[Federal Register Volume 61, Number 214 (Monday, November 4, 1996)]
[Notices]
[Pages 56693-56694]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-28216]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration


HIV Emergency Relief Grant Program

AGENCY: Health Resources and Services Administration.

ACTION: Notice of grants made to eligible metropolitan areas.

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SUMMARY: (Note: On May 20, 1996, PL 104-146 reauthorized the Ryan White 
CARE Act of 1990. Because most of the new provisions found in Title 
XXVI of the Public Health Service Act did not become effective until 
October 1, 1996, most of the information in this notice will reflect 
the language of the original legislation.) The Health Resources and 
Services Administration (HRSA) announces that fiscal year 1996 funds 
have been awarded to the 49 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 is authorized by Title I of the Ryan 
White Comprehensive AIDS Resources Emergency (CARE) Act of 1990, Public 
Law 101-381, as amended by the Ryan White CARE Act Amendments of 1996, 
Public Law 104-146, which amended Title XXVI of the Public Health 
Service Act. Funds were appropriated under Public Law 104-134.

FOR FURTHER INFORMATION, CONTACT: Individuals interested in the Title I 
HIV Emergency Relief Grant Program should contact the Office of the 
Chief Elected Official (CEO) in their locality, and may obtain 
information on their CEO contact by calling Anita Eichler, M.P.H., 
Director, Division of HIV Services, at (301) 443-6745.

SUPPLEMENTARY INFORMATION:

Availability of Funds

    A total of $372,141,000 was made available for the Title I HIV 
Emergency Relief Grant Program. Because of the delay in the passage of 
fiscal year 1996 appropriations legislation for the Department of 
Health and Human Services and also because of the ``hold-harmless'' 
provisions of the the Ryan White CARE Act Amendments of 1996, the 
normal 50-50 split between formula and supplemental grants was 
affected. Below is a table showing the total award of grants made to 
the 49 EMAs.

------------------------------------------------------------------------
                         Grantee                               Award    
------------------------------------------------------------------------
Atlanta, GA.............................................      $9,208,162
Austin, TX..............................................       2,398,671
Baltimore, MD...........................................       8,364,074
Bergen-Passaic, NJ......................................       3,369,095
Boston, MA..............................................       8,360,436
Caguas, PR..............................................       1,064,876
Chicago, IL.............................................      13,164,930
Cleveland, OH...........................................       1,384,956
Dallas, TX..............................................       7,820,653
Denver, CO..............................................       3,549,707
Detroit, MI.............................................       4,405,380
Dutchess County, NY.....................................         581,761
Ft. Lauderdale, FL......................................       6,584,204
Ft. Worth, TX...........................................       2,255,398
Hartford, CT............................................       3,048,467
Houston, TX.............................................      10,312,524
Jacksonville, FL........................................       2,725,251
Jersey City, NJ.........................................       3,767,874
Kansas City, MO.........................................       2,514,291
Los Angeles, CA.........................................      26,313,561
Miami, FL...............................................      15,156,078
Middlesex-Somerset-Hunterdon, NJ........................       2,198,883
Minneapolis-St. Paul, MN................................       1,370,726
Nassau-Suffolk, NY......................................       3,683,885
New Haven, CT...........................................       4,002,182
New Orleans, LA.........................................       2,087,199
New York, NY............................................      92,241,697
Newark, NJ..............................................       9,725,848
Oakland, CA.............................................       4,741,595
Orange County, CA.......................................       3,492,993
Orlando, FL.............................................       3,599,489
Philadelphia, PA........................................      10,345,478
Phoenix, AZ.............................................       2,901,602
Ponce, PR...............................................       1,685,036
Portland, OR............................................       2,688,924
Riverside-San Bernardino, CA............................       4,687,432
Sacramento, CA..........................................       2,463,814
St. Louis, MO...........................................       2,587,364
San Antonio, TX.........................................       2,396,426
San Diego, CA...........................................       6,592,104
San Francisco, CA.......................................      35,172,274
San Jose, CA............................................       2,275,044
San Juan, PR............................................       8,199,506
Santa Rosa, CA..........................................       1,142,456
Seattle, WA.............................................       4,289,545
Tampa-St. Petersburg, FL................................       4,610,201
Vineland-Millville-Bridgeton, NJ........................         454,338
Washington, D.C.........................................      12,763,696
West Palm Beach, FL.....................................       3,390,914
------------------------------------------------------------------------

Eligible Grantees

    Metropolitan areas which were eligible for grant awards under Title 
I were those areas for which, as of March 31, 1995, there had been 
reported to and confirmed by the CDC a cumulative total of more than 
2,000 cases of AIDS; or, for which an award had been made prior to 
fiscal year 1996.
    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

[[Page 56694]]

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 any required 
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 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 o 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. In addition, Public Law 103-277, the Pro-Children Act 
of 1994, prohibits smoking in certain facilities (or, in some cases, 
any portion of a facility) in which regular or routine education, 
library, day care, health care or early childhood development services 
are provided to children.

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: October 29, 1996.
Ciro V. Sumaya,
Administrator.
[FR Doc. 96-28216 Filed 11-1-96; 8:45 am]
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