[Federal Register Volume 59, Number 140 (Friday, July 22, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-17839]
[[Page Unknown]]
[Federal Register: July 22, 1994]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
HIV Emergency Relief Grant Program
AGENCY: Health Resources and Services Administration, HHS.
ACTION: Notice of grants made to eligible metropolitan areas.
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SUMMARY: The Health Resources and Services Administration (HRSA)
announces that fiscal year 1994 funds have been awarded to the 34
eligible metropolitan areas (EMAs) that have been the most severely
affected by the HIV epidemic. Although these funds have already been
awarded to the EMAs, HRSA is publishing this notice to inform the
general public of the existence of the funds. In addition, HRSA
determined that it would be useful for the general public to be aware
of the structure of the HIV Emergency Relief Grant Program and the
statutory requirements governing the use of the funds.
The purposes of these funds are to deliver or enhance HIV-related
(1) outpatient and ambulatory health and support services, including
case management and comprehensive treatment services, for individuals
and families with HIV disease; and (2) inpatient case management
services that prevent unnecessary hospitalization or that expedite
discharge, as medically appropriate, from inpatient facilities. The HIV
Emergency Relief Grant Program was authorized by Title I of the Ryan
White Comprehensive AIDS Resources Emergency (CARE) Act of 1990, Public
Law 101-381, which amended Title XXVI of the Public Health Service Act.
Funds were appropriated under Public Law 103-112.
FOR FURTHER INFORMATION, CONTACT: Individuals interested in the Title I
HIV Emergency Relief Grant Program should contact the Office of the CEO
in their locality, and may obtain information on their CEO contact by
calling Eric P. Goosby, M.D., Director, Division of HIV Services, at
(301) 443-6745.
SUPPLEMENTARY INFORMATION:
Availability of Funds
A total of $319,989,000 was made available for the Title I HIV
Emergency Relief Grant Program. Of the amount available, 50 percent was
allocated to the 34 EMAs according to a formula based on the number and
incidence of AIDS cases reported to the Centers for Disease Control and
Prevention (CDC) as of March 31, 1993. The other 50 percent was awarded
competitively to the EMAs as supplemental grants. Below is a
distribution of grants made to the 34 EMAs.
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EMA Total Award
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Atlanta, GA............................................... $7,488,801
Baltimore, MD............................................. 3,923,438
Bergen-Passaic, NJ........................................ 2,019,121
Boston, MA................................................ 6,955,035
Chicago, IL............................................... 9,625,451
Dallas, TX................................................ 6,935,644
Denver, CO................................................ 3,375,884
Detroit, MI............................................... 2,849,559
Fort Lauderdale, FL....................................... 6,814,599
Houston, TX............................................... 10,133,592
Jersey City, NJ........................................... 4,140,141
Kansas City, MO........................................... 2,655,564
Los Angeles, CA........................................... 25,441,211
Miami, FL................................................. 15,258,563
Nassau-Suffolk, NY........................................ 2,886,968
New Haven, CT............................................. 2,136,872
New Orleans, LA........................................... 3,243,332
New York, NY.............................................. 100,054,267
Newark, NJ................................................ 7,009,180
Oakland, CA............................................... 3,929,287
Orange Co., CA............................................ 2,627,947
Orlando, FL............................................... 2,715,587
Philadelphia, PA.......................................... 7,374,936
Phoenix, AZ............................................... 2,217,471
Ponce, PR................................................. 1,176,793
Rivrside-Sn Bern,CA....................................... 2,402,010
St Louis, MO.............................................. 2,248,247
San Diego, CA............................................. 5,233,574
San Francisco, CA......................................... 39,210,400
San Juan, PR.............................................. 8,456,057
Seattle, WA............................................... 3,233,903
Tmpa-St Ptrsbrg, FL....................................... 3,304,312
Washington, D.C........................................... 9,328,712
West Palm Beach, FL....................................... 3,582,542
------------------------------------------------------------------------
Eligible Grantees
Metropolitan areas which were eligible for grant awards under Title
I were those areas for which, as of March 31, 1993, there had been
reported to and confirmed by the CDC a cumulative total of more than
2,000 cases of AIDS; or, for which the per capita incidence of
cumulative cases of AIDS was not less than 0.0025, as computed on the
basis of the most recently available data for the population in the
area. Included were all human immunodeficiency virus (HIV)-infected
persons with severe immunosuppression (<200 CD4+ T-lymphocytes/
L or a CD4+ T=lymphocyte percentage of total lymphocytes of
<14), pulmonary tuberculosis (TB), recurrent pneumonia, or invasive
cervical cancer.
Grants were awarded to the chief elected official (CEO) of the city
or urban county in each EMA that administers the public health agency
providing outpatient and ambulatory services to the greatest number of
individuals with AIDS.
To be eligible for assistance under Title I, the CEO was required
to establish or designate an HIV health services planning council to:
(1) establish priorities for the allocation of funds within the
eligible area; (2) develop a comprehensive plan for the organization
and delivery of health services described in the statute that is
compatible with any State or local plan regarding the provision of
health services to individuals with HIV disease; and (3) assess the
efficiency of the administrative mechanism in rapidly allocating funds
to the areas of greatest need within the eligible area. The planning
council must include representatives of: health care providers;
community-based and AIDS service organizations; social services
providers; mental health services providers; local public health
agencies; hospital planning agencies or health care planning agencies;
affected communities, including individuals with HIV disease; non-
elected community leaders; State government; and grantees receiving
categorical grants for early intervention services under Title III of
the CARE Act. The allocation of funds and services within the EMA must
be made in accordance with the priorities established by the planning
council.
To be eligible to receive a grant under Title I, the EMAs were
required to submit an application containing such information as the
Secretary required, including assurances adequate to ensure:
That funds received would be utilized to supplement not
supplant State funds provided for HIV-related services;
That the political subdivisions within the EMA would
maintain HIV-related expenditures at a level equal to that expended for
the 1-year period preceding the first fiscal year for which the grant
was received. Funds received under Title I may not be used in
maintaining the required level of expenditures;
That the EMA has an HIV health services planning council
and has entered into intergovernmental agreements with the political
subdivisions and has developed or will develop a comprehensive plan for
the organization and delivery of health services, in accordance with
the legislation;
That entities within the EMA that receive Title I funds
will participate in an established HIV community-based continuum of
care if such continuum exists within the EMA;
That Title I funds will not be utilized to make payments
for any item or service to the extent that payment has been made, or
can reasonably be expected to be made, with respect to that item or
service (1) under any State compensation program, under an insurance
policy, or under any Federal or State health benefits program, or (2)
by an entity that provides health services on a prepaid basis; and
To the maximum extent practicable, that HIV health care
and support services provided with Title I assistance will be provided
without regard to the ability of the individual to pay for such
services, and without regard to the current or past health condition of
the individual. Such services will be provided in a setting that is
accessible to low-income individuals with HIV disease, and a program of
outreach will be provided to inform such individuals of such services.
General Use of Grant Funds
EMAs must use the Title I HIV Emergency Relief grants to provide
financial assistance to public or nonprofit entities, for the purpose
of delivering or enhancing--
HIV-related outpatient and ambulatory health and support
services, including case management and comprehensive treatment
services, for individuals and families with HIV disease; and
HIV-related inpatient case management services that
prevent unnecessary hospitalization or that expedite discharge, as
medically appropriate, from inpatient facilities.
Services supported by the Title I grant funds must be accessible to
low-income individuals and families, including women and children with
HIV infection, minorities, the homeless, and persons affected by
chemical dependency.
Federal Smoke-Free Compliance
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.
Executive Order 12372
Grants awarded for the Title I HIV Emergency Relief Grant Program
are subject to the provisions of Executive Order 12372, as implemented
under 45 CFR Part 100, which allows States the option of setting up a
system for reviewing applications within their States for assistance
under certain Federal programs. The application packages made available
by HRSA to the EMAs contained a listing of States which have chosen to
set up such a review system and provided a point of contact in the
States for the review.
The catalog of Federal Domestic Assistance Numbers are: Formula
Grants--93.915; Supplemental Grants--93.914.
Dated: July 18, 1994.
Ciro V. Sumaya,
Administrator.
[FR Doc. 94-17839 Filed 7-21-94; 8:45 am]
BILLING CODE 4160-15-P