[Federal Register Volume 59, Number 60 (Tuesday, March 29, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-7245]
[[Page Unknown]]
[Federal Register: March 29, 1994]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH RESOURCES AND SERVICES ADMINISTRATION
[PN 2193]
RIN-0905-ZA12
Availability of Funds for Grants To Provide Comprehensive Health
Promotion, Disease Prevention, and Primary Health Care Services to
Native Hawaiians
AGENCY: Health Resources and Services Administration, PHS.
ACTION: Notice of Available Funds
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SUMMARY: The Health Resources and Services Administration announces the
availability of approximately $3,143,000 for grants to qualified
entities to provide comprehensive disease prevention and primary health
services to Native Hawaiians. These grants will be awarded under the
provisions of the Native Hawaiian Health Care Improvement Act of 1992.
Up to five grants may be awarded at a funding level ranging from
$450,000 to $700,000 annually, depending on the number of persons
targeted to be reached by the programs and the comprehensiveness of the
programs. The project period will be three years.
The Public Health Service (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. This
program is related to the priority area of improving access to health
services in underserved areas and the priority area of clinical
preventive services and educational community-based programs. 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, DC 20402-9325 (Telephone 202-783-3238).
ADDRESSES: Application kits (PHS form 5161-1 with revised DHHS Form
424, as approved by Office of Management and Budget under control
number 0937-0189) and additional information regarding business
management may be obtained from and completed applications should be
mailed to: Ms. Alice H. Thomas, Chief, Office of Grants Management,
Bureau of Primary Health Care, 4350 East West Highway, Rockville, MD
20857, 301-594-4235.
DATES: To receive consideration, grant applications must be received by
June 1, 1994. Applications will be considered as meeting the deadline
if they are either (1) received on or before the established deadline
date or (2) postmarked no later than the deadline date and received in
time for orderly processing. Applicants should request a legibly dated
U.S. Postal Service postmark or receipt from a commercial carrier or
U.S. Postal Service. Private metered postmarks will not be acceptable
as proof of timely mailing. Late applications will not be considered
for funding and will be returned to the applicant.
FOR FURTHER INFORMATION CONTACT: For general program information and
technical assistance, contact Ms. Joan Holloway, Director, Division of
Programs for Special Populations, Bureau of Primary Health Care, 4350
East West Highway, Rockville, MD 20857, 301-594-4420.
SUPPLEMENTARY INFORMATION:
Background:
Funding under this grant program is intended to improve the health
status of Native Hawaiians living in Hawaii by providing primary health
care and health education. The services of these programs will be
developed around outreach and referral components to remove or
circumvent existing barriers to health care. The integration of
traditional health healer concepts with western medicine is encouraged.
It is anticipated that the primary care and health promotion and
disease prevention components will be integrated into one system of
care and that existing health resources of the community will be used
to the greatest extent possible.
Number of Awards
A maximum of five awards will be made. Awards will be made for the
following service areas:
(1) An entity serving individuals on Kaua'i, from which individuals
on Ni'ihau shall also be served;
(2) One entity serving individuals on O'ahu;
(3) One entity serving individuals on Moloka'i from which
individuals on Lana'i shall also be served;
(4) One entity serving individuals on Maui; and
(5) One entity serving individuals on Hawai'i.
Eligible Applicants
An entity is considered qualified if it is a Native Hawaiian health
care system. To qualify as a Native Hawaiian health care system, the
entity must:
(1) Be organized under the laws of the State of Hawaii;
(2) Provide or arrange for health care services through
practitioners licensed by the State of Hawaii, where licensure
requirements are applicable;
(3) Be a public or nonprofit private entity;
(4) Have Native Hawaiian health practitioners significantly
participate in the planning, management, monitoring, and evaluation of
health care services;
(5) Be recognized by Papa Ola Lokahi for the purpose of planning,
conducting, or administering programs, or portions of programs,
authorized by the Native Hawaiian Health Care Improvement Act for the
benefit of Native Hawaiians; and
(6) Be certified by Papa Ola Lokahi as having the qualifications
and the capacity to provide the services and meet the requirements
under the grant the Native Hawaiian health care system receives from
the Secretary.
Project Requirements
Recipients of funds are required to provide the following services:
(1) Outreach services to inform Native Hawaiians of the
availability of health services;
(2) Education in health promotion and disease prevention of the
Native Hawaiian population by, wherever possible, Native Hawaiian
health care practitioners, community outreach workers, counselors, and
cultural educators;
(3) Services of physicians, physician assistants, nurse
practitioners or other health professionals;
(4) Immunizations;
(5) Prevention and control of diabetes, high blood pressure, and
otitis media;
(6) Pregnancy and infant care; and
(7) Improvement of nutrition.
In addition to the mandatory services listed above, the following
services may be provided:
(1) Identification, treatment, control, and reduction of the
incidence of preventable illnesses and conditions endemic to Native
Hawaiians;
(2) Collection of data related to the prevention of diseases and
illnesses among Native Hawaiians; and
(3) Other health promotion, disease prevention, and primary care
services.
Use of Funds
Grants may not be awarded unless the entity agrees that it or the
State of Hawaii will make available, directly or through donations to
the entity, non-Federal contributions toward such costs in an amount
equal to but not less than $1 for each $5 of Federal funds provided.
Non-Federal funds may be in cash or in kind, fairly evaluated,
including plant, equipment or services. Amounts provided by the Federal
Government, or services assisted or subsidized to any significant
extent by the Federal Government, may not be included in determining
the amount of such non-Federal contributions. This requirement may be
waived if the entity is a nonprofit private entity, and if the
Secretary determines, in consultation with Papa Ola Lokahi, that it is
not feasible for the entity to comply with the requirement. Grant funds
may not be used to pay for (1) inpatient services; (2) cash payments to
intended recipients of health services; or (3) purchasing or improving
real property (other than minor remodeling of existing improvements to
real property) or to purchase major medical equipment. The entity may
not expend more than 10 percent of amounts received under the grant for
administering the grant. Other requirements and limitations are set
forth in 42 U.S.C. 11701, et seq.
Criteria for Evaluation
An objective review of applications for grant support will consider
the adequacy of the following:
(1) Assessment of community need;
(2) Program of proposed services;
(3) Collaboration and coordination with other organizations;
(4) Management and staffing plan;
(5) Budget; and
(6) Evaluation plan.
Preference will be given to Native Hawaiian health care systems and
Native Hawaiian organizations.
Other Grant Information
All grants to be awarded under this notice are subject to the
provision of Executive Order 12372, as implemented by regulations at 45
CFR part 100. Executive Order 12372 allows States the option of setting
up a system for reviewing applications from within their States and
local governments for assistance under certain Federal programs.
Applicants (other than federally recognized Indian tribal governments)
should contact their State Single Point of Contact (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. The granting
agency does not guarantee to accommodate or explain its response to
State process recommendations it receives after that date.
In addition, all grants to be awarded under this notice are subject
to the Public Health System Reporting Requirements, approved by the
Office of Management and Budget (OMB) #0937-0195. Under these
requirements, the community-based nongovernmental applicant 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 nongovernmental 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: (1) a
copy of the face page of the application (SF 424); and (2) a summary of
the project (PHSIS), not to exceed one page, which provides a
description of the population to be served, a summary of the services
to be provided and description of the coordination planned with the
appropriate State or local health agencies.
The OMB Catalog of Federal Domestic Assistance number for this
program is 93.163.
Dated: February 16, 1994.
William A. Robinson,
Acting Administrator.
[FR Doc. 94-7245 Filed 3-28-94; 8:45 am]
BILLING CODE 4160-15-P
