[Federal Register Volume 68, Number 107 (Wednesday, June 4, 2003)]
[Notices]
[Pages 33507-33510]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-13915]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Title III Early Intervention Services Program, Existing 
Geographic Areas (EISEGA); CFDA 93.918; HRSA 04-005

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice of availability of funds.

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SUMMARY: The Health Resources and Services Administration (HRSA) 
announces the anticipated availability of fiscal year (FY) 2004 funds 
to be awarded under the Ryan White Comprehensive AIDS Resources 
Emergency (CARE) Act Title III Early Intervention Services (EIS) 
Program for existing geographic areas to support outpatient HIV early 
intervention and primary care services for low-income, medically 
underserved people in

[[Page 33508]]

existing primary care systems. Grants will be awarded for a 3-year 
period.
    Program Purpose: The purpose of this funding is to provide, on an 
ongoing outpatient basis, high quality, culturally competent, early 
intervention services/primary care to individuals with HIV infection. 
This is accomplished by increasing the present capacity and capability 
of eligible ambulatory health services 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.
    Program Requirements: As described in section 2651(b) of the Public 
Health Service Act, funded programs must provide the following services 
on an outpatient basis:
    (A) Counseling individuals with respect to HIV disease;
    (B) Testing individuals with respect to HIV disease, including 
tests to confirm the presence of the disease, tests to diagnose the 
extent of the deficiency in the immune system, and tests to provide 
information on appropriate therapeutic measures for preventing and 
treating the deterioration of the immune system and for preventing and 
treating conditions arising from the disease;
    (C) Referrals of individuals with HIV disease to appropriate 
providers of health and support services;
    (D) Other clinical and diagnostic services regarding HIV disease 
and periodic medical evaluations of individuals with the disease; and,
    (E) Providing therapeutic measures as described in (B).
    Funded programs must provide the proposed services directly and/or 
through formal agreements with public or nonprofit private entities. 
They may also provide services through agreements with private for-
profit entities if such entities are the only available providers of 
quality HIV care in the area. A minimum of 50 percent of funds awarded 
MUST be spent on primary care services as described in items B-E above. 
No more than 10 percent of funds awarded may be spent on 
administration, including planning and evaluation.
    Eligible Applicants: Applicants are limited to public or private 
nonprofit entities that are currently funded under the Title III 
program whose project periods expire in FY 04 and other public or 
private nonprofit organizations, which meet the qualifications as 
described in section 2652(a) of the PHS Act, proposing to serve the 
same populations currently being served by these existing projects. 
Faith-based and community-based organizations which meet these 
qualifications are eligible to apply. The available service areas are:

State and Service Areas of Project Periods Ending 12/31/03 and 3/31/04

AL AUTAUGA; LOWNDES; BUTLER; DALLAS; CHILTON; ELMORE; MACON; 
BULLOCK; LEE; RUSSELL; PIKE; BARBOUR; DALE; GENEVA; HOUSTON; 
CRENSHAW; CONECUH; COFFEE; CHAMBERS; TALLAPOOSA; WILCOX; MONROE; 
PERRY, CALHOUN; CHAMBERS; CLEBURNE; COOSA; CLAY; CHEROKEE; DEKALB; 
ETOWAH; RANDOLPH; TALLADEGA; TALLAPOOSA, COLBERT; CULLMAN; FRANKLIN; 
JACKSON; LAUDERDALE; LAWRENCE; LIMESTONE; MADISON; MARION; MARSHALL; 
MORGAN; WINSTON, MOBILE; BALDWIN
AZ PIMA; TUCSON, MARICOPA; YAVAPAI; GILA; PINAL
CA SAN BERNARDINO, SAN FRANCISCO, SAN JOAQUIN; SOLANO; YOLO; 
CALAVERAS, LOS ANGELES, ALAMEDA, SAN FERNANDO VALLEY, SANTA CLARA, 
SANTA CRUZ; MONTEREY, ORANGE, NORTH SAN DIEGO COUNTY
DC DISTRICT OF COLUMBIA
FL DADE; MIAMI, MIAMI BEACH; SOUTH BEACH; NORTHSIDE; NORMANDY ISLE, 
MONROE; KEY WEST; MARATHON; TAVENIER
GA BULLOCH; CANDLER; EVANS; TOOMBS; TATTNALL; JEFF DAVIS; APPLING; 
WAYNE; COFFEE; BACON; PIERCE; BRANTLEY; ATKINSON; WARE; CHARLTON; 
CLINCH, FULTON; DEKALB, BURKE; COLUMBIA; EMANUEL; GLASCOCK; 
JEFFERSON; JENKINS; LINCOLN; MCDUFFIE; RICHMOND; SCREVEN; 
TALIAFERRO; WARREN; WILKES, CHATHAM; EFFINGHAM; LIBERTY; BRYAN; 
GLYNN, FULTON, BALDWIN; BIBB; CRAWFORD; HANCOCK; HOUSTON; JASPER; 
JONES; MONROE; DEKALB; PUTNAM; TWIGGS; WASHINGTON; WILKINSON, BUTTS; 
CARROLL; COWETA; FAYETTE; HEARD; LAMAR; MERIWETHER; PIKE; SPALDING; 
TROUP; UPSON
HI MAUI; WAIKIKI
IL COOK, WINNEBAGO; JO DAVIESS; STEPHENSON; WHITESIDE; LEE; OGLE; 
BOONE; MCHENRY; DEKALB
IN MARION
KS SEDGWICK; CHEYENNE; RAWLINS; DECATUR; NORTON; SMITH; JEWELL; 
REPUBLIC; SHERMAN; THOMAS; SHERIDAN; GRAHAM; ROOKS; OSBORNE; 
MITCHELL; CLOUD; WALLACE; LOGAN; GOVE; TREGO; ELLIS; RUSSELL; 
LINCOLN; OTTAWA; BARTON; ELLSWORTH; SALINE; RICE; MCPHERSON; 
DICKINSON; MARION; STAFFORD; RENO; HARVEY; PRATT; KINGMAN; BUTLER; 
GREENWOOD; GREELEY; WICHITA; SCOTT; LANE; NESS; RUSH; HAMILTON; 
KEARNY; FINNEY; HODGEMAN; PAWNEE; STANTON; GRANT; HASKELL; GRAY; 
FORD; KIOWA; EDWARDS; MORTON; STEVENS; SEWARD; MEADE; CLARK; 
COMANCHE; BARBER; HARPER; SUMNER; COWLEY; CHAUTAUQUA; ELK; CHASE; 
WOODSON; ANDERSON; LINN; ALLEN; BOURBON; WILSON; NEOSHO; CRAWFORD; 
MONTGOMERY; LABETTE; CHEROKEE, JOHNSON; WYANDOTTE; MIAMI; 
LEAVENWORTH
LA CALCASIEU; ALLEN; BEAUREGARD; CAMERON; JEFFERSON DAVIS;WASHINGTON
MA HAMPDEN; FRANKLIN
MI KENT; LAKE; IONIA; MUSKEGON; OCEANA; NEWAYGO; MASON; MANISTEE
MI WAYNE; OAKLAND; MACOMB; LAPEER; ST. CLAIR; MONROE
MO VERNON; BARTON; JASPER; NEWTON; MCDONALD; CEDAR; ST. CLAIR; DADE; 
LAWRENCE; BARRY; HICKORY; POLK; GREENE; CHRISTIAN; STONE; TANEY; 
DALLAS; WEBSTER; DOUGLAS; OZARK; LACLEDE; WRIGHT; PULASKI; TEXAS; 
HOWELL; PHELPS; DENT; SHANNON; OREGON, JACKSON; CLAY; RAY; PLATTE; 
CASS; CLINTON; LAFAYETTE
MS ATTALA; BOLIVAR; CARROLL; HOLMES; HUMPHREYS; LEFLORE; MONTGOMERY; 
SUNFLOWER; COAHOMA; TUNICA; DESOTO; TATE; PANOLA; QUITMAN; 
TALLAHATCHIE; SUNFLOWER; COVINGTON; ISSAQUENA; JONES; HUMPHREYS; 
HOLMES; WAYNE; SHARKEY; YAZOO; WARREN; LAMAR; CLAIBORNE; HINDS; 
MADISON; FORREST; PERRY; ATTALA; COPIAH; GREENE; RANKIN; SIMPSON; 
PEARL RIVER; LEAKE; NESHOBA; STONE; KEMPER; SCOTT; NEWTON; GEORGE; 
LAUDERDALE; SMITH; JASPER; CLARKE; JEFFERSON DAVIS
NC AVERY; BUNCOMBE; HAYWOOD; HENDERSON; MADISON; MITCHELL; MCDOWELL; 
RUTHERFORD; TRANSYLVANIA; POLK; YANCEY, ALAMANCE; CASWELL; CHATHAM; 
DAVIDSON; DAVIE; FORSYTH; GUILFORD; LEE; ORANGE; RANDOLPH; 
ROCKINGHAM; STOKES; SURRY; YADKIN, FRANKLIN; VANCE; WARREN; 
GRANVILLE; PERSON
NJ ESSEX; UNION
NM BERNALILLO; CIBOLA; MCKINLEY; SANDOVAL; SAN JUAN; VALENCIA; 
TORRANCE; SOCORRO, DONA ANA; OTERO; SIERRA; LUNA; HIDALGO; GRANT; 
CATRON; DEBACA; ROOSEVELT; LINCOLN; CHAVES; LEA; EDDY; GUADALUPE
NV WASHOE, CLARK
NY ERIE; CHAUTAUQUA; NIAGARA; CATTARAUGUS; WYOMING; ALLEGANY; 
ORLEANS; GENESEE, NEW YORK, BRONX; STATEN ISLAND, MANHATTAN; NEW 
YORK, KINGS, LIVINGSTON; MONROE; ONTARIO; SENECA; YATES; CHEMUNG; 
SCHUYLER; STEUBEN, QUEENS
OH HAMILTON; CLERMONT; BROWN; BUTLER; KENTON; HIGHLAND; FAYETTE; 
CLINTON; WARREN; CAMPBELL; BOONE; GRANT; KENTUCKY; OHIO; ADAMS, 
CUYAHOGA; LORAIN; ASHTABULA; LAKE
OK ADAIR; CHEROKEE; CRAIG; CREEK; DELAWARE; HASKELL; LATIMER; LE 
FLORE; MAYES; MCINTOSH; MUSKOGEE; NOWATA; OKFUSKEE;

[[Page 33509]]

OKMULGEE; OSAGE; OTTAWA; PAWNEE; PITTSBURG; ROGERS; SEQUOYAH; TULSA; 
WAGONER; WASHINGTON
PA PHILADELPHIA, LEHIGH; NORTHAMPTON, BEAVER; BUTLER; ARMSTRONG; 
INDIANA; CAMBRIA; SOMERSET; WESTMORELAND; FAYETTE; GREENE; 
WASHINGTON
PR SAN JUAN, HUMACAO; CAGUAS; NAGUABO; SAN LORENZO; LAS PIEDRAS; 
GURABO; JUNCOS; FAJARDO
RI BRISTOL; KENT; NEWPORT; PROVIDENCE; WASHINGTON
TX COLLIN; DALLAS; DENTON; ELLIS; HENDERSON; HUNT; KAUFMAN; 
ROCKWALL; DENTON; JOHNSON; PARKER; TARRANT, HARRIS, BASTROP; BLANCO; 
BURNET; CALDWELL; FAYETTE; HAYS; LEE; LLANO; TRAVIS; WILLIAMSON, 
ERATH; SOMERVELL; PALO PINTO; JOHNSON; HOOD; DENTON; NAVARRO; WISE; 
ELLIS; ROCKWALL; HUNT; TAYLOR; SHACKELFORD; RUNNELS; THROCKMORTON
UT BEAVER; BOX ELDER; CACHE; CARBON; DAGGETT; DAVIS; DUCHESNE; 
EMERY; GARFIELD; GRAND; IRON; JUAB; KANE; MILLARD; MORGAN; PIUTE; 
RICH; SALT LAKE; SAN JUAN; SANPETE; SEVIER; SUMMIT; TOOELE; UINTAH; 
UTAH; WASATCH; WASHINGTON; WAYNE; WEBER

State and Service Area of Project Periods Ending 6/30/04 or 9/29/04

AK MUNICIPALITY OF ANCHORAGE
AR ARKANSAS; ASHLEY; CHICOT; DESHA; DREW; JEFFERSON; LINCOLN; 
PULASKI; LONOKE; PRAIRIE, CRITTENDEN; CROSS; LEE; MISSISSIPPI; 
MONROE; ST. FRANCIS; WOODRUFF
CA LOS ANGELES; KERN
CT NEW HAVEN; FAIRFIELD
FL BROWARD; ST. LUCIE; MARTIN; FT. PIERCE; INDIANTOWN; COLLIER
IA IOWA, DALLAS; POLK; WARREN, BUREAU; APPANOOSE; CEDAR; CLINTON; 
DAVIS; DES MOINES; HENRY; IOWA; JACKSON; JEFFERSON; JOHNSON; KEOKUK; 
LEE; LOUISA; MAHASKA; MONROE; MUSCATINE; POWESHIEK; SCOTT; VAN 
BUREN; WAPELLO; WASHINGTON; HANCOCK; WARREN; HENDERSON; KNOX; 
MCDONOUGH; MERCER; ROCK ISLAND; WHITESIDE
ID ADA; BOISE; ELMORE; VALLEY; OWYHEE; CANYON; GEM; PAYETTE; 
WASHINGTON; ADAMS; BUTTE; BINGHAM; POWER; BANNOCK; CARIBOU; ONEIDA; 
FRANKLIN; BEAR LAKE
KY PIKE
LA WASHINGTON
MA BARNSTABLE; PLYMOUTH; WORCESTER; SUFFOLK; NORFOLK
MI WAYNE
MS BOLIVAR; SUNFLOWER; WASHINGTON; LA
MT BEAVERHEAD; BIG HORN; BLAINE; BROADWATER; CARBON; CARTER; 
CASCADE; CHOUTEAU; CUSTER; DANIELS; DAWSON; DEER LODGE; FALLON; 
FERGUS; FLATHEAD; GALLATIN; GARFIELD; GLACIER; GOLDEN VALLEY; 
GRANITE; HILL; JUDITH BASIN; LAKE; LEWIS AND CLARK; LIBERTY; 
LINCOLN; MCCONE; MADISON; MEAGHER; MINERAL; MISSOULA; MUSSELSHELL; 
PARK; PETROLEUM; PHILLIPS; PONDERA; POWELL; PRAIRIE; RAVALLI; 
ROOSEVELT; ROSEBUD; SANDERS; SILVER BOW; STILLWATER; SWEET GRASS; 
TETON; TOOLE; TREASURE; VALLEY; WHEATLAND; WIBAUX; YELLOWSTONE; 
YELLOWSTONE NATIONAL PARK
NC DURHAM; WAKE; ORANGE; GRANVILLE; VANCE
NJ UNION; MONMOUTH; MERCER; MIDDLESEX; SOMERSET; HUNTERDON
NY ALBANY; RENSSELAER; WESTCHESTER; PUTNAM; DUTCHESS; COLUMBIA; 
ORANGE; ULSTER; BRONX
PA PHILADELPHIA; YORK
PR LARES; BARRANQUITAS; CAMUY; CIALES; CIDRA; COMERIO; COROZAL; 
FLORIDA; NARANJITO; HATILLO; PATILLAS; OROCOVIS, GURABO; CAGUAS; SAN 
LORENZO; CIDRA; CAYEY, MAYAGUEZ; SAN SEBASTIAN; WESTERN PUERTO RICO
SC BEAUFORT; HAMPTON; JASPER
TX BEXAR
VA COVINGTON CITY; CLIFTON FORGE CITY; ALLEGHANY; BOTETCOURT; CRAIG; 
ROANOKE CITY; SALEM CITY; ROANOKE; AMHERST; APPOMATTOX; BEDFORD; 
BEDFORD CITY; CAMPBELL; LYNCHBURG CITY; BUCHANAN; DICKENSON; 
RUSSELL; TAZEWELL; DANVILLE CITY; PITTSYLVANIA; FRANKLIN; HENRY; 
MARTINSVILLE CITY; PATRICK; LEE; NORTON CITY; SCOTT; WISE; BLAND; 
BRISTOL CITY; CARROLL; GALAX CITY; GRAYSON; SMYTH; WASHINGTON; 
WYTHE; FLOYD; GILES; PULASKI; RADFORD CITY; AUGUSTA; BATH; HIGHLAND; 
ROCKBRIDGE; ROCKINGHAM; FREDERICK; PAGE; SHENANDOAH; CLARKE; WARREN; 
CULPEPER; FAUQUIER; MADISON; ORANGE; RAPPAHANNOCK; ALBERMARLE; 
FLUVANNA; GREENE; LOUISA; NELSON; CAROLINE; KING GEORGE; 
SPOTSYLVANIA; STAFFORD
VT ADDISON; BENNINGTON; CALEDONIA; CHITTENDEN; ESSEX; FRANKLIN; 
GRAND ISLE; LAMOILLE; ORANGE; ORLEANS; RUTLAND; WASHINGTON; WINDHAM; 
WINDSOR
WI DANE; ADAMS; BUFFALO; CRAWFORD; COLUMBIA; DODGE; GREEN; FOND DU 
LAC; CALUMET; PEPIN; TREMPEALEAU; JACKSON; LA CROSSE; MONROE; 
VERNON; GRANT; LAFAYETTE; IOWA; JEFFERSON; SAUK; RICHLAND; JUNEAU; 
MARQUETTE; WAUSHARA; WAUPACA; WINNEBAGO; SHEBOYGAN; ROCK; GREEN LAKE

    Funding Priorities and/or Preferences: HRSA shall give preference 
to applicants experiencing an increase in the burden of providing 
services regarding HIV disease, as described in Section 2653 of the PHS 
Act. Under section 2653(d), of the applicants who qualify for 
preference under this section, (1) HRSA shall give preference to 
applicants that will expend the grant under section 2651 to provide 
early intervention under such section in rural areas; and (2) HRSA 
shall give special consideration to areas that are underserved with 
respect to such services. These may include organizations serving 
communities of color that are highly affected by HIV/AIDS.
    Authorizing Legislation: The EIS program is authorized by section 
2651(a) of the Public Health Service Act, as amended (42 U.S.C. 300ff-
51)
    Availability of Funds: Approximately $71,268,567 will be available 
for this initiative. HRSA expects to fund approximately 120 grants. 
These estimates are subject to change if an appropriations act 
providing otherwise is enacted. The project and budget periods for 
approved projects will begin on January 1, April 1, July 1 and 
September 30, 2004. Continuation awards within the project period will 
be made on the basis of satisfactory progress and the availability of 
funds.
    Application Deadline: Applications for this grant for programs with 
project periods ending 12/31/03 or 3/31/04 must be received in the HRSA 
Grants Application Center by close of business July 21, 2003. The 
applications for this grant for programs with project periods ending 6/
30/04 or 9/29/04 must be received by December 22, 2003. New proposals 
for existing service areas must apply by the same deadline that 
existing programs serving those areas must meet. Applications shall be 
considered as meeting the deadline if they are either (1) received on 
or before the deadline date or (2) postmarked on or before the deadline 
date, and received in time for submission to the objective review 
panel. A legible dated receipt from a commercial carrier or the U.S. 
Postal Service will be accepted instead of a postmark. Private metered 
postmarks will not be accepted as proof of timely mailing. Grant 
applications postmarked after the deadline may be returned.
    Where to Request and Send an Application: To obtain the official 
grant application kit (Form PHS-5161-1) and program guidance materials 
for this announcement call the HRSA Grant Application Center at 877-
477-2123 and request the OMB Catalogue of Federal Domestic Assistance 
number 93.918A, HRSA 04-005, Program Code EISEGA. HRSA anticipates 
accepting grant applications online in the last quarter of the fiscal 
year (July through September). Please refer to the HRSA Grants Schedule 
at http://www.hrsa.gov/grants/ for more information.

[[Page 33510]]


ADDRESSES: All applications should be mailed or delivered to HRSA Grant 
Application Center, 901 Russell Avenue, Suite 450, Gaithersburg, 
Maryland 20879. Grant applications sent to any other address may be 
returned. The Internet address for HAB is http://www.hab.hrsa.gov.

FOR FURTHER INFORMATION CONTACT: Additional information related to the 
program may be requested from the Division of Community Based Programs, 
HIV/AIDS Bureau, HRSA, 5600 Fishers Lane Room 7A-30, Rockville, 
Maryland 20857. The telephone number is (301) 443-0493; and the fax 
number is (301) 443-1884.

SUPPLEMENTARY INFORMATION: Applications will be reviewed by an 
objective review committee. The review criteria will include: (1) 
Justification of need, (2) organizational capabilities and experience, 
(3) coordination and linkage with other HIV programs, (4) adequacy of 
scope of work for providing early intervention services, (5) work plan, 
(6) program evaluation, (7) appropriateness and justification of 
budget, and (8) adherence to program guidance.
    There is no matching requirement for this program.
    Public Health System Reporting Requirements: Under these 
requirements (approved under OMB No. 0937-0195), a community-based, 
non-governmental applicant must prepare and submit a Public Health 
System Impact Statement to the head of the appropriate State and local 
health agencies in the area(s) to be impacted no later than the Federal 
application receipt due date. This statement must include (1) A copy of 
the face page of the application (SF424) and (2) A summary of the 
project, not to exceed one page, which provides (a) a description of 
the population to be served; (b) a summary of the services to be 
provided; and (c) a description of the coordination planned with the 
appropriate State and local health agencies.
    Executive Order 12372: This program has been determined to be a 
program which is subject to the provision of Executive Order 12372 
concerning intergovernmental review of Federal programs by appropriate 
health planning agencies, as implemented by 45 CFR part 100. Executive 
Order 12372 allows States the option of setting up a system for 
reviewing applications from within their States for assistance under 
certain Federal programs. The application packages to be made available 
under this notice will contain a listing of States that have chosen to 
set up such a review system and will provide a single point of contact 
(SPOC) in the States for review. Applicants (other than federally-
recognized Indian tribal governments) should contact their State SPOC 
as early as possible to alert them to the prospective applications and 
receive any necessary instructions on the State process. For proposed 
projects serving more than one State, the applicant is advised to 
contact the SPOC of each affected State. The due date for the State 
process recommendations is 60 days after the application deadline for 
new and competing awards. The granting agency does not guarantee to 
``accommodate or explain'' for State process recommendations it 
receives after that date. (See Part 148, Intergovernmental Review of 
Public Health Service Programs under Executive Order 12372 and 45 CFR 
part 100 for a description of the review process and requirements).

    Dated: May 12, 2003.
Elizabeth M. Duke,
Administrator.
[FR Doc. 03-13915 Filed 6-3-03; 8:45 am]
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