHSIIEA); Burbank, Nick (HHSIASFR);Wolfe,
Kenneth (ACF)
Cc: Formoso, Paula (HHSIASPA)(Paula.Formoso@hhs.gov
); Richards, Monique (ACF); Palmer, Victoria (ACF); 'Fisher,
Patrick (ACF) (Patrick.Fisher@acf.hhs.gov
)'
Subject: LIHEAPfunding announcement

Good afternoon,
The attached LIHEAP funding announcement materials are final. ACF, please circulate the most up-to-date
tick tock indicating the timing for the actual release of funding. Thanks

Carla L. Daniels
Public Affairs Specialist
U.S. Department of Health and Human Services
05/ASPA
Office: 202 -690-4595
Cell.(b)(6)

2

HHS-OS-EF Lit. 18-0241 00003850

EXT-18-241-O-000294

 Bell. Michael (OS/ASPA)
Hunt, Gregorio (HHS/IEA)
Wednesday, October 18, 2017 3:03 PM
Daniels, Carla (HHS/ASPA); OS HHSPress (HHS/ASPA); OS - ASPA - Clearance; OS ASPA - Human Services Clearance; OS - ASPA - Health Care Clearance
Wolfe, Kenneth (ACF); Wynne, Maggie (HHS/IOS); Yoest, Charmaine (OS/ASPA); Weber,
(b)(5)
Mark (HHS/ASPA)
RE: UPDATED CLEARANCE

From:
Sent:
To:

Cc:
Subject:
Attachments:

(b)(5)

Good Afternoon Carla,
Please find attached IEA minor suggested edits to the Q & A document as well as the Dear Colleague letter. In the
meantime, if you exper ience any challenges accessing the attachments, please do not hesitate to contact me at {202)
205-1033 or gregorio.hunt@HHS .Gov.
Thank you .
Respectfully submitted,
Greg

Gregorio Hunt
Policy Advisor
Office of Intergovernmental and External Affairs
U.S. Department of Health and Human Services
Phone : {202) 205-1033
Fax: {202) 205-2727
gregorio .hunt@hhs.gov

From: OS HHSPress (HHSIASPA)

Sent: Wednesday, October 18, 2017 12:42 PM
To: OS HHSPress (HHSIASPA); OS - ASPA - Clearance; OS - ASPA - Human Services Clearance; OS - ASPA - Health Care
Clearance
Cc: Wolfe, Kenneth (ACF); Wyn (b)(5)
~ ~
Subject: UPDATED CLEARANCE

,o

•

•

- -

-

-

-

•

--

•

a

-

..

.,

~

-

• -

I

IASPA); Weber, Mark (HHSIASPA)

CHANGE OF COMMENT DEADLINE- 3pm, Thursday, Oct. 19

Carla L Daniels
Public Affairs Specialist
U.S. Department of Health and Human Services
OS/ASPA
Office: 202-690-4595
(b)(6)

HHS-OS-EF Lit. 18-0241 00003851

EXT-18-241-O-000295

 From: OS HHSPress(HHSIASPA)

Sent: Wednesday, October 18, 2017 12:27 PM
To: OS - ASPA- Clearance; OS - ASPA- Human Services Clearance; OS - ASPA- Health Care Clearance
Cc: OS HHSPress(HHSIASPA); Wolfe, Kenneth (ACF); Wynne, Maggie (HHSIIOS); Yoest, Charmaine (OSIASPA); Weber,
Mark (HHSIASPA)
(b)(5)
Subject: CLEARANC
(b)(5)

Carla L. Daniels
Public Affairs Specialist
U.S. Department of Health and Human Services
OS/ASPA
Office: 202-690-4595
(b)(6)
Cell.
2

HHS-OS-EF Lit. 18-0241 00003852

EXT-18-241-O-000296

 www.hhs.gov/news

3
HHS-OS-EF Lit. 18-0241 00003853

EXT-18-241-O-000297

 Bell. Michael (OS/ASPA)
From:

OS HHSPress (HHS/ASPA)
Wednesday, October 18, 2017
OS HHSPress (HHS/ASPA); OS
Clearance; OS - ASPA - Health
Wolfe , Kenneth (ACF); Wynne,
Mark (HHS/ASPA)
UPDATED CLEARANC

Sent:
To:

Cc:
Subject:
Attachments:

12:42 PM
- ASPA - Clearance; OS - ASPA - Human Services
Care Clearance
Maggie (HHS/IOS); Yoest, Charmaine (OS/ASPA); Weber,

(b)(5)

CHANGE OF COMMENT DEADLINE- 3pm, Thursday, Oct. 19

Carla L Daniels
Public Affairs Specialist
U.S. Department of Health and Human Services
OS/ASPA
Office: 202-690-4595
(b)(6)

Cell..
.

WW-----'---------

From: OS HHSPress (HHSIASPA)

Sent: Wednesday, October 18, 2017 12:27 PM
To: OS - ASPA - Clearance; OS - ASPA - Human Services Clearance; OS - ASPA - Health Care Clearance
Cc: OS HHSPress (HHS/ASPA); Wolfe, Kenneth (ACF); Wynne, Maggie (HHS/IOS); Yoest, Charma ine (OSIASPA); Weber,
Mark (HHS/ASPA)
(b)(5)
Subject: CLEARANC
(b)(5)

HHS-OS-EF Lit. 18-0241 00003854

EXT-18-241-O-000298

 (b)(5)

Carla L Daniels
Public Affairs Specialist
U.S. Department of Health and Human Services
OS/ASPA
Offic-(b)(6)
Cell:
www . s.gov, news

2

HHS-OS-EF Lit. 18-0241 00003855

EXT-18-241-O-000299

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Wright, Natasha (OS/IOS)
Thursday, September 21, 2017 10:29 AM
Wynne , Maggie (HHS/IOS)
FW: Native Youth HT Tool kit
Latest Toolkit in SWIFT 090820172003; Revisions for HHS Policy Team; Decision
Memo_Triba l Youth Toolkit 09082017.docx

Hi Maggie, could you please advise as to whether you'd like for ACF to upload to SPSfor clearance? -thanks, Natasha

From: Hightower, Ms. Carolyn (ACF)

Sent: Wednesday, September 20, 2017 5:05 PM
To: Pilato, Anna (ACF); Wright, Natasha (OS/IOS)
Cc: Wynne, Maggie (HHS/IOS); Ecoffey, Stacey (HHS/IEA); Chon, Katherine (ACF)
Subject: RE: Native Youth HT Tool kit
Hi Anna,
(b)(5)

(b)(5)

I hope this helps,

Carolyn

From: Pilato, Anna (ACF)
Sent: Wednesday, September 20, 2017 4:46 PM
To: Hightower, Ms. Carolyn (ACF); Wright, Natasha (OS/IOS)
Cc: Wynne, Maggie (HHS/IOS)
Subject: RE: Native Youth HT Tool kit

Natasha,

(b)(5)
(b)(5)

Thank you,
Anna
From: Hightower, Ms. Carolyn (ACF)
Sent: Wednesday, September 20, 2017 11:15 AM
To: Pilato, Anna (ACF)
Cc: Ecoffey, Stacey (HHS/IEA); Chon, Katherine (ACF)
Subject: Native Youth HT Tool kit

Hi Anna,
HHS-OS-EF Lit. 18-0241 00003856

EXT-18-241-O-000300

 (b)(5)
(b)(5)

Please let us know if you need anything more.
Many thanks,
Carolyn

From: Sauve, Michelle (ACF)

Sent: Thursday, August 24, 2017 12:59 PM
To: Chon, Katherine (ACF)
Cc: Pfenning, Elizabeth (ACF); Comer, LaTasha (ACF)

Subject: HT Toolkit- update meeting request
Hello Katherine(b)(5)

Tuesday August 29, Wednesday August 30 or Thursday August 31 next week at 1:30 could work for Stacey, do any of
those days work for you?

rJllclwle
8tulft,
Intergovernmental Affairs Specialist,
Admin istration for Native Americans
Admin istration for Children and Families
U.S. Department of Health and Human Services
330 C Street SW
Washington DC 20024

(202) 260-6974
m ichel le .sauve@acf .hhs .gov

Carolyn A. Hightower
Deputy Director
Office on Trafficking in Persons
Depa rtment of Health and Human Services
330 C Street , S.W., 4 th Floor
Washington , D.C. 20201
202-205-5782
Carolyn.Hightower@acf .hhs.gov
National Human Traff icking Hotline

1-888-3737-888
www. h u ma ntrafficki ng hot Ii ne. org

Don't strive to make your presence noticed but instead make your absence felt!

2

HHS-OS-EF Lit. 18-0241 00003857

EXT-18-241-O-000301

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

Hightower, Ms. Carolyn (ACF)
Wednesday, September 20, 2017 5:05 PM
Pilato, Anna (ACF);Wright , Natasha (OS/IOS)
Wynne, Maggie (HHS/IOS); Ecoffey, Stacey (HHS/IEA); Chon, Katherine (ACF)
RE: Native Youth HT Tool kit
Latest Toolkit in SWIFT 090820172003; Revisions for HHS Policy Team; Decision
Memo _Tribal Youth Toolkit 09082017.docx

Hi Anna,
(b)(5)
(b)(5)

I hope this helps,
Carolyn

From: Pilato, Anna (ACF)
Sent: Wednesday, September 20, 2017 4:46 PM
To: Hightower, Ms. Carolyn (ACF); Wright, Natasha (OS/IOS)
Cc: Wynne, Maggie (HHS/IOS)
Subject: RE: Native Youth HT Tool kit

Natasha,

(b)(5)
(b)(5)

Thank you,
Anna

From: Hightower, Ms. Carolyn (ACF)
Sent: Wednesday, September 20, 2017 11: 15 AM
To: Pilato, Anna (ACF)
Cc: Ecoffey, Stacey (HHS/IEA); Chon, Kather ine (ACF)
Subject: Native Youth HT Tool kit

Hi Anna,
(b)(5)
(b)(5)

Please let us know if you need anything more.
Many thanks,
Carolyn
HHS-OS-EF Lit. 18-0241 00003858

EXT-18-241-O-000302

 -------------------------------------------From: Sauve, Michelle (ACF)
Sent: Thursday, August 24, 2017 12:59 PM
To: Chon, Katherine (ACF)
Cc: Pfenning, Elizabeth (ACF); Comer, LaTasha (ACF)
Subject: HT Toolkit- update meeting request
Hello Katherine(b)(5)

Tuesday August 29, Wednesday August 30 or Thursday August 31 next week at 1:30 could work for Stacey, do any of
those days work for you?

dfu:l&eJJe
8aave.
Intergovernmental Affairs Specialist,
Administration for Native Americans
Administration for Children and Families
U.S. Department of Health and Human Services
330 C Street SW

Washington DC 20024

(202) 260-6974
michelle .sauve@acf .hhs.gov

Carolyn A. Hightower
Deputy Director
Office on Trafficking in Persons
Department of Health and Human Services
330 C Street, S.W., 4 th Floor
Washington, D.C. 20201
202-205-5782
Carolyn .Hightower@acf.hhs.gov
National Human Trafficking Hotline
1-888-3737-888
www .humantraffickinghotline.org

Don't strive to make your presence noticed but instead make your absence felt!

2

HHS-OS-EF Lit. 18-0241 00003859

EXT-18-241-O-000303

 Bell. Michael (OS/ASPA)
Wynne, Maggie (HHS/IOS)
Monday, March 06, 2017 3:12 PM
McGuffee, Tyler Ann (HHS/IOS)
Pilato, Anna (HHS/10S); Aramanda, Alec (HHS/10S)
RE:Sen. Cornyn: Question on Adoption Assistance Program

From:

Sent:
To:

Cc:
Subject:
(b)(5)

Thanks,
Maggie

From: McGuffee, Tyler Ann (HHS/IOS)

Sent: Monday, March 06, 2017 10:57 AM
To: Wynne, Maggie (HHS/IOS)
Cc: Pilato, Anna (HHS/IOS); Aramanda, Alec (HHS/IOS)
Subject: Sen. Cornyn: Question on Adoption Assistance Program

H"M

...

&A

(b)(5)

Thank you,

-TAM
From: Clark, Barbara (HHS/ASL)

Sent: Friday, March 03, 2017 7:44 PM
To: McGuffee, Tyler Ann (HHS/IOS); Aramanda, Alec (HHS/IOS)
Subject: Sen. Cornyn: Question on Adoption Assistance Program
Claire Sanderson in Senator Cornyn's office asked for a call next week to discuss the Adoption Assistance Program at
ACF. Below is the info rmation she sent that she wants to discuss:
Thank you all for your help on interpreting the Family First legislation last year.
I was hoping y'all would be able to help clear a few th ings up for me regarding the Adoption Assistance Program. Maybe
we can set up a call next week?
Please find attached a Notice for Public Comment the Children's Bureau published in the Federal Register in March 2015.
According to the Public Comment, it seems y'all were interested in comments on whether CB should amend the Child
Welfare Policy Manual concerning the ability to suspend payments to parents receiving adoption assistance payments
under certain circumstances. However, I just looked and it doesn't appear that anyth ing has been done in response to
this including any changes to the Child Welfare Policy Manual. Where does this currently stand at HHS. May y'all share
the if/why no action was taken?
May you please also clear up whether states can end payments based on the states determination of eligibility? Below is
what I understand is current policy.

HHS-OS-EF Lit. 18-0241 00003860

EXT-18-241-O-000304

 1)

2)

I'm told some states do occasionally go back to check on fam ilies as part of working to be sure the
permanency is stable - how many, no one knows .
a. Do y'all have this information?
States however cannot do redeterm inat ions of eligibi lity . They are only able to end a payment without the
parent's agreement if they can show that one of the three conditions below is met

Part of the highlighted text below points to a child who may be receiv ing adoption assistance and also in foster care (the
OH examp le below). Once the state determined the parent was no longer prov iding any support the state could end the
adoption assistance agreement - however I'm told support doesn't have to just be financial so if there is an issue with
an adopt ion that place the child in foster care but the parent is visiting and cont inuing to support the child in any way,
the state cannot end the adoption assistance payment un less the adopt ive parent agrees.
Thank you- Claire
While the Child Welfare Policy Manual itself does not prohibit states from re-determining eligibility (though it explicitly does not require
states to re-determine eligibility), the HHS ACF has taken the extraordinary step of barring states from periodically re-determining
eligibilit for adoption assistance payments: "ACF advised against any intensive or intrusive inquiry into an adoptive family 's life ....
ACF informed [New York State] that the state cannot terminate or suspend adoption assistance if the adoptive parents fail to reply to
the state's request for information. " Therefore , while the state may request information from the adoptive parents relating to the
continued eligibility for adof)tion assistance benefits , the adoptive Qarents may ignore such reguests with impunity . New York State
Office of Children & Family Services , Administrative Directive, 09-OCFS -ADM-11 [PDF] , Adoption Subsidy and Education
Requirements for Adoptive Children (May 7, 2009).

HHS spokesperson Shari Brown stated the agency 's position even more bluntly , saying that "suspensions or reductions in a title IV-E
adoption assistance payment are not permitted without the concurrence of the adoP.tiveJ)arents. . . ." Email message from Shari Brown
to David J. Lansner, October 11, 2011.

The HHS interpretation of the statue thus makes it extreme ly difficult for the states to carry out their obligation to determine whether the
adoptive parent is actually supporting the child. Indeed, at least one state has concluded that , even if the state knows that the adoptive
parent is not supporting the child , the state is prohibited from suspending adoption assistance payments to the parent. In Ohio , even if
an adopted child goes into foster care and the government is supporting the child , the state ma not suspend adoption assistance
payments to the parents. The most that the state of Ohio believes it can do in such a situation is to "renegotiate " the amount of the
adoption assistance payment "with the concurrence of the adoptive parent. " See the Adopt ion Subsidy and Policy Blog.

Claire Sanderson
(b)(6)
(b)(6)

2

HHS-OS-EF Lit. 18-0241 00003861

EXT-18-241-O-000305

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Wynne , Maggie (HHS/IOS)
Sunday, March 12, 2017 9:14 PM
Powers, Mary (HHS/IOS)
FW: (ACF) 2017 Program Instruction for the Community Based Child Abuse Prevention
program
$ CBCAP PI 2017_w attachments _03072007 .docx .docx; $ Clean - CBCAP 2017 PI
Decision Memo - ES Edits.docx .docx

Hi Mary,
Please review the attached materials.
Thank you,
Maggie

From: Wr ight, Natasha (OS/IOS)
Sent: Thursday, March 09, 2017 10:10 PM
To: Wynne, Maggie (HHS/IOS)
Cc: Robinson, Wilma (HHS/IOS)

Subject: (ACF) 2017 Program Instruction for the Community Based Child Abuse Prevention program
Hi Maggie,
Per the 3/10 Week Ahead report on Page 1, Item 2, plea se see attached for ACF's memo and Program
Instruction for the Community Based Child Abuse Prevention program.
Thank s,
Natasha

HHS-OS-EF Lit. 18-0241 00003862

EXT-18-241-O-000306

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Powers, Mary (HHS/IOS)
Monday, March 13, 2017 5:14 PM
Wynne , Maggie (HHS/IOS)
RE:(ACF) 2017 Program Instruction for the Commun ity Based Child Abuse Prevention
program
CAPTA Attachment 4-- mp edits.docx ; CBCAP Document.docx

Maggie,
Attached are my comments/questions.
Let me know if you need anything else.

MP
From: Wynne, Maggie (HHS/IOS)

Sent: Sunday, March 12, 2017 9:14 PM

To: Powers,

Mary (HHS/1OS)

Subject: FW: (ACF) 2017 Program Instruction for the Commun ity Based Child Abuse Prevention program
Hi Mary,
Please review the attached materials.
Thank you,
Maggie

From: Wr ight, Natasha (OS/1OS)

Sent: Thursday, March 09, 2017 10:10 PM

To: Wynne,

Maggie (HHS/IOS)

Cc: Robinson, Wilma (HHS/IOS)

Subject: (ACF) 2017 Program Instruction for the Community Based Child Abuse Prevention program
Hi Maggie,

Per the 3/ 10 Week Ahead report on Page 1, Item 2, please see attached for ACF' s memo and Program
Instruction for the Community Based Child Abuse Prevention program.
Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003863

EXT-18-241-O-000307

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:
Attachments :

Mella, Emily (ACF)
Wednesday, March 08, 2017 10:50 AM
Wright , Natasha (OS/IOS); Horska, Katerina (HHS/IOS)
Sellers, Angela (ACF); Robinson, Wi lma (HHS/IOS); Barlow, Amanda (ACF);Wynne,
Maggie (HHS/IOS)
RE:OpsDiv Mtg w/ ACF
ACF Memo for Secretary Price's Visit on 03-09-2017.docx; ACF Memo for Secretary
Price's Visit on 03-09-2017 Att achment _ACF Senior Staff Bios.docx

Good Morning Natasha and Katerina,
The information that you requested from ACF in preparation for Secretary Price's visit tomorrow is attached. Please let
us know if we can provide any additional information.
Warm Regards,
Emily

From: Wr ight, Natasha (OS/IOS)

Sent: Tuesday, March 07, 2017 1:14 PM
To: Mella, Emily (ACF); Horska, Katerina (HHS/IOS)
Cc: Sellers, Angela (ACF); Robinson, Wilma (HHS/IOS)

Subject : RE: OpsDiv Mtg w/ ACF
Hi Emily,
Could you please send us the following by 12pm Wednesday, March 8?
•
•

Bios (1 page or less for each) for ACF Leadership that will be attending the first 15 minutes of the meeting
Short Description about ACF (1-2 pages)

•

If you have any Agency "hot topics" that you would like to highlight for the Secretary, you may provide those.
You may include approximately 5 hot topics with a 1-2 sentence description for each. An example is attached.

Let me know if you have additional questions.
Thanks,
Natasha

From: Mella, Emily (ACF)

Sent : Tuesday, March 07, 2017 1:00 PM
To: Wright, Natasha (OS/IOS); Horska, Kat erina (HHS/IOS)

Cc: Sellers, Angela (ACF)
Subject: FW: OpsDiv Mtg w/ ACF
Hi Natasha and Katerina,
Do you have some time today for a call to go over what you need from us for Secretary Price's briefing book? I am free
after 2 PM. Let me know if t his is easier to do by email.

HHS-OS-EF Lit. 18-0241 00003864

EXT-18-241-O-000308

 Thank you very much!
Best,
Emily
From: Robinson, Wilma (HHS/IOS)
Sent: Tuesday, March 07, 201712:45 PM
To: Harrison, Jessica (OS/IOS); Mella, Emily (ACF)
Cc: Barlow, Amanda (ACF); Sellers, Angela (ACF); Twomey,Joh n K.; Wright, Natasha (OS/IOS); Horska, Katerina
(HHS/IOS)
Subject: RE: OpsDiv Mtg w/ ACF
Hi Emily,
I can answer some of the questions below see in red. Please let me know if you have additional questions.
Wilma M. Robinson, PhD, MPH
Deputy Executive Secretary
Immediate Office of the Secretary
US Department of Health and Human Services
200 Independence AV SW, Rm 603H
Washington, DC 20201
Wilma .Robinson@hhs .gov
202-690-5627 (office)
(b)(6)
(BB)
From: Harrison, Jessica (OS/IOS)
Sent: Tuesday, March 07, 2017 12:29 PM
To: Mella, Emily (ACF)
Cc: Barlow, Amanda (ACF); Sellers, Angela (ACF); Twomey,John K.; Robinson, Wilma (HHS/IOS)
Subject: RE: OpsDiv Mtg w/ ACF
I will let John T speak to how the rest of the meetings with the OpDivs have gone.
I know we are interested in doing it however y'all think will be best. He can do 15 minutes with the senior staff and then
do 30 minutes where he speaks to the rest of the team and takes questions. It is mostly just a meet and greet and for
him to check out the office and meet the team. We do create a briefing binder for him so any information you would like
him to have beforehand you can send to us and we will make sure it gets in his binder.
Thanks!

Jessica

From: Mella, Emily (ACF)
Sent: Tuesday, March 07, 2017 10:40 AM
To: Harrison, Jessica (OS/IOS)
Cc: Barlow, Amanda (ACF); Sellers, Angela (ACF); Twomey, John K.
Subject: RE: OpsDiv Mtg w/ ACF
Hi Jessica,

2

HHS-OS-EF Lit. 18-0241 00003865

EXT-18-241-O-000309

 No problem! Yes, we can make that work. With 45 minutes, does he have a preference on how the time is split between
senior staff and the all hands?
Logistics prep:
• What information do you need from us in advance? We are happy to provide whatever is useful to you all and to
Dr. Price. Please reach out to Natasha Wr ight and Katerina Horska on my staff there are specific items that they
will need for the br iefing book by Wed.
• Should we plan to have someone introduce Dr. Price? If so, is there something specific that we should prepare
that person to say (like to read his bio)? In Similar meetings with other agencies Dr. Price walked in and
introduced himself then Senior leadership introduced key staff. I can talk to you off line about how other offices
did it .
•
Does Dr. Price plan to take questions from staff at the all hands meeting? If so, does he prefer to receive
questions in advance, or should we plan to open the floor for staff to ask questions? He typically gives a litt le bit
about what his focus is and if time permits allowed for quest ions from the floor from staff . I imagine with 30
minutes and depending how large your staff is there shou ld be t ime to take several questions. We have not sent
him questions in advance of prev ious meetings with OpDivs. Although , in the materials that my staff pull
together for the briefing book they will request hot topics and that is an opportun ity to high light any issues that
you think he should know in advance. Natasha and Katerina can speak more to t hat.
•
If he st ill want s to meet with senior staff separately , does he need any special information for that meeting, like
a list of names/bios/pictures? Yes, Natasha and Katerina will need names and bio of senior leadership among
other items which they will go over w ith you .
Angie, feel free to jump in if I'm missing anything!
Best,
Emily

From: Harrison, Jessica (O5/IOS)

Sent: Tuesday, March 07, 2017 10:28 AM
To: Mella, Emily (ACF)
Cc: Barlow, Amanda (ACF); Sellers, Angela (ACF); Twomey, John K.

Subject: RE: OpsDiv Mtg w/ ACF
Thank you- we actually now need to push this back from 1-1:45pm on 3/9. Does this still work? I am looping in John
Twomey who knows Dr. Price's preferences a little better than I do. Do you mind emai ling us the questions and we will
work together to get you the correct answer? Sorry to be difficult.
Thank you again!

Jessica

From: Mella, Emily (ACF)

Sent: Tuesday, March 07, 2017 10:26 AM
To: Harrison, Jessica (05/105)
Cc: Barlow, Amanda (ACF); Sellers, Angela (ACF)

Subject: RE: OpsDiv Mtg w/ ACF
Good Morning Jessica,
I' m writing to confirm that ACF is happy to host Secretary Price on Thursday (3/9) from 3:45 - 4:15 PM. We will arrange
for him to meet with our senior staff from 3:45 - 4:00 and all ACFstaff from 4:00 - 4:15.
3
HHS-OS-EF Lit. 18-0241 00003866

EXT-18-241-O-000310

 I have a few questions about logistics and the Secretary's preferences for the meeting. Do you have a moment today for
a quick phone call?
Thank you so much!
Warm Regards,
Emily

From: Barlow, Amanda (ACF)

Sent: Monday, March 06, 2017 5: 12 PM

To: Harrison, Jessica (OS/IOS)
Cc: Mella, Emily (ACF)

Subject: RE: OpsDiv Mtg w/ ACF
We would love to, can I get back to you definitively in the morning?
sure we can make it happen .

I need to pull together the logistics folks to make

Amanda

From: Harrison, Jessica (OS/IOS)

Sent: Monday, March 06, 2017 3:24 PM

To: Barlow, Amanda (ACF)
Subject: FW: OpsDiv Mtg w/ ACF
Hi Amanda,
Is ACF able to do a OpsDiv mtg . w/ Sec. Price on 3/9 at 3:45pm for 30 minutes?
Let me know what you think .
Thank you!

Jessica

From: Wynne, Maggie (HHS/IOS)

Sent: Monday, March 06, 2017 3: 19 PM

To: Harrison, J essica (OS/IOS); Wright, Natasha (OS/IOS)
Cc: Twomey, John K.

Subject: RE:OpsDiv Mtg w/ ACF
Hi Jessica,
I wasn't sure if you wanted me to make contact with ACF or just go directly to them. I am very okay with the latter.
The two principal points of contact are Amanda Barlow, who is ACF Acting Assistant Secretary, and Ben Goldhaber,
Deputy Assistant Secretary for Administration in ACF. The main one is Amanda.
I'm not sure what kind of space they have there for an all-hands meeting . I would defer to Amanda about how to
proceed.
I hope ACL might follow soon after. It is in the same building and will definite ly hear about the ACFvisit.
Thanks!
4
HHS-OS-EF Lit. 18-0241 00003867

EXT-18-241-O-000311

 Maggie

From: Harrison, J essica (0S/IOS)
Sent: Monday, March 06, 2017 3:04 PM
To: Wright, Natasha (0S/IOS); Wynne, Maggie (HHS/IOS)
Cc: Twomey, John K.

Subject: OpsDiv Mtg w/ ACF
Hi allSecretary Price is interested in doing an OpsDiv Mtg. w/ ACFthis week. I believe y'all are who I need to reach out to, to
get this scheduled.
We were th inking about doing 15 minutes with leadership/ senior staff and then 15 minutes with the whole team. What
do you think? In regards to the other OpsDiv mtg's Sec. Price toured the facility but I have been told that is not
necessary for ACF. Let me know if you all have another idea for how this should go.
Sec. Price has Thursday 3/9 at 3:45open to do this. If this works for the ACFteam.
Thank you,

Jessica Harrison
Deputy Scheduler

5
HHS-OS-EF Lit. 18-0241 00003868

EXT-18-241-O-000312

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Moug halia n, Jen (HHS/ASFR)
Friday, September 22, 2017 3:30 PM
Wynne , Maggie (HHS/10S); Palmer, Ashley (0S/ASFR)
Re: Clearance: Notification of ACF Adoption and QIC awards

I'm comfortable notifying on the QIC award too.
Thanks
Confidential and pre-decisional communicat ion

On: 22 September 2017 15:27, "Wynne, Maggie {HHS/10S)" <Margaret .Wynne@hhs.gov> wrote :
That sounds fine to me .
Thank you for the notice about the award .
Magg ie

From: Palmer, Ashley (OS/ASFR)
Sent: Friday, September 22, 2017 11 :23 AM
To: Wynne, Maggie (HHS/IOS)
Cc: Moughalian, Jen (HHS/ASFR)
Subject: RE: Clearance: Notificat ion of ACF Adoption and QIC awards
(b)(5)

Hi Ma

ie -ACF has informed us that the QIC award was made this mornin

(b)(5)

From: Wynne, Maggie (HHS/IOS)
Sent: Thursday, September 21, 2017 2:19 PM
To: Donley, Katherine (HHS/ ASFR); Moughalian, Jen (HHS/ ASFR)
Cc: Palmer, Ashley (OS/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Ja nis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curtis, Jillian (HHS/AS FR); Burbank, Nick (HHS/ASFR)
Subject: RE: Clearance: Notificat ion of ACF Adoption and QIC awards
HHS-OS-EF Lit. 18-0241 00003869

EXT-18-241-O-000313

 Hi Katie,
(b)(5)

(b)(5)

Maggie

Deliberative and pre-decisional communication

From: Donley, Katherine (HHS/ASFR)
Sent: Thursday, September 21, 2017 1:59 PM
To: Moughalian, Jen (HHS/ASFR); Wynne, Maggie (HHS/l05)
Cc: Palmer, Ashley (05/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Janis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curtis, Jil lian (HHS/ASFR); Burbank, Nick (HHS/ASFR)

Subject: Clearance: Notification of ACF Adopt ion and QIC awards
Jen and Maggie,
This afternoon, we wou ld like to send the below notification to appropriators on the ACF QIC and hospital-based
adoption support services of awa rds.
Please let me know whether you have any concerns about this going fo rward to the Hill.
Thanks,
Katie
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003870

EXT-18-241-O-000314

 (b)(5)

(b)(6)

HHS-OS-EF Lit. 18-0241 00003871

EXT-18-241-O-000315

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Wynne, Maggie (HHS/IOS)
Thursday, May 18, 2017 9:12 PM
Horn , Wade (HHS/IOS) (CTR); Wagner , St even (ACF)
FW: (ACF) AFCARS Update - Web inar
$ AFCARS2.0 Session 1 - General Requirements lto2- rev.pptx .pptx; $ AFCARS2.0
Session 2 - Elements 1 to 2.pptx .pptx; $ Matrix Comparing AFCARS 1.0 vs 2.0.pdf; $
Clean - ACFCARS Decision Memo - ES Edits.docx .docx

Background for our briefing next week on the Adoption and Foster Care Analysis and Reporting System (AFCARS)rule
that went into effect shortly before the transition.
(b)(5)

From: Wright, Natasha (OS/IOS)

Sent: Thursday, March 09, 2017 10:24 PM
To: Wynne, Maggie (HHS/l05)
Cc: Robinson, Wilma (HHS/l05)
Subject: (ACF) AFCARS Update - Webinar

Hi Maggie,

Per the 3/10 Week Ahead report on Page 2, Item 2, please see attached for ACF's decision memo requesting
approval for PowerPoint presentations on Updated AFCARS Requirements.
Also attached are the PowerPoint slides and matrix comparing changes.
Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003872

EXT-18-241-O-000316

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:
Attachments :

Barlow, Amanda (ACF)
Wednesday, March 29, 2017 4:39 PM
Wynne, Maggie (HHS/1OS)
Pilato, Anna (ACF);Mella, Emily (ACF);Bock, Joe (ACF)
FYI- ACF staff will be presenting CFSRfindings to CT legislature
Connecticut 2016 CFSRFinal Report.docx

Maggie,
For your awareness, the Children's Bureau staff in Region 1 have been asked to present the findings of the Child and
Family Services Review to the Connecticut legislature on Monday. This is the second time they have presented the
results as the child welfare agency wanted a private presentation first. The state asked the regional staff to come back
and do the same presentation for the legislature. We learned today that the regions' presentation may be
televised. This has happened fairly frequently in the past with CFSRsin states where meetings of this type are required
to be public .
A short summary of the report is attached. The results are not substantively better or worse than any of the findings
from the other states thus far. I've attached a short summary so you can get a sense of what we found.
The report has already been made widely available in the state and the state is working to get out from under a consent
decree. Here is an article that's already been published:

Federal Audit: DCF Strugg les To Assess Risk To Children In Trouble d Households
The regional folks do these presentations all the time and states do sometimes televise them .
If you would like additional information or if t here are concerns, let us know .
Amanda

Amanda Barlow
Acting Assistant Secretary
Administrat ion for Children and Families
U.S. Department of Health and Human Services

(202)401 -5009
Amanda.Ba rlow@acf .hhs.gov
www .acf.hhs.gov

HHS-OS-EF Lit. 18-0241 00003873

EXT-18-241-O-000317

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Wright, Natasha (OS/1OS)
Friday, March 24, 2017 12:54 AM
Wynne , Maggie (HHS/1OS)
(ACF) Amendment to the Kentucky Title IV- E Waiver Terms and Conditions
$ KY_Amended TCs_f inal-sig 3-7- 17 (3).docx_.docx; $ CB Clean- KY draft Decision Memo
3-2- 17-gec +wm ES edits(3).docx _.docx

Hi Maggie,
Per the 3/24 Week Ahead report on Page 6, Item 2, please see attached for ACF's memo, and Amendment to
the Kentucky Title IV-E Waiver Terms and Conditions.
Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003874

EXT-18-241-O-000318

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:
Attachments :

Wright , Natasha (OS/IOS)
Thursday, March 09, 2017 10:24 PM
Wynne , Maggie (HHS/IOS)
Robinson, Wilma (HHS/IOS)
(ACF) AFCARS Update - Webinar
$ AFCARS2.0 Session 1 - General Requirements lto2 - rev.pptx .pptx ; $ AFCARS2.0
Session 2 - Elements 1 to 2.pptx .pptx; $ Matrix Comparing AFCARS 1.0 vs 2.0.pdf; $
Clean - ACFCARS Decision Memo - ES Edits.docx .docx

Hi Maggie,
Per the 3/10 Week Ahead report on Page 2, Item 2, please see attached for ACF's decision memo requesting
approval for PowerPoint presentations on Updated AFCARS Requirements.
Also attached are the PowerPoint slides and matrix comparing changes.
Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003875

EXT-18-241-O-000319

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:
Attachments :

Wright , Natasha (OS/1OS)
Thursday, Ma rch 09, 2017 10:10 PM
Wynne , Maggie (HHS/1OS)
Robinson, Wilma (HHS/1OS)
(ACF) 2017 Program Instruction for the Community Based Child Abuse Prevention
program
$ CBCAP PI 2017_w attachments _03072007 .docx .docx; $ Clean - CBCAP 2017 PI
Decision Memo - ES Edits.docx .docx

Hi Maggie,
Per the 3/10 Week Ahead report on Page 1, Item 2, please see attached for ACF' s memo and Program
Instruction for the Community Based Child Abuse Prevention program.
Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003876

EXT-18-241-O-000320

 Bell. Michael (OS/ASPA)
Wynne, Maggie (HHS/IOS)
Monday, March 06, 2017 8:04 PM
McGuffee , Tyler Ann (HHS/IOS)
Aramanda, Alec (HHS/IOS)
RE:Sen. Cornyn : Quest ion on Adopt ion Assistance Program

From:

Sent:
To:

Cc:
Subject:

(b)(5)
(b)(5)

Magg ie
From: McGuffee, Tyler Ann (HHS/IOS)

Sent: Monday, March 06, 2017 6:37 PM
To: Wynne, Maggie (HHS/IOS)
Cc: Aramanda, Alec (HHS/IOS)
Subject: Sen. Cornyn: Question on Adoption Assistance Program

Maggie,
Barbara wanted to know if ACF cleared th is response with you?
They did not send it to Barbara to clear.

-TAM
From: Clark, Barbara (HHS/ASL)

Sent: Monday, March 06, 2017 5:08 PM
To: McGuffee, Tyler Ann (HHS/IOS); Aramanda, Alec (HHS/IOS)
Subject: RE: Sen. Cornyn: Question on Adoption Assistance Program
(b)(5)

Barbara
From: McGuff ee, Tyler Ann (HHS/IOS)

Sent: Monday, March 06, 2017 4:00 PM
To: Clark, Barbara (HHS/ASL); Aramanda, Alec (HHS/IOS)
Subject: RE: Sen. Cornyn: Question on Adoption Assistance Program
HHS-OS-EF Lit. 18-0241 00003877

EXT-18-241-O-000321

 (b)(5)

-TAM
From: Clark, Barbara (HHS/ASL)

Sent: Friday, March 03, 2017 7:44 PM
To: McGuffee,Tyler Ann (HHS/IOS); Aramanda, Alec (HHS/IOS)
Subject: Sen. Cornyn: Question on Adoption Assistance Program
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003878

EXT-18-241-O-000322

 (b)(5)

(b)(6)
(b)(6)

3
HHS-OS-EF Lit. 18-0241 00003879

EXT-18-241-O-000323

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

McGuffee, Tyler Ann (HHS/IOS)
Monday, March 06, 2017 6:37 PM
Wynne , Maggie (HHS/IOS)
Aramanda, Alec (HHS/IOS)
Sen. Cornyn: Quest ion on Adopt ion Assistance Program

Maggie,
Barbara wanted to know if ACF cleared th is response with you?
They did not send it to Barbara to clear.

-TAM
From: Clark, Barbara (HHS/ASL)

Sent: Monday, March 06, 2017 5:08 PM
To: McGuffee, Tyler Ann (HHS/IOS); Aramanda, Alec (HHS/IOS)
Subject: RE: Sen. Cornyn: Quest ion on Adoption Assistance Program
(b)(5)

Barbara
From: McGuffee, Ty ler Ann (HHS/IOS)

Sent: Monday, March 06, 2017 4:00 PM
To: Clark, Barbara (HHS/ASL); Aramanda, Alec (HHS/IOS)
Subject: RE: Sen. Cornyn: Quest ion on Adoption Assistance Program
(b)(5)

-TAM
From: Clark, Barbara (HHS/ASL)

Sent: Friday, March 03, 2017 7:44 PM
To: McGuffee, Tyler Ann (HHS/IOS); Aramanda, Alec (HHS/IOS)
Subject: Sen. Cornyn: Question on Adoption Assistance Program

HHS-OS-EF Lit. 18-0241 00003880

EXT-18-241-O-000324

 (b)(5)

2

HHS-OS-EF Lit. 18-0241 00003881

EXT-18-241-O-000325

 (b)(5)

(b)(6)
(b)(6)

3
HHS-OS-EF Lit. 18-0241 00003882

EXT-18-241-O-000326

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

(b)(5)

■

McGuffee, Tyler Ann (HHS/IOS)
Monday, March 06, 2017 10:57 AM
Wynne , Maggie (HHS/IOS)
Pilato, Anna (HHS/IOS); Aramanda, Alec (HHS/IOS)
Sen. Cornyn: Quest ion on Adopt ion Assistance Program

~~-:.:..11.

Thank you,

-TAM
From: Clark, Barbara (HHS/ASL)

Sent: Friday, March 03, 2017 7:44 PM
To: McGuffee, Tyler Ann (HHS/IOS); Aramanda, Alec (HHS/IOS)
Subject: Sen. Cornyn: Question on Adoption Assistance Program
(b)(5)

HHS-OS-EF Lit. 18-0241 00003883

EXT-18-241-O-000327

 (b)(5)

(b)(6)

2

HHS-OS-EF Lit. 18-0241 00003884

EXT-18-241-O-000328

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:
Attachments :

Wright, Natasha (OS/1OS)
Friday, March 03, 2017 9:30 AM
Wynne , Maggie (HHS/1OS)
Robinson, Wilma (HHS/1OS)
(ACF) Child Welfa re Outcomes 2010 -2014: Report to Congress
$ CLEAN es - ACF CWO RTC 10-14 OS Decision Memo 022317.docx; Table of Contents
CWO 10- 14 12.7.docx; CWO 10-14 report text 12.7.16.docx; Appendices .zip

Hi Maggie,
Per the 3/3 Week Ahead report on Page 2, Item 2, please see attached for ACF's memo and Report to Congress
covering 2010-2014 Child Welfare Outcomes. Included is also a zip file with Appendices A-F.
Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003885

EXT-18-241-O-000329

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Donley, Katherine (HHS/ASFR)
Wednesday, September 20, 2017 2:04 PM
Moug halian, Jen (HHS/ASFR); Wynne, Maggie (HHS/IOS)
Cochran, Norris (HHS/ASFR);Coughlin, Janis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curtis, Jillian (HHS/ASFR); Burbank, Nick (HHS/ASFR); Palmer, Ashley (0S/AS FR)
Clearance: Infant Adoption Awareness program

Jen and Maggie,
House majority approps asked about a program that ACF used to run called the Infant Adoption Awareness
program. {See link.) The staffer would like to know why the program stopped being funded, which PPAthe programs
were funded by and how much money they received the last year it was funded.
Draft response:
(b)(5)

Please let us know if you have any concerns about this going forward to the Hill.
Thanks,
Katie

(b)(6)

Katie Donley
Congressional Liaison Specialist
Office of Budget
Assistant Secretary for Financial Resources
Department of Health and Human Services
202.690.6704 {office)
{cell)

HHS-OS-EF Lit. 18-0241 00003886

EXT-18-241-O-000330

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Donley, Katherine (HHS/ASFR)
Thursday, September 21, 2017 1:59 PM
Moughalian, Jen (HHS/ASFR);Wynne, Maggie (HHS/IOS)
Palmer, Ashley (0S/ASFR); Cochran, Norris (HHS/ASFR);Coughlin, Janis (HHS/ASFR);
Pollock, Rachel (HHS/ASFR); Curtis, Jillian (HHS/ASFR); Burbank, Nick (HHS/ASFR)
Clearance: Notification of ACF Adoption and QIC awards

Jen and Maggie,
This afternoon, we would like to send the below notification to appropriators on the ACF QIC and hospital-based
adoption support services of awards.
Please let me know whether you have any concerns about this going forward to the Hill.
Thanks,
Katie
(b)(5)

Katie Donley
Congressional Liaison Specialist
Office of Budget
HHS-OS-EF Lit. 18-0241 00003887

EXT-18-241-O-000331

 (b)(6)

Assistant Secretary for Financial Resources
Department of Health and Human Services
202.690.6704 (office)
cell)

2

HHS-OS-EF Lit. 18-0241 00003888

EXT-18-241-O-000332

 Bell. Michael (OS/ASPA)
From:

Donley, Katherine (HHS/ASFR)
Wednesday , September 20, 2017 4:59 PM
Mougha lian, Jen (HHS/ASFR);Wynne , Maggie (HHS/IOS)
Cochran, Norris (HHS/ASFR);Coughlin, Janis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curt is, Jillian (HHS/ASFR); Burbank, Nick (HHS/ASFR); Palmer, Ashley (OS/ASFR)
RE:Clearance: Infant Adoption Awareness program

Sent:
To:

Cc:
Subject:

Jen and Maggie,
(b)(5)

Katie
Katie Donley

202.690.6704 (office)
(b)(6)

cell)

From: Donley, Katherine (HHS/ASFR)

Sent: Wednesday, September 20, 2017 2:04 PM
To: Moughalian, Jen (HHS/ASFR) (l en.Moughalian@hhs.gov ); Wynne, Maggie (HHS/IOS)
Cc: Cochran, Norris (HHS/ ASFR); Coughlin, Janis (HHS/ ASFR); Pollock, Rachel (HHS/ ASFR); Curtis, J illian (HHS/ ASFR);
Burbank, Nick (HHS/ASFR); Palmer, Ashley (OS/ASFR)
Subject: Clearance: Infant Adoption Awareness program
Jen and Maggie,
House majority approps asked about a program that ACF used to run called the Infant Adoption Awareness
program. (See link.) The staffer would like to know why the program stopped being funded, which PPA the programs
were funded by and how much money they received the last year it was funded.
Draft response:
(b)(5)

HHS-OS-EF Lit. 18-0241 00003889

EXT-18-241-O-000333

 (b)(5)

Please let us know if you have any concerns about this going forward to the Hill.
Thanks,
Katie

(b)(6)

Katie Donley
Congressional Liaison Specialist
Office of Budget
Assistant Secretary for Financial Resources
Department of Health and Human Services
202.690.6704 (office)
cell)

2

HHS-OS-EF Lit. 18-0241 00003890

EXT-18-241-O-000334

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Moug halia n, Jen (HHS/ASFR)
Thursday, September 21, 2017 9:43 AM
Donley , Katherine (HHS/ASFR); Wynne , Maggie (HHS/IDS)
Cochran, Norris (HHS/ASFR); Coughlin , Janis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curt is, Jillian (HHS/ASFR); Burbank, Nick (HHS/ASFR); Palmer, Ashley (OS/ASFR)
Re: Clearance: Infant Adoption Awareness program

(b)(5)

Thanks

Confidential and pre-decisional communicat ion

On: 21 September 2017 08:17, "Donley, Katherine (HHS/ASFR)" <Katherine .Donley@hhs.gov > wrote :
Magg ie,
(b)(5)

Thanks so much for your review last night.
(b)(5)

Let us know if anything else would be he lpful !
Katie

(b)(6)

Katie Donley
202.690.6704 (office)
(cell)

From: Wynne, Maggie (HHS/IOS)

Sent: Wednesday, September 20, 2017 10:20 PM
To: Donley, Katherine (HHS/ ASFR); Moughalian, Jen (HHS/ ASFR)
Cc: Cochran, Norris (HHS/ ASFR); Coughlin, Janis (HHS/ ASFR); Pollock, Rachel (HHS/ ASFR); Curtis, J illian (HHS/ ASFR);
Burbank, Nick (HHS/ASFR); Palmer, Ashley (OS/ASFR)
Subject: RE: Clearance: Infant Adopt ion Awareness program
Hi Katie,
(b)(5)

Thanks,
HHS-OS-EF Lit. 18-0241 00003891

EXT-18-241-O-000335

 Magg ie

Deliberative and pre-decisional communication
From: Donley, Katherine (HHS/ASFR)

Sent: Wednesday, September 20, 2017 4:59 PM
To: Moughalian, Jen (HHS/ASFR); Wynne, Maggie (HHS/IOS)
Cc: Cochran, Norris (HHS/ ASFR); Coughlin, Janis (HHS/ ASFR); Pollock, Rachel (HHS/ ASFR); Curtis, Jillian (HHS/ ASFR);
Burbank, Nick (HHS/ASFR); Palmer, Ashley (OS/ASFR)
Subject: RE: Clearance: Infant Adoption Awareness program
Jen and Maggie,
(b)(5)

Katie

(b)(6)

Katie Donley
202.690.6704 (office)
(cell)

From: Donley, Katherine (HHS/ASFR)

Sent: Wednesday, September 20, 2017 2:04 PM
To: Moughal ian, Jen (HHS/ASFR) (l en.Moughalian@hhs .gov); Wynne, Maggie (HHS/IOS)
Cc: Cochran, Norris (HHS/ ASFR); Coughlin, Janis (HHS/ ASFR); Pollock, Rachel (HHS/ ASFR); Curtis, Jillian (HHS/ ASFR);
Burbank, Nick (HHS/ASFR); Palmer, Ashley (OS/ASFR)
Subject: Clearance: Infant Adoption Awareness program

Jen and Maggie,
House majority approps asked about a program that ACF used to run called the Infant Adoption Awareness
program. (See link.) The staffer would like to know why the program stopped being funded, which PPA the programs
were funded by and how much money they received the last year it was funded.
Draft response:
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003892

EXT-18-241-O-000336

 Please let us know if you have any concerns about this going forward to the Hill.
Thanks,
Katie

(b)(6)

Katie Donley
Congressional Liaison Specialist
Office of Budget
Assistant Secretary for Financial Resources
Department of Health and Human Services
202.690.6704 (office}
cell}

3
HHS-OS-EF Lit. 18-0241 00003893

EXT-18-241-O-000337

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Wynne, Maggie (HHS/IOS)
Sunday, September 24, 2017 1:47 PM
Pollock , Rachel (HHS/ASFR); Donley, Katherine (HHS/ASFR); Moughalian, Jen
(HHS/ASFR)
Palmer, Ashley (OS/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Janis (HHS/ASFR);
Curt is, Jillian (HHS/ASFR); Burbank, Nick (HHS/ASFR)
RE:Clearance: Notification of ACF Adoption and QICawards

Thank you. No, I don't need add itional info rmat ion.
Magg ie

From: Pollock, Rachel (HHS/ASFR)

Sent: Friday, September 22, 2017 2:19 PM
To: Wynne, Maggie (HHS/IOS); Donley, Katherine (HHS/ASFR); Moughalian,Jen (HHS/ASFR)
Cc: Palmer, Ashley (OS/ASFR); Cochran, Norris (HHS/ASFR); Coughlin.Janis (HHS/ASFR); Curtis,Jill ian (HHS/ASFR);
Burbank, Nick (HHS/ASFR)
Subject: RE: Clearance: Notificat ion of ACF Adopt ion and QIC awards
Magg ie(b)(5)

Rachel Pollock
Off ice: 202.690.7483
(b)(6)
Cell:
From: Wynne, Maggie (HHS/IOS)

Sent: Thursday, September 21, 2017 2:19 PM
To: Donley, Katherine (HHS/ ASFR); Moughalian, Jen (HHS/ ASFR)
Cc: Palmer, Ashley (0S/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Janis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curtis, Jill ian (HHS/ASFR); Burbank, Nick (HHS/ASFR)
Subject: RE: Clearance: Not if icat ion of ACF Adopt ion and QIC awards
Hi Katie,

HHS-OS-EF Lit. 18-0241 00003894

EXT-18-241-O-000338

 (b)(5)

(b)(5)

Magg ie

Deliberative and pre-decisional communication

From: Donley, Katherine (HHS/ASFR)

Sent: Thursday, September 21, 2017 1:59 PM
To: Moughalian, Jen (HHS/ASFR); Wynne, Maggie (HHS/l05)
Cc: Palmer, Ashley (05/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Janis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curtis, Ji llian (HHS/ASFR); Burbank, Nick (HHS/ASFR)

Subject: Clearance: Notificatio n of ACF Adoption and QIC awards
Jen and Maggie,
This afternoon, we wou ld like to send the below notification to appropriators on the ACF QIC and hospital-based
adoption support services of awa rds.
Please let me know whether you have any concerns about this going forward to the Hill.
Thanks,
Katie
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003895

EXT-18-241-O-000339

 (b)(5)

(b)(6)

HHS-OS-EF Lit. 18-0241 00003896

EXT-18-241-O-000340

 Bell. Michael (OS/ASPA)
Wynne, Maggie (HHS/IOS)
Friday, September 22, 2017 3:28 PM
Palmer, Ashley (OS/ASFR)
Moughalian, Jen (HHS/ASFR)
RE:Clearance: Notification of ACF Adoption and QICawards

From:

Sent:
To:

Cc:
Subject:

That sounds fine to me .
Thank you for the notice about the award .
Magg ie

From: Palmer, Ashley (OS/ASFR)
Sent: Friday, September 22, 2017 11 :23 AM
To: Wynne, Maggie (HHS/IOS)
Cc: Moughalian, Jen (HHS/ASFR)
Subject: RE: Clearance: Notificat ion of ACF Adopt ion and QIC awards
(b)(5)
(b)(5)

(b)(5)

From: Wynne, Maggie (HHS/IOS)
Sent: Thursday, September 21, 2017 2:19 PM
To: Donley, Katherine (HHS/ ASFR); Moughalian, Jen (HHS/ ASFR)
Cc: Palmer, Ashley (OS/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Janis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curtis, Jill ian (HHS/ASFR); Burbank, Nick (HHS/ASFR)
Subject: RE: Clearance: Notificat ion of ACF Adopt ion and QIC awards
Hi Katie,
(b)(5)

I have a quest ion

HHS-OS-EF Lit. 18-0241 00003897

EXT-18-241-O-000341

 (b)(5)

Magg ie

Deliberative and pre-decisional communication

From: Donley, Katherine (HHS/ASFR)
Sent: Thursday, September 21, 2017 1:59 PM
To: Moughalian, Jen (HHS/ASFR); Wynne, Maggie (HHS/IOS)
Cc: Palmer, Ashley (OS/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Janis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curtis, Jill ian (HHS/ASFR); Burbank, Nick (HHS/ASFR)
Subject: Clearance: Notification of ACF Adoption and QIC awards
Jen and Maggie,
This afternoon, we wou ld like to send the below not ificat ion to appropriators on the ACF QIC and hospital -based
adoption support services of awards.
Please let me know whether you have any concerns about this going forward to the Hill.
Thanks,
Katie
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003898

EXT-18-241-O-000342

 (b)(5)

(b)(6)

HHS-OS-EF Lit. 18-0241 00003899

EXT-18-241-O-000343

 Bell. Michael (OS/ASPA)
Pollock, Rachel (HHS/ASFR)
Friday, September 22, 2017 2:19 PM
Wynne , Maggie (HHS/IOS); Donley , Kather ine (HHS/ASFR); Moughalian, Jen
(HHS/ASFR)
Palmer, Ashley (OS/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Janis (HHS/ASFR);
Curtis , Jillian (HHS/ASFR); Burbank, Nick (HHS/ASFR)
RE:Clearance: Notification of ACF Adoption and QICawards

From:

Sent:
To:

Cc:
Subject:

Magg ie(b)(5)

Rachel Pollock
Office: 202.690.7483
(b)(6)
Cell:

From: Wynne, Maggie (HHS/IOS)

Sent: Thursday, September 21, 2017 2:19 PM
To: Donley, Kather ine (HHS/ ASFR); Moughalian, Jen (HHS/ ASFR)
Cc: Palmer, Ashley (OS/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Janis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curtis, Ji llia n (HHS/ASFR); Burbank, Nick (HHS/ASFR)
Subject: RE: Clearance: Notification of ACF Adoption and QIC awards
Hi Katie,
(b)(5)

(b)(5)

Magg ie

HHS-OS-EF Lit. 18-0241 00003900

EXT-18-241-O-000344

 Deliberative and pre-decisional communication
From: Donley, Katherine (HHS/ASFR)

Sent: Thu rsday, September 21, 2017 1:59 PM

To: Moughalian, Jen

(HHS/ASFR); Wynne, Maggie (HHS/IOS)

Cc: Palmer, Ashley (0S/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Ja nis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curtis, Jillian (HHS/AS FR); Burbank, Nick (HHS/ASFR)

Subject: Clearance: Notification of ACF Adoption and QIC awards
Jen and Maggie,
This afternoon, we would like to send the below notification to appropriators on the ACF QIC and hospital-based
adoption support services of awards.
Please let me know whether you have any concerns about this going forward to the Hill.
Thanks,
Katie
(b)(5)

Katie Donley
Congressional Liaison Specialist
Office of Budget
Assistant Secretary for Financial Resources
2

HHS-OS-EF Lit. 18-0241 00003901

EXT-18-241-O-000345

 (b)(6)

HHS-OS-EF Lit. 18-0241 00003902

EXT-18-241-O-000346

 Bell. Michael (OS/ASPA)
From:

Palmer, Ashley (OS/ASFR)
Friday, September 22, 2017 11:23 AM
Wynne , Maggie (HHS/IOS)
Moughalian, Jen (HHS/ASFR)
RE:Clearance: Notification of ACF Adoption and

Sent:
To:

Cc:
Subject:

QICawards

(b)(5)

Hi Ma

ie -ACF has informed us that the

IC award was made this mornin

(b)(5)

(b)(5)

From: Wynne, Maggie (HHS/IOS)
Sent: Thursday, September 21, 2017 2:19 PM
To: Donley, Katherine (HHS/ ASFR); Moughalian, Jen (HHS/ ASFR)
Cc: Palmer, Ashley (0S/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Janis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curtis, Jil lian (HHS/AS FR); Burbank, Nick (HHS/ASFR)
Subject: RE: Clearance: Notificat ion of ACF Adopt ion and QIC awards
Hi Katie,
(b)(5)

(b)(5)

Magg ie

Deliberative and pre-decisional communication

HHS-OS-EF Lit. 18-0241 00003903

EXT-18-241-O-000347

 From: Donley, Katherine (HHS/ASFR)

Sent: Thursday, September 21, 2017 1:59 PM
To: Moughalian, Jen (HHS/ASFR); Wynne, Maggie (HHS/IOS)
Cc: Palmer, Ashley (05/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Ja nis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curtis, Jillian (HHS/ASFR); Burbank, Nick (HHS/ASFR)
Subject: Clearance: Notification of ACF Adoption and QIC awards
Jen and Maggie,
This afternoon, we would like to send the below notification to appropriators on the ACF QIC and hospital-based
adoption support services of awards.
Please let me know whether you have any concerns about this going forward to the Hill.
Thanks,
Katie
(b)(5)

(b)(6)

Katie Donley
Congressional Liaison Specialist
Office of Budget
Assistant Secretary for Financial Resources
Department of Health and Human Services
202.690.6704 (office)
cell)
2

HHS-OS-EF Lit. 18-0241 00003904

EXT-18-241-O-000348

 3
HHS-OS-EF Lit. 18-0241 00003905

EXT-18-241-O-000349

 Bell. Michael (OS/ASPA)
From:

Donley, Katherine (HHS/ASFR)
Thursday, September 21, 2017 5:25 PM
Wynne , Maggie (HHS/IOS)
RE:Clearance: Notification of ACF Adoption and QIC awards

Sent:
To:

Subject:

I've asked ACF and will let you know as soon as I hear back!

(b)(6)

Katie Donley
202.690.6704 (office)
cell)
From: Wynne, Maggie (HHS/IOS)
Sent: Thursday, September 21, 2017 2:19 PM
To: Donley, Katherine (HHS/ ASFR); Mougha lian, Jen (HHS/ ASFR)
Cc: Palmer, Ashley (OS/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Ja nis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curtis, Jill ian (HHS/AS FR); Burbank, Nick (HHS/ASFR)
Subject: RE: Clearance: Notificat ion of ACF Adopt ion and QIC awards
Hi Katie,
(b)(5)

(b)(5)

Magg ie

Deliberative and pre-decisional communication
From: Donley, Katherine (HHS/ASFR)
Sent: Thursday, September 21, 2017 1:59 PM
To: Moughalian, Jen (HHS/ASFR); Wynne, Maggie (HHS/IOS)
Cc: Palmer, Ashley (OS/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Ja nis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curtis, Jil lian (HHS/AS FR); Burbank, Nick (HHS/ASFR)
Subject: Clearance: Notification of ACF Adoption and QIC awards
Jen and Maggie,
This afternoon, we wou ld like to send the below not if icat ion to appropriators on the ACF QIC and hospital -based
adoption support services of awards.
Please let me know whether you have any concerns about this going forward to the Hill.
Thanks,
Katie
HHS-OS-EF Lit. 18-0241 00003906

EXT-18-241-O-000350

 (b)(5)

(b)(6)

Katie Donley
Congressional Liaison Specialist
Office of Budget
Assistant Secretary for Financial Resources
Department of Health and Human Services
202.690.6704 (office)
(cell)

2

HHS-OS-EF Lit. 18-0241 00003907

EXT-18-241-O-000351

 Bell. Michael (OS/ASPA)
From:

Wynne, Maggie (HHS/IOS)
Thursday, September 21, 2017 2:19 PM
Donley, Katherine (HHS/ASFR); Moughalian, Jen (HHS/ASFR)
Palmer, Ashley (OS/ASFR);Cochran, Norris (HHS/ASFR); Coughlin, Janis (HHS/ASFR);
Pollock, Rachel (HHS/ASFR); Curtis, Jillian (HHS/ASFR); Burbank, Nick (HHS/ASFR)
RE:Clearance: Notification of ACF Adoption and QIC awards

Sent:
To:

Cc:
Subject:

Hi Katie,
(b)(5)

(b)(5)

Magg ie

Deliberative and pre-decisional communication

From: Donley, Katherine (HHS/ASFR)

Sent: Thursday, September 21, 2017 1:59 PM
To: Moughalian, Jen (HHS/ASFR); Wynne, Maggie (HHS/IOS)
Cc: Palmer, Ashley (OS/ASFR); Cochran, Norris (HHS/ASFR); Coughlin, Janis (HHS/ASFR); Pollock, Rachel (HHS/ASFR);
Curtis, Jillian (HHS/AS FR); Burbank, Nick (HHS/ASFR)
Subject: Clearance: Notification of ACF Adoption and QIC awards
Jen and Maggie,
This afternoon, we would like to send the below notification to appropriators on the ACF QIC and hospital-based
adoption support services of awards.
Please let me know whether you have any concerns about this going forward to the Hill.
Thanks,
Katie
(b)(5)

HHS-OS-EF Lit. 18-0241 00003908

EXT-18-241-O-000352

 (b)(5)

(b)(6)

Katie Donley
Congressional Liaison Specialist
Office of Budget
Assistant Secretary for Financial Resources
Department of Health and Human Services
I • • f • t'
office)
cell)

2

HHS-OS-EF Lit. 18-0241 00003909

EXT-18-241-O-000353

 Bell. Michael (OS/ASPA)
Wynne, Maggie (HHS/IOS)
Tuesday, May 02, 2017 5:04 PM
Horn, Wade (HHS/IOS) (CTR)

From:

Sent:
To:

Subject:
Attachments:

(b)(5)

Wade,
(b)(5)

Would you like to participate in those briefings?
Maggie

Maggie Wynne
Counselor for Human Services Policy
Office of the Secretary
U.S. Department of Health and Human Services
(202) 205-3796
Margaret.Wynne@hhs.gov

HHS-OS-EF Lit. 18-0241 00003910

EXT-18-241-O-000354

 Bell. Michael (OS/ASPA)
From:
Sent:
To:

Cc:
Subject:
Importance:

Barlow, Amanda (ACF)
Tuesday, May 02, 2017 2:52 PM
Wynne , Maggie (HHS/IOS)
••

-.

~~-fl _!

(b)(5)

High

Magg ie,
(b)(5)

Amanda
From: Thompson, Peter (ACF)
Sent: Tuesday, May 02, 2017 2:31 PM
To: Barlow, Amanda (ACF)
C _; B
Cc: Mell E_ .
(b)(5)
Subject
Importance:

Hi Amanda,
(b)(5)

So that we can move forward, I'd like to send the language to the program office today.
Let me know what you think.
Thanks!
Peter
Peter Thompson
Dir ector , Divi sion of Grants Policy
Admini stration for Children and Families
U .S. Dept. of Hea lth and Human Services
330 C St. SW , Washington, DC 20201
Phone: 202-401-4608 - Fax : 202-205-4014
HHS-OS-EF Lit. 18-0241 00003911

EXT-18-241-O-000355

 Email: Peter.Thomp son@acf.hh s.gov
www.acf.hhs.gov

2
HHS-OS-EF Lit. 18-0241 00003912

EXT-18-241-O-000356

 Bell. Michael (OS/ASPA)
From:

Wright, Natasha (OS/1OS)
Monday, May 01, 2017 9:33 AM
Wynne , Maggie (HHS/IOS)
Re: (ACF)- FOA - Transitional Living Program and Maternity Group Homes

Sent:
To:

Subject:

Shared. Sorry for the typo. Natasha

On: 01 May 2017 09:32, "Wright , Natasha (OS/IOS )" <Natasha.Wright2@hhs.gov > wrote:
Thanks, Maggie. I have saved with ACF. -Natasha

On: 30 April 2017 21:11, "Wynne , Maggie (HHS/IOS)" <Margaret.Wynne@hhs.gov > wrote:
Natasha
(b)(5)

From: Wright, Natasha (0S/IOS)

Sent: Friday, April 21, 2017 10:01 AM
To: Wynne, Maggie (HHS/IOS)
Subject: (ACF)- FOA - Transit ional Living Program and Maternity Group Homes

Hi Maggie,

Per Page 2, Item 1 on the 4/21 Week Ahead Report, please see attached document s related to the memo and
FOA (Word & PDF versions) for Transitional Living Progr am and Maternity Group Home s.
FYSB is requesting approval to publish the FOA to the Grants.gov website. ACF intend s to announce the
availability of 20,056,829 to be competitively awarded to implement, enhance, and/or support effective
strategie s for successful transition to sustainable living for runaway and homeles s youth ages 16 to under 22
and/or pregnant and parenting youth ages 16 to under 22, and their dependent children. This FOA was
previou sly posted in 2013 and individual grant awards were for a 5-year project period with five, 1-year budget
(b)(5)

•

-

•

-

•

(b)(5)

Thanks,
Nata sha

HHS-OS-EF Lit. 18-0241 00003913

EXT-18-241-O-000357

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Wynne, Maggie (HHS/IOS)
Sunday, Apri l 30, 2017 10:18 PM
W right, Natasha (OS/IOS)
RE:(ACF) FOA - Street Outreach Program
$ WORKING - HHS-2017-ACF-ACYF-YO-1241rev_track .docx

Natasha,
(b)(5)

Thanks,
Magg ie

From: Wright, Natasha (OS/IOS)
Sent: Friday, April 21, 2017 9:39 AM
To: Wynne, Maggie (HHS/IOS)
Subject: (ACF) FOA - Street Outreach Program

Hi Maggie,
Per Page 1, Item 2 on the 4/21 Week Ahead Report , please see attached for the Street Outreach Program (SOP)
FOA (Word and PDF versions) and memo.

(b)(5)

FYSB is requesting approval to publish the FOA to the Grant s.gov website. ACF intend s to announce the
availability of 2,754,733 to be competitively awarded for the SOP. The purpose of the program is to provide
prevention and intervention services to runaway, homele ss, and street youth who have been subjected to or are
at risk of being subjected to sexual abuse, prostitution, sexual exploitation, and severe forms of human
trafficking. This FOA was previou sly posted in FY 2016 and individu al rant awards were for a 3- ear ro·ect
(b)(5)
eriod with three 1- ear bud et eriods of u to 200 000 er ear.

Thanks ,
Natasha

HHS-OS-EF Lit. 18-0241 00003914

EXT-18-241-O-000358

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

~

• •

Wynne, Maggie (HHS/IOS)
Sunday, Apri l 30, 2017 9:12 PM
W right, Natasha (OS/IOS)
RE:(ACF)- FOA - Transitional Living Program and Maternity Group Homes
$ WORKING - H HS-2017-ACF-ACYF-CX-1233_rev_track.docx

I •

(b)(5)

Magg ie

From: Wright, Natasha (OS/IOS)
Sent: Friday, April 21, 2017 10:01 AM
To: Wynne, Maggie (HHS/IOS)
Subject: (ACF)- FOA - Trans it ional Living Program and Maternity Group Homes

Hi Maggie,
Per Page 2, Item 1 on the 4/21 Week Ahead Report , please see attached documents related to the memo and
FOA (Word & PDF versions) for Transitional Living Program and Maternity Group Homes .
FYSB is requesting approval to publish the FOA to the Grant s.gov website. ACF intend s to announce the
availability of 20,056 ,829 to be competitively awarded to implement , enhance, and/or support effective
strategies for succe ssful transition to sustainable living for runaway and homeless youth ages 16 to under 22
and/or pregnant and parenting youth ages 16 to under 22, and their dependent children. This FOA was
previou sly posted in 2013 and indi ·d
t
·d
(b)(5)
periods of up to 200,000 per year.
(b)(5)

Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003915

EXT-18-241-O-000359

 Bell. Michael (OS/ASPA)
From:

Wynne, Maggie (HHS/IOS)
Sunday, Apri l 30, 2017 8:37 PM
W right, Natasha (OS/IOS)
RE:(ACF) FOA - Basic Center Program
$ HHS-2017-ACF-ACYF-CY-1239.pdf_rev_track .docx

Sent:
To:

Subject:
Attachments:

Natasha,
(b)(5)

Thanks,
Magg ie

From: Wright, Natasha (0S/IOS)

Sent: Friday, April 21, 2017 10:08 AM
To: Wynne, Maggie (HHS/IOS)
Subject: (ACF) FOA - Basic Center Program

Hi Maggie,
Per Page 2, Item 2 on the 4/21 Week Ahead Report , please see attached for the Basic Center Program (BCP)
FOA (Word & PDF versions) and memo. This is the last new item on the 4/21 Week Ahead report.
FYSB is requesting approval to pub lish the FOA to the Grant s.gov website. ACF intend s to announce the
availability of 16,587,189 to be competitively awarded for the provision of temporary shelte r and counseling
service s to youth who have left home without permission of their parents or guardians , have been forced to
leave home, or other homeless youth who might otherwise end up in the law enforcement or in the child
welfare, mental health, or juveni le ju stice systems . This FOA was previously posted in Fiscal Year (FY) 2016
.lin
t f $200 000
fl
t f $50 000 'th
d
d
t
d dt
(b)(5)
(b)(5)

Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003916

EXT-18-241-O-000360

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:
Attachments :

Wright, Natasha (OS/1OS)
Thursday, March 02, 2017 5:40 PM
Wynne , Maggie (HHS/1OS)
Robinson, Wilma (HHS/1OS)
(ACF): FPSA/Domestic Violence Shelter ANA Tribes FOA
$ CLEAN es - FVRevised.v2 - Tribal FOA memo 2.14.l _Final_02 -17-2017 .docx; $ HHS-2017-ACF-ACYF - FVPS-121120-21-2017.docx .docx

Hi Maggie,
Per the 3/3 Week Ahead report on Page 2, Item 1, please see attached for ACF' s memo and Funding
Opportunity Announcement for Family Violence Prevention and Services/Domestic Violence Shelter and
Supportive Services Grants to Native American Tribes.
Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003917

EXT-18-241-O-000361

 Bell. Michael (OS/ASPA)
From:
Sent:
Subject:
Attachments:

Wright, Natasha (OS/1OS)
Friday, March 03, 2017 4:55 PM
Wynne , Maggie (HHS/IOS)
RE:2-17 ACF Week Ahead Report
Instrument 1 - Evaluation Abstract Template.docx; Instr ument 2 - CONSORT Diagrams
Template.docx ; Instrument 3 - Baseline Equivalence Template.pdf; Instrument 4 Implementat io n Analysis Plan Guidance .docx; Instrument 5 - Youth Interview Focus
Group Topic Guide.docx

Importance:

High

To:

Hi Maggie,
Per your request for the following item, please see attached .
(b)(5)

Thanks,
Natasha

From: Wynne, Maggie (HHS/IOS)

Sent: Tuesday, February 21, 2017 7:44 AM
To: Wright, Natasha (0S/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Good morn ing, Natasha,
(b)(5)

HHS-OS-EF Lit. 18-0241 00003918

EXT-18-241-O-000362

 (b)(5)

2

HHS-OS-EF Lit. 18-0241 00003919

EXT-18-241-O-000363

 (b)(5)

From: Wright, Natasha (OS/IOS)

Sent: Friday, February 17, 2017 5:28 PM
To: Wynne, Maggie (HHS/IOS)

Subject: 2-17 ACF Week Ahead Report
Hi Maggie,
Just wanted to share ACF's upcoming items for your review. Please let me know if you need addit ional informat ion to
make approval decisions . Have a nice weekend!
Thanks,
Natasha

3
HHS-OS-EF Lit. 18-0241 00003920

EXT-18-241-O-000364

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Wrigh t, Natasha (OS/1OS)
Friday, March 24, 2017 12:32 AM
Wynne , Maggie (HHS/1OS)
(ACF) RHY Program Final Rule Webinar PowerPoint
$Runaway and Home less Yout h (RHY) Act Rule Final.pptx _.pptx; $
fysb_rhy_rule_factsheet.pdf_.pdf ; $FYSB-Decision Memo For RHY Rule Webinar
PowerPoint -Training 3-21- 17. ESedits .docx _.docx

Hi Maggie,
Per the 3/24 Week Ahead report on Page 5, Item 2, please see attached for ACF's memo, Fact Sheet, and
PowerPoint for the Webinar concerning the Runaway and Homeless Youth Final Rule.
Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003921

EXT-18-241-O-000365

 Bell, Michael (OS/ASPA)
Smith, Andrew (HHS/IOS)
Monday, October 16, 2017 5:06 PM
Wynne, Maggie (HHS/IOS)
FW: Assignment AS-774172 is now available in SPS
Revised FVPSAReport to Congress 092017 AS.docx

From:

Sent:
To:

Subject:
Attachments:

Some suggested edits tracked and a couple of questions for you in the attached.

From: natasha.wr ight2@hhs.gov [ mai1to:n atasha.wr ight2@hhs.gov]

Sent: Monday, October 02, 2017 4:44 PM
To: Smith, Andrew (HHS/IOS)
Subject: Assignment AS-774172 is now available in SPS

Assignment AS-774172 is now available in SPS. Follow the link below to view details:

Due Date: 10/ 17/2017
Record Type : Clearance Request
Type : Clearance
Subtype : Standard
Case Subject: Report to Congress on the Family Violence Prevention and Services Act
(FVPSA) for Fiscal Years 2013 and 2014
Policy Coordinator: Natasha Wright

https ://secretaryspol icysystem .force .com/Gate keeper/a0Rt0000 000tf4p

Thank you,
The Secretary 's Policy System Tea m

HHS-OS-EF Lit. 18-0241 00003922

EXT-18-241-O-000366

 This email and its attachments are for the use of the intended recipient(s) only. If you are not the intended recipient,
please do not disclose the contents to anyone, but notify the sender by return email and delete this email (and any
attachments) from your system.

2
HHS-OS-EF Lit. 18-0241 00003923

EXT-18-241-O-000367

 Bell. Michael (OS/ASPA)
From:

Wynne, Maggie (HHS/IOS)
Friday, October 06, 2017 10:56 AM
Moughalian , Jen (HHS/ASFR)
RE: Please respond by Tuesday COB: ACF Draft Responses to 0MB

Sent:
To:

Subject:

Jen,
(b)(5)

From: Moughalian, Jen (HHS/ASFR)

Sent: Thursday, October 05, 2017 11 :29 AM
To: Wynne, Maggie (HHS/IOS)
Subject: FW: Please respond by Tuesday COB: ACF Draft Responses to 0MB
(b)(5)
(b)(5)

(b)(5)

HHS-OS-EF Lit. 18-0241 00003924

EXT-18-241-O-000368

 (b)(5)

From: Wynne, Maggie (HHS/IOS)

Sent: Tuesday, October 03, 2017 9: 11 PM
To: Moughalian, Jen (HHS/ASFR)
Cc: Cochran, Norris (HHS/ASFR); Coughlin, Janis (HHS/ASFR); Miller, Caitlyn (OS/ASFR); Curtis, Jill ian (HHS/ASFR);
O'Keefe, Erin (HHS\ASFR); Palmer, Ashley (OS/ASFR)
Subject: RE: Please respond by Tuesday COB: ACF Draft Responsesto 0MB
Jen,
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003925

EXT-18-241-O-000369

 Thanks,
Magg ie

Deliberative and pre-decisional communication
From: Moughalian, Jen (HHS/ASFR)

Sent: Monday, October 02, 2017 7:52 PM

To: Wynne, Maggie
Cc: Cochran, Norris

(HHS/IOS)
(HHS/ ASFR); Coughlin, Janis (HHS/ ASFR); Miller, Caitlyn (OS/ ASFR); Curtis, Ji llian (HHS/ ASFR);
O'Keefe, Erin (HHS\ASFR); Palmer, Ashley (OS/ASFR)
Subject: Please respond by Tuesday COB: ACF Draft Responses to 0MB

Magg ie - Below are draft ACF to 0MB questions after review ing the FY 2019 budget justification.
you have any edits by COB on Tuesday. Thanks!

Please let us know if

(b)(5)

3
HHS-OS-EF Lit. 18-0241 00003926

EXT-18-241-O-000370

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003927

EXT-18-241-O-000371

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003928

EXT-18-241-O-000372

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003929

EXT-18-241-O-000373

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003930

EXT-18-241-O-000374

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003931

EXT-18-241-O-000375

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003932

EXT-18-241-O-000376

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003933

EXT-18-241-O-000377

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003934

EXT-18-241-O-000378

 (b)(5)

12
HHS-OS-EF Lit. 18-0241 00003935

EXT-18-241-O-000379

 (b)(5)

13
HHS-OS-EF Lit. 18-0241 00003936

EXT-18-241-O-000380

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003937

EXT-18-241-O-000381

 Page 382 redacted for the following reason:
--------------------Referral to other agency for consultation (4 pages)

HHS-OS-EF Lit. 18-0241 00003938

EXT-18-241-O-000382

 Page 383 redacted for the following reason:
--------------------Referral to other agency for consultation (4 pages)

HHS-OS-EF Lit. 18-0241 00003939

EXT-18-241-O-000383

 Page 384 redacted for the following reason:
--------------------Referral to other agency for consultation (4 pages)

HHS-OS-EF Lit. 18-0241 00003940

EXT-18-241-O-000384

 Page 385 redacted for the following reason:
--------------------Referral to other agency for consultation (4 pages)

HHS-OS-EF Lit. 18-0241 00003941

EXT-18-241-O-000385

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:

Subject:
Attachments:

Nelson, Thayer (HHS/OGC)
Monday, September 25, 2017 3:15 PM
Smith -Simpson, Jacqlyn (HHS/ASFR); Duncan, Constance (HHS/ASFR); Elder, Mark
(HHS/ASFR); McMillen, Cheryl (HHS/ASFR); ASPEClearances (OS/ASPE); Mestre, Lisette
(HHS/OGC); Flick, Heather (OS/OGC); Bowman, Matthew (HHS/OGC); Gottlich, Vicki
(ACL); Jackson, Caldwell (ACL); Nicho lls, Richard (ACL); Moughalian, Jen (HHS/ASFR);
Hargan, Eric (OS/OGC); Keckler, Charles (HHS/IOS)
Wynne, Maggie (HHS/IOS); Smith, Andrew (HHS/IOS); Clark, Barbara (HHS/ASL); Brown,
Joshua H. (HHS/OGC); Hertzog, Christian (HHS/OGC); Logan, Scott (ACF); Arbes, Sarah
(HHS/ASL); Lawrence, Courtney (HHS/ASL); Blackwell, Edith (HHS/ OGC)
FW: Reply by COB, 9/20 : SSA Draft Bill on SSDI Reform
HWM078 - SSA SSDI reform section-by-section .doc; HWM078 - SSA SSDI reform
legislative language.d ocx

All-

Please see below for a proposed response to 0MB on the attached draft SSDI reform language from SSA, and
let us know if you have any concerns. We will assume you have no objections to the draft response if we don't
hear from you by noon tomorrow, Tuesday, September 26.
Thank you.
Thayer
202-690-7747
Thayer Nelson
HHS/OGC/Legislation Division
Rm 435O-Hurnphrey Bldg
Washington DC 20201
(202) 690-7773
Thayer.Nelson@hhs.gov

******************************************
This responds to OMB's request for HHS views on SSA's draft SSDI reform proposals.
(b)(5)

HHS-OS-EF Lit. 18-0241 00003942

EXT-18-241-O-000386

 (b)(6)

(b)(5)

From: Willoughby, Michelle (HHS/OGC)

Sent: Thursday, September 14, 2017 2:45 PM
To: Arbes, Sarah (HHS/ASL); Clark, Barbara (HHS/ASL); Keckler, Charles (HHS/IOS); McGuffee, Tyler Ann (HHS/ASL);
Morse, Sara (HHS/ASL); Whit ley, Edward (HHS/ASL); Kemper, Laura (HHS/ASL); Lawrence, Courtney (HHS/ASL);
Aramanda, Alec (OS/ASL); Stevenson, Sarah-Lloyd (HHS/IOS); Wynne, Maggie (HHS/IOS); Lapinski, Mary-Sumpter
(HHS/IOS); Brooks, John (HHS/IOS); Davis, Ms. Cynthia (ACF); Logan, Scott (ACF); Sulton, Jae (ACF); ASPEClearances
(OS/ASPE); Duncan, Constance (HHS/AS FR); Smith-Simpson, Jacqlyn (HHS/ASFR); ASAIO Staff; Barcus, Lea (PSC/OD);
Earles, Vertrice (HHS/ASA) (CTR); Chletsos, Lori (PSC/OD) (CTR); Leavelle, Cannon (OS/ONC); Stauffer, Rachel
(OS/ONC); Altman, Brian (SAMHSA); Lampasone, Kara (SAMHSA); Rice, Peggie (HHS/ASFR); Slothouber, Doug
(SAMHSA); East, Janet (HHS/OASH); Stallion, Vivian (HHS/OS); Brady, Kevin (CMS/OL); Talbert, Ada L. (CMS/OL);
Wikelius, Kristin (CMS/OL); Mason, James (HHS/IEA); OIGC1earances@oig.hhs.gov; Adams, Claud ia (HHS/OS); Brockett,
Sharon (HHS/OCR); Householder, Donna (HHS/OS); Lawson, Heather (HHS/OCR); Morgan, Sherr i (OS/OCR); Schm idt,
Peggy (HHS/OCR); Higgins, Lauren (NIH/OD) [E]; Tatem, Anne (NIH/OD) [E]; Vo, Thuy (NIH/OD) [E]; Jackson, Caldwell
(ACL); Lutz, Brian T. (AoA/CPA); Nicholls, Richard (ACL); Klingbeil, Martin (CDC/OD/CDCWO); Schattner, Aimee
(CDC/OD/CDCWO)
Cc: Malliou, Ekater ini (OS/IOS); Nelson, Thayer (HHS/OGC); Hertzog, Christian (HHS/OGC); Friedman, Richard
(HHS/OGC); Blackwell, Edith (HHS/OGC); Johnson, Linda (OS/OGC); Bird, Catherine (OS/OGC); Bowman, Matthew
(HHS/OGC); Stimson, Brian (HHS/OGC); Flick, Heather (OS/OGC); Cleary, Kelly (HHS/OGC); Hodgkins, Juliet (OIG/OCIG);
Haron, Judith (H HS/OGC); Jeffries, Elizabeth (H HS/OGC); Terry, Minnie (H HS/OGC); Huff, Bonita (H HS/OGC); Schu ham,
Aaron (HHS/OGC); Barry, DanielJ (HHS/OGC); OS GCGL, EMAIL (HHS/OS); Senor, David E.(HHS/OGC); Naimon, David
(HHS/OGC); OGC PH and S BRANCH CONTROLS; PHD NIH Branch Contro lled Correspondence (NIH/OD); Fisher, Barbara
(HHS/OGC); Kocher, Paula L. (CDC/OCOO/OGC); OGC CDC Branch Controls (CDC)
Subject: Reply by COB, 9/20 : SSA Draft Bill on SSDI Reform

TO:

L(H)

L(HS)

ACF
ASPE
ASFR

CMS
IEA
OIG
2

HHS-OS-EF Lit. 18-0241 00003943

EXT-18-241-O-000387

 ASA/PSC
ONG
SAMHSA
ASH
CDC

OCR
NIH
AGL
IOS/OS

FROM:

Office of the General Counsel/Legislation Division

SUBJECT:

SSA Draft Bill on SSDI Reform

(NOTE: Attached please find draft legislative language and a section-by-section
from SSA for a series of SSDI reform proposals included in the President's FY 18
Budget.
The following proposals are included in this package:
(b)(5)

The Office of Management and Budget has asked for the Department's views on this draft bill.
In order that we may respond promptly to this request, please give your comments as soon as
possible but no later than COB, WEDNESDAY, SEPTEMBER 20 to both (1) THAYER NELSON of
this Division and (2) cc: our general e-mailbox (email.gcl@hhs.gov ) (Microsoft Outlook users , select:
OS GCL, EMAIL from the Global Address List).
To ensure that the Department's comments are given full consideration, please observe the
following guidel ines in providing your office's comments:

3
HHS-OS-EF Lit. 18-0241 00003944

EXT-18-241-O-000388

 (b)(5)

If you have any questions, call the GCL staff attorney named above, at 202-690-7747, or our
Legislative Reference Service, at 202.690.7750.

cc:

OIG/OCIG
GC/IO
GC/CFA
GC/CR
GC/GLD
GC/PH
GC/CMS
1OS/OS
GCL (Friedman/Hertzog)

d'(ic/r.e/Le
cl-a.w'ten.ce
CWlLLoua/r./JIJ.
Office of the General Counsel/Legislation
Legislative Reference Service
202.690.7750 fax 202.690.7309
M ichelle.Wil lo ugh by@hhs .gov

Division

This message is intended for the exclusive use of the recipient(s) named above. It may contain information that is
PROTECTED
and/or PRIVILEGED,and it should not be disseminated, distributed, or copied to persons not authorized to
receive such information. If you are not the intended recipient, any dissemination, distr ibut ion, or copying is strictly
proh ibited. If you have received this communication in error, please erase all copies of the message and its attachments
and notify us immediately.

4
HHS-OS-EF Lit. 18-0241 00003945

EXT-18-241-O-000389

 Bell. Michael (OS/ASPA)
Smith, Andrew (HHS/IOS)
Monday, September 25, 2017 2:16 PM
Nelson, Thayer (HHS/OGC); Wynne , Maggie (HHS/IOS); Clark, Barbara (HHS/ASL)
Hertzog, Christian (HHS/OGC); Brown, Joshua H. (HHS/OGC)
RE: Reply by COB, 9/20 : SSA Draft Bill on SSDI Reform

From:

Sent:
To:

Cc:
Subject:
(b)(5)

Great, thanks.
Andrew
From: Nelson, Thayer (HHS/OGC)

Sent: Monday, September 25, 2017 12:51 PM
To: Smith, Andrew (HHS/IOS); Wynne, Maggie (HHS/IOS); Clark, Barbara (HHS/ASL)
Cc: Hertzog, Christian (HHS/OGC); Brown, Joshua H. (HHS/OGC)
Subject: RE: Reply by COB, 9/20: SSA Draft Bill on SSDI Reform
(b)(5)

From: Smith, Andrew (HHS/IOS)

Sent: Monday, September 25, 2017 12:50 PM
To: Nelson, Thayer (HHS/OGC); Wynne, Maggie (HHS/IOS); Clark, Barbara (HHS/ASL)
Cc: Hertzog, Christian (HHS/OGC); Brown, Joshua H. (HHS/OGC)
Subject: RE: Reply by COB, 9/20: SSA Draft Bill on SSDI Reform
(b)(5)

From: Nelson, Thayer (HHS/OGC)
Sent: Monday, September 25, 2017 12:30 PM
To: Wynne, Maggie (HHS/IOS); Clark, Barbara (HHS/ASL); Smith, Andrew (HHS/IOS)
Cc: Hertzog, Christian (HHS/OGC); Brown, Joshua H. (HHS/OGC)
Subject: RE: Reply by COB, 9/20: SSA Draft Bill on SSDI Reform
(b)(5)

Hi all.

Thanks.
Thayer
202-690-7747
From: Nelson, Thayer (HHS/OGC)
Sent: Friday, September 22, 2017 4:47 PM
To: Wynne, Maggie (HHS/IOS); Clark, Barbara (HHS/ASL)
Cc: Smith, Andrew (HHS/IOS); Hertzog, Christian (HHS/OGC)
Subject: RE: Reply by COB, 9/20: SSA Draft Bill on SSDI Reform
(b)(5)

HHS-OS-EF Lit. 18-0241 00003946

EXT-18-241-O-000390

 (b)(5)

Let us know what you think.
Thank you.
Thayer
202-690-7747
From: Wynne, Maggie (HHS/IOS)

Sent: Wednesday, September 20, 2017 9:00 PM
To: Nelson, Thayer (HHS/OGC)
Cc: OS GCL, EMAIL (HHS/OGC); Smith, Andrew (HHS/IOS)
Subject: RE: Reply by COB, 9/20: SSA Draft Bill on SSDI Reform

Hi Thayer,

2

HHS-OS-EF Lit. 18-0241 00003947

EXT-18-241-O-000391

 (b)(5)

Thank you.
Maggie

From: Willoughby, Michelle (HHS/OGC)

Sent: Thursday, September 14, 2017 2:45 PM
To: Arbes, Sarah (HHS/ASL); Clark, Barbara (HHS/ASL); Keckler, Charles (HHS/IOS); McGuffee, Tyler Ann (HHS/ASL);
Morse, Sara (HHS/ASL); Whit ley, Edward (HHS/ASL); Kemper, Laura (HHS/ASL); Lawrence, Courtney (HHS/ASL);
Aramanda, Alec (OS/ASL); Stevenson, Sarah-Lloyd (HHS/IOS); Wynne, Maggie (HHS/IOS); Lapinski, Mary-Sumpter
(HHS/IOS); Brooks, John (HHS/IOS); Davis, Ms. Cynthia (ACF); Logan, Scott (ACF); Sulton, Jae (ACF); ASPEClearances
(OS/ASPE); Duncan, Constance (HHS/AS FR); Smith-Simpson, Jacqlyn (HHS/AS FR); ASAIO Staff; Barcus, Lea (PSC/OD);
Earles, Vertrice (HHS/ASA) (CTR); Chletsos, Lori (PSC/OD) (CTR); Leavelle, Cannon (OS/ONC); Stauffer, Rachel
(OS/ONC); Altman, Brian (SAMHSA); Lampasone, Kara (SAMHSA); Rice, Peggie (HHS/ASFR); Slothouber, Doug
(SAM HSA); East, Janet (H HS/OASH); Stallion, Vivian (HHS/OS); Brady, Kevin (CMS/O L); Talbert, Ada L. (CMS/OL);
Wikelius, Kristin (CMS/OL); Mason, James (HHS/I EA); OIGClearances@oig.hhs.gov ; Adams, Claud ia (HHS/OS); Brockett,
Sharon (HHS/OCR); Householder, Donna (HHS/OS); Lawson, Heather (HHS/OCR); Morgan, Sherr i (OS/OCR); Schm idt,
Peggy (HHS/OCR); Higgins, Lauren (NIH/OD) [E]; Tatem, Anne (NIH/OD) [E]; Vo, Thuy (NIH/OD) [E]; Jackson, Caldwell
(ACL); Lutz, Brian T. (AoA/CPA); Nicholls, Richard (ACL); Klingbeil, Martin (CDC/OD/CDCWO); Schattne r, Aimee
(CDC/O D/CDCWO)
Cc: Malliou, Ekater ini (OS/IOS); Nelson, Thayer (HHS/OGC); Hertzog, Christian (HHS/OGC); Friedman, Richard
(HHS/OGC); Blackwell, Edith (HHS/OGC); Johnson, Linda (OS/OGC); Bird, Catherine (OS/OGC); Bowman, Matthew
(HHS/OGC); Stimson, Brian (HHS/OGC); Flick, Heather (OS/OGC); Cleary, Kelly (HHS/OGC); Hodgkins, Juliet (OIG/OCIG);
Haran, Judith (H HS/OGC); Jeffries, Elizabeth (H HS/OGC); Terry, Minnie (H HS/OGC); Huff, Bonita (H HS/OGC); Schu ham,
Aaron (HHS/OGC); Barry, DanielJ (HHS/OGC); OS GCGL, EMAIL (HHS/OS); Senor, David E.(HHS/OGC); Naiman, David
(HHS/OGC); OGC PH and S BRANCH CONTROLS; PHD NIH Branch Contro lled Correspondence (NIH/OD); Fisher, Barbara
(HHS/OGC); Kocher, Paula L. (CDC/OCOO/OGC); OGC CDC Branch Controls (CDC)
Subject: Reply by COB, 9/20: SSA Draft Bill on SSDI Reform

TO:

L(H)
ACF
ASPE
ASFR
ASA/PSC
ONC
SAMHSA
ASH
CDC

FROM:

Office of the General Counsel/Legislation Division

SUBJECT :

SSA Draft Bill on SSDI Reform

L(HS)
CMS
IEA
OIG
OCR
NIH
ACL
IOS/OS

3
HHS-OS-EF Lit. 18-0241 00003948

EXT-18-241-O-000392

 (NOTE: Attached please find draft legislative language and a section-by-section
from SSA for a series of SSDI reform proposals included in the President's FY 18
Budget.
The following proposals are included in this package:
(b)(5)

The Office of Management and Budget has asked for the Department's views on this draft bill.
In order that we may respond promptly to this request, please give your comments as soon as
possible but no later than COB, WEDNESDAY, SEPTEMBER 20 to both (1) THAYER NELSON of
this Division and (2) cc: our general e-mailbox (email.gcl@hhs.gov ) (Microsoft Outlook users , select:
OS GCL, EMAIL from the Global Address List).
To ensure that the Department's comments are given full consideration , please observe the
following guidel ines in providing your office's comments:
(b)(5)

If you have any questions , call the GCL staff attorney named above, at 202-690-7747, or our
Legislative Reference Service, at 202.690.7750.
4

HHS-OS-EF Lit. 18-0241 00003949

EXT-18-241-O-000393

 cc:

OIG/OC IG
GC/ I0
GC/C FA
GC/C R
GC/GLD
GC/PH
GC/C MS
10S/OS
GCL (Friedma n/Hertzog)

<:fli.cltelle.
ct.awc.en.ce.CWi.lloual,J,IJ.
Office of the General Counsel/ Legislat ion Divisio n
Legislat ive Refe rence Service

202.690.7750 fax 202.690.7309
Michelle.W illoughby@hhs.gov

This message is intended for the exclusive use of the recipient(s) named above. It may contain information that is
PROTECTED
and/or PRIVILEGED,and it shou ld not be disseminated, distributed, or copied to persons not author ized to
receive such info r mation. If you are not the intended recipient, any dissemination, distribution, or copying is strictly
prohibited . If you have received this communication in error, please erase all copies of the message and its attachments
and notify us immediate ly.

5
HHS-OS-EF Lit. 18-0241 00003950

EXT-18-241-O-000394

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Nelson, Thayer (HHS/OGC)
Monday, September 25, 2017 12:51 PM
Smith, Andrew (HHS/IOS); Wynne , Maggie (HHS/IOS); Clark, Barbara (HHS/ASL)
Hertzog, Christ ian (HHS/OGC); Brown, Joshua H. (HHS/OGC)
RE: Reply by COB, 9/20 : SSA Draft Bill on SSDI Reform

(b)(5)

From: Smith, Andrew (HHS/IOS)

Sent: Monday, September 25, 2017 12:50 PM
To: Nelson, Thayer (HHS/OGC); Wynne, Maggie (HHS/IOS); Clark, Barbara (HHS/ASL)
Cc: Hertzog, Christian (HHS/OGC); Brown, Joshua H. (HHS/OGC)

Subject: RE: Reply by COB, 9/20: SSA Draft Bill on SSDI Reform
(b)(5)

From: Nelson, Thayer (HHS/OGC)
Sent: Monday, September 25, 2017 12:30 PM
To: Wynne, Maggie (HHS/IOS); Clark, Barbara (HHS/ASL); Smith, Andrew (HHS/IOS)
Cc: Hertzog, Christian (HHS/OGC); Brown, Joshua H. (HHS/OGC)
Subject: RE: Reply by COB, 9/20: SSA Draft Bill on SSDI Reform
(b)(5)

Hi all.

Thanks.
Thayer
202-690-7747
From: Nelson, Thayer (HHS/OGC)
Sent: Friday, September 22, 2017 4:47 PM
To: Wynne, Maggie (HHS/IOS); Clark, Barbara (HHS/ASL)
Cc: Smith, Andrew (HHS/IOS); Hertzog, Christian (HHS/OGC)
Subject: RE: Reply by COB, 9/20: SSA Draft Bill on SSDI Reform
(b)(5)

HHS-OS-EF Lit. 18-0241 00003951

EXT-18-241-O-000395

 (b)(5)

Let us know what you think.
Thank you.
Thayer
202-690-774 7
From: Wynne, Maggie (HHS/IOS)

Sent: Wednesday, September 20, 2017 9:00 PM
To: Nelson, Thayer (HHS/OGC)
Cc: OS GCL, EMAIL (HHS/OGC); Smith, Andrew (HHS/IOS)

Subject: RE: Reply by COB, 9/20: SSA Draft Bill on SSDI Reform
Hi Thayer,
(b)(5)

Thank you.

Maggie

From: Willoughby, Michelle (HHS/OGC)

Sent: Thursday, September 14, 2017 2:45 PM
2

HHS-OS-EF Lit. 18-0241 00003952

EXT-18-241-O-000396

 To: Arbes, Sarah (HHS/ASL); Clark, Barbara (HHS/ASL); Keckler, Charles (HHS/IOS); McGuffee, Tyler Ann (HHS/ASL);
Morse, Sara (HHS/ASL); Whitley, Edward (HHS/ASL); Kemper, Laura (HHS/ASL); Lawrence, Courtney (HHS/ASL);
Aramanda, Alec (OS/ASL); Stevenson, Sarah-Lloyd (HHS/IOS); Wynne, Maggie (HHS/IOS); Lapinski, Mary-Sumpter
(HHS/IOS); Brooks, John (HHS/IOS); Davis, Ms. Cynthia (ACF); Logan, Scott (ACF); Sulton, Jae (ACF); ASPEClearances
(OS/ASPE); Duncan, Constance (HHS/AS FR); Smith-Simpson, Jacqlyn (HHS/AS FR); ASAIO Staff; Barcus, Lea (PSC/OD);
Earles, Vertrice (HHS/ASA) (CTR); Chletsos, Lori (PSC/OD) (CTR); Leavelle, Cannon (OS/ONC); Stauffer, Rachel
(OS/ON(); Altman, Brian (SAMHSA); Lampasone, Kara (SAMHSA); Rice, Peggie (HHS/ASFR); Slothouber, Doug
(SAMHSA); East,Janet (HHS/OASH); Stallion, Vivian (HHS/OS); Brady, Kevin (CMS/OL); Talbert, Ada L. (CMS/OL);
Wikelius, Kristin (CMS/OL); Mason, James (HHS/I EA); OIGClearances@oig.hhs.gov ; Adams, Claudia (HHS/OS); Brockett,
Sharon (HHS/OCR); Householder, Donna (HHS/OS); Lawson, Heather (HHS/OCR); Morgan, Sherri (OS/OCR); Schmidt,
Peggy (HHS/OCR); Higgins, Lauren (NIH/OD) [E]; Tatem, Anne (NIH/OD) [E]; Vo, Thuy (NIH/OD) [E]; Jackson, Caldwell
(ACL); Lutz, Brian T. (AoA/CPA); Nicholls, Richard (ACL); Klingbeil, Martin (CDC/OD/CDCWO); Schattner, Aimee
(CDC/OD/CDCWO)
Cc: Malliou, Ekaterini (OS/IOS); Nelson, Thayer (HHS/OGC); Hertzog, Christian (HHS/OGC); Friedman, Richard
(HHS/OGC); Blackwell, Edith (HHS/OGC); Johnson, Linda (OS/OGC); Bird, Catherine (OS/OGC); Bowman, Matthew
(HHS/OGC); Stimson, Brian (HHS/OGC); Flick, Heather (OS/OGC); Cleary, Kelly (HHS/OGC); Hodgkins, Juliet (OIG/OCIG);
Haran, Judith (H HS/OGC); Jeffries, Elizabeth (H HS/OGC); Terry, Minnie (H HS/OGC); Huff, Bonita (H HS/OGC); Schu ham,
Aaron (HHS/OGC); Barry, DanielJ (HHS/OGC); OS GCGL, EMAIL (HHS/OS); Senor, David E.(HHS/OGC); Naiman, David
(HHS/OGC); OGC PH and S BRANCH CONTROLS; PHD NIH Branch Controlled Correspondence (NIH/OD); Fisher, Barbara
(HHS/OGC); Kocher, Paula L. (CDC/OCOO/OGC); OGC CDC Branch Controls (CDC)
Subject: Reply by COB, 9/20: SSA Draft Bill on SSDI Reform

L(HS)
CMS
IEA
OIG
OCR
NIH
ACL
IOS/OS

TO:

L(H)
ACF
ASPE
ASFR
ASA/PSC
ONC
SAMHSA
ASH
CDC

FROM:

Office of the General Counsel/Legislation Division

SUBJECT:

SSA Draft Bill on SSDI Reform

(NOTE: Attached please find draft legislative language and a section-by-section
from SSA for a series of SSDI reform proposals included in the President's FY 18
Budget.
(b)(5)

3
HHS-OS-EF Lit. 18-0241 00003953

EXT-18-241-O-000397

 (b)(5)

The Office of Management and Budget has asked for the Department's views on this draft bill.
In order that we may respond promptly to this request, please give your comments as soon as
possible but no later than COB, WEDNESDAY, SEPTEMBER 20 to both (1) THAYER NELSON of
this Division and (2) cc: our general e-mailbox (email.gcl@hhs .gov) (Microsoft Outlook users , select:
OS GCL , EMAIL from the Global Address List).
To ensure that the Department's comments are given full consideration, please observe the
following guidel ines in providing your office's comments:
(b)(5)

If you have any questions , call the GCL staff attorney named above , at 202-690-7747 , or our
Legislative Reference Service , at 202.690.7750.

cc:

OIG/OCIG
GC/ 1O
GC/CFA
GC/CR
GC/GLD
GC/ PH
GC/CMS
IOS/OS
GCL (Friedman/Hertzog)

4

HHS-OS-EF Lit. 18-0241 00003954

EXT-18-241-O-000398

 d'{ic/r.e//eJ.a.w'C.en.ce
CWillou3-/r.J,1J.
Off ice of t he General Counsel/ Legislati on Divisio n
Legislat ive Reference Service
202 .690.7750 fax 202 .690.7309
Michelle.W illoughby@hhs.gov

This message is intended for the exclusive use of the recipient(s) named above. It may contain information that is
PROTECTED
and/or PRIVILEGED,and it shou ld not be disseminated, distributed, or copied to persons not author ized to
receive such info r mation. If you are not the intended recipient, any dissemination, distribution, or copying is strictly
prohibited. If you have received this communication in error, please erase all copies of the message and its attachments
and notify us immediate ly.

5
HHS-OS-EF Lit. 18-0241 00003955

EXT-18-241-O-000399

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Wynne, Maggie (HHS/IOS)
Friday, March 31, 2017 7:46 AM
Wright , Natasha (OS/IOS)
RE:2-17 ACF Week Ahead Report

Hi Natasaha,
(b)(5)

Magg ie

From: Wright, Natasha (0S/IOS)

Sent: Friday, March 31, 2017 7:20 AM
To: Wynne, Maggie (HHS/l05)
Subject: RE: 2-17 ACF Week Ahead Report
Hi Maggie,
(b)(5)

(b)(5)

Please let me know your thoughts at your earliest conven ience.
Thanks,
Natasha

From: Wynne, Maggie (HHS/l05)

Sent: Monday, March 20, 2017 8:31 AM
To: Wright, Natasha (05/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Hi Natasha,
(b)(5)

Thanks,
Magg ie

HHS-OS-EF Lit. 18-0241 00003956

EXT-18-241-O-000400

 From: Wright, Natasha (0S/IOS)

Sent: Monday, February 27, 2017 5:04 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Hi Maggie, please see attached for the Program Instruction for the first item as requested. -thanks, Natasha

From: Wynne, Maggie ( HHS/IOS)

Sent: Tuesday, February 21, 2017 7:44 AM
To: Wright, Natasha (OS/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Good morning, Natasha,
(b)(5)

Thank you,
Maggie
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003957

EXT-18-241-O-000401

 (b)(5)

From: Wright, Natasha (0S/IOS)

Sent: Friday, February 17, 2017 5:28 PM
To: Wynne, Maggie (HHS/IOS)
Subject: 2-17 ACF Week Ahead Report
Hi Maggie,
Just wanted to share ACF's upcoming items for your rev iew. Please let me know if you need addit ional informat ion to
make approval decisions . Have a nice weekend!
Thanks,
Natasha

3
HHS-OS-EF Lit. 18-0241 00003958

EXT-18-241-O-000402

 Bell. Michael (OS/ASPA)
From:

Sent:
To:
Subject:
Attachments:

Wright, Natasha (OS/1OS)
Friday, March 31, 2017 7:20 AM
Wynne, Maggie (HHS/IOS)
RE:2-17 ACF Week Ahead Report
$ 0970-0421_FCR App G Input Transactions.doc .doc; Comparison doc FCRInterface
Guidance Document.docx

Hi Maggie,
(b)(5)
(b)(5)

Thanks,
Natasha

From: Wynne, Maggie (HHS/IOS)

Sent: Monday, March 20, 2017 8:31 AM
To: Wright, Natasha (OS/IOS)

Subject: RE: 2-17 ACF Week Ahead Report
Hi Natasha,
(b)(5)

Thanks,
Magg ie

From: Wright, Natasha (OS/IOS)

Sent: Monday, February 27, 2017 5:04 PM
To: Wynne, Maggie (HHS/IOS)

Subject: RE: 2-17 ACF Week Ahead Report
Hi Maggie, please see attached for the Program Instruction for the first item as requested. -thanks, Natasha

From: Wynne, Maggie (HHS/IOS)

Sent: Tuesday, February 21, 2017 7:44 AM
To: Wright, Natasha (OS/IOS)

Subject: RE: 2-17 ACF Week Ahead Report
Good morn ing, Natasha,
HHS-OS-EF Lit. 18-0241 00003959

EXT-18-241-O-000403

 (b)(5)

Thank you,
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003960

EXT-18-241-O-000404

 (b)(5)

From: Wright, Natasha (OS/IOS)

Sent: Friday, February 17, 2017 5:28 PM
To: Wynne, Maggie (HHS/IOS)

Subject: 2-17 ACF Week Ahead Report
Hi Maggie,
Just wanted to share ACF's upcoming items for your review. Please let me know if you need additional information to
make approval decisions. Have a nice weekend!
Thanks,
Natasha

3
HHS-OS-EF Lit. 18-0241 00003961

EXT-18-241-O-000405

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Wright, Natasha (OS/IOS)
Friday, March 24, 2017 12:24 AM
Wynne , Maggie (HHS/IOS)
(ACF) Wisconsin Section 1115 Waiver: Child Support
$ WI 1115 Child Support Wa iver -- Terms and Conditions.docx .docx; $ Wisconsin 1115
Child Support Waiver -- Approva l Letter.pdf; $Clean - W1115 Child Support Waiver
Memo - ES Edits.docx

Hi Maggie,
Per the 3/24 Week Ahead report on Page 5, Item 1, please see attached for ACF's memo, terms and conditions,
and approval letter for the Wisconsin Section 1115 Child Support Waiver.
Thanks ,
Natasha

HHS-OS-EF Lit. 18-0241 00003962

EXT-18-241-O-000406

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Wynne, Maggie (HHS/IOS)
Monday, March 20, 2017 8:31 AM
Wright , Natasha (OS/IOS)
RE:2-17 ACF Week Ahead Report

Hi Natasha,
(b)(5)

Thanks,
Maggie

From: Wright, Natasha (0S/IOS)

Sent: Monday, February 27, 2017 5:04 PM
To: Wynne, Maggie (HHS/l05)
Subject: RE: 2-17 ACF Week Ahead Report
Hi Maggie, please see attached for the Program Instruction for the first item as requested. -thanks, Natasha

From: Wynne, Maggie (HHS/l05)

Sent: Tuesday, February 21, 2017 7:44 AM
To: Wright, Natasha (05/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Good morning, Natasha,
(b)(5)

Thank you,
Maggie
(b)(5)

HHS-OS-EF Lit. 18-0241 00003963

EXT-18-241-O-000407

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003964

EXT-18-241-O-000408

 (b)(5)

From: Wright, Natasha (OS/IOS)

Sent: Friday, February 17, 2017 5:28 PM

To: Wynne, Maggie (HHS/IOS)
Subject: 2-17 ACF Week Ahead

Report

Hi Maggie,
Just wanted to share ACF's upcoming items for your rev iew. Please let me know if you need addit ional informat ion to
make approval decisions . Have a nice weekend!
Thanks,
Natasha

3
HHS-OS-EF Lit. 18-0241 00003965

EXT-18-241-O-000409

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Wright, Natasha (OS/IOS)
Thursday, March 16, 2017 6:01 PM
Wynne , Maggie (HHS/IOS)
(ACF) 2017 ERICSAAnnual Conference Presentation -Case Closure
$ Clean - OCSE Case Closure Memo - ES Edits.docx; $ Clean - OCSE PPT for ERICSA
conference _Case_Closure _03102017 _draft - ES Edits.pptx

Hi Maggie,
Per the 3/17 Week Ahead report on Page 1, Item 2, please see attached for the memo and PowerPoint
Presentation on Case Closure for the 2017 ERICSA Annual Conference.
Thanks,
Natasha

From: Cottingham, Kenneth (ACF)
Sent: Thursday , March 16, 2017 1 :39 PM
To: Wright, Natasha (0S/1OS)
Cc: Hitt, Linda (ACF)
Subject: SWI FT: 031020172002 - 2017 ERICSA Annual Conference Presentation a€" Case Closure
Week Ahead Report 3/17 /17
•

Page 1, Item 2: 2017 ERICSAAnnual Conference Presentation-Case Closure

I've attached the documents associated with this item. Please contact us with questions.
Ken

HHS-OS-EF Lit. 18-0241 00003966

EXT-18-241-O-000410

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:

Subject:
Attachments:

Jones, Molly (ACF)
Wednesday, October 11, 2017 2:21 PM
Wagner , Steven (ACF); Pilato, Anna (ACF); Linehan, Ann (ACF); Christian, Shannon (ACF);
Carter , Clarence (ACF); Lekan, Scott (ACF); Milner, Jerry (ACF); Wubbenhorst, William
(ACF); Ecoffey, Stacey (HHS/IEA)
Wynne , Maggie (HHS/IOS); Stevenson , Sarah-Ll oyd (HHS/IOS); Smith, Andrew
(HHS/IOS); Negri, Warren A. (ACF); Powers, Mary (ACF); Burnszynski, Jennifer
(OS/ASPE); Marriott, Brian (ACF); Wolfe, Kenneth (ACF); Ho lmes, Risha (ACF); Blaustein,
Claire (ACF); Duran, Mishae la (ACF); Schmitt, Emily (ACF); Bryans, Amanda (ACF);
Golonka, Susan (ACF); Goldstein, Naomi (ACF); Barry, Melissa (ACF)
Information memo: Literature Review on Racial and Ethnic Disparities in Human
Services
Info Memo Racial and Ethnic Disparities Literature Review October 2017.pdf

All,
Attached is an information

memo regard ing the upcoming report, Identifying Racial and Ethnic Disparities in Human

Services: A Conceptual Framework and Literature Review.
Best,
Molly B. Jones

Social Science ResearchAnalyst
Office of Planning, Research& Evaluation
Administration for Children and Families
U. S. Department of Health and Human Services
th
330 C Street SW, 4 Floor
Washington, DC 20201
Email: mary.jones@acf.hhs.gov Phone: (202) 205-4724

Mailing List Twitter Facebook Website

HHS-OS-EF Lit. 18-0241 00003967

EXT-18-241-O-000411

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Wagner, Steven (ACF)
Monday, October 02, 2017 12:44 PM
Wynne , Maggie (HHS/IOS); Lawrence, Courtney (HHS/ASL)
Stannard, Paula (HHS/IOS); Huber , Valerie (HHS/OASH)
Announcement of OASH/ACF Collaboration for Better Outcomes in Teen Pregnancy
Reduction

(b)(5)

This will all go through normal clearance channels ... just wanted you to know it 's in the works.
Best,

Steven Wagner
Acting Assistant Secretary
Administration for Children and Families
U.S. Department of Health and Human Services
330 C Street, SW, Washington DC 20201
202-401-1822
Steven. Wagner@acf.hhs.gov

HHS-OS-EF Lit. 18-0241 00003968

EXT-18-241-O-000412

 Bell. Michael (OS/ASPA)
From:
Sent:
To:

(b)(6)

(b)(6)
(b)(6)

(b)(6)
(b)(6)

(b)(6)

(b)(6)
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(b)(6)

(b)(6)

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(b)(6)

Erika_Liliedahl(b)(6)
John
ynne, agg 1e (HHS/IOS); Pilato, Anna (ACF);
Destr o, Brenda (HH
agne r, St even (ACF)
Stevenson, Sarah-Lloyd (HHS/IOS); Smith , Andrew (HHS/IOS); Barlow, Amanda (ACF);
Dugan, Megha n R. (ACF); Neg ri, War ren A. (ACF); Powers, Mary (ACF); Marriott, Brian
(ACF); Wolfe, Kenneth (ACF); Fisher, Patr ick (ACF); Holmes, Risha (ACF); Blaustein, Claire
(ACF); Duran, M ishaela (
mily (ACF); Jones, Mo lly (ACF); Joyner, Deric
(b)(6)
(ACF) (CTR); elisa_rosma
Belt angady, Mo ushumi (ACF); Christ ian,
ollock, Elizabeth (ACF); Woolverton , Maria (ACF);
Shannon (ACF); Haley, Patricia rA
W illis, David (HRSA); Labiner-Wo lfe, Judith (HRSA)
Home Visiti ng Evidence of Effecti veness (HomVEE) Executive Summary and Summary
Brief
(b)(6)

Cc:

Subject:

(b)(6)

Colleagues:
The Maternal , Infant and Early Childhood Home Visit ing (MIECHV) Program, which provides grants to states , territories,
and tr ibes, is j ointly ad min iste red by HRSAand ACF. The home visit ing legislation reserves the major ity of funding for
home visiting models with evidence of effectiveness, and requi red the Secretary to estab lish criter ia for evidence of
effect iveness.
ACF's Off ice of Planning, Research and Evaluation (OPRE)has the lead role for determ ining which home visiting mode ls
have evidence of effect iveness. OPREoversees the Home Visiting Evidence of Effectiveness (HomVEE) systematic review
of t he evidence of eff ectiveness for home visit ing mode ls that target families with pregnant women and children from
birth to kindergarten ent ry. As we have done for the past several years, we have updated the HomVEE with results of
new reviews of home visiting prog ram mode ls.
Today, are pub lishing updated materials related to the review. These publicat ions include an execut ive summa ry that
provides detailed info rmation on all 45 home visiting models reviewed by HomVEE and a summary brief that descri bes
the review process, review result s, and the 20 prog ram models determined to meet criteria fo r an "evidence -based early
childhood home visit ing service delivery model. " This year's review does not add to the list of evidence-based models .
We do not ant icipate press inte rest.
In br ief, th is year HomVEE:
•
•

Updated one previously reviewed model that already meets DHHScriteria for an evidence-based early childhood
home visiting service delivery mode l: Family Check-Up® for Children (see below for a description of the model).
Updated 4 implementat ion profi les:
o Family Check-Up®,
o Home Instruct ion for Parents of Preschool Youngste rs® (HIPPY),
o Parents as Teachers® (PAT), and
o SafeCare®.
HHS-OS-EF Lit. 18-0241 00003969

EXT-18-241-O-000413

 •

Updated the Tribal Report that summarizes the systematic review Hom VEE conducted that focuses specifically
on studies relevant to tribal communities. This report describes the review process, presents descriptive
information about the program models reviewed, and describes the lessons learned across the reviewed
studies, with a focus on cultural relevance and implementation.

2
HHS-OS-EF Lit. 18-0241 00003970

EXT-18-241-O-000414

 ADDITIONAL INFORMATION

Family Check-Up Model
Family Check-Up (FCU)for Children is designed as a preventative program model to help parents address typical
challenges that arise with young children before these challenges become more serious or problematic. The program
model focuses on high-risk families, where normative challenges are more likely to lead to unfavorable outcomes, such
as child conduct prob lems. FCUseeks to decrease children's conduct, academic, and internalizing problems; reduce
maternal depression; and increase parental involvement and positive parenting. FCUfor Children is made up of three
home visits with an FCU provider who has been trained in the program model. After the three home visits, the provider
makes recommendations for a family-based intervention tailored to the needs of the family, such as paren t
management training, preschool consultation, or community referrals. For the purpose of the HomVEE review, only
studies of sites that used home visiting as the primary service delivery method and that included families with children
from birth to age 5 were included .
Updated Tribal Report: "Assessing the Research on Home Visiting Program Models Implemented in Tribal Communities"
This systematic review focuses specifically on studies re levant to tribal communities. The results of this review of home
visiting in tribal communities are summarized in two parts. Part 1 describes the review process and findings and presents
descript ive informat ion about the program models reviewe d. Part 2 describes the lessons learned across the reviewed
studies, with a focus on cultural relevance and impleme ntation . It also proposes considerations for supporting progr am
imp lementation in tribal communities and for strengthening research on tribal home visiting programs. The review
included studies of home visiting program models implem ente d in tribal communities in the U.S., implemented in
indigeno us communities outside the U.S., or evaluated with American Indian and Alaska Native families and children.
The review was originally released in February 2011; the updated version includes studies identified by Hom VEEsearch
strategies as of a literature search conducted in early 2016.

Naomi Goldstein, Deputy Assistant Secretary for Planning, Research, and Evaluation
Administration for Children and Families, U.S. Department of Health and Human Services
330 C Street SW, Room 4503, Washington, DC 20201 {ph) 202 401 9220 {!) 202 205 3598
Mailing List Signup
Website Twitter Facebook

.:OPRE

3
HHS-OS-EF Lit. 18-0241 00003971

EXT-18-241-O-000415

 Bell. Michael (OS/ASPA)
Chamberlain, Seth (ACF)
Tuesday, May 23, 2017 6:25 PM
Wynne, Maggie (HHS/IOS)
Automatic reply: today's briefing

From:

Sent:
To:

Subject:

{I am out of the office on Wednesday, May 24, but will check email intermittently;

otherwise ...)

(b)(6)

and am working halftime, generally in the afternoons. During this time, I strongly recommend redirecting your email to my colleagues:
•

Kathleen McCoy (kathleen.mccoy@acf.hhs .gov ):
•

On teen pregnancy prevention issues, including the Promising Youth Programs (PYP) project;

•

On the Parents and Children Together {PACT)project; and

•

On the Same sex relationships: Updates to HMRE (SUHMRE) programs project.

•

Megan Reid (megan.reid@acf.hhs .gov): On HMRF local evaluation issues;

•

Liz Pollock (elizabeth .pollock@acf.hhs.gov ): On HMRF performance measures issues, including the Informat ion,
Family Outcomes, Reporting, and Management {nFORM) system; and

•

Samantha lllangasekare (samantha .illangasekare@acf .hhs.gov): On all othe r HMRF research issues (she is the
team lead on HMRF research).

For other urgent issues, please call the main OPREline, 202.401.9220.

HHS-OS-EF Lit. 18-0241 00003972

EXT-18-241-O-000416

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Natasha,

Wynne, Maggie (HHS/IOS)
Sunday, May 14, 2017 4:27 PM
Wright , Natasha (OS/IOS)
FW: NSCAW
020220172006 - NSCAW III - Note from Naomi to Maggie.docx; Appx B_NSCAW
III_Child Interviews_clean 4.19.17.docx; Appx B_NSCAW III_Child Interviews_tc
4.19.17.docx

(b)(5)

(b)(5)

Thank you,
Magg ie

From: Wright, Natasha (OS/IOS)

Sent: Monday, May 01, 2017 10:24 AM
To: Wynne, Maggie (HHS/IOS)
Subject: Re: NSCAW

HHS-OS-EF Lit. 18-0241 00003973

EXT-18-241-O-000417

 Hi Maggie,
Please see the attached red line and clean versions of the NSCAWdocuments .
Thanks,
Natasha

On: 01 May 2017 08:42, "Wynne, Maggie (HHS/105)" <Margaret.Wynne@hhs.gov > wrote:
Hi Natasha,
Just a reminder to OPREthat I requested to see the revised survey again even though it was cleared for the 3-day
review .
Thank you,
Maggie
From: Wynne, Maggie (HHS/IOS)
Sent: Tuesday, April 18, 2017 2 :52 PM
To: Wright, Natasha (0S/IOS)
Subject: RE: NSCAW
Hi Natasha,
(b)(5)

Thank you,
Maggie
From: Wright, Natasha (OS/IOS)
Sent: Tuesday, April 18, 2017 1 :03 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: NSCAW
Hi Maggie,
(b)(5)

Thanks,
Natasha
From: Wynne, Maggie (HHS/IOS)
Sent: Tuesday, April 18, 2017 11 :00 AM
To: Barlow, Amanda (ACF)
Cc: Mella, Emily (ACF); Wright, Natasha (05/IOS)
Subject: RE: NSCAW
Amanda,

2

HHS-OS-EF Lit. 18-0241 00003974

EXT-18-241-O-000418

 (b)(5)

Thank you,
Magg ie

3
HHS-OS-EF Lit. 18-0241 00003975

EXT-18-241-O-000419

 From: Barlow, Amanda (ACF)

Sent: Sunday, March 19, 2017 4:43 PM
To: Wynne, Maggie (HHS/IOS)
Cc: Mella, Emily (ACF); Wright, Natasha (0S/IOS)

Subject: RE: NSCAW
Magg ie,
(b)(5)

Amanda

From: Barlow, Amanda (ACF)

Sent: Friday, March 17, 2017 3:57 PM
To: Wynne, Maggie (HHS/IOS)
Cc: Mella, Emily (ACF) ( Emily.Mella@acf.hhs.gov ); Wright, Natasha (OS/IOS)

Subject: FW: NSCAW
Magg ie,
Attached are the current versions of the instruments and below are the descriptions of the changes that have been
made based on conversat ions to date. Let us know if scheduling a meet ing would be the best next step.
Amanda

From: Fortunato, Christine (ACF)

Sent: Friday, March 17, 2017 3:18 PM
To: Goldstein, Naomi (ACF)
Cc: Webb, Mary Bruce (ACF)

Subject: NSCAW
Attached is the original vers ions of Appendix A-Summary of Interviews and Appendix B-Child Interviews.
Below is a list of the changes made to the original vers ion based on conversations with the Policy Team. There have
been two rounds of revisions.
(b)(5)

4

HHS-OS-EF Lit. 18-0241 00003976

EXT-18-241-O-000420

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003977

EXT-18-241-O-000421

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Wright, Natasha (OS/1OS)
Monday, May 01, 2017 10:24 AM
Wynne , Maggie (HHS/IOS)
Re: NSCAW
020220172006 - NSCAW III - Note from Naomi to Magg ie.docx; Appx A_NSCAW
III_Summary of Interv iews_clean 4.19.17vl.docx; Appx A_NSCAW III_Summary of
Interviews _tc 4.19.17vl .docx; Appx B_NSCAW III_Child Interviews _clean 4.19.17.docx;
Appx B_NSCAWIII_Child Interviews_tc 4.19.17.docx

Hi Maggie,
Please see the attached red line and clean versions of the NSCAW documents .
Thanks,
Natasha

On: 01 May 2017 08:42, "Wynne , Maggie (HHS/1OS)" <Margaret .Wynne@hhs .gov> wrote:
Hi Natasha,
Just a rem inder to OPREthat I requested to see the revised survey again even though it was cleared for the 3-day
review .
Thank you,
Magg ie

From: Wynne, Maggie (HHS/IOS)

Sent: Tuesday, April 18, 20 17 2 :52 PM
To: Wright, Natasha (OS/IOS)
Subject: RE: NSCAW
Hi Natasha,
(b)(5)

Thank you,
Magg ie

From: Wright, Natasha (OS/IOS)

Sent: Tuesday, April 18, 2017 1:03 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: NSCAW
Hi Maggie,

HHS-OS-EF Lit. 18-0241 00003978

EXT-18-241-O-000422

 (b)(5)

Thanks,
Natasha

From: Wynne, Maggie (HHS/IOS)

Sent: Tuesday, April 18, 2017 11 :00 AM

To: Barlow,

Amanda (ACF)
Cc: Mella, Emily (ACF); Wright, Natasha (OS/IOS)
Subject: RE: NSCAW
Amanda,

(b)(5)

2

HHS-OS-EF Lit. 18-0241 00003979

EXT-18-241-O-000423

 (b)(5)

Thank you,
Magg ie

From: Barlow, Amanda (ACF)

Sent: Sunday, March 19, 2017 4:43 PM
To: Wynne, Maggie (HHS/IOS)
Cc: Mella, Emily (ACF); Wright, Natasha (0S/IOS)

Subject: RE: NSCAW
Magg ie,
(b)(5)

Amanda

From: Barlow, Amanda (ACF)

Sent: Friday, March 17, 2017 3:57 PM
To: Wynne, Maggie (HH5/I05)
Cc: Mella, Emily (ACF) ( Emily.Mella@acf.hhs.gov ); Wright, Natasha (05/105)

Subject: FW: N5CAW
Magg ie,
Attached are the current versions of the instruments and below are the descriptions of the changes that have been
made based on conversations to date. Let us know if scheduling a meet ing would be the best next step .
Amanda

From: Fortunato, Christine (ACF)

Sent: Friday, March 17, 2017 3:18 PM
To: Goldstein, Naomi (ACF)
3
HHS-OS-EF Lit. 18-0241 00003980

EXT-18-241-O-000424

 Cc: Webb, Mary Bruce (ACF)

Subject: NSCAW
Attached is the original versions of Appendix A-Summary of Interviews and Appendix 8-Child Interviews.
Below is a list of the changes made to the original version based on conversations with the Policy Team. There have
been two rounds of revisions.
(b)(5)

Thank you,
Chris

4
HHS-OS-EF Lit. 18-0241 00003981

EXT-18-241-O-000425

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Wright, Natasha (OS/IOS)
Thursday, March 23, 2017 11:37 PM
Wynne , Maggie (HHS/IOS)
(ACF) FRN for Submission for 0MB: PACE Third Follow - Up Data Collection
$ - PACE Followup 0MB 72 Mo Follow -Up Survey_03152017.docx .docx; $ - PACE
Followup 0MB 72 Month Followup Survey TOC_031517.docx .docx; $ - 30 Day
FRN_PACE 3rd Follow Up.doc .doc; $ - WORKING - CLEAN - Decision Memo _PACE 30
Day FRN_March 2017.docx .docx

Hi Maggie ,
Per the 3/24 Week Ahead report on Page 3, Item 3, please see attached for ACF's memo, FRN, and surveys for
the Pathways for Advancing Careers & Education Third Follow-up Data Collection.
Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00003982

EXT-18-241-O-000426

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:

Subject:
Attachments :

Jones, Molly (ACF)
Thursday, March 23, 2017 11:12 AM
Barlow, Amanda (ACF); Rathgeb , Colleen (ACF); Pilato, Anna (ACF)
Wynne, Maggie (HHS/1OS);Monroe , Johnathan (ACF); Wolfe, Kenneth (ACF);
Burnszynski, Jennifer (OS/ASPE); Duran, Mishaela (ACF); Schmitt , Emily (ACF); Bryans,
Amanda (ACF); Goldstein , Naom i (ACF); Barry, Melissa (ACF)
Information Memo - Home Visiting Evidence of Effectiveness Review Update
Info Memo_HomVEE Apri l Release NG to AB 3 23 2017.pdf

All,
Attached is an information memo regarding the upcoming release of updates to the Home Visit ing Evidence of
Effectiveness Review (HomVEE).
Best,
Molly B. Jones

Social Science Research Analyst
Office of Planning, Research & Evaluation
Administration for Children and Families
U. S. Department of Health and Human Services
th
330 C Street SW, 4 Floor
Washington, DC 20201
Email: mary.jones@acf .hhs.gov Phone: (202) 205-4724

Mailing List Twitter Facebook Website

HHS-OS-EF Lit. 18-0241 00003983

EXT-18-241-O-000427

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

Barlow, Amanda (ACF)
Sunday, March 19, 2017 4:43 PM
Wynne , Maggie (HHS/IOS)
Mella, Emily (ACF); Wright, Natasha (OS/IOS)
RE:NSCAW
NSCAW II version of the Child Instrument_20120209.rtf; Appx B_NSCAWIII_Child
Interv iews_cu rrent.docx

Magg ie,
(b)(5)

Amanda

From: Barlow, Amanda (ACF)
Sent: Friday, March 17, 2017 3:57 PM
To: Wynne, Maggie (HHS/IOS)
Cc: Mella, Emily (ACF) ( Emily.Mella@acf.hhs.gov ); Wright, Natasha (OS/IOS)
Subject: FW: NSCAW
Magg ie,
Attached are the current versions of the instruments and below are the descriptions of the changes that have been
made based on conversat ions to date. Let us know if schedul ing a meet ing would be the best next step.
Amanda

From: Fortunato, Christine (ACF)

Sent: Friday, March 17, 2017 3:18 PM
To: Goldstein, Naomi (ACF)
Cc: Webb, Mary Bruce (ACF)
Subject: NSCAW
Attached is the original vers ions of Appendix A-Summary of Interviews and Appendix B-Child Interviews.
Below is a list of the changes made to the original vers ion based on conversations with the Policy Team. There have
been two rounds of revisions.
(b)(5)

HHS-OS-EF Lit. 18-0241 00003984

EXT-18-241-O-000428

 (b)(5)

Thank you,
Chris

2

HHS-OS-EF Lit. 18-0241 00003985

EXT-18-241-O-000429

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

Barlow, Amanda (ACF)
Friday, March 17, 2017 3:57 PM
Wynne , Maggie (HHS/IOS)
Mella, Emily (ACF); Wr ight, Natasha (0S/IOS)
FW: NSCAW
Appx A_NSCAW 11I_Summaryof Interviews_original.docx; Appx B_NSCAWII1_Child
Interviews _or igina l.docx; Appx C_NSCAW 11I
_Caregiver Interview _clean.docx; Appx
D_NSCAW III_Caseworker Interview_clean.docx

Magg ie,
Attached are the current versions of the instruments and below are the descriptions of the changes that have been
made based on conversations to date. Let us know if schedul ing a meet ing would be the best next step .
Amanda

From: Fortunato, Christine (ACF)

Sent: Friday, March 17, 2017 3:18 PM
To: Goldstein, Naomi (ACF)
Cc: Webb, Mary Bruce (ACF)
Subject: NSCAW
Attached is the original vers ions of Appendix A-Summary of Interviews and Appendix B-Child Interviews.
Below is a list of the changes made to the original vers ion based on conversations with the Policy Team. There have
been two rounds of revisions.
(b)(5)

HHS-OS-EF Lit. 18-0241 00003986

EXT-18-241-O-000430

 Thank you,
Chris

2
HHS-OS-EF Lit. 18-0241 00003987

EXT-18-241-O-000431

 Bell. Michael (OS/ASPA)
Clark, Barbara (HHS/ASL)
Tuesday, March 14, 2017 5:45 PM
Wy nne, Maggie (HHS/IOS)
FW: Forthco ming: Two im plement at ion briefs from the PREP Mul ti -Com ponent
Evaluation

From:

Sent:
To:

Subject:

Another one that you may be interested in.

(b)(6)

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(b)(6)

(b)(6)

(b)(6)

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ogan, Scott (ACF);

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Colleagues:
This week OPREand FYSBplan to re lease two briefs t itled "Implementing a Teen Pregnancy Prevention Program in Rural
Kentucky" and "Wise Guys: Implementing a Boys-Only Teen Pregnancy Prevent ion Program in Davenport, Iowa." We do
not anticipate press inte rest in these publications.
The Personal Responsibi lity Education Program (PREP)was authorized by Congress in 2010. The program , which is
overseen by FYSB,is designed to educate adolescents on both abstinence and contracept ion for the prevent ion of
pregnancy. The prog ram must also add ress healthy t ransit ion to young adulthood by add ressing adulthood preparat ion
subj ects mandated by Congress. Most of the PREPfunding ($55 .25 m illion of $75 m illion, annually) is designated for
fo rmula grants to states and territories.
This brief is part of an evaluation project j ointly ove rseen by OPREand FYSB. The PREPMulti-Component Evaluat ion has
three primary study components : 1) a broad descr ipt ive study of state PREPgrantees ; 2) perfo rmance measure data
col lect ion and analysis from all PREPgrantees; and 3) a random assignment impact study of four PREPprograms . These
br iefs summarize the key implementation find ings from two prev iously published repo rts (i.e., Adapting an Evidencebased Curriculum in a Rural Setting: Implementing Reducing the Risk in Kentucky and Focusing on the Boys:
Implementing Wise Guys in Davenport, Iowa ). The program in Kent ucky is implement ing a curriculum in relat ively lowincome, mostly rural high schoo ls. The prog ram in Iowa is designed specifica lly for males, is being imp lemented in
middle schools and aims t o promote male respons ibility whi le helping prevent teenage pregnancy.

Implementing a Teen Pregnancy Prevention Program in Rural Kentucky - KEY FINDINGS
•

Two local health departments implemented the program, an Adapted Version of Reducing the Risk, in a
largely rural region, with teen pregnancy rates nearly twice the national average and a median income 20
percent bellow that of the nation as a whole . School and program staff reported that area youth have few
services available to them related to sex education , cont racept ion, and sexually transmitted diseases (STDs).
Health educators in the region described an environment in which teenage pregnancy is the norm among many
HHS-OS-EF Lit. 18-0241 00003988

EXT-18-241-O-000432

 fami lies and part of a cycle of poverty that has been limit ing t he prospects of area youth fo r generations. Health
educators indicated that many parents in the commun ity did not tal k to their children about sexuality and
contracep t ion. At study enrollment, students in the participat ing schools repo rte d little know ledge about
contrace pt ion.
•

Staff at these health districts shortened the original 12-hour curriculum to 8 hours to fit within the time
allotted by area schools to deliver the program . The revised Reducing the Risk curriculum covers t he f ull set of
topics covered in t he original curriculu m, but shortened the curri culum by using fewer ro le-play exercises and
having less repet ition of mate r ial. In additio n, health educators tailo red the content to local circumstances.

•

The two local health departments that participated in the study successfully delivered the curriculum to
hundreds of youth in their service regions during the study period. These results suggest t hat delivering an
abstinence and contrace pti ve educatio n curriculum in rural high schools is f easible and can fil l a pressing need .

Wise Guys: Impl ementing a Boys-Only Teen Pregnancy Prevention Program in Davenport, Iowa - KEY FIND I NGS

•

By offering programming in male-only groups, Wise Guys aimed to create an environment in which boys feel
comfortable t alking about masculinity, gender roles, and sexual health. The curriculum aims to meet t he
specific needs of adolescent males, strengt hen communicat ion between boys and t heir parent s, increase
know ledge relate d to sexual attitudes and the consequences of risky behavior, and enhance boys' ability t o
identify personal values and beliefs related to sexuality .

•

Participants received most of the program content that was offered. On average, the attendance rate at Wise
Guys sessions was 77 percent. For most participating boys, absences fro m program sessions did not appear to

reflect lack of motivation to attend, but, rathe r most often the ir absences were due to absence from school th at
day, having to ta ke a test in t he class that t hey would have missed, or at tending a field trip or special event for
another class. Accor di ng to the facil itators, school staff, evaluatio n site visit ors, prog ram observat ions, and the
part icipants themse lves, boys seemed to like particip ating in Wise Guys.
•

The facilitators delivered content that provided a substantial supplement to the sex education programming
offered in health classesat the schools. They also covered topics designed to hel p boys become responsible
men, such as values, decision making, and healt hy relatio nships. The facili t ators deliver ed Wise Guys in a safe,
boys-on ly environment for discussing tee n pregnancy prevention and adult hood preparation t opics.

Recently released OPRE publications :
• Well -being of Young Children after Experiencing Home lessness
•
Providing Financial Support for Children : Views and Experiences of Low-Income Fathers in the PACTEvaluat ion
•
Health Profession Opportunity Grants (HPOG) Impact Study: Technical Supplement to the Evaluation Design
Report: Impact Analysis Plan
• The Health Profession Opportunity Grants (HPOG) 1.0: Eligibility Criteria and App lication Procedures
•
Using Within -Site Experimental Evidence to Reduce Cross-Site Attributional Bias in Connecting Program
Components to Program Impacts

For information about recently released reports and other OPRE news, sign up for OPRE's mailing list and
follow us on Facebook and Twitt er!
Naomi Goldstein , Deputy Assistant Secretary for Planning, Research, and Evaluation
Acting Commissioner , Administration for Children, Youth, and Families
Administration for Children and Families, U.S. Department of Health and Human Services
330 C Street SW, Room 4035, Washington, DC 20201 (ph) 202 401 9220 (f) 202 205 3598
Mailing List Siqnup
Website Twitter Facebook

.:OPRE
2
HHS-OS-EF Lit. 18-0241 00003989

EXT-18-241-O-000433

 3
HHS-OS-EF Lit. 18-0241 00003990

EXT-18-241-O-000434

 Bell, M ichael (OS/ ASPA}
From :

Sent:
To:

Subject:
Attachments:

Barlow, Amanda (ACF)
Tuesday, March 14, 2017 4:36 PM
Wynne, Maggie (HHS/IOS)
RE:OPREreports
Forthcom ing: Two implementation briefs from the PREPMult i-Component Evaluation;
Forthcoming: Supporting Statewide Implementation of Evidence- Based Teen
Pregnancy Prevention Programs

Attached are the notices OPRE sent out today about these reports . These go out prior to the reports being
made available on OPRE's web site. There is not an ASPA review unless we are doing a press release to
accompany the report. For your background , here is ACF's current evaluation policy which provides the
OPRE Director authority to approve , release , and dissem inate evaluation reports
(https ://www .federa lregister.gov /docu ments/2014/08/29/2014-20616/evaluation-policy-cooperat ive-researchor-de monstra tion-projects).
I will ask OPRE to send these two through policy team review prior to publication .
Moving forward, is your preference to get a notice before OPRE sends out this notice to interest parties (which
they can add you and others to) and then you identify which reports you would like to review further? There
are normally 2-3 of these a week.
Amanda

From: Wynne, Maggie (HHS/IOS)
Sent: Tuesday, March 14, 2017 4:03 PM
To: Barlow, Amanda (ACF)
Subj ect: OPREreports
Amanda,
I heard t hat Naomi sent out an email notice today about some reports OPREprepared - and that it will release this week
- re FYSBPregnancy Prevention prog rams.

Those types of items should come to the Policy Team's (i.e., my) attention before release, but I don't think they
appeared in a week ahead report from Exec Sec.
Or will I see t hem through the ASPA clearance process before they are released?
At any rate, please notify OPREthat they shouldn't be released before Policy Team review .
Thanks,
Maggie

Maggie Wynne
U.S. Department of Health and Human Services
HHS-OS-EF Lit. 18-0241 00003991

EXT-18-241-O-000435

 (202) 205-3796 (desk- NEW)
Margaret.Wynne@hhs .gov

2
HHS-OS-EF Lit. 18-0241 00003992

EXT-18-241-O-000436

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:

Wynne, Maggie (HHS/10S)
Tuesday, March 14, 2017 4:03 PM
Barlow, Amanda (ACF)
OPREreports

Amanda,
I heard that Naomi sent out an email notice today about some reports OPREprepared - and that it will release this week
- re FYSBPregnancy Prevention programs.
Those types of items should come to the Policy Team's (i.e., my) attention before release, but I don't think they
appeared in a week ahead report from Exec Sec.
Or will I see them through the ASPA clearance process before they are released?
At any rate, please notify OPREthat they shouldn't be released before Policy Team review.
Thanks,
Maggie

Maggie Wynne
U.S. Department of Health and Human Services
(202) 205-3796 (d esk- NEW)
Margaret. Wynne@hhs.gov

HHS-OS-EF Lit. 18-0241 00003993

EXT-18-241-O-000437

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Wright, Natasha (OS/1OS)
Friday, March 10, 2017 11:25 AM
Wynne, Maggie (HHS/IOS)
RE:2-17 ACF Week Ahead Report

Hi Maggie,
ACF is checking the status of your review for this item. Please let me know at your earliest convenience.
Thanks,
Natasha

From: Wright, Natasha (0S/IOS)

Sent: Wednesday, March 01, 2017 1: 13 PM
To: Wynne, Maggie (HHS/l05)
Subject: RE: 2-17 ACF Week Ahead Report
Hi Maggie,
(b)(5)

Thanks,
Natasha

From: Wynne, Maggie (HHS/l05)

Sent: Tuesday, February 21, 2017 7:44 AM
To: Wright, Natasha (05/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Good morning, Natasha,
(b)(5)

Thank you,
Maggie
(b)(5)

HHS-OS-EF Lit. 18-0241 00003994

EXT-18-241-O-000438

 (b)(5)

HHS-OS-EF Lit. 18-0241 00003995

EXT-18-241-O-000439

 (b)(5)

From: Wright, Natasha (OS/IOS)

Sent: Friday, February 17, 2017 5:28 PM

To: Wynne, Maggie (HHS/IOS)
Subject: 2-17 ACF Week Ahead

Report

Hi Maggie,
Just wanted to share ACF's upcoming items for your rev iew. Please let me know if you need addit ional informat ion to
make approval decisions . Have a nice weekend!
Thanks,
Natasha

3
HHS-OS-EF Lit. 18-0241 00003996

EXT-18-241-O-000440

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Barlow, Amanda (ACF)
Tuesday, March 07, 2017 6:11 PM
Wynne , Maggie (HHS/IOS)
NSCAW Survey Instrument
Appx A_NSCAW III_Summary of Interviews_clean .docx; Appx B_NSCAW III_Child
Interviews_clean.docx; Appx C_NSCAW III_Caregiver Interview_clean.docx; Appx
D_NSCAW III_Caseworker lnterv iew_clean.docx

Magg ie,
(b)(5)

If you have additional questions or requested updates that are not reflected in th is version, just let us know.
Amanda
Amanda Barlow
Act ing Assistant Secretary
Adm inistr at ion for Children and Famil ies
U.S. Departm ent of Health and Human Services

(202)401-5009
Amanda .Barlow@acf . h hs.gov
www.acf.hhs.gov

HHS-OS-EF Lit. 18-0241 00003997

EXT-18-241-O-000441

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Wynne, Maggie (HHS/IOS)
Monday, March 06, 2017 10:33 PM
Valentine, Steven (HHS/IOS)
RE:2-17 ACF Week Ahead Report

(b)(5)

Thank you,
Magg ie

From: Valentine, Steven (HHS/IOS)

Sent: Monday, March 06, 2017 3:54 PM
To: Wynne, Maggie (HHS/l05)
Subject: RE: 2-17 ACF Week Ahead Report
Magg ie,
(b)(5)

Please let me know if you have any quest ions .
Thanks,
Steven

From: Wynne, Maggie (HHS/l05)

Sent: Monday, March 06, 2017 8:23 AM
To: Valentine, Steven (HHS/l05)
Subject: FW: 2-17 ACF Week Ahead Report
Importance: High
Steven,

HHS-OS-EF Lit. 18-0241 00003998

EXT-18-241-O-000442

 (b)(5)

Thanks,
Maggie
DRAFT COMMENTS:
(b)(5)

From: Wright, Natasha (OS/IOS)
Sent: Friday, March 03, 2017 4:55 PM

To: Wynne, Maggie (HHS/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Importance: High
Hi Maggie,

2

HHS-OS-EF Lit. 18-0241 00003999

EXT-18-241-O-000443

 Per your request for the following item, please see attached.
(b)(5)

Thanks,
Natasha

3
HHS-OS-EF Lit. 18-0241 00004000

EXT-18-241-O-000444

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Valentine, Steven (HHS/IOS)
Monday, March 06, 2017 3:54 PM
Wynne , Maggie (HHS/IOS)
RE:2-17 ACF Week Ahead Report

Maggie,
I agree with your comments.
(b)(5)

Please let me know if you have any questions.
Thanks,
Steven

From: Wynne, Maggie (HHS/IOS)
Sent: Monday, March 06, 2017 8:23 AM

To: Valent ine, Steven (HHS/IOS)
Subject: FW: 2-17 ACF Week Ahead Report
Importance: High
Steven,
(b)(5)

Thanks,
Maggie
DRAFTCOMMENTS:
(b)(5)

HHS-OS-EF Lit. 18-0241 00004001

EXT-18-241-O-000445

 (b)(5)

From: Wright, Natasha (0S/IOS)
Sent: Friday, March 03, 2017 4:55 PM

To: Wynne, Maggie (HHS/l05)
Subject: RE: 2-17 ACF Week Ahead Report
Importance: High
Hi Maggie,
Per your request for the following item, please see attached .
(b)(5)

HHS-OS-EF Lit. 18-0241 00004002

EXT-18-241-O-000446

 (b)(5)

Thanks,
Natasha

3
HHS-OS-EF Lit. 18-0241 00004003

EXT-18-241-O-000447

 Bell. Michael (OS/ASPA)
From:
Sent:
Subject:
Attachments:

Wynne, Maggie (HHS/IOS)
Monday, March 06, 2017 8:23 AM
Valentine, Steven (HHS/IOS)
FW: 2-17 ACF Week Ahead Report
Instrument 1 - Evaluation Abstract Template.docx; Instrument 2 - CONSORT Diagrams
Template.docx ; Instrument 3 - Baseline Equivalence Template.pdf; Instrument 4 Implementation Analysis Plan Guidance .docx; Instrument 5 - Youth Interview Focus
Group Topic Guide.docx

Importance:

High

To:

Steven,
(b)(5)

Thanks,
Maggie
DRAFTCOMMENTS:
(b)(5)

HHS-OS-EF Lit. 18-0241 00004004

EXT-18-241-O-000448

 (b)(5)

From: Wright, Natasha (OS/IOS)
Sent: Friday, March 03, 2017 4:55 PM

To: Wynne, Maggie (HHS/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Importance: High
Hi Maggie,
Per your request for the following item, please see attached.
(b)(5)

Thanks,
Natasha

2

HHS-OS-EF Lit. 18-0241 00004005

EXT-18-241-O-000449

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Wright, Natasha (OS/1OS)
Wednesday, March 01, 2017 1:13 PM
Wynne , Maggie (HHS/IOS)
RE:2-17 ACF Week Ahead Report
$Instrument 1 - Evaluation Abstract Template.docx .docx; $Instrument 2 - CONSORT
Diagrams Template.docx .docx; $Instrument 3 - Baseline Equivalence Temp late.pdf .pdf;
$Instrument 4 - Implementation Analysis Plan Guidance.docx .docx; $Instrument 5 Youth Interview Focus Group Topic Guide.docx .docx; $YARH2_Communications
Attachment A_site visit planning email.docx; $YARH2_Communications Attachment
B_site visit planning script.docx .docx; $YARH2_Instrument l_Interv iew discussion
gu ide.docx .docx

Hi Maggie,
(b)(5)

Thanks,
Natasha

From: Wynne, Maggie (HHS/IOS)

Sent: Tuesday, February 21, 2017 7:44 AM
To: Wright, Natasha (OS/IOS)

Subject: RE: 2-17 ACF Week Ahead Report
Good morn ing, Natasha,
(b)(5)

Thank you,
Magg ie
(b)(5)

HHS-OS-EF Lit. 18-0241 00004006

EXT-18-241-O-000450

 (b)(5)

2

HHS-OS-EF Lit. 18-0241 00004007

EXT-18-241-O-000451

 From: Wr ight, Natasha (0S/IOS)
Sent: Friday, February 17, 2017 5:28 PM
To: Wynne, Maggie (HHS/IOS)
Subject: 2-17 ACF Week Ahead Report
Hi Maggie,
Just wanted to share ACF's upcoming items for your review. Please let me know if you need addit ional information to
make approval decisions . Have a nice weekend!
Thanks,
Natasha

3
HHS-OS-EF Lit. 18-0241 00004008

EXT-18-241-O-000452

 Bell. Michael (OS/ASPA)
Marriott, Brian (ACF)
Sunday, October 29, 2017 12:57 PM
Wynne , Maggie (HHS/IOS)
Fwd: Draft Roll Out Plan

From:

Sent:
To:

Subject:
Attachments:

(b)(5)

Maggie,
Current estimate would be to roll this out mid to later this week. Thought you might be back
today or Monday.
Brian
From: "Huber, Valerie (HHS/OASH)" <Valerie.Huber@hhs .gov>
Subject: Draft Roll Out Plan
Date: 28 October 2017 20 :31
To: "Lloyd, Matt (OS/ASPA)" <Matt.Lloyd@hhs.gov >, "Kemper, Laura (HHS/ASL)"
<Laura.Kemper@hhs.gov >, "Palmer, Ashley (OS/ASFR)" <Ashley.Palmer@hhs.gov >,
"Marriott, Brian (ACF)" <Brian.Marriott@acf.hhs.gov >, "Valentine, Steven (HHS/IOS)"
<Steven.Va lentine@hhs.gov >, "Stannard, Paula (HHS/IOS)" <Paula.Stannard@hhs.gov >,
"Vafiades, Mark (HHS/OASH)" <Mark.Vafiades@hhs .gov >, "Powers, Mary (ACF)"
<Mary.Powers@acf.hhs.gov >, "Wagner, Steven (ACF)" <Steven.Wagner@acf.hhs.gov >,
"Bowman, Matthew (HHS/OGC)" <Matthew.Bowman@hhs.gov >
All(b)(5)

Deliberative and pre-decisional communication

Valerie Huber
Chief of Staff
Office of the Assistant Secretary for Health (OASH)
200 Independence Avenue, SW
Washington, DC 20201
202 690 7694
202 401 8034

HHS-OS-EF Lit. 18-0241 00004009

EXT-18-241-O-000453

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Huber , Valerie (HHS/OASH)
Monday, October 30, 2017 7:02 PM
Kemper, Laura (HHS/ASL); Vafiades, Mar k (HHS/OASH); Palmer, Ashley (OS/ASFR);
Lloyd, Matt (OS/ASPA); Marr iot t, Brian (ACF);Valentine, Steven (HHS/IOS); Stannard,
Paula (HHS/IOS); Powers, Mary (ACF); Wagner, Steven (ACF); Bowman, Matthew
(HHS/OGC); Wynne , Magg ie (HHS/IOS)
Moughalian, Jen (HHS/ASFR)
RE: Draft Roll Out Plan

(b)(5)

+Maggie

Deliberative and pre-decisional communication

Valerie Huber
Chief of Staff
Office of the Assistant Secretary for Health (OASH)
200 Independence Avenue, SW
Washington, DC 20201
202 690 7694
202 4018034
From: Kemper, Laura (HHS/ASL)
Sent: Monday, October 30, 2017 6:55 PM
To: Vafiades, Mark (HHS/OASH); Palmer, Ashley (OS/ASFR); Huber, Valerie (HHS/OASH); Lloyd, Matt (OS/ASPA);
Marriott, Brian (ACF); Valentine, Steven (HHS/IOS); Stannard, Paula (HHS/IOS); Powers, Mary (ACF); Wagner, Steven
(ACF); Bowman, Matthew (HHS/OGC)
Cc: Moughalian, Jen (HHS/ASFR)
Subject: RE: Draft Roll Out Plan
(b)(5)

From: Vafiades, Mark (HHS/OASH)

Sent: Monday, October 30, 2017 4: 17 PM
To: Palmer, Ashley (OS/ASFR); Huber, Valerie (HHS/OASH); Lloyd, Matt (OS/ASPA); Kemper, Laura (HHS/ASL); Marriott,
Brian (ACF); Valentine, Steven (HHS/IOS); Stannard, Paula (HHS/IOS); Powers, Mary (ACF); Wagner, Steven (ACF);
Bowman, Matthew (HHS/OGC)
Cc: Moughalian, Jen (HHS/ASFR)
Subject: RE: Draft Roll Out Plan

HHS-OS-EF Lit. 18-0241 00004010

EXT-18-241-O-000454

 (b)(5)

Mark B. Vafiades
Director of Communications
Office of the Assistant Secretary for Health (DASH}
U.S. Department of Health and Human Services HHS}
(b)(6)
Office: (202} 260-1746 I Cell
mark.vafiades@hhs.gov
From: Palmer, Ashley (0S/ASFR)
Sent: Monday, October 30, 2017 11 :02 AM
To: Huber, Valerie (HHS/OASH); Lloyd, Matt (OS/ASPA); Kemper, Laura (HHS/ASL); Marr iott, Brian (ACF); Valent ine,
Steven (HHS/IOS); Stannard, Paula (HHS/IOS); Vafiades, Mark (HHS/OASH); Powers, Mary (ACF); Wagner, Steven (ACF);
Bowman, Matthew (HHS/OGC)
Cc: Moughalian, Jen (HHS/ASFR)
Subject: FW: Draft Roll Out Plan
(b)(5)

Thanks!

From: Huber, Valerie (HHS/OASH)
Sent: Saturday, October 28, 2017 8:32 PM
To: Lloyd, Matt (OS/ASPA); Kemper, Laura (HHS/ASL); Palmer, Ashley (0S/ASFR); Marriott, Brian (ACF); Valentine,
Steven (HHS/IOS); Stannard, Paula (HHS/IOS); Vafiades, Mark (HHS/OASH); Powers, Mary (ACF); Wagner, Steven (ACF);
Bowman, Matthew (HHS/OGC)
Subject: Draft Roll Out Plan
All(b)(5)

Deliberative and pre-decisional communication

Valerie Huber
Chief of Staff
Office of the Assistant Secretary for Health (OASH)
200 Independence Avenue, SW
Washington, DC 20201
2

HHS-OS-EF Lit. 18-0241 00004011

EXT-18-241-O-000455

 202 690 7694
202 4018034

3
HHS-OS-EF Lit. 18-0241 00004012

EXT-18-241-O-000456

 Bell. Michael (OS/ASPA)
Huber , Valerie (HHS/OASH)
Monday, October 30, 2017 8:33 PM
Kemper , Laura (HHS/ASL); Vafiades , Mar k (HHS/OASH); Palmer, Ash ley (OS/ASFR);
Lloyd, Matt (OS/ASPA); Marr iot t, Brian (ACF); Valentine, Steven (HHS/IOS); Stannard,
Paula (HHS/IOS); Powers, Mary (ACF); Wagner, Steven (ACF); Bowman, Matthew
(HHS/OGC); Wynne , Magg ie (HHS/IOS); Mougha lian, Jen (HHS/ASFR); Trueman , Laura
(HHS/IEA)
RE: Draft Roll Out Plan

From:

Sent:
To:

Subject:
Attachments:

(b)(5)

(b)(5)

Deliberative and pre-decisional communication

Valerie Huber
Chief of Staff
Office of the Assistant Secretary for Health (OASH)
200 Independence Avenue, SW
Washington, DC 20201
202 690 7694
202 4018034
From: Kemper, Laura (HHS/ASL)
Sent: Monday, October 30, 2017 6:55 PM
To: Vafiades, Mark (HHS/OASH); Palmer, Ashley (OS/ASFR); Huber, Valerie (HHS/OASH); Lloyd, Matt (OS/ASPA);
Marriott, Brian (ACF); Valentine, Steven (HHS/IOS); Stannard, Paula (HHS/IOS); Powers, Mary (ACF); Wagner, Steven
(ACF); Bowman, Matthew (HHS/OGC)
Cc: Mougha lian, Jen (HHS/ASFR)
Subject: RE: Draft Roll Out Plan
(b)(5)

From: Vafiades, Mark (HHS/OASH)

Sent: Monday, October 30, 2017 4: 17 PM
HHS-OS-EF Lit. 18-0241 00004013

EXT-18-241-O-000457

 To: Palmer, Ashley (OS/ASFR); Huber, Valerie (HHS/OASH); Lloyd, Matt (OS/ASPA); Kemper, Laura (HHS/ASL); Marriott,
Brian (ACF); Valentine, Steven (HHS/IOS); Stannard, Paula (HHS/IOS); Powers, Mary (ACF); Wagner, Steven (ACF);
Bowman, Matthew (HHS/OGC)
Cc: Moughalian, Jen (HHS/ASFR)
Subject: RE: Draft Roll Out Plan
(b)(5)

Mark B. Vafiades
Director of Communications
Office of the Assistant Secretary for Health (OASH)
. HHS)
U.S. Department of Health a
(b)(6)
Office : (202) 260 -1746 / Cell
mark.vafiades@hhs.gov

.

,, ,,,, .,.

From: Palmer, Ashley (OS/ASFR)

Sent: Monday, October 30, 2017 11 :02 AM
To: Huber, Valerie (HHS/OASH); Lloyd, Matt (OS/ASPA); Kemper, Laura (HHS/ASL); Marriott, Brian (ACF); Valent ine,
Steven (HHS/IOS); Stannard, Paula (HHS/IOS); Vafiades, Mark (HHS/OASH); Powers, Mary (ACF); Wagner, Steven (ACF);
Bowman, Matthew (HHS/OGC)
Cc: Moughalian, Je n (HHS/ASFR)
Subject: FW: Draft Roll Out Plan
(b)(5)

Thanks!
From: Huber, Valerie (HHS/OASH)

Sent: Saturday, October 28, 2017 8:32 PM
To: Lloyd, Matt (OS/ASPA); Kemper, Laura (HHS/ASL); Palmer, Ashley (OS/ASFR); Marriott, Brian (ACF); Valentine,
Steven (HHS/IOS); Stannard, Paula (HHS/IOS); Vafiades, Mark (HHS/OASH); Powers, Mary (ACF); Wagner, Steven (ACF);
Bowman, Matthew (HHS/OGC)
Subject: Draft Roll Out Plan

(b)(5)

Deliberative and pre-decisional communication

2

HHS-OS-EF Lit. 18-0241 00004014

EXT-18-241-O-000458

 Valerie Huber
Chief of Staff
Office of the Assistant Secretary for Health {OASH)
200 Independence Avenue, SW
Washington, DC 20201
202 690 7694
202 4018034

3
HHS-OS-EF Lit. 18-0241 00004015

EXT-18-241-O-000459

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Wynne, Maggie (HHS/IOS)
Friday, October 13, 2017 4:35 AM
Powers, Mary (ACF)
Wagner, Steven (ACF); Marriott, Brian (ACF); Pilato, Anna (ACF); Negri, Warren A. (ACF);
Stevenson, Sarah-Lloyd (HHS/IOS); Smith, Andrew (HHS/IOS)
Re: DRAFT Statement

Thank you, Mary.
(b)(5)

On: 12 Octobe r 2017 17:35, "Powers, Mary (ACF)" <Mary.Powers@acf.hhs.gov > wrote:

Maggie,
(b)(5)

Let us know if you have edits or questions .
Thanks ,
MP

(b)(5)

Mary Powers
Policy Advisor I Immediate Office of the Assistant Secretary
Administration for Children and Familie I Department of Health and Human Services
330 C Street, SW, Washington, DC 20201
Office: (202)260-0084
Cell (b)(6)
HHS-OS-EF Lit. 18-0241 00004016

EXT-18-241-O-000460

 Email: mary.powe rs@acf. hhs.gov
Confidential and pre -decisional communication .

2
HHS-OS-EF Lit. 18-0241 00004017

EXT-18-241-O-000461

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Wright, Natasha (OS/1OS)
Friday, May 12, 2017 12:19 PM
Wynne , Maggie (HHS/IOS)
(ACF) FRN: Qualitative interview guide for PREPPromising Youth Programs study
$ Memo PYP Qual Interview Master Topic Guide_S.4.17 (3).docx; $ Instrument 5 PYP.Qualitative Interviews.Master Topic Guide.Clean_S.4.17.docx .docx; $ Instrument 5 PYP.Qualitat ive Interviews .Master Topic Guide .Track Changes_S.4.17.docx; $ 30 Day
Not ice - PREPPromising Youth Prog rams - clean ES.doc; $ Final Clean -kbc - Memo PYP
Qual Interview Master Topic Guide_S.4.17 (3).docx_.docx

Hi Maggie,
(b)(5)

Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00004018

EXT-18-241-O-000462

 Bell, Michael (OS/ ASPA}
Wynne, Maggie (HHS/IOS)
Thursday, May 18, 2017 8:08 PM
Wright , Natasha (OS/IOS)
RE:(ACF) Summary Briefs for PREPProgram

From:

Sent:
To:

Subject:

Natasha,
These briefs can be released. They got lost in my backlog.
Thanks,
Maggie
From: Wr ight, Natasha (OS/IOS)
Sent: Thursday, March 16, 2017 6:15 PM
To: Wynne, Maggie (HHS/IOS)
Subject: (ACF) Summary Briefs for PREPProgram

Hi Maggie,

Per the 3/17 Week Ahead report on Page 2, Item 2, please see attached for the memo and three summary briefs
from the Personal Responsibility Education Program Multi Component Evacuation. Summary briefs listed
below:
•

Implementing

a Teen Pregnancy Prevention

•

Wise Guys: Imp lementing a Boys-Only Teen Pregnancy Prevention

•

Supporting Statewide

Implementation

Program in Rural Kentucky
Program in Davenport,

of Evidence-Based Teen Pregnancy Prevention

Iowa

Programs

Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00004019

EXT-18-241-O-000463

 Bell, Michael (OS/ ASPA}
Wright , Natasha (OS/1OS)
Friday, May 19, 2017 11:16 AM
Wynne, Maggie (HHS/1OS)
RE:(ACF) Summary Briefs for PREPProgram

From:

Sent:
To:

Subject:

Thanks, Maggie. I have let ACF know. -Natasha
From : Wynne, Maggie (HHS/IOS)
Sent: Thursday, May 18, 2017 8:08 PM
To: Wright, Natasha (0S/I0S)
Subject: RE: (ACF) Summary Briefs for PREPProgram
Natasha,
These briefs can be released. They got lost in my backlog.
Thanks,
Maggie

From: Wr ight, Natasha (0S/I0S)
Sent: Thursday, March 16, 2017 6:15 PM
To: Wynne, Maggie (HHS/IOS)
Subject : (ACF) Summary Briefs for PREPProgram

Hi Maggie,
Per the 3/ 17 Week Ahead report on Page 2, Item 2, please see attached for the memo and three summary briefs
from the Personal Responsibility Education Program Multi Component Evacuation. Summary briefs listed
below:
•

Implementing

a Teen Pregnancy Prevention

•

Wise Guys: Imp lementing a Boys-Only Teen Pregnancy Prevention

•

Supporting

Statewide

Implementation

Program in Rural Kentucky
Program in Davenport,

of Evidence-Based Teen Pregnancy Prevention

Iowa

Programs

Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00004020

EXT-18-241-O-000464

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:

Wrigh t, Natasha (0S/10S)
Tuesday, March 14, 2017 6:00 PM
Wynne, Maggie (HHS/10S)
RE:2-17 ACF Week Ahead Report

Got it. Thank you! -Natasha
From : Wynne, Maggie (HHS/IOS)
Sent: Tuesday, March 14, 2017 5:59 PM
To: Wright, Natasha (0S/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Hi Natasha,
I found my earlier communication with the program office , which I've attached.
Because it was an FRN about an action that had already occurred and that must be publ icized in the FR, I told them it
didn't need to be cleared.
Thanks,
Maggie
From: Wr ight, Natasha (OS/IOS)
Sent: Tuesday, March 14, 2017 5:44 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Importance:
High
Hi Maggie,
Did you approve this one? Per the attached communications for ACF, they are hearing from the program office t hat you
did .
Thanks,
Natasha
•

Item: Federa l Register Not ification for the Award of One Single-Source Progra m Expansion Suppl ement Grant within the
Office of Refugee Resettlement's (ORR ) Unacc o mpanied Childr en's (UC) Program
Category: Routine
Action Needed By: February 24, 2017
Summary: The Office of Refugee Resettlement's (ORR) Unaccompanied Children's (UC) Program within the ACF,
HHS, is seeking approval to post the Federal Register Notice (FRN) to the public via the
https ://www.federa lregister .gov/ website. This FRN notifies the public of the award of a Program Expansion
Supplement Grant within ORR's UC Program

From: Wr ight, Natasha (OS/IOS)
Sent: Friday, March 03, 2017 4:55 PM
To : Wynne, Maggie (HHS/IOS)
HHS-OS-EF Lit. 18-0241 00004021

EXT-18-241-O-000465

 Subject: RE: 2-17 ACF Week Ahead Report
Importance: High
Hi Maggie,
Per your request for the following item, please see attached.
(b)(5)

Thanks,
Natasha

From: Wynne, Maggie (HHS/IOS)
Sent: Tuesday, February 21, 2017 7:44 AM
To: Wright, Natasha (OS/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Good morning, Natasha,
(b)(5)

Thank you,
Maggie
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00004022

EXT-18-241-O-000466

 (b)(5)

3
HHS-OS-EF Lit. 18-0241 00004023

EXT-18-241-O-000467

 From: Wr ight, Natasha (0S/IOS)
Sent: Friday, February 17, 2017 5:28 PM
To: Wynne, Maggie (HHS/IOS)
Subject: 2-17 ACF Week Ahead Report
Hi Maggie,
Just wanted to share ACF's upcoming items for your review. Please let me know if you need addit ional information to
make approval decisions . Have a nice weekend!
Thanks,
Natasha

4
HHS-OS-EF Lit. 18-0241 00004024

EXT-18-241-O-000468

 Bell. Michael (OS/ASPA)
From:
Sent:
To:

Cc:
Subject:

White, Jonathan (ACF)
Monday, March 06, 2017 2:45 PM
Barlow , Amanda (ACF); Wynne , Maggie (HHS/IOS); Lloyd, Scott E. (ACF); Tota, Kenneth
(ACF)
Gregg, Laura (ACF); Mella, Emily (ACF)
REQUESTFOR REVIEW(b)(5)
(b)(5)

Importance:

High

All,
(b)(5)

Please advise .
Jonathan
DRAFT LANGUAGE BELOW
Kevin,
(b)(5)

If there are questions o r concerns, please let me know.

HHS-OS-EF Lit. 18-0241 00004025

EXT-18-241-O-000469

 Jonathan
Jonathan D. White
Commander, U.S. Public Health Service
Deputy Director for Children's Programs
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
330 C Street SW
(202) 690-6984
jonat han .white@acf .hhs.gov

2
HHS-OS-EF Lit. 18-0241 00004026

EXT-18-241-O-000470

 Bell, Michael (OS/ ASPA}
From:

Lawrence, Courtney (HHS/ASL)
Monday, October 30, 2017 9:42 AM
Skrzyck i, Kristin (HHS/IOS); Wynne, Maggie (HHS/I OS)
Judiciary Hearing Transcript

Sent:
To:

Subject:

H Jud ImmigrationHearing On OversightOf The
Unit.., sked FINAL
October 27, 2017 5:38PM ET

TRANSCRIPT

October 26, 2017

COMMITTEE HEARING

REP.RAUL LABRADOR

CHAIRMAN

H JUD IMMIGRATION

WASHINGTON, D.C.

H JUD IMMIGRAT ION HEARING ON OVERSIGHT OF THE UNITED STATES
REFUGEE ADMISSIONS PROGRAM

Bloomberg Government
Support: 1-877-498-3587
www.bgov .com

Copyright 2017. Provided under license from Bloomberg Government.
All materials herein are protected by United States copyright law
and/or license from Bloomberg Government, and may not be
reproduced, distr ibuted, transmitted, d isplayed , published or
broadcast without the prior written permission of
Bloomberg Government.
HHS-OS-EF Lit. 18-0241 00004027

EXT-18-241-O-000471

 You may not alter or remove any trademark, copyright or other
notice from copies of the content.

H Jud, Subcommittee on Immigration and Border Security
Hearing on Oversight of the United States Refugee
Admissions Program

OCTOBER 26, 207

SPEAKERS :
REP. RAUL R. LABRADOR , R-IDAHO
CHAIRMAN
REP. JIM SENSENBRENNER , R-WIS .
REP. STEVE KING, R-IOWA
REP. LAMAR SMITH, R-TEXAS
REP. KEN BUCK , R-COLO.
REP. MIKE JOHNSON , R-LA.
REP. ANDY BIGGS, R-ARIZ.
REP. BOB GOODLATTE R-V.A.
EX OFFICIO

REP. ZOE LOFGREN , D-CALIF.
RANKING MEMBER
REP. SHEILA JACKSON LEE, D-TEXAS
REP. LUIS V. GUTIERREZ, D-ILL.
REP. PRAMILA JAYAPAL, D-WASH.

WITNESSES:
SIMON HENSHAW,
ACTING ASSISTANT SECRETARY OF STATE ,
POPULATION, REFUGEES, AND MIGRATION

L. FRANCIS CISSNA ,
CITIZENSHIP AND IMMIGRATION DIRECTOR

SCOTT LLOYD ,
DIRECTOR,
HHS OFFICE OF REFUGEE RESETTLEMENT ,

REBECCA GAMBLER,
2
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 DIRECTOR,
HOMELAND SECURITY AND JUST ICE,
GOVERNMENT AND ACCOUNTAB ILITY OFFICE

LABRADOR: The Subcommittee on Immigration and Border Security will come to order . W ithout objection , the chair is
authorized to declare a recesses of the comm ittee at any time .

We welcome to everyone to today's hearing on Oversight of the United States Refugee Admission Program , and now I
recognize myself for an opening statement.

I have long been a supporter of U.S. Refugee Admiss ion Program and the important humanitarian mission that it
serves. The United States and the peace and democracy under which we live shou ld give hope to those around the world
who face persecution by their government , that their home countries can at some point also be free of such tyranny.

As a former immigration lawyer I have seen the U.S. RAP at work firsthand . I have seen those who have been able to
avai l themselves of it, come to this country and thrive. But just like with many government programs that start out with the
best of intent ion and over the years prove to need updates, the time has come to reform of the program.

A few problems that have come to light in recent years include fraud , unchecked executive authority and threats to our
national security. The House Judiciary Committee has highlighted some of these deficiencies over the last few years . For
instance , we all know that during testimony in 2015, the former FBI director made troubling statements about the inability
of law enforcement officials to properly vet applicants for refugee status and former administra tion officials acknowledged
in testimony to this committee that state and local consultation throughout the refugee resettlement process has not been
as robust as needed in all cases.

In fact , I have been approached by colleagues regarding this issue. They're concerned that the views of the state and
localities they represent were ignored by an admin istrat ion that simp ly wanted to resettle as many refugees as possible
without regard to prudence .

On the issue of fraud in the program, I am pleased that today we have the Government Accountability Office here to
discuss two reports they issued this past spring. One of which highlights potential fraud in the process. These issues I
have mentioned as well as others led me to introduce H.R. 2826, the Refugee Program Integrity Restoration Act of 2017.

Among other things , the bill sets the annual refugee ceiling at 50,000 , taking this responsibili ty from the presiden t and
placing it where it should be -- with us in Congress. The bill also recognizes the states and loca lities should have a true
say in whether or not their communities are able to resettle refugees and H.R. 2826 contains provisions aimed at help ing
to detect fraud in the program and thus to reduce national security concerns.

In that vein, I know that this past Tuesday marked the end of the 120-day travel suspension for refugees pursuant to
Executive Order 13780, and I know that the relevant departments have instituted enhanced screening and vetting
procedures for refugee applicants with regard to one, the application process , two , the interview and adjudication process
and , three , the system checks conducted on applicants.

The prev ious administration always stated in response to any security related questions about the Refugee Program
that certain refugees were the most vetted foreign nationals who enter the United States, but even if true, I never
understood why the administration thought that simply because they were the most vetted that the vetting was sufficient.

3
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 It seems that within months of taking over, the new administration has identified several areas in which vetting could be
improved. I appreciate the attention to security concerns and the steps they have taken. I look forward to the testimony of
the witnesses here today and I yield back the balance of my time.

I now recognize our ranking member, Ms. Lofgren of Ca lifornia, for her opening statement.

LOFGREN: Like all members of Congress , my highest priority is protecting our national security and today's hearing
presents an opportunity to examine a threat to that security, President Trump's anti-refugee agenda.

Mr. Trump has characterized immigrants generally and refugees in particular as bad actors bent on harming
Americans. The conservative Cato Institute found that the odds of an American being killed in a terrorist attack by a
refugee are one in 3.64 billion.

By comparison , the odds of being struck by lightning are one in one in 700,000 . The truth is this, it's not refugees that
undermine our national security , it's Mr. Trump's radical restrictions on their admission . Those include multip le refugee
bans, a record low of refugee ceiling imposed at a time of record high global displacement , and a failure of American
leadership in the world.

Let me identify two of the many ways in which these policies undermine our safety. First, by substantial ly lowering
Muslim refugee admissions, these measures project anti-Muslim sentiment that further fuels ISIS recruitment. Ryan
Crocker , a former ambassador to Iraq and Afghanistan , who served under Republican and Democratic administrations put
it this way. Those who stand against refugee resettlement say they're protecting the nation. They're not. They're putt ing
the nation at greater risk by reinforcing the Islamic state narrative.

In other words , Donald Trump's actions galvanize individuals bent on committing terrorist attacks against Americans .

Second , those policies damage partnerships with key allies in the fight against terrorism. Michael Chertoff, DHS
Secretary under George W. Bush, specifically warned of the implications for our Iraqi allies. Some 60,000 of them await
refugee resettlement in America. Many of their lives are at risk because of their assistance to the American military and
state department, yet , the record low Fiscal Year 2018 refugee ceiling means that only a small portion of them will be
resettled .

By turning his back on these allies, President Trump discourages them as well as other partners around the world from
helping the United States in future anti-terror initiatives. This leaves all Americans more vulnerable to terrorist attacks.
Such national security consequences are so significant that White House aide, Steven Miller appears to have deliberately
marginalized key U.S. defense and national security agencies in order to push through the record low refugee cap.
According to a report , Miller cut out the National Counterterrorism Center , FBI, Defense Department and Joint Chiefs of
Staff -- our core national security stakeholders from discussions about reducing refugee resettlement.

The report even quotes a State Department official who stated that Mr. Miller, quote , "Suppressed evidence that was
important to consider in determining a refugee number that would be beneficial to our national security interest." This
gives the troubling appearance that the Trump administration prioritizes its anti-refugee agenda over the safety of the
American people.

Of course, I, along with all of my Democratic colleagues , support rigorous refugee vetting measures . As I noted , we
have no higher duty than protecting the American people, but let us hope that this administrat ion will not use claims of
national security or reviews of refugee vetting procedures as cover for implementing a back door Muslim ban. After all,
numerous federal courts challenged the administration's claim that its previous bans square ly advanced national security
objectives .

4
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 Refugees do more than just improve our national security ; they are core to our American identity and values. That's
why past presidents of both parties embraced them , and contrary to this administration's suggestions, numerous studies
prove they enhance our economy. Health and human services itself produced one of those studies only for the
administration to reportedly suppress it.

It showed that over a decade, refugees made a net positive economic contribution to the United States of some $63
billion. Another study found that refugees are significantly more likely than native born Americans to become
entrepreneurs , and thereby create jobs for American workers.

In my own district, refugees have immeasurably enriched our community. I'm deeply troubled by the disconnect
between the administration's rhetoric and reality , and I hope today's hearing will show greater regard for the truth. We owe
it to the American peop le to illuminate how Mr. Trump's anti-refugee policies violate our values , damage our economy ,
make all of us less safe, I would also like to add when refugees and asylees enter our country, they have constitutional
rights that must be respected .

I am sure we will explore that further in the course of this hearing, and I yield back the balance of my time.

LABRADOR: Thank you, Ms. Lofgren. I would now like to recognize the full committee chairman, Mr. Bob Goodlatte of
Virginia for his opening statement.

GOODLATTE: Thank you, Mr. Chairman and I very much appreciate you holding this hearing today on this very
important issue and with this outstanding panel of witnesses.

The United States has a generous Refugee Program has provided millions of people fleeing persecution with safe
haven. In F.Y. 2016 , we resettled 84,994 refugees. In the last fiscal year, we resettled 53,716 refugees and while we
should continue that great tradition , it has become clear that our refugee laws and policies have been abused and that
they need reform.

The Refugee Act of 1980 created our current refugee resettlement process in which the president sets the annual limit
for the number of refugees the United States can resettle during the next fiscal year and the act set forth who could be
considered admissible as a refugee and how and when those refugees could adjust to lawful permanent resident status .

In addition, the act put in place a process for the federal government to work through nongovernmental agencies to
resettle refugees. Thirty seven years later, members of Congress and the American public are voicing a growing number
of concerns about how many and the process through which refugees are admitted to the United States as well as what
happens once they are admitted, but the federal government has done little to respect those concerns.

Under the previous administration, when a state or locality expressed secur ity concerns about refugee resettlement ,
the administration simp ly repeated the sound-byte that refugees undergo the most rigorous background checks of any
immigrant to the United States. That statement ignored the concerns of several security officials that if there is no
information regarding a potential refugee in the databases that are checked , then no derogatory informat ion will show up
during the check and it ignored the fact that in many states from which refugees are admitted, failed states, there is no
reliable information about refugees.

We know that over 300 individuals being actively investigated for terrorist-related activity by the FBI came to the United
States as refugees and we know that at least two of the 10 successful terrorist attacks carried out on U.S. soil since
September 11, 2001 , were perpetrated by individuals who entered the United States as refugees .

In addition, to security concerns , if a state or locality expressed concerns about the cost of refugee resettlement or the
lack of available employment opportunities , the prior administration did little in response. It was simply their view that,
5
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 "The federa l government has the right to resettle refugees all across America ." And whi le that may be true , it is not
necessarily the best practice.

I know that many resett lement organizations do wonderful and necessary work , but essential ly ignoring the pleas of
communities across the U.S. and leaving refugee resettlement decisions to the administration , simply feeds opposition to
refugee admissions on the who le. I know that the Trump administration has already addressed some of the concerns I
have laid out today. For instance, I was happy to see that Executive Order 13780 signed on March 6, 2016 , recogn ized
the problem with lack of state and local consultation prior to resettlement and asked the Secretary of State to devise a
plan to promote state and local involvement in resettlement decisions.

And of course , the same Execut ive Order required a review of refugee processing to determine what improvements
could be made to the process and then to implement those improvements . So I look forward to hearing today how the
Departments of Homeland Security, State and Health and Human Services are working together to improve the entire
U.S. Refugee Admissions Program from referral to post resettlement so that the program can remain a valuable and
viable part of U.S. immigration policy. Thank you, Mr. Chairman . I yield back.

LABRADOR : Thank you, Mr. Chairman . I would now like to recogn ize the full committee ranking member, Mr. Conyers
of Michigan, for his opening statement.

CONYERS : Thank you , Mr. Chairman . Top of the morning, witnesses, and everyone else here. Over the course of
today's hearing on the United States Refugee Admissions Program , there are several factors that I want our witnesses
and our members to consider. To begin with, it is incontrovertible that the United States , since its found ing, has been a
nation of immigrants and in recogn ition of that fact , and of the undeniable value that immigrants contribute to our col lective
well-being, it has provided safe harbor for the persecuted.

True to these values , past presidents, Republican and Democratic alike have championed robust refugee resettlement.
For example, the annual refugee admission ceiling has averaged 94,000 since the Refugee Act of 1980 making America
the world's resettlement leader.

And just one year ago, the cap was increased to 110,000 in response to the global human itarian crisis fueled by wars
and unstable political environments. Unfortunately, the current administration in swift fash ion abandoned Amer ica's
bipartisan leadership in this arena . Pursuant to Executive Orders, President Trump issued a series of refugee bans. He
then set a Fiscal Year 2018 ceiling of 45,000 -- the lowest in modern history.

In terms of per capita refugee resettlement, that ranks the United States behind eight other nations . Under any
circumstances, these actions wou ld fly in the face of our country's values , but coming at a time when worldwide refugee
levels have soared to the highest in history, this cap to me is simply unconscionable. And worst yet, the administration's
purported just ification for its actions are baseless. For instance , the administration argues that the Refugee Program
poses a security threat.

Needless to say, Democrats stand committed to rigorous refugee vetting, but national security experts from both
parties agree that it is the absence of robust resettlement that truly undermines America's safety . By slashing refugee
admissions, President Trump damages to me key alliances in the ongoing fight against terrorism and strengthens ISIS
recruitment.

The administration also claims that refugees fai l to assimilate and that they drain public resources . Again, however , the
facts are otherw ise. Accord ing to reports and internal study by the Department of Health and Human Services suppressed
by the administration shows that refugees contributed a net posit ive $63 billion to the United States over a 10-year period .

6

HHS-OS-EF Lit. 18-0241 00004032

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 In other words, it is not refugees, but the president's restrictions of their admission that zaps the nation's coffers. In
sum, president Trump's refugee policies don't just leave lots of refugees in limbo and danger, they don't just violate core
American values, they weaken our national security, damage our economy and undermine our nation's core values.

All of this begs the question of what really fuels such policies. Tragically, the answer to that question appears to be to
me a combination of nativism, fake facts and perhaps even a little bigotry, drawing from arguments made by antiimmigrant organizations designated by the Southern Poverty Law Center as hate groups with documented links to white
nationalists.

The administration has even proposed a refugee assimilation test, which evokes such xenophobic measures as the
eugenics movement fueled the 1924 Immigration Act which restricted immigration from Southern Europe and banned it
out right from Asia. Like the 1924 Act, the present administration's refugee policies are equally inexcusab le.

In closing, I urge our witnesses today to examine these policies unflinchingly and to assess how grave ly they endanger
our values, our economy and even our national security.

I look forward to your testimony and I thank the chairman and I yield back.

LABRADOR: Without objection, other members' opening statements will be made part of the record.

LOFGREN: Mr. Chairman, may I be granted to grant unanimous consent to place into the record statements from the
Hebrew Immigrant Aid Society, the International Refugee Assistance Project, the Lutheran Immigration Refugee Service,
the U.S. Catholic Conference of Bishops , Truth World Services, the Cato Institute , the Episcopal Church and a letter to
acting Secretary Eric Hagan and Director Lloyd from and over 100 organizations including the California Women's Law
Center, Catholics for Choice, the American Rabbis' Human Rights Campaign and others.

LABRADOR: Without objection, they'll be made part of the record. Today, we have a distinguished panel. The
witnesses' written statements will be entered into the record in its entirety and I ask that you summarize your testimony in
five minutes or less.

To help you stay within that time, there is a timing light on your table. When the light switches from green to yellow, you
will have one minute to conclude your testimony. When the light turns red, it signals that your five minutes have expired.

Before I introduce our witnesses, I would like you to stand and be sworn in.

Do you swear that the testimony you're about to give is the truth, the whole truth and nothing but the truth?

Let the record reflect that the witnesses answered in the affirmative , thank you and please be seated.

Mr. Simon Henshaw has served as the Acting Assistant Secretary of the Bureau of Population, Refugees and Migration
at the Department of State since July 15, 2017. Mr. Henshaw previous ly served as director of Indian Affairs in the State
Department's Bureau of Western Affairs Deputy Chief of Mission at the U.S. Embassy in Honduras and several other
capacities at the State Department.

Mr. Henshaw attended the National War College where he earned a masters of science in national security affairs and
has a bachelor of arts in history from the University of Massachusetts at Amherst.

7
HHS-OS-EF Lit. 18-0241 00004033

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 The Honorable L. Francis Cissna is the director of U.S. Citizensh ip and Immigration Services . Previously, Mr. Cissna
served as the director for Immigration Policy within the OHS Office of Policy and as the acting director and deputy director
of immigration and border security policy in the OHS Office of Policy. Before serving at OHS headquarters, he worked in
the USCIS Office of the chief counse l as an associate counsel in the Adjudications Law Division.

Mr. Cissna received his J.D. from Georgetown University Law Center. He received a masters degree in International
Affairs from Columbia University and bachelor's degree in both physics and political science from the Massachusetts
Institute of Technology -- physics and political science -- that is an interesting comb ination.

Mr. Scott Lloyd is the director of the Office of Refugee Resettlement. Mr. Lloyd previously worked as an attorney in the
Public Policy Office at the Knights of Columbus. Before joining the Knights, he worked in private practice at the
Department of Health and Human Services and on Capitol Hill. Mr. Lloyd received his undergraduate education at James
Madison University and earned a J.D. at Catholic University of America Columbus School of Law.

Ms. Rebecca Gambler is a Director in the U.S. Government Accountability Office, Homeland Security and Justice team
where she leads GAO's work on border secur ity, immigration and elections issues. Ms. Gambler joined GAO in 2002 .
Prior to join ing GAO, Ms. Gambler worked at the National Endowment for Democracy's International Forum for
Democrat ic Studies. Ms. Gambler has an M.A. in National Security and Strateg ic Studies from the United States Naval
War College and M .A. in International Relations from Syracuse University and an M.A. in politica l science from the
University of Toronto.

I know recognize Mr. Henshaw for his statement.

HENSHAW: Thank you very much, Chairman Labrador and distingu ished Members of Congress and thank you very
much for holding th is hearing on the U.S. Refugee Admissions Program which I will now have to refer to as USRAP.

I apprec iate the opportunity to address your subcommittee w ith my col leagues from the Departments of Homeland
Security, Health and Human Services and GAO. Together, the Department Of State, OHS and H.H.S. plan to bring up to
45,000 refugees to the United States through the USRAP in Fiscal Year 2018 .

The security and welfare of the American people is this administration's top priority. We have instituted additional
procedures in the USRAP interview and adjudication and systems checks processes to strengthen our vetting system. We
will continue to find ways to make our screening procedures more effective in order to protect the American people.

For those eligible for protection as refugees, the USRAP is committed to deterring and detecting fraud among those
seeking to resettle in the United States. We will continue rigorous security measures to protect against threats to our
national security.

In F.Y. 2018, the United States expects to continue to permanently resettle more refugees than any other country and
we will continue to offer protection to the most vulnerab le of those who have been persecuted because of race, religion,
nationality, membership in a particular socia l group or political opinion.

Since 1975, the United States has we lcomed more than 3.4 million refugees and the United States continues to
operate the largest refugee resettlement program in the wor ld. Through the USRAP and our generous assistance program
for refugees and countries of first asylum, the United States demonstra tes its commitment to protecting the most
vulnerable of the world's refugees while keeping America safe from harm.

According to the United Nations' High Commission for Refugees, UNHCR, there are 65.6 million forcibly displaced
people in the world today, 22.5 million of whom are refugees. The United States and UNHCR focus on three durable
solutions to address the world refugee situation.
8
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 Voluntary repatriation, local integration and resettlement to a third country.

The United States and UNHCR recognize that most refugees desire safe voluntary return to their homeland and we
share UNHCR's priority of helping facilitate the voluntary repatriation of refugees in safety and dignity.

In 2016, some 552,000 refugees voluntarily repatriated to their countries of origin. For those refugees who are unable
to voluntarily return safely to their home countries, the United States supports efforts to help refugees to become selfsufficient and locally integrate into their countries of first asylum. The Department of State encourages host governments
to protect refugees and to allow them to integrate into local communities.

We brought local integration by funding programs to enhance refugee self-reliance and support community-based
social services. Our support has enabled numerous refugees from around the world to integrate into their host
communities abroad even while awaiting eventual voluntary repatriation.

For refugees who are unable to return home safely or integrate locally, resettlement in third countries provides durable
protection. The USRAP's security vetting process is managed by OHS and includes the participation of the Departments
of State and Defense, the FBI and intelligence community including the National Counterterrorism Center.

OHS retains the authority to refuse refugees for admission. In response to Executive Order 13780, protecting the
nation from forced terrorist entry into the United States, refugee admissions were suspended in FY 2017 for a 120-day
period with the exception of certain cases.

During this period, the Departments of State and Homeland Security and the Office of the Director for National
Intelligence, as well as additional intelligence and law enforcement agencies reviewed and enhanced the security's
screening regime for refugees. The program is currently in the midst of an additional review of nationals of countries -- of
certain countries with the potential for higher risk.

The USRAP is premised on the idea that upon resettlement in the United States, refugees should become
economically self-sufficient as quickly as possible. The Department of State works domestically with agencies
participating in the reception and placement program to ensure that refugees receive services during the first 90 days
after arrival in accordance with established standards.

During and after the initial resettlement period, the Department of Health and Human Services Office of Refugee
Settlement provides technical assistance and funding to states , the District of Columbia and nonprofit organizations to
help refugees become self-sufficient and integrated in to U.S. society.

Thank you very much. I look forward to responding to your questions.

LABRADOR: Thank you very much. I now recognize Mr. Cissna for five minutes.

CISSNA: Thank you, Chairman Labrador. Chairman Goodlatte , Ranking Member Lofgren and Ranking Member
Conyers , and good morning to the Members of the committee. My name is Francis Cissna and I am the Director of U.S.
Citizenship and Immigration Services or USCIS.

I am glad to have this opportunity to discuss the role of USCIS in the nation's refugee admissions processes. I look
forward to meeting each of you individually to discuss our views in immigration and how we can work together to improve
our nation's immigration system.
9

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 Since this is my first opportunity to address any part of Congress in my new capacity as Director, I wanted to take a
moment to quickly let you know some of my philosophy regarding the work that we do at USCIS.

Upon my arrival at USCIS, about two weeks ago, I made it clear to the leadership team that my vision of the agency's
mission is one that focuses on three things -- efficiency, fairness and lawfulness.

Efficiency -- the sheer volume of the work that USCIS does makes it imperative that the efficiency be one of our key
goals. Movement from antiquated paper-based processes to one that leverages the latest technology will allow us the
process applications and petitions in an efficient and integrated way.

Fairness, transparency in our operations from individual case inquiries to massive data requests is essential to the
question of fairness. USCIS , under my leadership, is committed to providing the most accurate and complete information
to the public whether they are applicants, petitioners or the general public as possible. Doing so I believe will demonstrate
our promise to adjudicate benefit applications and petitions fairly.

Finally, lawfulness. Everything we do must be done in accordance with the law. Too often, noble intentions have
resulted in creation of policies and programs that circumvent or even directly contradict our nation's immigrat ion laws.

Under my leadership, I will ensure that everything that we do -- pol icy and process -- is always in agreement with the
law. You can be sure that these principles will be applied to every part of USCIS's operation including the topic of today's
hearing refugee admissions .

USCIS is we are prepared to work closely with the Department of State and other interagency partners to support our
Refugee Admissions Program of up to 45,000 arrivals in F.Y. 2018 while at the same time assiduously maintaining and
improving the integrity of the program and our national security.

On March 6th of this year, President Trump issued Executive Order 13780 called Protecting the Nation from Foreign
Terrorists' Entry into the United States. In that document, the president stated this , "It is the policy of the United States to
protect its citizens from terrorist attacks including those committed by fore ign nationals." While the Executive Order has
been the subject of litigation and portions of it were enjoined for a time , USCIS has worked aggressively to strengthen the
integrity of the U.S. Refugee Admissions Program consistent with its legal obligations .

Pursuant to that Executive Order, USCIS and its partners engaged in a 120-day review process that ended just two
days ago. I would like to share at this time some of the results of that review. As a result of the review, the federal
government is implementing enhancements that have raised the bar for vetting and screening procedures including
enhancing the collection of biometric information , better information sharing between state and DHS and new training
procedures to strengthen screeners' ability to detect fraud and deception.

Recognizing that the suspension of the Refugee Admissions Program in Executive Order 13780 has served its
purpose, the president issued a new Executive Order ending the suspension and directing State and OHS to resume
refugee resettlement processing consistent with the improved vetting measures.

While OHS, state and the Directorate of National Intelligence have jointly determined that the screening and vetting
enhancements to the Refugee Admissions Program are adequate to generally resume refugee admissions , they have
also concluded that additional in-depth review is needed with respect to refugees from 11 countries that were previously
identified as posing higher risk to the United States.

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 Consequently, admissions for applicants from those 11 high-risk countr ies will resume , but on a case by case basis
during a 90-day review period . As DHS state and DNI complete individual country reviews , they may resume a standard
admissions process for applicants from those countries .

These new measures are part of the administration's initiative to raise national security standards across the board.
These enhancements will continue to be evaluated to determine efficacy for ensuring national security, the administration
will continue to work closely with law enforcement and intelligence communities on these security enhancements and of
course , we will work with you to ensure that operational and legislative efforts are well coordinated.

Finally, I wanted to just touch one subject and that is the asylum back log that USCIS is facing right now. We are
looking at 300,000 cases. Thank you.

LABRADOR: We'll let you touch on that during quest ion and answer. Thank you very much .

Now, I recognize Mr. Lloyd for five minutes .

LLOYD: Chairman Labrador, Ranking Member Lofgren, Ranking Member Conyers and Members of the subcommittee
thank you for invit ing me to discuss the Department of Health and Human Services' responsibilities to help refugees
resettle in the United States .

My name is Scott Lloyd and I am the Director of the Office of Refugee Resettlement. I oversee ORR's programs which
provide refugees, asylees, victims of trafficking and other populations with support and services to assist them to become
integrated members of American society.

In my test imony today , I will describe the role that H.H.S. plays in refugee resettlement and upcoming initiat ives that
the office plans to pursue . In add ition to refugees, asylees, Cuban and Haitian entrants, special immigran t visa holders
and victims of human trafficking are eligible for O.R.R. services.

ORR's mission is to link these populations to resources to help them become successfully assimilated members of
American society. In Fiscal Year 2016 , the United States resett led refugees from 89 countries. In total , over 212,000
individua ls were eligible for resettlement services through O.R.R. programs .

ORR carries out its mission to serve refugees through grants and related services administered by state governments
and nonprofits organiza tions including faith-based groups and an extensive public- private partnership network. Through
these grants , ORR provides time limited cash and medical assistance to newly arrived refugees as well as case
managemen t services , English language classes and emp loyment services -- all designed to facilitate refugees'
successful transition and assimilation into the life in the United States.

To ensure a successfu l transition for refugees, ORR funds cash and medical assistance for individuals who are
determined not eligib le for SSI, TANF and Medicaid . The program is administered by states and by voluntary
organ izations under the Wilson/Fish Programs. ORR provides this assistance to eligible populations for up to eight
months after their arrival in the United States.

A portion of new entrants part icipating in the Voluntary Agency Matching Grant Program rather than the Refugee Cash
Assistance Program . Through the Matching Grant Program, ORR funds U.S. resettlement agenc ies to help refugees
become employed and self- suffic ient within their first four months in the U.S. by providing services such as case
management , job skill development , job placement and follow up and interim housing and cash assistance .

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 Participating refugees may now access other public cash assistance if they choose to participate in the Matching Grant
Program . This emp loyment focused case management model has proven to be effect ive in helping refugees ach ieve
economic self-sufficiency .

In fiscal year 2016 , the Matching Grant Program served almost 35 ,000 refugees, asylees, entrants and special
immigrant visa holders and reported economic self-sufficiency rates of approximately 84 percent for refugees at 180 days
after arrival.

ORR also provides funds to state governments and private nonprofit agenc ies to support social services including
English language courses , employment services and social adjustment services. ORR allocates these funds based on a
formu la tied to the prior year of arrival data that accounts for refugees and other entrants' movements to other states after
their initia l resettlement.

ORR provides targeted assistance grants to states with qual ifying counties that have high numbers of refugee arrivals .
Services prov ided by this program are generally designed to help refugees secure employment within one year or less of
their arrival.

ORR programs also support economic development activities. These programs focus on financial literacy , estab lishing
credit and match savings in support of housing purchases, educational goa ls and hundreds of business startups that in
turn emp loy thousands .

ORR is committed to achieving a culture of excel lence throughout its programs. To do this , the program is redoubling
its efforts to obtain dependable data on program outcomes and to incorporate evidence based decision mak ing.

Over the past year , ORR has engaged in an initiative to improve data and research on how refugees are integrating
into the United States . ORR has awarded two research contracts. The first contract wil l oversee the annual survey of
refugees for the next two years. We have worked to improve the sampling design and methodology to ensure that ORR
has nationally representative data on refugees' first five years in the United States .

The second research contract will assess ways to improve the survey as an indicator of refugees' successes and
chal lenges . In addition, ORR is particular ly interested in enhancing data collection from our state and local serv ice
providers to better assess refugees' success and assimilation in communi ties post arrival. ORR is working on a number of
related data collection initiatives to strengthen program performance reporting and outcomes.

I welcome this comm ittee's interest in HHS's Refugee Resettlement Programs. Thank you for the opportunity to
discuss the work we perform and I'd be happy to answer any questions.

LABRADOR: Thank you, Mr. Lloyd. I now recognize Ms . Gambler for five minutes.

GAMBLER: Good morning , Chairman Labrador , Ranking Member Lofgren , Rank ing Member Conyers and Members of
the subcommittee. I appreciate the opportunity to testify at today's hearing to discuss GAO's work on the process by
which refugees seek to be resettled in the United States.

The United States admitted nearly 85,000 refugees in Fiscal Year 2016 and over 50,000 in Fiscal Year 2017 . In recent
years, questions have been raised regard ing the adequacy of the process for screen ing refugees seeking resett lement
and the extent to which the process may be vulnerable to fraud .

In two GAO reports issued earlier this year, we examined U.S. government efforts to oversee and implement the U.S.
Refugee Admissions Program as well as efforts to identify and address potentia l fraud in the program.
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 My oral remarks summarize GAO's key findings and recommendations in three areas. One, policies and procedures
for case processing; two , policies and procedures for adjudicating refugee applications and three ; efforts to assess and
address fraud risks.

First, state through its nine support centers oversees has policies and procedures for processing refugee referrals and
applications to the United States. For example, state's procedures include requirements for these centers to conduct prescreening interviews of applicants to obtain information on their persecution stories among other things.

State also has various mechanisms to oversee the activities of these refugee support centers. However , state does not
have outcome based performance indicators to assess the center's performance such as ensuring the quality of the
centers pre-screening activit ies. We recommended that state develop such indicators and state concurred .

Second , within the Department of Homeland Security, USCIS has policies and procedures to adjudicate refugee
applications. For those adjudications that we were able to observe during our audit work, we found that USCIS staff
generally implemented these procedures.

We also found that USCIS provided training to all officers to adjudicate refugee applications abroad. However, USCIS
could improve its training. Specifically, we found that officers who adjudicated applications on a temporary basis did not
receive the same amount or type of training as full-time refugee officers. We recommended that USCIS provide additional
training for temporary officers and USCIS has since done so.

Further, with regard to quality assurance , USCIS has not regularly assessed the quality of refugee adjudications to
help ensure that files are complete and that decisions on applications are well documented and legally sufficient. Thus, we
recommended that USCIS conduct regular quality assurance assessments of refugee adjudications .

Finally, state and USCIS have procedures to mitigate fraud risks in the Refugee Admissions Program , but could
improve their efforts. While infrequent, instances of staff fraud have occurred such as processing center staff soliciting
bribes from applicants in exchange for promises of expedited processing. In response , these centers have design control
activities to address staff fraud, however state has not required that all centers conduct staff fraud risk assessments.

Further, regarding applicant fraud , in the past , state has suspended Refugee Resettlement Programs because of
fraud. State and USCIS have implemented mechanisms to help prevent applicant fraud , however , they have not jo intly
assessed applicant fraud risks program- wide.

Absent such joint assessments , state and USCIS do not have comprehensive information on risks that may affect the
integrity of the process. We recommended that state regularly review processing center staff fraud risk assessments and
use them to examine the suitability of existing fraud controls. We also recommended that state and USCIS conduct
regular joint fraud risk assessments of the program.

State and USCIS concurred with these recommendations.

In closing , given the potential consequences that the outcomes of decisions on refugee applications can have on the
safety and security of both vulnerable refugee populations and the United States, it is important that the U.S. Government
have an effective refugee process to allow for resettlement of approved applicants while preventing those with malicious
intent from using the program to gain entry to the country.

This completes my prepared statement and I'd be happy to answer any questions from members.

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 LABRADOR : Thank you very much . We will proceed with the five- minute rule with questions. I will begin by
recognizing myself for five minutes .

Mr. Henshaw , as you know last year , the U.S. entered into an agreement with Australia to accept over a thousand
refugees that Australia has refused to resett le. Many of whom are from countries of national security concern. When this
committee inquired about the agreement , we were told that it was classified . Press reports have indicated that the deal
was a little more than Australia agreeing to resettle a small number of individuals from the northern triangle countries
Don't you agree that the American people have a right to know the details of that agreement?

HENSHAW: Sir, it is our intention to make public as much as the agreement as we can. The report that you initially
referred to was class ified and rema ins classified. We have been unab le to declassify it, but nevertheless , we wi ll continue
to ...

LABRADOR: Why is that?

HENSHAW : Sir, the origina l report was classified by the Australians and we have an agreement with the Australians
that if they classify a report , it's classified under our system.

LABRADOR : So will you commit to supporting the declassification of the agreement? Can yo u find a way to declassify
-- we are talking about an agreement that affects the lives of American peop le, not -- it's not the Australian people . So how
do we let our people know what is in that agreement and what we're doing?

HENSHAW: I wi ll continue to work towards declassifying the report , sir. I believe that most of the information in the
report is already in the public domain.

LABRADOR : Yes, but we need to know from the government and not what has been leaked to the press , but I want
testimony on what exact ly we agreed to with the Austra lians. Will you commit to doing that?

HENSHAW: I will commit to continu ing to work to declassify the information, sir.

LABRADOR: Can you please exp lain the role of the RFC's and the Refugee Program?

HENSHAW : Yes , sir. We use RFC's to enter the origina l data on refugees who we are considering for resettlement into
the United States. We do some ear ly interviewing to collect data -- biographical data and information from them so that it
can be later used by OHS and so that we can enter that into our security systems so that security reviews can be carr ied
out.

LABRADOR: What types of fraud have occurred at the RFC level?

HENSHAW: I'm not prepared to give fu ll details . I just don't have it w ith me on fraud, but...

LABRADOR: Didn't you know you were coming to testify about this program?

HENSHAW: Yes , I did know, sir. Yes.

LABRADOR: So why are you not prepared?
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 HENSHAW: I could give you some examples, if you would like, sir. We have had a couple of cases where people have
-- we have had a couple of cases where people have attempted to portray their information incorrectly to R.F.C. members,
but in all cases that I'm aware of ...

LABRADOR: I would like to see a report on what kinds of frauds. I thought that was the purpose of this hearing and I'm
a little bit dumbfounded that we don't have that information, so I would like to know -- that's what we're trying to figure out
what is happening with this program and I would like that information.

Mr. Cissna , can you explain why the decision was made to concentrate on asylum cases as opposed to refugee cases
this fiscal year?

CISSNA: Well , as I started to say earlier, but then ran out of time ...

LABRADOR: Yes.

CISSNA: We -- USCIS is facing a backlog of about 300,000 asylum cases and the way we look at it, the asylum work
that we do is complimentary to the refugee work. These are all vulnerable populations , these are people seeking relief
under the same standard and the backlog is untenable.

We can't have that backlog persist because people are going years potentially waiting for a court date to have their
benefits adjudicated. So we want to divert resources from refugee processing to the asylum backlog to reduce that
backlog.

LABRADOR: You're just trying to help with the backlog of asylum?

CISSNA: Yes.

LABRADOR: It's not something nefarious that you're trying to hurt people , you're actually trying to help people.

CISSNA: No, we want to help them and ...

LABRADOR: All right , thank you. The previous administration consistently told us that refugees underwent the most
rigorous vetting of any other immigrant, but your testimony notes that several ways to enhance the process for screening
and vetting refugees have now been identified. Apparently, that's been news to the previous administration. Can you
explain what some of those holes in the process were and what changes have been made? And do it quickly.

CISSNA: Yes, I wouldn't call them holes necessarily, I would say that the processes that we have long had in place
could have been improved and will be improved and some of the things we are doing , we're enhancing and increasin g the
types of information we're collecting from people. We're checking -- we're improving our interview processes and the
guidance to the people in the field to conduct the interviews to root out fraud and determine credibility and finally, the
types of checks we are doing on people are also being expanded and enhanced to ensure sure we get the most possible
value from those types of investiga tions .

LABRADOR: Thank you very much. I now recognize the gentlelady from California, the Ranking Member of this
subcommittee.

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 LOFGREN: Thank you, Mr. Chairman. I can't help but note that yesterday , we marked up a bill that would allow
hundreds of thousands , maybe even millions of workers paid sub-minimum wage to come into the U.S. with no vetting
whatsoever. So if I were a potential terrorist , I think, I might look at that route instead of the extensive route that you're
describing.

But moving right. ..

LABRADOR: Thanks for letting them know how to do it.

LOFGREN: Moving right along, I would like to ask you, Mr. Lloyd, about policies relative to the rights of asylees in your
custody. I know that we are all aware that a so-called Jane Doe , a 17-year-old immigrant woman in ORR custody was
blocked from accessing an abortion and forced to continue a pregnancy against her will. She is a minor, but a court had
decided that she had the maturity to make the decision on her own and yet, she continued to be blocked from this
constitutionally protected health care.

She wasn't asking the government to pay for her care or to transport her to a doctor just to get out of the facility so that
she could access a constitutional right that she had to terminate her pregnancy, obviously as a 17-year-old she could not
legally consent to the -- I don't know whether she was violently raped or it was a product of statutory rape .

She was finally released because the court did intervene. So I would like to ask you about your general belief about the
rights of women and girls that who are in OR R's custody. Do you believe that women and girls in your custody have
Constitutional Rights like other people who are in America or do you think that constitutional rights , for example, to due
process and privacy depend on immigration status?

LLOYD : I think anybody and you're referring to the Unaccompanied Alien Chi ldren Program where we provide shelters
in a number of locations throughout the country, but I think anybody who comes into the United States comes with a
potential to become a full U.S. citizen with full rights to all the freedoms we enjoy , including the freedom to move freely
and the bear arms and to vote and others, but that's always subject to a process whether it's -- if they come through as a
UAC or if they come through some other means, it's a process whereas the person who moves through the process and
they gain additional rights.

LOFGREN: Let me interrupt because the Due Process Clause appl ies to everybody who's here, I believe , I mean,
that's what I learned in law school. That's what the case law seems to say. Do you agree with that or not?

LLOYD: The Due Process Clause does, yes.

LOFGREN: Okay , let me ask you in terms of moving forward prospectively , the Washington Post reports -- and we
don't know if this is true or not, which is why I'm asking you -- that suggested that you have personally intervened to try
and persuade minors not to have abortions.

I would like to know , did you have direct contact with the young woman in this case that was in the paper? Do you
have direct contact with other pregnant girls in the care of ORR? And do you have any medical train ing?

LLOYD : Well, forgive me but you know , some of the answers to the questions that you're asking are -- my ability to
answer them fully are really limited by a number of factors including the court orders and also our duty to protect the
individual. ..

LOFGREN: I'm not asking for a name. Have you ever contacted any anonymous young girl in your care trying to talk
her out of having an abortion?
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 LLOYD: As the director, I run UAC Program, the Repatriation Program and Refugee Resettlement Program and I am
out in the field in many of our locations and I meet with you know, dozens and even perhaps hundreds of people who we
serve, the populations we serve and so among them , I'm certain that some of them were pregnant at the time.

LOFGREN: I'm disturbed that you won't answer the question and my time has expired , Mr. Chairman .

LABRADOR: Thank you. The chair will now recognize the gentleman from Iowa for five minutes.

KING: Thank you, Mr. Chairman and I thank the witnesses for your testimony. I was just listening to the gentlelady
from Californ ia's dialogue here and I'd say first that what has been created by that decision of the unelected judge is an
unconditiona l right to an abortion to a minor who can sneak into the United States and is still subject to the adjudicat ion of
deportation .

She had a full right, a full ability I should say rather than a right to go back to her home country wil lingly and subject
herself to the laws of her home country and so I think this is a terrib le precedent that's been set by this judge and I hope
that this full Judiciary Committee one day soon addresses the rogue judges that we have in this country and this includes
Judge Watson out in Hawaii and the j udge in Washington that seemed to be venue shopping people that decide they that
they are going to challenge the statutes of the United States, duly passed by the United States Congress and signed into
law by the president of the United States and for them to turn that completely upside down .

And so, I wou ld like to turn first to Mr. Cissna with regard to that and there has been discussion about the Executive
Orders and I'd expand it to the challenges to the Executive Orders that have taken place in the courts and I read the
statute and I don't have them in front of me, but it's very clear.

Congress has granted the president the authority to determine who comes and goes from the United States of America
with the security interests of America in mind and it doesn't say that a judge anywhere can look over his shou lder and
determine that his judgment is flawed and their judgment is superior. And so, I'd ask you if you have any opinions upon
that statute after I have expressed mine, Mr. Cissna.

CISSNA: Well, with respect to the refugee statute , Section 2017 of the Immigration Act, it's pretty clear that the
authority to let refugees in is totally discretionary. So the authorities that we are now using to restart the program after the
suspension was lifted comply with that and the types of checks we are doing -- all those things that we are doing that we
have ta lked about earlier are in full compliance with that , I believe.

KING: And you discussed enhanced biometric collection , could you expand on that a little bit for us, please?

CISSNA: I think , in answer to that question as with many other questions along those lines, I probab ly wou ldn't be able
to get into a big detail because of law enforcement sensit ivities , but I can say that the types of -- the classes of peop le
from whom biometr ics will be taken, it is intended shall be expanded in certain cases, so more people -- we wil l get
biometrics from more people and the types of databases against wh ich they are checked w ill also be expanded .

KING: So what are talking? Fingerprints?

CISSNA: Primarily, yes.

KING: Are doing dig ita l photographs? Facial recognition?

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 CISSNA: Yes, we have always done that. We have always taken photographs , yes.

KING: But that would be pretty much the sum total of the biometrics we are discussing when we referred to it a
moment ago?

CISSNA: I think in general, for now, yes, but that doesn't preclude other biometrics.

KING: DNA, I hope one day . It's cheap to get and cheap to keep. So that's my recommendation, Mr. Cissna. Thank
you.

I would like to turn to Ms. Gambler , in your report, some questions came to mind to me and you in the High
Commission on Refugees in cooperation with them , that's referenced in your report, can you tell me does the U.N. High
Commission on Refugees , do they do background checks on any of the lists that they maintain and pass over to us for
potential refugees?

GAMBLER: We can follow up and see what specific information we have on that , Congressman King and get back to
you. I do know they are under the framework of cooperation that exists between the Department of State and UNHCR. I
know that there are kind of some feedback loops back and forth on that. We would be happy to follow up and get any
additional information.

KING: And I'd appreciate if you could do that, but it would be my understanding would be that at this point, you are not
aware of what background checks might be done if any by UNHCR.?

GAMBLER: Yes , we'll follow up with you on that. The other thing I would say that was that the U.S. Refugee
Admissions Program is designed to be a multi-step process and so, once referrals are made from UNHCR. to the
Department of State, that's when the federal government adjudication and security check process begins.

KING: But as far as I know, and I am only going to say this, as far as I know, the information that's referred to us from
the UNHCR. doesn't really have a background check , it's simply a file that gets passed on to us and it takes time for them
to move through the final, maybe as long as two years.

So in the background checks that we do have that we are relying upon for this uber vetting process that the president
has described , if there's no legal existence of that individual in their home country or none that can be uncovered by the
record, then if it comes up empty, we are just stamping them U.S.A. approved and moving them into the country , would
that be a fair representation?

GAMBLER: As we noted in our report, Congressman King, government officials have stated that the security checks
are reliant on the information that the U.S. government has.

KING: And if there's none available , then we're relying upon empty -- Mr. Chairman, I ask unanimous consent for one
more short question, please?

LABRADOR: Without objection.

KING: Thank you, Mr. Chairman. I think I have forgotten the question , but it was that -- with the vetting process that we
have and the lack of biometrics that we have, you know , I'm just going to suspend that because I don't think it's well
enough thought out and I'd yield back, but thank you for your attention though.

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 LABRADOR: Thank you, Mr. Chairman. I yield the time to the ranking member of the subcommittee -- of the committee
-- entire committee.

CONYERS : Thank you , Mr. Chairman and I appreciate the discussion that has been generated. Let me start off by
observing that since the Trump administration has come into being , briefing requests submitted by Democratic members'
staff have been repeatedly ignored or delayed. Do each of you promise to respect and satisfy the briefing and other
requests staffs make from both the Republican and Democratic members alike, Mr. Cissna? You okay with that?

CISSNA: I'm okay with providing any technical assistance or briefings you want from my agency.

CONYERS: Okay, thank you . Mr. Lloyd, you okay with that?

LLOYD: Yes , certainly .

CONYERS : Thank you. Mr. Henshaw?

HENSHAW: Yes , sir.

CONYERS: Okay, fine . I wanted to observe is that my district has benefited greatly from the economic contributions of
the refugee commun ity. Refugees from around the world live and reside and own businesses in the Detroit area that I
represent and I welcome these hardworking refugees and think that my opinion and th ink that my community is better as a
result and economists have also found that refugees have higher entrepreneurship, make significant contribut ions to the
economy and on average, pay more than $21,000.00 in taxes than they receive in benefit and I have got a couple of
studies that back it up. I'd like consent to include them in the record, Mr. Chairman.

The new American economy struggles to resilience as well as the econom ic and social outcome of refugees in the
United States, and I ask unanimous consent to enter them into the record.

LABRADOR: Without objection, it will be entered into the record.

CONYERS : Thank you very much. Is there general agreement among all of our witnesses that there have been a great
benefit of these refugees that make commun ities like mine better as a result? Is there general agreement w ith that from all
of you here th is morni ng?

CISSNA: I don't disagree that many refugees do make enormous contributions to our country , yes.

CONYERS : Sure.

HENSHAW : Yes, sir. Absolutely .

LLOYD: I conc ur.

GAMBLER: Yes.

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 CONYERS: All right. Now, let me get to the question or observation raised by Mr. Lloyd. How do you think refugees
are doing on the question of assimilating? Do you believe refugees are currently assimilating or not assimilating?

LLOYD: In any question like that , I think it's a case-by-case basis, but that's one of the goals in our program. Once
they've arrived in the U.S., as we administer -- especially job placement and English language courses that's what's going
to ...

(CROSSTALK)

CONYERS: I know it's going to be on a case-by-case basis, but I mean in general, do you think that currently,
assimilation is coming along okay or not?

LLOYD: Generally from what I have been able to see, I think so, yes.

CONYERS: Any other views that anyone wants to recommend on this question that I have asked? Is assimilation a
problem or is it working okay? Can I get the response?

LABRADOR: You can respond?

CISSNA: At USCIS, we do look at assimilation issues with respect to our citizenship and grants programs and with
regard to refugees, that's something that I think we want to look at more carefully in this fiscal year, so we want to look at
it as well.

CONYERS: Anybody else want to chime in on this? My time has expired, but you can answer the question.

HENSHAW: I would just add, sir that we concentrate on self- sufficiency and we have good results and many refugees
becoming self- sufficient and contributing to society in America .

CONYERS: Good.

LOFGREN: Mr. Chairman.

LABRADOR: Thank you, the gentleman's time has expired.

LOFGREN: May I ask for unanimous consent to put in the record a letter from 24 national and stated based religious
groups opposing the ORR obstructive policy on abortion.

LABRADOR: Without objection. And I know recognize the gentleman from Louisiana for five minutes.

JOHNSON: Thank you, Mr. Chairman and thank you all for being here. Director Cissna, prior to now, what information
was not being shared between state and OHS that's now going to be shared to enhance the safety of the Refugee
Program?

CISSNA: I think that would squarely fall within the universe of kind of law enforcement sensitivities that I don't feel
comfortable discussing in an open forum.
20
HHS-OS-EF Lit. 18-0241 00004046

EXT-18-241-O-000490

 JOHNSON: Fair enough. Can you explain to the committee how the Department of Homeland Security has modified its
training of DHS refugee officers to account for serious and potential threats of bad actors who try to abuse the Refugee
Program?

CISSNA: So historically, the training of refugee officers has always been very robust. They had weeks and weeks and
weeks of training that all adjudicators have, but then they have an additional five or six weeks on top of that and then they
have specific country and country-specific training that focuses on the types of fraud and other country conditions.

But in the wake of the working group that implemented the Executive Order , we are going to further increase and
improve training so that the officers are able to even better assess credibility , which is the key element in interviewing the
people and determining whether the person is inadmissible under the law.

So sometimes they have criminal offenses or other things that make them inadmiss ible and we are trying to train our
adjudicators to make even better assessments of that.

JOHNSON: Speaking of the credibility determination, do you think now would be a good time for us to review our
asylum standards? Meaning that -- would it be wise for Congress to tighten the standards for credible fear determination
for example to ensure our system is not abused and especially in light of this backlog of 300,000 cases?

CISSNA: I do. I think that -- and this is actually one of the immigration priorities that the administration advanced a
week or two or so ago. One of the many things that we proffered was that the Congress examine that exact issue.

I think that the question would be whether the credible fear standard is actually -- is clear enough to be implemented
properly and I don't think it is, I think it could be clarified so that those assessments are made better and the people who
don't actually meet that standard get weeded out.

JOHNSON: I'm glad to hear you say that. We have been working on some legislation to help with that. Ms. Gambler ,
can you speak to the fraud that has occurred at the resettlement sport centers, I think , Mr. Henshaw didn't quite answer it
completely. What's your thought on that?

GAMBLER: Yes, as part of our audit work, we did identify that while infrequent, there were some cases of fraud that
occurred at the R.F.C.'s so we gave some examples in our report and in one case, R.F.C. staff were soliciting bribes on
the promise of being able to help expedite applications.

There was another case in which interpreters were seeking bribes as well, to I think state's credit and the R.F.C.'s
credit in response to those instances of fraud, they did take action to respond and strengthen their processes going
forward, but there have been some cases of fraud identified as it relates to R.F.C.s.

JOHNSON: Thank you for that. Mr. Henshaw , back to you. As you know, the U.S. consistently admits per year vastly
more UNHCR. referred third country resettlement -- resettled refugees in any of the countries in the world and you'd
mentioned that , what diplomatic pressure or other incentivizing measures are being used to push these other countries to
admit more of those refugees?

HENSHAW: Yes, sir, we participate in worldwide meetings of resettlement countries and push other countries to take
additional refugees. We use that in diplomatic meetings and humanitarian meetings and other meetings around the world
to urge other countries. We have also pushed countries that haven't been in the resettlement business before to get in
that business and one of the alternatives that we have pushed for countries that aren't regular resettlement countries is to
look for alternative methods for people to enter their countries on different kinds of working visas or such.
21

HHS-OS-EF Lit. 18-0241 00004047

EXT-18-241-O-000491

 JOHNSON: Well , as you also know, refugees are provided loans to cover the cost of travel to the U.S. and funding for
the loans is provided by your agency, so I'm curious to know about the loan repayment rate and if you have steps that are
being to ensure prompt repayment of those loans.

HENSHAW: Repayment rate is very high. It differs among populations , but it's generally well over 75 percent and with
many populations, significantly over that and we continue to look for ways to improve payment of those loans -repayment of those loans.

JOHNSON: I've got 15 seconds , but what are the repercuss ions to a refugee who doesn't pay back the loan? What
about that 25 percent?

HENSHAW : I believe it affects their credit rating, but I would have to get back to you on other details on how it affects
them.

JOHNSON: Wou ld you get that information?

HENSHAW: I can do that.

JOHNSON: Thank you. I yie ld back.

LABRADOR: Thank you and I yield to the gentlelady from Wash ington.

JAYAPAL: Thank you, Mr. Chairman. Let me pick up on the questions of our Ranking Member of the subcommittee ,
Ms. Lofgren. Mr. Lloyd, do you believe that a woman's constitutional right to an abortion depends on her immigrat ion
status?

LLOYD: I think that any entry into the United States ...

JAYAPAL: It's a yes or no question , Mr. Lloyd , do you believe that a woman's constitutional right to abortion depends
on her immigration status, yes or no?

LLOYD: A number of rights ...

JAYAPAL: That is not a yes or no answer, Mr. Lloyd.

LLOYD: My answer is that any number of rights depend on where they stand in terms of our immigration system.

JAYAPAL: I do not understand that answer. Is that a yes or a no? I'll take that as a no. So do you believe that
immigrants have constitutional rights?

LLOYD: Once again, ma'am , if somebody wants to come into the United States and ...

JAYAPAL: I'll take that as a no. Mr. Lloyd, do you have medical training of any kind?
22

HHS-OS-EF Lit. 18-0241 00004048

EXT-18-241-O-000492

 LLOYD: If I need advice regarding any medical situation, regarding any population that I serve, I consult the medical. ..

JAYAPA L: So the answer is no, you don't have any medical training of any kind. Are you trained to provide counseling
services to young people , Mr. Lloyd?

LLOYD: Again, if counseli ng services are called for, then I rely on the team of counseling professionals to advise me in
my role.

JA YAPA L: So Mr. Lloyd, what expertise makes you qualified in this Jane Doe case to overr ide the determination of a
Texas state's court that Jane Doe is mature and competent enough to make her own decision?

LLOYD: I'm not going to comment on any individual case , but in case that comes across my desk, we're going to look
at the totality of circumstances that may affect their case and that may include legal -- it may include policy considerations,
medical , social welfare considerations and we have a team of experts and staff who are we ll equipped to advise me on
any of those -- any number of those things.

And in terms of how -- what outcomes we're going to come to or what decisions we're going to make, it's going to come
from a total ity of that advice and the facts on the ground.

JAYAPA L: And Mr. Lloyd, is anybody able to review or override your dec ision? Or are you the ultimate decision maker
with regards to a woman's ability to exerc ise her constitutional right to abortion?

LLOYD: The Office of Refugee Resettlement is situated within the Department of Health and Human Services
Administration for Children and Families, and so I answer to the Assistant Secretary for Children and Families and to the
Secretary of Health and Human Services.

JAYAPA L: Mr. Lloyd, is it your intent to block unaccompan ied minors from access ing abortion care or will you instruct
providers to deny minors other types of reproductive health care, like contraception or information on contraceptive
methods? How far is your jurisdiction over this issue going to extend?

LLOYD: Again, any time or any circumstances is going to depend on the tota lity of facts that any individual case brings
before us. And so, it's always going to be a case by case determination.

JAYAPA L: It's extremely tro ubling to me, Mr. Lloyd what's happening. I think you're far overreaching over your
expertise or your jurisdiction. Mr. Henshaw , from the beg inning America has been a refugee for the persecuted and in
keeping with our past , w ith our values, past Republican and Democrat ic preside nts alike have championed refugees and
regarded the Refugee Program as core to the nation's ident ity and in fact, 20 national security leaders, including Henry
Kissinger, Michael Chertoff , Madeline Albright, wrote in a 2015 letter, and I'm quoting that , "Resettlement initiatives help
advance U.S. national security interests by supporting the stabi lity of our allies and partners that are struggling to host
large numbers of refugees."

And yet this administration has repeatedly and contrary to evidence character ized refugees as fraud, security threats
and resource strains. To what extent and why do you think that this administration's view of refugees is so dramatically
different from the long standing bipartisan tradition and fundamental American values?

HENSHAW : Security is our utmost concern with any Refugee Program and we have over the years , often re-evaluated
our program to make sure that the best security standards are met and that's what we're doing now.
23

HHS-OS-EF Lit. 18-0241 00004049

EXT-18-241-O-000493

 I believe that the current plan to bring in up to 45 ,000 refugees this year is well within our past history of refugee
numbers and signifies that we are still the leader in refugee resettlement in the United States , in the world , sorry.

JAYAPAL: Mr. Chairman, I ask unanimous consent for one more short question?

LABRADOR: Without objection.

JAYAPAL: Thank you so much. Mr. Henshaw, the White House has recently released a statement of immigration
princip les, cited a misleading study claiming to show that the United States can resett le 12 refugees in safe zones near
their home countries for the cost of resettling one refugee domestically. Are you aware of who performed that study?

HENSHAW : No, I'm not. I would just simply say it is always our number one option to resettle people back -- voluntarily
back in the country from which they fled.

JAYAPAL: Let me just say and I'll yield back time in that the source was the Center for Immigration Studies -- an
organization that the Southern Poverty Law Center has designa ted as a hate group and found that it dissem inated white
nationalist content on over 2,000 occasions.

Deeply disturbed that the administration would be using that as a source of anything in an official report. I yield back,
Mr. Chairman. I thank you for the addit ional time.

LABRADOR: The chair will yield time to the gentlelady from Texas.

JACKSON LEE: I thank the gentleman and I really do, as I look, these are public servants and I thank you for your
service . I wou ld argue that the service that each of your agencies are supposed to give really falls in the category of
mercy and sympathy and empathy for conditions that refugees around the world are facing. I'm not sure whether that is
possib le, having the kind of statements that are coming from the administration and I frankly believe the American people
should realize that when public servants appear before us, they are, unfortunately , the spokesperson of a cruel and ugly
policy as evidenced by the administration.

So, having sat on the Immigration Subcommittee for many, many years, I can probably with great comfort say this is
probably the worst time in American history as it relates to the rights of immigrants.

With that said, I'd like to begin my line of questioning on a genera l statement, Mr. Henshaw and Mr. Lloyd, how do you
treat Muslim refugees? Mr. Henshaw?

HENSHAW: We don't treat refugees any different ly any way based on their religion.

JACKSON LEE: And how is that possible when the administration has fought consistently for a Muslim ban?

HENSHAW: There is no Muslim ban. We are simply re-evaluating our security system country by country .

JACKSON LEE:There is a Muslim ban proposed by this administration, as evidenced by the stance that the Attorney
General have been taking in the courts , though they've been defeated. So what you're saying to me is that you do not
decipher and/or reject a Muslim refugee that may be in refugee camps in Jordan and on the border of Syria?
24
HHS-OS-EF Lit. 18-0241 00004050

EXT-18-241-O-000494

 HENSHAW: Never, ever.

JACKSON LEE: All right, Mr. Lloyd?

LLOYD: Once they enter into our care, all determinations about placement have already been made. This is the Office
of Refugee Resettlement where we administer benefits and so we treat Muslim refugees the same as we treat all other
refugees.

JACKSON LEE: Will you submit to this committee your statements in dealing with refugees who have come -- I know
the process. The American people don't know the process . That is, of course that refugees coming out of areas are in a
camp, I think you work with the United Nations that is the process . It's a long period of vetting and then these individuals
come to the United States by way of your choice of them out of those who are requiring or requesting the opportunity to
come to the United States, is that not correct?

LLOYD: Well, the initial determination and selection is made with P.R.M. and in consultation with OHS

JACKSON LEE: Right, so provide me and this committee with that whole process and that includes those individua ls
that may be coming from the areas of the Muslim ban because they do exist, so I would appreciate if you would do so,
otherwise the myth of taking in terrorists wil l continue to abound in this particu lar administration.

I would like to pursue also the line of quest ioning dea ling with your treatment of refugees, having just visited the border
and see ing some of the detent ion centers, although I appreciate the service aga in of the federal employees, it is not a
pleasant sight. So in particular with Mr. Lloyd, with Ms. Jane Doe again, did you have direct contact with Ms. Jane Doe or
those advocating on her behalf?

LLOYD: I cannot comment on individual cases.

JACKSON LEE: Would you -- I'm not sure why you wou ld not indicate whether or not -- did you have contact w ith the
lawyers? Did the agency have contact directly with the lawyers?

LLOYD: In any case where there are any lawyers involved, we would be in contact with the lawyers, so, yes.

JACKSON LEE: Do you have a set policy that you are pushing by way of the administration that opposes any young
women who are falling under a part icular statistic that says that 60 percent of those who are trying to flee oppress ion and
persecution coming from the southern border are generally raped by those who are trafficking them or -- and therefore
might be in need of medical help? Are you fami liar wit h that statistic?

LLOYD: I'm not famil iar w ith that specific statist ic, but...

JACKSON LEE: Do you have any position on providing any sort of humane response to an individual that may have
been raped and is pregnant and that falls upon the laws of the United States, which would allow an abortion?

LLOYD: We work in the best interests of all the U.A.C.s who come into our care and in the confines of our statutory
requirements.

25

HHS-OS-EF Lit. 18-0241 00004051

EXT-18-241-O-000495

 JACKSON LEE: So then they would be covered by the general laws about the ability to achieve an abortion based
upon being raped?

LLOYD: That would fall under the TVPRA which we've implemented with interim relat ions.

JACKSON LEE: Is that a yes?

LLOYD: I'm sorry?

JACKSON LEE: That they would have that right because of the laws that allow women to secure an abortion, because
they've been raped? Is that a yes?

LLOYD: With regard to the sexual assault ...

JACKSON LEE: Mr. Chairman, I would like an additional minute for him to answer the question .

LABRADOR: I will object. You've gone over a minute already , so ...

JACKSON LEE: Would you finish the question, sir?

LABRADOR: You can answer the question.

LLOYD: Okay , with regard to sexual assault, we follow the guidelines of the Trafficking Victims Protection Act and have
implemented that into our policies.

JACKSON LEE: In Jane Doe's case , you did not, however.

LLOYD: I am not going to ...

LABRADOR: The gentlelady's time has expired. I gave you an additional minute , so ...

JACKSON LEE: I appreciate it, Mr. Chairman, but this is a serious issue. The treatment of refugees under this
administration has diminished. It is frankly deteriorated and I want to apologize to those who are seeking refuge in this
country under this administration. I yield back.

LABRADOR: It is a serious issue and that's why we're trying to reduce the number of illegal people coming into the
United States because many of them do get raped trying to cross the border and that's what we're trying to stop.

JACKSON LEE: I appreciate it, Mr. Chairman. We should at least treat them with decency when they come. I yield
back.

LABRADOR: This concludes today 's hearing. Thanks to all of our witnesses for attending. Without objection, all
members will have five legislative days to submit additional written questions for the witnesses or add itional materials for
the record . This hearing is adjourned.
26
HHS-OS-EF Lit. 18-0241 00004052

EXT-18-241-O-000496

 Courtn ey Lawrence
Deputy Assistant Secretary fo r Legislation
U.S. Department of Health and Human Services
(202) 619- 1206 (Direct)
Courtney.Lawrence@hhs.gov

27
HHS-OS-EF Lit. 18-0241 00004053

EXT-18-241-O-000497

 Bell, Michael (OS/ ASPA}
From:
Sent:

Subject:
Attachments :

Clark, Barbara (HHS/ASL)
Thursday, September 28, 2017 12:42 PM
Lloyd, Scott (ACF); Logan, Scott (ACF);Wynne, Maggie (HHS/IOS)
Lawrence, Courtney (HHS/ASL)
FW: FINAL: Report To Congress FY 2018 Proposed Refugee Admiss ions
Refugee FY 2018 Report to Congress.docx

Impo rtance :

High

To:

Cc:

I just received the consultation report from State Department . She said once the PD process is completed,

be putting the Report on the PRM page of the Department's

they will

Webpage.

Committee staff are asking if State will still organize a staff level briefing since they are usually held before the Member
consultation.
Barbara
Barbara Pisaro Clark

Acting Assistant Secretary for Legislat ion
U.S. Department of Health and Human Services
(202) 690-7627
(202) 260-7193 (direct)
Barbara.clark@hhs.gov

HHS-OS-EF Lit. 18-0241 00004054

EXT-18-241-O-000498

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

White, Laura (ACF)
Tuesday, September 26, 2017 10:32 AM
Wynne , Maggie (HHS/IOS); Wagner, Steven (ACF); Lloyd, Scott (ACF)
FW: Use this version: FY 2018 Report to Congress (final).docx
FY 2018 Report to Congress (fina l).docx

New version.

From: Bartlett, Lawrence E. [mailto:BartlettL E@state.gov ]

Sent: Tuesday, September 26, 2017 10:29 AM
To: Higgins, Jenn ifer B; White, Laura (ACF)
Cc: Strack, Barabara L.; Lloyd, Scott (ACF); Tota, Kenneth (ACF)

Subject: Use this version: FY 2018 Report to Congress (fina l).docx
Just corrected two tracked changes in the former document

Official
UNCLASSIFIED

HHS-OS-EF Lit. 18-0241 00004055

EXT-18-241-O-000499

 Bell. Michael (OS/ASPA)
From:

Wynne, Maggie (HHS/IOS)
Thursday, September 21, 2017 10:42 AM
Leggit t, Lance (HHS/IOS); Skrzycki, Kristin (HHS/IOS)
FW: NEEDSCLEARANCE:ORR Draft Report to Cong ress
FY 2018 Draft Report to Congress for PC_rev.docx

Sent:
To:

Subject:
Attachments:

FYI. State sent th is repo rt to ACF on 9/12 but it only came to me yesterday even ing with a same-day turnaround t ime
for clearance .
State's hard deadl ine was yesterday and it was prepared to send the report forward th is morn ing without HHS clearance
so I did a quick rev iew and prov ided the caveat below. Scott spoke this morn ing with State and bought a little more time
for this response .

From: Wynne, Maggie (HHS/IOS)

Sent: Thursday, September 21, 2017 10:36 AM
To: Powers, Mary (ACF)
Cc: Wagner, Steven (ACF); Lloyd, Scott (ACF); White, Laura (ACF); Smith, Andrew (HHS/IOS)

Subject: RE: NEEDS CLEARANCE:ORR Draft Report to Congress
Mary,
(b)(5)

I have attached the report
Given that the re
dations outside the scope of HHS's work or deve loped without
(b)(5)
HHS consultation
HHS is not in a position to clear portions of the report, such as
the long section on Regional Programs , but we can clear the portions that represent HHS' work in refugee resettlement .
Thank you,
Magg ie
Magg ie Wynne

Deliberative and pre-decisional communication

From: Powers, Mary (ACF)

Sent: Wednesday, September 20, 2017 5:21 PM
To: Wynne, Maggie (HHS/IOS); Smith, Andrew (HHS/IOS)
Cc: Wagner, Steven (ACF); Lloyd, Scott (ACF); White, Laura (ACF)

Subject: NEEDS CLEARANCE:ORR Draft Report to Congress
Importance: High

Maggie and Andrew ,
-

I

(b)(5)
•

(b)(5)

-

f

I

_!__

-

-

• I

Could you look through thi and clear?

HHS-OS-EF Lit. 18-0241 00004056

EXT-18-241-O-000500

 Thank you,
Mary
Mary Powers
Policy Advisor I Immediate Office of the Assistant Secretary
Administration for Children and Familie s I Department of Health and Human Services
330 C Street, SW, Washington, DC 20201
Office: 202 260-0084
(b)(6)
Cell:
acf.hhs.gov

2

HHS-OS-EF Lit. 18-0241 00004057

EXT-18-241-O-000501

 Bell. Michael (OS/ASPA)
From:

Wynne, Maggie (HHS/IOS)
Thursday, September 21, 2017 10:36 AM
Powers, Mary (ACF)
Wagner, Steven (ACF); Lloyd, Scott (ACF); White, Laura (ACF); Smith, Andrew (HHS/IOS)
RE: NEEDSCLEARANCE:ORR Draft Report to Congress
FY 2018 Draft Report to Congress for PC_rev.docx

Sent:
To:

Cc:
Subject:
Attachments:

Mary,
(b)(5)

I have attached the repor
Given that the re
dations outside the scope of HHS's work or deve loped without
(b)(5)
HHS consultatio
HHS is not in a position to clear portions of the report, such as
the long section on Regional Programs, but we can clear the portions that represent HHS' work in refugee resettlement.
Thank you,
Magg ie
Magg ie Wynne

Deliberative and pre-decisional communication

From: Powers, Mary (ACF)
Sent: Wednesday, September 20, 2017 5:21 PM
To: Wynne, Maggie (HHS/IOS); Smith, And rew (HHS/IOS)
Cc: Wagner, Steven (ACF); Lloyd, Scott (ACF); White, Laura (ACF)
Subject: NEEDS CLEARANCE: ORR Draft Report to Congress
Importance: High

Maggie and Andrew ,

(b)(5)
(b)(5)

Could you look through this and clear?
Thank you,
Mary
Mary Powers
Policy Advisor I Immeruate Office of the Assistant Secretary
Administration for Children and Familie s I Department of Health and Human Services
330 C Street, SW, Washington, DC 20201
Office: 202 260 -0084

Cell:
hs.gov

HHS-OS-EF Lit. 18-0241 00004058

EXT-18-241-O-000502

 Page 503 redacted for the following reason:
--------------------Referral to other agency for consultation (State) (2 Pages)

HHS-OS-EF Lit. 18-0241 00004059

EXT-18-241-O-000503

 Page 504 redacted for the following reason:
--------------------Referral to other agency for consultation (State) (2 Pages)

HHS-OS-EF Lit. 18-0241 00004060

EXT-18-241-O-000504

 Bell. Michael (OS/ASPA)
From:
Sent:

Cc:
Subject:
Attachments:

Powers, Mary (ACF)
Wednesday, September 20, 2017 5:21 PM
Wynne , Maggie (HHS/IOS); Smith, And rew (HHS/IOS)
Wagne r, Steven (ACF); Lloyd, Scott (ACF); Wh ite, Laura (ACF)
NEEDS CLEARANCE:ORR Draft Report to Congress
FY 2018 Draft Report to Congress for PC.DOCX

Importance:

High

To:

Maggie and Andrew ,
JOAS
I

d ORR I d

h. I h

d th DOS 2018 D ft R

I

tt C

!

(

tt

h d) St t

d th· b

(b)(5)

(b)(5)

Could you look through this and clear?
Thank you,
Mary
Mary Power s
Policy Advisor I Immedia te Office of the Assistant Secretary
Administration for Children and Families I Department of Health and Human Services
330 C Street, SW , Washington, DC 20201
Office: 202 260 -0084

Cell:

(b)(6)

Email: mary.powers@acf.hhs.gov

HHS-OS-EF Lit. 18-0241 00004061

EXT-18-241-O-000505

k

 Page 506 redacted for the following reason:
--------------------Referral to other agency for consultation (2 pages)

HHS-OS-EF Lit. 18-0241 00004062

EXT-18-241-O-000506

 Page 507 redacted for the following reason:
--------------------Referral to other agency for consultation (2 pages)

HHS-OS-EF Lit. 18-0241 00004063

EXT-18-241-O-000507

 Bell, Michael (OS/ASPA}
Office of Refugee Resettlement <orr_listserve@acf.hhs.gov>
Thursday, May 18, 2017 10:14 AM
Wynne, Maggie (HHS/10S)
Quick Connections: Health Happenings and Other Updates from ORR

From:

Sent:
To:

Subject:

OFFICE
OFREFUGEE
RESETTLEMENT
An Office of the Administration for Children & Families

0

HIGHLIGHTS

Cuban Entrants Remain Eligible for ORR Benefits and Services
On Janua ry 12, 2017 , the Departmen t of Homeland Security (OHS) announced termination of
the 'wet foot/dry foot' policy . Despite several changes to OHS policies affecting Cuban
nationals , Cubans who meet the definition of Cuban Entrant and can provide the required
documentation are still eligible for ORR benefits and services. To clarify this, ORR recently
released Policv Letter 17-01 "Cuban Entrants" Remain Eligible tor ORR Benefits and
Services .

EVENTS and TRAININGS
Integrative Healthcare Trainings Online
The National Partnersh ip for Community Training (NPCT) is hosting two trainings on
integrative health care . The Exploring Approaches and Benefits for Refugees webinar will offer
ways resettlement staff and communi ty leaders can suppo rt an integrative health care
approach . The Addressing Mental Health in Primary Care post-webi nar discussion will share
ideas on fac ilitating behavioral health referrals , identifying somatic symptoms , and utilizing
tra uma-info rmed app roaches to care.
When : May 24 and 31, 2017 at 1 :00 pm EST
Registration informatio n: Webinar registrat ion page and Discussion registration page

Case Management Techniques and Resources E-learning Course
Cathol ic Legal Immigration Network, Inc. (CLI NIC) is hosting a fou r-week Case Management
Techniques and Resources e-learning course that covers the basic components of effective
case management. Participants will learn promising practices in intake procedures , case
acceptance and closure , file maintenance, form creation and improvement, and more .

HHS-OS-EF Lit. 18-0241 00004064

EXT-18-241-O-000508

 When: June 6 - July 5, 2017 at 2:00 pm EST every Wednesday
Registration information : Registrat ion page

PUBLICATIONS and RESOURCES
New Refugee Health Profile and Refugee Wellness Country Guide
The Centers for Disease Control and Prevention (CDC) has announced that web and PDF
versions of their most recent Refugee Health Profile are now ava ilable on their website . This
Refugee Health Profile offers informat ion on populat ion movements , background, prior ity
health condit ions, medical screening information , and more. NPCT has released their most
recent Refugee Wel lness Country Guide . This guide provides a brief introduction to countryspecific background on ongoing conflict , recommendations for health care providers, common
phrases related to mental health symptoms , and trad itiona l coping mechanisms.

Employment Rights and Resources for Refugees and Asylees
U.S. Department of Justice (DOJ), Civil Rights Division (CRD), Immigrant and Employee
Rights Section (IER) has issued the Employment Rights and Resources for Refugees and
Asylees document, wh ich discusses several rights asylees and refugees have in the workplace
and how to contact relevant federal agencies if rights violations are suspected. Add itional
related resources include SL 14-02: Employment Eligibility Requirements for Asylees.
Refugees . and other Populations Served by ORR that was jointly released by ORR and
IER's flyer Refugees and Asylees : What You Need to Know about the Form 1-9.

American Red Cross Family Tracing Services
American Red Cross caseworkers in the U.S. work with their partners at the International
Comm ittee of the Red Cross and Red Crescent organ izations in nearly every count ry
worldwide to help fami lies locate missing relatives. The Reconnecting Family Links flyer ,
brochure , and pictographs in English and Spanish provide information about these available
services.

Trauma and Toxic Stress
The Amer ican Academy of Pediatrics (AAP) has translated several resources into Spanish that
support pediatricians in preventing and mitigating the effects trauma and tox ic stress have on
children and famil ies. The Helping Foster and Adoptive Families Cope With Trauma: A Guide
for Pediatricians and the Trauma Tool Box for Primary Care are now available on AAP's
website .

ORR, Mary E. Switzer Building,

330 CST SW, Room 5123, Washington,

DC 20201

SafeUnsubscribeTM margaret.wynne@hhs.gov
Forward this email

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our service provider

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HHS-OS-EF Lit. 18-0241 00004065

with

EXT-18-241-O-000509

 Try it free today

3
HHS-OS-EF Lit. 18-0241 00004066

EXT-18-241-O-000510

 Bell. Michael (OS/ASPA)
Wynne, Maggie (HHS/IOS)
Tuesday, May 02, 2017 10:05 PM
Wright , Natasha (OS/IOS)

From:

Sent:
To:

Subject:
Attachments:

(b)(5)

Hi Natasha,
(b)(5)

Thank you,
Maggie

(b)(5)

Hi Maggie, Please see attached for the editable Word version of this FOA. I've attached the other accompanying
materials for reference also. - thanks, Natasha

(b)(5)

Hi Maggie,
(b)(5)

Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00004067

EXT-18-241-O-000511

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Wright, Natasha (OS/IOS)
Thursday, Ma rch 23, 2017 11:32 PM
Wynne , Maggie (HHS/IOS)
(ACF) FOA: Alternative Transitional Services for Unaccompanied Refugee Minors
$ HHS-2017-ACF-ORR-ZX-1206.pdf; $ FOA App roval Memo for HHS Policy Team_ATS
URM program .docx

Hi Maggie,
Per the 3/24 Week Ahead report on Page 3, Item 2, please see attached for ACF's memo and FOA for
Alternative Transitional Services for Unaccompanied Refugee Minors.
Thanks,
Natasha

HHS-OS-EF Lit. 18-0241 00004068

EXT-18-241-O-000512

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Bowman, Matthew (HHS/OGC)
Wednesday , October 25, 2017 11:36 AM
Wynne , Maggie (HHS/IOS)
RE:Your Appearance in The New Yorker Magazine (request for comment, on deadl ine)

(b)(5)

Confidentialpre-decisionaldeliberativeprocessand attorney client privilege

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791

matthew.bowman @hhs.gov
From: Wynne, Maggie (HHS/IOS)

Sent: Wednesday, October 25, 2017 11 :35 AM
To: Bowman, Matthew (HHS/OGC)

Subject: Re: Your Appearance in The New Yorker Magazine (request for comment, on deadline)
(b)(5)

On: 25 October 201718:14, "Bowman, Matthew (HHS/OGG)" <Matthew.Bowman@hhs.gov >
(b)(5)

Confidentialpre-decisionaldeliberativeprocessand attorney client privilege

HHS-OS-EF Lit. 18-0241 00004069

EXT-18-241-O-000513

 Matt Bowman
Deputy General Counsel

HHSOGC
202.868.9791
matthew.bowman@hhs.gov
From: Wynne, Maggie (HHS/IOS)

Sent: Wednesday, October 25, 2017 11 :13 AM

To: Bowman,

Matthew (HH5/OGC)

Subject: Re: Your Appearance in The New Yorker Magazine (request for comment, on deadline)
(b)(5)

Privileged and confidential
Attorney-client privilege
On: 25 October 201717:34, "Bowman, Matthew (HHS/OGG)" <Matthew.Bowman@hhs.gov >
wrote:
(b)(5)

Confidentialpre-decisionaldeliberativeprocessand attorney client privilege

Matt Bowman
Deputy General Counsel

HHSOGC
202.868.9791
matthew.bowman@hhs .gov
From: Wynne, Maggie (HHS/IOS)

Sent: Wednesday, October 25, 2017 10:33 AM
To: Bowman, Matthew (HHS/OGC)
Subject: Fwd: Your Appearance in The New Yorker Magazine (request for comment, on deadline)

Attorney-client privilege
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00004070

EXT-18-241-O-000514

 Begin Forwarded Message:
From : "Blitzer, Jonathan" <Jonathan Blitzer@newyorker.com >
Subject: Your Appearance in The New Yorker Magaz ine (request for com ment, on deadline)
Date: 25 October 20 17 02:34
To: "margaret.wynne@acf.hhs.gov " <margaret.wynne@acf.hhs.gov >, "Wynne, Maggie (HHS/IOS)"
<Margaret. Wyn ne@hhs.gov >
Dear Ms. Wynne,
I'm a reporter with The New Yorker Magazine, and I'd like get your comment on a story I'm doing, on
deadli ne, about yo ur role at HHS and claims made to me by a number of yo ur former colleagues tha t
yo u are responsible fo r the recent positions t aken by O.R.R. in limiting the abo rt ions of mino rs in its
care.
There are a number of specifi c and credi ble claims that are made tha t I'd like to go through with you.
I'd prefer to t alk by phone, if you can, but I'm happy t o correspond over email, too , if it 's easier. Below
are the details I plan to include in my piece . I welcome any comme nt s, clar ifications , or corrections
yo u may have.
Thanks for you r time .

(b)(6)

Best,
Jonatha n Blit zer
(cell)
-You have worked at H.H.S. for more t han a decade, under the Bush and Obama Admi nistratio ns, in a
range of different posit ions.
-One of those positions w as t he director of it s ant i-t raffick ing prog ram.
-You once worked at the Knights of Columbus .
-You helped lead the trans ition team at H.H.S. in t he late fa ll of 2016.
-You were close to Tom Price.
-According to flight manifests, you were also some of the private charte red planes tha t Price took
w hile head of HHS.
-During t he preside ntial t ransit ion, appointees from the prev ious adminis t rat ion-which
of the heads of H.H.S. offices-weren't
invited to meetings.

3
HHS-OS-EF Lit. 18-0241 00004071

included all

EXT-18-241-O-000515

 -Only the career bureaucrats were invited, which many former members of the office described as
unusual.

-Former colleagues described you as strongly pro-life.
-As the director of the trafficking program at O.R.R.,you oversaw a team of social workers who
assessed the eligibility of victims to get temporary health benefits while their legal cases were being
adjudicated.
-According to former colleagues, you often did not trust the stories of these individuals when they
were represented by lawyers because you thought lawyers were coaching them on how to get the
benefits.
-According to former colleagues, any time an individual's story changed, you assumed she was lying.
-According to former colleagues, you frequently looked for contradictions in the accounts of victims
requesting benefits .
-When your office rejected a victim's request, an appeal generally followed, which caused a large
backlog of cases that O.R.R. leadership had to clear.
-In 2011, the Obama Administration created new criteria for O.R.R. grants: if an aid organization
refused to offer complete medical care to the minors in its custody at a shelter, it would receive a
lower score on its grant application to obtain funds from O.R.R.
-A confidential government document outlining the new grant criteria was shared with Republican
Congressman Darrel Issa.
-Several H.H.S. staffers claim that you were responsible for sharing that memo with Issa.
-You left H.H.S. in 2016 when you were passed over for a promotion .
-You rejoined the agency in January, 2017.
-In the early months of the new year, staffers at O.R.R. reported to you.
-In March, a memo circulated at O.R.R.with the subject line "custodial decisions to preserve the
health of a pregnant UAC."
-Subsequent emails circulating at ORR indicated that shelters "should not conduct procedures, or take
any steps that facilitate future procedures such as scheduling appointments, transportation, or other
arrangements."

4
HHS-OS-EF Lit. 18-0241 00004072

EXT-18-241-O-000516

 -One former HHS official with knowledge of the office maintains that you were responsible for these
policies before Scott Lloyd took over.

5
HHS-OS-EF Lit. 18-0241 00004073

EXT-18-241-O-000517

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Bowman, Matthew (HHS/OGC)
Wednesday, October 25, 2017 11:14 AM
Wynne , Maggie (HHS/IOS)
RE:Your Appearance in The New Yorker Magazine (request for comment, on deadl ine)

(b)(5)

Confidentialpre-decisionaldeliberativeprocessand attorney client privilege

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791

matthew.bowman @hhs.gov
From: Wynne, Maggie (HHS/IOS)

Sent: Wednesday, October 25, 2017 11 :13 AM
To: Bowman, Matthew (HHS/OGC)

Subject: Re: Your Appearance in The New Yorker Magazine (request for comment, on deadline)
(b)(5)

Privilegedand confidential
Attorney-clientprivilege

(b)(5)

On: 25 October201717:34, "Bowman,Matthew (HHS/OGG)" <Matthew.Bowman@hhs.gov
>
wrote:

HHS-OS-EF Lit. 18-0241 00004074

EXT-18-241-O-000518

 Confidential pre-decisionaldeliberativeprocessand attorney client privilege

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791
matthew.bowman@hhs.gov

From: Wynne, Maggie (HHS/IOS)

Sent: Wednesday, October 25, 2017 10:33 AM
To: Bowman, Matthew (HHS/OGC)

Subject: Fwd: Your Appearance in The New Yorker Magazine (request for comment, on deadline)

Attorney-client privilege
(b)(5)

Begin Forwarded Message:
From: "Blitzer , Jonathan" <Jonathan Blitzer@newyorker.com >
Subject: Your Appearance in The New Yorker Magazine (request for comment, on deadline)
Date: 25 October 2017 02:34
To: "marqaret.wynne@acf .hhs.gov " <marqaret.wynne@acf .hhs.gov >, "Wynne, Maggie (HHS/IOS)"
<Margaret. Wyn ne@hhs.gov >
Dear Ms. Wynne,
I'm a reporter with The New Yorker Magazine, and I'd like get your comment on a story I'm doing, on
deadline, about your role at HHS and claims made to me by a number of your former colleagues that
you are responsible for the recent positions taken by O.R.R. in limiting the abortions of minors in its
care.
There are a number of specific and credible claims that are made that I'd like to go through with you.
I'd prefer to talk by phone, if you can, but I'm happy to correspond over email, too, if it's easier. Below
are the details I plan to include in my piece. I welcome any comments, clarifications, or corrections
you may have.
Thanks for your time.

2

HHS-OS-EF Lit. 18-0241 00004075

EXT-18-241-O-000519

 (b)(6)

HHS-OS-EF Lit. 18-0241 00004076

EXT-18-241-O-000520

 -In 2011, the Obama Administration created new criteria for O.R.R. grants: if an aid organization
refused to offer complete medical care to the minors in its custody at a shelter, it would receive a
lower score on its grant application to obtain fund s from O.R.R.
-A confidential government document outlining the new grant criteria was shared with Republican
Congressman Darrel Issa.
-Several H.H.S. staffers claim that you were responsible for sharing that memo with Issa.
-You left H.H.S. in 2016 when you were passed over for a promotion.
-You rejoin ed the agency in January, 2017.
-In the early months of the new year, staffers at O.R.R. reported to you.
-In March, a memo circulated at O.R.R.with the subject line "custodial decisions to preserve the
health of a pregnant UAC."
-Subsequent emails circulating at ORR indicated that shelters "shou ld not conduct procedures, or take
any steps that facilitate future procedures such as scheduling appointments, transportation, or other
arrangements."
-One former HHS official with knowledge of the office maintains that you were responsible for these
policies before Scott Lloyd took over.

4
HHS-OS-EF Lit. 18-0241 00004077

EXT-18-241-O-000521

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Bowman, Matthew (HHS/OGC)
Wednesday , October 25, 2017 10:34 AM
Wynne , Maggie (HHS/IOS)
RE:Your Appearance in The New Yorker Magazine (request for comment, on deadl ine)

(b)(5)

Confidentialpre-decisionaldeliberativeprocessand attorney client privilege

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791
matthew.bowman@hhs.gov
From: Wynne, Maggie (HHS/IOS)

Sent: Wednesday, October 25, 2017 10:33 AM
To: Bowman, Matthew (HHS/OGC)

Subject: Fwd: Your Appearance in The New Yorker Magazine (request for comment, on deadline)

Attorney-client privilege
(b)(5)

Begin Forwarded Message:
From: "Blitzer , Jonathan" <Jonathan Blitzer@newyorker.com>
Subject: Your Appearance in The New Yorker Magazine (request for comment, on deadline)
Date: 25 October 2017 02:34
To: "margaret.wynne@acf.hhs.gov " <margaret.wynne@acf.hhs.gov >, "Wynne , Maggie (HHS/IOS)"
<Margaret. Wynne@hhs.gov >
Dear Ms. Wynne,

HHS-OS-EF Lit. 18-0241 00004078

EXT-18-241-O-000522

 I'm a reporter with The New Yorker Magazine, and I'd like get your comment on a story I'm doing, on deadline,
about your role at HHS and claims made to me by a number of your former colleagues that you are
responsible for the recent positions taken by O.R.R. in limiting the abortions of minors in its care.
There are a number of specific and credible claims that are made that I'd like to go through with you.
I'd prefer to talk by phone, if you can, but I'm happy to correspond over email, too, if it's easier. Below are the
details I plan to include in my piece. I welcome any comments, clarifications, or corrections you may have.
Thanks for your time.

(b)(6)

Best,
Jonathan Blitzer
cell)
-You have worked at H.H.S.for more than a decade, under the Bush and Obama Administrations, in a range of
different positions.
-One of those positions was the director of its anti-trafficking program.
-You once worked at the Knights of Columbus.
-You helped lead the transition team at H.H.S. in the late fall of 2016.
-You were close to Tom Price.
-According to flight manifests, you were also some of the private chartered planes that Price took while head
of HHS.
-During the presidential transition, appointees from the previous administration-which
heads of H.H.S. offices-weren't
invited to meetings.

included all of the

-Only the career bureaucrats were invited, which many former members of the office described as unusual.

-Former colleagues described you as strongly pro-life.
-As the director of the trafficking program at O.R.R.,you oversaw a team of social workers who assessed the
eligibility of victims to get temporary health benefits while their legal cases were being adjudicated.
-According to former colleagues, you often did not trust the stories of these individuals when they were
represented by lawyers because you thought lawyers were coaching them on how to get the benefits.
-According to former colleagues, any time an individual's story changed, you assumed she was lying.
-According to former colleagues, you frequently looked for contradictions in the accounts of victims
requesting benefits.
2

HHS-OS-EF Lit. 18-0241 00004079

EXT-18-241-O-000523

 -When your office rejected a victim's request, an appeal generally followed, which caused a large backlog of
cases that O.R.R. leadership had to clear.
-In 2011, the Obama Administration created new criteria for O.R.R.grants: if an aid organization refused to
offer complete medical care to the minors in its custody at a shelter, it would receive a lower score on its grant
application to obtain funds from O.R.R.
-A confidential government document outlining the new grant criteria was shared w ith Republican
Congressman Darrel Issa.
-Several H.H.S. staffers claim that you were responsible for sharing that memo with Issa.
-You left H.H.S. in 2016 when you were passed over for a promotion.
-You rejoined the agency in January, 2017.
-In the early months of the new year, staffers at O.R.R. reported to you.
-In March, a memo circulated at O.R.R.with the subject line "custodial decisions to preserve the health of a
pregnant UAC."
-Subsequent emails circulating at ORR indicated that shelters "should not conduct procedures, or take any
steps that facilitate future procedures such as scheduling appointments, transportat ion, or other
arrangements."
-One former HHSofficial with knowledge of the office maintains that you were responsible for these policies
before Scott Lloyd took over.

3
HHS-OS-EF Lit. 18-0241 00004080

EXT-18-241-O-000524

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Blitzer, Jonathan <Jonathan _Blitzer@newyorker .com >
Tuesday, October 24, 2017 7:34 PM
margaret.wynne@acf.hhs.gov; Wynne, Maggie (HHS/10S)
Your Appearance in The New Yorker Magazine (request for comment, on deadline)

Dear Ms. Wynne,
I'm a reporter with The New Yorker Magazine, and I'd like get your comment on a story I'm doing, on deadline,
about your role at HHS and claims made to me by a number of your former colleagues that you are
responsible for the recent positions taken by O.R.R. in limiting the abortions of minors in its care.
There are a number of specific and credible claims that are made that I'd like to go through with you.
I'd prefer to talk by phone, if you can, but I'm happy to correspond over email, too, if it's easier. Below are the
details I plan to include in my piece. I welcome any comments, clarifications, or corrections you may have.
Thanks for your time.

(b)(6)

Best,
Jonathan Blitzer
cell)
-You have worked at H.H.S.for more than a decade, under the Bush and Obama Administrations, in a range of
different positions.
-One of those positions was the director of its anti-trafficking program.
-You once worked at the Knights of Columbus.
-You helped lead the transition team at H.H.S. in the late fall of 2016.
-You were close to Tom Price.
-According to flight manifests, you were also some of the private chartered planes that Price took while head
of HHS.
-During the presidential transition, appointees from the previous administration-which
heads of H.H.S. offices-weren't
invited to meetings.

included all of the

-Only the career bureaucrats were invited, which many former members of the office described as unusual.

-Former colleagues described you as strongly pro-life.

HHS-OS-EF Lit. 18-0241 00004081

EXT-18-241-O-000525

 -As the director of the trafficking program at O.R.R.,you oversaw a team of social workers who assessed the
eligibility of victims to get temporary health benefits while their legal cases were being adjudicated.
-According to former colleagues, you often did not trust the stories of these individuals when they were
represented by lawyers because you thought lawyers were coaching them on how to get the benefits.
-According to former colleagues, any time an individual's story changed, you assumed she was lying.
-According to former colleagues, you frequently looked for contradictions in the accounts of victims
requesting benefits.
-When your office rejected a victim's request, an appeal generally followed, which caused a large backlog of
cases that O.R.R. leadership had to clear.
-In 2011, the Obama Administration created new criteria for O.R.R.grants: if an aid organization refused to
offer complete medical care to the minors in its custody at a shelter, it would receive a lower score on its grant
application to obtain funds from O.R.R.
-A confidential government document outlining the new grant criteria was shared w ith Republican
Congressman Darrel Issa.
-Several H.H.S. staffers claim that you were responsible for sharing that memo with Issa.
-You left H.H.S. in 2016 when you were passed over for a promot ion.
-You rejoined the agency in January, 2017.
-In the early months of the new year, staffers at O.R.R. reported to you.
-In March, a memo circulated at O.R.R.with the subject line "custodial decisions to preserve the health of a
pregnant UAC."
-Subsequent emails circulating at ORR indicated that shelters "should not conduct procedures, or take any
steps that facilitate future procedures such as scheduling appointments, transportation, or other
arrangements."
-One former HHSofficial with knowledge of the office maintains that you were responsible for these policies
before Scott Lloyd took over.

2
HHS-OS-EF Lit. 18-0241 00004082

EXT-18-241-O-000526

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Wynne, Maggie (HHS/IOS)
Monday, October 16, 2017 7:01 PM
Yoest, Charmaine (OS/ASPA); Marriott, Brian (ACF)
Skrzycki, Kristin (HHS/IOS); Wagner, Steven (ACF); Lloyd, Scott (ACF); Bowman,
Matthew (HHS/IOS); Lloyd, Matt (OS/ASPA)
FW: Undocumented pregnant girl in Texas tests Trump policy to stop abortions

Charmaine and Brian,
(b)(5)

Maggie

Deliberative and pre-decisional communication

From: Bowman, Matthew (HHS/OGC)

Sent: Monday, October 16, 2017 6:27 PM
To: Wynne, Maggie (HHS/IOS)
Subject: FW: Undocumented pregnant girl in Texas tests Trump policy to stop abortions

Confidentialpre-decisionaldeliberativeprocessand attorney client privilege

Bowman
Deputy General Counsel
HHSOGC
Matt

202.868.9791

matthew.bowman@hhs.gov
From: Bult, Nathan (OS/ASPA)

Sent: Monday, October 16, 2017 6: 17 PM
To: Lloyd, Matt (OS/ASPA); Oakley, Caitlin B. (05/ASPA); Yoest, Charmaine (05/ASPA); Bowman, Matthew (HHS/OGC)
Subject: FW: Undocumented pregnant girl in Texas tests Trump policy to stop abortions
(b)(5)

HHS-OS-EF Lit. 18-0241 00004083

EXT-18-241-O-000527

 From: POLITI CO Pro Health Care [ mailto:po lit icoema il@polit icopro.com )
Sent : Monday, Octobe r 16, 2017 6:12 PM

To: Bult, Nathan (O5/ASPA)
Subje ct: Undocumented pregnant girl in Texas tests T rump policy to stop abortions

Undocumen ted pregnant girl in Texas tests Trump policy to stop abortions

By Renuka Rayasam
10/16/2017 06:06 PM EDT
AUSTIN, Texas - The Trump administra tion is preventing an undocumented, pregnant teenager detained in a
Brownsville refugee shelter from getting an abortion in a policy shift with big implicat ions for hundreds of
other pregnant, unaccompanied minors held in such shelters.
She is not the first to be stopped, accord ing to advocates who work with undocumented teenagers.
For the last seven months, the Health and Human Services Department has intervened to prevent abortions
sought by girls at federa lly funded shelters, even in cases of rape and incest and when the teen had a way to pay
for the procedure. The agency has instead forced minors to visit crisis pregnancy centers, religiously affiliated
groups that counsel women against having abortions, according to documents obtained by POLITICO,
interviews with sources involved in the Brownsville case and those familiar with the agency's policy.
In some cases, a senior HHS official has perso nally visited or called pregnant teens to try to talk them out of
ending their pregnanc ies.
"There is a pattern of uncons titutional overreach of power in a minor's abortion decision," said the teen's lawyer,
Brigitte Amiri of the ACLU.
The ACLU broug ht suit on Friday on behalf of the 17-year-old in the Brownsv ille shelter, contending HHS has
barred the girl, now about 14 weeks pregnant, from getting the abortion even though she got a judge's
permission to have it without parental consent and has obtained the money to pay for it. Abortions after 20
weeks are illegal under Texas law.
The girl, identified in court papers only as Jane Doe, obtained a j udge's permission on Sept. 25 and had an
initial abortion appointment scheduled for Sept. 28, at the end of her first trimester, Amiri said.
But officia ls at the Office of Refugee Resettlement, which is part of HHS, refused to transport her to her
abortion appointment, instead taking her to a crisis pregnancy center, and calling her mother in her home
country to tell her about the pregnancy, according to the ACLU suit and Amiri.
"What's especia lly disturbing for us about this case, is that the child is in the custody of ORR [the Office of
Refugee Resettlement], so she has no other choice, and she is stuck in a form of custody or detention," said
Michelle Brane of the Women's Refugee Commission.
The Trump policy represents a sharp departure from the Obama administration, when the government reviewed
an undocumented teen's request for an abortion when she sought federal funding to pay for it, said Robert
Carey, director from April 20 15 until January of this year.

2
HHS-OS-EF Lit. 18-0241 00004084

EXT-18-241-O-000528

 The funds were approved in cases of rape or incest or when a mother's life was in danger, according to the
agency's guidelines. HHS didn't get involved if the teen got funding for the procedure from another source, he
said.
"I wasn 't approving their right to have the procedure," Carey said.
The ACLU estimates that several hundred pregnant minors are currently in federal shelters throughout the
country. Most are from Guatemala , Honduras and El Salvador and immigration experts believe many are
victim s of rape and sexual violence, either in their home countries or during the perilou s jo urney here. If they
are apprehe nded after crossing the U.S.-Mexico border, they are housed in HHS shelters separate from adult s
until they are reunited with relatives or other sponsors , or else deported.
The Trump admini strat ion policy shift appears to have begu n in early March , in the weeks lead ing up to Scott
Lloyd, a lawyer with Knight s of Columbu s, a Catholic charitable organization , taking the helm of the refugee
resettlement agency. On March 6, he and two HHS employees sent an internal memo detailing three cases of
minor s held in federal custody asking for abortion s, according to document s shared with POLITICO .
They say that federally funded shelters must "provide immediate and continuing information" to the agency
regardi ng abortion reques ts, that neither the agency, nor the facilitie s, may authorize the procedure and that
punitive actio n would be taken agains t facilities that violate the proto col. The emai l also said the girls in those
cases had changed their stories about whether the pregnancie s resulted from rape or consensua l sex with a
boyfri end. The document also had "talking points" but they were blacked out in the copy shared with
POLITICO .
Later, as director , Lloyd wrote in a March 30 email to another staffer: "Grantees should not be supporting
abortion services pre or post-relea se; only pregnancy services and life-affirmi ng options counseling."
Lawyer s who work with the teens say the policy appears to have been disseminated informally through email ,
rather than being forma lly codified in the agency's policy guide.
They also note that Lloyd has personally visited and called pregnant girls in shelters, directed them to a list of
approved crisis pregnancy centers , instructed staff to block minor s from meeting with attorneys and told shelter
operators to call a minor's parent s even if she receiv es permission to go to a judge to obtain authorization for an
abortion without their consent. In many cases, parent s are hundred s of mile s away in their home countries, or
minor s worry that parent s won't approv e of the proc edure.
Susan Hays, an Austin attorney who helped the girl in the Brown sville shelter get a jud ge's permission to have
the procedure, said that the girl was worried about telling her parent s because they had beaten her sister when
she becam e pregnant out of wedlock .
Lloyd has also threatened to pull funding from shelter s, which are under federal contract, for failure to comp ly,
Hays said. "Shelters are scared," she added.
Access to abortion has long been an issue for girls detained in refugee shelters, because many are religiously
affiliated institution s that oppo se the practice. But Amiri , Hays and others who work with refugees tell
POLITICO that it's unprecedented for an ORR director to personally attempt to dissuade minors from ending a
pregnancy.
"Imagine you are an unaccompanie d minor and this bureaucrat from Washington, D .C., in a suit comes to visit
you," Amiri said. She called it an "abuse of power to coerce and use immigration status as a bargaining chip."
3
HHS-OS-EF Lit. 18-0241 00004085

EXT-18-241-O-000529

 HHS did not to respond to questions about the agency's policy regarding abortions among undocumented
pregnant minors. Lloyd refen-ed repeated calls and emails to the HHS communications team.
Calls and emails to several ORR staffers were unanswered. In response to questions about the Brown sville case,
a spoke sperson for HHS' Administration for Children and Families said in an emailed statement "our paramount
concern is the child's safety and well-being. "
"While the child is in our custody, our goal is to provide food , shelter and care to her under federal statute," the
spokesperson said. "We are providing excellent care to the adolescent girl and her unborn child, who remain
under our care until the mother's release."
The policy regarding what to do with undocument ed minors in shelters that request abortions was first laid out
in a 2008 Bush administration memo . That came at the end of the administration, so the Obama administration
interpreted the policy.
"A considerable amount of time and energy was put into the development of that policy," Carey said.
Carey estimated that he signed off about three or four times a month on the use of federal funds to help girls
terminate their pregnancies in case of rape or incest or when her life was threatened.
"They were entitled to family planning services and left [on their own] to make those decisions to terminate
those pregnancies," he said about the decision of a pregnant minor in a federally funded shelter to have an
abortion.
The new policy could have far-reaching consequences on all aspects of rules around pregnant unaccompanied
minors, from how long they are held in federal shelters to how they are counted, say lawyers and advocates who
work with them.
For example, HHS may keep girls until they can no longer legally get an abortion or release them to familie s
that would also discourage abortions, rather than to family members or sponsors. In addition, HHS is
considering counting fetuses as unborn children, which could change federal funding at shelter s that house
pregnant teens, according to sources.
The emergence of the policy is documented in a series of emails between Lloyd and other official s and shelters
since March.
In one case, acting ORR director Kenneth Tota tried to stop a medication abortion, which involves taking two
prescription s in sequence. He asked that the girl be sent to the emergency room for an exam to determine if the
fetus was still viable after she had taken the first pill, but before she took the second drug to complete the
procedure. In the end, the agency let the procedure continue.

In another case, about 10 days before his official appointment, Lloyd visited a Honduran girl in a San Antonio
shelter and sent an email to the shelter operator asking to accommodate her request for bananas and soup and a
more comfortable mattress, according to the emails. He added that if things get "dicey" with her sponsor, a
relative in the U.S., he knew families that would take her in and see her through her pregnancy and beyond.
That potentially violates an agreement in which the government must quickly reunite the minor with family or
other sponsor.
In another case this spring, described in the emails, Lloyd said he spoke with a girl requesting an abortion at a
Southwest Key shelter in Phoenix. He directed ORR staff to send the girl to a specific crisis pregnancy center
for an ultrasound and to keep her from meeting with an attorney regarding her desire to get a judge to give her
4
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 permission for an abortion. Neither the shelter nor the crisis pregnancy cente r respo nded to req uests to comment
over the weekend.
Although the ACLU's lawsuit applies only to one teenager, Texas Attorney General Ken Paxton said in a news
release that he worries a decision in the case could have broad-ranging imp lications.
"No federa l court has ever declared that unlawfu11y-present aliens with no substantial ties to this country have a
constitutional right to abortion on demand," he said . "If 'Doe' prevails in this case, the ruling will create a right
to abortion for anyone on earth who ente rs the U.S. illegally. And with that right, countless others undoubtedly
would follow. Texas must not become a sanctuary state for abortions."

To view online:
https ://www .politicop ro.co m/health-care/s tory/20 17/ 10/undocumen ted-pregnant -girl-in-texas-tests -trumppolicy-to -stop-abortions-1634 18

.,.

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5
HHS-OS-EF Lit. 18-0241 00004087

EXT-18-241-O-000531

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Bowman, Matthew (HHS/OGC)
Monday, October 16, 2017 6:27 PM
Wynne , Maggie (HHS/IOS)
FW: Undocumented pregnant gi rl in Texas tests Trump policy to stop abortions

Confidentialpre-decisionaldeliberativeprocessand attorney client privilege

Matt Bowman
Deputy General Counsel
HHSOGC

202.868.9791
matthew.bowman @hhs.gov
From: Bult, Nathan (OS/ASPA)
Sent: Monday, October 16, 2017 6: 17 PM
To: Lloyd, Matt (0S/ASPA); Oakley, Caitlin B. (0S/ASPA); Yoest, Charmaine (0S/ASPA); Bowman, Matthew (HHS/OGC)
Subject: FW: Undocumented pregnant girl in Texas tests Trump policy to stop abortions
(b)(5)

From: POLITICO Pro Health Care [mailto:politicoemail@politicopro.com ]
Sent: Monday, October 16, 2017 6: 12 PM
To: Bult, Nathan (05/ASPA)
Subject: Undocumented pregnant girl in Texas tests Trump policy to stop abort ions

Undocumented pregnant girl in Texas tests Trump policy to stop abortions
By Renuka Rayasam
10/16/2017 06:06 PM EDT
AUSTIN, Texas - The Trump administration is preve nting an undocumented, pregnant teenager detained in a
Brownsville refugee shelter from getting an abortion in a policy shift with big implic ations for hundreds of
other pregnant, unaccompanied minors held in such shelter s.
She is not the first to be stopped, according to advocates who work with undocumented teenagers.
For the last seven month s, the Health and Human Services Department has intervened to prevent abortion s
sought by girls at federally funded shelters, even in cases of rape and incest and when the teen had a way to pay
for the procedu re . The agency has instead forced minors to visit crisis pregnancy centers, religiously affiliated
groups that counsel women against having abortions, according to document s obtained by POLITICO ,
interviews with sources involved in the Brownsville case and those familiar with the agency's policy.
HHS-OS-EF Lit. 18-0241 00004088

EXT-18-241-O-000532

 In some cases, a senior HH S official has personally visited or called pregnant teens to try to talk them out of
end ing their pregnancies.
"There is a pattern of unconstitutional overreach of power in a minor's abort ion decision," said the teen's lawyer,
Brigitte Amiri of the ACLU.
The ACLU brought suit on Friday on beha lf of th e 17-year-old in the Brownsville shelter , contending HHS has
barred the girl, now about 14 weeks pregnant, from getting the abortion even though she got a ju dge' s
permission to have it wit hout parental consent an d has obtained the money to pay for it. Abortions after 20
weeks are illegal under Texas law.
The girl , identified in court papers only as Jane Doe, obtained a judge's permission on Sept. 25 and had an
initial abo rtion appoi ntment schedu led for Sept. 28 , at th e end of her first trim ester, A miri said .
But officia ls at the Office of Refugee Resettlement , which is part of HH S, refused to transport her to her
abortion appointment, instead taking her to a crisis pregnancy cente r, and calling her mother in her home
country to tell her about the pregnancy, according to the ACLU suit and Amiri.
"What's especially disturbing for us abo ut this case , is that the chi ld is in the custody of ORR [the Office of
Refugee Resett leme nt], so she has no other choice, and she is stuck in a form of custody or detention," sa id
Michelle Brane of the Women 's Refugee Commission.
The Trump policy represents a sharp departure from the Obama administration, when the government reviewed
an undocumented teen's request for an abortion when she sought federa l funding to pay for it, said Robert
Carey, director from April 20 15 until January of this year.
The funds we re approved in case s of rape or incest or when a mother's life was in danger, acco rdin g to the
age ncy 's guide lines . HHS didn't get invo lved if the teen got funding for the procedure fro m another so urce, he
said.
"I wasn't approv in g the ir right to have the procedure," Carey said.
Th e ACLU estimates that several hundred pregnant minors are currently in federal shelt ers throughout the
coun try. Most are from Guatema la, Honduras and El Sa lvador and immigrat ion experts believe many are
victi ms of rape and sexua l vio lence, e ither in their home countries or during the pe rilous jo urney here. If they
are apprehended after crossing the U.S.-Mexico border, they are housed in HHS shelters separate from adu lts
until they are reunited with relatives or other sponsors, or else deported.
The Trump administration policy shift appears to have begun in early March , in the weeks leading up to Scott
Lloyd, a lawye r wit h K nights of Col umbu s, a Catho lic charitable orga ni zation, taking the helm of the refugee
resett leme nt age ncy . On March 6, he and two HHS employees sent an internal memo detailing three cases of
minors held in federa l custody asking for abortions, according to documents shared with POLITICO.
They say that federally funded she lters must "provide immediate and continu ing information" to the agency
regarding abortion req uests , that neither the agency, nor the facilities , may aut horize the procedure and that
pu niti ve action would be taken agai nst facilities that vio late the pro tocol. The email also sa id the gir ls in tho se
cases had changed their stories about whether the preg nancies resu lted from rape or conse nsua l sex with a
boyfriend. The document also had "talking points" but they were blacked out in the copy shared with
POLITICO.

2
HHS-OS-EF Lit. 18-0241 00004089

EXT-18-241-O-000533

 Later , as director , Lloyd wrote in a March 30 email to another staffe r: "Grantee s should not be supportin g
abortion services pre or post-relea se; only preg nancy services and life-affi rming options counseling ."
Lawy ers who work with the teens say the policy appears to have been disse minat ed infor mall y through email,
rather than being formally codified in the agency's policy guide.
They also note that Lloyd has persona1ly visited and ca1led pregnant girls in shelters, directed them to a list of
app rove d crisis pr egnancy centers, instructed staff to block minor s from meeting with attorneys and told shelter
operator s to call a minor' s parents even if she recei ves permi ssion to go to a judge to obtain author ization for an
abortion without their consent. In many cases, parent s are hundreds of mile s away in their home countries, or
minor s woITy that parents won't approv e of the proc edur e.
Susan Hays, an Austin attorney who helped the girl in the Brown sville shelter get a ju dge's permissio n to have
the pro ced ure, said that the girl was wo rried about tellin g her parents because they had beaten her sister when
she became preg nant out of wedlock.
Lloyd has also threatened to pull funding from shelters, which are under federal contract , for failure to comp ly,
Hay s said. "She lters are scared ," she added.
Acc ess to abortion has long been an issue for girls detained in refugee shelt ers, beca use many are religiously
affiliated institution s that oppo se the practice. But Amiri, Hays and others who work with refugees tell
POLITICO that it's unprecedented for an ORR director to personally attempt to dissuade minors from ending a
pregnancy.
"Ima gine you are an unaccompanie d minor and this bur eaucra t from Wa shin gton , D.C. , in a suit comes to visit
you," Amiri said. She called it an "abuse of power to coerce and use immi gration statu s as a barga ining ch ip."
HHS did not to respond to question s about the age ncy's policy regardi ng abort ions amon g undocumented
pregnant minor s. Lloyd referred repeated calls and emai ls to the HHS communications team .
Calls and emails to severa l ORR staffers were unanswered. In respon se to questions about the Brown sville case ,
a spokesperson for HHS ' Admini stration for Children and Famili es said in an emai led statement "our paramount
concern is the child 's safety and we11-being ."
"Whil e the ch ild is in our custody, our goa l is to provid e food , shelt er and care to her under federal statut e," the
spoke sperson said. "We are pro vidin g exce llent care to the adolescent girl and her unborn child , who remain
under our care until the mother' s rele ase."
The polic y regarding what to do wi th undocument ed minor s in shelters that request abort ions was first laid out
in a 200 8 Bush adm inistration me mo . That came at the end of the administration, so the Oba ma admini stration
interpreted the policy.
"A considerabl e amount of time and energy was put into the deve lopm ent of that poli cy," Carey said.
Carey estimated that he signed off about three or four times a month on the use of federa l funds to help girls
terminate their pregnanc ies in case of rape or incest or when her life was threatene d.
"Th ey were entitled to family planning services and left [on their own] to make those deci sions to telTninate
those pregna ncies ," he sa id abo ut the dec ision of a pregnant minor in a federally fund ed shelter to have an
abortion.
3
HHS-OS-EF Lit. 18-0241 00004090

EXT-18-241-O-000534

 The new policy cou ld have far-reac hing consequences on all aspects of rules around pregnant unaccompanied
minor s, from how long they are held in federal shelters to how they are counted, say lawyers and advocates who
work with them.
For example, HHS may keep girls until they can no longer lega lly get an aborti on or relea se them to familie s
that would also discourage abortions, rather than to family member s or sponsors. In addition , HHS is
considering counting fetuses as unborn children, which could change federal funding at shelters that house
pregnant teens, according to sources.
The emergence of the policy is documented in a series of emails between Lloyd and other officia ls and shelters
since March.

In one case , acting ORR director Kenneth Tota tried to stop a medicatio n abortion, which involves taking two
prescription s in sequence. He asked that the girl be sent to the emergency room for an exam to determine if the
fetus was still viable after she had taken the first pill, but before she took the second drug to comp lete the
procedure. In the end, the agency let the procedure continue.
In another case, about 10 days before his offic ial appointme nt, Lloyd visited a Honduran girl in a San Antoni o
shelter and sent an email to the shelter operator asking to accommodate her request for bananas and soup and a
more comfo rtable mattre ss, according to the emails. He added that if thing s get "dicey" with her sponsor, a
relativ e in the U.S. , he knew families that would take her in and see her through her pregnancy and beyond.
That potentially violates an agreement in which the gove rnment must qu ickly reunite the minor with family or
other sponsor.
In another case this spring , described in the emails, Lloyd said he spoke with a girl requesting an abortion at a
Southwest Key shelter in Phoenix. He direct ed ORR staff to send the girl to a specific crisis pregnancy center
for an ultrasound and to keep her from meeting with an attorney regarding her desire to get a judge to give her
permissio n for an abortio n. Ne ither the shelter nor the crisis pregnancy center responded to requests to comment
over the weekend.
Although the ACLU's lawsuit applies only to one teena ger, Texas Attorney General Ken Paxton said in a news
release that he worries a decision in the case could have broad-ran ging implications.
"No federal court has ever declared that unlawfully-pre sent aliens with no substantial ties to this country have a
constitutional right to abortion on demand," he said. "If 'Doe' prevails in this case, the ruling will create a right
to abortion for anyone on earth who enters the U.S. illegally. And with that right, countle ss others undoubted ly
would follow . Texas must not become a sanctuary state for abortions."
To view online:
https ://www.politicopro.com/health-care/story/2017 / 10/undocumented-pregnant -girl-in-texas-tests -tru mppol icy-to-stop-aborti ons-1634 I 8

.,.

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EXT-18-241-O-000535

 POLITICO
PRO
Thi s ema il was sent to nathan.bult@hhs.gov by: POLITICO , LLC 1000 Wilson Blvd. Arlington, VA , 22209,
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5
HHS-OS-EF Lit. 18-0241 00004092

EXT-18-241-O-000536

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:
Attachments:

Stannard, Paula (HHS/IOS)
Sunday, October 15, 2017 7:45 PM
Brennan, Patrick (OS/ASPA); Arbes, Sarah (HHS/ASL); Brooks, John (HHS/IOS); Schaefer,
Nina (HHS/IOS); Lenihan, Keagan (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS);
Skrzycki, Kristin (HHS/10S); Wynne, Maggie (HHS/10S); Bowman, Matthew (HHS/OGC);
Flick, Heather (0S/OGC); Leggitt , Lance (HHS/10S)
Lloyd, Matt (0S/AS PA); Keckler, Charles (HHS/10S); Caliguiri, Laura (HHS/10S); Brady,
Will (HHS/10S); Clark, Timothy (HHS/10S); Ashendorf, Jacob (HHS/IOS)
Re: For review by 9 PM: remarks to politicals from Acting Secretary Hargan
10 17 17 Hargan Intro Speech ps edits.docx

(b)(5)

Paula

On: 15 Octobe r 2017 18:20, "Brennan, Patrick (OS/ASPA)" <Patrick.Brennan@hhs.gov > wrote:
Hi all,
Attached is a draft of remarks for Acting Secretary Hargan to deliver tomorrow afternoon at a meeting of all HHS
politicals.
Please let me know if you have any thoughts or edits by 9 PM this evening if possible. I apologize for the quick
turnaround. Thank you!
Best,
Patrick
Patrick Brennan
Department of Health and Human Services
Off ice: 202-205-2819 I Cell: (b)(6)

Predecisional/deliberative

communication

HHS-OS-EF Lit. 18-0241 00004093

EXT-18-241-O-000537

 Bell, Michael (OS/ASPA)
(b)(6)

Talento, Kathryn (b)(6)
< Kathryn
Friday, October 06, 2017 10:30 AM
Wynne , Maggie (HHS/IOS)

From:

Sent:
To:

Subject:

(b)(5)

(b)(5)

HHS-OS-EF Lit. 18-0241 00004094

EXT-18-241-O-000538

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

(b)(5)

(b)(5)

Confidentia l pre-decisional deliberat ive process and attorney client priv ilege
Matt Bowman
Deputy Gene ral Counse l
HHS OGC

202.868.9791
matthew .bowma n@hhs.gov

HHS-OS-EF Lit. 18-0241 00004095

EXT-18-241-O-000539

 Bell. Michael (OS/ASPA)
Wagner, Steven (ACF)
Tuesday, October 03, 2017 12:49 PM
Le itt Lance HHS/10S); Wynne, Maggie (HHS/10S)

From:

Sent:
To:
(b)(5)

Subject:
(b)(5)

From: Lloyd, Scott (ACF)

Sent: Tuesday, October 03, 2017 11 :51 AM
To: Wagner, Steven (ACF)
Cc: Powers, Ma

(ACF); Wh ite, Laura (ACF)

Subject: (b)(5)
Steve,
(b)(5)

HHS-OS-EF Lit. 18-0241 00004096

EXT-18-241-O-000540

 (b)(5)

Thank you,

Scott

2

HHS-OS-EF Lit. 18-0241 00004097

EXT-18-241-O-000541

 Page 542 redacted for the following reason:
--------------------Referral to other agency for consultation (1 page)

HHS-OS-EF Lit. 18-0241 00004098

EXT-18-241-O-000542

 Bell. Michael (OS/ASPA)
Palacios, Cait lin (HHS/OGC)
Tuesday, May 30, 2017 3:26 PM
Mella , Emily (ACF); Pilato, Anna (ACF); Goldhaber , Ben (ACF); Wynne , Maggie
(HHS/IOS); Moughalian, Jen (HHS/ASFR); Clark, Barbara (HHS/ASL); Agnew, Ann
(HHS/IOS); Weber, Mark (HHS/ASPA); Wagner, Steven (ACF); Williams , Rasheed
(HHS/IOS)
Bowman, Matthew (HHS/OGC); Woolford, Llewellyn (HHS/OGC); Haron, Judith
HHS/OGC)

From:
Sent:
To:

Cc:
(b)(5)

Subject:
Attachments:
(b)(5)

Caitlin
CAITLIN S. PALACIOS
Attorney , Claims and Employment Law Branch
Genera l Law Division
On Detail to Children, Families and Aging Division
Off ice of the General Counsel
U.S. Department of Health and Human Serv ices
330 C Street, SW
Switze r Building , Suite 2600
Washington, D.C. 20201
Telephone: 202-690-5736
Fax: 202-619-2922

Caitlin.Palacios@hhs.gov

From: Haran, Judith (HHS/OGC)

Sent: Friday, March 24, 2017 2:58 PM
To: Barlow, Amanda (ACF); Mella, Emily (ACF); Pilato, Anna (ACF); Goldhaber, Ben (ACF); Wynne, Maggie (HHS/IOS);
Moughalian, Jen (HHS/ASFR); Clark, Barbara (HHS/ASL); Agnew, Ann (HHS/IOS); Weber, Mark (HHS/ASPA)
Cc: Bow
lMli
mn Matthew HHS/OGC); Palacios, Caitlin (HHS/OGC); Woolford, Llewellyn (HHS/OGC)
(b)(5)

Subject
Importance:

1g

HHS-OS-EF Lit. 18-0241 00004099

EXT-18-241-O-000543

 (b)(5)

If you have any quest ions, please do not hesitate to contact me.

- Judy Haran Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received th is message in error , please delete it w ithout reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error . Your receipt of
this message is not intended to waive any applicable privilege.

2

HHS-OS-EF Lit. 18-0241 00004100

EXT-18-241-O-000544

 Bell, Michael (OS/ ASPA}
Lawrence, Courtney (HHS/ASL)
Thursday, May 04, 2017 4:57 PM
Sohn, Elizabeth (ACF); Logan, Scott (ACF); Clark, Barbara (HHS/ASL); Wynne , Magg ie
(HHS/IOS)
RE:Sen. Hirano: Meeting Request

From:

Sent:
To:

Subject:

Tuesday at 9, Wednesday at 9, or Thursday work best for me

From: Sohn, Elizabeth (ACF)
Sent: Thursday, May 04, 2017 11 :10 AM
To: Logan, Scott (ACF); Clark, Barbara (HHS/ASL); Wynne, Maggie (HHS/IOS)
Cc: Lawrence, Courtney (HHS/ASL)
Subject: RE: Sen. Hirono: Meeting Request
Hi Barbara,
ORR is offering the following times next week for this call :
Mon, 5/8: 10- llam
Tues, 5/9: 9-9 :30am
Wed, 5/10 : 9-lOam
Thurs, 5/11: 9-lOam, 12-lpm
Thanks,
Elizabeth

From: Logan, Scott (ACF)
Sent: Wednesday, May 03, 2017 11 :53 AM
To : Clark, Barbara (HHS/ASL); Sohn, Elizabeth (ACF); Wynne, Maggie (HHS/IOS)
Cc: Lawrence, Courtney (HHS/ASL)
Subject: RE: Sen. Hirono: Meeting Request
Sure
Scott Logan
Acting Director
Office of Legislative Affairs and Budget
Administration for Children and Families
U.S. Department of Health and Human Services
330 CST, SW Suite 50200
Washington, D.C. 20201
202.401.4529

Learn more about ACF at:

fr<
ACF
HHS-OS-EF Lit. 18-0241 00004101

EXT-18-241-O-000545

 From: Clark, Barbara (HHS/ASL)
Sent: Wednesday, May 03, 2017 11:52 AM
To: Logan, Scott (ACF); Sohn, Elizabeth (ACF); Wynne, Maggie (HHS/IOS)
Cc: Lawrence, Courtney (HHS/ASL)

Subject: RE: Sen. Hirono: Meeting Request
Scott,
I offered 2:00 but they have a conflict so I said we would look at availability next week. Can you find a couple of times to
offer? Thanks.
Barbara
From: Logan, Scott (ACF)

Sent: Tuesday, May 02, 2017 2:02 PM
To: Clark, Barbara (HHS/ASL); Sohn, Elizabeth (ACF); Wynne, Maggie (HHS/IOS)
Cc: Lawrence, Courtney (HHS/ASL)
Subject: RE: Sen. Hirono: Meeting Request
Hi Barbara,
Scott Lloyd could do 10 to 11 or 1 to 3 on Friday. He'll be joined by other ORRstaff. Please let us know if one of the
times works.
Thank you,
Scott
Scott Logan
Acting Director
Office of Legislative Affairs and Budget
Administrat ion for Children and Families
U.S. Department of Healt h and Human Services
330 CST, SW Suite 5020D
Washington, D.C. 20201
202.401.4529

ft<
Learn more about ACF at:

oe

ACF

From: Clark, Barbara (HHS/ASL)

Sent: Tuesday, May 02, 2017 12:21 PM
To: Logan, Scott (ACF); Sohn, Elizabeth (ACF); Wynne, Maggie (HHS/IOS)
Cc: Lawrence, Courtney (HHS/ASL)
Subject: Sen. Hirono: Meeting Request
Hi Scott,
I received a request from Sen. Hirono's office for an "update on any data about the implementation of the interim final
regulation for contractors with religious objections to emergency contraception and abortion care." She is asking for a
call later this week to see if there is any data or updates on the implementation of the religious accommodation.
Please let me know who should be included and look at availability.
2
HHS-OS-EF Lit. 18-0241 00004102

EXT-18-241-O-000546

 Maggie, I would assume you would want to be on the call unless you tell me otherwise.
As background, we have had several conference calls with her on this subject and the last update we sent was last
August, we send the following:
The Office of Refugee Resettlement (ORR) has implemented the Interim Final Rule on Standards to Prevent, Detect, and
Respond to Sexual Abuse and Sexual Harassment Involving Unaccompanied Children. Since the rule's publication, ORR
has issued policies in its online Policy Guide, provided multip le t rainings for care providers, updated reporting forms and
requirements, and provided resources for care providers . For your reference, you may find the online Policy Guide here:
http://www .acf.hhs.gov/orr/resource/children -entering-the-united-states-unaccompanied . ORRalso created the UC
Sexual Abuse Hotline, which provides a way for any child or third party, including family members, sponsors, legal
service providers, child advocates, and any ot her individual with knowledge or suspicion of sexual abuse or harassment
occurring at an ORRcare provider to report such allegations directly to ORR.
ORR is mindful that some potential and exiting grantees may have religious objections to providing abortion and
emergency contraception services. ORRis committed to working with care providers to ensure every child is provided
all required information and services in an equal, fair, and timely manner that is respectful to the principles and beliefs
of the care provider.
Thanks.
Barbara
Barbara Pisaro Clark

Acting Assistant Secretary for Legislation
U.S. Department of Health and Human Services
(202) 690-7627
(202) 260-7193 (direct)
Barbara.clark@hhs.gov

3
HHS-OS-EF Lit. 18-0241 00004103

EXT-18-241-O-000547

 Bell, Michael (OS/ ASPA)
Clark, Barbara (HHS/ASL)
Wednesday , May 03, 2017 11:52 AM
Logan, Scott (ACF); Sohn, Elizabeth (ACF); Wynne , Maggie (HHS/IOS)
Lawrence, Courtney (HHS/ASL)
RE:Sen. Hirono: Meeting Request

From:

Sent:
To:
Cc:
Subject:

Scott,
I offered 2:00 but they have a conflict so I said we would look at availability next week. Can you find a couple of times to
offer? Thanks .

Barbara

From: Logan, Scott (ACF)

Sent: Tuesday , May 02, 2017 2:02 PM
To: Clark, Barbara (H HS/ASL); Sohn, Elizabeth (ACF); Wynne, Maggie (HHS/IOS)
Cc: Lawrence, Courtney (HHS/ASL)
Subject: RE: Sen. Hirono: Meeting Request
Hi Barbara,
Scott Lloyd could do 10 to 11 or 1 to 3 on Friday. He'll be joined by other ORR staff . Please let us know if one of t he
times works.
Thank you,
Scott
Scott Logan
Acting Director
Office of Legislative Affairs and Budget
Admin istration for Children and Families
U.S. Department of Health and Human Services
330 CST, SW Suite 5020D
Washington, D.C. 20201
202.401.4529

ft<
Learn more about ACF at:

ACF

From: Clark, Barbara (HHS/ASL)

Sent: Tuesday, May 02, 2017 12:21 PM
To: Logan, Scott (ACF); Sohn, Elizabeth (ACF); Wynne, Maggie (HHS/IOS)
Cc: Lawrence, Courtney (HHS/ASL)
Subject: Sen. Hirono: Meeting Request
Hi Scott,

HHS-OS-EF Lit. 18-0241 00004104

EXT-18-241-O-000548

 I received a request from Sen. Hirono's office for an "update on any data about the implementation of the interim final
regulation for contractors with religious objections to emergency contraception and abortion care." She is asking for a
call later this week to see if there is any data or updates on the implementation of the religious accommodation.
Please let me know who should be included and look at availability.
Maggie, I would assume you would want to be on the call unless you tell me otherwise.
As background, we have had several conference calls with her on this subject and the last update we sent was last
August, we send the following:
The Office of Ref ugee Resettlement (ORR) has implemented the Interim Final Rule on Standards to Prevent, Detect, and
Respond to Sexual Abuse and Sexual Harassment Involving Unaccompanied Children . Since the rule's publication , ORR
has issued policies in its online Policy Guide, provided multiple trainings for care providers, updated report ing forms and
requirements, and provided resources for care providers . For your reference, you may find the online Policy Guide here :
http://www .acf.hhs.gov/orr/resource/children -entering -the -united -states -unaccompanied . ORRalso created the UC
Sexual Abuse Hotline, which provides a way for any child or third party, including family members, sponsors, legal
service providers, child advocates, and any ot her individ ual with knowledge or suspicion of sexual abuse or harassment
occurring at an ORRcare provider to report such allegations directly to ORR.
ORR is mindful that some potential and exiting grantees may have religious objections to providing abortion and
emergency contraception services. ORRis committed to working with care providers to ensure every child is provided
all required information and services in an equal, fair, and timely manner that is respectfu l to the principles and beliefs
of the care provider.
Thanks.
Barbara

Barbara Pisaro Clark
Acting Assistant Secretary for Legislation
U.S. Department of Health and Human Services
(202) 690-7627
(202) 260-7193 (direct)
Barbara.clark@hhs.gov

2
HHS-OS-EF Lit. 18-0241 00004105

EXT-18-241-O-000549

 Bell, Michael (OS/ ASPA}
Clark, Barbara (HHS/ASL)
Tuesday, May 02, 2017 7:27 PM
Logan, Scott (ACF); Sohn, Elizabeth (ACF); Wynne, Maggie (HHS/IOS)
Lawrence, Courtney (HHS/ASL)
RE:Sen. Hirono: Meeting Request

From :

Sent:
To:

Cc:
Subject:

Scott,
I've offered 2:00, that's when Courtney and Maggie are also both available . Reminder, this is a call not a meeting .
Barbara

From: Logan, Scott (ACF)

Sent: Tuesday, May 02, 2017 2:02 PM
To: Clark, Barbara (HHS/ASL); Sohn, Elizabeth (ACF); Wynne, Maggie (HHS/IOS)
Cc: Lawrence, Courtney (HHS/ASL)

Subject: RE: Sen. Hirono: Meeting Request
Hi Barbara,
Scott Lloyd could do 10 to 11 or 1 to 3 on Friday. He'll be joined by other ORR staff . Please let us know if one of t he
times works.
Thank you,
Scott
Scott Logan
Acting Director
Office of Legislative Affairs and Budget
Administration for Children and Families
U.S. Department of Health and Human Services
330 CST, SW Suite 5020D
Washington, D.C. 20201
202.401.4529

ff<
Learn more about ACF at:

oe e

ACF

From: Clark, Barbara (HHS/ASL)

Sent: Tuesday, May 02, 2017 12:21 PM
To: Logan, Scott (ACF); Sohn, Elizabeth (ACF); Wynne, Maggie (HHS/l05)
Cc: Lawrence, Courtney (HHS/ASL)

Subject: Sen. Hirono: Meeting Request
Hi Scott,

HHS-OS-EF Lit. 18-0241 00004106

EXT-18-241-O-000550

 I received a request from Sen. Hirono's office for an "update on any data about the implementation of the interim final
regulation for contractors with religious objections to emergency contraception and abortion care." She is asking for a
call later this week to see if there is any data or updates on the implementation of the religious accommodation.
Please let me know who should be included and look at availability.
Maggie, I would assume you would want to be on the call unless you tell me otherwise.
As background, we have had several conference calls with her on this subject and the last update we sent was last
August, we send the following:
The Office of Ref ugee Resettlement (ORR) has implemented the Interim Final Rule on Standards to Prevent, Detect, and
Respond to Sexual Abuse and Sexual Harassment Involving Unaccompanied Children . Since the rule's publication , ORR
has issued policies in its online Policy Guide, provided multiple trainings for care providers, updated report ing forms and
requirements, and provided resources for care providers . For your reference, you may find the online Policy Guide here :
http://www .acf.hhs.gov/orr/resource/children -entering -the -united -states -unaccompanied . ORRalso created the UC
Sexual Abuse Hotline, which provides a way for any child or third party, including family members, sponsors, legal
service providers, child advocates, and any ot her individ ual with knowledge or suspicion of sexual abuse or harassment
occurring at an ORRcare provider to report such allegations directly to ORR.
ORR is mindful that some potential and exiting grantees may have religious objections to providing abortion and
emergency contraception services. ORRis committed to working with care providers to ensure every child is provided
all required information and services in an equal, fair, and timely manner that is respectfu l to the principles and beliefs
of the care provider.
Thanks.
Barbara

Barbara Pisaro Clark
Acting Assistant Secretary for Legislation
U.S. Department of Health and Human Services
(202) 690-7627
(202) 260-7193 (direct)
Barbara.clark@hhs.gov

2
HHS-OS-EF Lit. 18-0241 00004107

EXT-18-241-O-000551

 Bell, Michael (OS/ASPA}
Clark, Barbara (HHS/ASL)
Tuesday, May 02, 2017 7:19 PM
Wynne, Maggie (HHS/IOS)
FW: Sen. Hirono: Meeting Request

From:

Sent:
To:

Subject:

Maggie, I'm out Friday, Courtney can do 2, can you also do that? Barbara

From : Logan, Scott (ACF)

Sent: Tuesday, May 02, 2017 2:02 PM
To: Clark, Barbara (HHS/ASL); Sohn, Elizabeth (ACF); Wynne, Maggie (HHS/IOS)
Cc: Lawrence, Courtney (HHS/ASL)

Subject: RE: Sen. Hirono: Meeting Request
Hi Barbara,
Scott Lloyd could do 10 to 11 or 1 to 3 on Friday. He'll be joined by other ORRstaff. Please let us know if one of the
times works.
Thank you,
Scott
Scott Logan
Act ing Director
Office of Legislative Affairs and Budget
Administration for Children and Families
U.S. Department of Health and Human Services
330 CST, SW Suite 5020D
Washington, D.C. 20201
202.401.4529

ft<
Learn more about ACF at:

ACF

From: Clark, Barbara (HHS/ASL)

Sent: Tuesday, May 02, 2017 12:21 PM
To: Logan, Scott (ACF); Sohn, Elizabeth (ACF); Wynne, Maggie (HHS/IOS)

Cc: Lawrence, Courtney (HHS/ASL)
Subject : Sen. Hirono : Meeting Request
Hi Scott,
I received a request from Sen. Hirono's office for an "update on any data about the implementation of the interim final
regulation for contractors with religious objections to emergency contraception and abortion care." She is asking for a
call later this week to see if there is any data or updates on the implementation of the religious accommodation.
Please let me know who should be included and look at availability.
Maggie, I would assume you would want to be on the call unless you tell me otherwise.
HHS-OS-EF Lit. 18-0241 00004108

EXT-18-241-O-000552

 As background, we have had several conference calls with her on this subject and the last update we sent was last
August, we send the following :
The Office of Refugee Resettlement (ORR) has imp lemented the Interim Final Rule on Standards to Prevent, Detect , and
Respond to Sexual Abuse and Sexual Harassment Involving Unaccompanied Children. Since the rule's publication , ORR
has issued policies in its online Policy Guide, provided multiple trainings for care providers, updated report ing forms and
requirements, and provided resources for care providers. For your reference, you may find the online Policy Guide here:
http://www .acf.hhs.gov/orr/resource/children-entering-the-united-states-unaccompanied
. ORRalso created the UC
Sexual Abuse Hotline, which provides a way for any child or third party, including family members, sponsors, legal
service providers, child advocates, and any other individual with knowledge or suspicion of sexual abuse or harassment
occurring at an ORRcare provider to report such allegations directly to ORR.
ORR is mindful that some potential and exiting grantees may have religious objections to providing abortion and
emergency contraception services. ORRis committed to working with care providers to ensure every child is provided
all required information and services in an equal, fair, and timely manner that is respectful to the principles and beliefs
of the care provider.
Thanks.
Barbara
Barbara Pisar o Clark

Acting Assistant Secretary for Legislation
U.S. Department of Health and Human Services
(202) 690-7627
(202) 260-7193 (direct)
Barbara.clark@hhs.gov

2
HHS-OS-EF Lit. 18-0241 00004109

EXT-18-241-O-000553

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:

Clark, Barbara (HHS/ASL)
Tuesday, May 02, 2017 12:21 PM
Logan, Scott (ACF);Sohn, Elizabeth (ACF);Wynne, Maggie (HHS/IOS)
Lawrence, Courtney (HHS/ASL)
Sen. Hirono: Meet ing Request

Hi Scott,
I received a request from Sen. Hirono ' s office for an " update on any data about the implementation of the interim final
regulation for contractors with religious objections to emergency contraception and abortion care." She is asking for a
call later this week to see if there is any data or updates on the implementation of the religious accommodation.
Please let me know who should be included and look at availability.
Maggie, I would assume you would want to be on the call unless you tell me otherwise.
As background, we have had several conference calls with her on this subject and the last update we sent was last
August, we send the following:
The Office of Refugee Resettlement {ORR) has implemented the Interim Final Rule on Standards to Prevent, Detect, and
Respond to Sexual Abuse and Sexual Harassment Involving Unaccompan ied Children. Since the rule's publication, ORR
has issued policies in its online Policy Guide, provided multiple trainings for care providers , updated report ing forms and
requirements, and provided resources for care providers. For your reference, you may find the online Policy Guide here:
http://www .acf.hhs.gov/orr/resource/children-entering -the -united-states-unaccompanied . ORRalso created the UC
Sexual Abuse Hotline, which provides a way for any child or third party, including family members, sponsors, legal
service providers, child advocates, and any other individual with knowledge or suspicion of sexual abuse or harassment
occurring at an ORRcare provider to report such allegations directly to ORR.
ORR is mindful that some potential and exiting grantees may have religious objections to providing abortion and
emergency contraception services. ORRis committed to working with care providers to ensure every child is provided
all required information and services in an equal, fair, and timely manner that is respectful to the principles and beliefs
of the care provider .
Thanks.
Barbara

Barbara Pisaro Clark
Acting Assistant Secretary for Legislation
U.S. Department of Health and Human Services
(202) 690-7627
(202) 260-7193 (direct)
Barbara.clark@hhs.gov

HHS-OS-EF Lit. 18-0241 00004110

EXT-18-241-O-000554

 Bell. Michael (OS/ASPA)

Cc:
Subject:
Attachments:

Lloyd, Scott (ACF)
Wednesday, March 29, 2017 6:28 PM
Barlow, Amanda (ACF); Wynne, Maggie (HHS/IOS); Sualog, Jallyn (ACF)
White, Jonathan (ACF); Gregg, Laura (ACF)
FW: Cooperative Agreement
Cooperative Agreement - Residential Services Feb 2017 ESLfinal edits.docx

Importance:

High

From:
Sent:
To:

(b)(5)

Thank you,
Scott

From: Lloyd, Scott (ACF)

Sent: Wednesday, March 29, 2017 5:40 PM
To: Barlow, Amanda (ACF); Wynne, Maggie (HHS/IOS); Sualog, Jallyn (ACF)
Cc: White, Jonathan (ACF); Gregg, Laura (ACF)
Subject: Cooperative Agreement
Here is the cooperative agreement with final edits.
(b)(5)

Please let me know if you need anything else.
Scott

***
E. Scott Lloyd
Director
Office of Refugee Resettlement
U.S. Department of Health and Human Services
(202) 401-7269
(b)(6)

-cell)
~

hs.gov

HHS-OS-EF Lit. 18-0241 00004111

EXT-18-241-O-000555

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Wynne, Maggie (HHS/IOS)
Thursday, March 23, 2017 9:11 AM
Lloyd, Scott (ACF)
RE:ACF - ORR, Washington Post, UC program (Rockville rape case)

Hi Scott,
(b)(5)

Maggie

From: Lloyd, Scott (ACF)
Sent: Wednesday, March 22, 2017 8:19 PM
To: Wynne, Maggie (HHS/IOS)
Subject: Re: ACF - ORR, Washington Post, UC program (Rockville rape case)
Importance: High

Deliberative pre decisional

Maggie,
I'm official starting tomorrow according to Jon.
(b)(5)

Thoughts?
Scott

On: 22 March 2017 18:34, "Wynne, Maggie (HHS/IOS)" <Margaret.Wynne@hhs.gov > wrote:
The fact sheet on this page (link near the top) - https://www.acf.hhs.gov/orr/programs/ucs/abouton the statutory basis for the program.

includes information

Here's a page on sponsors and placement/release of children: https:ljwww.acf.hhs.gov/orr/about/ucs/sponsors
And here's where she can find the Unaccompanied Children's Services program's Policy Guide with more detailed
information: https://www .acf. h hs.gov / orr /resource/ chi Id ren-enteri ng-th e-u n ited-states-u naccom panied .

From: Weber, Mark (HHS/ASPA)
Sent: Wednesday, March 22, 2017 6:24 PM
To: Lloyd, Matt (05/ASPA); Murphy, Ryan (05/ASPA)
HHS-OS-EF Lit. 18-0241 00004112

EXT-18-241-O-000556

.

 Cc: Wynne, Maggie (HHS/IOS); Merkt, Toby (OS/ASPA); Lloyd, Scott (ACF); Hall, Bill (HHS/ASPA); Marre, Alle igh
(OS/ASPA)
Subject: RE: ACF - ORR, Washington Post, UC program (Rockville rape case)
(b)(5)

Mark

From: Lloyd, Matt (OS/ASPA)

Sent: Wednesday, March 22, 2017 6:23 PM

To: Weber,

Mark (HHS/ASPA); Murphy, Ryan (OS/ASPA)

Cc: Wynne, Maggie (HHS/IOS); Merkt, Toby (OS/ASPA); Lloyd, Scott (ACF); Hall, Bill (HHS/ASPA); Marre, Alleigh
(OS/ASPA)
Subject: RE: ACF - ORR, Wash ington Post, UC program (Rockville rape case)
(b)(5)

From: Weber, Mark (HHS/ASPA)

Sent: Wednesday, March 22, 2017 6:07 PM
To: Lloyd, Matt (OS/ASPA); Murphy, Ryan (OS/ASPA)
Cc: Wynne, Maggie (HHS/IOS); Merkt, Toby (OS/ASPA); Lloyd, Scott (ACF); Hall, Bill (HHS/ASPA); Marre, Alle igh
(OS/ASPA)
Subject: RE: ACF - ORR, Wash ington Post, UC program (Rockville rape case)

Washington Post is pinging again - Sachetti says it will be front page story tomoITow ....
Mark

From: Weber, Mark (HHS/ASPA)

Sent: Wednesday, March 22, 2017 2:55 PM
To: Lloyd, Matt (OS/ASPA); Murphy, Ryan (OS/ASPA)
Cc: Wynne, Maggie (HHS/IOS); Merkt, Toby (O5/ASPA); Lloyd, Scott (ACF); Hall, Bill (HHS/ASPA); Marre, Alle igh
(OS/ASPA)
Subject: RE: ACF - ORR, Wash ingt on Post, UC program (Rockville rape case)
From today .....
From: Palmer, Victoria (ACF)

Sent: Wednesday, March 22, 2017 10:51 AM
To: Merkt, Toby (OS/ASPA); Monroe, Johnathan (ACF)
Cc: Wolfe, Kenneth (ACF)
Subject: RE: ACF - ORR, Wash ington Post, UC program (Rockville rape case) -->Wash ington Post reporter asked when
she may get statement
Good morning. Washington Post reporter Maria Sachetti has asked when she may get a statement; she is on deadline today.
Also has some additional quest ions (which are with ORR): Description of UC shelters? What happens with UC immigration status while
in UC care ; does HHS take them to immigration court , etc.?

v/r,
Victoria
From yesterday ....

2

HHS-OS-EF Lit. 18-0241 00004113

EXT-18-241-O-000557

 From: Palmer, Victoria (ACF)
Sent: Tuesday, March 21, 2017 4:32 PM
To : OS - I nterviews
Cc: Wolfe, Kenneth (ACF); Monroe, J ohnathan (ACF); Fisher, Patrick (ACF); Richards, Monique (ACF); Holt, Lydia (ACF);
Acker Housman, Stephanie (ACF)
Subject: ACF - ORR, Washington Post, UC program (Rockvil le rape case)

Reporter: Maria Sacchetti
Organization : Washington

Post

Contact info: 202 334 4693, Maria.sacchetti@washpost.com
Subject: two high school students accused in Rockville HS rape case
Deadline : M arc h 21, 2017
Spokesperson: ACF
Query: I'm trying to find out what happened in the cases of Jose o. Montano 11/18/1999 of El Salvador and
Henry E. Sanchez Milian, 18, of Guatemala, who have been accused in this case; {Suspect in rape at Maryland
school was stopped 7 months ago by Border Patrol) . ICE says they didn't release them. They're both charged
as adults, and Henry, of course, is an adult.
• I'm trying to find out why HHS released them, how they got into your custody, (if they did) and what
checks are in place to background them and their sponsors.
• Does HHS require the sponsor to take out a formal guardianship in court before handing them over?
And does anyone monitor them?

•

What is the statute (will look on web site)

•
•

Why did HHS release them? (if they did)
If HHS never took custody, is HHS trying to find out why?

From: Lloyd, Matt (OS/ASPA)
Sent: Wednesday, March 22, 2017 2:43 PM
To: Weber, Mark (HHS/ASPA); Murphy, Ryan (OS/ASPA)
Cc: Wynne, Maggie (HHS/IOS); Merkt, Toby (OS/ASPA); Lloyd, Scott (ACF); Hall, Bill (HHS/ASPA); Marre, Alleigh
(OS/ASPA)
Subject: RE: ACF - ORR, Washington Post, UC program (Rockville rape case)
Was Maria only asking for statement?

I note she didn ' t write the story they ran today

From: Weber, Mark (HHS/ASPA)
Sent: Wednesday, March 22, 2017 2:39 PM

To: Lloyd, Matt (OS/ASPA); Murphy, Ryan (OS/ASPA)
Cc:Wynne, Maggie (HHS/IOS); Merkt, Toby (0S/ASPA); Lloyd, Scott (ACF); Hall, Bill (HHS/ASPA); Marre, Alleigh
(OS/ASPA)
Subject: RE: ACF - ORR, Washington Post, UC program (Rockville rape case)
On March 1, 2003, the Homeland Security Act of 2002, Section 462, transfer red responsibilit ies for the care and
placement of unaccompanied

children from the Commissioner of the Immigr ation and Natura lization Serv ice to the

Director of the Office of Refugee Resett lement (ORR) .
3
HHS-OS-EF Lit. 18-0241 00004114

EXT-18-241-O-000558

 Since then, ORR has cared for more than 175,000 children, incorporating child welfare values as well as the
principles and provisions established by the Flores Agreement in 1997, the Trafficking Victims Protection Act of

2000 and its reauthorization acts, the William Wilberforce Trafficking Victims Protection Reauthor ization Act
(TVPRA) of 2005 and 2008.

From: Lloyd, Matt (OS/ASPA)

Sent: Wednesday, March 22, 2017 2:33 PM
To: Weber, Mark (HHS/ASPA); Murphy, Ryan (OS/ASPA)
Cc: Wynne, Maggie (HHS/IOS); Merkt, Toby (0S/ASPA); Lloyd, Scott (ACF); Hall, Bill (HHS/ASPA); Marre, Alleigh
(0S/ASPA)
Subject: RE: ACF - ORR, Washington Post, UC program (Rockville rape case)
(b)(5)

From: Weber, Mark (HHS/ASPA)

Sent: Wednesday, March 22, 2017 1:12 PM
To: Lloyd, Matt (0S/ASPA); Murphy, Ryan (OS/ASPA)
Cc: Wynne, Maggie (HHS/IOS); Merkt, Toby (0S/ASPA); Lloyd, Scott (ACF); Hall, Bill (HHS/ASPA); Marre, Alleigh
(0S/ASPA)
Subject: RE: ACF - ORR, Washington Post, UC program (Rockville rape case)

https://www. wash i ngto n post .com/I oca 1/md-po Iiti cs/so me-of-hoga ns-statem ents-o n-rockvil le-rape-miss-thema rk/2017 /03/21/0caaacd e-Oe8f-1 le 7-9b0d-d 27 c98455440 story. htm l?utm term= .14affa438 795

From: Lloyd, Matt (OS/ASPA)
Sent: Wednesday, March 22, 2017 1 :07 PM
To: Weber, Mark (HHS/ASPA); Murphy, Ryan (0S/ASPA)
Cc: Wynne, Maggie (HHS/IOS); Merkt, Toby (0S/ASPA); Lloyd, Scott (ACF); Hall, Bill (HHS/ASPA); Marre, Alleigh
(0S/ASPA)
Subject: RE: ACF - ORR, Washington Post, UC program (Rockville rape case)

+ Alleigh
Can you send link to story?

From: Weber, Mark (HHS/ASPA)

Sent: Wednesday, March 22, 2017 1:03 PM
To: Lloyd, Matt (OS/ASPA); Murphy, Ryan (OS/ASPA)
Cc: Wynne, Maggie (HHS/IOS); Merkt, Toby (0S/ASPA); Lloyd, Scott (ACF); Hall, Bill (HHS/ASPA)

Subject: ACF - ORR, Washington Post, UC program (Rockville rape case)

Maria Sacchetti, Washington Post reached out again today for a statement about the two high school students
accused in Rockville High School rape case. In addition, the senior investigator for Chairman Ron H. Johnson
(WI), U.S. Senate Committee on Homeland Security and Governmental Affairs reached out to ASL for
information. Governor Hogan has suggested and it was reported by the Washington Post today that the student s
were part of the unaccompanied minor program.
(b)(5)

4

HHS-OS-EF Lit. 18-0241 00004115

EXT-18-241-O-000559

 (b)(5)

Mark
(b)(5)

5
HHS-OS-EF Lit. 18-0241 00004116

EXT-18-241-O-000560

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Wynne, Maggie (HHS/IOS)
Wednesday, March 15, 2017 6:46 PM
Bowman, Matthew (HHS/IOS); Flick, Heather (HHS/IOS); Stannard, Paula (HHS/IOS);
Horn, Wade (HHS/IOS) (CTR); Lloyd, Scott (ACF)
FW: (ACF) Unaccompanied Children Program ORR Cooperative Agreements
$ Cooperative Agreement - Residential Services Feb 2017.docx; $ - Clean - MEMO_Sec
Memo Coop Agreement FINAL_022717 .docx .docx; HHS-2017-AC F-ORR-ZU-1132_
2.pdf

Attached is the latest version of the Cooperative Agreement for recently awarded UAC program shelter grants.
(b)(5)

Also attached is the funding opportunity announcement that tells the grantees the purpose of the grants and the
requirements for successful applicants.
These two items - along with each successful applicant's application - constitute the program-specific requirements the
applicant must fulfill or observe. There are also more general HHS-wide or Government-wide requirements.
You can find any UAC Program funding opportunity announcements (FOAs) on www.grants.govusing Advanced Search
and putting in the CFDA number 93.696, which is the number for the Unaccompanied Alien Children Program.
Maggie

From: Wright, Natasha (OS/IOS)

Sent: Friday, March 03, 2017 9:46 AM
To: Wynne, Maggie (HHS/IOS)
Cc: Robinson, Wilma (HHS/IOS)

Subject: (ACF) Unaccompanied Children Program ORR Cooperative Agreements
Hi Maggie,

Per the 3/3 Week Ahead report on Page 3, Item 1, please see attached for ACF's memo and cooperative
agreements for residential services in the UC Program.
Thanks,
Natasha

From: Cottingham, Kenneth (ACF)
Sent: Thursday, March 02, 2017 4:22 PM
To: Wright, Natasha (OS/IOS)
Cc: Hitt, Mrs. Linda (ACF)
Subject: SWIFT: 022720172002 - Unaccompanied Children Program Cooperative Agreements

Week Ahead Report 3/3/17
HHS-OS-EF Lit. 18-0241 00004117

EXT-18-241-O-000561

 Page 3, Item 1: ORR Cooperative Agreements
I've attached the documents associated with this item. Please contact us with questions.
Ken

'7::effltd4
2?.~
Director, Executive Secretariat
Immediate Office of the Assistant Secretary
Administration for Children and Families (ACF)
U.S. Department of Health and Human Services
Kenneth .cottingham@acf .hhs.gov
Office : 202-401-4733/BB: (b)(6)

2

HHS-OS-EF Lit. 18-0241 00004118

EXT-18-241-O-000562

 Bell, Michael (OS/ ASPA}
From :
Sent:
To:
Subject:
Attachments :

Wynne, Maggie (HHS/IOS)
Tuesday, March 14, 2017 5:59 PM
Wright , Natasha (OS/IOS)
RE:2-17 ACF Week Ahead Report
RE: FRN-Award of 1 Single-Source Program Expansion Supplement Grant (ORR's UC
Program)

Hi Natasha,
I found my earlier communication with the program office, which I've attached.
Because it was an FRN about an action that had already occurred and that must be publicized in the FR, I told them it
didn't need to be cleared.
Thanks,
Maggie

From: Wr ight, Natasha (OS/IOS)
Sent: Tuesday, March 14, 2017 5:44 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Importance : High
Hi Maggie,
Did you approve this one? Per the attached communications for ACF, they are hearing from the program office that you
did.
Thanks,
Natasha

•

Item: Federal Register Notification for the Award of One Single-Source Program Expansion Supplement Grant within the
Office of Refugee Resettlement's (ORR) Unaccompanied Children ' s (UC) Program
Category: Routine
Action Needed By: February 24, 2017
Summary : The Office of Refugee Resettlement's (ORR) Unaccompanied Children's (UC) Program w ithin the ACF,
HHS, is seeking approval to post the Federal Register Notice (FRN) to the public via the
https ://www.federa lregister .gov/ website. This FRN notifies the public of the award of a Program Expansion
Supplement Grant within ORR's UC Program

From: Wr ight, Natasha (OS/IOS)
Sent: Friday, March 03, 2017 4:55 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Importance:
High
Hi Maggie,

HHS-OS-EF Lit. 18-0241 00004119

EXT-18-241-O-000563

 Per your request for the following item, please see attached.
(b)(5)

Thanks,
Natasha

From: Wynne, Maggie (HHS/IOS)

Sent: Tuesday, February 21, 2017 7:44 AM
To: Wright, Natasha (0S/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Good morn ing, Natasha,

Thank you,
Magg ie
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00004120

EXT-18-241-O-000564

 (b)(5)

From: Wright, Natasha (OS/IOS)

Sent: Friday, February 17, 2017 5:28 PM
To: Wynne, Maggie (HHS/IOS)
Subject: 2-17 ACF Week Ahead Report
3
HHS-OS-EF Lit. 18-0241 00004121

EXT-18-241-O-000565

 Hi Maggie,
Just wanted to share ACF's upcoming items for your review. Please let me know if you need addit ional information to
make approval decisions. Have a nice weekend!
Thanks,
Natasha

4
HHS-OS-EF Lit. 18-0241 00004122

EXT-18-241-O-000566

 Bell. Michael (OS/ASPA)
From:
Sent:
To:
Subject:
Attachments:

Wright, Natasha (OS/IOS)
Tuesday, March 14, 2017 5:44 PM
Wynne, Maggie (HHS/IOS)
RE:2-17 ACF Week Ahead Report
FW: SWIFT:020820172010 - BEACHHEADMemo - FRN for Announcement of the
Award of One Single-Source Expansion Supplement Grant within the Office of Refugee
Resettlementae "'s Unaccompanied Childrenae " s (UC) Program.

Importance:

High

Hi Maggie,
Did you approve this one? Per the attached communications for ACF, they are hearing from the program office that you
did.
Thanks,
Natasha

•

Item: Federal Register otification for the Award of One Single-Source Program Expansion Supplement Grant within the
Office of Refugee Resettlement' s (ORR) Unaccompanied Children 's (UC) Program
Category: Routine
Action Needed By: February 24, 2017
Summa ry: The Office of Refugee Resettlement's (ORR) Unaccompanied Children's (UC} Program within the ACF,
HHS, is seeking approval to post the Federal Register Notice (FRN) to the public via the
https://www.federalregister.gov/
website. This FRN notifies the public of the award of a Program Expansion
Supplement Grant within ORR's UC Program

From: Wright, Natasha (OS/IOS)
Sent: Friday, March 03, 2017 4:55 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: 2-17 ACF Week Ahead Report
Importance: High
Hi Maggie,
Per your request for the following item, please see attached.
(b)(5)

HHS-OS-EF Lit. 18-0241 00004123

EXT-18-241-O-000567

 (b)(5)

Thanks,
Natasha

From: Wynne, Maggie (HHS/IOS)

Sent: Tuesday, February 21, 2017 7:44 AM

To: Wright, Natasha (OS/IOS)
Subject: RE: 2-17 ACF Week Ahead

Report

Good morning, Natasha,
(b)(5)

Thank you,
Maggie
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00004124

EXT-18-241-O-000568

 (b)(5)

From: Wright, Natasha (0S/IOS)

Sent: Friday, February 17, 2017 5:28 PM
To: Wynne, Maggie (HHS/IOS)
Subject: 2-17 ACF Week Ahead Report
Hi Maggie,
Just wanted to share ACF's upcoming items for your review. Please let me know if you need additional information to
make approval decisions. Have a nice weekend!
Thanks,
Natasha

3
HHS-OS-EF Lit. 18-0241 00004125

EXT-18-241-O-000569

 Bell. Michael (OS/ASPA)
Bowman, Matthew (HHS/OGC)
Tuesday, March 14, 2017 3:27 PM

From:

Sent:
To:

(b)(5)

Subject:

I~

■-■

•

•

-

OK thanks for the quick review!

Bowman
Deputy General Counsel
HHSOGC
Matt

202.868.9791

matthew.bowman @hhs.gov
From: Wynne, Maggie (HHS/IOS)

Sent: Tuesday, March 14, 2017 3:26 PM
To: Bowman, Matthew (HHS/OGC); Lloyd, Scott (ACF)

Subject

(b)(5)

Matt,
(b)(5)

Maggie

(b)(5)
(b)(5)

HHS-OS-EF Lit. 18-0241 00004126

EXT-18-241-O-000570

 (b)(5)

(b)(5)

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791

matthew.bowman @hhs.gov
From: Wynne, Maggie (HHS/IOS)

Sent: Tuesday, March 14, 2017 11 :06 AM
To: Bowman, Matthew HHS/OGC); Lio d, Scott

Subject

(b)(5)

Matt,
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00004127

EXT-18-241-O-000571

 (b)(5)

From: Bowman, Matt hew (HHS/OGC)

Sent: Tuesday, March 14, 20 17 8:45 AM
To: Lloyd, Scott (ACF)
Cc: Wyn ne Ma ie HHS/IOS)

Subject

(b)(5)

Recommendation from the CFA division of OGC

(b)(5)

To: "Bowman , Matthew {HHS/OGC)" <Matthew.Bowman@hhs.gov >, "Flick, Heather {O5/OGC}"
<Heather .Flick@hhs.gov >
Cc: "Giantu rco, Elizabeth {HHS/OGC}" <Elizabeth .Gianturco@HHS .GOV>, "Keith , Robert (HHS/OGC}"
<Robert.Ke ith@HHS.GOV>
(b)(5)

3
HHS-OS-EF Lit. 18-0241 00004128

EXT-18-241-O-000572

 (b)(5)

- Judy Haron Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error , please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error. Your receipt of
this message is not intended to waive any applicable privilege.

4

HHS-OS-EF Lit. 18-0241 00004129

EXT-18-241-O-000573

 Bell. Michael (OS/ASPA)
From:

Wynne , Maggie (HHS/IOS)
Tuesday, March 14, 2017 3:26 PM
Bowman , Matthew (HHS/OGC); Lloyd, Scott (ACF)

Sent:
To:

(b)(5)

Subject:

(b)(5)

Maggie

(b)(5)
(b)(5)

HHS-OS-EF Lit. 18-0241 00004130

EXT-18-241-O-000574

 (b)(5)

(b)(5)

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791

matthew.bowman @hhs.gov

(b)(5)

Matt,
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00004131

EXT-18-241-O-000575

 (b)(5)

From: Bowman, Matthew (HHS/OGC)

Sent: Tuesday, March 14, 2017 8:45 AM
To: Lloyd, Scott (ACF)
Cc: Wynne, Maggie HHS/IOS

Subject: (b)(5)

Recommendation from the CFA division of OGC

Begin Forwarded Message:
From: "Haran, Judith (HHS/OGC)" <Judith.Haron@HHS .GOV>
Subject

(b)(5)

Date: 1
arc
To: "Bowman, Matthew {HHS/OGC)" <Matthew.Bowman@hhs.gov >, "Flick, Heather {OS/OGC)"
<Heather.Flick@hhs .gov >
Cc:"Gianturco, Elizabeth {HHS/OGC)" <Elizabeth .Gianturco@HHS.GOV >, "Keith, Robert (HHS/OGC)"
<Robert .Keith@HHS.GOV>
(b)(5)

- Judy Haron Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel
3
HHS-OS-EF Lit. 18-0241 00004132

EXT-18-241-O-000576

 (202) 690 8005
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error, please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error. Your receipt of
this message is not intended to waive any applicable privilege.

4
HHS-OS-EF Lit. 18-0241 00004133

EXT-18-241-O-000577

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Bowman , Matthew (HHS/OGC)
Tuesday, March 14, 2017 3:06 PM
Wynne , Maggie (HHS/1OS); Lloyd, Scott (ACF)
(b)(5)

(b)(5)

(b)(5)

Matt Bowman
Deputy General Counsel
HHS-OS-EF Lit. 18-0241 00004134

EXT-18-241-O-000578

 HHSOGC
202 .868.9791
matthew .bowman @hhs .gov

From: Wynne, Maggie (HHS/IOS)

Sent: Tuesday, March 14, 2017 11:06 AM
• I_ m,_ J •
■ ■
I _ _ _ I !.
To: Bow (b)(5)
Subject

~

Matt,
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00004135

EXT-18-241-O-000579

 (b)(5)

From: Bowman, Matthew (HHS/OGC)

Sent: Tuesday, March 14, 2017 8:45 AM

To: Lloyd, Scott
Cc: Wynne Ma
Subject: (b)(5)

(ACF)
ie HHS/IOS

Recommendation from the CFA division of OGC

(b)(5)

To: "Bowman, Matthew (HHS/OGC)" <Matthew.Bowman@hhs.gov >, "Flick, Heather (OS/OGC)"
<Heather.Flick@hhs.gov >
Cc:"Gianturco, Elizabeth (HHS/OGC)" <Elizabeth .Gianturco@HHS.GOV >, "Keith, Robert (HHS/OGC)"
<Robert. Keit h@H HS.GOV>
(b)(5)

3
HHS-OS-EF Lit. 18-0241 00004136

EXT-18-241-O-000580

 4
HHS-OS-EF Lit. 18-0241 00004137

EXT-18-241-O-000581

 Bell. Michael (OS/ASPA)
Bowman , Matthew (HHS/OGC)
Tuesday, March 14, 2017 1:44 PM
Wynne , Maggie (HHS/1OS); Lloyd, Scott (ACF)

From:

Sent:
To:

(b)(5)

Subject:
(b)(5)

Bowman
Deputy General Counsel
HHSOGC
Matt

202.868.9791

matthew.bowman @hhs.gov

(b)(5)

Matt,
(b)(5)

HHS-OS-EF Lit. 18-0241 00004138

EXT-18-241-O-000582

 (b)(5)

From: Bowman, Matt hew (HHS/OGC)

Sent: Tuesday, March 14, 20 17 8:45 AM
To: Lloyd, Scott (ACF)
Cc: Wynne Ma

Subject

ie HHS/IOS

(b)(5)

Recommendation from the CFA division of OGC

Begin Forwarded Message:
From: "Haran , Judith (HHS/OGC)" <Judith .Haron@HHS.GOV>
(b)(5)
Subject:
Date: 14 March 2017 08 :28
To: "Bowman , Matthew {HHS/OGC)" <Matthew .Bowman@hhs .gov>, "Flick, Heather {OS/OGC)"
<Heathe r.Flick@hhs .gov >
Cc:"Gianturco , Elizabeth {HHS/OGC)" <Elizabeth .Gianturco@HHS.GOV >, "Keith , Robert (HHS/OGC)"
<Robert.Ke ith@HHS .GOV>
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00004139

EXT-18-241-O-000583

 (b)(5)

- Judy Haran Deputy Associate General Counsel
Children, Families and Aging Divi sion
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error , please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error. Your receipt of
this message is not intended to waive any applicable privilege.

3
HHS-OS-EF Lit. 18-0241 00004140

EXT-18-241-O-000584

 Page 585 redacted for the following reason:
--------------------Referral to other agency for consultation (1 page)

HHS-OS-EF Lit. 18-0241 00004141

EXT-18-241-O-000585

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Subject:
Attachments :

Lloyd, Edward (ACF)
Tuesday, March 07, 2017 12:25 PM
Wynne , Maggie (HHS/IOS)
Cooperative agreement
Cooperative Agreement - Resident ial Services Feb 2017 ESLrevisions.docx

Attached

HHS-OS-EF Lit. 18-0241 00004142

EXT-18-241-O-000586

 Bell. Michael (OS/ASPA)
Wright, Natasha (OS/IOS)
Friday, March 03, 2017 9:46 AM
Wynne, Maggie (HHS/IOS)
Robinson, Wilma (HHS/IOS)
(ACF) Unaccompanied Children Program ORR Cooperative Agreements
$ Cooperative Agreement - Residential Services Feb 2017.docx; $ - Clean - MEMO_Sec
Memo Coop Agreement FINAL_022717.docx .docx

From:

Sent:
To:

Cc:
Subject:
Attachments:

Hi Maggie,
Per the 3/3 Week Ahead report on Page 3, Item 1, please see attached for ACF's memo and cooperative
agreements for residential services in the UC Program.
Thanks,
Natasha

From: Cottingham, Kenneth (ACF)
Sent: Thu rsday, March 02, 2017 4:22 PM
To: Wright, Natasha (OS/IOS)
Cc: Hitt, Mrs. Linda (ACF)
Subject: SWIFT: 022720172002 - Unaccompanied Childr en Program Cooperative Agreements

Week Ahead Report 3/3/ 17
Page 3, Item 1: ORR Cooperative Agreements
I've attached the documents associated with this item. Please contact us with questions.
Ken

'J::~~-

~

Director, Executive Secretariat
Immediate Office of the Assistant Secretary
Administration for Children and Families (ACF)
U.S. Department of Health and Human Services
Kenneth.cottin ham acf.hhs. av
(b)(6)
Office: 202-401-4733/BB

HHS-OS-EF Lit. 18-0241 00004143

EXT-18-241-O-000587

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:

Subject:
Attachments:

Bowman, Matthew (HHS/OGC)
Wednesday, October 18, 2017 11:19 AM
Bult, Nathan (OS/ASPA); Norton, Jane (OS/IEA); Trueman, Laura (HHS/IEA); Stannard,
Paula (HHS/IOS); Wynne, Maggie (HHS/IOS); Yoest, Charmaine (OS/ASPA)
Stevenson, Sarah-Lloyd (HHS/IOS); Pilato, Anna (ACF); Marriott, Brian (ACF); Oakley,
Caitlin B. (OS/ASPA); Wolfe, Kenneth (ACF); Wagner , Steven (ACF); Lloyd, Matt
(OS/ASPA)
(b)(5)
(b)(5)

OGC comments attached

Confidentialpre-decisionaldeliberativeprocessand attorney client privilege

Matt Bowman
Deputy General Counsel
HHSOGC

202.868.9791
matthew.bowrnan @hhs.gov
From: Bult, Nathan (OS/ASPA)

Sent: Wednesday, October 18, 2017 11 :05 AM
To: Norton,Jane (OS/IEA); Trueman, Laura (HHS/IEA); Stannard, Paula (HHS/IOS); Wynne, Maggie (HHS/IOS);
Bowman, Matthew (HHS/OGC); Yoest, Charmaine (OS/ASPA)
Cc: Stevenson, Sarah-Lloyd (HHS/IOS); Pilato, Anna (ACF); Marriott, Brian (ACF); Oakley, Caitlin B. (OS/ASPA); Wolfe,
Kenneth (ACF); Wagner, Stev
. at O
PA)
(b)(5)
Subject: For Review by 3 PM:
Hi all,
(b)(5)

Nate

Pre-decisional, deliberative communication

Nathan Bult
Office of the Assistant Secretary for Public Affairs
Department of Health and Human Services
nathan. bult@hhs.gov

HHS-OS-EF Lit. 18-0241 00004144

EXT-18-241-O-000588

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Bena, Anna Marie (HHS/OGC) (ACF)
Thursday, October 26, 2017 3:02 PM
ORR Senior Leadership; Wynne, Maggie (HHS/IOS)
ORR Litigation Update
(10.26.17) - Litigation and Bond Hearing trackers .docx

(b)(5)

HHS-OS-EF Lit. 18-0241 00004145

EXT-18-241-O-000589

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Bena, Anna Marie (HHS/OGC) (ACF)
Thursday, October 19, 2017 2:51 PM
Wynne , Maggie (HHS/IOS); Biswas, Toby RM (ACF); Pabst, Thomas (ACF); Riggins, Scott
(ACF); Schmalz, Jennifer (ACF); Suh, Victor (HHS/OGC) (ACF) (CTR);Theiler, Patricia
(ACF); Vanderhoof , Britanny (ACF)
ORR Litigation Update
(10.19.17) - Litigation and Bond Hearing trackers.docx

(b)(5)

HHS-OS-EF Lit. 18-0241 00004146

EXT-18-241-O-000590

 2
HHS-OS-EF Lit. 18-0241 00004147

EXT-18-241-O-000591

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Wynne, Maggie (HHS/IOS)
Tuesday, October 17, 2017 12:23 PM
Bowman, Matthew (HHS/10S)
FW: Court date set for abortion case involv ing undocumented minor

(b)(5)

From: POLITICO Pro Health Care Whiteboard [mailto:politicoemail@politicopro.com]
Sent: Tuesday, October 17, 2017 11 :55 AM
To: Wynne, Maggie (HHS/IOS)
Subject: Court date set for abort ion case involving undocumented minor

By Renuka Raya sam
10/17/2017 11:50 AM EDT
AUSTIN, Texas - A federal judge on Wedne sday is set to hear a suit filed on behalf of an undocumented,
pregnant teenager detained in a federally funded shelter that the Trump administration is preventing from
getti ng an abort ion.
Lawyers for the 17-year old girl from Central America, who is being detained in Brownsville, Texas, believe
she is about 14 weeks pregnant and requested expedited action to accommodate an appointment for an abortion
scheduled later this week. Abortions after 20 weeks are illega l in Texas.
The girl, known only as Jane Doe in court filing s, followed state law and obtained a judge's permission to have
the procedure without parental consent and has the money to pay for it. But her lawyer s say that the
administration is preventing her from leaving the shelter.
Instead of taking her to an earlier appointment, the lawyers say federal officials took her to a crisis pregn ancy
center that counsels women against having abortions.
The American Civil Liberties Union tried to add the case to a suit in California against HHS that alleged that the
government was denying undocumented pregnant minor s the right to abortions by contracting with religiou s
shelter s that oppose the practice. But a California judge threw out that suit last week, saying the court didn't
have juri sdictio n.
The ACLU refiled the case in U.S. District Court in Washing ton , D.C. , last week.
The ACLU has summoned acting HHS Secretary Eric Hargan and Scott Lloyd, who head s the Office of
Refuge e Resettlemen t, a division of the HHS that sets policy on undocumented minors in its care.
To view on.line:
https ://www.politicopro.corn/health -care/whiteboard/2017 / 1Ofcourt -date -set-for -abortion -case -involving undocumented-minor-09437 l
Was this Pro content helpful? Tell us what you think in one click .

HHS-OS-EF Lit. 18-0241 00004148

EXT-18-241-O-000592

 Yes, very

Somewhat

•

Neutral

Not really

Not at all

You received this POLITICO Pro content because your customized settings include: Health Care :
Abortion. To change your alert settings, please go to https://www .politicopro.com/settings

POLITICO
PRO
This email was sent to margaret.wynne@hhs.gov by: POLITICO , LLC 1000 Wilson Blvd. Arlington, VA,
22209, USA

2
HHS-OS-EF Lit. 18-0241 00004149

EXT-18-241-O-000593

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Wynne, Maggie (HHS/IOS)
Tuesday, October 17, 2017 12:22 PM
Skrzycki, Kristin (HHS/IOS); Leggitt, Lance (HHS/IOS)
FW: Court date set for abortion case involv ing undocumented minor

(b)(5)

From: POLITICO Pro Health Care Whiteboard [mailto:politicoemail@politicopro.com]
Sent: Tuesday, October 17, 2017 11 :55 AM
To: Wynne, Maggie (HHS/IOS)
Subject: Court date set for abort ion case involving undocumented minor

By Renuka Raya sam
10/17/2017 11:50 AM EDT
AUSTIN, Texas - A federal judge on Wedne sday is set to hear a suit filed on behalf of an undocumented,
pregnant teenager detained in a federally funded shelter that the Trump administration is preventing from
getti ng an abort ion.
Lawyers for the 17-year old girl from Central America, who is being detained in Brownsville, Texas, believe
she is about 14 weeks pregnant and requested expedited action to accommodate an appointment for an abortion
scheduled later this week. Abortions after 20 weeks are illega l in Texas.
The girl, known only as Jane Doe in court filing s, followed state law and obtained a judge's permission to have
the procedure without parental consent and has the money to pay for it. But her lawyer s say that the
administration is preventing her from leaving the shelter.
Instead of taking her to an earlier appointment, the lawyers say federal officials took her to a crisis pregn ancy
center that counsels women against having abortions.
The American Civil Liberties Union tried to add the case to a suit in California against HHS that alleged that the
government was denying undocumented pregnant minor s the right to abortions by contracting with religiou s
shelter s that oppose the practice. But a California judge threw out that suit last week, saying the court didn't
have juri sdictio n.
The ACLU refiled the case in U.S. District Court in Washing ton , D.C. , last week.
The ACLU has summoned acting HHS Secretary Eric Hargan and Scott Lloyd, who head s the Office of
Refuge e Resettlemen t, a division of the HHS that sets policy on undocumented minors in its care.
To view on.line:
https ://www.politicopro.corn/health -care/whiteboard/2017 / 1Ofcourt -date -set-for -abortion -case -involving undocumented-minor-09437 l
Was this Pro content helpful? Tell us what you think in one click .

HHS-OS-EF Lit. 18-0241 00004150

EXT-18-241-O-000594

 Yes, very

Somewhat

•

Neutral

Not really

Not at all

You received this POLITICO Pro content because your customized settings include: Health Care :
Abortion. To change your alert settings, please go to https://www .politicopro.com/settings

POLITICO
PRO
This email was sent to margaret.wynne@hhs.gov by: POLITICO , LLC 1000 Wilson Blvd. Arlington, VA,
22209, USA

2
HHS-OS-EF Lit. 18-0241 00004151

EXT-18-241-O-000595

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Cc:
Subject:

Wolfe, Kenneth (ACF)
Sunday, October 15, 2017 12:47 PM
Oakley, Caitlin B. (OS/ASPA); Marriott, Brian (ACF); Wagner, Steven (ACF); Wynne,
Maggie (HHS/IOS); Bowman, Matthew (HHS/OGC); Stevenson, Sarah-Lloyd (HHS/IOS);
Lloyd, Scott (ACF)
Yoest, Charmaine (OS/ASPA); Lloyd, Matt (OS/ASPA); Murphy , Ryan (OS/ASPA); Bult,
Nat han (OS/ASPA)
Re: POLITICO story on Jane Doe case

(b)(5)

Ken

(b)(5)

Thanks again .
On: 15 October 2017 10:36, "Marriott, Brian (ACF)" <Brian.Marriott@acf.hhs.gov > wrote:
Caitlin,
(b)(5)

Marriott
Draft, pre-decisional deliberative communication

On: 15 October 2017 08:38 , "Oakley, Caitlin B. (OS/ASPA)" <Caitlin.Oakley@HHS.GOV >
wrote:
Good morningHHS-OS-EF Lit. 18-0241 00004152

EXT-18-241-O-000596

 (b)(5)

Thanks for your help!
Caitlin B. Oakley
Press Secretary
Office of the Assistant Secretary for Public Affairs
U.S. Department of Health and Human Services

caitl in.oakley@hhs.gov
Draft, pre-decisional deliberative communication
From: Renuka Rayasam [mailto: rra asam
olitico .com
Sent: Saturday, October 14, 2017 5:45 PM
To: Oakley, Caitlin B. (O5/ASPA)
Subject: Re: POLITICO story on Jane Doe case
Trying to pull the story this weekend. Sorry for the tight timeline. Just got the documents from the ACLU lawsuit from
PACERlast night and my eds want the story as soon as I can pull it together.
Thanks for all of your help!
On Oct 14, 2017, at 4:37 PM, Oakley, Caitlin B. (OS/ASPA) <Caitlin.Oakley@HHS.GOV

Hi Renu-what's

> wrote:

your deadline? Thanks

On: 14 October 2017 15:04, "Renuka Rayasam" <rrayasam@politico.com >
wrote:
Dear Caitlin,
Apologies for disturbing you on a Saturday, but I wanted to reach out for a story I am working on. The
story is about the Jane Doe case here in Texas- the ACLU is filing suit against the federal government for
blocking the abortion of an unaccompanied minor in a federal shelter. I've also reached out to the
administration for Children and Families, which is part of HHS, but wanted to check with you as well.
Here are a list of questions that I have:
1.

2.
3.
4.
5.

6.
7.

I wanted to better understand whether the policy to prevent abortions for unaccompanied
minor girls who are pregnant is a new federal policy for the office of refugee resettlement.
Where is the policy coming from - is coming from the President? Top HHS officials?
How long has it been in place and how many girls have been affected?
Has the policy been vetted within HHS?
Has director Scott Lloyd personally visited shelters and girls who are in this situation? I have
heard he has made numerous calls to them and court documents show he has visited at least
one minor in San Antonio.
Is ORRreferring girls to crisis pregnancy centers and if so, which ones?
How is ORR pulling together that list?
2

HHS-OS-EF Lit. 18-0241 00004153

EXT-18-241-O-000597

 8.

9.

Is ORRconcerned about legal challenges?
How many pregnant girls are in shelters in the U.S? How many have requested abortions and of
those how many have been sent to a crisis pregnancy center?

Thanks,
Renu

Renuka Rayasam
Health care repo rter - Texas

POLITICO/ POLITICO Pro
Cell: (b)(6)

3
HHS-OS-EF Lit. 18-0241 00004154

EXT-18-241-O-000598

 Bell. Michael (OS/ASPA)
Bowman, Matthew (HHS/OGC)
Friday, October 13, 2017 1:16 PM
Wynne , Maggie (HHS/IOS); Lloyd, Scott (ACF); Wagner , Steven (ACF)
Flick, Heather (OS/OGC)

From:

Sent:
To:

Cc:
Subject:
Attachments:

(b)(5)

(b)(5)

Confidentialpre-decisionaldeliberativeprocessand attorney client privilege

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791
rnatthew .bowman@hhs .gov

HHS-OS-EF Lit. 18-0241 00004155

EXT-18-241-O-000599

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Bena, Anna Marie (HHS/OGC) (ACF)
Thursday, October 12, 2017 3:49 PM
ORR Senior Leadership; Wynne, Maggie (HHS/IOS)
ORR Litigation Update
(10.12.17) - Litigation and Bond Hearing trackers .docx

(b)(5)

HHS-OS-EF Lit. 18-0241 00004156

EXT-18-241-O-000600

 Bell. Michael (OS/ASPA)
Bowman , Matt hew (HHS/OGC)
Thursday, October 05, 2017 8:59 PM
Wynne , Maggie (HHS/10S); Lloyd , Scott (ACF)

From:

Sent:
To:

Subject:

(b)(5)

Legaladvice
(b)(5)

Confidentialpre-decisionaldeliberativeprocessand attorney client privilege

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791

rnatthew .bowrnan @hhs .gov

HHS-OS-EF Lit. 18-0241 00004157

EXT-18-241-O-000601

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

(b)(5)

(b)(5)

Attorney client communication

HHS-OS-EF Lit. 18-0241 00004158

EXT-18-241-O-000602

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Subject:

Bowman, Matthew (HHS/OGC)
Thursday, October 05, 2017 5:27 PM
Wynne, Maggie (HHS/10S); Lloyd, Scott (ACF)
Attorney client communication

(b)(5)

HHS-OS-EF Lit. 18-0241 00004159

EXT-18-241-O-000603

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Bena, Anna Marie (HHS/OGC) (ACF)
Friday, September 22, 2017 8:00 AM
ORR Senior Leadership; Wynne, Maggie (HHS/IOS)
ORR Weekly Litigation Update
(9.21.17) - Litigation and Bond Hearing trackers.docx

(b)(5)

HHS-OS-EF Lit. 18-0241 00004160

EXT-18-241-O-000604

 Bell, Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Bena, Anna Marie (HHS/OGC) (ACF)
Thursday, September 07, 2017 4:04 PM
ORR Senior Leadership ; Wynne, Maggie (HHS/IOS)
ORR Weekly Litigation Update
(9.7.17) - Litigation and Bond Hearing trackers.docx

(b)(5)

HHS-OS-EF Lit. 18-0241 00004161

EXT-18-241-O-000605

 Bell. Michael (OS/ASPA)
Lloyd, Scott (ACF)
Friday, March 31, 2017 6:47 PM
ie HHS OS· Bowman, Matthew (HHS/OGC)

From:

Sent:
To:
(b)(5)

Subject:
(b)(5)

From: Wynne, Maggie (HHS/IOS)

Sent: Friday, March 31, 2017 5:49 PM
To: Bowman, Matthew (HHS/OGC)
Cc: Lloyd, Scott (ACF)

Subject

(b)(5)

Matt,
(b)(5)

Magg ie

(b)(5)
(b)(5)

HHS-OS-EF Lit. 18-0241 00004162

EXT-18-241-O-000606

 (b)(5)

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791
matthew.bowman @hhs.gov
From: Wynne, Maggie (HHS/IOS)

Sent: Friday, March 31, 2017 4:35 PM
To: Bowman, Matthew (HHS/OGC); Lloyd, Scott

(ACF)

(b)(5)

(b)(5)

Maggie

(b)(5)
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00004163

EXT-18-241-O-000607

 Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791
matthew.bowman @hhs.gov

3
HHS-OS-EF Lit. 18-0241 00004164

EXT-18-241-O-000608

 Bell. Michael (OS/ASPA)
From:

Wynne, Maggie (HHS/IOS)
Friday, March 31, 2017 5:49 PM
Bowman , Matthew (HHS/OGC)
Lloyd, Scott (ACF)

Sent:
To:

Cc:
Subject:

(b)(5)

Matt,
(b)(5)

Magg ie

(b)(5)
(b)(5)

HHS-OS-EF Lit. 18-0241 00004165

EXT-18-241-O-000609

 Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791

matthew .bowman @hhs.gov

(b)(5)

Matt,
(b)(5)

Maggie
From: Bowman, Matthew (HHS/OGC)

Sent: Friday, March 31, 2017 4:15 PM
To: Lio d, Scott (ACF); W nne, Maggie (HHS/l05)
(b)(5)
(b)(5)

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791

matthew .bowman @hhs .gov
2

HHS-OS-EF Lit. 18-0241 00004166

EXT-18-241-O-000610

 Bell. Michael (OS/ASPA)
Bowman, Matthew (HHS/OGC)
Friday, March 31, 2017 5:09 PM
W nne, Ma ie (HHS/1OS);Lloyd, Scott (ACF)

From:

Sent:
To:

Subject:

(b)(5)

(b)(5)

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791

matthew.bowman @hhs.gov

(b)(5)

(b)(5)

Maggie

From: Bowman, Matthew (HHS/OGC)

Sent:

Friday, March 31, 2017 4:15 PM
HHS-OS-EF Lit. 18-0241 00004167

EXT-18-241-O-000611

 (b)(5)
(b)(5)

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791
matthew .bowman @hh s.gov

2

HHS-OS-EF Lit. 18-0241 00004168

EXT-18-241-O-000612

 Bell. Michael (OS/ASPA)
Bowman, Matthew (HHS/OGC)
Tuesday, March 28, 2017 10:44 AM
ie (HHS/IOS); Flick, Heather (0S/OGC)

From:

Sent:
To:
(b)(5)

Subject:
(b)(5)

Bowman
Deputy General Counsel
HHSO GC

Ma tt

202 .868.9791

matt hew.bowman @hhs.gov
From: Wynne, Maggie (HHS/IOS)

Sent: Tuesday, March 28, 2017 10:39 AM
To: Flick, Heather OS/OGC ; Bowman, Matthew
(b)(5)

Attorney -client privi lege request ed .

(b)(5)

•·•

I"

•I~~~-

-Magg ie

From: Haron, Judith (HHS/OGC)

Sent: Tuesday, March 28, 2017 8:43 AM
To: W nne, Mag ie (HHS/IOS); Keith, Robert (HHS/OGC)
(b)(5)

DOJ has told us t hat they intend to make the ir own discovery requests.
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error , please delete it without reading it and please do not print, copy, forward, disseminate, or
otherw ise use the information. Also, please notify the sender that you have received this communication in error. Your receipt of
this message is not intended to waive any applicable privilege.

From: Wynne, Maggie (HHS/IOS)

Sent: Monday, March 27, 2017 8:14 PM
o·
.
J_ CiO·
.
(b)(5)

Attorney- cli ent pr ivi lege requested.
HHS-OS-EF Lit. 18-0241 00004169

EXT-18-241-O-000613

 Judy and Bob,
(b)(5)

Thank you,
Maggie

(b)(5)

Dear All,
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00004170

EXT-18-241-O-000614

 (b)(5)

Please do not hesitate to contact me w ith questions.

Thank you,

- Judy Haron Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error, please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error . Your receipt of
this message is not intended to waive any applicable privilege.

3
HHS-OS-EF Lit. 18-0241 00004171

EXT-18-241-O-000615

 Bell. Michael (OS/ASPA)
Wynne, Maggie (HHS/IOS)
Tuesday, March 28, 2017 10:39 AM
Flick, Heather (HHS/IOS); Bowman, Matthew (HHS/1OS)

From:

Sent:
To:
(b)(5)

Subject:

Attorney -client privilege requested .

(b)(5)

-Maggie

(b)(5)
(b)(5)

Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an inte nded recipie nt,
or have received this message in error , please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error . Your receipt of
this message is not intended to waive any applicable privilege.

From: Wynne, Maggie (HHS/IOS)

Sent: Monday, March 27, 2017 8:14 PM
udiJ

(b)(5)

G_D·

.

Attorney -client privilege requested .
Judy and Bob,
(b)(5)

Thank you,
Magg ie

From: Haron, Judith (HHS/OGC)

Sent: Tuesday, March 21, 2017 12:51 PM
To: Wynne, Maggie (HHS/IOS); Lloyd, Scott (ACF); Barlow, Amanda (ACF); Mella, Emily (ACF); Tota, Kenneth (ACF);
HHS-OS-EF Lit. 18-0241 00004172

EXT-18-241-O-000616

 (b)(5)

Dear All,
(b)(5)

2

HHS-OS-EF Lit. 18-0241 00004173

EXT-18-241-O-000617

 (b)(5)

Please do not hesitate to contact me with questions. Thank you ,
- Judy Haran Deputy Associate General Counsel
Children, Famili es and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachm ents are priv ileged and confidentia l. You should not disseminate or release
th is message and any attachments w itho ut the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received t his message in error, please delete it w itho ut reading it and please do not print, copy, fo rward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error . Your receipt of
th is message is not intended to wa ive any applicable privilege.

3
HHS-OS-EF Lit. 18-0241 00004174

EXT-18-241-O-000618

 Bell. Michael (OS/ASPA)
Haron, Judith (HHS/OGC)
Tuesday, March 28, 2017 8:43 AM
ie (HHS/10S); Keith , Robert (HHS/OGC)

From:

Sent:
To:

Subject:

(b)(5)

(b)(5)

Notice: The contents of t his message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error, please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error. Your receipt of
this message is not intended to waive any applicable privilege.

From: Wynne, Maggie (HHS/IOS)

Sent: Monday, March 27, 2017 8:14 PM
To: Haron, udith (HHS/OGC); Keith, Robert (HHS/OGC)
(b)(5)

Attorney-client

privilege requested.

Judy and Bob,
(b)(5)

Thank you,
Maggie

From: Haron, Judith (HHS/OGC)

Sent: Tuesday, March 21, 2017 12:51 PM
To: Wynne, Maggie (HHS/IOS); Lloyd, Scott (ACF); Barlow, Amanda (ACF); Mella, Emily (ACF); Tota, Kenneth (ACF);
Wh ite, onathan ACF ; Bowman, Matthew HHS/OGC ; Flick, Heather (OS/OGC); Keith, Robert (HHS/OGC)
(b)(5)

Dear All,
(b)(5)

HHS-OS-EF Lit. 18-0241 00004175

EXT-18-241-O-000619

 (b)(5)

Please do not hesitate to contact me with questions. Thank you,
- Judy Haran Deputy Associate Genera l Counsel
Children, Families and Aging Division
HHS Office of the General Counsel
2

HHS-OS-EF Lit. 18-0241 00004176

EXT-18-241-O-000620

 (202) 690 8005
Notice: The contents of this message and any attachments are privi leged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error, please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error. Your receipt of
this message is not intended to waive any applicab le privi lege.

3
HHS-OS-EF Lit. 18-0241 00004177

EXT-18-241-O-000621

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

(b)(5)

Attorney -client privilege requested .
Judy and Bob,
(b)(5)

Thank you,
Maggie

(b)(5)

Dear Al l,
(b)(5)

HHS-OS-EF Lit. 18-0241 00004178

EXT-18-241-O-000622

 (b)(5)

Please do not hesita t e t o contact me w ith quest ions. Thank yo u,
- Judy Haron Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error , please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error . Your receipt of
th is message is not intended to wa ive any applicable privilege.

2

HHS-OS-EF Lit. 18-0241 00004179

EXT-18-241-O-000623

 Bell. Michael (OS/ASPA)
Haron, Judith (HHS/OGC)
Monday, March 27, 2017 4:40 PM
Barlow, Amanda (ACF); Mella, Emily (ACF); Pilato, Anna (ACF); Goldhaber, Ben (ACF);
Wynne, Maggie (HHS/IOS); Moughalian, Jen (HHS/ASFR); Clark, Barbara (HHS/ASL);
A new, Ann HHS/IOS; Weber, Mark HHS/ASPA

From:

Sent:
To:

Subject:
Attachments:

(b)(5)

(b)(5)

- Judy Haron Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error, please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error. Your receipt of
this message is not intended to waive any applicable privilege.

HHS-OS-EF Lit. 18-0241 00004180

EXT-18-241-O-000624

 From: Haren, Judith (HHS/OGC)

Sent: Friday, March 24, 2017 2:58 PM
To: Barlow, Amanda (ACF); Mella, Emily (ACF); Pilato, Anna (ACF); Goldhaber, Ben (ACF); Wynne, Maggie (HHS/IOS);
(b)(5)

Moughalian, Jen (HHS/ASFR); Clark, Barbara (HHS/ASL); Agnew, Ann (HHS/1OS); Weber, Mark (HHS/ASPA)
:
• I_
I . w (HHS/OGC); Palacios, Caitlin (HHS/OGC); Woolford, Llewellyn (HHS/OGC)

(b)(5)

If you have any questions, please do not hesitate to contact me.

- Judy Haran Deputy Associate Genera l Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error, please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error. Your receipt of
this message is not intended to waive any applicable privilege.

2

HHS-OS-EF Lit. 18-0241 00004181

EXT-18-241-O-000625

 Bell. Michael (OS/ASPA)
From:
Sent:

Haron, Judith (HHS/OGC)
Friday, March 24, 2017 2:58 PM
Barlow, Amanda (ACF); Mella , Emily (ACF); Pilato, Anna (ACF); Goldhaber, Ben (ACF);
Wynne, Maggie (HHS/IOS); Moughalian, Jen (HHS/ASFR); Clark, Barbara (HHS/ASL);
Agnew, Ann (HHS/IOS); Weber, Mark (HHS/ASPA)
Bowman , Matthew (HHS/OGC); Palacios, Caitlin (HHS/OGC); Woolford, Llewellyn
Sl_O C

To:

Cc:
Subject:
Attachments:

Importance:

(b)(5)

High

(b)(5)

If you have any quest ions, please do not hesitate to contact me.

- Judy Haron Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error, please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error . Your receipt of
th is message is not intended to wa ive any applicable privilege.

HHS-OS-EF Lit. 18-0241 00004182

EXT-18-241-O-000626

 Bell. Michael (OS/ASPA)
Haron, Judith (HHS/OGC)
Wednesday, March 22, 2017 10:12 AM
Wynne , Maggie (HHS/IOS); Lloyd, Scott (ACF); Barlow, Amanda (ACF); Mella, Emily
(ACF); Tota, Kenneth (ACF); Whi te, Jonathan (ACF); Bowman, Matthew (HHS/OGC); Flick,
Heather (0S/OGC); Keith, Robert (HHS/OGC)

From:

Sent:
To:

Subject:

(b)(5)

(b)(5)

- Judy Haron Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error, please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error. Your receipt of
this message is not intended to waive any applicable privilege.

From: Wynne, Maggie (HHS/IOS)

Sent: Wednesday, March 22, 2017 9:18 AM
To: Haron, Judith (HHS/OGC); Lloyd, Scott (ACF); Barlow, Amanda (ACF); Mella, Emily (ACF); Tota, Kenneth (ACF);
Wh ite, Jo nathan (ACF); Bowman, Matthew (HHS/OGC); Flick, Heather (OS/OGC); Keith, Robert (HHS/OGC)
(b)(5)

Judy,
(b)(5)

Thank you,
Magg ie

From: Haren, Judith (HHS/OGC)

Sent: Tuesday, March 21, 2017 12:51 PM
To: Wynne, Maggie (HHS/IOS); Lloyd, Scott (ACF); Barlow, Amanda (ACF); Mella, Emily (ACF); Tota, Kenneth (ACF);
(b)(5)

White.. onath

atthe.i

OGJ ·

. k, Heather (OS/OGC); Keith, Robert (HHS/OGC)

Dear Al l,
(b)(5)

HHS-OS-EF Lit. 18-0241 00004183

EXT-18-241-O-000627

 (b)(5)

Please do not hesitate to contact me with questions. Thank you,

- Judy Haran 2

HHS-OS-EF Lit. 18-0241 00004184

EXT-18-241-O-000628

 Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel
(202) 690 8005
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error, please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error. Your receipt of
this message is not int ended to waive any applicab le privi lege.

3
HHS-OS-EF Lit. 18-0241 00004185

EXT-18-241-O-000629

 Bell. Michael (OS/ASPA)
From:

Wynne, Maggie (HHS/IOS)
Wednesday, March 22, 2017 9:18 AM
Haron , Judith (HHS/OGC); Lloyd, Scott (ACF); Barlow, Amanda (ACF); Mella, Emily (ACF);
Tota, Kenneth (ACF); Whi te, Jonathan (ACF); Bowman, Matthew (HHS/OGC); Flick,
Heather OS OGC · Keith Robert HHS OGC

Sent:
To:

Subject:

(b)(5)

Judy,
(b)(5)

Thank you,
Magg ie

From: Haren, Judith (HHS/OGC)

Sent: Tuesday, March 21, 2017 12:51 PM
To: Wynne, Maggie (HHS/105); Lloyd, Scott (ACF); Barlow, Amanda (ACF); Mella, Emily (ACF); Tota, Kenneth (ACF);
Wh ite, Jonathan (ACF); Bowman, Matthew (HHS/OGC); Flick, Heather (05/0GC); Keith, Robert (HHS/OGC)
(b)(5)

Dear Al l,
(b)(5)

HHS-OS-EF Lit. 18-0241 00004186

EXT-18-241-O-000630

 (b)(5)

Please do not hesitate to contact me w ith questions . Thank you,
- Judy Haron Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error, please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error. Your receipt of
this message is not intended to waive any applicable privilege.

2

HHS-OS-EF Lit. 18-0241 00004187

EXT-18-241-O-000631

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:

(b)(5)

(b)(5)

Magg ie

(b)(5)

Dear All,
(b)(5)

HHS-OS-EF Lit. 18-0241 00004188

EXT-18-241-O-000632

 (b)(5)

Plea se do not hesita te t o contact me w ith q uesti ons . Th an k yo u,
- Judy Haron Deputy Associate General Counsel
Children, Families and Aging Div ision
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received th is message in error , please delete it w ithout reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this commun ication in error . Your receipt of
th is message is not intended to wa ive any applicable privilege.

2

HHS-OS-EF Lit. 18-0241 00004189

EXT-18-241-O-000633

 Bell. Michael (OS/ASPA)
Haron, Judith (HHS/OGC)
Tuesday, March 21, 2017 12:51 PM
Wynne , Maggie (HHS/IOS); Lloyd, Scott (ACF); Barlow, Amanda (ACF); Mella, Emily
(ACF); Tota, Kenneth (ACF); Whi te, Jonathan (ACF); Bowman , Matthew (HHS/OGC); Flick,
Heather OS/OGC; Keith , Robert HHS/OGC

From:

Sent:
To:

Subject:
Attachments:

(b)(5)

Dear All,
(b)(5)

HHS-OS-EF Lit. 18-0241 00004190

EXT-18-241-O-000634

 (b)(5)

Please do not hesitat e t o contact me w it h questi ons. Thank you,
- Judy Haron Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments are priv ileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received th is message in error, please delete it w ithout reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this commun ication in error . Your receipt of
th is message is not intended to wa ive any applicable privilege.

2

HHS-OS-EF Lit. 18-0241 00004191

EXT-18-241-O-000635

 Bell. Michael (OS/ASPA)
Lloyd, Scott (ACF)
Monday, March 20, 2017 4:18 PM
Wynne , Maggie (HHS/IOS)

From:

Sent:
To:

Subject:

(b)(5)

Maggie,
(b)(5)

Thanks!
Scott

On: 20 March 2017 15:50, "Wynne, Maggie (HHS/IOS)" <Margaret.Wynne@hhs.gov > wrote:
Thanks, Matt.
(b)(5)

Maggie

From: Bowman, Matthew (HHS/OGC)

Sent: Monday, March 20, 2017 3:48 PM
(b)(5)

S OS · Llo

Seo t (ACF)

(b)(5)

HHS-OS-EF Lit. 18-0241 00004192

EXT-18-241-O-000636

 Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791
matthew.bowman @hhs.gov

2
HHS-OS-EF Lit. 18-0241 00004193

EXT-18-241-O-000637

 Bell. Michael (OS/ASPA)
Bowman, Matthew (HHS/OGC)
Monday, March 20, 2017 3:48 PM
Wynne , Maggie (HHS/1OS);Lloyd, Scott (ACF)

From:

Sent:
To:

Subject:

(b)(5)

(b)(5)

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791

matthew.bowman @hhs.gov

HHS-OS-EF Lit. 18-0241 00004194

EXT-18-241-O-000638

 Bell, Michael (OS/ ASPA}
From:

Sent:
To:

Cc:
Subject:
Attachments :

Wynne , Maggie (HHS/IOS)
Monday, March 20, 2017 12:51 PM
Wright , Natasha (OS/IOS)
Robinson, Wilma (HHS/IOS)
RE:(ACF) Unaccompanied Children Program ORR Cooperative Agreements
Cooperative Agreement - Residential Services Feb 2017 ESLrev.docx

Hi Natasha,
Attached is a copy of the cooperative agreement with edits incorporated through track changes.
Please have ACF contact me if there are questions or concerns about any of the proposed edits.
Thank you,
Maggie

From:Wr ight, Natasha (OS/IOS)
Sent: Friday, March 03, 2017 9:46 AM
To: Wynne, Maggie (HHS/IOS)
Cc: Robinson, Wilma (HHS/IOS)

Subject: (ACF) Unaccompanied Children Program ORR Cooperative Agreements

Hi Maggie,
Per the 3/3 Week Ahead report on Page 3, Item 1, please see attached for ACF's memo and cooperative
agreements for residential services in the UC Program.
Thanks,
Natasha

From:Cottingham, Kenneth (ACF)
Sent: Thursday, March 02, 2017 4:22 PM
To: Wright, Natasha (OS/IOS)
Cc: Hitt, Mrs. Linda (ACF)

Subject: SWI FT: 022720172002 - Unaccompanied Children Program Cooperative Agreements

Week Ahead Report 3/3/17
Page 3, Item 1: ORR Cooperative Agreements
I've attached the document s associated with this item. Please contact us with questions.

Ken

'J::~

~- ~

Director, Executive Secretariat
HHS-OS-EF Lit. 18-0241 00004195

EXT-18-241-O-000639

 Immediate Office of the Assistant Secretary
Administration for Children and Families (ACF)
U.S. Department of Health and Human Services
Kenneth.cottingham@acf.hhs.gov
Office: 202-401-4733/BB: (b)(6)

2

HHS-OS-EF Lit. 18-0241 00004196

EXT-18-241-O-000640

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

Lloyd, Scott (ACF)
Friday, March 17, 2017 8:18 PM
Wynne , Maggie (HHS/IOS)
RE:(ACF) Unaccompan ied Children Program ORR Cooperative Agreements
Cooperative Agreement-Residential Services Feb 2017 ESLrevisions 2.docx

Apologies!

From: Wynne, Maggie (HHS/IOS)

Sent: Friday, March 17, 2017 5:51 PM
To: Lloyd, Scott (ACF)
Subject: RE: (ACF) Unaccompanied Children Program ORR Cooperat ive Agreements
Hi Scott,
It wasn't attached!
Magg ie

From: Lloyd, Scott (ACF)

Sent: Friday, March 17, 2017 5:39 PM
To: Wynne, Maggie (HHS/IOS)
Subject: RE: (ACF) Unaccompanied Children Program ORR Cooperative Agreements
Magg ie,
(b)(5)

Thank you,
Scott

From: Wynne, Maggie (HHS/IOS)

Sent: Friday, March 17, 2017 5:29 PM
To: Lloyd, Scott (ACF)
Subject: RE: (ACF) Unaccompanied Children Program ORR Cooperat ive Agreements
Hi Scott,
(b)(5)

Thanks,

HHS-OS-EF Lit. 18-0241 00004197

EXT-18-241-O-000641

 Maggie

From: Wynne, Maggie (HHS/IOS)

Sent: Monday, March 06, 2017 8:26 AM
To: Lloyd, Edward (ACF)
Subject: FW: (ACF) Unaccompanied Children Program ORR Cooperative Agreements
Scott,
(b)(5)

Thank you,
Maggie

From: Wright, Natasha (0S/IOS)
Sent: Friday, March 03, 2017 9:46 AM
To: Wynne, Maggie (HHS/IOS)
Cc: Robinson, Wilma (HHS/IOS)
Subject: (ACF) Unaccompanied Children Program ORR Cooperative Agreements

Hi Maggie,
Per the 3/3 Week Ahead report on Page 3, Item 1, please see attached for ACF's memo and cooperative
agreements for residential services in the UC Program.
Thanks,
Natasha

From: Cottingham, Kenneth (ACF)
Sent: Thursday, March 02, 2017 4:22 PM
To: Wright, Natasha (0S/IOS)
Cc: Hitt, Mrs. Linda (ACF)
Subject: SWIFT: 022720172002 - Unaccompanied Children Program Cooperative Agreements

Week Ahead Report 3/3/17
Page 3, Item 1: ORR Cooperative Agreements
I've attached the document s associated with this item. Please contact us with questions.
Ken

'J::~~-

~

Director, Executive Secretariat
Immediate Office of the Assistant Secretary
Administration for Children and Families (ACF)
U.S. Department of Health and Human Services
Kenneth .cotti ngha m@acf .h hs.gov
2

HHS-OS-EF Lit. 18-0241 00004198

EXT-18-241-O-000642

 (b)(6)

Office : 202-40 1-4733/BB :

3
HHS-OS-EF Lit. 18-0241 00004199

EXT-18-241-O-000643

 Bell. Michael (OS/ASPA)
From:

Sent:
To:

Subject:
Attachments:

(b)(5)
(b)(5)

(b)(5)

Confidentialpre-decisionaldeliberativeprocessattorney client privilege

Matt Bowman
Deputy General Counsel
HHSOGC
202.868.9791

matthew.bowman @hhs.gov
From: Haren, J udit h (HHS/OGC)

Sent: Monday, March 13, 20 17 5: 11 PM
To: Flick, Heather (OS/OGC); Bowman, Matthew (HHS/OGC)
Cc: Giantu rco, Elizabet h (HHS/OGC); Keith, Robert (HHS/OGC)
(b)(5)

HHS-OS-EF Lit. 18-0241 00004200

EXT-18-241-O-000644

 (b)(5)

(b)(5)
(b)(5)

- Judy Haron Deputy Associate General Counsel
Children, Families and Aging Division
HHS Office of the General Counsel

(202) 690 8005
Notice: The contents of this message and any attachments are privileged and confidential. You should not disseminate or release
this message and any attachments without the approval of the Office of the General Counsel. If you are not an intended recipient,
or have received this message in error, please delete it without reading it and please do not print, copy, forward, disseminate, or
otherwise use the information. Also, please notify the sender that you have received this communication in error. Your receipt of
this message is not intended to waive any applicable privilege.

2

HHS-OS-EF Lit. 18-0241 00004201

EXT-18-241-O-000645

 (b)(5)

3
HHS-OS-EF Lit. 18-0241 00004202

EXT-18-241-O-000646

 From:
Wynne, Maggie {HHS/IOS)
Sent:
19 Sep 201718:35:06 +0000
To:
Smith, Andrew (HHS/IOS)
Subject:
FW: Reply by COB, 9/20: SSA Draft Bill on SSDIReform
Attachments:
HWM078 - SSA SSDI reform section-by-section.doc, HWM078 - SSASSDI reform
legislative language.docx
Andrew,
Do you see anything in these on which we might want to comment?
Maggie

From: Willoughby, Michelle (HHS/OGC)
Sent: Thursday, September 14, 2017 2:45 PM
To: Arbes, Sarah (HHS/ASL); Clark, Barbara (HHS/ASL); Keckler, Charles (HHS/IOS); McGuffee, Tyler
Ann (HHS/ASL); Morse, Sara (HHS/ASL); Whitley, Edward (HHS/ASL); Kemper, Laura (HHS/ASL);
Lawrence, Courtney (HHS/ASL); Aramanda, Alec (OS/ASL); Stevenson, Sarah-Lloyd (HHS/IOS); Wynne,
Maggie (HHS/IOS); Lapinski, Mary-Sumpter (HHS/IOS); Brooks, John (HHS/IOS); Davis, Ms. Cynthia
(ACF); Logan, Scott (ACF); Sulton, Jae (ACF); ASPEClearances (OS/ASPE); Duncan, Constance
(HHS/ASFR); Smith-Simpson, Jacqlyn (HHS/ASFR); ASAIO Staff; Barcus, Lea (PSC/OD); Earles, Vertrice
(HHS/ASA) (CTR); Chletsos, Lori (PSC/OD) (CTR); Leavelle, Cannon (OS/ONC); Stauffer, Rachel
(OS/ONC); Altman, Brian (SAMHSA); Lampasone, Kara (SAMHSA); Rice, Peggie (HHS/ASFR);
Slothouber, Doug (SAMHSA); East, Janet (HHS/OASH); Stallion, Vivian (HHS/OS); Brady, Kevin
(CMS/O L); Ta lbert, Ada L. (CMS/OL); Wikelius, Kristin (CMS/OL); Mason, James (HHS/IEA);
OIGClearances@oig.hhs.gov; Adams, Claudia (HHS/OS); Brockett, Sharon (HHS/OCR); Householder,
Donna (HHS/OS); Lawson, Heathe r (HHS/OCR); Morgan, Sherri (OS/OCR); Schmidt, Peggy (HHS/OCR);
Higgins, Lauren (NIH/OD) [E]; Tatem, Anne (NIH/OD) [E]; Vo, Thuy (NIH/OD) [E]; Jackson, Caldwell
(ACL); Lutz, Brian T. (AoA/CPA); Nicholls, Richard (ACL); Klingbeil, Martin (CDC/OD/CDCWO);
Schattner, Aimee (CDC/OD/CDCWO)
Cc: Malliou, Ekaterini (OS/IOS); Nelson, Thayer (HHS/OGC); Hertzog, Christian (HHS/OGC); Friedman,
Richard ( HHS/OGC); Blackwell, Edith (HHS/OGC); Johnson, Linda (OS/OGC); Bird, Catherine (OS/OGC);
Bowman, Matthew (HHS/OGC); Stimson, Brian (HHS/OGC); Flick, Heather (OS/OGC); Cleary, Kelly
(HHS/OGC); Hodgkins, Juliet (OIG/OCIG); Haron, Judith (HHS/OGC); Jeffries, Elizabeth (HHS/OGC);
Terry, Minnie (HHS/OGC); Huff, Bonita (HHS/OGC); Schuham, Aaron (HHS/OGC); Barry, Daniel J
(HHS/OGC); OS GCGL, EMAIL (HHS/OS); Senor, David E.(HHS/OGC); Naimon, David (HHS/OGC); OGC
PH and S BRANCH CONTROLS; PHD NIH Branch Controlled Correspondence (NIH/OD); Fisher, Barbara
(HHS/OGC); Kocher, Paula L. (CDC/OCOO/OGC); OGC CDC Branch Controls (CDC)
Subject: Reply by COB, 9/20: SSA Draft Bill on SSDI Reform

TO:

L(H)

L(HS)

ACF
ASPE
ASFR
ASA/PSC
ONC
SAMHSA
ASH
CDC

CMS
IEA
OIG

OCR
NIH
ACL
IOS/OS

HHS-OS-EF Lit. 18-0241 00004203

EXT-18-241-O-000647

 FROM:

Office of the General Counsel/Legislation Division

SUBJECT:

SSA Draft Bill on SSDI Reform

(NOTE : Attached please find draft legislative language and a
section-by-section from SSA for a series of SSD I reform proposals
included in the President's FY 18 Budget.
The following proposals are included in this package :
(b)(5)

The Office of Management and Budget has asked for the Department's views on
this draft bill.
In order that we may respond promptly to this request , please give you r
comments as soon as possible but no later than COB , WEDNESDAY, SEPTEMBER 20
to both (1) THAYER NELSON of this Division and (2) cc : our general e-ma ilbox
(email.gcl@hhs.gov ) (Microsoft Outlook users , select: OS GCL , EMAIL from the Global
Address List).
To ensure that the Department's comments are given full consideration , please
observe the following guidelines in provid ing your office 's commen ts:

HHS-OS-EF Lit. 18-0241 00004204

EXT-18-241-O-000648

 (b)(5)

If you have any questions, call the GCL staff attorney named above, at 202-6907747, or our Legislative Reference Service, at 202.690.7750.

cc:

OIG/OCIG
GC/1O
GC/CFA
GC/CR
GC/GLD
GC/PH
GC/CMS
IOS/OS
GCL (Friedman/Hertzog)

Michelle Lawrence Willoughby
Office of the General Counsel/Legis lation Division
Legislative Reference Service
202.690. 7750 fax 202.690. 7309
Michelle.Willoughby@hhs.gov

HHS-OS-EF Lit. 18-0241 00004205

EXT-18-241-O-000649

 This message is intended for the exclusive use of the recipient(s) named above. It may contain
information that is PROTECTEDand/or PRIVILEGED,and it should not be disseminated, distributed, or
copied to persons not authorized to receive such information. If you are not the intended recipient, any
dissemination, distribution, or copying is strictly prohibited. If you have received this communication in
error, please erase all copies of the message and its attachments and notify us immediately.

HHS-OS-EF Lit. 18-0241 00004206

EXT-18-241-O-000650

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HHS-OS-EF Lit. 18-0241 00004244

EXT-18-241-O-000688

 From:
Sent:
To:
Subject:
Attachments:

Wynne, Maggie (HHS/10S)

6 Mar 2017 03:05:58 +0000
Lloyd, Edward (ACF)
FW: SBU//FOUO: ACF/ORR UC Bed Cascades Memo for 28 February 2017
UC Bed Planning Cascades ACF 28 FEB Final.pdf

FYI

(b)(6)

(b)(6)

(b)(6)

(b)(6)

Colleagues:
(b)(5)

This pre-decisional product is Sensitive But Unclassified/For Official Use Only (SBU//FOUO).
Intelligence products cited in this report are Unclassified/Law Enforcement Sensitive (U//LES).
If there are questions, please do not hesitate to reach out to me.
Best,
Jonathan
Jonathan D. White
Commander, U.S. Public Health Service

HHS-OS-EF Lit. 18-0241 00004245

EXT-18-241-O-000689

 Deputy Director for Children ' s Programs
Office of Refugee Resettlement
Administration for Children and Families
U.S. Department of Health and Human Services
330 C Street SW
(202) 690-6984
jonathan.wh ite@acf.hhs.gov

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 P. 56 Beginningof long
draft report to Congress.
From:
Sent:
To:

Wright, Don (HHS/OASH)
3 Mar 2017 18:50:45 +0000
Stannard, Paula (HHS/IOS)
Cc:
Wynne, Maggie (HHS/IOS)
Subject:
FW: SWIFT: 022420178006 - 2017 Report to Congress on HHS Activities to
Imp rove Women's Health
Attachment s:
bd.2017 ACA Report DRAFTCongressional Letters.docx, bd.2017 OWH Act ing
Director to Acting ASH 2017 ACA Report.docx, bd.2017 DRAFTACA.2 15 17.docx, bd.2017 A-ASH to ASec 2017 ACA Report.docx
Paula,
Per yesterday's Beachhead meeting:
Attached is the Report to Congress on HHSActivities to Improve Women's Health as required by the
ACA.
OASH is tasked with drafting the final report by incorporating contributions by various Operating and
Staff Divisions in HHS. As you will see, the report highlights the valuable and diverse work across HHS
that improves women's health.
This document will need to be placed in Departmental clearance.
Let me know if you have questions . We are eager to place this document in clearance. Naturally, we
will await a green light from you.

Don Wright MD MPH
Acting Assistant Secretary for Health
Deputy Assistant Secretary for Health
Director: Office of Disease Prevention and Health Promotion
1101 Wootton Parkway Suite LL 100
Rockville, MD 20852
(240) 276-9795

From: East, Janet (HHS/OASH)
Sent: Friday, March 03, 2017 9:29 AM
To: Wright, Don (HHS/OASH)
Subject: SWIFT: 02242017B006 - 2017 Report to Congress on HHS Activities to Improve Women's
Health

Dr. Wright:
Attached per your request are the WORD files for the draft Report to Congress on Women's
Health Activities which was coordinate by the OASH Office on Women's Hea lth.

HHS-OS-EF Lit. 18-0241 00004258

EXT-18-241-O-000702

 Janet

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--------------------(b)(5) DRAFT Letters to Congress

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HHS-OS-EF Lit. 18-0241 00004263

EXT-18-241-O-000707

 TO:

Acting Assistant Secretary for Health

FROM:

Acting Director , Office on Women's Health

SUBJECT:

2017 Report to Congress on HHS Activities to Improve Women's Health ACTION

(b)(5)

DECISION

Approved ____

Disapproved ____

Need More Information ____

_

Don Wright, M.D., M.P.H.

Nicole Greene

Attachment:
TAB A - Memo to the Secretary, w/attachments

HHS-OS-EF Lit. 18-0241 00004264

EXT-18-241-O-000708

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004265

EXT-18-241-O-000709

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HHS-OS-EF Lit. 18-0241 00004266

EXT-18-241-O-000710

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HHS-OS-EF Lit. 18-0241 00004267

EXT-18-241-O-000711

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HHS-OS-EF Lit. 18-0241 00004268

EXT-18-241-O-000712

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HHS-OS-EF Lit. 18-0241 00004269

EXT-18-241-O-000713

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HHS-OS-EF Lit. 18-0241 00004270

EXT-18-241-O-000714

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HHS-OS-EF Lit. 18-0241 00004271

EXT-18-241-O-000715

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HHS-OS-EF Lit. 18-0241 00004272

EXT-18-241-O-000716

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HHS-OS-EF Lit. 18-0241 00004273

EXT-18-241-O-000717

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HHS-OS-EF Lit. 18-0241 00004274

EXT-18-241-O-000718

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HHS-OS-EF Lit. 18-0241 00004275

EXT-18-241-O-000719

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HHS-OS-EF Lit. 18-0241 00004276

EXT-18-241-O-000720

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HHS-OS-EF Lit. 18-0241 00004277

EXT-18-241-O-000721

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004278

EXT-18-241-O-000722

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HHS-OS-EF Lit. 18-0241 00004279

EXT-18-241-O-000723

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004280

EXT-18-241-O-000724

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004281

EXT-18-241-O-000725

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HHS-OS-EF Lit. 18-0241 00004282

EXT-18-241-O-000726

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HHS-OS-EF Lit. 18-0241 00004283

EXT-18-241-O-000727

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004284

EXT-18-241-O-000728

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004285

EXT-18-241-O-000729

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004286

EXT-18-241-O-000730

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004287

EXT-18-241-O-000731

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004288

EXT-18-241-O-000732

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004289

EXT-18-241-O-000733

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004290

EXT-18-241-O-000734

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004291

EXT-18-241-O-000735

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004292

EXT-18-241-O-000736

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004293

EXT-18-241-O-000737

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004294

EXT-18-241-O-000738

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004295

EXT-18-241-O-000739

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004296

EXT-18-241-O-000740

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004297

EXT-18-241-O-000741

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004298

EXT-18-241-O-000742

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004299

EXT-18-241-O-000743

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004300

EXT-18-241-O-000744

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004301

EXT-18-241-O-000745

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004302

EXT-18-241-O-000746

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004303

EXT-18-241-O-000747

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004304

EXT-18-241-O-000748

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004305

EXT-18-241-O-000749

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004306

EXT-18-241-O-000750

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004307

EXT-18-241-O-000751

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004308

EXT-18-241-O-000752

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004309

EXT-18-241-O-000753

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004310

EXT-18-241-O-000754

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004311

EXT-18-241-O-000755

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004312

EXT-18-241-O-000756

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004313

EXT-18-241-O-000757

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004314

EXT-18-241-O-000758

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004315

EXT-18-241-O-000759

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004316

EXT-18-241-O-000760

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004317

EXT-18-241-O-000761

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004318

EXT-18-241-O-000762

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004319

EXT-18-241-O-000763

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004320

EXT-18-241-O-000764

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004321

EXT-18-241-O-000765

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004322

EXT-18-241-O-000766

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004323

EXT-18-241-O-000767

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004324

EXT-18-241-O-000768

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004325

EXT-18-241-O-000769

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004326

EXT-18-241-O-000770

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004327

EXT-18-241-O-000771

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HHS-OS-EF Lit. 18-0241 00004328

EXT-18-241-O-000772

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HHS-OS-EF Lit. 18-0241 00004329

EXT-18-241-O-000773

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004330

EXT-18-241-O-000774

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HHS-OS-EF Lit. 18-0241 00004331

EXT-18-241-O-000775

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HHS-OS-EF Lit. 18-0241 00004332

EXT-18-241-O-000776

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HHS-OS-EF Lit. 18-0241 00004333

EXT-18-241-O-000777

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HHS-OS-EF Lit. 18-0241 00004334

EXT-18-241-O-000778

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HHS-OS-EF Lit. 18-0241 00004335

EXT-18-241-O-000779

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004336

EXT-18-241-O-000780

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HHS-OS-EF Lit. 18-0241 00004337

EXT-18-241-O-000781

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HHS-OS-EF Lit. 18-0241 00004338

EXT-18-241-O-000782

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HHS-OS-EF Lit. 18-0241 00004339

EXT-18-241-O-000783

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HHS-OS-EF Lit. 18-0241 00004340

EXT-18-241-O-000784

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004341

EXT-18-241-O-000785

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004342

EXT-18-241-O-000786

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HHS-OS-EF Lit. 18-0241 00004343

EXT-18-241-O-000787

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--------------------(b)(5) DRAFT Report to Congress, 206 pages (Women's Health)

HHS-OS-EF Lit. 18-0241 00004344

EXT-18-241-O-000788

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HHS-OS-EF Lit. 18-0241 00004345

EXT-18-241-O-000789

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HHS-OS-EF Lit. 18-0241 00004346

EXT-18-241-O-000790

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HHS-OS-EF Lit. 18-0241 00004347

EXT-18-241-O-000791

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HHS-OS-EF Lit. 18-0241 00004348

EXT-18-241-O-000792

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HHS-OS-EF Lit. 18-0241 00004349

EXT-18-241-O-000793

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HHS-OS-EF Lit. 18-0241 00004350

EXT-18-241-O-000794

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HHS-OS-EF Lit. 18-0241 00004351

EXT-18-241-O-000795

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HHS-OS-EF Lit. 18-0241 00004352

EXT-18-241-O-000796

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HHS-OS-EF Lit. 18-0241 00004353

EXT-18-241-O-000797

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HHS-OS-EF Lit. 18-0241 00004354

EXT-18-241-O-000798

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HHS-OS-EF Lit. 18-0241 00004355

EXT-18-241-O-000799

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HHS-OS-EF Lit. 18-0241 00004356

EXT-18-241-O-000800

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HHS-OS-EF Lit. 18-0241 00004357

EXT-18-241-O-000801

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HHS-OS-EF Lit. 18-0241 00004358

EXT-18-241-O-000802

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HHS-OS-EF Lit. 18-0241 00004359

EXT-18-241-O-000803

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HHS-OS-EF Lit. 18-0241 00004360

EXT-18-241-O-000804

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HHS-OS-EF Lit. 18-0241 00004361

EXT-18-241-O-000805

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HHS-OS-EF Lit. 18-0241 00004364

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HHS-OS-EF Lit. 18-0241 00004365

EXT-18-241-O-000809

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HHS-OS-EF Lit. 18-0241 00004366

EXT-18-241-O-000810

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HHS-OS-EF Lit. 18-0241 00004367

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HHS-OS-EF Lit. 18-0241 00004368

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HHS-OS-EF Lit. 18-0241 00004369

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HHS-OS-EF Lit. 18-0241 00004370

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HHS-OS-EF Lit. 18-0241 00004376

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HHS-OS-EF Lit. 18-0241 00004377

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HHS-OS-EF Lit. 18-0241 00004378

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HHS-OS-EF Lit. 18-0241 00004379

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HHS-OS-EF Lit. 18-0241 00004380

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HHS-OS-EF Lit. 18-0241 00004381

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HHS-OS-EF Lit. 18-0241 00004384

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HHS-OS-EF Lit. 18-0241 00004385

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HHS-OS-EF Lit. 18-0241 00004386

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HHS-OS-EF Lit. 18-0241 00004387

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HHS-OS-EF Lit. 18-0241 00004388

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HHS-OS-EF Lit. 18-0241 00004389

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HHS-OS-EF Lit. 18-0241 00004390

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HHS-OS-EF Lit. 18-0241 00004391

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HHS-OS-EF Lit. 18-0241 00004392

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 DATE:
TO:

Thomas E. Price, M.D., Secretary

THROUGH:

Paula Stannard , Senior White House Advisor for HHS
Ann Agnew , Executive Secretary

FROM:

Acting Assistant Secretary for Health

SUBJECT:

2017 Rep01i to Congress on HHS Activities to Improve Women's Health as
Required by the Affordable Care Act - DECISION

(b)(5)

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 Page 2 - The Secretary
(b)(5)

Don Wright, M.D. , M.P.H.
DECISION
Approved ______

Disapproved ______

Need More Information ____

Thomas E. Price, M.D.

_

Date

Attachments:
Tab A: 2017 Report to Congress on Activities Related to Improving Women's Health
Tab B: Section 3509 of the Affordable Care Act
Tab C: Transmittal Letters to Select Members of Congress

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