[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\
------------------------------------------------------------------------
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