[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: 94-17840]


[[Page Unknown]]

[Federal Register: July 22, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

 

HIV Care Grant Program

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice of grants made to States and territories.

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SUMMARY: The Health Resources and Services Administration (HRSA) 
announces that fiscal year 1994 funds have been awarded to States and 
territories (hereinafter States) for the HIV Care Grant Program. 
Although these funds have already been awarded to the States, 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 Care Grant 
Program and the statutory requirements governing the use of the funds.
    Funds will be used by the States to improve the quality, 
availability, and organization of health care and support services for 
individuals and families with HIV infection. The HIV Care Grant Program 
was authorized by Title II 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 HIV 
Care Grant Program should contact the appropriate office in their 
State, and may obtain information on their State 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 $162,705,300 was made available for the Title II HIV 
Care Grant Program. These funds have been allotted to the States 
according to a formula based on the number of AIDS cases reported to 
the Centers for Disease Control and Prevention for the 24 months ending 
September 30, 1993, and a per capita income factor. Below is the 
distribution of funds by State.

------------------------------------------------------------------------
                           State                               Amount   
------------------------------------------------------------------------
Alabama...................................................    $1,421,553
Alaska....................................................       100,000
Arizona...................................................     1,855,383
Arkansas..................................................       821,978
California................................................    28,172,762
Colorado..................................................     1,794,570
Connecticut...............................................     2,246,095
Delaware..................................................       515,066
Dist of Colum.............................................     2,155,767
Florida...................................................    16,361,686
Georgia...................................................     4,527,285
Hawaii....................................................       545,494
Idaho.....................................................       130,115
Illinois..................................................     5,363,921
Indiana...................................................     1,394,908
Iowa......................................................       333,799
Kansas....................................................       605,134
Kentucky..................................................       641,709
Louisiana.................................................     2,494,411
Maine.....................................................       205,421
Maryland..................................................     3,625,966
Massachusetts.............................................     3,501,905
Michigan..................................................     2,874,019
Minnesota.................................................       970,420
Mississippi...............................................       900,115
Missouri..................................................     2,716,091
Montana...................................................       100,000
Nebraska..................................................       292,135
Nevada....................................................       924,894
New Hampshire.............................................       160,060
New Jersey................................................     6,650,657
New Mexico................................................       485,763
New York..................................................    26,126,095
North Carolina............................................     1,996,053
North Dakota..............................................       100,000
Ohio......................................................     2,519,172
Oklahoma..................................................     1,133,726
Oregon....................................................     1,170,946
Pennsylvania..............................................     4,421,998
Rhode Island..............................................       452,600
South Carolina............................................     2,091,875
South Dakota..............................................       100,000
Tennessee.................................................     1,675,354
Texas.....................................................    11,813,825
Utah......................................................       511,096
Vermont...................................................       100,000
Virginia..................................................     2,403,511
Washington................................................     2,262,586
West Virginia.............................................       173,904
Wisconsin.................................................     1,069,752
Wyoming...................................................       100,000
Puerto Rico...............................................     7,521,643
Guam......................................................         3,379
Virgin Islands............................................        68,703
------------------------------------------------------------------------

Eligibility Criteria

    In order to receive funding under Title II of the CARE Act, each 
State was required to develop:
     A detailed description of the HIV-related services 
provided in the State to individuals and families with HIV disease 
during the year preceding the year for which the grant was requested, 
and the number of individuals and families receiving such services; and
     A comprehensive plan for the organization and delivery of 
HIV health care and support services to be funded with the title II 
grant, including a description of the purposes for which the State 
intends to use such assistance.
    Each State was also required to submit an application containing 
such agreements, assurances, and information as the Secretary 
determined to be necessary to carry out this program, including an 
assurance that:
     The public health agency that is administering the grant 
for the State will conduct public hearings concerning the proposed use 
and distribution of the Title II grant assistance;
     The State will, to the maximum extent practicable, ensure 
that HIV-related health care and support services delivered with Title 
II 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; ensure that such services 
will be provided in a setting that is accessible to low-income 
individuals with HIV disease, and provide outreach to inform such 
individuals of the services available; and, in the case of a State that 
intends to use grant funds for the continuation of health insurance 
coverage, ensure that the State has established a program that assures 
that such amounts will be targeted to individuals who would not 
otherwise be able to afford health insurance coverage, that income, 
assets, and medical expense criteria will be established and applied by 
the State to identify those individuals who qualify for assistance, and 
that information concerning such criteria will be made available to the 
public;
     The State will provide for periodic independent peer 
review to assess the quality and appropriateness of health and support 
services provided by entities that receive Title II funds from the 
State;
     The State will permit and cooperate with any Federal 
investigations undertaken regarding programs conducted under Title II;
     The State will maintain HIV-related activities at a level 
that is equal to not less than the level of such expenditures by the 
State for the 1-year period preceding the fiscal year for which the 
State applied to receive a grant under Title II; and
     The State will ensure that grant funds are not 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.

General Use of Grant Funds

    States may use the HIV Care Grant funds to:
     Establish and operate HIV care consortia within areas most 
affected by HIV. The statute defines a consortium as an association of 
one or more public, and one or more nonprofit private health care and 
support service providers and community-based organizations operating 
within areas determined by the State to be most affected by HIV 
disease.
     Provide home- and community-based care services for 
individuals with HIV disease. Funding priorities must be given to 
entities that provide assurances to the State that they will 
participate in HIV care consortia if such consortia exist within the 
State, and will utilize the funds for the provision of home- and 
community-based services to low-income individuals with HIV disease.
     Provide assistance to assure the continuity of health 
insurance coverage for low-income (as defined by the State) individuals 
with HIV disease. The State must establish a program that assures that 
(1) funds will be targeted to individuals who would not otherwise be 
able to afford health insurance coverage, and (2) income, asset, and 
medical expense criteria will be established and applied by the State 
to identify those individuals who qualify for assistance, and 
information concerning such criteria shall be made available to the 
public.
     Provide treatments that have been determined to prolong 
life or prevent serious deterioration of health for low-income 
individuals with HIV disease.
    A State must use at least 15 percent of its grant funds to provide 
health and support services to infants, children, women and families 
with HIV disease.
    At least 75 percent of the fiscal year 1994 Title II grant awarded 
to a State must be obligated to specific programs and projects and made 
available for expenditure within 120 days of the receipt of the grant 
by the State.

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

    It has been determined that the Title II HIV Care Grant Program is 
not subject to the provisions of Executive Order 12372 concerning 
inter-governmental review of Federal programs.
    The Catalog of Federal Domestic Assistance Number is 93.917.

    Dated: July 18, 1994.
Ciro V. Sumaya,
Administrator.
[FR Doc. 94-17840 Filed 7-21-94; 8:45 am]
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