[Federal Register Volume 59, Number 85 (Wednesday, May 4, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-10658]


[[Page Unknown]]

[Federal Register: May 4, 1994]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Services
[0905-ZA53]

 

Announcement of Availability of Funds for Family Planning Service 
Grants

AGENCY: Public Health Service, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Office of Population Affairs announces the availability of 
funds for FY 1995 family planning services grant projects under the 
authority of Title X of the Public Health Service Act (42 U.S.C. 300, 
et seq.) and solicits applications for competing grant awards to serve 
the areas and/or populations set out below.

OMB Catalog of Federal Domestic Assistance. 13.217

DATES: Application due dates vary. See Supplementary Information below.

ADDRESSES: Additional information may be obtained from and completed 
applications should be sent to the appropriate Regional Health 
Administrator at the address below:

Region I

    (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, 
Vermont): DHHS/PHS Region I, John F. Kennedy Federal Building, 
Government Center, room 1400, Boston, MA 02203

Region II

    (New Jersey, New York, Puerto Rico, Virgin Islands): DHHS/PHS 
Region II, 26 Federal Plaza, room 3337, New York, NY 10278.

Region III

    (Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, 
W. Virginia): DHHS/PHS Region III, 3535 Market Street, Philadelphia, PA 
19101.

Region IV

    (Alabama, Florida, Georgia, Kentucky, Mississippi, N. Carolina, S. 
Carolina, Tennessee): DHHS/PHS Region IV, 101 Marietta Tower, suite 
1106, Atlanta, GA 30323.

Region V

    (Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin): DHHS/PHS 
Region V, 105 West Adams Street, 17th floor, Chicago, IL 60603.

Region VI

    (Arkansas, Louisiana, New Mexico, Oklahoma, Texas): DHHS/PHS Region 
VI, 1200 Main Tower Building, room 1800, Dallas, TX 75202.

Region VII

    (Iowa, Kansas, Missouri, Nebraska): DHHS/PHS Region VII, 601 East 
12th Street, 5th Fl. W., Kansas City, MO 64106.

Region VIII

    (Colorado, Montana, N. Dakota, S. Dakota, Utah, Wyoming): DHHS/PHS 
Region VIII, 1961 Stout Street, Denver, CO 80294.

Region IX

    (Arizona, California, Hawaii, Nevada, Commonwealth of the Northern 
Mariana Islands, American Samoa, Guam, Republic of Palau, Federated 
States of Micronesia, Republic of the Marshall Islands): DHHS/PHS 
Region IX, 50 United Nations Plaza, room 327, San Francisco, CA 94102.

Region X

    (Alaska, Idaho, Oregon, Washington): DHHS/PHS Region X, Blanchard 
Plaza, 2201 Sixth Avenue, M/S RX-20, Seattle, WA 98121.

FOR FURTHER INFORMATION CONTACT:
Regional Grants Management Officers: Region I, Mary O'Brien--617/565-
1482; Region II, Steven Wong--212/264-4496; Region III, Marty Bree--
215/596-6653; Region IV, Wayne Cutchins--404/331-2597; Region V, 
Lawrence Poole--312/353-8700; Region VI, Joyce Bailey--214/767-3879; 
Region VII, Michael Rowland--816/426-2924; Region VIII, Susan A. 
Jaworowski--303/844-4461; Region IX, Howard F. (Al) Tevis--415/556-
8233; Region X, Jim Tipton--206/615-2473.
    Regional Program Consultants for Family Planning: Region I, James 
Sliker--617/565-1452; Region II, Eileen Connolly--212/264-2571; Region 
III, Elizabeth Reed--215/596-6686; Region IV, Christino Rodringuez--
404/331-5254; Region V, George Hockenberry--312/353-1700; Region VI, 
Paul Smith--214/767-3072; Region VII, Susan Moskosky--816/426-2924; 
Region VIII, John J. McCarthy, Jr.--303/844-5955; Region IX, James 
Hauser--415/556-7117; Region X, Vivian Lee--206/615-2501.

SUPPLEMENTARY INFORMATION: Title X of the Public Health Service Act, 42 
U.S.C. 300, et seq., authorizes the Secretary of Health and Human 
Services (HHS) to award grants to public or private nonprofit entities 
to assist in the establishment and operation of voluntary family 
planning projects to provide a broad range of acceptable and effective 
family planning methods and services (including natural family planning 
methods, infertility services, and services for adolescents). The 
statute requires that, to the extent practicable, entities shall 
encourage family participation. Also, Title X funds may not be used in 
programs where abortion is a method of family planning. Implementing 
regulations appear at 42 CFR part 59 subpart A.

    On February 5, 1993, HHS published at 58 FR 7462 an interim rule 
that suspends the 1988 Title X rules (popularly known as the ``Gag 
Rule''), pending the promulgation of new regulations. The principle 
effect of this action was to suspend the definitions of ``family 
planning,'' ``grantees,'' ``prenatal care,'' ``Title X,'' ``Title X 
Program,'' and ``Title X Project'' presently found at 42 CFR 59.2 and 
42 CFR 59.7-59.10. Proposed rules were also published at 58 FR 7464 on 
the same date. During the pendency of rulemaking, the compliance 
standards that were in effect prior to the issuance of the 1988 rule, 
including those set out in the 1981 Family Planning Guidelines, will be 
used to administer the program. Copies of the pre-1988 compliance 
standards are available from the Regional Program Consultants listed 
above.
    The Title X program has established these five priorities:
    (1) Expansion of current clinic sites and development of new 
clinics in high-need areas;
    (2) Outreach to low-income women, adolescents and persons at high 
risk of unintended pregnancy or infection with STD (including HIV) not 
now receiving family planning services;
    (3) Increased emphasis on services to adolescents, including 
enhanced counseling as well as new service arrangements for providing 
services to teens;
    (4) Increased focus on quality and comprehensiveness of services, 
including treatment of STDs, screening for cervical and breast cancer, 
substance abuse counseling, and counseling on avoidance of high risk 
behavior which may place clients at risk for STD and HIV; and
    (5) Increased emphasis on training and retention of family planning 
nurse practitioners, particularly minority nurse practitioners and 
those working in clincis serving high-need populations.
    These program priorities represent overriding goals which are being 
pursued to the extent that funding increases or increases in program 
efficiency allow. Some funding may be available to Title X grantees to 
improve and expand services.
    The Administration's FY 1995 budget request for this program is 
$199 million. This amount represents a 10 percent increase over the 
appropriation for FY 1994 of $181 million, of which $168 million will 
be made available to Title X service grantees. Approximately 16 percent 
of the funds appropriated for FY 1995 and made available to Title X 
service grantees will be used for competing grants. The remaining funds 
will be used for non-competing continuation grants. This program 
announcement is subject to the appropriation of funds and is a 
contingency action being taken to ensure that, should funds become 
available for this purpose, they can be awarded in a timely fashion 
consistent with the needs of the program as well as to provide for the 
distribution of funds throughout the fiscal year. Since the precise 
funding levels for FY 1995 are uncertain at this point, the funding 
levels set out below are based on the FY 1993 appropriation level. 
However, it is expected that funding levels will be increased if the 
appropriation for FY 1995 increases.
    Approximately $168 million will be awarded nationwide during FY 
1994 for Title X services. The entire $168 million will be allocated 
among the 10 DHHS regions, and will be in turn awarded to public and 
private non-profit agencies located within the regions. Each regional 
office is responsible for evaluating applications, establishing 
priorities, and setting funding levels according to criteria in 42 CFR 
59.11.
    This notice announces the availability of funds to provide family 
planning services in 11 States, Washington, DC and Guam. Competing 
grant applications are invited for the following areas: 

------------------------------------------------------------------------
                         Number of     FY 1993                    Grant 
 Populations or areas    grants to     funding     Application   funding
     to be served       be awarded      level       due date      date  
------------------------------------------------------------------------
Region II:                                                              
  New York, excluding                                                   
   New York City......            1   $6,429,872        3/1/95    7/1/95
Region III:                                                             
  Washington, DC......            1      635,080        9/1/94    1/1/95
Region V:                                                               
  Indiana.............            1    3,616,959       10/1/94    2/1/95
  Michigan............            1    4,341,358       12/1/94    4/1/95
  Minnesota...........            1    1,723,066        9/1/94    1/1/95
  Wisconsin...........            1    2,533,949       11/1/94    3/1/95
Region VI:                                                              
  Arkansas............            1    2,561,144       11/1/94    3/1/95
  New Mexico..........            1    1,727,124        9/1/94    1/1/95
Region VII:                                                             
  Kansas, excluding                                                     
   Wyandotte County...            1    1,439,100        3/1/95    7/1/95
  Wyandotte County, KS            1      167,900        8/1/94   12/1/94
Region VIII:                                                            
  Larimer County, CO..            1      128,122        9/1/94    1/1/95
Region IX:                                                              
  Guam................            1      143,633        3/1/95    7/1/95
Region X:                                                               
  Idaho...............            1      921,574        4/1/95    7/1/95
  Alaska Natives                                                        
   residing in the                                                      
   Yukon and Kuskokwim                                                  
   River area.........            1       80,000        4/1/95    7/1/95
                       --------------------------                       
      Total...........           14  26,448,881                         
------------------------------------------------------------------------


    Applications must be postmarked or, if not mailed, received at the 
appropriate Grants Management Office no later than close of business on 
application due dates listed above. Private metered postmarks will not 
be acceptable as proof of timely mailing. Applications which are 
postmarked or, if not sent by U.S. mail, delivered to the appropriate 
Grants Management Office later than the application due date will be 
judged late and will not be accepted for review. (Applicants should 
request a legibly dated postmark from the U.S. Postal Service.) 
Applications which do not conform to the requirements of this program 
announcement or do not meet the applicable regulatory requirements at 
42 CFR part 59, subpart A will not be accepted for review. Applicants 
will be so notified,and the applications will be returned.
    Applications will be evaluated on the following criteria:
    (1) The number of patients and, in particular, the number of low-
income patients to be served;
    (2) The extent to which family planning services are needed 
locally;
    (3) The relative need of the applicant;
    (4) The capacity of the applicant to make rapid and effective use 
of the Federal assistance;
    (5) The adequacy of the applicant's facilities and staff;
    (6) The relative availability of non-Federal resources within the 
community to be served and the degree to which those resources are 
committed to the project; and
    (7) The degree to which the project plan adequately provides for 
the requirements set forth in the Title X regulations.
    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 
announcement is related to the priority areas of Family Planning. 
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).
    The Public Health Service strongly encourages all grant recipients 
to provide a smoke-free workplace and promote the non-use of all 
tobacco products. This is consistent with the PHS mission to protect 
and advance the physical and mental health of the American people.

Application Requirements

    Applications kits (including the application form, PHS 5161) and 
technical assistance for preparing proposals are available from the 
regional offices. An application must contain:
    (1) A narrative description of the project and the manner in which 
the applicant intends to conduct it in order to carry out the 
requirements of the law and regulations;
    (2) A budget that includes an estimate of project income and costs, 
with justification for the amount of grant funds requested;
    (3) A description of the standards and qualifications that will be 
required for all personnel and facilities to be used by the project; 
and
    (4) Such other pertinent information as may be required by the 
Secretary as specified in the application kit. In preparing an 
application, applicants should respond to all applicable regulatory 
requirements. (The information collections contained in this notice 
have been approved by the Office of Management and Budget and assigned 
control number 0937-0189.)

Application Review and Evaluation

    Each regional office is responsible for establishing its own review 
process. Applications must be submitted to the appropriate regional 
office at the address listed above. Staff are available to answer 
questions and provide limited technical assistance in the preparation 
of grant applications.

Grant Awards

    Grant projects are generally approved for 3 to 5 years with an 
annual non-competitive review of a continuation application to obtain 
continued support. Non-competing continuation awards are subject to 
factors such as the project making satisfactory progress and the 
availability of funds. In all cases, continuation awards require a 
determination by HHS that continued funding is in the best interest of 
the Federal Government.

Review Under Executive Order 12372

    Applicants under this announcement are subject to the review 
requirements of Executive Order 12372, State Review of applications for 
Federal Financial Assistance, as implemented by 45 CFR part 100. As 
soon as possible, the applicant should discuss the project with the 
State Single Point of Contact (SPOC) for each State to be served. The 
application kit contains the currently available listing of the SPOCs 
which have elected to be informed of the submission of applications. 
For those States not represented on the listing, further inquiries 
should be made by the applicant regarding the submission to the Grants 
Management Office of the appropriate region. State Single Point of 
Contact comments must be received by the regional office 30 days prior 
to the funding date to be considered.
    When final funding decisions have been made, each applicant will be 
notified by letter of the outcome of its application. The official 
document notifying an applicant that a project application has been 
approved for funding is the Notice of Grant Award, which specifies to 
the grantee the amount of money awarded, the purpose of the grant, and 
terms and conditions of the grant award.
Gerald J. Bennett,
Acting Deputy Assistance Secretary for Population Affairs.
[FR Doc. 94-10658 Filed 5-3-94; 8:45 am]
BILLING CODE 4160-17-M