[Federal Register Volume 60, Number 29 (Monday, February 13, 1995)]
[Notices]
[Pages 8244-8249]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-3555]



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HEALTH RESOURCES AND SERVICES ADMINISTRATION


Special Project Grants and Cooperative Agreements; Maternal and 
Child Health Services; Federal Set-Aside Program; Genetic Services and 
Maternal and Child Health Improvement Projects

AGENCY: Health Resources and Services Administration (HRSA), PHS.

ACTION: Notice of availability of funds.

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SUMMARY: The Maternal and Child Health Bureau (MCHB), HRSA, announces 
that fiscal year (FY) 1995 funds are available for grants and 
cooperative agreements for the following activities: Maternal and Child 
Health (MCH) Special Projects of Regional and National Significance 
(SPRANS), including special MCH improvement projects (MCHIP) which 
contribute to the health of mothers, children, and children with 
special health care needs (CSHCN); and genetic disease testing, 
counseling and information services. All awards will be made under the 
program authority of section 502(a) of the Social Security Act, the MCH 
Federal Set-Aside Program. No new hemophilia SPRANS grants will be 
funded in FY 1995. Grants for MCH research and training are being 
announced in a separate notice.
    Of the approximately $44 million available for SPRANS activities in 
FY 1995 in categories covered by this announcement, about $9.7 million 
will be available to support approximately 65 new and competing renewal 
projects at an average of $150,000 per award for one year. The 
remaining funds will be used to support continuation of existing SPRANS 
activities. The actual amounts available for awards and their 
allocation may vary, depending on unanticipated program requirements 
and the volume and quality of applications. Awards are made for grant 
periods which may run from 1 to 5 years in duration. Funds for the MCH 
Federal Set-Aside Program are appropriated by Public Law 103-333. 
Revised regulations implementing the Federal Set-Aside Program (42 CFR 
part 51a) were published in the July 19, 1994, issue of the Federal 
Register at 59 FR 36703.
    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 MCH 
Block Grant Federal Set-Aside Program addresses issues related to the 
Healthy People 2000 objectives of improving maternal, infant, child and 
adolescent health and developing service systems for children with 
special health care needs.
    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. In 
addition, Public Law 103-227, The Pro-Children Act Of 1994, prohibits 
smoking in certain facilities in which education, library, day care, 
regular and routine health care and early childhood development 
services are provided to children. Smoking must also be prohibited in 
indoor facilities that are constructed, operated or maintained with 
Federal funds.

ADDRESSES: Grant applications for the MCH SPRANS Federal Set-Aside 
Program must be obtained from and submitted to: Acting Chief, Grants 
Management Branch, Office of Program Support, Maternal and Child Health 
Bureau, Health Resources and Services Administration, Room 18-12, 
Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20857, (301) 
443-1440. Applicants for all projects covered by this announcement will 
use application Form PHS 5161-1 with revised face page DHHS Form 424, 
approved by OMB under control number 0937-0189. Requests should specify 
the category or categories of activities for which an application is 
requested so that the appropriate forms, information and materials may 
be provided.

DATES: Deadlines for receipt of applications differ for the several 
categories of grants and cooperative agreements. These deadlines are as 
follows:

                                                                        
[[Page 8245]]                                                           
 MCH Federal Set-Aside Competitive Grant and Cooperative Agreements Anticipated Deadlines, Awards, Funding, and 
                                          Project Periods, by Category                                          
                                                    [FY 1995]                                                   
----------------------------------------------------------------------------------------------------------------
                                Application      Estimated number of    Estimated amounts                       
  Funding source category         deadline             awards               available          Project period   
----------------------------------------------------------------------------------------------------------------
(1) Grants in the following                                                                                     
 areas:                                                                                                         
  1.1 Genetic services.....            4/25/95  Up to 20............  $3.5 million........  Up to 3 years.      
  1.2 Special MCH                                                                                               
   Improvement Projects                                                                                         
   (MCHIP) of regional and                                                                                      
   national significance in                                                                                     
   the following areas:.                                                                                        
  1.2.1 Maternal, infant,              4/25/95  10-12...............  1 million...........  Up to 5 years.      
   child, and adolescent                                                                                        
   health.                                                                                                      
  1.2.2 School health                  5/10/95  8...................  1.5 million.........  3-5 years.          
   program.                                                                                                     
  1.2.3 Data utilization...            6/15/95  5...................  500,000.............  3 years.            
  1.2.4 Healthy tomorrows              4/14/95  Up to 10............  500,000.............  5 years.            
   partnership for children.                                                                                    
(2) Cooperative agreements                                                                                      
 (MCHIPs) in the following                                                                                      
 areas:                                                                                                         
  2.1 CSHCN cultural                   4/28/95  1...................  250,000.............  5 years.            
   competency systems                                                                                           
   implementation.                                                                                              
  2.2 Partnership for                  5/10/95  4...................  1.2 million.........  Up to 5 years.      
   information and                                                                                              
   communication (PIC).                                                                                         
  2.3 Childhood injury                 3/31/95  4...................  600,000.............  3-5 years.          
   prevention.                                                                                                  
  2.4 Out-of-home child                4/27/95  1...................  350,000.............  Up to 5 years.      
   care health and safety.                                                                                      
----------------------------------------------------------------------------------------------------------------

    Applications will be considered to have met the deadline if they 
are either: (1) Received on or before the deadline date, or (2) 
postmarked on or before the deadline date and received in time for 
orderly processing. Applicants should request a legibly dated receipt 
from a commercial carrier or the U.S. Postal Service, or obtain a 
legibly dated U.S. Postal Service postmark. Private metered postmarks 
will not be accepted as proof of timely mailing. Late applications or 
those sent to an address other than specified in the ADDRESSES section 
will be returned to the applicant.

FOR FURTHER INFORMATION CONTACT: Requests for technical or programmatic 
information should be directed to: Audrey H. Nora, M.D., M.P.H., 
Director, Maternal and Child Health Bureau, HRSA, Room 18-05, Parklawn 
Building, 5600 Fishers Lane, Rockville, Maryland 20857. Requests for 
category-specific technical information should be directed to the 
contact persons identified below for each category covered by this 
notice. Requests for information concerning business management issues 
should be directed to: Acting Grants Management Officer (GMO), Maternal 
and Child Health Bureau, at the address specified in the ADDRESSES 
section.

SUPPLEMENTARY INFORMATION: To facilitate the use of this announcement, 
information in this section has been organized, as outlined in the 
Table of Contents below, into a discussion of: Program Background, 
Special Concerns, Overall Review Criteria, SPRANS Program, and Eligible 
Applicants. In addition, for each specific SPRANS funding category and 
subcategory covered by this notice, information is presented under the 
following headings:
     Application Deadline
     Purpose
     Priorities
     Grants/Amounts
     Contact

Table Of Contents

1. Program Background and Objectives
2. Special Concerns
3. Project Review and Funding
    3.1. Criteria for Review
    3.2. Funding of Approved Applications
4. Special Projects of Regional and National Significance
    4.1. Grants
    4.1.1. Genetic Disease Testing, Counseling and Information
    4.1.2. Maternal and Child Health Improvement Projects
    4.1.2.1. Maternal, Infant, Child, and Adolescent Health
    4.1.2.2. School Health Program
    4.1.2.3. Data Utilization and Enhancement
    4.1.2.4. Healthy Tomorrows Partnerships for Children
    4.2. Cooperative Agreements
    4.2.1. CSHCN Cultural Competency Systems Implementation
    4.2.2. Partnership for Information and Communication (PIC)
    4.2.3. Childhood Injury Prevention
    4.2.4. Out-Of-Home Child Care Health And Safety
5. Eligible Applicants
6. Public Health System Reporting Requirements
7. Executive Order 12372

1. Program Background and Objectives

    Under Section 502 of the Social Security Act, as amended by the 
Omnibus Budget Reconciliation Act (OBRA) of 1989, 12.75 percent of 
amounts appropriated for the Maternal and Child Health Services Block 
Grant in excess of $600 million are set aside by the Secretary of 
Health and Human Services (HHS) for special Community Integrated 
Service Systems projects under Section 501(a)(3) of the Act. Of the 
remainder of the total appropriation, 15 percent of the funds are to be 
retained by the Secretary to support (through grants, contracts, or 
otherwise) special projects of regional and national significance, 
research, and training with respect to maternal and child health and 
children with special health care needs (including early intervention 
training and services development); for genetic disease testing, 
counseling, and information development and dissemination programs; for 
grants (including funding for comprehensive hemophilia diagnostic 
treatment centers) relating to hemophilia without regard to age; and 
for the screening of newborns for sickle cell anemia, and other genetic 
disorders and follow-up services. The MCH SPRANS set-aside was 
established in 1981. Support for projects covered by this announcement 
will come from the SPRANS set-aside. To reduce confusion to potential 
applicants from announcement of grants in very large numbers of SPRANS 
categories and subcategories, announcement of availability of FY 1995 
funds for MCH research and training categories is being published 
separately this year.

2. Special Concerns

    In its administration of the MCH Services Block Grant, the MCHB 
places special emphasis on improving service delivery to women and 
children from racial and ethnic minority populations who have had 
limited access to accessible care. This means that SPRANS projects are 
expected to serve and appropriately involve in project activities 
individuals from the populations to be served, unless there are 
compelling programmatic or other justifications for not doing so. The 
MCHB's intent is to ensure that project interventions are responsive to 
the [[Page 8246]] cultural and linguistic needs of special populations, 
that services are accessible to consumers, and that the broadest 
possible representation of culturally distinct and historically 
underrepresented groups is supported through programs and projects 
sponsored by the MCHB.
    In keeping with our special concern for broadening participation in 
MCHB programs of institutions that reflect the Nation's cultural and 
linguistic diversity, a funding priority will be placed on projects 
from Historically Black Colleges and Universities (HBCU) or Hispanic 
Serving Institutions (HSI) in all categories and subcategories in this 
notice for which applications from academic institutions are 
encouraged. An approved proposal from a HBCU or HSI will receive a 0.5 
point favorable adjustment of the priority score in a 4 point range 
before funding decisions are made.
    Projects supported under SPRANS are expected to be part of 
community-wide, comprehensive initiatives, to reflect appropriate 
coordination of primary care and public health activities, and to 
target HRSA resources effectively to fill gaps in the Nation's health 
system for at-risk mothers and children. This applies especially to 
projects in the 22 communities in the Nation which have received grants 
from HRSA under the Healthy Start initiative. Grantees in these 
communities providing services related to activities of a Healthy Start 
program are expected to coordinate their projects with the Healthy 
Start program efforts. Healthy Start communities include: Aberdeen Area 
Indian Nations, NE/ND/SD; Baltimore, MD; Birmingham, AL; Boston, MA; 
Chicago, IL; Cleveland, OH; Dallas, TX; Detroit, MI; Essex County, NJ; 
Florida Panhandle, FL; Lake County, IN; Milwaukee, WI; Mississippi 
Delta, MS; New Orleans, LA; New York, NY; Oakland, CA; Philadelphia, 
PA; Pittsburgh, PA; PeeDee Region, SC; Richmond, VA; Savannah, GA; 
Washington, DC.

3. Project Review and Funding

    Within the limit of funds determined by the Secretary to be 
available for the activities described in this announcement, the 
Secretary will review applications for funds under the specific project 
categories in section 4 below as competing applications and may award 
Federal funding for projects which will, in her judgment, best promote 
the purpose of title V of the Social Security Act, with special 
emphasis on improving service delivery to women and children from 
culturally distinct populations; best address achievement of Healthy 
Children 2000 objectives related to maternal, infant, child and 
adolescent health and service systems for children at risk of chronic 
and disabling conditions; and otherwise best promote improvements in 
maternal and child health.

3.1  Criteria for Review

    The criteria which follow are used, as pertinent, to review and 
evaluate applications for awards under all SPRANS grants and 
cooperative agreement project categories announced in this notice. 
Further guidance in this regard is supplied in application guidance 
materials, which elaborate upon how these criteria apply to specific 
grant categories and subcategories.

--The extent to which the project will contribute to the advancement of 
maternal and child health and/or improvement of the health of children 
with special health care needs;
--The extent to which the project is responsive to policy concerns 
applicable to MCH grants and to program objectives, requirements, 
priorities and/or review criteria for specific project categories, as 
published in program announcements or guidance materials.
--The extent to which the estimated cost to the Government of the 
project is reasonable, considering the anticipated results;
--The extent to which the project personnel are well qualified by 
training and/or experience for their roles in the project and the 
applicant organization has adequate facilities and personnel; and
--The extent to which, insofar as practicable, the proposed activities, 
if well executed, are capable of attaining project objectives.
--The strength of the project's plans for evaluation.
--The extent to which the project will be integrated with the 
administration of the Maternal and Child Health Services block grants, 
State primary care plans, public health, and prevention programs, and 
other related programs in the respective State(s).
--The extent to which the application is responsive to the special 
concerns and program priorities specified in this notice.

3.2  Funding of Approved Applications

    Final funding decisions for SPRANS grants are the responsibility of 
the Director, MCHB. The following mechanisms, as defined below, may be 
applied in determining scores for ranking the funding of approved 
applications:

--Funding Preferences--Funding of a specific category or group of 
approved applications ahead of other categories or groups of 
applications, such as competing continuation projects ahead of new 
projects.
--Funding Priorities--Merit reviewers will assign scores based on the 
extent to which applicants address program priorities specified in this 
notice for the category in which the application is made.
--Special Considerations--Merit reviewers will assign scores based on 
the extent to which applicants address areas that are identified in 
this notice as meriting special consideration.

4. Special Projects of Regional and National Significance

    Project categories for SPRANS awards are grouped in this notice 
under two sections: Grants and Cooperative Agreements.

4.1. Grants

    Two major categories of SPRANS grants are discussed below: Genetic 
Services; and Maternal and Child Health Improvement Projects (in 4 
subcategories):

4.1.1. Genetic Services

    Application Deadline: April 25, 1995.
    Purpose: To support projects that demonstrate increased access to 
effective genetic information, education, testing and counseling 
services.
    Priorities: Applicants to the genetic services program are invited 
to submit proposals in the areas of:

--Genetics in primary care. To aid in incorporating genetics into 
maternal and child health and federally-qualified health centers' 
(FQHC) primary care programs.
--Ethnocultural barriers. To improve services for populations for whom 
language and/or culture are barriers.
--Regional genetic services networks. To maintain genetic services 
networks in the Pacific Northwest, Pacific Southwest, Mountain States, 
and areas encompassing New York, Puerto Rico, and the Virgin Islands.
--Cooley's Anemia/Thalassemia. To demonstrate comprehensive care for 
those affected by Cooley's Anemia/Thalassemia.
--Comprehensive care for infants with Sickle Cell Disease identified 
through State newborn screening programs.
--Transition from pediatric to adult care. To demonstrate models of 
care for individuals with genetic disorders [[Page 8247]] moving from 
pediatric care to adult, family practice, and specialty care.

Grants/Amounts: About $3.5 million will be available to support up to 
20 projects. Approximately 7 of these are expected to be competing 
renewals of existing projects, and approximately 13 will be new. An 
average of about $175,000 per award per year is anticipated. Project 
periods are up to 3 years.
Contact: For programmatic or technical information, contact: Jane S. 
Lin-Fu, M.D., telephone: 301 443-1080.

4.1.2. Maternal and Child Health Improvement Projects

    Maternal and Child Health Improvement Projects (MCHIP) are divided 
into 4 subcategories: Maternal, Infant, Child, and Adolescent Health; 
School Health Program; Data Utilization and Enhancement; and Healthy 
Tomorrows Partnerships for Children;

4.1.2.1. Maternal, Infant, Child, and Adolescent Health.

    Application Deadline: April 25, 1995.
    Purpose: To improve the health of all mothers, infants, children, 
and adolescents.
    Priorities: Applicants in this MCHIP category are invited to submit 
proposals in the following program areas:

--Content And Organization Of Care For Women Of Child Bearing Age, 
Infants, Children, Adolescents And Their Families. Grants will be 
provided for projects which assist in developing mechanisms to define 
appropriate personal health care services, creating or enhancing 
collaborative systems to deliver such services, and identifying 
measures to determine the quality of the content and mechanism of 
services delivered.
--Adolescent Health Resource Development. Grants will be awarded for 
the purpose of continuing the capacity-building of State health 
agencies/maternal and child health programs to meet the diverse health 
needs of adolescents in a period of health care reform and the myriad 
of changes in States and communities. Adolescent Health Resource Center 
grants are intended to advance the knowledge and skills of State MCH 
staff and local providers of adolescent health services through 
training and technical assistance, information development and 
dissemination, and promotion of integrated systems development that 
impact on adolescent access to prevention and health services.

    Grants/Amounts: A total of 10-12 grants, totalling $1 million will 
be awarded in this category in FY 1995. For grants dealing with the 
content and organization of care, funding for 2 grants is anticipated 
in the range of $150,000 per year for periods of up to 5 years. For 
adolescent health resource development, approximately 4-6 grants of 
$150,000-$200,000 each per year will be supported for up to 5 years.
    Contact: For programmatic or technical information, contact David 
Heppel, M.D., telephone: 301 443-2250.

4.1.2.2. School Health Program

    Application Deadline: May 10, 1995.
    Purpose: To strengthen the capacity of school-based and school-
linked health programs to address psychosocial issues and mental health 
problems by enhancing primary mental health resources and services for 
school-age children and youth, including those with special health care 
needs. Primary mental health resources and services include primary 
prevention, such as prevention of violent and health damaging 
behaviors; early problem identification and intervention, including 
indicated referral and followup; and collaboration with ongoing care 
for chronic conditions.
    Priorities: Grants will be awarded in the following two areas:

--Development of infrastructure and resources to build capacity for 
primary mental health services in school-based and school-linked health 
programs. Applicants are expected to represent State-level partnerships 
among health, mental health and education agencies that are designed to 
assure accessibility to primary mental health services for school-age 
children and youth. Project emphasis is on coordinating school-based 
and school-linked programs with multiple community resources in the 
public health, mental health, substance abuse prevention and treatment, 
social service and other relevant systems to facilitate comprehensive 
approaches.
--Development of ``state of the art'' instructional materials and 
resources to strengthen the mental health service capacity of primary 
care providers for school-age children and youth. The emphasis is on 
enhancing primary mental health resources and services in school-based 
and school-linked health programs; in addition, such staff development 
materials and resources will be available to community-based centers 
that furnish primary health care to those in the school-age population 
who cannot be accessed through the schools.

    Grants/Amounts: A total of $1.5 million dollars will be available 
for projects in this subcategory; about $750,000 for up to 5 State 
primary mental health partnership grants for 3 to 5 years, and about 
$750,000 for up to 3 mental health resource grants for up to 5 years.
    Contact: For programmatic information, contact Linda Johnston, 
telephone 301 443-4026.

4.1.2.3. Data Utilization and Enhancement

    Application Deadline: June 15, 1995.
    Purpose: To enable Federal, State, and local MCH/CSHCN agencies, in 
collaboration with State primary care planning, to develop data and 
data systems required under Title V and analyze data to facilitate 
needs assessment, planning, monitoring or evaluation of maternal and 
child agencies and comprehensive health services.
    Priorities: Proposals in this MCHIP subcategory are invited in the 
following program areas:

--Enhancement of data collection and analysis capabilities of national, 
state and local health agencies.
--Compilation and analysis of new data, and development and application 
of analytic techniques regarding the health status of and delivery of 
comprehensive health care to mothers and children.
--Networking, coordination, and integration of existing and proposed 
resources and data and analysis systems developed in other states, 
national organizations or organizations.
--Increasing national, state and local entities' capacity to respond to 
and implement changes in the organization of health care resources.
    Grants/Amounts: An estimated $500,000 will be available for 5 
grants in this subcategory at $100,000 per award per year. Project 
periods are up to 3 years.
    Contact: For programmatic or technical information, contact Russ 
Scarato, telephone: 301 443-2340.

4.1.2.4. Healthy Tomorrows Partnerships for Children.

    Application Deadline: April 14, 1995.
    Purpose: To support projects for children that improve access to 
health services and utilize preventive strategies. The initiative 
encourages additional support from the private sector and from 
foundations to form community-based partnerships to coordinate health 
resources for pregnant women, infants and children.
    Priorities: Proposals in this MCHIP category are invited in the 
following program areas:

[[Page 8248]] --Local initiatives that are community-based, family-
centered, comprehensive and culturally relevant and improve access to 
health services for infants, children, adolescents, or CSHCN.
--Initiatives which show evidence of a capability to meet cost 
participation goals by securing funds for the second and sequential 
years of the project.
    In the interest of equitable geographic distribution, special 
consideration for funding will be given to projects from States without 
a currently funded project in this category. These States are cited in 
the application guidance.
     Grants/Amounts: About $500,000 will be available to 
support up to 10 new Healthy Tomorrows projects, at an average of 
$50,000 per award per year. The project period is 5 years.
     Contact: For programmatic or technical information, 
contact Latricia Robertson, M.S.N., M.P.H., telephone: 301 443-3163.

4.2. Cooperative Agreements

    Cooperative agreements will be awarded in 4 categories: Children 
with Special Health Care Needs (CSHCN) Cultural Competency Systems 
Implementation; Partnership for Information and Communication; 
Childhood Injury Prevention; and Out-Of-Home Child Care Health And 
Safety.
    It is anticipated that substantial Federal programmatic involvement 
will be required in these cooperative agreements. This means that after 
award, awarding office staff provide technical assistance and guidance 
to, or coordinate and participate in, certain programmatic activities 
of award recipients beyond their normal stewardship responsibilities in 
the administration of grants. Federal involvement may include, but is 
not limited to, planning, guidance, coordination and participation in 
programmatic activities. Periodic meetings, conferences, and/or 
communications with the award recipient are held to review mutually 
agreed upon goals and objectives and to assess progress. Additional 
details on the scope of Federal programmatic involvement in cooperative 
agreements, consistent with HRSA grants administration policy, will be 
included in the application guidance for these cooperative agreements.

4.2.1. Children with Special Health Care Needs (CSHCN) Cultural 
Competency Systems Implementation

     Application Deadline: April 28, 1995.
     Purpose: To promote the design, implementation, and 
testing of culturally competent service systems to assist State and 
local Title V and other related programs to furnish services for 
culturally diverse CSHCN and their families. Specifically, to:

--Promote networking and information exchange among CSHCN/MCH programs 
at all levels that advances their ability to assure that services to 
culturally diverse families having children with special health needs 
are integrated into such programs in a culturally competent manner.
--Foster linkages between such programs and: (a) culturally diverse 
consumers and families of children with special health care needs; and 
(b) other public/private agencies or groups at the Federal, State and 
local levels, including those providing primary health care and 
services, that will enhance the development of culturally competent 
systems of care which are family-centered and at the community level.
--Provide training, technical assistance, and consultation to the above 
mentioned programs to advance the ``state of the art'' in the areas of: 
(a) staff/agency assessment and training; (b) development and 
implementation of culturally competent policies, procedures and 
practices; and (c) identification of resources for training and program 
implementation.
--Support evaluation of existing training materials and evaluation 
tools, develop and test new materials for adoption by CSHCN programs, 
and identify model approaches.
--Disseminate training materials, principles, and model approaches for 
CSHCN and related programs.

    Preference for funding will be given to public or private non-
profit organizations having prior experience with CSHCN/MCH systems of 
care at the Federal, State and local levels, and in the areas described 
above, especially those which can demonstrate:
--Measurable, positive outcomes in operationalizing cultural competence 
in programs.
--Expertise in providing appropriate training and technical assistance 
packages in a timely manner.
--Establishment of linkages with related programs having cultural 
competency initiatives and expertise.

     Cooperative Agreement/Amounts: Up to $250,000 will be 
available to support one new cultural competency systems implementation 
cooperative agreement focusing on the provision of comprehensive care 
to CSHCN and their families. The project period is 5 years.
     Contact: For programmatic and technical information 
contact Ms. Diana Denboba, telephone 301-443-2370.

4.2.2. Partnership for Information and Communication

     Application Deadline: May 10, 1995.
    Purpose: To facilitate dissemination of new maternal and child 
health-related information to policy and decision makers in a format 
most useful to them and provide those individuals with a means of 
communicating issues directly to each other and to MCHB.
    This is a continuous Bureau activity with a single priority--to 
enhance communication between the MCHB and governmental, professional 
and private organizations representing leaders and policy makers 
concerned with issues related to maternal and child health. 
Organizations currently receiving support as part of this cooperative 
agreement represent State governors and their staffs; county health 
policymakers, municipal health policymakers, as well as national 
membership organizations representing groups or constituencies listed 
below.
    To ensure continuity, membership for the organizations 
participating in PIC is rotated so that not all project periods 
coincide. For this year, only national membership organizations 
representing the following groups will be considered for funding:

--State Title V programs.
--State legislators.
--Private business, particularly self-insured businesses.
--Philanthropic organizations.
--Parent organizations.

     Cooperative Agreement/Amounts: Up to 5 cooperative 
agreements totalling $1.2 million in FY 1995 will be awarded in this 
category. Award amounts will vary with the level of proposed grantee 
participation, as described in the application guidance. Awards will be 
made for a project period of up to 5 years.
     Contact: For programmatic or technical information, 
contact David Heppel, M.D., telephone: 301 443-2250.

4.2.3.  Childhood Injury Prevention

     Application Deadline: March 31, 1995.
     Purpose: The Children's Safety Network was established in 
FY 1990 to provide technical assistance to States and communities in 
injury prevention and to consult with States and localities, develop 
and distribute publications, organize conferences, and conduct 
training. MCHB is interested in continuing this capacity.
     Priorities: During FY 1995, awards will be made for a 
resource center focused on each of the following four special injury 
prevention topics:

 [[Page 8249]] --Rural Child and Adolescent Injury.
--Adolescent Violence and Suicide.
--Injury Data.
--Economics and Insurance Issues.

    All funded centers, together with the Children's Safety Network 
site at the Education Development Center, will constitute the 
Children's Safety Network.
     Cooperative Agreement/Amounts: Up to 4 agreements, 
totaling $600,000, will be awarded in this category in FY 1995.
     Contact: For programmatic or technical information, 
contact Jean Athey, Ph.D., telephone: 301 443-4026.

4.2.4. Out-Of-Home Child Care Health And Safety

     Application deadline: April 27, 1995.
     Purpose: To continue support for a national resource 
center which will:

--Maintain a reference collection relating to health and safety in out-
of-home child care settings.
--Maintain computerized databases, including states' current health and 
safety standards; health consultants registry; and directory of 
conferences and organizations.
--Provide training and technical assistance on health and safety in 
child care programs.
--Develop and distribute resource materials and maintain communications 
links with the child care community.

     Cooperative Agreement/Amounts: Approximately $350,000 will 
be available annually for up to 5 years to support a resource center to 
assist in maintaining links with child care providers and consumers 
regarding health and safety in out-of-home child care settings.
     Contact: For programmatic or technical information, 
contact Denise Sofka, telephone: (301) 443-6600.
    The categories, priorities, special considerations and preferences 
described above are not being proposed for public comment this year. In 
July 1993, following publication of the Department's Notice of Proposed 
Rulemaking to revise the MCH special project grant regulations at 42 
CFR 51a, the public was invited for a 60-day period to submit comments 
regarding all aspects of the SPRANS application and review process. 
Public comments regarding SPRANS priorities received during the comment 
period were considered in developing this announcement. In responding 
to those comments, the Department noted the practical limits on 
Secretarial discretion in establishing SPRANS categories and priorities 
owing to the extensive prescription in both the statute and annual 
Congressional directives.
    Comments on this SPRANS notice which members of the public wish to 
make are welcome at any time and may be submitted to: Director, 
Maternal and Child Health Bureau, at the address listed in the 
ADDRESSES section. Suggestions will be considered when priorities are 
developed for the next solicitation.

5. Eligible Applicants

    Any public or private entity, including an Indian tribe or tribal 
organization (as defined at 25 U.S.C. 450b), is eligible to apply for 
grants or cooperative agreements for project categories covered in this 
announcement.

6. Public Health System Reporting Requirements

    This program is subject to the Public Health System Reporting 
Requirements (approved under OMB No. 0937-0195). Under these 
requirements, 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:
    (a) A copy of the face page of the application (SF 424).
    (b) A summary of the project (PHSIS), not to exceed one page, which 
provides:
    (1) A description of the population to be served.
    (2) A summary of the services to be provided.
    (3) A description of the coordination planned with the appropriate 
State and local health agencies.

7. Executive Order 12372

    The MCH Federal set-aside program has been determined to be a 
program which is not subject to the provisions of Executive Order 12372 
concerning intergovernmental review of Federal programs.
    The OMB Catalog of Federal Domestic Assistance number is 93.110.

    Dated: February 8, 1995.
Ciro V. Sumaya,
Administrator.
[FR Doc. 95-3555 Filed 2-10-95; 8:45 am]
BILLING CODE 4160-15-U