[Federal Register Volume 62, Number 144 (Monday, July 28, 1997)]
[Notices]
[Pages 40358-40366]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-19757]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Availability of the HRSA Competitive Grants Preview

AGENCY: Health Resources and Services Administration, HHS.


ACTION: General notice.

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SUMMARY: HRSA announces the availability of the HRSA Competitive Grants 
Preview publication for Summer 1997. This edition of the Preview is 
being published primarily to accommodate HRSA programs which anticipate 
making grant awards during the first quarter of the Fiscal Year 1998. A 
comprehensive Preview for HRSA's Fiscal Year 1998 programs will be 
published in October.
    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. 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. Deadlines or other requirements 
appearing in the Federal Register are not changed by this notice.
    The Preview contains a description of competitive programs 
scheduled for review early in Fiscal Year 1998 and includes 
instructions on how to access the Agency for information and receive 
application kits. Specifically, the following information is included 
in the Preview: (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;

[[Page 40359]]

(9) Application Deadline; (10) Application kit availability; and (11) 
The Catalog of Federal Domestic Assistance (CFDA) program 
identification number.
    This Summer 1997 issue of the Preview relates to funding under HRSA 
discretionary authorities and programs as follows:

Bureau of Health Professions Programs

 Nurse Anesthetists: (1) Program Grants (2) Traineeships; and 
(3) Fellowships
 Nursing Education Opportunities for Individuals from 
Disadvantaged Backgrounds
 Podiatric Primary Care Residency Training
 National Research Service Awards
 Nurse Practitioner/Nurse Midwifery
 Professional Nurse Traineeships
 Graduate Training in Family Medicine
 Faculty Development in Family Medicine
 Predoctoral Training in Family Medicine

Maternal and Child Health Bureau

 Maternal and Child Health Research Cycle

HIV/AIDS Bureau

 Outpatient Early Intervention Services with Respect to HIV 
Disease (Ryan White Title III)

Bureau of Primary Health Care

 Health Care For The Homeless
 Community and Migrant Health Centers

    Certain other information, including the Secretary's Service 
Standards For HHS's Partnership with its Grantees and program notes 
also may be found in the Preview.

    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/

 Dated: July 22, 1997.
Claude Earl Fox,
Acting Administrator.

Attachment A--The Administrator's Message

    I am pleased to provide you with the second issue of the Health 
Resources and Services Administration (HRSA) Preview. This issue of the 
Preview is being published primarily to accommodate HRSA programs which 
anticipate awarding grants on or before December 31, 1997. The next 
Preview, scheduled to be published in October, will be a comprehensive 
issue of HRSA's Fiscal Year 1998 discretionary grant programs.
    The Preview, a streamlining recommendation, was designed to replace 
the Federal Register notices customarily published throughout the year. 
Please note 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. Your 
response to our Spring 1997 Preview was most rewarding. Be assured that 
our efforts to streamline the grant process and improve our customer 
service will continue. Beginning with this Summer 1997 issue you can 
now register on line for Preview materials. Complete instructions are 
available at the HRSA Home Page at: http://www.hrsa.dhhs.gov/
 The programs administered by the Health Resources and Services 
Administration serve as a safety net for providing health care services 
to the uninsured, underserved and vulnerable population of this Nation. 
Our hope is that the Preview's streamlining of the grant application 
process will encourage more organizations to apply for HRSA grants and 
join with us as we address these critical services.

HHS Service Standards for Partnership With Grantees

    The Department of Health and Human Services (HHS) and its grantees 
(primarily States, local governments, academic institutions, non-profit 
community organizations, and Indian tribes and tribal organizations) 
are partners in delivering quality services and supporting research to 
improve the lives of the American people. The following initial 
standards express our commitment to making this partnership as 
cooperative and effective as possible. We look forward to your 
suggestions as we develop these standards and improve our partnership.
    We will:
    (1) Invite our partners to collaborate in the development of HHS 
program policies and procedures.
    (2) Emphasize program outcomes rather than process.
    (3) Create no new unfunded mandates through policy or process 
changes.
    (4) Provide prompt, courteous service and accessible information.
    (5) Process waiver requests from States as quickly as possible, 
generally within 120 days.
    (6) Provide technical assistance to help our partners meet program 
goals.
    (7) Work with our partners to assure integrity in the use of public 
funds.
    (8) Assist our partners to develop their own standards of customer 
service.

How To Obtain and Use the Preview

    It is recommended that you 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. As a general rule, no more than one kit per category will be 
mailed to applicants. However, applicants may reproduce kit materials 
to meet their needs.

To Obtain a Copy of the Preview (by Mail)

    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.) Or e-mail us at 
[email protected].

To Obtain an Application Kit

    Upon review of the program descriptions, please determine which 
category or categories of application kit(s) you wish to receive and 
contact the 1-888-333-HRSA number to register on the specific mailing 
list. Application kits are generally available 60 days prior to 
application deadline. 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.
    You can download this issue of the Preview in Adobe Acrobat format 
(.pdf) from HRSA's web site at: http://www.hrsa.dhhs.gov/preview.htm. 
Also, you can register on-line to be sent specific grant application 
materials by following the instructions on the web page. Your mailing 
information will be added to our database and material will be sent to 
you when it becomes available.

[[Page 40360]]

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.

Authorizations

    These are provided immediately preceding groupings of program 
categories. They are the citations of provisions of the laws 
authorizing the various programs.

CFDA Number

    The Catalog of Federal Domestic Assistance program identification 
number. The CFDA is a government-wide compendium of Federal programs, 
projects, services, and activities which provide assistance.

Cooperative Agreement

    A financial assistance mechanism used when substantial Federal 
programmatic involvement with the recipient during performance is 
anticipated by the awarding office.

Eligibility

    Authorizing legislation and programmatic regulations specify 
eligibility for individual grant programs. In general, assistance is 
provided to nonprofit organizations and institutions, state and local 
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.

Estimated Amount of Competition

    The amount listed is provided for planning purposes and is subject 
to the availability of funds.

Funding Priorities and/or Preferences

    Special priorities or preferences are those which the individual 
programs have identified for the funding cycle. Some programs give 
preference to organizations which have specific capabilities such as 
telemedicine networking, or established relationships with managed care 
organizations. Preference may be given to achieve an equitable 
geographic distribution.

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. Also matching requirements may be 
administratively required by the awarding office.

Review Criteria

    The following are generic review criteria applicable to HRSA 
programs:
    (1) That the estimated cost to the Government of the project is 
reasonable considering the anticipated results.
    (2) 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.
    (3) That, insofar as practical, the proposed activities (scientific 
or other), if well executed, are capable of attaining project 
objectives.
    (4) 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 included 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.

                      Program Deadlines at a Glance                     
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             Date                               Program                 
------------------------------------------------------------------------
August 1997:                                                            
    August 1.................  Health Care for the Homeless.*           
    August 1.................  Community Health Centers/Migrant Health  
                                Centers.*                               
    August 1.................  Maternal and Child Health Research Cycle.
September 1997:                                                         
    September 9..............  Graduate Training in Family Medicine.    
    September 15.............  Podiatric Primary Care Residency         
                                Training.                               
    September 22.............  National Research Service Awards.        
    September 29.............  Faculty Development in Family Medicine.  
October 1997:                                                           
    October 10...............  Outpatient Early Intervention Services   
                                with respect to HIV Disease (Ryan White 
                                Title III).                             
November 1997:                                                          
    November 3...............  Professional Nurse Traineeships.         
    November 7...............  Predoctoral Training in Family Medicine. 
    November 24..............  Nursing Education Opportunities for      
                                Individuals from Disadvantaged          
                                Backgrounds.                            
December 1997:                                                          
    December 1...............  Nurse Anesthetist: Program Grants,       
                                Fellowships & Traineeships.             
    December 19..............  Nurse Practitioner/Nurse Midwifery.      
January 1998:                  No program deadlines this month.         
February 1998:                                                          
February 2                     Nurse Anesthetist: Program Grants.       
------------------------------------------------------------------------
* See multiple application deadlines listed.                            

Program Locator

Program

Health Professions Programs

Faculty Development in Family Medicine
Graduate Training in Family Medicine
National Research Service Awards
Nurse Anesthetist Program Grants, Traineeships, and Fellowships
Nursing Education Opportunities for Individuals from Disadvantaged 
Backgrounds
Nurse Practitioner/Nurse Midwifery
Podiatric Primary Care Residency Training
Predoctoral Training in Family Medicine
Professional Nurse Traineeships

HIV/AIDS Programs

Outpatient Early Intervention Services with Respect to HIV Disease 
(Ryan White Title III)

Maternal and Child Health Programs

Maternal and Child Health Research Cycle

[[Page 40361]]

Primary Health Care Programs

Notification of Expiring Project Periods for Community and Migrant 
Health Centers
Notification of Expiring Project Periods for Health Care for the 
Homeless Program

HRSA Program Notes

Health Professions Programs

    The Bureau of Health Professions (BHPr) plays a vital role in 
HRSA's safety net program. HRSA programs that serve vulnerable 
populations are a primary benefactor of BHPr health professions 
programs. The Bureau's major goals are to improve the geographic 
distribution of health professionals and the diversity of the health 
professions workforce, in order to supply the Nation with an 
appropriately trained and competent health professions workforce.
Funding Availability
    The level of funding for the health professions programs will 
depend upon final FY 1998 appropriation. The President's budget for FY 
1998 proposes significant reductions from the FY 1997 appropriation 
level for health professions, except in programs for minorities and the 
disadvantaged. HRSA fully supports the President's budget. However, it 
is difficult to predict the outcome of the appropriations process with 
respect to these programs. We are, therefore, opening these programs to 
the competitive process to allow potential grantees a reasonable time 
to prepare their applications and to allow HRSA a reasonable time for 
careful review with the full understanding that the final appropriation 
may severely limit the number and amount of awards. Consequently, all 
``estimated amount of competition'' figures are subject to availability 
of funds and are for competitive grants.
Technical Assistance
    The BHPr is available to provide ongoing technical assistance to 
prospective applicants. Applicants are encouraged to take advantage of 
technical assistance opportunities by contacting the appropriate 
program person.
    The Division of Medicine plans to conduct group conference calls to 
provide technical assistance to prospective applicants. Interested 
individuals are requested to provide the following information: Name, 
title, institution, telephone number, and fax number. Specific program 
questions should be faxed to 301-443-8890 or e-mailed to the program 
contact person. The Division of Nursing plans to provide technical 
assistance workshops. The time and location of these workshops will be 
announced in the Federal Register and be posted at: ``http://www.
hrsa.dhhs.gov/bhpr/bhpr.htm''.
    Faculty Development in Family Medicine. Authorization section 747 
of the Public Health Service Act, 42 U.S.C. 293k.
    Purpose: To increase the supply of physician faculty available to 
teach in family medicine programs and to enhance the pedagogical skills 
of faculty presently teaching in family medicine.
    Eligibility: Eligible applicants are public or private non-profit 
hospital; an accredited public or nonprofit school of allopathic 
medicine or of osteopathic medicine; or a public or private non-profit 
health and education institution.
    Funding Priorities and/or Preferences: As provided in section 
791(a) of the PHS Act, statutory preference will be given to any 
qualified applicant that: (1) Has a high rate for placing graduates in 
practice settings having the principal focus of serving residents of 
medically underserved communities; or (2) during the 2-year period 
preceding the fiscal year for which such an award is sought, has 
achieved a significant increase in the rate of placing graduates in 
such settings. This statutory general preference will only be applied 
to applications that rank above the 20th percentile of applications 
recommended for approval by the peer review group.
    Evaluation Criteria: Final criteria are included in the application 
kit.
    Estimated Amount of Competition: $2,800,000 (subject to 
availability of funds).
    Estimated Number of Awards: 16.
    Group Conference Call Dates: August 26, 1997 Contact: Elsie 
Quinones by August 8 on 301-443-1467 or by e-mail at 
[email protected]
    Projected Award Date: 12/97-01/98;
    Contact: 1-888-333-HRSA;
    Application Availability: 07/15/97;
    Application Deadline: 09/29/97;
    CFDA Number: 93.895.
    Graduate Training in Family Medicine. Authorization section 747 of 
the Public Health Service Act, 42 U.S.C. 293K.
    Purpose. To assist family medicine residency programs in the 
promotion of graduate education of physicians who are trained for and 
will enter the practice of family medicine. The program assists 
approved graduate training programs in the field of family medicine in 
meeting the cost of planning, developing, and operating or 
participating in graduate medical education. This includes the cost of 
supporting trainees in such programs. Supported programs must emphasize 
the provision of longitudinal, preventive, and comprehensive care to 
families.
    Eligibility: Eligible applicants are accredited schools of medicine 
or osteopathic medicine, public or private non-profit hospitals, or 
other public or private non-profit entities.
    Funding Priorities and/or Preferences: As provided in section 
791(a) of the PHS Act, statutory preference will be given to any 
qualified applicant that: (1) Has a high rate for placing graduates in 
practice settings having the principal focus of serving residents of 
medically underserved communities; or (2) during the 2-year period 
preceding the fiscal year for which such an award is sought, has 
achieved a significant increase in the rate of placing graduates in 
such settings. This statutory general preference will only be applied 
to applications that rank above the 20th percentile of applications 
recommended for approval by the peer review group.
    Evaluation Criteria: Final criteria are included in the application 
kit.
    Estimated Amount of Competition: $5,200,000 (subject to 
availability of funds)
    Estimated Number of Awards: 39.
    Group Conference Call Date: August 12, 1997 Contact: Ellie Grant by 
July 25 on 301-443-1467 or by e-mail at [email protected]
    Projected Award Date: 12/97-01/98;
    Contact: 1-888-333-HRSA;
    Application Deadline: 09/09/97;
    Application Availability: 07/15/97;
    CFDA Number: 93.379.
    National Research Service Awards. Authorization section 487(d)(3) 
of the Public Health Service Act 42 U.S.C. 288.
    Purpose: To train future researchers and academicians in primary 
medical care research.
    Eligibility: Accredited public or private non-profit schools of 
medicine, osteopathy, dentistry, or a public or private non-profit 
hospital or other entity is located in a State and which is affiliated 
with an entity that has received grants or contracts under section 747, 
748, or 749 of the PHS Act and agrees to use the funding for research 
in primary medical care are eligible for grant support.
    Funding Priorities and/or Preferences: N/A.
    Evaluation Criteria: Final criteria are included in the application 
kit.
    Estimated Amount of Competition: $3,200,000 (subject to 
availability of funds).
    Estimated Number of Awards: 16.
    Group Conference Call Date: August 21, 1997 Contact: Shelby 
Biedenkapp by August 1 on 301-443-1467 or by e-mail at 
[email protected]

[[Page 40362]]

    Projected Award Date: 12/97-01/98;
    Contact: 1-888-333-HRSA;
    Application Availability: 07/15/97;
    Application Deadline: 09/22/97;
    CFDA Number: 93.186.
    Nurse Anesthetist Program: (1) Program Grants (93.916); (2) 
Traineeships (93.124); and (3) Fellowships (93.907).
    Authorization section 831 (a), (b), (c) of the Public Health 
Service Act, 42 U.S.C. 297-1.
    Purpose: To assist eligible institutions to meet the costs of: (1) 
Projects for the education of nurse anesthetists; (2) traineeships for 
licensed registered nurses to become nurse anesthetists; and (3) 
fellowships to enable Certified Registered Nurse Anesthetist (CRNA) 
faculty members to obtain advanced education relevant to their teaching 
functions.
    Eligibility: Eligible applicants are public or private non-profit 
institutions that provide registered nurses with full-time nurse 
anesthetist training and are accredited by an entity or entities 
designated by the Secretary of Education.
    Funding Priorities and/or Preferences: Statutory Funding Preference 
as provided in Section 860(e) of the PHS Act, preference will be given 
to qualified applicants that: (1) Have a high rate for placing 
graduates in practice settings having the principal focus of serving 
residents of medically underserved communities; or (2) have achieved, 
during the 2-year period preceding the fiscal year for which such an 
award is sought, a significant increase in the rate of placing 
graduates in such settings. This preference will only be applied to 
applications that rank above the 20th percentile of proposals 
recommended for approval by the peer review group.
    Statutory Rural Preference (CFDA 93.124): A preference is given to 
those applicants carrying out traineeships whose participants gain 
significant experience in providing health service in rural health 
facilities.
    Established Funding Priority: (CFDA 93.916 & 93.124) A funding 
priority will be given to education programs and traineeships that 
demonstrate either substantial progress over the past 3 years or a 
significant experience of 10 or more years in enrolling and graduating 
students from those minority populations identified as at-risk of poor 
health outcomes.
    Established Funding Preference for Faculty Fellowship Grants (CFDA 
93.907): A funding preference will be given first to faculty who will 
be completing degree requirements before or by the end of the funded 
budget year, second to faculty who are full-time students, and third to 
faculty who are part-time students.
    Evaluation Criteria: Criteria are included in the application kit.
    Estimated Amount of Competition: $900,000 (subject to availability 
of funds)
    Estimated Number of Awards. 13: (4 Traineeships, 2 Program Grants, 
and 7 Fellowships).
    Projected Award Date:  3/98;
    Contact: Marcia Starbecker at: 301-443-6193 or by e-mail at: 
[email protected];
    Contact: 1-888-333-HRSA;
    Application Availability: 7/15/97.
    Fellowships & Traineeships: Application Deadline: 12/1/97.
    Projected award date: 3/98.
    Program Grants: Application Deadline: 2/2/98;
    Projected award date: 5/98;
    CFDA Numbers: 93.124, 93.907, & 93.916.
    Nursing Education Opportunities for Individuals from Disadvantaged 
Backgrounds. Authorization section 827, 42 U.S.C. 296r of the Public 
Health Service Act.
    Purpose: To meet the costs of special projects to increase nursing 
education opportunities for individuals from disadvantaged backgrounds 
by: (a) Identifying, recruiting and selecting such individuals; (b) 
facilitating the entry of such individuals into schools of nursing; (c) 
providing services designed to assist such individuals to complete 
their nursing education; (d) providing preliminary education, prior to 
entry into the regular courses of nursing, designed to assist in 
completion of the regular courses of nursing education; (e) paying such 
stipends as the Secretary may determine; (f) publicizing, especially to 
licensed vocational or practical nurses, existing sources of financial 
aid; and (g) providing training, information, or advice to the faculty 
on encouraging such individuals to complete their nursing education.
    Eligibility: Public and nonprofit private schools of nursing and 
other public or nonprofit private entities are eligible for grant 
support.
    Funding Priorities and/or Preferences: None
    Evaluation Criteria: Criteria are included in the application kit.
    Estimated Amount of Competition: $1,400,000 (subject to 
availability of funds).
    Estimated Number of Awards: 8; Contact: Ernell Spratley at 301-443-
5763 or by e-mail at [email protected]
    Projected Award Date: 5/98;
    Contact: 1-888-333-HRSA;
    Application Availability: 7/15/97;
    Application Deadline: 11/24/97;
    CFDA Number: 93.178.
    Nurse Practitioner/Nurse Midwifery. Authorization section 822a of 
the Public Health Service Act, 42 U.S.C. 296m.
    Purpose: To assist eligible institutions to meet the costs of 
projects to plan, develop and operate new programs, maintain, or 
significantly expand existing programs for the education of nurse 
practitioners and nurse-midwives. Programs must adhere to regulations 
and guidelines for nurse practitioner and nurse-midwifery education as 
prescribed by the Secretary of Health and Human Services which require 
that each program extend for at least one academic year to include 
supervised clinical practice directed toward preparing nurses to 
deliver primary health care; and at least four months (in the 
aggregate) of classroom instruction that is so directed; and have an 
enrollment of not less than six full-time equivalent students.
    Eligibility: Eligible applicants are public and nonprofit private 
schools of nursing or other public and nonprofit private entities. 
Eligible applicants must be located in a State.
    Funding Priorities and/or Preferences: Statutory Program Specific 
Preference. Preference will be given to any qualified applicant that 
agrees to expend the award to plan, develop, and operate new programs 
or to significantly expand existing programs.
    Statutory General Preference: As provided in section 860(e)(1) of 
the PHS Act, preference will be given to any qualified applicant that--
(1) has a high rate for placing graduates in practice settings having 
the principal focus of serving residents of medically underserved 
communities; or (2) during the 2-year period preceding the fiscal year 
for which such an award is sought, has achieved a significant increase 
in the rate of placing graduates in such settings.
    This preference will only be applied to applications that rank 
above the 20th percentile of proposals recommended for approval by the 
peer review group.
    Statutory Special Considerations: Special consideration will be 
given to qualified applicants that agree to expend the award to educate 
individuals as nurse practitioners and nurse-midwives who will practice 
in health professional shortage areas designated under section 332 of 
the PHS Act.
    Established Funding Priority: Funding priority will be given to 
applicant institutions which demonstrate either substantial progress 
over the last three years or a significant experience of ten

[[Page 40363]]

or more years in enrolling and graduating trainees from those minority 
or low-income populations identified as at risk of poor health 
outcomes.
    Evaluation Criteria: Final criteria are included in the application 
kit.
    Estimated Amount of Competition: $3,000,000 (subject to 
availability of funds).
    Estimated Number of Awards: 11;
    Contact: Audrey Koertvelyessy at 301-443-6333 or by e-mail at 
[email protected]/
    Projected Award Date: 4/98;
    Contact: 1-888-333-HRSA;
    Application Availability: 7/15/97;
    Application Deadline: 12/19/97;
    CFDA Number: 93.298.
    Podiatric Primary Care Residency Training.  Authorization section 
751 of the Public Health Service Act, 42 U.S.C. 293o.
    Purpose: To assist with the costs of training podiatric physicians 
who plan to specialize in primary care. The program assists in meeting 
the costs to plan and implement new primary care projects and provides 
financial assistance to residency trainees enrolled in such programs. 
Grants may include support for the program only, residents only, or 
both the program and residents. These grants are intended to promote 
the postgraduate education of podiatrists in primary care podiatric 
practice. The program assists accredited schools of podiatric medicine 
and public and nonprofit private hospitals to meet the costs of 
projects to: (l) Plan and implement projects in primary care training 
for podiatric physicians in approved or provisionally approved 
residency training programs; and (2) provide financial assistance in 
meeting the costs of supporting trainees who participate in such 
programs and who plan to specialize in podiatric primary care. 
Financial assistance for residents is intended to provide stipend 
support for one year of training, and may include tuition and fees for 
residents supported during the required academic training.
    Eligibility: Schools of podiatric medicine or public or private 
non-profit hospitals are eligible for grant support. ``Candidate 
status'' will be accepted as meeting the statutory requirement for 
``provisional approval.''
    Funding Priorities and/or Preferences: As provided in section 
791(a) of the PHS Act, statutory preference will be given to any 
qualified applicant that: (1) has a high rate for placing graduates in 
practice settings having the principal focus of serving residents of 
medically underserved communities; or (2) during the 2-year period 
preceding the fiscal year for which such an award is sought, has 
achieved a significant increase in the rate of placing graduates in 
such settings. This statutory general preference will only be applied 
to applications that rank above the 20th percentile of applications 
recommended for approval by the peer review group. Under section 751(b) 
of the PHS Act, a funding preference is provided for qualified 
applicants that provide clinical training in podiatric medicine in a 
variety of medically underserved communities.
    Evaluation Criteria: Final criteria are included in the application 
kit.
    Estimated Amount of Competition: $500,000 (subject to availability 
of funds).
    Estimated Number of Awards: 6.
    Group Conference Call Dates: August 19, 1997. Contact: Ed Spirer by 
August 1 on 301-443-1467 or by e-mail at [email protected]
    Projected Award Date: 12/97-01/98;
    Contact: 1-888-333-HRSA;
    Application Availability: 07/15/97;
    Application Deadline: 09/15/97;
    CFDA Number: 93.181.
    Predoctoral Training in Family Medicine. Authorization Section 747 
of the Public Health Service Act, 42 U.S.C. 293k.
    Purpose: To promote the predoctoral training of allopathic and 
osteopathic medical students in the field of family medicine. Grants 
are awarded to accredited schools of medicine or osteopathic medicine. 
Supported programs emphasize the provision of longitudinal, preventive, 
and comprehensive care to families. The program assists schools in 
meeting the cost of planning, developing and operating or participating 
in approved predoctoral training programs in the field of family 
medicine. Support may be provided both for the program and for the 
trainees. Assistance may be requested for any of the following 
purposes: curriculum development; clerkships; preceptorships; and/or 
student assistantships. The programs should be part of an integrated 
institutional strategy to provide education and training in family 
medicine. The intent is to design programs that encourage graduates to 
seek residency training in family medicine and eventually to enter a 
career in family medicine.
    Eligibility: Public, or private nonprofit, accredited schools of 
medicine or osteopathic medicine are eligible for grant support.
    Funding Priorities and/or Preferences: As provided in section 
791(a) of the PHS Act, statutory preference will be given to any 
qualified applicant that: (1) has a high rate for placing graduates in 
practice settings having the principal focus of serving residents of 
medically underserved communities; or (2) during the 2-year period 
preceding the fiscal year for which such an award is sought, has 
achieved a significant increase in the rate of placing graduates in 
such settings. This statutory general preference will only be applied 
to applications that rank above the 20th percentile of applications 
recommended for approval by the peer review group.
    Evaluation Criteria: Final criteria are included in the application 
kit.
    Estimated Amount of Competition: $4,500,000 (subject to 
availability of funds)
    Estimate Number of Awards: 41.
    Group Conference Call Dates: October 7, 1997; Contact: Betty Ball 
by September 19 on 301-443-1467 or by e-mail at: [email protected]
    Projected Award Date: 3/98;
    Contact: 1-888-333-HRSA;
    Application Availability: 07/15/97;
    Application Deadline: 11/07/97;
    CFDA Number: 93.896;
    Professional Nurse Traineeships. Authorization section 830(a), (c) 
of the Public Health Service Act, 42 U.S.C. 297
    Purpose: To meet the costs of traineeships for individuals in 
advanced degree nursing education programs. Traineeships are awarded to 
individuals by the participating educational institutions offering 
master's and doctoral degree programs to serve in and prepare for 
practice as nurse practitioners, nurse midwives, nurse educators, 
public health nurses, or in other clinical nursing specialties 
determined by the Secretary to require advanced education.
    Eligibility: Eligible applicants are public or private non-profit 
entities which provide (1) advanced-degree programs to educate 
individuals as nurse practitioners, nurse-midwives, nurse educators, 
public health nurses or as other clinical nursing specialists; or (2) 
nurse-midwifery certificate programs that conform to guidelines 
established by the Secretary under section 822(b) of the PHS Act. 
Applicants must agree that: (a) in providing traineeships, the 
applicant will give preference to individuals who are residents of 
health professional shortage areas designated under section 332 of the 
Act; (b) the applicant will not provide a traineeship to an individual 
enrolled in a master's of nursing program unless the individual has 
completed basic nursing preparation, as determined by the applicant; 
and (c) traineeships provided with the grant will pay all or part of 
the costs of the tuition, books, and fees of the program of nursing 
with respect to which the traineeship is provided and

[[Page 40364]]

reasonable living expenses of the individual during the period for 
which the traineeship is provided.
    Funding Priorities and/or Preferences: Statutory Preference. In 
making awards of grants under this section, preference will be given to 
any qualified applicant that--(1) has a high rate for placing graduates 
in practice settings having the principal focus of serving residents of 
medically underserved communities; or (2) during the 2-year period 
preceding the fiscal year for which such an award is sought, has 
achieved a significant increase in the rate of placing graduates in 
such settings. This preference will only be applied to applications 
that rank above the 20th percentile.
    Statutory Special Consideration. Special consideration will be 
given to applications for traineeship programs for nurse practitioner 
and nurse midwife programs which conform to guidelines established by 
the Secretary under section 822(b)(2) of the PHS Act.
    Established Funding Priority. A funding priority will be given to 
programs that demonstrate either substantial progress over the past 3 
years or a significant experience of 10 or more years in enrolling and 
graduating students from those minority populations identified as at-
risk of poor health outcomes.
    Evaluation Criteria: Awards are determined by formula.
    Estimated Amount of Competition: $15,600,000* (subject to 
availability of funds)
    Estimated Number of Awards: 270;
    Contact: Marcia Starbecker at 301-443-6193 or by e-mail at 
[email protected];
    Projected Award Date: 3/98;
    Contact: 1-888-333-HRSA;
    Application Availability: 7/15/97;
    Application Deadline: 11/3/97;
    CFDA: 93.358.

    *Formula Program--All eligible schools will receive awards.

HIV/AIDS Program

Outpatient Early Intervention Services With Respect to HIV Disease 
(RYAN WHITE Title III)

    Authorization sections 2651-2667 of the Public Health Service Act, 
42 U.S.C. 300ff-51-330ff-67
    Purpose: To provide on an outpatient basis, high quality early 
intervention services/primary care to individuals with HIV infection. 
This is accomplished by increasing the present capacity and capability 
of eligible ambulatory health service entities. These expanded services 
become a part of a continuum of HIV prevention and care for individuals 
who are at risk for HIV infection or are HIV infected. All Title III 
programs must provide HIV counseling and testing, counseling and 
education on living with HIV, appropriate medical evaluation and 
clinical care, and other essential services such as oral health care, 
outpatient mental health services and nutritional services, and 
appropriate referrals for specialty services.
    Eligibility: Eligible applicants are Migrant Health Centers, 
Community Health Centers, Health Care for the Homeless Programs, Family 
Planning Organizations, Comprehensive Hemophilia Diagnostic and 
Treatment Centers, Federally Qualified Health Centers, and Public or 
non-profit private entities that currently provide comprehensive 
primary care services to people living with HIV/AIDS.
    Limited Competition: Applicants are limited to currently funded 
Ryan White Title III programs whose project periods expire in FY 1998 
and new organizations proposing to serve the same populations currently 
being served by these existing Title III programs. Applications are 
also requested from new organizations that propose to serve new areas. 
These will be considered for FY 1998, should new funding become 
available.
    Evaluation Criteria: The criteria are justification of need, 
organizational capabilities and expertise, adequacy of proposed program 
plan, coordination with other programs, program evaluation, 
appropriateness and justification of the budget, adherence to program 
guidance.
    Estimated Amount of Competition: $35,000,000.
    Estimated Number of Awards: 97.
    Projected Award Date: FY 1998.
    Contact: 1-888-333-HRSA.
    Application Availability: 7/10/97.
    Application Deadline: 10/10/97.
    CDFA Number: 93.918.

Existing Ryan White Title III Service Areas *

AZ:
    Phoenix
    Tucson
AR: Pine Bluff
AL:
    Mobile
    Anniston
    Montgomery
AK: Anchorage
CA:
    Santa Cruz
    San Francisco
    Los Angeles (2)
    San Fernando
    Santa Ana
    San Bernardino
    San Jose
    Fremont
    San Marcos
    LaMont
CT:
    Bridgeport (2)
    New Haven
DC: Washington
FL:
     Key West
    Miami (2)
    Pompano Beach
    Palm Beach
    Immokalee
GA:
    Atlanta (2)
    Savannah
    Waycross
    Augusta
IA: Des Moines
IL:
    Chicago (4)
    Rockford
IN: Indianapolis
KS: Wichita
MA:
    Northampton
    Provincetown
    Dorchester
    Worchester
    New Bedford
    Boston
MI: Detroit (2)
MO:
    Springfield
    Kansas City
MT: Billings
NC:
    Asheville
    Durham
NJ:
    Newark
    Paterson
    New Brunswick
NM: Albuquerque
NV:
    Reno
    Las Vegas
NY:
    New York City (6)
    Bronx (2)
    Brooklyn (2)
    Rochester
    Buffalo
    Queens
    Peekskill
    Syracuse
    Albany
OH: Cincinnati
OK: Tulsa
PA:
    Philadelphia (3)
    Allentown
    Pittsburgh
    Chester
    York
PR:
    Humacao
    San Juan
    Mayaguez

[[Page 40365]]

    Lares
    Gurabo
RI: Providence
TX:
    Houston
    Dallas
    Fort Worth
    Austin
    San Antonio
UT: Salt Lake City

    *Applications are also requested from new organizations that 
propose to serve new areas. These will be considered for FY 1998 
should new funding become available.

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 included in the application 
kit.
    Estimated Amount of the Competition: $1,900,000.
    Estimated Number of 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 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: 12/97;
    Contact: 1-888-333-HRSA;
    Application Deadline: 8/1/97;
    Application Availability: 6/97;
    CFDA Number: 93.110RS.

Primary Health Care Programs

Notification of Expiring Project Periods for Community and Migrant 
Health Centers

    Authorization section 330 of the Public Health Service Act, 42 
U.S.C. 254b and 254b(g).
    Purpose: The Community Health Center and Migrant Health Center (C/
MHC) programs are designed to promote the development and operation of 
community-based primary health care service systems in medically 
underserved areas for medically underserved populations. Assuming the 
availability of sufficient appropriated funds in FY 1998, it is the 
intent of HRSA to continue to support health services in these areas, 
given the unmet need inherent in their provision of services to a 
medically underserved population. HRSA will open competition for awards 
under section 330 of the PHS Act (42 U.S.C. 254b for CHCs and 42 U.S.C. 
254b(g) for MHCs) to support health services in the areas currently 
served by these grants. Eighty-three C/MHC grantees will reach the end 
of their project periods during FY 1998.
    Deadline: Current grant expiration dates vary by area throughout FY 
1998. Applications for competing continuation grants are normally due 
120 days prior to the expiration of the current grant award. The 52 
service areas listed are for projects with an application deadline on 
or before January 1, 1998. All expiring project areas will be listed in 
a subsequent Preview.
    Limited Competition: Applicants are limited to currently funded 
programs whose project periods expire in FY 1998 and new organizations 
proposing to serve the same populations currently being served by these 
existing programs.

Field Office

    Communication with Field Office staff is essential for interested 
parties in deciding whether to pursue Federal funding as a C/MHC. 
Technical assistance and detailed information about each service area, 
such as census tracts, can be obtained by contacting the appropriate 
HRSA Field Office listed on the following page.

------------------------------------------------------------------------
           State                          City                 Deadline 
------------------------------------------------------------------------
                   HRSA FIELD OFFICE I (617) 565-1426                   
------------------------------------------------------------------------
ME........................  Bethel..........................    10/01/97
                            Eastport........................    12/01/97
MA........................  Roxbury.........................    10/01/97
RI........................  Pawtucket.......................    09/01/97
------------------------------------------------------------------------
                   HRSA FIELD OFFICE II (212) 264-2664                  
------------------------------------------------------------------------
NY........................  Bronx...........................    10/01/97
                            Buffalo.........................    09/01/97
------------------------------------------------------------------------
                   HRSA FIELD OFFICE III (215) 596-6122                 
------------------------------------------------------------------------
PA........................  Philadelphia....................    08/01/97
                            Chester.........................    10/01/97
                            Hyndman.........................    10/01/97
VA........................  Axton...........................    01/01/97
                            St. Charles.....................    01/01/98
WV........................  Rainelle........................    08/01/97
                            Grafton.........................    02/01/98
------------------------------------------------------------------------
                   HRSA FIELD OFFICE IV (404) 331-0250                  
------------------------------------------------------------------------
AL........................  Tuscaloosa......................    10/01/97
                            Huntsville......................    08/01/97
FL........................  W. Palm Beach...................    09/01/97
                            Pompano Beach...................    09/01/97
                            Avon Park.......................    10/01/97
                            Wewahitchka.....................    12/01/97
GA........................  Morganton.......................    08/01/97
                            Decatur.........................    09/01/97
KY........................  Prestonburg.....................    10/01/97
MS........................  Mound Bayou.....................    08/01/97
                            Biloxi..........................    09/01/97
NC........................  Snow Hill.......................    08/01/97
SC........................  Greenville......................    10/01/97
                            Eastover........................    10/01/97
                            Rock Hill.......................    10/01/97
                            Winnsboro.......................    10/01/97
                            Fairfax.........................    12/01/97
                            McClellanville..................    12/01/97
TN........................  Wartburg........................    09/01/97
------------------------------------------------------------------------
                    HRSA FIELD OFFICE V (312) 353-1715                  
------------------------------------------------------------------------
IL........................  Chicago.........................    10/01/97
MI........................  Detroit.........................    10/01/97
                            Sparta..........................    09/01/97
                            Pullman.........................    12/01/97
OH........................  Akron...........................    08/01/97
                            Youngstown......................    09/01/97
WI........................  Milwaukee.......................    09/01/97
------------------------------------------------------------------------
                   HRSA FIELD OFFICE VI (214) 767-3872                  
------------------------------------------------------------------------
OK........................  Tulsa...........................    12/01/97
TX........................  Houston.........................    09/01/97
                            Rio Grande Ct...................    10/01/97
                            Newton..........................    12/01/97
------------------------------------------------------------------------
                   HRSA FIELD OFFICE VII (816) 426-5296                 
------------------------------------------------------------------------
NE........................  Omaha...........................    10/01/97
                            Lincoln.........................    12/01/97
------------------------------------------------------------------------
                  HRSA FIELD OFFICE VIII (303) 844-3203                 
------------------------------------------------------------------------
CO........................  Denver..........................    09/01/97
SD........................  Rapid City......................    10/01/97
------------------------------------------------------------------------
                   HRSA FIELD OFFICE IX (415) 437-8090                  
------------------------------------------------------------------------
AZ........................  Tucson..........................    09/01/97
CA........................  Los Angeles.....................     8/01/97
                                                                10/01/97
                            Fresno..........................    08/01/97
NE........................  Las Vegas.......................    09/01/97
------------------------------------------------------------------------
                    HRSA FIELD OFFICE X (206) 615-2491                  
------------------------------------------------------------------------
  No current projects                                                   
expiring before January 1,                                              
1998.                                                                   
------------------------------------------------------------------------

    Health Care for the Homeless. Authorization section 330 of the 
Public Health Service Act, 42 U.S.C 254b(h).

[[Page 40366]]

    Purpose: The Health Care for the Homeless (HCH) program is designed 
to increase the homeless populations access to cost-effective, case 
managed, and integrated primary care and substance abuse services 
provided by existing community-based programs/providers. Assuming the 
availability of sufficient appropriated funds in FY 1998, it is the 
intent of HRSA to continue to support health services to the homeless 
populations in these areas/locations given the continued need for cost-
effective, community-based primary care services for these medically 
underserved populations within these geographic areas. Nine HCH 
grantees will reach the end of their project periods during FY 1998.
    Deadline: Current grant expiration dates vary by area throughout FY 
1998. Applications for competing continuation grants are normally due 
120 days prior to the expiration of the current grant award. The nine 
service areas listed are for projects with an application deadline on 
or before January 31, 1998.
    Limited Competition: Applicants are limited to currently funded 
programs whose project periods expire in FY 1998 and new organizations 
proposing to serve the same populations currently being served by these 
existing programs.

Field Office

    Communication with Field Office staff is essential for interested 
parties in deciding whether to pursue Federal funding as an HCH. 
Detailed information about each service area, such as census tracts, 
can be obtained by contacting the appropriate HRSA Field Office listed 
below:

------------------------------------------------------------------------
                                                                Project 
           State                          City                 end date 
------------------------------------------------------------------------
                  HRSA FIELD OFFICE II (212) 264-2664                   
------------------------------------------------------------------------
NY........................  New York........................    10/31/97
------------------------------------------------------------------------
                   HRSA FIELD OFFICE IV (404) 331-0250                  
------------------------------------------------------------------------
FL........................  Miami...........................    10/31/97
------------------------------------------------------------------------
                    HRSA FIELD OFFICE V (312) 353-1715                  
------------------------------------------------------------------------
                  OH......  Columbus........................    01/31/98
------------------------------------------------------------------------
                   HRSA FIELD OFFICE VI (214) 767-3872                  
------------------------------------------------------------------------
OK                          Tulsa...........................     12/1/97
------------------------------------------------------------------------
                   HRSA FIELD OFFICE VII (816) 426-5296                 
------------------------------------------------------------------------
NE........................  Omaha...........................     10/1/97
------------------------------------------------------------------------
                  HRSA FIELD OFFICE VIII (303) 844-3203                 
------------------------------------------------------------------------
SD........................  Rapid City......................    01/31/98
------------------------------------------------------------------------
WY........................  Cheyenne........................    10/31/97
------------------------------------------------------------------------
                   HRSA FIELD OFFICE IX (415) 437-8090                  
------------------------------------------------------------------------
NV........................  Las Vegas.......................    12/31/97
------------------------------------------------------------------------
                    HRSA FIELD OFFICE X (206) 615-2491                  
------------------------------------------------------------------------
WA........................  Seattle.........................    10/31/97
------------------------------------------------------------------------

Additional HRSA Program Notes

Loan Repayment Program

    HRSA is soliciting applications from individuals for the Nursing 
Education Loan Repayment program for Fiscal (FY) 1997. Under section 
846 of the Public Health Service (PHS) Act, approximately $2,197,000 
will be available and the HRSA estimates that approximately 195 loan 
repayment awards may be made. The program will repay up to 85 percent 
of the nursing education loans of registered nurses who agree to serve 
for not less than 2 years as nurse employees in certain health 
facilities. Additional information and application materials with a 
list of counties (parishes) with the greatest shortage of nurses may be 
obtained by calling or writing to: Sharley Chen, 4350 East-West 
Highway, 10th Floor, Bethesda, MD 20814, (301) 594-4400, (301) 594-4981 
(FAX).
    The 24-hour toll-free phone number is 1-800-435-6464.

Health Professions Programs

    Competitive cycles for Fiscal Year FY 1998 are not anticipated for 
the following Health Professions Programs:
CFDA 93.884--Residency Training in General Internal Medicine and/or 
General Pediatrics
CFDA 93.884--Predoctoral Training in General Internal Medicine and/or 
General Pediatrics
CFDA 93.900--Faculty Development in General Internal Medicine and/or 
General Pediatrics

Maternal and Child Health Programs

    Girl Neighborhood Power is a Secretarial Initiative designed to 
help encourage and empower 9-14 year old girls. For information, 
contact Samuel Kessel, MD, 5600 Fishers Lane, Parklawn Bldg, Room 
18A55, Rockville, MD 20857. Telephone (301) 443-2340 or e-mail at 
[email protected].
=======================================================================
BETWEEN ISSUES--DON'T FORGET TO CHECK THE FEDERAL REGISTER FOR GRANT 
ANNOUNCEMENTS THAT MAY APPEAR AFTER THE HRSA PREVIEW IS ISSUED.
=======================================================================

[FR Doc. 97-19757 Filed 7-25-97; 8:45 am]
BILLING CODE 4160-15-P