[Federal Register Volume 59, Number 53 (Friday, March 18, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-6286]
[[Page Unknown]]
[Federal Register: March 18, 1994]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[RIN-0905-ZA08 PN 2180]
Junior National Health Service Corps/Junior Health Careers
Opportunity Program
AGENCY: Health Resources and Services Administration, HHS.
ACTION: Notice of availability of funds.
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SUMMARY: The Health Resources and Services Administration (HRSA),
Bureau of Primary Health Care (BPHC) and Bureau of Health Professions
(BHPr), jointly announce that fiscal year 1994 funds are available for
awards to federally-funded community and migrant health centers, health
care for the homeless programs, and public housing primary care
programs for Junior National Health Service Corps/Junior Health Careers
Opportunity Program (JrNHSC/JrHCOP) demonstration programs. This
program will be conducted under the authority of section 301 of the
Public Health Service (PHS) Act.
The goal of the JrNHSC/JrHCOP initiative is to increase the number
of primary care professionals who come from disadvantaged backgrounds.
In order to increase the numbers of individuals from disadvantaged
backgrounds pursuing primary care health careers, interventions must
begin early to enable students to develop the prerequisite skills,
academic competence and motivation to pursue a career as a health
professional.
These grants are intended to demonstrate the merit of early
introduction to and involvement of students in community oriented
primary health care settings; academic enrichment experiences in
mathematics, science and communication skills (i.e., reading, writing,
and oral skills); and in sustained interaction with mentors and role
models. The objectives of the JrNHSC/JrHCOP program are to: (1)
Identify and recruit students who reside within the Health Center's
service area and expose them to primary health care service and service
to the underserved; (2) work with students to increase their interest
and knowledge in their own good health and the health of others; (3)
encourage educational preparation and development of prerequisite
skills through academic enrichment programs; and (4) nurture and
encourage students to pursue primary care health careers by developing
a corps of peer counselors and exposing participants to role models,
mentors and practicing primary care health professionals. The projects
will target students in the 6th through 12th grades. Working with
students of these ages will, in the long run, significantly increase
the numbers of disadvantaged individuals in the health professions
dedicated to serving the underserved.
The PHS is committed to achieving the health promotion and disease
prevention objectives of Healthy People 2000, a PHS-led national
activity. This grant program is related to the objectives of improving
access to and availability of primary health care services for all
Americans, especially the underserved populations. Potential applicants
may obtain a copy of Healthy People 2000 (Full Report; Stock No. 017-
001-00474-0) or Healthy People 2000 (Summary Report; Stock No. 017-001-
00473-1) through the Superintendent of Documents, Government Printing
Office, Washington, DC 20402-9325 (telephone number 202-783-3238).
This project is also in concert with the National and Community
Service Trust Act which focuses on national service efforts to address
the most critical issues facing communities across the nation, bringing
energy and commitment to address education, human needs, public safety,
and environmental needs.
DUE DATES: Applications are due May 17, 1994. Applications will be
considered to have met the deadline if they are (1) received on or
before the deadline date; or (2) postmarked on or before the
established deadline date and received in time for orderly processing.
Applicants should request a legibly dated U.S. Postal Service postmark
or obtain a receipt from a commercial carrier. Private metered
postmarks will not be acceptable as proof of timely mailing. Late
applications not accepted for processing will be returned to the
applicant.
ADDRESSES: Application materials may be obtained from, and completed
applications should be returned to: Ms. Alice H. Thomas, Grants
Management Officer, Bureau of Primary Health Care, 4350 East West
Highway, Rockville, MD 20857, (301) 594-4250. The Grants Management
staff is available to provide assistance on business management issues.
Applications for these grants will be made on PHS Form 5161-1 with
revised face sheet DHHS Form 424, as approved by the Office of
Management and Budget (OMB) under control number 0937-0189.
FOR FURTHER INFORMATION CONTACT: For general program information and
technical assistance please contact, Ms. Cynthia H. Amis, Chief, Human
Resource Development Branch, National Health Service Corps (NHSC),
BPHC, 4350 East West Highway, Rockville, MD 20857, (301) 594-4180.
SUPPLEMENTARY INFORMATION: A total of $1,000,000 is available for
awards in FY 1994. It is projected that awards will be made to 10
competing applicants and will range from $75,000 to $125,000 for a 12-
month budget period and up to a 3-year project period. The need to
develop models at each of the targeted grade levels, or strategically
grouped grade levels, will be taken into consideration in the awarding
of grants.
Program Expectations
Each project funded under this demonstration grant program is
expected to identify, with the assistance of schools and other local
organizations within the local community, a cohort of 15 to 20
disadvantaged students for participation in activities in the first
year of the grant. These students are to be involved in a year-round
program designed to expose them to the various primary care fields
through on-site and community experiences, provide them with necessary
prerequisite skills in mathematics, science and communication (i.e.,
reading, writing, and oral skills), and stimulate and reinforce their
interest in their own health and in providing care in underserved
communities. The students are to continue with the project each year,
participating in age-appropriate activities as they advance through
secondary school. It is anticipated that the level of activity will be
more intense during the summer months than during the academic year.
Projects are to provide activities to build participants' self-
esteem; nurture the development of peer counseling skills, and the
formation of a corps of peer counselors; foster the participants'
interest in health care careers; impact their educational and subject
choices; influence them to select a health career track; cultivate
their awareness of and interest in primary care; and nurture their
development into community responsive, culturally competent primary
care health professionals committed to serving the underserved.
The projects must provide academic and community/clinical
experiences for the targeted students designed not only to develop
their interest in but to enhance the foundation required for their
entry into the health professions. The projects must include: Academic
enhancement initiatives in mathematics, science and communication
skills appropriate to grade level to augment the targeted students'
normal school offerings; exposure to peer counselors, health
professions students, and health professionals as role models; student
mentors; and experiences, appropriate to grade level, at community
based health care settings. The projects must involve a formalized
arrangement between the applicant and an institution of higher
education that has Health Careers Opportunity Program (HCOP) grant
funding through 1996. A listing of these HCOP institutions is appended.
The HCOP institution must be located in sufficiently close proximity to
the health center to allow for visits and other interaction between
faculty, health center staff and students. The HCOP institution is
expected to develop and/or expand current academic enrichment
activities appropriate to the needs of the targeted population. Other
activities which may be appropriate include presentations by health
professions students serving as role models; personal, academic and
career counseling; parental information sessions; campus visits to
local undergraduate and health professions schools; etc. All of these
activities could be offered in summer programs and/or during the school
year. Linkages are also encouraged with a health professions school in
the area to provide a continuum throughout the educational pathway.
Applications from Health Centers with school based health clinics
must include the clinics as a partner in the development and
implementation of the project. All funded projects are expected to
develop appropriate experiences and activities to expose students to
community oriented primary health care. These experiences should be
age-appropriate, and could focus on the development of healthy
lifestyles, peer counseling, on-site observation of health care
professionals, development of patient care skills, extensive summer
internships at the facility, etc. Other health center activities which
may be appropriate include outreach in local educational institutions
and clinics to reach interested students; establishment of peer support
groups; involvement of students in peer health education programs;
guest speakers; presentations by health professionals; encouragement/
facilitation of mentor/mentee relationships; tours of various health
care facilities; shadowing experiences; volunteer activities in health
care facilities; seminars; research projects on health care issues;
etc.
Grant funds are available to organize and execute all relevant
activities related to: the provision of supervised age level
appropriate community service projects and practicums at community
primary health services settings; coordination of initiatives with
active HCOP programs at linking institution(s) of higher education,
including the development and delivery of academic enrichment programs;
and provision of appropriate support and motivational activities.
Varied levels of stipend support are also available, depending upon the
program activity and grade level of the student. All programs are to
involve faculty from participating students' schools, representatives
from the grantee organization, and key staff of the HCOP programs at
the linking institutions in the planning, development and execution of
the program. Parental involvement is to be built in as appropriate.
The federally-funded community or migrant health center, health
care for the homeless program, or public housing primary care program
would function as the lead entity, coordinating and providing oversight
of all program initiatives.
Eligible Applicants
Community and migrant health centers, health care for the homeless
programs, and public housing primary care programs, currently funded
under sections 329, 330, 340, and 340A of the PHS Act, and in close
proximity to an HCOP program listed in the Appendix, are eligible to
apply for these grants.
Eligible Participants
Students in grades 6 through 12, who are from disadvantaged
backgrounds and who reside within the service area of the applicant are
eligible to participate in the JrNHSC/JrHCOP.
Definitions
For purposes of this program, ``individual from a disadvantaged
background,'' means an individual who: (a) Comes from an environment
that has inhibited the individual from obtaining the knowledge, skills
and abilities required to enroll in and graduate from a health
professions school or from a program providing education or training in
an allied health profession or (b) comes from a family with an annual
income below a level based on low-income thresholds according to family
size, published by the U.S. Bureau of the Census, adjusted annually for
changes in the Consumer Price Index and adjusted by the Secretary for
use in all health professions programs (42 CFR 57.1804(b)(2)).
The following income figures determine what constitutes a low-
income family for purposes of these JrNHSC/JrHCOP grants for fiscal
year 1994:
------------------------------------------------------------------------
Income
Size of parents' family\1\ level\2\
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1............................................................. $9,419
2............................................................. 12,202
3............................................................. 14,523
4............................................................. 18,598
5............................................................. 21,830
6 or more..................................................... 24,648
------------------------------------------------------------------------
\1\Includes only dependents listed on Federal income tax forms.
\2\Adjusted gross income for calendar year 1993, rounded to nearest
$100.
For purposes of this program, ``primary care health career'' means
a career as a primary care physician (family medicine, general internal
medicine, general pediatrics, or obstetrics and gynecology), dentist,
nurse practitioner, certified nurse midwife, physician assistant, and
mental health provider (psychiatry, psychology, psychiatric nursing,
social work, or marriage and family therapy).
Evaluation Criteria
The review of applications will take into consideration the
following criteria:
(a) The degree to which the proposed project addresses the
objectives of the demonstration grant program;
(b) The appropriateness and adequacy of the proposed methodology
for accomplishing program objectives;
(c) The soundness of the tracking and evaluation plan;
(d) The appropriateness of the proposed plan to administer and
manage the grant;
(e) The adequacy of staff; and
(f) The soundness of the budget and the budget justification for
assuring effective utilization of grant funds.
Priority will be given to applicants that also operate school-based
health clinics.
Other Grant Information
The JrNHSC/JrHCOP is subject to the provisions of Executive Order
12372, as implemented by 45 CFR part 100, which allows States the
option of setting up a system for reviewing applications from within
their States for assistance under certain Federal programs. The
application package for this program will include a list of States with
review systems and the single point of contact (SPOC) in each State for
the review. Applicants (other than federally-recognized Indian tribal
governments) should contact their State SPOCs as early as possible to
alert them to the prospective applications and receive any necessary
instructions on the State process. For proposed projects serving more
than one State, the applicant is advised to contact the SPOC of each
affected State. The due date for State process recommendations is 60
days after the application deadline. The BPHC does not guarantee that
it will accommodate or explain its response to State process
recommendations received after that date.
Grants will be administered in accordance with HHS regulations in
45 CFR part 92. This program is not yet listed in the Catalog of
Federal Domestic Assistance.
Dated: January 13, 1994.
William A. Robinson,
Acting Administrator.
Health Resources and Services Administration, Bureau of Health
Professionals, Division of Disadvantaged Assistance, Health Careers
Opportunity Program, Fiscal Year 1993 Grantees
Alabama
Bernard Kincaid, Ph.D., Univ. of Alabama at Birmingham, Sch of
Health Related Prof, UAB Station, Birmingham, AL 35294
Glenn H. Hughes, Ph.D., West Alabama Health Services, Community
Health Center, 200 Morrow Ave. P.O. Box 711, Eutaw, AL 35462
Albert W. Dade, Ph.D., Tuskegee University, School of Veterinary
Medicine, Tuskegee, AL 36088
Hattie M. Myles, Ph.D., University of South Alabama, College of
Medicine, 307 Univ. Blvd. 1005 MSB, Mobile, AL 36688
California
Alexandra M. Levine, M.D., University of Southern CA, School of
Medicine, 1975 Zonal Avenue, Los Angeles, CA 90033
Cynthia L. Lewis, Ph.D., San Diego State Univ., College of Sciences
LS 105, San Diego, CA 92182
Deborah C. Stewart, M.D., Univ. of CA at Irvine, College of
Medicine, Med Surge I Rm. 118G, Irvine, CA 92717
Lindy F. Kumagai, M.D., School of Medicine, Med Sci 1-c Rm. 143,
Davis, CA 95616
Jack Liskin, Univ. of Southern CA, School of Medicine, 1975 Zonal
Avenue KAMB29, Los Angeles, CA 90059
Lewis King, Ph.D., Charles R. Drew University of Medicine & Science,
Academic Affairs, 1621 E. 120th St., Los Angeles, CA 90033
Harry E. Douglass III, Charles R. Drew University of Medicine &
Science, College of Allied Health, 1621 E. 120th St., Los Angeles,
CA 90059
Colorado
George H. Rausch, Ed.D., University of Colorado HSC, Center for
Multicult. Enrich., 4200 E 9th Avenue B176, Denver, CO 80262
Marsha Zebalese Crawford, Ph.D., University of Denver, Grad School
of Social Work, University Park, Denver, CO 80208
District of Columbia
Hilda Crespo, Aspira Association Inc., 1112 16th St. NW., Suite 340,
Washington, DC 20030
Walter F. Leavell, M.D., Howard University, Health Affairs, 2041
Georgia Avenue, NW., Washington, DC 20059
Florida
Jaqueline B. Beck, Ed.D., Florida A&M Univ., Coll. of Allied Health
Sci., Martin Luther King Jr. Blvd., Tallahassee, FL 23207
Georgia
Thomas J. Blocker, Morehouse College, Office of Health Professions,
Ofc. of Rural Health Professions, 830 Westview Drive, Atlanta, GA
30314
Angela L. Franklin, Ph.D., Morehouse School of Medicine, Admissions/
Student Affairs, 720 Westview Drive, SW., Atlanta, GA 30310
Barbara J. Bell, Spelman College, 350 Spelman Lane SW., Atlanta, GA
30314
Hawaii
John Casken, Univ. of Hawaii, School of Public Health, 2540 Maile
Way, Honolulu, HI 96822
Iowa
Paul R. Pomrehn, M.D., University of Iowa, College of Medicine, 116
MAB, Iowa City, IA 52242
Illinois
William D. Wallace, Ph.D., Univ of Illinois at Chicago, College of
Medicine, 1853 West Polk St Rm 131 CMW, Chicago, IL 60612
Harold R. Bardo, Ph.D., Southern Illinois Univ., School of Medicine,
Wheeler Hall, Carbondale, IL 62901
James D. Hand, Ph.D., William M. Scholl Coll/Pod. Med., 1001 N.
Dearborn Street, Chicago, IL 60610
Kansas
Melvin Williams, University of Kansas Medical Ctr., Medical Center,
3901 Rainbow Blvd., Kansas City, KS 66160
Kentucky
Laurette F. Byars, Ed.D., University of Kentucky, 563 Patterson
Office Tower, Lexington, KY 40506
Patsy T. Daugherty, Ed.D., Eastern Kentucky University, Rowlett
Bldg. Room 310, Richmond, KY 40475
Louisiana
Edward G. Helm, M.D., Louisiana State Univ., School of Medicine,
1901 Perdido Street, New Orleans, LA 70112
Anna Cherrie Epps, Ph.D., Tulane University Med Ctr., School of
Medicine, 1430 Tulane Avenue, New Orleans, LA 70112
Randall V. Schexnayder, Xavier Univ of Louisiana, College of
Pharmacy, 7235 Palmetto Street, New Orleans, LA 70125
Massachusetts
Kenneth C. Edelin, M.D., Boston University, School of Medicine, 80
East Concord Street, Boston, MA 02218
Kay Jones, Boston University, School of Social Work, 881
Commonwealth Avenue, Boston, MA 02215
Maryland
Denise M. Harmening, Ph.D., University of Maryland, School of
Medicine, 100 South Penn Street, Baltimore, MD 21201
Robert L. Harrell, Jr., Ph.D., University of Maryland, School of
Medicine, 655 W. Baltimore Street, Baltimore, MD 21201
Michigan
Michael K. Mcleod, M.D., University of Michigan, Medical School,
5109 Medical Science I C-WING, Ann Arbor, MI 48109
Wanda D. Lipscomb, Ph.D., Michigan State University, College of
Human Medicine, A254 Life Sciences Bldg., East Lansing, MI 48824
June E. Osborn, M.D., University of Michigan, School of Public
Health, 109 S Observatory, Ann Arbor, MI 48109
J. Bernard Machen, D.D.S., University of Michigan, School of
Dentistry, 1011 N. University Ann Arbor, MI 48109
Minnesota
Gerald L. Hill, M.D., University of Minnesota Duluth, School of
Medicine, 10 University Drive, Duluth, MN 55812
Mississippi
Muhammah I. Shafi, Ph.D., Rust College, Div. of Science &
Mathematics, 150 Rust Avenue, Holly Springs, MS 38635
Leon Anderson, D.M.D., Univ. of Mississippi Med. Center, School of
Medicine, 2500 North State Street, Jackson, MS 39216
Mabel J. Hudson, Ph.D., Univ. of S. Mississippi, Coll. of Science &
Tech., Box 5134, Hattiesburg, MS 39406
Montana
Rustem S. Medora, Ph.D., University of Montana, School of Pharmacy,
Missoula, MT 59812
New Mexico
Alonzo C. Atencio, Ph.D., University of New Mexico, School of
Medicine, Basic Med Sci Bldg. Rm 106, Albuquerque, NM 87131
Jeffrey Brandon, Ph.D., New Mexico State Univ., Coll of Human & Comm
Serv, Box 30001 Dept. 3HLS Las Cruces, NM 88003
New York
Jacqueline D. Flowers, Assoc. Medical Schools NY, Medical School
Consortium, 70 West 36th St. Ste 302, New York, NY 10018
Sharon D. Rowland, City University of NY, Sophie Davis Sch./Biomed
Educ., 506 Lenox Avenue, WP-619, NY, NY 10037
North Carolina
Velma G. Watts, Ph.D., Bowman Gray School/Med., Student Services
Dept., Medical Center Blvd., Winston-Salem, NC 27157
Larry D. Keith, U.N.C. at Chapel Hill, School of Medicine, CB37530
322 MacNider, Chapel Hill, NC 27599
Ohio
Lois E. Kiss, Ohio University, Coll. of Osteopathic Medicine 205,
Grosvenor Hall, Athens, OH 45701
Seth M. Kantor, M.D., Ohio State University, College of Medicine,
370 West Ninth Street, Columbus, OH 43210
Pennsylvania
Eric Jackson, Ph.D., Temple University, School of Dentistry, 3223
North Broad Street, Philadelphia, PA 19140
Daniel L. Trevino, Ph.D., Penn State University, Coll. of Health &
Human Develop. University Park, PA 16802
South Carolina
Juanita S. Scott, Benedict College, Biology & Phy. Science Dept.
Hardenand & Blanding Streets Columbia, SC 29204
South Dakota
Jeanne Smith, Oglala Lakota College, General Studies, PO Box 490,
Kyle, SD 57752
Tennessee
Otis Maxwell, Meharry Medical College, School of Dentistry, 1005 D B
Todd Blvd., Nashville, TN 37208
Andrew B. Bond, Ph.D., Tennessee State Univ., Sch. of Allied Hlth
Prof., 3500 John Merritt Blvd., Nashville, TN 37209
Leroy O. Moore, Univ. of Tennessee Memphis, Dept. of Hlth. Career
Programs, 790 Madison Avenue Rm. 314, Memphis, TN 28163
Texas
Enrique Medrano, University of Houston, College of Optometry, 4800
Calhoun, Houston, TX 77204
Juan H. Flores, Center for Hlth. Policy Dev., 6905 Alamo Downs
Pkwy., San Antonio, TX 78238
Billy R. Ballard, M.D., Univ/Texas Med Branch, Galveston, School of
Medicine, 301 University Blvd Galveston, TX 77555
Miguel A. Medina, Ph.D., Univ. of Texas HSC/San Antonio, Graduate
Deans Office, 7703 Floyd Curl Drive, San Antonio, TX 78284
George E. Brown, Ph.D., Prairie View A&M Univ., College of Arts &
Science, PO Box 835, Prairie View, TX 77446
Raul Ramirez, El Paso Community College, Dept of Health Occupation,
PO Box 20500, El Paso, TX 79998
Virginia
Moses K. Woode, Ph.D., University of Virginia, School of Medicine,
Box 446 School of Medicine, Charlottesville, VA 22908
Gail C. Williams, Eastern VA Medical School, School of Medicine, 700
Olney Rd. PO Box 1980, Norfolk, VA 23501
Virgin Islands
Helen W. Gjessing, Univ. of The Virgin Islands, Div. of Science &
Math, No. 2 John Brewer's Way, St. Thomas, VI 00802
Washington
Daniel D. Hunt, M.D., Univ. of Washington, School of Medicine,
Seattle, WA 98195
Wisconsin
Charles R. Alexander, Ph.D., Marquette University, School of
Dentistry, 604 N 16th Street, Milwaukee, WI 53222
[FR Doc. 94-6286 Filed 03-17-94; 8:45 am]
BILLING CODE 4160-15-P