[Federal Register Volume 59, Number 190 (Monday, October 3, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-24339]


[[Page Unknown]]

[Federal Register: October 3, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

 

Funding Notice for Grants for Family Medicine Training for Fiscal 
Year 1995

    The Health Resources and Services Administration (HRSA) announces 
that applications will be accepted for fiscal year (FY) 1995 Grants for 
Family Medicine Training funded under the authority of section 747 (a) 
and (b), title VII of the Public Health Service Act (the Act), as 
amended by the Health Professions Education Extension Amendments of 
1992, Public Law 102-408, dated October 13, 1992. These grant programs 
include:

Grants for Predoctoral Training in Family Medicine
Grants for Graduate Training in Family Medicine
Grants for Faculty Development in Family Medicine
Grants for Establishment of Departments of Family Medicine

    This program announcement is subject to the appropriation of funds. 
The Administration's budget request for FY 1995 includes funding for 
each of these programs. Applicants are advised that this program 
announcement is a contingency action being taken to assure that should 
authority and funds become available for these purposes, awards can be 
made in a timely fashion consistent with the needs of the programs as 
well as to provide for even distribution of funds throughout the fiscal 
year. Please see Table 1 for specific budget estimates for each of the 
grant programs.

Grants for Predoctoral Training in Family Medicine

    Purpose: Section 747(a) of the Public Health Service Act authorizes 
the award of grants to assist in meeting the cost of planning, 
developing and operating or participating in approved predoctoral 
training programs in the field of family medicine. Grants may include 
support for the program only or support for both the program and the 
trainees.
    Eligibility: Eligible applicants are accredited public or nonprofit 
private schools of medicine or osteopathic medicine.
    To receive support, programs must meet the requirements of 
regulations as set forth in 42 CFR part 57, subpart Q and section 
791(b) of the PHS Act.

Grants for Graduate Training in Family Medicine

    Purpose: Section 747(a) of the Public Health Service Act authorizes 
the Secretary to award grants to assist in meeting the costs of 
planning, developing and operating or participating in approved 
graduate training programs in the field of family medicine. In 
addition, section 747(a) authorizes assistance in meeting the cost of 
supporting trainees, who are in need thereof, in such programs who plan 
to specialize or work in the practice of family medicine.
    Eligibility: Eligible applicants are accredited schools of medicine 
or osteopathic medicine, public or nonprofit private hospitals, and 
other public or private nonprofit entities.
    To receive support, programs must meet the requirements of 
regulations as set forth in 42 CFR part 57, subpart Q and section 
791(b) of the PHS Act.

Grants for Faculty Development in Family Medicine

    Purpose: Section 747(a)(3) of the PHS Act authorizes the award of 
grants to assist in meeting the cost of planning, developing and 
operating programs for the training of physicians who plan to teach in 
family medicine training programs. In addition, section 747(a)(4) 
authorizes assistance in meeting the cost of supporting physicians who 
are trainees in such programs and who plan to teach in a family 
medicine training program.
    Eligibility: Eligible applicants are public or nonprofit private 
hospitals, schools of medicine or osteopathic medicine, or other public 
or private nonprofit entities.
    To receive support, applicants must meet the requirements of 
regulations as specified in 42 CFR part 57, subpart Q and section 
791(b) of the PHS Act.

Grants for Establishment of Departments of Family Medicine

    Purpose: Section 747(b) of the PHS Act authorizes support to meet 
the costs of projects to establish, maintain, or improve family 
medicine academic administrative units (which may be departments, 
divisions, or other units) to provide clinical instruction in family 
medicine. Funds awarded will be used to: (1) Plan and develop model 
educational predoctoral, faculty development and graduate medical 
education programs in family medicine which will meet the requirements 
of section 747(a), by the end of the project period of section 747(b) 
support; and (2) support academic and clinical activities relevant to 
the field of family medicine.
    The program may also assist schools to strengthen the 
administrative base and structure that is responsible for the planning, 
direction, organization, coordination, and evaluation of all 
undergraduate and graduate family medicine activities. Funds are to 
complement rather than duplicate programmatic activities for actual 
operation of family medicine training programs under section 747(a).
    Eligibility: To be eligible to receive support for this grant 
program, the applicant must be a public, or nonprofit private, 
accredited school of medicine or osteopathic medicine.
    To receive support, programs must meet the requirements of 
regulations as set forth in 42 CFR part 57, subpart R, and section 
791(b) of the PHS Act.

National Health Objectives for the Year 2000

    The Public Health Service urges applicants to submit work plans 
that address specific objectives of Healthy People 2000. 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, D.C. 20402-9325 (Telephone 202-783-3238).

Education and Service Linkage

    As part of its long-range planning, HRSA will be targeting its 
efforts to strengthening linkages between U.S. Public Health Service 
education programs and programs which provide comprehensive primary 
care services to the underserved.

Smoke-Free Workplace

    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.

Other Considerations

    In addition, funding factors may be applied in determining funding 
of approved applications.
    A funding preference is defined as the funding of a specific 
category or group of approved applications ahead of other categories or 
groups of approved applications in a discretionary program, or 
favorable adjustment of the formula which determines the grant award in 
a formula grant program.
    It is not required that applicants request consideration for a 
funding factor. Applications which do not request consideration for 
funding factors will be reviewed and given full consideration for 
funding.

Statutory General Preference

    All of the Family Medicine Training grant programs are subject to 
the statutory general preference. As provided in section 791(a) of the 
PHS Act, statutory preference will be given to any qualified applicant 
that--
    (A) Has a high rate for placing graduates in practice settings 
having the principal focus of serving residents of medically 
underserved communities; or
    (B) During the 2-year period preceding the fiscal year for which 
such an award is sought, has achieved a significant increase in the 
rate of placing graduates in such settings.
    This statutory preference will only be applied to applications that 
rank above the 20th percentile of proposals recommended for approval by 
the peer review group.
    For Grants for Predoctoral Training in Family Medicine, the 
following definitions apply: High rate is defined as a minimum of 20 
percent of graduates of the medical school in academic year 1989-90 or 
1990-91.
    Significant increase in the rate means that the rate of placing 
academic year 1990-91 graduates in the specified settings is at least 
50 percent higher than the rate of placing academic year 1989-90 
graduates in such settings and that not less than 15 percent of 
academic year 1990-91 graduates are working in these areas. Academic 
years 1989-90 and 1990-91 are used because they are the two most recent 
years that medical school graduates would have entered practice 
following the completion of residency training.
    For Grants for Graduate Training in Family Medicine, the following 
definitions apply: High rate is defined as a minimum of 25 percent of 
combined graduates of the residency training program in academic years 
1991-92 through 1993-94.
    Significant increase in the rate means that, between academic years 
1992-93 and 1993-94, the rate of placing graduates in the specified 
settings has increased by a minimum of 50 percent and not less than 15 
percent of graduates from the most recent year are working in these 
areas.
    For Grants for Family Medicine Faculty Development, the following 
definitions apply: High rate is defined as a minimum of 20 percent of 
faculty development/fellowship program graduates in academic year 1992-
93 or academic year 1993-94, whichever is greater, who spend at least 
50 percent of their worktime in the specified settings.
    Significant increase in the rate means that, between academic years 
1992-93 and 1993-94, the rate of placing faculty development/fellowship 
program graduates in the specified settings has increased by a minimum 
of 50 percent and that not less than 15 percent of the academic year 
1993-1994 graduates are working in these areas.
    For Grants for the Establishment of Departments of Family Medicine, 
the following definitions apply: High rate means that 20 percent of all 
graduates of the medical school in 1990 or 1991, whichever is greater, 
are spending at least 50 percent of their work time in clinical 
practice in the specified settings.
    Significant increase in the rate means that, between academic years 
1992-93 and 1993-94, the rate of placing 1990 or 1991 graduates in the 
specified settings has increased by at least 50 percent and that not 
less than 15 percent of graduates from the most recent year (1991) are 
working in these settings.
    Additional general information regarding the implementation of the 
statutory general preference has been published in the Federal Register 
at 59 FR 15741, dated 4/4/94.

Additional Statutory Funding Preference for Grants for the 
Establishment of Departments of Family Medicine

    An additional statutory funding preference applies only to Grants 
for the Establishment of Departments of Family Medicine. Under section 
747(b), a funding preference is provided for qualified applicants that 
agree to expend the award for the purpose of: (1) Establishing an 
academic administrative unit defined as a department, division, or 
other unit, for programs in family medicine; or (2) substantially 
expanding the programs of such a unit.

Information Requirements Provision

    All of the Family Medicine Training grant programs are subject to 
the information requirements provision. Under section 791(b) of the 
Act, the Secretary may make an award under certain title VII grant 
programs only if the applicant for the award submits to the Secretary 
the following required information:
    1. A description of rotations or preceptorships for students, or 
clinical training programs for residents, that have the principal focus 
of providing health care to medically underserved communities.
    2. The number of faculty on admissions committees who have a 
clinical practice in community-based ambulatory settings in medically 
underserved communities.
    3. With respect to individuals who are from disadvantaged 
backgrounds or from medically underserved communities, the number of 
such individuals who are recruited for academic programs of the 
applicant, the number of such individuals who are admitted to such 
programs, and the number of such individuals who graduate from such 
programs.
    4. If applicable, the number of recent graduates who have chosen 
careers in primary health care.
    5. The number of recent graduates whose practices are serving 
medically underserved communities.
    6. A description of whether and to what extent the applicant is 
able to operate without Federal assistance under this title.
    Additional details concerning the implementation of this 
information requirement have been published in the Federal Register at 
58 FR 43642, dated August 17, 1993, and will be provided in the 
application materials.

Application Requests

    Requests for application materials and questions regarding grants 
policy and business management issues should be directed to Grants 
Management Branch, Bureau of Health Professions, Health Resources and 
Services Administration, Parklawn Building, Room 8C-26, 5600 Fishers 
Lane, Rockville, Maryland 20857. Completed applications should be 
returned to the Grants Management Branch at the above address. Please 
see Table 1 for specific names and phone numbers for each grant 
program.
    If additional programmatic information is needed, please contact 
the Division of Medicine, Bureau of Health Professions, Health 
Resources and Services Administration, Parklawn Building, Room 9A-20, 
5600 Fishers Lane, Rockville, Maryland 20857. Please see Table 1 for 
specific names and phone numbers for each grant program.

Paperwork Reduction Act

    The standard application form PHS 6025-1, HRSA Competing Training 
Grant Application, General Instructions and supplement for these grant 
programs have been approved by the Office of Management and Budget 
under the Paperwork Reduction Act. The OMB Clearance Number is 0915-
0060.

Deadline Dates

    The deadline date for receipt of applications for each of these 
grant programs is shown in Table 1. Applications will be considered to 
be ``on time'' if they are either:
    (1) Received on or before the established deadline date, or
    (2) Sent 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 legibly dated receipt from a 
commercial carrier or U.S. Postal Service. Private metered postmarks 
shall not be acceptable as proof of timely mailing.)
    Late applications not accepted for processing will be returned to 
the applicant.

                                                                        Table 1                                                                         
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                                           Anticipated budget (in thousands)                             Grants                                         
                                   ------------------------------------------------  Number of new     management       Programmatic      Deadline date 
 PHS title VII section No./program     Total in                      Estimate for       awards        contact/phone     contact/phone     for competing 
title/CFDA No./program regulations    President's    Estimate for      competing      anticipated    No. (FAX: 443-     No. (FAX 443-     applications  
                                       budget\1\     continuations     projects                           6343)             8890)                       
--------------------------------------------------------------------------------------------------------------------------------------------------------
747--Graduate Training in FM--      ..............          $9,979          $4,900           38\2\  Mrs. Mary Allen,  Ms. Martha                 12/2/94
 93.379--42 CFR part 57, subpart Q.                                                                  (301) 443-6002.   Evans, (301)                     
                                                                                                                       443-1467.                        
747--Predoctoral Training in FM--   ..............           7,691           3,780              29  Mrs. Judy Bowen,  Mrs. Betty Ball,          12/28/94
 93.896--42 CFR part 57, subpart Q.                                                                  (301) 443-6960.   (301) 443-1467.                  
747--Faculty Development in FM--    ..............           5,210           1,960              15  Mrs. Judy Bowen,  Mrs. Joan                 11/28/94
 93.985--42 CFR part 57, subpart Q.                                                                  (301) 443-6960.   Harrison, (301)                  
                                                                                                                       443-1467.                        
747--Departments of FM--93.984--42  ..............           7,079           3,360              26  Mrs. Judy Bowen,  Mrs. Shelby               12/19/94
 CFR part 57, subpart R.                                                                             (301) 443-6960.   Bieden-.                         
                                                                                                                      kapp, (301) 443-                  
                                                                                                                       1467.                            
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\$43,992.                                                                                                                                             
\2\Approximately $130,000 each.                                                                                                                         

    These Grants for Family Medicine Training are not subject to the 
provisions of Executive Order 12372, Intergovernmental Review of 
Federal Programs (as implemented through 45 CFR part 100). Also, these 
grant programs are not subject to the Public Health System Reporting 
Requirements.

    Dated: August 31, 1994.
Ciro V. Sumaya,
Administrator.
[FR Doc. 94-24339 Filed 9-30-94; 8:45 am]
BILLING CODE 4160-15-P