[Federal Register Volume 61, Number 214 (Monday, November 4, 1996)]
[Notices]
[Pages 56694-56696]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-28217]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

HIV Care Grant Program

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice of grants made to States and territories.

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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 States and territories (hereinafter States) for 
the HIV Care Grant Program. Although these funds have already been 
awarded to the States, 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 Care Grant Program and the statutory 
requirements governing the use of the funds.
    Funds will be used by the States to improve the quality, 
availability, and organization of health care and support services for 
individuals and families with HIV infection. The HIV Care Grant Program 
is authorized by Title II 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 HIV 
Care Grant Program should contact the appropriate office in their 
State, and may obtain information on their State 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 $198,406,000 was made available for the Title II HIV 
Care Grant Program. These funds have been allotted to the States 
according to a formula based on the number of AIDS cases reported to 
the Centers for Disease

[[Page 56695]]

Control and Prevention for the 24 months ending September 30, 1995, and 
a per capita income factor. In addition to the Care Grants, $51,999,164 
was also awarded for the AIDS Drug Assistance Program (ADAP) to help 
States increase the number of HIV patients receiving drugs, including 
combination therapies and new drugs, and to help pay for their 
increasing costs. Below are two tables. The first shows the 
distribution of funds for the Care Grant Program by State. The second 
shows the distribution of funds for the ADAP by State.

                            Care Grant Awards                           
------------------------------------------------------------------------
                          State                               Amount    
------------------------------------------------------------------------
Alabama.................................................      $2,354,841
Alaska..................................................         250,000
Arizona.................................................       1,789,469
Arkansas................................................       1,170,077
California..............................................      27,867,193
Colorado................................................       1,980,699
Connecticut.............................................       2,790,149
Delaware................................................       1,075,426
District of Columbia....................................       2,532,524
Florida.................................................      19,716,843
Georgia.................................................       5,878,430
Hawaii..................................................       1,008,519
Idaho...................................................         250,000
Illinois................................................       5,577,650
Indiana.................................................       2,359,737
Iowa....................................................         523,842
Kansas..................................................         867,817
Kentucky................................................       1,148,862
Louisiana...............................................       3,306,569
Maine...................................................         458,566
Maryland................................................       4,973,650
Massachusetts...........................................       3,776,077
Michigan................................................       3,104,263
Minnesota...............................................         973,550
Mississippi.............................................       1,596,005
Missouri................................................       2,504,335
Montana.................................................         110,969
Nebraska................................................         432,455
Nevada..................................................       1,751,036
New Hampshire...........................................         265,234
New Jersey..............................................      10,181,949
New Mexico..............................................         753,940
New York................................................      29,315,160
North Carolina..........................................       4,109,140
North Dakota............................................         100,000
Ohio....................................................       3,885,870
Oklahoma................................................       1,414,863
Oregon..................................................       1,330,006
Pennsylvania............................................       6,391,896
Rhode Island............................................         925,291
South Carolina..........................................       3,857,827
South Dakota............................................         100,000
Tennessee...............................................       3,209,960
Texas...................................................      12,636,414
Utah....................................................         691,928
Vermont.................................................         250,000
Virginia................................................       4,465,646
Washington..............................................       2,486,787
West Virginia...........................................         376,925
Wisconsin...............................................       1,571,609
Wyoming.................................................         100,000
Guam....................................................           4,970
Puerto Rico.............................................       7,682,087
Virgin Islands..........................................         168,945
------------------------------------------------------------------------


                   AIDS Drug Assistance Program Awards                  
------------------------------------------------------------------------
                                                           FY 1996 grant
                     State/territory                           award    
------------------------------------------------------------------------
Alabama.................................................        $401,982
Alaska..................................................          38,443
Arizona.................................................         470,790
Arkansas................................................         199,737
California..............................................       8,415,161
Colorado................................................         528,455
Connecticut.............................................         861,629
Delaware................................................         183,580
District of Columbia....................................         800,064
Florida.................................................       5,503,506
Georgia.................................................       1,515,721
Hawaii..................................................         172,159
Idaho...................................................          35,657
Illinois................................................       1,682,586
Indiana.................................................         402,818
Iowa....................................................          89,422
Kansas..................................................         183,023
Kentucky................................................         196,116
Louisiana...............................................         773,878
Maine...................................................          78,279
Maryland................................................       1,548,035
Massachusetts...........................................       1,059,974
Michigan................................................         792,821
Minnesota...............................................         276,067
Mississippi.............................................         272,445
Missouri................................................         626,791
Montana.................................................          18,943
Nebraska................................................          73,822
Nevada..................................................         298,910
New Hampshire...........................................          66,858
New Jersey..............................................       2,953,162
New Mexico..............................................         128,701
New York................................................       9,009,360
North Carolina..........................................         701,449
North Dakota............................................           7,243
Ohio....................................................         782,236
Oklahoma................................................         241,524
Oregon..................................................         354,625
Pennsylvania............................................       1,599,571
Puerto Rico.............................................       1,685,094
Rhode Island............................................         157,951
South Carolina..........................................         658,549
South Dakota............................................          12,536
Tennessee...............................................         547,955
Texas...................................................       3,496,103
Utah....................................................         118,115
Vermont.................................................          29,529
Virginia................................................         900,072
Washington..............................................         667,463
West Virginia...........................................          69,365
Wisconsin...............................................         268,824
Wyoming.................................................          13,650
Guam....................................................               0
Virgin Islands..........................................          28,415
                                                         ---------------
      Total.............................................     $51,999,164
------------------------------------------------------------------------

Eligibility Criteria

    In order to receive funding under Title II of the CARE Act, each 
State was required to develop:
      A detailed description of the HIV-related services 
provided in the State to individuals and families with HIV disease 
during the year preceding the year for which the grant was requested, 
and the number of individuals and families receiving such services; and
      A comprehensive plan for the organization and delivery of 
HIV health care and support services to be funded with the Title II 
grant, including a description of the purposes for which the State 
intends to use such assistance.
    Each State was also required to submit an application containing 
such agreements, assurances, and information as the Secretary 
determined to be necessary to carry out this program, including an 
assurance that:
      The public health agency that is administering the grant 
for the State will conduct public hearings concerning the proposed use 
and distribution of the Title II grant assistance;
      The State will, to the maximum extent practicable, ensure 
that HIV-related health care and support services delivered with Title 
II assistance will be provided without regard to the current or past 
health condition of the individual; ensure that such services will be 
provided in a setting that is accessible to low-income individuals with 
HIV disease, and provide outreach to inform such individuals of the 
services available; and, in the case of a State that intends to use 
grant funds for the continuation of health insurance coverage, ensure 
that the State has established a program that assures that such amounts 
will be targeted to individuals who would not otherwise be able to 
afford health insurance coverage, that income, assets, and medical 
expense criteria will be established and applied by the State to 
identify those individuals who qualify for assistance, and that 
information concerning such criteria will be made available to the 
public;
      The State will provide for periodic independent peer 
review to assess the quality and appropriateness of health and support 
services provided by entities that receive Title II funds from the 
State;
      The State will permit and cooperate with any Federal 
investigations undertaken regarding programs conducted under Title II;
      The State will maintain HIV-related activities at a level 
that is equal to not less than the level of such expenditures by the 
State for the 1-year period preceding the fiscal year for which the 
State applied to receive a grant under Title II; and
      The State will ensure that grant funds are not 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

[[Page 56696]]

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.

General Use of Grant Funds

    States may use the HIV Care Grant funds to:
      Establish and operate HIV care consortia within areas 
most affected by HIV. The statute defines a consortium as an 
association of one or more public, and one or more nonprofit private 
health care and support service providers and community-based 
organizations operating within areas determined by the State to be most 
affected by HIV disease.
      Provide home- and community-based care services for 
individuals with HIV disease. Funding priorities must be given to 
entities that provide assurances to the State that they will 
participate in HIV care consortia if such consortia exist within the 
State, and will utilize the funds for the provision of home- and 
community-based services to low-income individuals with HIV disease.
      Provide assistance to assure the continuity of health 
insurance coverage for low-income (as defined by the State) individuals 
with HIV disease. The State must establish a program that assures that 
(1) funds will be targeted to individuals who would not otherwise be 
able to afford health insurance coverage, and (2) income, asset, and 
medical expense criteria will be established and applied by the State 
to identify those individuals who qualify for assistance, and 
information concerning such criteria shall be made available to the 
public.
      Provide treatments that have been determined to prolong 
life or prevent serious deterioration of health for low-income 
individuals with HIV disease.
    A State must use at least 15 percent of its grant funds to provide 
health and support services to infants, children, women and families 
with HIV disease.
    At least 75 percent of the fiscal year 1996 Title II grant awarded 
to a State must be obligated to specific programs and projects and made 
available for expenditure within 120 days of the receipt of the grant 
by the State.

Federal Smoke-Free Compliance

    The Public Health Service strongly encourages all grant and 
contract recipients to provide a smoke-free workplace and promote the 
non-use of all tobacco products. In addition, Public Law 103-227, 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

    It has been determined that the Title II HIV Care Grant Program is 
not subject to the provisions of Executive Order 12372 concerning 
inter-governmental review of Federal programs. The Catalog of Federal 
Domestic Assistance Number is 93.917.

    Dated: October 29, 1996.

Ciro V. Sumaya,
Administrator.
[FR Doc. 96-28217 Filed 11-1-96; 8:45 am]
BILLING CODE 4160-15-P