[Federal Register Volume 61, Number 252 (Tuesday, December 31, 1996)]
[Notices]
[Pages 69102-69106]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-33097]
[[Page 69102]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Emergency Medical Services for Children Demonstration Grants
AGENCY: Health Resources and Services Administration (HRSA), DWHHS.
ACTION: Notice of availability of funds.
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SUMMARY: The HRSA in collaboration with the National Highway Traffic
Safety Administration (NHTSA) announces that approximately $ 4.1
million in fiscal year (FY) 1997 funds will be available for grants
authorized under section 1910 of the PHS Act. These discretionary
grants will be made to States or accredited schools of medicine to
support projects for the expansion and improvement of emergency medical
services for children (EMSC). Within the HRSA, EMSC grants are
administered by the Maternal and Child Health Bureau (MCHB).
The NHTSA participated with the MCHB in developing program
priorities for the EMSC program for FY 1997. The NHTSA will share the
Federal monitoring responsibilities for EMSC awards made during FY 1997
and will continue to provide ongoing technical assistance and
consultation in regard to the required collaboration/linkages between
applicants and their Highway Safety Offices and Emergency Medical
Services Agencies for the State(s). Grantees funded under this program
are expected to work collaboratively with the State agency or agencies
administering the Maternal and Child Health (MCH) and the Children with
Special Health Needs (CSHN) programs under the MCH Services Block
Grant, Title V of the Social Security Act (42 U.S.C. 701).
The PHS is committed to achieving the health promotion and disease
prevention objectives of Healthy People 2000, a PHS led national
activity for setting priority areas. The EMSC grant program will
directly address the Healthy People 2000 objectives related to
emergency medical services and trauma systems linking prehospital,
hospital, and rehabilitation services in order to prevent trauma deaths
and long-term disability. Potential applicants may obtain a copy of
Healthy People 2000 (Full Report: Stock No. 017-001-00474-0) or Healthy
People 2000 (Summary Report: Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
D.C. 20402-9325 (telephone 202-783-3238).
The PHS strongly encourages all grant recipients to provide a
smoke-free workplace and promote the non-use of all tobacco products.
In addition, Public Law 103-227, the Pro-Children Act of 1994,
prohibits smoking in certain facilities (or in some cases, any portion
of a facility) in which regular or routine education, library, day
care, health care or early childhood development services are provided
to children.
ADDRESSES: Federal Register notices and application guidance for MCHB
programs are available on the World Wide Web via the Internet at
address: http://www.os.dhhs.gov/hrsa/mchb. Click on the file name you
want to download to your computer. It will be saved as a self-
extracting (Macintosh or) WordPerfect 5.1 file. To decompress the file
once it is downloaded, type in the file name followed by a .
The file will expand to a WordPerfect 5.1 file.
For applicants for Emergency Medical Services for Children
Demonstration Grants who are unable to access application materials
electronically, a hard copy (Revised PHS form 5161-1, approved under
OMB clearance number 0937-0189) must be obtained from the HRSA Grants
Application Center. The Center may be contacted by: Telephone Number:
1-888-300-HRSA, FAX Number: 301-309-0579, E-mail Address:
[email protected] Completed applications should be returned to:
Grants Management Officer (CFDA #93.127), HRSA Grants Application
Center, 40 West Gude Drive, Suite 100, Rockville, Maryland 20850.
DATES: The application deadline date is April 11, 1997. Competing
applications will be considered to be on time 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 orderly processing.
Applicants should request a legibly dated receipt from a commercial
carrier or the U.S. Postal Service, or obtain a legibly dated U.S.
Postal Service postmark. Private metered postmarks will not be accepted
as proof of timely mailing.
Late competing applications or those sent to an address other than
specified in the ADDRESS section will be returned to the applicant.
FOR FURTHER INFORMATION: Requests for technical or programmatic
information from MCHB should be directed to Jean Athey, Ph.D., or Mark
E. Nehring, D.M.D., M.P.H., Division of Maternal, Infant, Child and
Adolescent Health, Maternal and Child Health Bureau, Health Resources
and Services Administration, Room 18A-39, Parklawn Building, 5600
Fishers Lane, Rockville, Maryland 20857, telephone 301-443-2250.
Requests for technical or programmatic information from NHTSA should be
directed to Garry Criddle, R.N., CDR, USCG/USPHS, Department of
Transportation, NHTSA EMS Division, NTS-42, 400 Seventh Street SW,
Washington, DC 20590, telephone 202-366-5440. Requests for information
concerning fiscal, business or administrative management issues should
be directed to: Maria Carter, Grants Management Specialist, Grants
Management Branch, Maternal and Child Health Bureau, 5600 Fishers Lane,
Room 18-12, Rockville, Maryland 20857, telephone 301-443-1440.
The EMSC program funds three national EMSC resource centers that
are available to provide technical assistance and support to
applicants, particularly in the areas of: (1) Understanding EMSC
terminology; (2) developing a manageable approach to EMSC
implementation; (3) obtaining local support for the grant application
process; (4) facilitating development of community linkages for a
collaborative effort; (5) identifying products of previously-funded
EMSC projects of interest to potential applicants; (6) offering advice
on grant writing; and (7) data collection and analysis. Applicants may
contact: James Seidel, M.D., Ph.D., or Deborah Henderson, R.N., M.A.,
National EMSC Resource Alliance, Research and Education Institute,
Harbor/UCLA Medical Center, 1001 West Carson Street, Suite S, Torrance,
CA 90502, telephone 310-328-0720; or Jane Ball, R.N., Dr. P.H., EMSC
National Resource Center, Children's National Medical Center, Emergency
Trauma Services, 111 Michigan Ave., N.W., Washington, DC 20010,
telephone 202-745-5188; or J. Michael Dean, M.D., National EMSC Data
Analysis Resource Center, University of Utah School of Medicine, 309
Park Building, Salt Lake City, UT 84112, telephone 801-588-3280.
SUPPLEMENTARY INFORMATION:
Program Background and Objectives
The Emergency Medical Services for Children statute (Section 1910
of the PHS Act, as amended) establishes a program of two-year grants to
States, through a State-designated agency, or to accredited medical
schools within States, for projects for the expansion and improvement
of emergency medical services for children who need treatment for
trauma or critical illness. For purposes of this grant program, the
term ``State'' includes the 50 States, the District of Columbia, the
Commonwealth of Puerto Rico, the Virgin Islands, the Northern Mariana
[[Page 69103]]
Islands, Guam, American Samoa, the Republic of Palau, the Republic of
the Marshall Islands, and the Federated States of Micronesia. The term
``school of medicine'' is defined as having the same meaning as set
forth in Section 799(1)(A) of the PHS Act (42 U.S.C. 295p(1)(A)).
``Accredited'' in this context has the same meaning as set forth in
section 799(1)(E) of the PHS Act (42 U.S.C. 295p(1)(E)). It is the
intent of this grant program to stimulate further development or
expansion of ongoing efforts in the States to reduce the problems of
life-threatening pediatric trauma and critical illness. The Department
does not intend to award grants which would duplicate grants previously
funded under the Emergency Medical Services Systems Act of 1972 or
which would be used simply to increase the availability of emergency
medical services funds allotted to the State under the Preventive
Health Services Block Grant.
Eligible Applicants
State governments and accredited schools of medicine are the only
eligible applicants for funding under the EMSC program. It is
anticipated that the application for planning and implementation funds
will come, in most States, from the organization responsible for EMS
for children, which will most likely be the Emergency Medical Services
agency in the State. Because the purpose of the partnership grants is
to solidify the integration of a pediatric perspective within the basic
EMS system, the only eligible applicant for that category is the State
EMS agency, unless the State specifically requests and designates
another State entity or a school of medicine and provides a convincing
justification for doing so. Because of the importance of linking EMS
activities with the system of care for children, the involvement of the
State MCH program in all grant categories is strongly encouraged. Such
involvement could be demonstrated either by a co-signed application or
by a letter of support.
If the applicant is a school of medicine, the application must be
endorsed by the State EMS office. The State's endorsement constitutes
an acknowledgement that the applicant has consulted with the State and
that the State has been assured that the applicant will work with the
State on the proposed project. No application from a school of medicine
will be considered for funding without the endorsement. Further
information on application endorsements can be found in the program
guidance. Any State (or medical school within that State) may apply for
any category of grant, subject to the following considerations:
For Category (1) Planning Grants, States (or medical
schools within those States) that have received prior EMSC State
systems grants may not apply for a planning grant.
For Category (2) Implementation Grants, applications from
States (and medical schools within those States) that have not
previously received EMSC program funds, or that have received only
partial support under this program as part of a regional alliance, will
receive preference for funding in this category. This means that
approved applications from States (and medical schools within those
States) with no or very limited prior EMSC program support will be
funded ahead of approved applications from outside this group.
For Category (3) State Partnership Grants, States that
have previously received EMSC funds may apply for a State partnership
grant, as long as they will not also be receiving implementation or
``enhancement'' funds during the project period of the partnership
grant. States that have not previously received EMSC funds are advised
to apply first for planning category funds.
For Category (4) Targeted Issues Grants, eligibility is
not affected by previous receipt of other EMSC funding.
Funding of an application for a planning grant or for an
implementation grant bars a State from future competitions for that
category.
Funding Categories
There will be four categories of competition for funding this year:
State planning grants, State implementation grants, State partnership
grants, and targeted issue grants.
Category (1): State Planning Grants
Planning grants are intended for States that have never received an
EMSC grant and that are not at a stage of readiness to initiate a full-
scale implementation project. States (or medical schools within those
States) that have not received prior EMSC implementation grants are the
only applicants eligible for this category. Planning grants are
designed 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 conduct a needs assessment. A
comprehensive approach, addressing physical, psychological, and social
aspects of EMSC along the continuum of care, should be reflected. An
ongoing working relationship with Federal EMSC program staff and
resource center staff, beginning with the initiation of a planning
grant application, is desirable. The project period is one year.
Category (2): State Implementation Grants
Implementation grants will 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 CSHN systems, using the experience and
products of previous EMSC grantees. The program components of these
grants should reflect the goals of the MCHB/NHTSA Five Year Plan for
EMSC. This plan outlines the direction of the EMSC program and
identifies specific objectives for the program. It builds on the 1993
report for EMSC conducted by a blue ribbon Institute of Medicine panel.
The plan will be included with the application kit. Depending upon the
appropriation of funds, project periods are up to two years.
Proposals are sought which include strategies and/or models to
ensure that pediatric emergency care is family centered. ``Family
centered'' includes the following key elements: maximum possible
involvement of families in all phases of the EMSC continuum of care;
clear and continuous communication between family members and the
emergency care team; attention to the psychological needs of all family
members; cultural competence of providers; consumer (parental)
involvement in planning and needs assessment; organizational support
for the formation of parent involvement groups; and ongoing
partnerships with such groups. For this competition, we intend to fund
applications from States (and medical schools within those States) that
have not as yet received support, or that have received only partial
support under this program as part of a regional alliance. This means
that approved applications from States (and medical schools within
those States) with no or very limited prior EMSC program support will
be funded before approved applications from outside this group.
Applications will not be accepted for both planning grants and
state implementation grants simultaneously from the same State.
[[Page 69104]]
Category (3): State Partnership Grants
State partnership grants will fund activities that represent the
next logical step or steps to take to institutionalize EMSC within EMS
and to continue to improve and refine EMSC. The program components of
these grants should reflect the goals and objectives of the MCHB/NHTSA
Five Year Plan for EMSC. For example, funding might be used to improve
linkages between local and regional or State agencies, to develop
pediatric standards for a region, or to assure effective field triage
of the child in physical or emotional crisis to appropriate facilities
and/or other resources. States that have previously received EMSC funds
may apply for a State partnership grant, as long as they will not also
be receiving continuation funding for a State implementation grant or a
previously awarded ``System Enhancement Grant'' during the project
period of the State partnership grant. The project period is up to two
years, depending upon the availability of funds.
Category (4): Targeted Issue Grants
The fourth funding category is that of targeted issue grants on
topics of importance to EMSC. Targeted issue grants are intended to
address specific, focused issues related to the development of EMSC
capacity. Proposals under this category must have a well-conceived
methodology for evaluation of the impact of the activity. The EMSC Five
Year Plan identifies several activities judged to be appropriate for
support through targeted issue grants for FY 1997. They include the
following:
1. Cost-Benefit Analyses Related to EMSC
Very little information is available on the costs related to
different aspects of EMSC, and yet such information is critical to
decision making. Projects in this category may include topics such as
the following:
Evaluation of the cost effectiveness of different EMSC
program configurations (such as different approaches to medical
control, categorization, and regionalization).
Assessment of the marginal incremental cost of different
approaches to improving EMSC.
Evaluation of the benefits vs. costs of different
treatment modalities.
2. Implications of Managed Care for EMSC
The changes in reimbursement mechanisms due to managed care are
having profound effects on the provision of medical care. It is unclear
how these changes may affect pediatric emergency care. Projects in this
category may include topics such as:
Analyses of the impact of managed care and other financing
mechanisms on pediatric emergency medical services.
Analyses of the impact of differing reimbursement policies
in contiguous jurisdictions on pediatric patients.
Demonstrations and analyses of collaborative activities
with managed care plans designed to improve access and/or quality of
pediatric emergency care.
3. Evaluations of EMSC Components
If EMSC is to improve and provide quality services, evaluation is
critical. Projects in this category may include topics such as:
Development of quality standards for the care of children
within the EMS system and analyses of how well the system performs.
Pilot testing and evaluation of model quality improvement
programs in EMS/EMSC.
Models to determine if the right patients are getting to
the right levels of care.
Analyses of outcomes for children using EMS systems.
National study to identify and document the extent to
which EMSC components have been implemented in each State.
4. Risk-Taking Behaviors of Children and Adolescents
EMS and emergency department health professionals are uniquely
positioned to provide interventions to reduce the incidence of injuries
or medical conditions (e.g., noncompliant child or adolescent with a
chronic condition, such as diabetes) resulting from risk-taking
behavior. Projects in this category can be directed to development and
evaluation of materials and strategies in one of the following areas:
Unintentional injury prevention
Violence or suicide prevention
Illegal drug usage
Integration of mental health services with preventive
interventions (injury or medical)
Projects are especially sought to develop, implement, and evaluate
model guidelines for emergency departments to use following injury to
reduce risk-taking behaviors. Projects are also sought that link
prevention with managed care quality indicators.
5. Models for Improving the Care of Culturally Distinct Populations
Health care providers are often required to meet the needs of
culturally and ethnically distinct children and families, but little
training is provided in this area. Projects in this category can be
directed to one or more of the following:
Development, implementation and evaluation of education
and training programs in cultural sensitivity for prehospital
providers, nurses, and physicians.
Development (or translation), implementation, and
evaluation of discharge, injury prevention and health care materials
for low literacy populations and for culturally and/or ethnically
distinct populations.
6. Children's Emergencies in Disasters
Local, regional, and State disaster plans typically do not address
the training and equipment necessary to meet the special needs of
children in disasters. Projects in this category should seek to
overcome these deficiencies and assess the outcome. Curricula are not
being solicited in this category. Examples of projects appropriate for
this category include the following:
Development and evaluation of a strategy to integrate
pediatrics into existing disaster plans, in particular focusing on the
following components: Training, equipment, psychosocial support, system
access and cost reimbursement, shelter services, and mitigation.
Identification of key data to be collected and analysis of
data on children's health and mental health needs in disasters.
7. Coordination Between Primary Care Providers and EMSC
Primary care providers are important partners on the EMSC team;
however, their role is often overlooked, particularly with respect to
injury prevention, emergency care, and discharge planning. Projects in
this category may include topics that promote collaboration between
primary care providers and EMS, including topics such as the following:
Implementation and evaluation of model programs designed
to improve a primary care provider's office-preparedness to handle
increased patient acuity and emergencies.
Development and evaluation of an information system to
provide access to patient information and to enhance communication and
coordination between emergency care providers and primary care
providers.
Proposals may be submitted on emerging issues that are not included
in the above list. However, any such proposal must demonstrate
relevance to
[[Page 69105]]
the EMSC Five Year Plan and must make a persuasive argument that the
issue is particularly critical. The justification provided should
clearly link the activities in the application with the Plan's
objectives. The project period is up to two years, depending upon the
availability of funds.
Availability of Funds
Approximately $4.1 million will be available for competitive
grants. It is anticipated that a total of 47 grants will be awarded for
the project periods shown in the four identified funding categories:
------------------------------------------------------------------------
Project
Category Grants Amount Period
(year(s))
------------------------------------------------------------------------
State Planning Grants.................. 2 $ 50,000 1
State Implementation Grants............ 4 250,000 2
State Partnership Grants............... 32 60,000 2
Targeted Issue Grants.................. 7 50-150,000 2
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Special Concerns
HRSA's Maternal and Child Health Bureau places special emphasis on
improving service delivery to women, children and youth from
communities with limited access to comprehensive care. In order to
assure access and cultural competence, it is expected that projects
will involve individuals from the populations to be served in the
planning and implementation of the project. The Bureau's intent is to
ensure that project interventions are responsive to the cultural and
linguistic needs of special populations, that services are accessible
to consumers, and that the broadest possible representation of
culturally distinct and historically underrepresented groups is
supported through programs and projects sponsored by the MCHB. This
same special emphasis applies to improving service delivery to children
with special health care needs.
In keeping with the goals of advancing the development of human
potential, strengthening the Nation's capacity to provide high quality
education by broadening participation in MCHB programs of institutions
that may have perspectives uniquely reflecting the Nation's cultural
and linguistic diversity, and increasing opportunities for all
Americans to participate in and benefit from Federal public health
programs, HRSA will place a funding priority on projects from
Historically Black Colleges and Universities (HBCU) or Hispanic Serving
Institutions (HSI) in all categories in this notice for which
applications from academic institutions are encouraged. This is in
conformity with the Federal Government's policies in support of White
House Initiatives on Historically Black Colleges and Universities
(Executive Order 12876) and Educational Excellence for Hispanic
Americans (Executive Order 12900). An approved proposal from a HBCU or
HSI will receive a 0.5 point favorable adjustment of the priority score
in a 4 point range before funding decisions are made.
Evaluation Protocol
A maternal and child health discretionary grant project, including
any project awarded as part of the Emergency Medical Services for
Children Demonstration Grants program, is expected to incorporate a
carefully designed and well planned evaluation protocol capable of
demonstrating and documenting measurable progress toward achieving the
project's stated goals. The protocol should be based on a clear
rationale relating the grant activities, the project goals, and the
evaluation measures. Wherever possible, the measurements of progress
toward goals should focus on health outcome indicators, rather than on
intermediate measures such as process or outputs. A project lacking a
complete and well-conceived evaluation protocol as part of the planned
activities will not be funded.
Project Review and Funding
The Department will review applications in the preceding funding
categories as competing applications and will fund those which, in the
Department's view, are consistent with the statutory purpose of the
program, with particular attention to children from culturally distinct
populations and children with special health care needs; and that best
meet the purposes of the EMSC program and address achievement of
applicable Healthy People 2000 objectives related to emergency medical
services and trauma systems.
Review Criteria
The review of applications will take into consideration the
following criteria:
For Category (1) State Planning Grants:
--Evidence of the State's commitment to improve pediatric emergency
care services and to continue with EMSC program implementation.
--The adequacy of the applicant's proposed method to identify
problems and conduct a needs assessment.
--Evidence of the applicant's understanding of obstacles to EMSC
activity in the past, and the completeness of proposed strategies to
overcome these obstacles.
--The adequacy of the applicant's proposed planning process for
improving EMSC.
--The soundness of the methods the applicant will use to: (1)
recruit, select and assemble appropriate participants, including
members of culturally distinct populations, with demonstrated expertise
and experience in EMS; trauma systems; child health issues; and
emergency care for children; and (2) obtain input from potential
consumers (i.e., families) of a State EMSC plan.
--Reasonableness of the proposed budget, soundness of the
arrangements for fiscal management, effectiveness of use of personnel,
and likelihood of project completion within the proposed grant period.
For Category (2) State Implementation Grants:
--The adequacy of the applicant's understanding of the problem of
pediatric trauma and critical illness in the State and/or project area,
including the special problems of (a) children with special health care
needs and their families; and (b) minority children and families
(including American Indian/Alaska Natives, and Native Hawaiians).
--The appropriateness of project objectives and outcomes in
relation to the specific nature of the problems identified by the
applicant.
--The adequacy of the proposed methodology for achieving project
goals and objectives.
--The soundness of the plan for evaluating progress in achieving
project objectives and outcomes.
--The adequacy of the plan for organizing and carrying out the
project.
--The reasonableness of the proposed budget and soundness of the
applicant's plans for fiscal management.
[[Page 69106]]
--The qualifications and experience of the Project Director and
proposed staff.
--The extent to which the applicant will employ products and
expertise of EMSC programs in other States, especially of current and
former grantees of the Federal EMSC program. Such resources include,
but are not limited to, technical assistance and consultation.
--The extent to which the applicant demonstrates the involvement
and participation of consumers (i.e., families) and parent involvement
groups in planning, needs assessment, and project implementation.
--The extent to which the project gives special emphasis to the
concerns identified in the Special Concerns section (see page 19-20).
--The evidence that the applicant will collaborate and coordinate
with other participants in the EMSC continuum including, but not
limited to, the State EMS agency (if not the applicant) the State MCH/
CSHN agency, the State Highway Safety Office, other relevant State
agencies, tribal nations, State and local professional organizations,
private sector voluntary organizations, business organizations, parent
advocacy groups, consumer or community representatives, hospital
organizations, and any other ongoing Federally-funded projects in EMS,
injury prevention, and rural health.
--The extent to which the applicant demonstrates a multi-
disciplinary approach to EMSC system development, including providers
at all levels (e.g., physicians, nurses, EMTs, social workers, and
others appropriate to project activities).
--The adequacy of the applicant's plan to integrate pediatric
emergency care into the primary care delivery system.
--The adequacy with which the applicant addresses
institutionalization of the proposed project.
For Category (3) State Partnership Grants:
--The adequacy of the applicant's plan to institutionalize EMSC
into EMS.
--The evidence that the applicant will collaborate and coordinate
with other participants in the EMSC continuum including, but not
limited to, the State MCH/CHSN agency, the State Highway Office, tribal
nations, State and local professional organizations, private sector
voluntary organizations, parent advocacy groups, consumer or community
representatives, hospital organizations, and any other ongoing
Federally-funded projects in EMS, injury prevention, and rural health.
--The reasonableness of the proposed budget and soundness of the
applicant's plans for fiscal management.
For Category (4),Targeted Issue Grants:
--The appropriateness of project objectives and outcomes in
relation to the specific nature of the problems identified by the
applicant.
--The adequacy of the proposed methodology for achieving project
goals and outcome objectives.
--The soundness of the plan for evaluating progress in achieving
project objectives and outcomes.
--The reasonableness of the proposed budget and soundness of the
arrangements for fiscal management.
--The adequacy of the plan for organizing and carrying out the
project.
--The qualifications and experiences of the Project Director and
proposed staff.
--The extent to which the project addresses the issues raised in
the section on Special Concerns.
--The relevance of the proposed project to the MCHB/NHTSA Five Year
Plan for EMSC.
Allowable Costs
The HRSA may support reasonable and necessary costs of EMSC
Demonstration Grant projects within the scope of approved projects.
Allowable costs may include salaries, equipment and supplies, travel,
contracts, consultants, and others, as well as indirect costs as
negotiated. The HRSA adheres to administrative standards reflected in
the Code of Federal Regulations, 45 CFR Part 92 and 45 CFR Part 74.
Public Health System Reporting Requirements
This program is subject to the Public Health System Reporting
Requirements (approved under OMB No. 0937-0195). Under these
requirements, community-based nongovernmental applicants must prepare
and submit a Public Health System Impact Statement (PHSIS). The PHSIS
is intended to provide information to State and local health officials
to keep them apprised of proposed health services grant applications
submitted by community-based nongovernmental organizations within their
jurisdictions. Community-based non-governmental applicants are required
to submit the following information 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:
(a) A copy of the face page of the application (SF 424).
(b) A summary of the project (PHSIS), not to exceed one page, which
provides:
(1) A description of the population to be served.
(2) A summary of the services to be provided.
(3) A description of the coordination planned with the appropriate
State or local health agencies.
The project abstract may be used in lieu of the one-page PHSIS, if
the applicant is required to submit a PHSIS.
Executive Order 12372
This program has been determined to be a program which is subject
to the provisions 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 which 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 SPOCs 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 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 PHS Programs under Executive Order
12372 and 45 CFR Part 100 for a description of the review process and
requirements).
The OMB Catalog of Federal Domestic Assistance number is 93.127.
Dated: December 23, 1996.
Ciro V. Sumaya,
Administrator.
[FR Doc. 96-33097 Filed 12-30-96; 8:45 am]
BILLING CODE 4160-15-P
