[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.
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Grantee Award
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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
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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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