[Federal Register Volume 59, Number 60 (Tuesday, March 29, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-7245]


[[Page Unknown]]

[Federal Register: March 29, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH RESOURCES AND SERVICES ADMINISTRATION
[PN 2193]
RIN-0905-ZA12

 

Availability of Funds for Grants To Provide Comprehensive Health 
Promotion, Disease Prevention, and Primary Health Care Services to 
Native Hawaiians

AGENCY: Health Resources and Services Administration, PHS.

ACTION: Notice of Available Funds

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SUMMARY: The Health Resources and Services Administration announces the 
availability of approximately $3,143,000 for grants to qualified 
entities to provide comprehensive disease prevention and primary health 
services to Native Hawaiians. These grants will be awarded under the 
provisions of the Native Hawaiian Health Care Improvement Act of 1992. 
Up to five grants may be awarded at a funding level ranging from 
$450,000 to $700,000 annually, depending on the number of persons 
targeted to be reached by the programs and the comprehensiveness of the 
programs. The project period will be three years.
    The Public Health Service (PHS) is committed to achieving the 
health promotion and disease prevention objectives of Healthy People 
2000, a PHS-led national activity for setting priority areas. This 
program is related to the priority area of improving access to health 
services in underserved areas and the priority area of clinical 
preventive services and educational community-based programs. 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 202-783-3238).

ADDRESSES: Application kits (PHS form 5161-1 with revised DHHS Form 
424, as approved by Office of Management and Budget under control 
number 0937-0189) and additional information regarding business 
management may be obtained from and completed applications should be 
mailed to: Ms. Alice H. Thomas, Chief, Office of Grants Management, 
Bureau of Primary Health Care, 4350 East West Highway, Rockville, MD 
20857, 301-594-4235.

DATES: To receive consideration, grant applications must be received by 
June 1, 1994. Applications will be considered as meeting the deadline 
if they are either (1) received on or before the established deadline 
date or (2) postmarked no later than the deadline date and received in 
time for orderly processing. Applicants should request a legibly dated 
U.S. Postal Service postmark or receipt from a commercial carrier or 
U.S. Postal Service. Private metered postmarks will not be acceptable 
as proof of timely mailing. Late applications will not be considered 
for funding and will be returned to the applicant.

FOR FURTHER INFORMATION CONTACT: For general program information and 
technical assistance, contact Ms. Joan Holloway, Director, Division of 
Programs for Special Populations, Bureau of Primary Health Care, 4350 
East West Highway, Rockville, MD 20857, 301-594-4420.

SUPPLEMENTARY INFORMATION:

Background:

    Funding under this grant program is intended to improve the health 
status of Native Hawaiians living in Hawaii by providing primary health 
care and health education. The services of these programs will be 
developed around outreach and referral components to remove or 
circumvent existing barriers to health care. The integration of 
traditional health healer concepts with western medicine is encouraged. 
It is anticipated that the primary care and health promotion and 
disease prevention components will be integrated into one system of 
care and that existing health resources of the community will be used 
to the greatest extent possible.

Number of Awards

    A maximum of five awards will be made. Awards will be made for the 
following service areas:
    (1) An entity serving individuals on Kaua'i, from which individuals 
on Ni'ihau shall also be served;
    (2) One entity serving individuals on O'ahu;
    (3) One entity serving individuals on Moloka'i from which 
individuals on Lana'i shall also be served;
    (4) One entity serving individuals on Maui; and
    (5) One entity serving individuals on Hawai'i.

Eligible Applicants

    An entity is considered qualified if it is a Native Hawaiian health 
care system. To qualify as a Native Hawaiian health care system, the 
entity must:
    (1) Be organized under the laws of the State of Hawaii;
    (2) Provide or arrange for health care services through 
practitioners licensed by the State of Hawaii, where licensure 
requirements are applicable;
    (3) Be a public or nonprofit private entity;
    (4) Have Native Hawaiian health practitioners significantly 
participate in the planning, management, monitoring, and evaluation of 
health care services;
    (5) Be recognized by Papa Ola Lokahi for the purpose of planning, 
conducting, or administering programs, or portions of programs, 
authorized by the Native Hawaiian Health Care Improvement Act for the 
benefit of Native Hawaiians; and
    (6) Be certified by Papa Ola Lokahi as having the qualifications 
and the capacity to provide the services and meet the requirements 
under the grant the Native Hawaiian health care system receives from 
the Secretary.

Project Requirements

    Recipients of funds are required to provide the following services:
    (1) Outreach services to inform Native Hawaiians of the 
availability of health services;
    (2) Education in health promotion and disease prevention of the 
Native Hawaiian population by, wherever possible, Native Hawaiian 
health care practitioners, community outreach workers, counselors, and 
cultural educators;
    (3) Services of physicians, physician assistants, nurse 
practitioners or other health professionals;
    (4) Immunizations;
    (5) Prevention and control of diabetes, high blood pressure, and 
otitis media;
    (6) Pregnancy and infant care; and
    (7) Improvement of nutrition.
    In addition to the mandatory services listed above, the following 
services may be provided:
    (1) Identification, treatment, control, and reduction of the 
incidence of preventable illnesses and conditions endemic to Native 
Hawaiians;
    (2) Collection of data related to the prevention of diseases and 
illnesses among Native Hawaiians; and
    (3) Other health promotion, disease prevention, and primary care 
services.

Use of Funds

    Grants may not be awarded unless the entity agrees that it or the 
State of Hawaii will make available, directly or through donations to 
the entity, non-Federal contributions toward such costs in an amount 
equal to but not less than $1 for each $5 of Federal funds provided. 
Non-Federal funds may be in cash or in kind, fairly evaluated, 
including plant, equipment or services. Amounts provided by the Federal 
Government, or services assisted or subsidized to any significant 
extent by the Federal Government, may not be included in determining 
the amount of such non-Federal contributions. This requirement may be 
waived if the entity is a nonprofit private entity, and if the 
Secretary determines, in consultation with Papa Ola Lokahi, that it is 
not feasible for the entity to comply with the requirement. Grant funds 
may not be used to pay for (1) inpatient services; (2) cash payments to 
intended recipients of health services; or (3) purchasing or improving 
real property (other than minor remodeling of existing improvements to 
real property) or to purchase major medical equipment. The entity may 
not expend more than 10 percent of amounts received under the grant for 
administering the grant. Other requirements and limitations are set 
forth in 42 U.S.C. 11701, et seq.

Criteria for Evaluation

    An objective review of applications for grant support will consider 
the adequacy of the following:
    (1) Assessment of community need;
    (2) Program of proposed services;
    (3) Collaboration and coordination with other organizations;
    (4) Management and staffing plan;
    (5) Budget; and
    (6) Evaluation plan.
    Preference will be given to Native Hawaiian health care systems and 
Native Hawaiian organizations.

Other Grant Information

    All grants to be awarded under this notice are subject to the 
provision of Executive Order 12372, as implemented by regulations at 45 
CFR part 100. Executive Order 12372 allows States the option of setting 
up a system for reviewing applications from within their States and 
local governments for assistance under certain Federal programs. 
Applicants (other than federally recognized Indian tribal governments) 
should contact their State Single Point of Contact (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 granting 
agency does not guarantee to accommodate or explain its response to 
State process recommendations it receives after that date.
    In addition, all grants to be awarded under this notice are subject 
to the Public Health System Reporting Requirements, approved by the 
Office of Management and Budget (OMB) #0937-0195. Under these 
requirements, the community-based nongovernmental applicant must 
prepare and submit a Public Health System Impact Statement (PHSIS). The 
PHSIS is intended to provide information to State and local health 
officials to keep them apprised of proposed health services grant 
applications submitted by community-based nongovernmental organizations 
within their jurisdictions. Community-based nongovernmental applicants 
are required to submit the following information to the head of the 
appropriate State and local health agencies in the area(s) to be 
impacted no later than the Federal application receipt due date: (1) a 
copy of the face page of the application (SF 424); and (2) a summary of 
the project (PHSIS), not to exceed one page, which provides a 
description of the population to be served, a summary of the services 
to be provided and description of the coordination planned with the 
appropriate State or local health agencies.

    The OMB Catalog of Federal Domestic Assistance number for this 
program is 93.163.

    Dated: February 16, 1994.
William A. Robinson,
Acting Administrator.
[FR Doc. 94-7245 Filed 3-28-94; 8:45 am]
BILLING CODE 4160-15-P