[Federal Register Volume 62, Number 77 (Tuesday, April 22, 1997)]
[Notices]
[Pages 19585-19595]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-10335]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Availability of The HRSA Competitive Grants Preview

AGENCY: Health Resources and Services Administration.

ACTION: General Notice.

-----------------------------------------------------------------------

SUMMARY: HRSA announces the availability of the HRSA Competitive Grants 
Preview publication (hereinafter referred to as The Preview) which 
constitutes a description of the Agency's competitive grant programs 
for Fiscal Year 1997. The purpose of the Preview is to provide the 
general public with a single source of program and application 
information related to the Agency's annual grant review cycle. The 
Preview is designed to replace multiple Federal Register notices which 
traditionally advertised the availability of HRSA discretionary funds 
for its various programs. The HRSA Preview will appear annually in the 
Federal Register. The Fiscal Year 1997 Preview appears as Attachment A 
to this notice.
    Although the Preview describes the majority of HRSA discretionary 
grant program areas, it should be noted that other program initiatives, 
responsive to new or emerging issues in the health care area, and 
unanticipated at the time of publication of the Preview, may be 
advertised through the Federal Register mechanism from time-to-time. 
Some programs described in the initial Preview have appeared in Federal 
Register announcements earlier this Fiscal Year. Deadlines or other 
requirements appearing in the Federal Register are not changed by this 
notice.
    The Preview will contain a description of all competitive programs 
and will include instructions on how to access the Agency for 
information and how to receive application kits upon availability. 
Specifically, the following information for each competitive grant 
program area will be provided: (1) Program Title; (2) Legislative 
Authority; (3) Purpose; (4) Eligibility; (5) Estimated Amount of 
competition; (6) Estimated number of awards; (7) Funding Priorities 
and/or Preferences; (8) Projected Award Date; (9) Application Deadline; 
(10) Application kit availability; and (11) The Catalog of Federal 
Domestic Assistance (CFDA) program identification number.
    The first issue of the Preview relates exclusively to funding under 
HRSA discretionary authorities and programs as follows:

Primary Health Care Programs

 Community and Migrant Health Centers
 Health Care For The Homeless
 Grants to States for Loan Repayment Programs
 Ryan White Title III Planning Grants
 Grants to States for Community Scholarship Programs

Maternal and Child Health Programs

 Genetic Services
 Managed Care Policy and Children with Special Health Care 
Needs
 Integrated Services For Children With Special Needs
 Partnership for Information and Communications
 State Fetal and Infant Mortality Review Support Centers
 Health, Mental Health and Safety for Schools
 Partners in Program Planning for Adolescent Health
 Sudden Infant Death Syndrome (SIDS) and Other Infant Death 
(OID) Program Support Center
 Health And Safety in Child Care Settings
 Data Utilization and Enhancement For State/Community 
Infrastructure Building and Managed Care
 Healthy Tomorrows Partnership for Children
 Community Integrated Service Systems (CISS) Research Grants
 Maternal and Child Health Provider Partnership Cooperative 
Agreement
 Community Integrated Services Systems (CISS)--Local/State 
Community Organization Grants
 Maternal and Child Health Research Cycle
 Long Term Training In Adolescent Health
 Long Term Training In Behavioral Pediatrics
 Long Term Training In Communication Disorders
 Long Term Training In Pediatric Dentistry
 Long Term Training In Pediatric Occupational Therapy
 Long Term Training In Pediatric Physical Therapy
 Long Term Training In Public Health Social Work
 Continuing Education and Development
 Emergency Medical Services for Children: Implementation Grants
 Emergency Medical Services for Children: Planning Grants
 Emergency Medical Services for Children: Partnership Grants
 Emergency Medical Services for Children: Targeted Issues 
Grants
 Ryan White Title IV; Grants for Coordinated HIV Services and 
Access To Research for Children, Youth, Women and Families
 Healthy Start Cooperative Agreements
 Traumatic Brain Injury Demonstration Grants

Rural Health Programs

 Rural Outreach, Network Development Grant Program
 Telemedicine Network

ADDRESSES: Individuals may obtain the HRSA Preview by calling HRSA's 
toll free number, 1-888-333-HRSA. The HRSA Preview may also be accessed 
on the World Wide Web on the HRSA Home Page at: http://
www.hrsa.dhhs.gov/.


[[Page 19586]]


    Dated: April 16, 1997.
Claude Earl Fox,
Acting Administrator.

Attachment A

The Health Resources and Services Administration Competitive Grants 
Preview

HRSA Announcements for Federal Fiscal Year 1997

    The programs administered by the Health Resources and Services 
Administration (HRSA) are designed to improve the health of the Nation 
by assuring that quality health care is available to underserved and 
vulnerable populations and by promoting primary care education and 
practice. HRSA, in providing national leadership in health care and 
public health, believes that health care is a right. The diversity of 
programs supported by HRSA reflects this philosophy and unity of 
purpose.
    This first issue of the HRSA Competitive Grants Preview will 
provide notice to the general public of its competitive grant programs 
and diverse funding opportunities, subject to availability of 
discretionary funds, during the Federal fiscal year, which begins each 
October 1 and ends September 30 of the next calendar year. The Preview 
is designed to replace the multiple Federal Register notices which HRSA 
has traditionally published during previous fiscal years. Because this 
initial issue of the Preview is being distributed during the second 
quarter of the fiscal year, it excludes those HRSA programs which have 
already been advertised and competed in the early part of FY 1997. The 
programs included in this issue have funding effective dates ranging 
from June 1 to September 30, 1997. Future issues will be available each 
fiscal year and will present a more complete spectrum of programs.
    It should be noted, however, that separate Federal Register notices 
may be published to enable HRSA to respond to unanticipated issues in 
the health services arena, or to comply with specific Congressional 
directives.
    For each program, the Preview provides a description of the program 
category, applicant eligibility, the application deadline, projected 
award date, the amount of funds available, funding priorities and/or 
preferences, and the phone number to obtain additional information on 
specific funding categories. Additionally, the Preview identifies a set 
of generic review criteria which represents HRSA's overall approach to 
competitive application review. Included in the individual application 
package are the final review criteria specific to each program 
category.
    We are confident that this new approach to advertising funding 
opportunities will facilitate easy access to HRSA's program information 
and grant materials.
    Thank you for working in partnership with HRSA as we seek together 
to improve the health status of our citizens.

HRSA's Program Priorities

Academic and Community Partnerships in Health Care Professions 
Education

    Training the next generation of health professionals through 
academic partnerships with communities, moving clinical education 
beyond hospital wards and into neighborhood sites.

Managed Care

    Bringing poor, uninsured, rural and chronically ill people into the 
mainstream of managed care.

Administrative Simplification and Program Management

    Improving services to our customers--the recipients of HRSA's 
programmatic efforts--by streamlining and consolidating administrative 
functions, developing and implementing automated systems, and assuring 
that the field offices are full partners.

State and Community Relationships

    Working with States to better serve all populations, especially 
those unserved or underserved by the private health care system.

Community Infrastructure

    Empowering communities to meet their own health care needs building 
coalitions of physicians, hospitals, clinics, health departments and 
residents to test, evaluate and replicate models of cooperative care.

Integrated HIV/AIDS Programs

    Enhancing services provided through the Ryan White CARE Act for 
vulnerable populations including people living with HIV/AIDS.

School and Adolescent Health

    Helping schools to keep children and adolescents healthy.

Border Health

    Safeguarding the health of populations in the 51 U.S. counties 
along the U.S./Mexico border.

How To Obtain and Use the Preview

    It is highly recommended that you carefully read the introductory 
materials, terminology section and individual program category 
descriptions before contacting the general number 1-888-333-HRSA. 
Likewise, we urge applicants to fully assess their eligibility for 
grants before requesting kits. This will greatly facilitate our ability 
to assist you in placing your name on the mailing list, and identifying 
the appropriate application kit(s), or other information you may wish 
to obtain.
    To Obtain a Copy of the Preview: To have your name and address 
added to, or deleted from the Preview mailing list, please call the 
toll free number 1-888 *-333-HRSA. (* Call operator if experiencing 
difficulty)
    E-mail Address: [email protected]
    To Obtain an Application Kit: Upon review of the program 
descriptions, please determine which category or categories of 
application kit or kits you wish to receive, and contact the 1-888-333-
HRSA number to register on the specific mailing list. If kits are 
already available, they will be mailed to you right away.
    World Wide Web Access: The Preview is available on the HRSA Home 
Page via World Wide Web at http://www.hrsa.dhhs.gov. Application 
materials are currently available for downloading in the current cycle 
for some HRSA programs. HRSA's goal is to post application forms and 
materials for all programs in future cycles.

Grant Terminology

    Authorizations: These are provided immediately preceding groupings 
of program categories. They are the citations of provisions of the laws 
authorizing the various programs.
    Application Deadlines: Applications will be considered ``on time'' 
if they are either received on or before the established deadline date 
or sent on or before the deadline date given in the program 
announcement or in the application kit materials, unless they arrive 
too late for orderly processing.
    CFDA Number: The relevant Catalog of Federal Domestic Assistance 
number for the program category or categories listed. The CFDA is a 
government-wide compendium of Federal programs, projects, services, and 
activities which provide assistance or benefits to the American public.
    Cooperative Agreement: A financial assistance mechanism to be used 
in lieu of a grant when substantial Federal programmatic involvement 
with the recipient during performance is anticipated by the PHS 
awarding office.
    Eligibility: Authorizing legislation and government programmatic 
regulations specify eligibility for individual grant

[[Page 19587]]

programs. In general, assistance is provided to nonprofit organizations 
and institutions, governments and their agencies, and occasionally to 
individuals. For-profit organizations are eligible to receive awards 
under financial assistance programs unless specifically excluded by 
legislation.
    Funding Priorities and/or Preferences: Special priorities or 
preferences which the individual programs have identified for the 
funding cycle. For example, some programs give preference to 
organizations which have specific capabilities such as telemedicine 
networking, or established relationships with managed care 
organizations, and a preference may be given to either new or competing 
continuation applications.
    Matching funds: Several HRSA categories require a matching amount 
or percentage of the total project support to come from sources other 
than Federal funds. Matching requirements are generally mandated in the 
authorizing legislation for specific categories and may be 
administratively required by the awarding office.
    Review Criteria:
    The following are generic review criteria applicable to HRSA 
programs:
    * That the estimated cost to the Government of the project is 
reasonable considering the anticipated results.
    * That project personnel or prospective fellows are well qualified 
by training and/or experience for the support sought and the applicant 
organization, or the organization to provide training to a fellow, has 
adequate facilities and manpower.
    * That, insofar as practicable, the proposed activities (scientific 
or other), if well executed, are capable of attaining project 
objectives.
    * That the project objectives are identical with or are capable of 
achieving the specific program objectives defined in the program 
announcement.
    The specific review criteria used to review and rank applications 
are reflected in the individual guidance material provided with the 
application kits. Applicants should pay strict attention to addressing 
these criteria as they are the formal basis upon which their 
applications will be judged.

HRSA Program Competition in 1997--Primary Health Care Programs

Community and Migrant Health Centers

    Authorization: Section 330 of the Public Health Service Act, 42 
U.S.C. 254b.
    Purpose: To extend preventive and primary health services to 
populations currently without such services and to improve the health 
status of medically underserved individuals by supporting the 
establishment of new health centers and/or new health centers service 
delivery sites for existing health centers.
    Eligibility: Public and private non-profit entities. Eligible 
applicants for health center expansions must be current recipients of 
Community and/or Migrant Health Center funding.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of Competition: $15,000,000 with applications 
selected so that the ratio of new users from rural areas to new users 
from urban areas is not less than 2 to 3, nor greater than 3 to 2.
    Estimated Number of Awards: Approximately 30.
    Funding Priorities and/or Preferences: Special consideration will 
be given to applicants that: (1) Propose to serve a designated 
Empowerment Zone/Enterprise Community; (2) propose to train and/or hire 
former welfare recipients as part of the service delivery plan; (3) are 
a part of a developing or operating health center managed care network 
or plan in States with established or developing Medicaid managed care 
programs; (4) have a demonstrated capacity and ability to provide 
required primary health services under Section (b) of this act; or (5) 
are in a State that does not currently have any grantees receiving 
support under Section (g) of this Act for migratory and/or seasonal 
agricultural workers, if applying to serve migratory and/or season 
agricultural workers. Special consideration will also be given to 
organizations proposing to serve sparsely populated rural areas.
    Projected Award Date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 06/01/97.
    Application Availability: 03/97.
    CFDA Numbers: 93.224 and 93.246.

Health Care for the Homeless

    Authorization: Section 330 of the Public Health Service Act, 42 
U.S.C. 254b.
    Purpose: Provision of primary health and substance abuse services 
to homeless individuals.
    Eligibility: Non-profit private organizations and public entities, 
including State and local governmental agencies. Grantees and 
organizations with whom they may contract for services under this 
program must have an agreement with a State under its Medicaid program.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of Competition: $1,000,000 to $1,500,000.
    Estimated Number of Awards: 3 to 5.
    Funding Priorities and/or Preferences: (1) Applicants located in 
those States and other distinct geographic areas (e.g., cities, 
counties) which have not previously received Health Care for the 
Homeless funds, and/or (2) applicants who have demonstrated unmet need 
for services in communities on the U.S./Mexico border with large 
numbers of homeless individuals and families.
    Projected Award Date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 06/16/97.
    Application Availability: 03/97.
    CFDA Number: 93.151.

Grants to States for Loan Repayment Programs

    Authorization: Section 338I of the Public Health Service Act, 42 
U.S.C. 254q-1.
    Purpose: To assist States in repayment of educational loans to 
health professionals in return for their practice in federally 
designated health professional shortage areas (HPSAs) to increase the 
availability of primary health services in such areas. States must 
provide adequate assurance that they will provide not less than $1 for 
each $1 of Federal funds provided in the grant. The Federal and State 
funds will be used only for loan repayments for health professionals 
who have entered into contracts with States. No other federal funds may 
be utilized to meet the required State cash contribution.
    Eligibility: Any State. These programs must be administered by a 
State agency.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of Competition: $3,000,000.
    Estimated Number of Awards: 14.
    Funding Priorities and/or Preferences: None.
    Projected Award Date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 05/01/97.
    Application Availability: 02/97.
    CFDA Number: 93.165.

Ryan White Title III Planning Grants

    Authorization: Subparts II and III of Part C of Title XXVI of the 
Public Health Service Act, 42 U.S.C. 300ff-54(c).
    Purpose: To support the activities of a planning process that 
prepares organizations and communities to offer comprehensive HIV 
primary care services. To assist organizations and communities to 
prepare for a higher quality and broader scope of HIV primary care for 
a greater number of people in their service area who are HIV infected 
or at risk. Planning activities, leading to the establishment of HIV 
primary care services, must address the

[[Page 19588]]

requirements of the Ryan White Early Intervention Services Program. 
This grant is not an operational grant and does not support the care of 
patients.
    Eligibility: Non-profit private and public entities, including 
local government agencies, that are not currently grant recipients of 
the Ryan White Title III program.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of Competition: $650,000, with a limit of $50,000 
per award.
    Estimated Number of Awards: Up to 13.
    Funding Priorities and/or Preferences: Applicants proposing to 
serve a rural or underserved community where emerging or ongoing HIV 
issues have not been adequately addressed.
    Projected Award Date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 05/16/97.
    Application Availability: 03/97.
    CFDA Number: 93.918.

Grants to States for Community Scholarship Programs

    Authorization: Section 338L of the Public Health Service Act, 42 
U.S.C. 254t.
    Purpose: To assist States to increase the availability of primary 
health care in urban and rural federally designated health professional 
shortage areas by assisting public or private non-profit community 
organizations to provide scholarships for education of individuals to 
serve as health professionals in these communities. States seeking 
support must agree (directly or through donations from public or 
private non-profit entities) that 60% of the total costs of the 
scholarships will be paid from non-federal contributions made in cash 
by the State and community organization. The State must make available 
through cash contributions not less than 15% nor more than 25% of the 
costs. The community organization must make available not less than 35% 
nor more than 45% of the costs. These grants funds will be expended 
only for scholarships to qualified residents of the communities to 
become health professionals. No other federal funds may be used to meet 
the State and community share of costs.
    Eligibility: Any State is eligible to apply. For purposes of this 
notice, the term ``State'' means each of the several States including 
the District of Columbia. These programs must be administered by a 
single State agency.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of Competition: $340,000.
    Estimated Number of Awards: 12.
    Funding Priorities and/or Preferences: None.
    Projected Award Date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 05/15/97.
    Application Availability: 02/97.
    CFDA Number: 93.931.

Maternal and Child Health Programs

Genetic Services

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    *Eligibility: 42 CFR Part 51a.3--(a) With the exception of training 
and research, as described in paragraph (b) of this section, any public 
or private entity, including an Indian tribe or tribal organization (as 
those terms are defined at 25 U.S.C. 450b) is eligible to apply for 
Federal funding under this Part. (b) Only public or nonprofit private 
institutions of higher learning may apply for training grants. Only 
public or nonprofit institutions of higher learning and public or 
private non-profit agencies engaged in research or in program relating 
to maternal and child health and/or services for children with special 
health care needs may apply for grants, contracts or cooperative 
agreements for research in maternal and child health services or in 
services for children with special health care needs.
    Purpose: To improve the quality, availability, accessibility and 
utilization of genetic services as an integral component of 
comprehensive maternal and child health care. Grants will be awarded 
competitively to support projects on priority topics specified below.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria:  Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition:  $3,600,000.00.
    Number of Expected Awards:  21.
    Funding Priorities and/or Preferences:  Priority topics for 
projects include:  (1) Genetics in primary care; (2) genetic services 
networks; (3) comprehensive care for Cooley's Anemia; (4) genetic 
services for populations with ethnocultural barriers to care; (5) 
comprehensive care for infants with Sickle Cell disease identified 
through State newborn screening programs; and (6) genetics in managed 
care.
    Projected Award date:  09/97.
    Contact:  1-888-333-HRSA.
    Application Deadline:  04/28/97.
    Application Availability:  02/97.
    CFDA Number:  93.110A.

Managed Care Policy and Children with Special Health Care Needs

    Authorization:  Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose:  To support a national policy center to implement 
strategic planning to assure the availability and accessibility of 
comprehensive, community-based, culturally competent, and family-
centered care to CSHCN and their families in a managed care 
environment.
    Eligibility:  42 CFR Part 51a.3 *.
    Evaluation Criteria:  Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition:  $375,000.00.
    Number of Expected Awards:  1.
    Funding Priorities and/or Preferences:  Preference will be given to 
organizations with proven national experience and an existing 
infrastructure for policy analysis at the national level on issues 
related to chronic care in the emerging managed care system.
    Projected Award date:  09/97.
    Contact:  1-888-333-HRSA.
    Application Deadline:  04/11/97.
    Application Availability:  02/97.
    CFDA Number:  93.110C.

Integrated Services for Children With Special Health Care Needs

    Authorization:  Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose:  To demonstrate innovative and nationally replicable 
models of community-based services in two areas: (1) Reduction of 
barriers to service integration for young children with special health 
care needs and their families; (2) Promoting the accessibility of 
``medical homes'' (i.e., ongoing source of health/medical care) for 
CSHCN and their families through family/professional partnerships.
    Eligibility:  42 CFR Part 51a.3 *.
    Evaluation Criteria:  Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition:  $900,000.00.
    Number of Expected Awards:  8-10.
    Funding Priorities and/or Preferences:  Preference will be given to 
public and private community-based providers and programs; community/
State agency partnerships; and community coalitions.
    Projected Award Date:  09/97.
    Contact:  1-888-333-HRSA.
    Application Deadline:  05/16/97.
    Application Availability:  02/97.
    CFDA Number:  93.110F.

Partnership for Information and Communications

    Authorization:  Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose:  To enhance communication between the Maternal and Child 
Health Bureau and governmental, professional and private organizations 
representing leaders and policy makers concerned with issues related to 
maternal and

[[Page 19589]]

child health. It facilitates dissemination of new maternal and child 
health related information of these policy and decision makers and 
provides those individuals and organizations with a means of 
communicating issues directly to the Maternal and Child Health program 
and to each other.
    Eligibility:  42 CFR Part 51a.3 *.
    Evaluation Criteria:  Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition:  $1,100,000.00.
    Number of Expected Awards:  5.
    Funding Priorities and/or Preferences:  For FY 1997, preference for 
funding will be given to national membership organizations representing 
State Governors and their staffs; State Health Officers; nonprofit and 
for-profit managed care organizations; and coalitions of organizations 
promoting the health of mothers and infants.
    Projected Award date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 04/15/97.
    Application Availability: 02/97.
    CFDA Number:  93.110G.

State Fetal and Infant Mortality Review Support Centers

    Authorization:  Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose:  To support State MCH agencies, or their designees, to 
stimulate and promote Fetal and Infant Mortality Review Programs in 
communities in order to enhance needs assessment and quality 
improvement efforts. Projects will support training and technical 
assistance activities that would be targeted to the particular needs 
within the State.
    Eligibility:  42 CFR Part 51a.3*.
    Evaluation Criteria:  Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition:  $600,000.00.
    Number of Expected Awards: 5.
    Funding Priorities and/or Preferences: Preference for funding will 
be given to Title V programs or their designees. Projected Award date: 
09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 05/13/97.
    Application Availability: 02/97.
    CFDA Number: 93.110I.

Health, Mental Health and Safety for Schools

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: The purpose of this cooperative agreement is to support a 
process that will result in development of advisory guidelines for 
assuring basic health and safety in Kindergarten-12 grade school 
settings. The standards will be developed through a consensus process, 
which relies upon exchanges among groups of experts in specific topical 
areas to determine the state of the science and art. The guidelines 
will consolidate the best features of the array of guidelines, 
recommendations, and standards presently in existence.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $200,000.00.
    Number of Expected Awards: 1.
    Funding Priorities and or Preferences: Preference for funding will 
be given to organizations which have credibility in the education 
community and the capacity to address all aspects of health services, 
health education, and injury and violence prevention in the school 
environment.
    Projected Award date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 06/03/97.
    Application Availability: 02/97.
    CFDA Number: 93.110M.

Partners in Program Planning for Adolescent Health

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: To involve organizations having an historic interest in 
adolescent health in developing the programming of HRSA's Office of 
Adolescent Health (OAH). The OAH will collaborate with these 
organizations in seeking policy guidance from and providing 
programmatic information to their memberships.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $100,000.00.
    Number of Expected Awards: 1.
    Funding Priorities and/or Preferences: For FY 1997, preference for 
funding will be given to national membership organizations representing 
the professional discipline of nursing. Other professional disciplines 
may be the focus of future competitions.
    Projected Award date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 06/17/97
    Application Availability: 02/97.
    CFDA Number: 93.110N.

Sudden Infant Death Syndrome(SIDS) and Other Infant Death (OID) Program 
Support Center

    Authorization: Title V of the Public Health Service Act, 42 U.S.C. 
701.
    Purpose: This cooperative agreement will fund population-based 
activities (e.g., systems analysis, epidemiology, health promotion) in 
support of development of community-based services to reduce as much as 
possible the risk of Sudden Infant Death Syndrome (SIDS) and Other 
Infant Deaths (OID), to appropriately support families when an infant 
death does occur, and will analyze standardized information about 
infant deaths in the hope of discovering factors which can be 
ameliorated to reduce the risk of a future infant death.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $350,000.00.
    Number of Expected Awards: 1.
    Funding Priorities and/or Preferences: None.
    Projected Award date: 06/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 04/18/97.
    Application Availability: 02/97.
    CFDA Number: 93.110O.

Health and Safety in Child Care Settings

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: This cooperative agreement supports the development and 
implementation of State-based programs to expand the number of public 
(public health nurses, nurse practitioners, physicians, nutritionists, 
dentists, mental health providers, and others) and private sector 
(managed care supported outreach staff and others) health professionals 
trained to serve as health care consultants to child care programs.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $175,000.00.
    Number of Expected Awards: 1.
    Funding Priorities and/or Preferences: None.
    Projected Award date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 06/03/97.
    Application Availability: 02/97.
    CFDA Number: 93.110P.

Data Utilization and Enhancement for State/Community Infrastructure 
Building and Managed Care

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: To enable State MCH and CSHCN programs to enhance the use 
of qualitative and quantitative analytic methods in local program 
solving for MCH populations. Awards are intended to supplement or 
complement existing data utilization activities and to foster and 
strengthen continuing collaboration among State and local public health 
agencies, private sector efforts and academic institutions.

[[Page 19590]]

    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $1,000,000.00.
    Number of Expected Awards: 15-17.
    Funding Priorities and/or Preferences: Special consideration will 
be given to proposals seeking to identify and track emerging issues 
resulting from health care structural, financial, and demographic 
changes (e.g., health care and welfare reform, managed care waivers, 
population income shifts, etc.).
    Projected Award date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 06/30/97.
    Application Availability: 02/97.
    CFDA Number: 93.110U.

Healthy Tomorrows Partnership for Children

    Authorization: Title V of the Social Security Act, 42 U.S.C 701.
    Purpose: To 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. Proposals are invited in the following program areas: (1) 
Local initiatives that are community-based, family-centered, 
comprehensive and culturally relevant and improve access to health 
services for infants, children, adolescents, or children with special 
health care needs (CSHCN), and (2) initiatives which show evidence of a 
capability to meet cost participation goals by securing funds for the 
second and sequential years of the project.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $500,000.00.
    Number of Expected Awards: 10.
    Funding Priorities and/or Preferences: 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.
    Projected Award date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 04/17/97.
    Application Availability: 02/97.
    CFDA Number: 93.110V.

Community Integrated Service Systems (CISS) Research Grants

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: To support research on CISS-sponsored early intervention 
services programs within the context of developing and expanding local 
service delivery systems. The intent is to generate new knowledge on 
early intervention services models and on how to integrate these models 
into existing systems of care at the community level while sustaining 
the essential nature and demonstrated effectiveness of the original 
prototypes.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are included in the application 
kit.
    Estimated Amount of the Competition: $600,000.00.
    Number of Expected Awards: 2.
    Funding Priorities and/or Preferences: None.
    Projected Award date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 07/01/97.
    Application Availability: 01/97.
    CFDA Number: 93.110AN.

Maternal and Child Health Provider Partnership Cooperative Agreement

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: To support an effort to encourage private sector 
involvement and strengthen private-public partnerships to restructure 
and improve perinatal health services in communities and states and to 
improve coordination of an access to community health resources for 
women of reproductive age and infants. The awardee will be expected to 
analyze the current circumstances and obstacles to providers in the 
delivery of maternal and infant health services, develop strategies to 
improve maternal and infant health status and service systems through 
collaboration with national and state public health organizations, and 
disseminate and communicate concerns and information pertaining to the 
issues and strategies employed to their members and to other national 
organizations.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $200,000.00.
    Number of Expected Awards: 1.
    Funding Priorities and/or Preferences: Preference for funding will 
be given to national membership organizations representing providers of 
obstetrical and gynecological services.
    Projected Award date: 09/97.
    Contact Person: 1-888-333-HRSA.
    Application Deadline: 05/13/97.
    Application Availability: 02/97.
    CFDA Number: 93.110AP.

Community Integrated Service Systems (CISS)--Local/State Community 
Organization Grants

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: To support community organization activities in two areas: 
(1) Local level agencies; and (2) State MCH agencies. Funds may be used 
to hire staff to assist in consortium building and to function as 
community organizers, to help formulate a plan for integrated services 
systems, to obtain and/or provide technical assistance, and to convene 
community or State networking meetings for information dissemination 
and replication of systems integration programs.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $1,000,000.00.
    Number of Expected Awards: 20.
    Funding Priorities and/or Preferences: (1) Preference for funding 
of local level agencies will be given to local communities. In the 
interest of equitable geographical distribution, special consideration 
for funding will be given to projects from communities without a 
currently-funded CISS project. (2) Preference for State Community 
Organization Grants will be given to State MCH agencies.
    Projected Award date: 09/97.
    Contact 1-888-333-HRSA.
    Application Deadline: 04/30/97.
    Application Availability: 01/97.
    CFDA Number: 93.110AR.

Maternal and Child Health Research Cycle

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: To encourage research in maternal and child health which 
has the potential for ready transfer of findings to health care 
delivery programs. Of special interest are projects that address 
factors and processes that lead to disparities in health-status and the 
use of services among minority and other disadvantaged groups as well 
as health promoting behaviors, quality outcome measures, and system/
integration reform.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $1,900,000.00.
    Number of Expected Awards: 12.
    Funding Priorities and/or Preferences: Within the issues/questions 
comprising the research agenda, preference for funding will be given to 
projects which: (1) seek to develop measures of racism

[[Page 19591]]

and/or study its consequences for the health of mothers and children; 
(2) investigate the role that fathers play in caring for and nurturing 
the health, growth, and development of children; and (3) address the 
factors and processes that enhance the quality, safety, access, and 
effectiveness of health care services provided to mothers and newborns, 
especially in light of the impact of managed care.
    Projected Award date: 07/97 and 12/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 03/01/97 and 08/01/97.
    Application Availability: 02/97 and 06/97.
    CFDA Number: 93.110RS.

Long Term Training in Adolescent Health

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: To provide interdisciplinary leadership training for 
several professional disciplines at the graduate and postgraduate 
levels to prepare them for leadership roles in training for, research 
on, or development of organized systems for delivery of services in 
programs providing adolescent health care.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $2,200,000.00.
    Number of Expected Awards: 6.
    Funding Priorities and/or Preferences: Applications are encouraged 
from Departments of Pediatrics and Internal Medicine of accredited U.S. 
Medical Schools or certain pediatric teaching hospitals having formal 
affiliations with schools of medicine.
    Projected Award date: 07/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 03/21/97.
    Application Availability: 02/97.
    CFDA Number: 93.110TA.

Long Term Training in Behavioral Pediatrics

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: To enhance behavioral, psychosocial and developmental 
aspects of general pediatric care through support for fellows preparing 
for academic leadership roles in behavioral pediatrics and to provide 
pediatric practitioners, residents, and medical students with essential 
biopsychosocial knowledge and clinical expertise.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $1,000,000.00.
    Number of Expected Awards: 8.
    Funding Priorities and/or Preferences: Applications are encouraged 
from Departments of pediatrics with an identifiable behavioral 
pediatrics unit/program within accredited medical schools in the United 
States.
    Projected Award date: 07/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 03/21/97.
    Application Availability: 02/97.
    CFDA Number: 93.110TB.

Long Term Training in Communication Disorders

    Authorization: Title V of the Social Security Act, 42 U.S.C 701.
    Purpose: To provide leadership in communication disorders education 
through support of: (1) Graduate training of speech/language 
pathologists and/or audiologists to assume leadership roles in programs 
providing health and related services for populations of children, 
particularly those with special health care needs; (2) development and 
dissemination of curriculum resources to enhance pediatric content in 
communication disorders training programs; and (3) consultation 
technical assistance and continuing education in communication disorder 
geared to the needs of the MCH community.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $400,000.00.
    Number of Expected Awards: 3.
    Funding Priorities and/or Preferences: Applications are encouraged 
from departments or programs of audiology, communication disorders or 
speech and language pathology in institutions of higher learning that 
offer a graduate degree and are accredited for graduate education by 
the American Speech-Language-Hearing Association (ASHA) Council on 
Academic Accreditation.
    Projected Award date: 07/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 03/14/97.
    Application Availability: 01/97.
    CFDA Number: 93.110TC.

Long Term Training in Pediatric Dentistry

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: To provide leadership in pediatric dentistry education 
through support of: (1) postdoctoral training of dentists in the 
primary care specialty of pediatric dentistry to assume leadership 
roles related to oral health programs for populations of children, 
particularly those with special health care needs; (2) development and 
dissemination of curriculum resources to enhance pediatric content in 
dentistry training programs; and (3) consultation, technical assistance 
and continuing education in pediatric dentistry geared to the needs of 
the MCH community.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $400,000.00.
    Number of Expected Awards: 3.
    Funding Priorities and/or Preferences: Applications are encouraged 
from advanced education programs in pediatric dentistry accredited by 
the Commission on Dental Accreditation (CODA) at institutions which 
offer graduate degrees at the Master's level and above.
    Projected Award date: 07/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 03/14/97.
    Application Availability: 01/97.
    CFDA Number: 93.110TG.

Long Term Training in Pediatric Occupational Therapy

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: To provide leadership in pediatric occupational therapy 
training through support of: (1) Post-professional graduate training of 
occupational therapists for leadership roles in programs providing 
health and related services for populations of mothers and children, 
particularly those with special health care needs; (2) development and 
dissemination of curriculum resources to enhance pediatric content in 
occupational therapy training programs; and (3) consultation, technical 
assistance and continuing education in occupational therapy geared to 
the needs of the MCH community.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $400,000.00.
    Number of Expected Awards: 3.
    Funding Priorities and/or Preferences: Applications are encouraged 
from schools or departments of occupational therapy accredited by the 
Accreditation Council for Occupational Therapy Education (ACOTE). 
Preference will be given to schools/departments with a pediatric focus 
or which are developing such a doctoral program.
    Projected Award date: 07/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 03/14/97.
    Application Availability: 01/97.
    CFDA Number: 93.110TH.

[[Page 19592]]

Long Term Training in Pediatric Physical Therapy

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: To provide leadership in pediatric physical therapy 
education through support of: (1) post-professional graduate training 
of physical therapists for leadership roles in programs providing 
health and related services for populations of mothers and children, 
particularly those with special health care needs; (2) development and 
dissemination of curriculum resources to enhance pediatric content in 
physical therapy training programs; and (3) consultation, technical 
assistance and continuing education in pediatric physical therapy 
geared to the needs of the MCH community.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $400,000.00.
    Number of Expected Awards: 3.
    Funding Priorities and/or Preferences: Applications are encouraged 
from post-professional-level graduate degree programs for physical 
therapists. Preference will be given to established doctoral programs 
with a pediatric focus or to advanced masters programs with a pediatric 
focus which are developing such a doctoral program.
    Projected Award date: 07/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 03/14/97.
    Application Availability: 01/97.
    CFDA Number: 93.110TI.

Long Term Training in Public Health Social Work

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: To provide leadership in public health social work 
education through support of: (1) graduate training of social workers 
for leadership roles in programs providing health and related services 
for populations of mothers and children, including those with special 
health care needs; (2) development and dissemination of curriculum 
resources to enhance MCH content in social work training programs; and 
(3) consultation, technical assistance and continuing education in 
public health social work geared to the needs of the MCH community. 
Category A programs provide a Master's degree in social work, while 
category B programs provide a Master's degree in public health 
following the MSW or combined with a doctoral degree in social work.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $400,000.00.
    Number of Expected Awards: 3.
    Funding Priorities and/or Preferences: For Category A grants, 
applications are encouraged from graduate programs of social work with 
a Master's Degree program which is fully accredited by the Council on 
Social Work Education (CSWE), and which have a concentration in health. 
For Category B grants, applications are encouraged from graduate 
schools of public health accredited by the Council on Education in 
Public Health (CEPH), or schools of social work (accredited by CSWE) 
offering a university-approved post-MSW program in public health social 
work leading to the MPH or combined MPH and PhD/DSW. The two programs 
must have a formal affiliation.
    Projected Award date: 07/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 03/14/97.
    Application Availability: 01/97.
    CFDA Number: 93.110TL.

Continuing Education and Development

    Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
    Purpose: To facilitate timely transfer and application of new 
information, research findings, and technology related to MCH through: 
1) short-term, non-degree related courses, workshops, conferences, 
symposia, institutes, and distance learning strategies and/or; 2) 
development of curricula, guidelines, standards of practice and 
educational tools/strategies intended to assure quality health care for 
the MCH population. The goal is to improve the health status of the MCH 
population through enhancing the leadership capabilities and practices 
of professionals in MCH and related services and through modifying the 
systems that deliver services.
    Eligibility: 42 CFR Part 51a.3 *.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $1,000,000.00.
    Number of Expected Awards: 15.
    Funding Priorities and/or Preferences: None.
    Projected Award Date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 07/01/97.
    Application Availability: 04/97.
    CFDA Number: 93.110TO.

    * Eligibility: 42 CFR Part 51a.3-(a) With the exception of 
training and research, as described in paragraph (b) of this 
section, any public or private entity, including an Indian tribe or 
tribal organization (as those terms are defined at 25 U.S.C. 450b) 
is eligible to apply for federal funding under this Part. (b) Only 
public or nonprofit private institutions of higher learning may 
apply for training grants. Only public or nonprofit institutions of 
higher learning and public or private non-profit agencies engaged in 
research or in programs relating to maternal and child health and/or 
services for children with special health care needs may apply for 
grants, contracts or cooperative agreements for research in maternal 
and child health services or in services for children with special 
health care needs.

Emergency Medical Services for Children: Implementation Grants

    Authorization: Section 1910 of the Public Health Service Act, 42 
U.S.C. 300w-9.
    Purpose: To improve the capacity of a State's EMS program to 
address the particular needs of children. Implementation grants are 
used to assist States in integrating research-based knowledge and 
state-of-the-art systems development approaches into the existing State 
EMS, MCH, and CSHCN systems, using the experience and products of 
previous EMSC grantees. Applicants are encouraged to consider 
activities that (1) Address identified needs within their State EMS 
system and that lay the groundwork for permanent changes in that 
system; (2) develop or monitor pediatric EMS capacity; (3) will be 
institutionalized within the State EMS system.
    Eligibility: States and Accredited Schools of Medicine.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $1,000,000.00.
    Number of Expected Awards: 4.
    Funding Priorities and/or Preferences: None.
    Projected Award date: 08/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 04/11/97.
    Application Availability: 01/97.
    CFDA Number: 93.127A.

Emergency Medical Services for Children: Planning Grants

    Authorization: Section 1910 of the Public Health Service Act, 42 
U.S.C. 300w-9.
    Purpose: To enable a State to assess needs and develop a strategy 
to begin to address those needs. Funds may be used to hire staff to 
assist in the assessment of EMSC needs of the State; obtain technical 
assistance from national, State, regional or local resources; help 
formulate a State plan for the integration of EMSC services into the 
existing State EMS plan; and plan a more comprehensive grant proposal 
based upon a needs assessment performed during the planning grant 
project period. The proposal should provide evidence of the State's 
commitment to

[[Page 19593]]

improving pediatric emergency medical services and describe the method 
by which applicant will identify problems, assess needs, and develop a 
planning process for improving EMSC. A comprehensive approach, 
addressing physical, psychological, and social aspects of EMSC along 
the continuum of care, should be reflected in the proposed planning 
process.
    Eligibility: States and Accredited Schools of Medicine.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $100,000.00.
    Number of Expected Awards: 2.
    Funding Priorities and/or Preferences: None.
    Projected Award date: 07/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 04/11/97.
    Application Availability: 01/97.
    CFDA Number: 93.127B.

Emergency Medical Services for Children: Partnership Grants

    Authorization: Section 1910 of the Public Health Service Act, 42 
U.S.C. 300w-9.
    Purpose: To support activities that represent the next logical step 
or steps to take to institutionalize EMSC within EMS and to continue to 
improve and refine EMSC. Proposed activities should be consistent with 
documented needs in the State and should reflect a logical progression 
in enhancing pediatric capabilities. For example, funding might be used 
to address problems identified in the course of a previous 
implementation grant; to increase the involvement of families in EMSC; 
to improve linkages between local, regional, or State agencies; to 
promulgate standards developed for one region of the State under 
previous funding to include the entire State; to devise a plan for 
coordinating and funding poison control centers; or to assure effective 
field triage of the child in physical or emotional crisis to 
appropriate facilities and/or other resources.
    Eligibility: States.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $1,920,000.00.
    Number of Expected Awards: 32.
    Funding Priorities and/or Preferences: None.
    Projected Award date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 04/11/97.
    Application Availability: 01/97.
    CFDA Number: 93.127C.

Emergency Medical Services for Children: Targeted Issue Grants

    Authorization: Section 1910 of the Public Health Service Act, 42 
U.S.C. 300w-9.
    Purpose: To address specific, focused issues related to the 
development of EMSC knowledge and capacity, with the intent of 
advancing the state of the art of creating tools or knowledge that will 
be helpful nationally. Proposals must have a well-conceived methodology 
for analysis and evaluation. Targeted issue priorities have been 
identified based on the EMSC Five Year Plan. Proposals may be submitted 
on emerging issues that are not included in the identified priorities. 
However, any such proposals must demonstrate relevance to the Plan and 
must make a persuasive argument that the issue is particularly 
critical.
    Eligibility: States and Accredited Schools of Medicine.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $1,050,000.00.
    Number of Expected Awards: 7.
    Funding Priorities and/or Preferences: Cost-benefit analyses 
related to EMSC, Implications of managed care for EMSC, Evaluations of 
EMSC components, Risk-taking behaviors of children and adolescent, 
Models for improving the care of culturally distinct populations, 
Children's emergencies in disasters.
    Projected Award date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 04/11/97.
    Application Availability: 01/97.
    CFDA Number: 93.127D.

Ryan White Title IV; Grants for Coordinated HIV Services and Access to 
Research for Children, Youth, Women and Families

    Authorization: Public Law 104-145, Title IV Ryan White CARE Act 
Amendments, 42 U.S.C. 300ff-71.
    Purpose: To link clinical research and other research activities 
with comprehensive care systems, and to improve and expand the 
coordination of a system of comprehensive care for children, youth, 
women, and families who are infected/affected by HIV. Funds will be 
used to support programs that: (1) Cross established systems of care to 
coordinate service delivery HIV prevention efforts and clinical 
research and other research activities; and (2) creatively address the 
intensity of service needs high costs, and other complex barriers to 
comprehensive care and research experienced by underserved, at-risk and 
economically limited populations. Activities under these grants should 
address the goals of: increasing client access by linking HIV/AIDS 
clinical research trials and activities with comprehensive care; 
fostering the development and support of comprehensive, culturally 
competent, community-based and family-centered care infrastructures; 
and emphasizing prevention within the care system.
    Eligibility: All public and private entities, nonprofit and for 
profit.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $15,500,000.00.
    Number of Expected Awards: 23.
    Funding Priorities and/or Preferences: Preference for funding in 
this category will be given to projects that have: (1) Established and 
currently support a comprehensive, coordinated, system of HIV care 
serving either children, youth, women, or families; and (2) linked with 
or initiated activities to link with clinical trials or other research.
    Projected Award date: 08/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 04/18/97.
    Application Availability: 02/97.
    CFDA Number: 93.153A.

Healthy Start Cooperative Agreements (Phase II)

    Authorization: Section 301 of the Public Health Service Act, and 
Public Law 104-208, 42 U.S.C. 241(a).
    Purpose: To operationalize successful infant mortality reduction 
strategies developed during the demonstration phase and to launch 
Healthy Start projects in new rural and urban communities (i.e., 
communities currently without a HSI-funded project). Competition is 
open to community-based entities interested in replicating or adapting 
existing Healthy Start models. All new HSI communities will be required 
to receive mentoring from one or more existing HSI projects.
    Eligibility: Public or nonprofit private organizations, or tribal 
and other nonprofit organizations representing American Indians, Native 
Hawaiians, or Pacific Islanders, applying as or on behalf of an 
existing community-based consortium, and have infant mortality 
reduction initiatives already underway. In the case of applications 
with overlapping project areas or more than one applicant for the same 
project area, only one applicant will be considered for funding. 
Applicants must be in partnership with a current Consortium which has 
been: a) In operation at least the last two years prior to the date of 
application, and, b) involved in MCH activities (e.g. health fairs, 
support groups) in the project area. A consortium which has organized 
as community-based organization may

[[Page 19594]]

apply if it has demonstrable management and administrative experience.
    New communities targeted under Healthy Start-Phase II are those in 
which infant mortality problems are most severe, resources can be 
concentrated, implementation is manageable, and progress can be 
measured. A project area is defined as a geographic area for which 
improvements have been planned and are being implemented. A project 
area must represent a reasonable and logical catchment area. The 
project consortium's responsibility for this catchment area includes 
the provision of ongoing advice to and oversight of the delivery of 
project services for the duration of the project period. Proposed 
activities should incorporate the Healthy Start principles of 
innovation, community commitment and involvement, increased access, 
service integration, and personal responsibility. Applicants are 
eligible for funding under Healthy Start Phase-II if, for the baseline 
three-year period 1991-1993, the proposed project area had the 
following verifiable characteristics:

    An average infant mortality rate of at least 12.9 deaths per 
1,000 live births, from vital statistics data, and at least three of 
the following:

--A percentage of births to teens which exceeded the national 
average of 5.0 percent of live births;
--A percentage of low birthweight births which exceeded the national 
average of 7.1 percent of live births;
--A rate of postneonatal mortality which exceeded the national 
average of 3.6 per 1,000 live births;
--A percentage of children under 18 with family incomes below the 
Federal Poverty level which exceeded the national average of 19.9% 
for 1990. (Federal Register dated 3/6/97).

    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of the Competition: $54,000,000.00.
    Number of Expected Awards: 30.
    Funding Priorities and/or Preferences: Preference for funding will 
be given to an approved applicant to achieve an equitable national 
geographic distribution across all States and territories.
    Projected Award date: 08/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 04/15/97.
    Application Availability: 01/97.
    CFDA Number: 93.926B.

Traumatic Brain Injury Demonstration Grants

    Authorization: Section 1252 of the Public Health Service Act, 42 
U.S.C. 300d-52 et seq.
    Purpose: Category 1, State Planning Grants--Planning grants are 
intended to support the development of core capacity components for 
Traumatic Brain Injury (TBI) services. Category 2, State Implementation 
Grants--Implementation grants are intended for States to have the core 
capacity components in place. These grants will support activities that 
represent the next logical step(s) in building a Statewide system to 
assure access to comprehensive and coordinated TBI services.
    Eligibility: Only State governments are eligible for funding under 
the TBI demonstration grant program.
    Evaluation Criteria: Category 1: The composition of the Board; 
commitments from all identified organizations or individuals; 
organizational and meeting arrangements; the adequacy of the State's 
proposed method for developing a Statewide needs assessment; the 
adequacy of the State's proposed method for linking its plan of action 
to the findings of the Statewide needs assessment; involvement of 
necessary public/private organizations and agencies to assure a 
comprehensive approach; the qualifications and experience established 
for the designated lead person for TBI; and, the reasonableness of the 
budget. Category 2: The adequacy of proposed methodology to assure full 
core capacity; the relevance of the goals and objectives to the 
identified needs assessment; and the adequacy of the plan for 
organizing and carrying out the project; involvement and participation 
of TBI survivors, families, and organizations; collaboration and 
coordination among the entities in the TBI continuum; project 
involvement in multidisciplinary and multisystem approach to TBI 
development; and sustainability of the proposed project. Matching 
requirement: Non-Federal cash contributions of not less than $1.00 for 
each $2.00 of Federal funds required.
    Estimated Amount of the Competition: $2,800,000.00.
    Number of Expected Awards: 23.
    Funding Priorities and/or Preferences: None.
    Projected Award Date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 05/30/97.
    Application Availability: 02/97.
    CFDA Number: 93.TBA-1.

Rural Health Programs

Rural Outreach, Network Development Grant Program

    Authorization: Public Law 104-299, The Health Centers Consolidation 
Act of 1996, 42 U.S.C. 254b.
    Purpose: To expand access to, coordinate, restrain the cost of, and 
improve the quality of essential health care services, including 
preventive and emergency services, through development of integrated 
health care delivery systems or networks in rural areas and regions. 
Funds are available for projects to support the direct delivery of 
health care and related services, to expand existing services, or to 
enhance health service delivery through education, promotion, and 
prevention programs. The emphasis is on the actual delivery of specific 
services rather than the development of organizational capabilities. 
Projects may be carried out by networks of the same providers (e.g. all 
hospitals) or more diversified networks. Funds are also available to 
support planning and development of vertically integrated health care 
networks in rural areas. Vertically integrated networks must be 
composed of three or more separate providers. There must be a 
memorandum of agreement or other formal arrangement between members of 
a network.
    Eligibility: Rural public or nonprofit private organizations that 
include three or more health care providers or other entities that 
provide or support the delivery of health care services. The 
administrative headquarters of the organizations must be located in a 
rural county or in a rural census tract or an urban county, or an 
organization constituted exclusively to provide services to migrant and 
seasonal farm workers in rural areas and supported under Section 330G 
of the Public Health Service Act. These organizations are eligible 
regardless of the urban or rural location of the administrative 
headquarters.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimate amount of competition: $16,000,000.
    Number of expected awards: 80.
    Funding Priorities and/or Preferences: Funding preference may be 
given to applicant networks that include: (1) A majority of the health 
care providers serving in the area or region to be served by the 
network; (2) any federally qualified health centers, rural health 
clinics, and local public health departments serving in the area or 
region; (3) outpatient mental health providers serving in the area or 
region; or (4) appropriate social service providers, such as agencies 
on aging, school systems, and providers under the WIC program, to 
improve access to and coordination of health care services.
    Projected award date: 09/97.
    Contact: 1-888-333-HRSA.

[[Page 19595]]

    Application Deadline: 03/31/97.
    Application Availability: 12/96.
    CFDA Number: 93.912.

Telemedicine Network

    Authorization: Pub. L. 104-299, The Health Centers Consolidation 
Act of 1996, 42 U.S.C. 254b.
    Purpose: To demonstrate how telemedicine can be used as a tool in 
developing integrated systems of health care, improving access to 
health services for rural citizens and reducing the isolation of rural 
health care practitioners, and to collect information for the 
systematic evaluation of the feasibility, costs, appropriateness and 
acceptability of rural telemedicine. Grantees may not use in excess of 
40% of their federal grant funds each year for the purchase or lease 
and installation of equipment (i.e., equipment used inside the health 
care facility for providing telemedicine services such as codecs, 
cameras, monitors, computers, multiplezers, etc.). Grantees may not use 
federal funds to purchase or install transmission equipment (i.e., 
microwave towers, satellite dishes, amplifiers, or laying of telephone 
or cable lines). Grantees may not use federal funds to build or acquire 
real property or for construction, except to the extent that such funds 
are used for minor renovations related to the installation of 
telemedicine equipment. No more than 20% of the amounts provided under 
the grants can be used to pay for the indirect costs associated with 
carrying out the activities under the grant.
    Eligibility: In general, any public (non-federal) or private-
nonprofit entity that is: (1) A health care provider and a member of an 
existing or proposed telemedicine network, or (2) a consortium of 
providers that are members of an existing or proposed telemedicine 
network. The applicant must be a legal entity capable of receiving 
federal grant funds. The applicant may be located in either a rural or 
urban area. Other telemedicine network members may be public or 
private, nonprofit or for-profit. Health facilities operated by a 
federal agency may be members of the network but not the applicant. A 
telemedicine network shall, at a minimum, be composed of a multi-
specialty entity that is located in an urban or rural area, which can 
provide 24-hour-a-day access to a range of specialty care services, and 
at least two rural health care facilities, which may include rural 
hospitals (fewer than 100 staffed beds), rural physician offices, rural 
health clinics, rural community health clinics and rural nursing homes.
    Evaluation Criteria: Final criteria are reflected in the 
application kit.
    Estimated Amount of Competition: $4-5 Million.
    Number of expected Awards: 10-14.
    Funding Priorities and/or Preferences: Funding preference will be 
given to applicant networks that include: (1) A majority of the health 
care providers serving the area or region to be served by the network; 
(2) any federally qualified health centers, rural health clinics, and 
local public health departments serving in the area or region; (3) 
outpatient mental health providers serving in the area or region; or 
(4) appropriate social service providers (e.g., agencies on aging, 
school systems, and providers under the WIC program) to improve access 
to, and coordination of, health care services.
    Projected Award Date: 09/97.
    Contact: 1-888-333-HRSA.
    Application Deadline: 06/97.
    Application Availability: 04/97.
    CFDA Number: 93.211.

[FR Doc. 97-10335 Filed 4-21-97; 8:45 am]
BILLING CODE 4160-15-P