[Federal Register Volume 59, Number 246 (Friday, December 23, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-31555]


[[Page Unknown]]

[Federal Register: December 23, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

 

Availability of Funds for the Provision of Technical and Other 
Non-Financial Assistance to Community and Migrant Health Centers

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice of Availability of Funds.

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SUMMARY: The Health Resources and Services Administration (HRSA) 
announces the availability of discretionary funds of approximately 
$400,000 in fiscal year (FY) 1995 for new organizations seeking to 
provide technical and other non-financial assistance on either a 
Statewide or regional basis to Community and Migrant Health Centers (C/
MHCs) under sections 333(d), 330(f)(1) and 329(g)(1) of the Public 
Health Service Act.
    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. The 
health center program directly addresses the Healthy People 2000 
objectives by improving access to preventive and primary care services 
for underserved populations, especially minority and other 
disadvantaged populations. Potential applicants may obtain a copy of 
Healthy People 2000 (Full Report; Stock No. 017-001-00474-01) or 
Healthy People 2000 (Summary Report; Stock No. 017-001-00473-01) 
through the Superintendent of Documents, Government Printing Office, 
Washington, DC 20402-9325 (Telephone 202-783-3238).
    The PHS 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 DEADLINES: New applications to provide technical and other 
non-financial assistance under sections 333(d), 330(f)(1) and 329(g)(1) 
must be received no later than (insert 30 days from date of 
publication). Applications shall be considered to have met the deadline 
if they are: (1) Received on or before the deadline; or (2) sent on or 
before the established deadline date and received in time for orderly 
processing. (Applicants should request a legibly dated receipt from a 
commercial carrier or U.S. Postal Service. Private metered postmarks 
shall not be accepted as proof of timely mailing.) Late applications 
not accepted for processing will be returned to the applicant.

ADDRESSES: The PHS Regional Grants Management Officers (RGMOs), whose 
names and addresses are provided in the appendix to this document, are 
responsible for distributing application kits and guidance (PHS form 
5161-1 with revised face sheets DHHS Form 424, as approved by the 
Office of Management and Budget (OMB) under control numbers 0937--
0189). Completed applications must be submitted to them. New applicants 
should contact the appropriate RGMO to obtain application kits and 
guidance. The RGMOs are also available to provide assistance on 
business management issues.

FOR FURTHER INFORMATION CONTACT: For general program information about 
the availability of sections 329(g)(1), 330(f)(1) and 333(d) funds, 
contact Richard C. Bohrer, (301) 594-4300.

SUPPLEMENTARY INFORMATION:

Grant Awards

    It is anticipated that approximately $400,000 in discretionary 
grants will be awarded to new applicants proposing to provide technical 
and other non-financial assistance.

Number of Awards

    Approximately 2 new awards will be made, with awards averaging 
approximately $200,000. Awards will be made for a one year budget 
period. Project periods will be up to two years.

Eligible Applicants

    Eligible applicants are private nonprofit entities, including (but 
not limited to) associations with Statewide or regional scope. For the 
purpose of carrying out these legislative authorities, regional refers 
to a cluster of States, while State-based assistance relates 
specifically to a single State. At either level, the assistance 
addresses the application/implementation of national policies, 
priorities, concerns and expectations, in the context of the regional 
or State environment.

Review Criteria

    Applicants for funding to provide technical and other non-financial 
assistance to C/MHCs and other similar providers will be evaluated 
according to their ability to perform activities in each of five 
program areas: (1) Management for growth; (2) retention and 
recruitment; (3) quality of care; (4) managed care and financing; and 
(5) improved health outcomes.
    Specifically, applicants will be evaluated according to their 
ability to: Plan for primary care resources; collaborate with other 
primary care delivery systems on State or regional issues; promote the 
support and involvement of city and county health departments and other 
State agencies in comprehensive, community based primary care; provide 
and arrange for training and technical assistance, including support 
for providers to be able to deliver culturally and linguistically 
competent care, and assistance to primary care grantees in their 
efforts to recruit and maintain a diversified staff; and provide and/or 
arrange for shared services and joint purchasing.
    Recipients are expected to engage in activities as described in the 
document, ``Program Expectations for State Primary Care Cooperative 
Agreement Offices and Primary Care Associations'', available from the 
RGMOs. Appropriate activities include: Services to members; 
facilitation of State support for primary care that is comprehensive, 
community based and culturally competent; promotion of broad 
reimbursement for primary care within State Medicaid programs and 
health care reform activities (e.g. inclusion of dental services, 
enabling services such as transportation, translation and case 
management, environmental health services, mental health and substance 
abuse services, and preventive services; inclusion of nurse 
practitioners, physician assistants and certified nurse midwives); 
community and project development in needy areas (or for needy 
population groups) that incorporates State supported entities as part 
of the primary care system; coordination and collaboration between 
city/county health departments and HRSA supported and similar primary 
care delivery systems; linkages between State medical, dental, 
certified nurse midwife, physician assistant and nurse practitioner 
educational programs and HRSA supported and similar primary care 
delivery systems; coordination of primary care planning and services 
with State Maternal and Child Health programs, Ryan White Titles I and 
II programs, homeless, migrant and seasonal farm worker, immigrant 
services, and other programs including or targeting underserved areas 
or population.

Other Award Information

    All grants to be awarded under this notice are subject to the 
provisions of Executive Order 12372, as implemented by 45 CFR part 100, 
which allows States the option of setting up a system for reviewing 
applications from within their States for assistance under certain 
Federal programs. The application kits will contain a listing of States 
which have chosen to set up such a review system and will provide a 
point of contact in the States for that review. Applicants (other than 
Federally recognized Indian Tribal governments) should contact their 
State Single Points 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. State process recommendations should be submitted to 
the appropriate Regional Office (see Appendix). The due date for State 
process recommendations is 60 days after the appropriate application 
deadline date. The Bureau of Primary Health Care does not guarantee 
that it will accommodate or explain its response to State process 
recommendations received after this date.

Public Health System Reporting Requirement

    Section 329 and Section 330 programs are subject to the Public 
Health System Reporting Requirement, PHS Circular 92.01. Reporting 
requirements have been approved by the OMB under control numbers 0937-
0195. Under this requirement, 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 a description 
of the coordination planned with the appropriate State or local health 
agencies.
    In the OMB Catalog of Federal Domestic Assistance, the Community 
Health Center program is listed as Number 93.224 and the Migrant Health 
Center program is listed as Number 93.246.

    Dated: December 20, 1994.
Ciro V. Sumaya,
Administrator.

Appendix--Regional Grants Management Officers

Region I: Mary O'Brien, Grants Management Officer, PHS Regional 
Office I, John F. Kennedy Federal Building, Boston, MA 02203, (617) 
565-1482
Region II: Frank Di Giovanni, Grants Management Officer, PHS 
Regional Office II, Room 3300, 26 Federal Plaza, New York, NY 10278, 
(212) 264-4496
Region III: Martin Bree, Acting Grants Management Officer, PHS 
Regional Office III, P.O. Box 13716, Philadelphia, PA 19101, (215) 
596-6653
Region IV: Wayne Cutchens, Grants Management Officer, PHS Regional 
Office IV, Room 1106, 101 Marietta Tower, Atlanta, GA 30323, (404) 
331-2597
Region V: Lawrence Poole, Grants Management Officer, PHS Regional 
Office V, 105 West Adams Street, 17th Floor, Chicago, IL 60603, 
(312) 353-8700
Region VI: Joyce Bailey, Grants Management Officer, PHS Regional 
Office VI, 1200 Main Tower, Dallas, TX 75202, (214) 767-3885
Region VII: Michael Rowland, Grants Management Officer, PHS Regional 
Office VII, Room 501, 601 East 12th Street, Kansas City, MO 64016, 
(816) 426-5841
Region VIII: Susan Jaworowski, Acting Grants Management Officer, PHS 
Regional Office VIII, 1961 Stout Street, Denver, CO 80294, (303) 
844-4461
Region IX: Ken Souza, Grants Management Officer, PHS Regional Office 
IX, 50 United Nations Plaza, San Francisco, CA 94102, (415) 556-2595
Region X: James Tipton, Grants Management Officer, PHS Regional 
Office X, Mail Stop RX 20, 2201 Sixth Avenue, Seattle, WA 98121, 
(206) 553-7997

[FR Doc. 94-31555 Filed 12-22-94; 8:45 am]
BILLING CODE 4160-15-P