97-10335. Availability of The HRSA Competitive Grants Preview  

  • [Federal Register Volume 62, Number 77 (Tuesday, April 22, 1997)]
    [Notices]
    [Pages 19585-19595]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 97-10335]
    
    
    -----------------------------------------------------------------------
    
    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    
    Health Resources and Services Administration
    
    
    Availability of The HRSA Competitive Grants Preview
    
    AGENCY: Health Resources and Services Administration.
    
    ACTION: General Notice.
    
    -----------------------------------------------------------------------
    
    SUMMARY: HRSA announces the availability of the HRSA Competitive Grants 
    Preview publication (hereinafter referred to as The Preview) which 
    constitutes a description of the Agency's competitive grant programs 
    for Fiscal Year 1997. The purpose of the Preview is to provide the 
    general public with a single source of program and application 
    information related to the Agency's annual grant review cycle. The 
    Preview is designed to replace multiple Federal Register notices which 
    traditionally advertised the availability of HRSA discretionary funds 
    for its various programs. The HRSA Preview will appear annually in the 
    Federal Register. The Fiscal Year 1997 Preview appears as Attachment A 
    to this notice.
        Although the Preview describes the majority of HRSA discretionary 
    grant program areas, it should be noted that other program initiatives, 
    responsive to new or emerging issues in the health care area, and 
    unanticipated at the time of publication of the Preview, may be 
    advertised through the Federal Register mechanism from time-to-time. 
    Some programs described in the initial Preview have appeared in Federal 
    Register announcements earlier this Fiscal Year. Deadlines or other 
    requirements appearing in the Federal Register are not changed by this 
    notice.
        The Preview will contain a description of all competitive programs 
    and will include instructions on how to access the Agency for 
    information and how to receive application kits upon availability. 
    Specifically, the following information for each competitive grant 
    program area will be provided: (1) Program Title; (2) Legislative 
    Authority; (3) Purpose; (4) Eligibility; (5) Estimated Amount of 
    competition; (6) Estimated number of awards; (7) Funding Priorities 
    and/or Preferences; (8) Projected Award Date; (9) Application Deadline; 
    (10) Application kit availability; and (11) The Catalog of Federal 
    Domestic Assistance (CFDA) program identification number.
        The first issue of the Preview relates exclusively to funding under 
    HRSA discretionary authorities and programs as follows:
    
    Primary Health Care Programs
    
     Community and Migrant Health Centers
     Health Care For The Homeless
     Grants to States for Loan Repayment Programs
     Ryan White Title III Planning Grants
     Grants to States for Community Scholarship Programs
    
    Maternal and Child Health Programs
    
     Genetic Services
     Managed Care Policy and Children with Special Health Care 
    Needs
     Integrated Services For Children With Special Needs
     Partnership for Information and Communications
     State Fetal and Infant Mortality Review Support Centers
     Health, Mental Health and Safety for Schools
     Partners in Program Planning for Adolescent Health
     Sudden Infant Death Syndrome (SIDS) and Other Infant Death 
    (OID) Program Support Center
     Health And Safety in Child Care Settings
     Data Utilization and Enhancement For State/Community 
    Infrastructure Building and Managed Care
     Healthy Tomorrows Partnership for Children
     Community Integrated Service Systems (CISS) Research Grants
     Maternal and Child Health Provider Partnership Cooperative 
    Agreement
     Community Integrated Services Systems (CISS)--Local/State 
    Community Organization Grants
     Maternal and Child Health Research Cycle
     Long Term Training In Adolescent Health
     Long Term Training In Behavioral Pediatrics
     Long Term Training In Communication Disorders
     Long Term Training In Pediatric Dentistry
     Long Term Training In Pediatric Occupational Therapy
     Long Term Training In Pediatric Physical Therapy
     Long Term Training In Public Health Social Work
     Continuing Education and Development
     Emergency Medical Services for Children: Implementation Grants
     Emergency Medical Services for Children: Planning Grants
     Emergency Medical Services for Children: Partnership Grants
     Emergency Medical Services for Children: Targeted Issues 
    Grants
     Ryan White Title IV; Grants for Coordinated HIV Services and 
    Access To Research for Children, Youth, Women and Families
     Healthy Start Cooperative Agreements
     Traumatic Brain Injury Demonstration Grants
    
    Rural Health Programs
    
     Rural Outreach, Network Development Grant Program
     Telemedicine Network
    
    ADDRESSES: Individuals may obtain the HRSA Preview by calling HRSA's 
    toll free number, 1-888-333-HRSA. The HRSA Preview may also be accessed 
    on the World Wide Web on the HRSA Home Page at: http://
    www.hrsa.dhhs.gov/.
    
    
    [[Page 19586]]
    
    
        Dated: April 16, 1997.
    Claude Earl Fox,
    Acting Administrator.
    
    Attachment A
    
    The Health Resources and Services Administration Competitive Grants 
    Preview
    
    HRSA Announcements for Federal Fiscal Year 1997
    
        The programs administered by the Health Resources and Services 
    Administration (HRSA) are designed to improve the health of the Nation 
    by assuring that quality health care is available to underserved and 
    vulnerable populations and by promoting primary care education and 
    practice. HRSA, in providing national leadership in health care and 
    public health, believes that health care is a right. The diversity of 
    programs supported by HRSA reflects this philosophy and unity of 
    purpose.
        This first issue of the HRSA Competitive Grants Preview will 
    provide notice to the general public of its competitive grant programs 
    and diverse funding opportunities, subject to availability of 
    discretionary funds, during the Federal fiscal year, which begins each 
    October 1 and ends September 30 of the next calendar year. The Preview 
    is designed to replace the multiple Federal Register notices which HRSA 
    has traditionally published during previous fiscal years. Because this 
    initial issue of the Preview is being distributed during the second 
    quarter of the fiscal year, it excludes those HRSA programs which have 
    already been advertised and competed in the early part of FY 1997. The 
    programs included in this issue have funding effective dates ranging 
    from June 1 to September 30, 1997. Future issues will be available each 
    fiscal year and will present a more complete spectrum of programs.
        It should be noted, however, that separate Federal Register notices 
    may be published to enable HRSA to respond to unanticipated issues in 
    the health services arena, or to comply with specific Congressional 
    directives.
        For each program, the Preview provides a description of the program 
    category, applicant eligibility, the application deadline, projected 
    award date, the amount of funds available, funding priorities and/or 
    preferences, and the phone number to obtain additional information on 
    specific funding categories. Additionally, the Preview identifies a set 
    of generic review criteria which represents HRSA's overall approach to 
    competitive application review. Included in the individual application 
    package are the final review criteria specific to each program 
    category.
        We are confident that this new approach to advertising funding 
    opportunities will facilitate easy access to HRSA's program information 
    and grant materials.
        Thank you for working in partnership with HRSA as we seek together 
    to improve the health status of our citizens.
    
    HRSA's Program Priorities
    
    Academic and Community Partnerships in Health Care Professions 
    Education
    
        Training the next generation of health professionals through 
    academic partnerships with communities, moving clinical education 
    beyond hospital wards and into neighborhood sites.
    
    Managed Care
    
        Bringing poor, uninsured, rural and chronically ill people into the 
    mainstream of managed care.
    
    Administrative Simplification and Program Management
    
        Improving services to our customers--the recipients of HRSA's 
    programmatic efforts--by streamlining and consolidating administrative 
    functions, developing and implementing automated systems, and assuring 
    that the field offices are full partners.
    
    State and Community Relationships
    
        Working with States to better serve all populations, especially 
    those unserved or underserved by the private health care system.
    
    Community Infrastructure
    
        Empowering communities to meet their own health care needs building 
    coalitions of physicians, hospitals, clinics, health departments and 
    residents to test, evaluate and replicate models of cooperative care.
    
    Integrated HIV/AIDS Programs
    
        Enhancing services provided through the Ryan White CARE Act for 
    vulnerable populations including people living with HIV/AIDS.
    
    School and Adolescent Health
    
        Helping schools to keep children and adolescents healthy.
    
    Border Health
    
        Safeguarding the health of populations in the 51 U.S. counties 
    along the U.S./Mexico border.
    
    How To Obtain and Use the Preview
    
        It is highly recommended that you carefully read the introductory 
    materials, terminology section and individual program category 
    descriptions before contacting the general number 1-888-333-HRSA. 
    Likewise, we urge applicants to fully assess their eligibility for 
    grants before requesting kits. This will greatly facilitate our ability 
    to assist you in placing your name on the mailing list, and identifying 
    the appropriate application kit(s), or other information you may wish 
    to obtain.
        To Obtain a Copy of the Preview: To have your name and address 
    added to, or deleted from the Preview mailing list, please call the 
    toll free number 1-888 *-333-HRSA. (* Call operator if experiencing 
    difficulty)
        E-mail Address: [email protected]
        To Obtain an Application Kit: Upon review of the program 
    descriptions, please determine which category or categories of 
    application kit or kits you wish to receive, and contact the 1-888-333-
    HRSA number to register on the specific mailing list. If kits are 
    already available, they will be mailed to you right away.
        World Wide Web Access: The Preview is available on the HRSA Home 
    Page via World Wide Web at http://www.hrsa.dhhs.gov. Application 
    materials are currently available for downloading in the current cycle 
    for some HRSA programs. HRSA's goal is to post application forms and 
    materials for all programs in future cycles.
    
    Grant Terminology
    
        Authorizations: These are provided immediately preceding groupings 
    of program categories. They are the citations of provisions of the laws 
    authorizing the various programs.
        Application Deadlines: Applications will be considered ``on time'' 
    if they are either received on or before the established deadline date 
    or sent on or before the deadline date given in the program 
    announcement or in the application kit materials, unless they arrive 
    too late for orderly processing.
        CFDA Number: The relevant Catalog of Federal Domestic Assistance 
    number for the program category or categories listed. The CFDA is a 
    government-wide compendium of Federal programs, projects, services, and 
    activities which provide assistance or benefits to the American public.
        Cooperative Agreement: A financial assistance mechanism to be used 
    in lieu of a grant when substantial Federal programmatic involvement 
    with the recipient during performance is anticipated by the PHS 
    awarding office.
        Eligibility: Authorizing legislation and government programmatic 
    regulations specify eligibility for individual grant
    
    [[Page 19587]]
    
    programs. In general, assistance is provided to nonprofit organizations 
    and institutions, governments and their agencies, and occasionally to 
    individuals. For-profit organizations are eligible to receive awards 
    under financial assistance programs unless specifically excluded by 
    legislation.
        Funding Priorities and/or Preferences: Special priorities or 
    preferences which the individual programs have identified for the 
    funding cycle. For example, some programs give preference to 
    organizations which have specific capabilities such as telemedicine 
    networking, or established relationships with managed care 
    organizations, and a preference may be given to either new or competing 
    continuation applications.
        Matching funds: Several HRSA categories require a matching amount 
    or percentage of the total project support to come from sources other 
    than Federal funds. Matching requirements are generally mandated in the 
    authorizing legislation for specific categories and may be 
    administratively required by the awarding office.
        Review Criteria:
        The following are generic review criteria applicable to HRSA 
    programs:
        * That the estimated cost to the Government of the project is 
    reasonable considering the anticipated results.
        * That project personnel or prospective fellows are well qualified 
    by training and/or experience for the support sought and the applicant 
    organization, or the organization to provide training to a fellow, has 
    adequate facilities and manpower.
        * That, insofar as practicable, the proposed activities (scientific 
    or other), if well executed, are capable of attaining project 
    objectives.
        * That the project objectives are identical with or are capable of 
    achieving the specific program objectives defined in the program 
    announcement.
        The specific review criteria used to review and rank applications 
    are reflected in the individual guidance material provided with the 
    application kits. Applicants should pay strict attention to addressing 
    these criteria as they are the formal basis upon which their 
    applications will be judged.
    
    HRSA Program Competition in 1997--Primary Health Care Programs
    
    Community and Migrant Health Centers
    
        Authorization: Section 330 of the Public Health Service Act, 42 
    U.S.C. 254b.
        Purpose: To extend preventive and primary health services to 
    populations currently without such services and to improve the health 
    status of medically underserved individuals by supporting the 
    establishment of new health centers and/or new health centers service 
    delivery sites for existing health centers.
        Eligibility: Public and private non-profit entities. Eligible 
    applicants for health center expansions must be current recipients of 
    Community and/or Migrant Health Center funding.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of Competition: $15,000,000 with applications 
    selected so that the ratio of new users from rural areas to new users 
    from urban areas is not less than 2 to 3, nor greater than 3 to 2.
        Estimated Number of Awards: Approximately 30.
        Funding Priorities and/or Preferences: Special consideration will 
    be given to applicants that: (1) Propose to serve a designated 
    Empowerment Zone/Enterprise Community; (2) propose to train and/or hire 
    former welfare recipients as part of the service delivery plan; (3) are 
    a part of a developing or operating health center managed care network 
    or plan in States with established or developing Medicaid managed care 
    programs; (4) have a demonstrated capacity and ability to provide 
    required primary health services under Section (b) of this act; or (5) 
    are in a State that does not currently have any grantees receiving 
    support under Section (g) of this Act for migratory and/or seasonal 
    agricultural workers, if applying to serve migratory and/or season 
    agricultural workers. Special consideration will also be given to 
    organizations proposing to serve sparsely populated rural areas.
        Projected Award Date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 06/01/97.
        Application Availability: 03/97.
        CFDA Numbers: 93.224 and 93.246.
    
    Health Care for the Homeless
    
        Authorization: Section 330 of the Public Health Service Act, 42 
    U.S.C. 254b.
        Purpose: Provision of primary health and substance abuse services 
    to homeless individuals.
        Eligibility: Non-profit private organizations and public entities, 
    including State and local governmental agencies. Grantees and 
    organizations with whom they may contract for services under this 
    program must have an agreement with a State under its Medicaid program.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of Competition: $1,000,000 to $1,500,000.
        Estimated Number of Awards: 3 to 5.
        Funding Priorities and/or Preferences: (1) Applicants located in 
    those States and other distinct geographic areas (e.g., cities, 
    counties) which have not previously received Health Care for the 
    Homeless funds, and/or (2) applicants who have demonstrated unmet need 
    for services in communities on the U.S./Mexico border with large 
    numbers of homeless individuals and families.
        Projected Award Date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 06/16/97.
        Application Availability: 03/97.
        CFDA Number: 93.151.
    
    Grants to States for Loan Repayment Programs
    
        Authorization: Section 338I of the Public Health Service Act, 42 
    U.S.C. 254q-1.
        Purpose: To assist States in repayment of educational loans to 
    health professionals in return for their practice in federally 
    designated health professional shortage areas (HPSAs) to increase the 
    availability of primary health services in such areas. States must 
    provide adequate assurance that they will provide not less than $1 for 
    each $1 of Federal funds provided in the grant. The Federal and State 
    funds will be used only for loan repayments for health professionals 
    who have entered into contracts with States. No other federal funds may 
    be utilized to meet the required State cash contribution.
        Eligibility: Any State. These programs must be administered by a 
    State agency.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of Competition: $3,000,000.
        Estimated Number of Awards: 14.
        Funding Priorities and/or Preferences: None.
        Projected Award Date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 05/01/97.
        Application Availability: 02/97.
        CFDA Number: 93.165.
    
    Ryan White Title III Planning Grants
    
        Authorization: Subparts II and III of Part C of Title XXVI of the 
    Public Health Service Act, 42 U.S.C. 300ff-54(c).
        Purpose: To support the activities of a planning process that 
    prepares organizations and communities to offer comprehensive HIV 
    primary care services. To assist organizations and communities to 
    prepare for a higher quality and broader scope of HIV primary care for 
    a greater number of people in their service area who are HIV infected 
    or at risk. Planning activities, leading to the establishment of HIV 
    primary care services, must address the
    
    [[Page 19588]]
    
    requirements of the Ryan White Early Intervention Services Program. 
    This grant is not an operational grant and does not support the care of 
    patients.
        Eligibility: Non-profit private and public entities, including 
    local government agencies, that are not currently grant recipients of 
    the Ryan White Title III program.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of Competition: $650,000, with a limit of $50,000 
    per award.
        Estimated Number of Awards: Up to 13.
        Funding Priorities and/or Preferences: Applicants proposing to 
    serve a rural or underserved community where emerging or ongoing HIV 
    issues have not been adequately addressed.
        Projected Award Date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 05/16/97.
        Application Availability: 03/97.
        CFDA Number: 93.918.
    
    Grants to States for Community Scholarship Programs
    
        Authorization: Section 338L of the Public Health Service Act, 42 
    U.S.C. 254t.
        Purpose: To assist States to increase the availability of primary 
    health care in urban and rural federally designated health professional 
    shortage areas by assisting public or private non-profit community 
    organizations to provide scholarships for education of individuals to 
    serve as health professionals in these communities. States seeking 
    support must agree (directly or through donations from public or 
    private non-profit entities) that 60% of the total costs of the 
    scholarships will be paid from non-federal contributions made in cash 
    by the State and community organization. The State must make available 
    through cash contributions not less than 15% nor more than 25% of the 
    costs. The community organization must make available not less than 35% 
    nor more than 45% of the costs. These grants funds will be expended 
    only for scholarships to qualified residents of the communities to 
    become health professionals. No other federal funds may be used to meet 
    the State and community share of costs.
        Eligibility: Any State is eligible to apply. For purposes of this 
    notice, the term ``State'' means each of the several States including 
    the District of Columbia. These programs must be administered by a 
    single State agency.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of Competition: $340,000.
        Estimated Number of Awards: 12.
        Funding Priorities and/or Preferences: None.
        Projected Award Date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 05/15/97.
        Application Availability: 02/97.
        CFDA Number: 93.931.
    
    Maternal and Child Health Programs
    
    Genetic Services
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        *Eligibility: 42 CFR Part 51a.3--(a) With the exception of training 
    and research, as described in paragraph (b) of this section, any public 
    or private entity, including an Indian tribe or tribal organization (as 
    those terms are defined at 25 U.S.C. 450b) is eligible to apply for 
    Federal funding under this Part. (b) Only public or nonprofit private 
    institutions of higher learning may apply for training grants. Only 
    public or nonprofit institutions of higher learning and public or 
    private non-profit agencies engaged in research or in program relating 
    to maternal and child health and/or services for children with special 
    health care needs may apply for grants, contracts or cooperative 
    agreements for research in maternal and child health services or in 
    services for children with special health care needs.
        Purpose: To improve the quality, availability, accessibility and 
    utilization of genetic services as an integral component of 
    comprehensive maternal and child health care. Grants will be awarded 
    competitively to support projects on priority topics specified below.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria:  Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition:  $3,600,000.00.
        Number of Expected Awards:  21.
        Funding Priorities and/or Preferences:  Priority topics for 
    projects include:  (1) Genetics in primary care; (2) genetic services 
    networks; (3) comprehensive care for Cooley's Anemia; (4) genetic 
    services for populations with ethnocultural barriers to care; (5) 
    comprehensive care for infants with Sickle Cell disease identified 
    through State newborn screening programs; and (6) genetics in managed 
    care.
        Projected Award date:  09/97.
        Contact:  1-888-333-HRSA.
        Application Deadline:  04/28/97.
        Application Availability:  02/97.
        CFDA Number:  93.110A.
    
    Managed Care Policy and Children with Special Health Care Needs
    
        Authorization:  Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose:  To support a national policy center to implement 
    strategic planning to assure the availability and accessibility of 
    comprehensive, community-based, culturally competent, and family-
    centered care to CSHCN and their families in a managed care 
    environment.
        Eligibility:  42 CFR Part 51a.3 *.
        Evaluation Criteria:  Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition:  $375,000.00.
        Number of Expected Awards:  1.
        Funding Priorities and/or Preferences:  Preference will be given to 
    organizations with proven national experience and an existing 
    infrastructure for policy analysis at the national level on issues 
    related to chronic care in the emerging managed care system.
        Projected Award date:  09/97.
        Contact:  1-888-333-HRSA.
        Application Deadline:  04/11/97.
        Application Availability:  02/97.
        CFDA Number:  93.110C.
    
    Integrated Services for Children With Special Health Care Needs
    
        Authorization:  Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose:  To demonstrate innovative and nationally replicable 
    models of community-based services in two areas: (1) Reduction of 
    barriers to service integration for young children with special health 
    care needs and their families; (2) Promoting the accessibility of 
    ``medical homes'' (i.e., ongoing source of health/medical care) for 
    CSHCN and their families through family/professional partnerships.
        Eligibility:  42 CFR Part 51a.3 *.
        Evaluation Criteria:  Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition:  $900,000.00.
        Number of Expected Awards:  8-10.
        Funding Priorities and/or Preferences:  Preference will be given to 
    public and private community-based providers and programs; community/
    State agency partnerships; and community coalitions.
        Projected Award Date:  09/97.
        Contact:  1-888-333-HRSA.
        Application Deadline:  05/16/97.
        Application Availability:  02/97.
        CFDA Number:  93.110F.
    
    Partnership for Information and Communications
    
        Authorization:  Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose:  To enhance communication between the Maternal and Child 
    Health Bureau and governmental, professional and private organizations 
    representing leaders and policy makers concerned with issues related to 
    maternal and
    
    [[Page 19589]]
    
    child health. It facilitates dissemination of new maternal and child 
    health related information of these policy and decision makers and 
    provides those individuals and organizations with a means of 
    communicating issues directly to the Maternal and Child Health program 
    and to each other.
        Eligibility:  42 CFR Part 51a.3 *.
        Evaluation Criteria:  Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition:  $1,100,000.00.
        Number of Expected Awards:  5.
        Funding Priorities and/or Preferences:  For FY 1997, preference for 
    funding will be given to national membership organizations representing 
    State Governors and their staffs; State Health Officers; nonprofit and 
    for-profit managed care organizations; and coalitions of organizations 
    promoting the health of mothers and infants.
        Projected Award date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 04/15/97.
        Application Availability: 02/97.
        CFDA Number:  93.110G.
    
    State Fetal and Infant Mortality Review Support Centers
    
        Authorization:  Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose:  To support State MCH agencies, or their designees, to 
    stimulate and promote Fetal and Infant Mortality Review Programs in 
    communities in order to enhance needs assessment and quality 
    improvement efforts. Projects will support training and technical 
    assistance activities that would be targeted to the particular needs 
    within the State.
        Eligibility:  42 CFR Part 51a.3*.
        Evaluation Criteria:  Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition:  $600,000.00.
        Number of Expected Awards: 5.
        Funding Priorities and/or Preferences: Preference for funding will 
    be given to Title V programs or their designees. Projected Award date: 
    09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 05/13/97.
        Application Availability: 02/97.
        CFDA Number: 93.110I.
    
    Health, Mental Health and Safety for Schools
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: The purpose of this cooperative agreement is to support a 
    process that will result in development of advisory guidelines for 
    assuring basic health and safety in Kindergarten-12 grade school 
    settings. The standards will be developed through a consensus process, 
    which relies upon exchanges among groups of experts in specific topical 
    areas to determine the state of the science and art. The guidelines 
    will consolidate the best features of the array of guidelines, 
    recommendations, and standards presently in existence.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $200,000.00.
        Number of Expected Awards: 1.
        Funding Priorities and or Preferences: Preference for funding will 
    be given to organizations which have credibility in the education 
    community and the capacity to address all aspects of health services, 
    health education, and injury and violence prevention in the school 
    environment.
        Projected Award date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 06/03/97.
        Application Availability: 02/97.
        CFDA Number: 93.110M.
    
    Partners in Program Planning for Adolescent Health
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: To involve organizations having an historic interest in 
    adolescent health in developing the programming of HRSA's Office of 
    Adolescent Health (OAH). The OAH will collaborate with these 
    organizations in seeking policy guidance from and providing 
    programmatic information to their memberships.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $100,000.00.
        Number of Expected Awards: 1.
        Funding Priorities and/or Preferences: For FY 1997, preference for 
    funding will be given to national membership organizations representing 
    the professional discipline of nursing. Other professional disciplines 
    may be the focus of future competitions.
        Projected Award date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 06/17/97
        Application Availability: 02/97.
        CFDA Number: 93.110N.
    
    Sudden Infant Death Syndrome(SIDS) and Other Infant Death (OID) Program 
    Support Center
    
        Authorization: Title V of the Public Health Service Act, 42 U.S.C. 
    701.
        Purpose: This cooperative agreement will fund population-based 
    activities (e.g., systems analysis, epidemiology, health promotion) in 
    support of development of community-based services to reduce as much as 
    possible the risk of Sudden Infant Death Syndrome (SIDS) and Other 
    Infant Deaths (OID), to appropriately support families when an infant 
    death does occur, and will analyze standardized information about 
    infant deaths in the hope of discovering factors which can be 
    ameliorated to reduce the risk of a future infant death.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $350,000.00.
        Number of Expected Awards: 1.
        Funding Priorities and/or Preferences: None.
        Projected Award date: 06/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 04/18/97.
        Application Availability: 02/97.
        CFDA Number: 93.110O.
    
    Health and Safety in Child Care Settings
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: This cooperative agreement supports the development and 
    implementation of State-based programs to expand the number of public 
    (public health nurses, nurse practitioners, physicians, nutritionists, 
    dentists, mental health providers, and others) and private sector 
    (managed care supported outreach staff and others) health professionals 
    trained to serve as health care consultants to child care programs.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $175,000.00.
        Number of Expected Awards: 1.
        Funding Priorities and/or Preferences: None.
        Projected Award date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 06/03/97.
        Application Availability: 02/97.
        CFDA Number: 93.110P.
    
    Data Utilization and Enhancement for State/Community Infrastructure 
    Building and Managed Care
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: To enable State MCH and CSHCN programs to enhance the use 
    of qualitative and quantitative analytic methods in local program 
    solving for MCH populations. Awards are intended to supplement or 
    complement existing data utilization activities and to foster and 
    strengthen continuing collaboration among State and local public health 
    agencies, private sector efforts and academic institutions.
    
    [[Page 19590]]
    
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $1,000,000.00.
        Number of Expected Awards: 15-17.
        Funding Priorities and/or Preferences: Special consideration will 
    be given to proposals seeking to identify and track emerging issues 
    resulting from health care structural, financial, and demographic 
    changes (e.g., health care and welfare reform, managed care waivers, 
    population income shifts, etc.).
        Projected Award date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 06/30/97.
        Application Availability: 02/97.
        CFDA Number: 93.110U.
    
    Healthy Tomorrows Partnership for Children
    
        Authorization: Title V of the Social Security Act, 42 U.S.C 701.
        Purpose: To improve access to health services and utilize 
    preventive strategies. The initiative encourages additional support 
    from the private sector and from foundations to form community-based 
    partnerships to coordinate health resources for pregnant women, infants 
    and children. Proposals are invited in the following program areas: (1) 
    Local initiatives that are community-based, family-centered, 
    comprehensive and culturally relevant and improve access to health 
    services for infants, children, adolescents, or children with special 
    health care needs (CSHCN), and (2) initiatives which show evidence of a 
    capability to meet cost participation goals by securing funds for the 
    second and sequential years of the project.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $500,000.00.
        Number of Expected Awards: 10.
        Funding Priorities and/or Preferences: In the interest of equitable 
    geographic distribution, special consideration for funding will be 
    given to projects from States without a currently funded project in 
    this category. These States are cited in the application guidance.
        Projected Award date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 04/17/97.
        Application Availability: 02/97.
        CFDA Number: 93.110V.
    
    Community Integrated Service Systems (CISS) Research Grants
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: To support research on CISS-sponsored early intervention 
    services programs within the context of developing and expanding local 
    service delivery systems. The intent is to generate new knowledge on 
    early intervention services models and on how to integrate these models 
    into existing systems of care at the community level while sustaining 
    the essential nature and demonstrated effectiveness of the original 
    prototypes.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are included in the application 
    kit.
        Estimated Amount of the Competition: $600,000.00.
        Number of Expected Awards: 2.
        Funding Priorities and/or Preferences: None.
        Projected Award date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 07/01/97.
        Application Availability: 01/97.
        CFDA Number: 93.110AN.
    
    Maternal and Child Health Provider Partnership Cooperative Agreement
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: To support an effort to encourage private sector 
    involvement and strengthen private-public partnerships to restructure 
    and improve perinatal health services in communities and states and to 
    improve coordination of an access to community health resources for 
    women of reproductive age and infants. The awardee will be expected to 
    analyze the current circumstances and obstacles to providers in the 
    delivery of maternal and infant health services, develop strategies to 
    improve maternal and infant health status and service systems through 
    collaboration with national and state public health organizations, and 
    disseminate and communicate concerns and information pertaining to the 
    issues and strategies employed to their members and to other national 
    organizations.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $200,000.00.
        Number of Expected Awards: 1.
        Funding Priorities and/or Preferences: Preference for funding will 
    be given to national membership organizations representing providers of 
    obstetrical and gynecological services.
        Projected Award date: 09/97.
        Contact Person: 1-888-333-HRSA.
        Application Deadline: 05/13/97.
        Application Availability: 02/97.
        CFDA Number: 93.110AP.
    
    Community Integrated Service Systems (CISS)--Local/State Community 
    Organization Grants
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: To support community organization activities in two areas: 
    (1) Local level agencies; and (2) State MCH agencies. Funds may be used 
    to hire staff to assist in consortium building and to function as 
    community organizers, to help formulate a plan for integrated services 
    systems, to obtain and/or provide technical assistance, and to convene 
    community or State networking meetings for information dissemination 
    and replication of systems integration programs.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $1,000,000.00.
        Number of Expected Awards: 20.
        Funding Priorities and/or Preferences: (1) Preference for funding 
    of local level agencies will be given to local communities. In the 
    interest of equitable geographical distribution, special consideration 
    for funding will be given to projects from communities without a 
    currently-funded CISS project. (2) Preference for State Community 
    Organization Grants will be given to State MCH agencies.
        Projected Award date: 09/97.
        Contact 1-888-333-HRSA.
        Application Deadline: 04/30/97.
        Application Availability: 01/97.
        CFDA Number: 93.110AR.
    
    Maternal and Child Health Research Cycle
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: To encourage research in maternal and child health which 
    has the potential for ready transfer of findings to health care 
    delivery programs. Of special interest are projects that address 
    factors and processes that lead to disparities in health-status and the 
    use of services among minority and other disadvantaged groups as well 
    as health promoting behaviors, quality outcome measures, and system/
    integration reform.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $1,900,000.00.
        Number of Expected Awards: 12.
        Funding Priorities and/or Preferences: Within the issues/questions 
    comprising the research agenda, preference for funding will be given to 
    projects which: (1) seek to develop measures of racism
    
    [[Page 19591]]
    
    and/or study its consequences for the health of mothers and children; 
    (2) investigate the role that fathers play in caring for and nurturing 
    the health, growth, and development of children; and (3) address the 
    factors and processes that enhance the quality, safety, access, and 
    effectiveness of health care services provided to mothers and newborns, 
    especially in light of the impact of managed care.
        Projected Award date: 07/97 and 12/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 03/01/97 and 08/01/97.
        Application Availability: 02/97 and 06/97.
        CFDA Number: 93.110RS.
    
    Long Term Training in Adolescent Health
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: To provide interdisciplinary leadership training for 
    several professional disciplines at the graduate and postgraduate 
    levels to prepare them for leadership roles in training for, research 
    on, or development of organized systems for delivery of services in 
    programs providing adolescent health care.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $2,200,000.00.
        Number of Expected Awards: 6.
        Funding Priorities and/or Preferences: Applications are encouraged 
    from Departments of Pediatrics and Internal Medicine of accredited U.S. 
    Medical Schools or certain pediatric teaching hospitals having formal 
    affiliations with schools of medicine.
        Projected Award date: 07/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 03/21/97.
        Application Availability: 02/97.
        CFDA Number: 93.110TA.
    
    Long Term Training in Behavioral Pediatrics
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: To enhance behavioral, psychosocial and developmental 
    aspects of general pediatric care through support for fellows preparing 
    for academic leadership roles in behavioral pediatrics and to provide 
    pediatric practitioners, residents, and medical students with essential 
    biopsychosocial knowledge and clinical expertise.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $1,000,000.00.
        Number of Expected Awards: 8.
        Funding Priorities and/or Preferences: Applications are encouraged 
    from Departments of pediatrics with an identifiable behavioral 
    pediatrics unit/program within accredited medical schools in the United 
    States.
        Projected Award date: 07/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 03/21/97.
        Application Availability: 02/97.
        CFDA Number: 93.110TB.
    
    Long Term Training in Communication Disorders
    
        Authorization: Title V of the Social Security Act, 42 U.S.C 701.
        Purpose: To provide leadership in communication disorders education 
    through support of: (1) Graduate training of speech/language 
    pathologists and/or audiologists to assume leadership roles in programs 
    providing health and related services for populations of children, 
    particularly those with special health care needs; (2) development and 
    dissemination of curriculum resources to enhance pediatric content in 
    communication disorders training programs; and (3) consultation 
    technical assistance and continuing education in communication disorder 
    geared to the needs of the MCH community.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $400,000.00.
        Number of Expected Awards: 3.
        Funding Priorities and/or Preferences: Applications are encouraged 
    from departments or programs of audiology, communication disorders or 
    speech and language pathology in institutions of higher learning that 
    offer a graduate degree and are accredited for graduate education by 
    the American Speech-Language-Hearing Association (ASHA) Council on 
    Academic Accreditation.
        Projected Award date: 07/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 03/14/97.
        Application Availability: 01/97.
        CFDA Number: 93.110TC.
    
    Long Term Training in Pediatric Dentistry
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: To provide leadership in pediatric dentistry education 
    through support of: (1) postdoctoral training of dentists in the 
    primary care specialty of pediatric dentistry to assume leadership 
    roles related to oral health programs for populations of children, 
    particularly those with special health care needs; (2) development and 
    dissemination of curriculum resources to enhance pediatric content in 
    dentistry training programs; and (3) consultation, technical assistance 
    and continuing education in pediatric dentistry geared to the needs of 
    the MCH community.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $400,000.00.
        Number of Expected Awards: 3.
        Funding Priorities and/or Preferences: Applications are encouraged 
    from advanced education programs in pediatric dentistry accredited by 
    the Commission on Dental Accreditation (CODA) at institutions which 
    offer graduate degrees at the Master's level and above.
        Projected Award date: 07/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 03/14/97.
        Application Availability: 01/97.
        CFDA Number: 93.110TG.
    
    Long Term Training in Pediatric Occupational Therapy
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: To provide leadership in pediatric occupational therapy 
    training through support of: (1) Post-professional graduate training of 
    occupational therapists for leadership roles in programs providing 
    health and related services for populations of mothers and children, 
    particularly those with special health care needs; (2) development and 
    dissemination of curriculum resources to enhance pediatric content in 
    occupational therapy training programs; and (3) consultation, technical 
    assistance and continuing education in occupational therapy geared to 
    the needs of the MCH community.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $400,000.00.
        Number of Expected Awards: 3.
        Funding Priorities and/or Preferences: Applications are encouraged 
    from schools or departments of occupational therapy accredited by the 
    Accreditation Council for Occupational Therapy Education (ACOTE). 
    Preference will be given to schools/departments with a pediatric focus 
    or which are developing such a doctoral program.
        Projected Award date: 07/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 03/14/97.
        Application Availability: 01/97.
        CFDA Number: 93.110TH.
    
    [[Page 19592]]
    
    Long Term Training in Pediatric Physical Therapy
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: To provide leadership in pediatric physical therapy 
    education through support of: (1) post-professional graduate training 
    of physical therapists for leadership roles in programs providing 
    health and related services for populations of mothers and children, 
    particularly those with special health care needs; (2) development and 
    dissemination of curriculum resources to enhance pediatric content in 
    physical therapy training programs; and (3) consultation, technical 
    assistance and continuing education in pediatric physical therapy 
    geared to the needs of the MCH community.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $400,000.00.
        Number of Expected Awards: 3.
        Funding Priorities and/or Preferences: Applications are encouraged 
    from post-professional-level graduate degree programs for physical 
    therapists. Preference will be given to established doctoral programs 
    with a pediatric focus or to advanced masters programs with a pediatric 
    focus which are developing such a doctoral program.
        Projected Award date: 07/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 03/14/97.
        Application Availability: 01/97.
        CFDA Number: 93.110TI.
    
    Long Term Training in Public Health Social Work
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: To provide leadership in public health social work 
    education through support of: (1) graduate training of social workers 
    for leadership roles in programs providing health and related services 
    for populations of mothers and children, including those with special 
    health care needs; (2) development and dissemination of curriculum 
    resources to enhance MCH content in social work training programs; and 
    (3) consultation, technical assistance and continuing education in 
    public health social work geared to the needs of the MCH community. 
    Category A programs provide a Master's degree in social work, while 
    category B programs provide a Master's degree in public health 
    following the MSW or combined with a doctoral degree in social work.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $400,000.00.
        Number of Expected Awards: 3.
        Funding Priorities and/or Preferences: For Category A grants, 
    applications are encouraged from graduate programs of social work with 
    a Master's Degree program which is fully accredited by the Council on 
    Social Work Education (CSWE), and which have a concentration in health. 
    For Category B grants, applications are encouraged from graduate 
    schools of public health accredited by the Council on Education in 
    Public Health (CEPH), or schools of social work (accredited by CSWE) 
    offering a university-approved post-MSW program in public health social 
    work leading to the MPH or combined MPH and PhD/DSW. The two programs 
    must have a formal affiliation.
        Projected Award date: 07/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 03/14/97.
        Application Availability: 01/97.
        CFDA Number: 93.110TL.
    
    Continuing Education and Development
    
        Authorization: Title V of the Social Security Act, 42 U.S.C. 701.
        Purpose: To facilitate timely transfer and application of new 
    information, research findings, and technology related to MCH through: 
    1) short-term, non-degree related courses, workshops, conferences, 
    symposia, institutes, and distance learning strategies and/or; 2) 
    development of curricula, guidelines, standards of practice and 
    educational tools/strategies intended to assure quality health care for 
    the MCH population. The goal is to improve the health status of the MCH 
    population through enhancing the leadership capabilities and practices 
    of professionals in MCH and related services and through modifying the 
    systems that deliver services.
        Eligibility: 42 CFR Part 51a.3 *.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $1,000,000.00.
        Number of Expected Awards: 15.
        Funding Priorities and/or Preferences: None.
        Projected Award Date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 07/01/97.
        Application Availability: 04/97.
        CFDA Number: 93.110TO.
    
        * Eligibility: 42 CFR Part 51a.3-(a) With the exception of 
    training and research, as described in paragraph (b) of this 
    section, any public or private entity, including an Indian tribe or 
    tribal organization (as those terms are defined at 25 U.S.C. 450b) 
    is eligible to apply for federal funding under this Part. (b) Only 
    public or nonprofit private institutions of higher learning may 
    apply for training grants. Only public or nonprofit institutions of 
    higher learning and public or private non-profit agencies engaged in 
    research or in programs relating to maternal and child health and/or 
    services for children with special health care needs may apply for 
    grants, contracts or cooperative agreements for research in maternal 
    and child health services or in services for children with special 
    health care needs.
    
    Emergency Medical Services for Children: Implementation Grants
    
        Authorization: Section 1910 of the Public Health Service Act, 42 
    U.S.C. 300w-9.
        Purpose: To improve the capacity of a State's EMS program to 
    address the particular needs of children. Implementation grants are 
    used to assist States in integrating research-based knowledge and 
    state-of-the-art systems development approaches into the existing State 
    EMS, MCH, and CSHCN systems, using the experience and products of 
    previous EMSC grantees. Applicants are encouraged to consider 
    activities that (1) Address identified needs within their State EMS 
    system and that lay the groundwork for permanent changes in that 
    system; (2) develop or monitor pediatric EMS capacity; (3) will be 
    institutionalized within the State EMS system.
        Eligibility: States and Accredited Schools of Medicine.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $1,000,000.00.
        Number of Expected Awards: 4.
        Funding Priorities and/or Preferences: None.
        Projected Award date: 08/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 04/11/97.
        Application Availability: 01/97.
        CFDA Number: 93.127A.
    
    Emergency Medical Services for Children: Planning Grants
    
        Authorization: Section 1910 of the Public Health Service Act, 42 
    U.S.C. 300w-9.
        Purpose: To enable a State to assess needs and develop a strategy 
    to begin to address those needs. Funds may be used to hire staff to 
    assist in the assessment of EMSC needs of the State; obtain technical 
    assistance from national, State, regional or local resources; help 
    formulate a State plan for the integration of EMSC services into the 
    existing State EMS plan; and plan a more comprehensive grant proposal 
    based upon a needs assessment performed during the planning grant 
    project period. The proposal should provide evidence of the State's 
    commitment to
    
    [[Page 19593]]
    
    improving pediatric emergency medical services and describe the method 
    by which applicant will identify problems, assess needs, and develop a 
    planning process for improving EMSC. A comprehensive approach, 
    addressing physical, psychological, and social aspects of EMSC along 
    the continuum of care, should be reflected in the proposed planning 
    process.
        Eligibility: States and Accredited Schools of Medicine.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $100,000.00.
        Number of Expected Awards: 2.
        Funding Priorities and/or Preferences: None.
        Projected Award date: 07/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 04/11/97.
        Application Availability: 01/97.
        CFDA Number: 93.127B.
    
    Emergency Medical Services for Children: Partnership Grants
    
        Authorization: Section 1910 of the Public Health Service Act, 42 
    U.S.C. 300w-9.
        Purpose: To support activities that represent the next logical step 
    or steps to take to institutionalize EMSC within EMS and to continue to 
    improve and refine EMSC. Proposed activities should be consistent with 
    documented needs in the State and should reflect a logical progression 
    in enhancing pediatric capabilities. For example, funding might be used 
    to address problems identified in the course of a previous 
    implementation grant; to increase the involvement of families in EMSC; 
    to improve linkages between local, regional, or State agencies; to 
    promulgate standards developed for one region of the State under 
    previous funding to include the entire State; to devise a plan for 
    coordinating and funding poison control centers; or to assure effective 
    field triage of the child in physical or emotional crisis to 
    appropriate facilities and/or other resources.
        Eligibility: States.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $1,920,000.00.
        Number of Expected Awards: 32.
        Funding Priorities and/or Preferences: None.
        Projected Award date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 04/11/97.
        Application Availability: 01/97.
        CFDA Number: 93.127C.
    
    Emergency Medical Services for Children: Targeted Issue Grants
    
        Authorization: Section 1910 of the Public Health Service Act, 42 
    U.S.C. 300w-9.
        Purpose: To address specific, focused issues related to the 
    development of EMSC knowledge and capacity, with the intent of 
    advancing the state of the art of creating tools or knowledge that will 
    be helpful nationally. Proposals must have a well-conceived methodology 
    for analysis and evaluation. Targeted issue priorities have been 
    identified based on the EMSC Five Year Plan. Proposals may be submitted 
    on emerging issues that are not included in the identified priorities. 
    However, any such proposals must demonstrate relevance to the Plan and 
    must make a persuasive argument that the issue is particularly 
    critical.
        Eligibility: States and Accredited Schools of Medicine.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $1,050,000.00.
        Number of Expected Awards: 7.
        Funding Priorities and/or Preferences: Cost-benefit analyses 
    related to EMSC, Implications of managed care for EMSC, Evaluations of 
    EMSC components, Risk-taking behaviors of children and adolescent, 
    Models for improving the care of culturally distinct populations, 
    Children's emergencies in disasters.
        Projected Award date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 04/11/97.
        Application Availability: 01/97.
        CFDA Number: 93.127D.
    
    Ryan White Title IV; Grants for Coordinated HIV Services and Access to 
    Research for Children, Youth, Women and Families
    
        Authorization: Public Law 104-145, Title IV Ryan White CARE Act 
    Amendments, 42 U.S.C. 300ff-71.
        Purpose: To link clinical research and other research activities 
    with comprehensive care systems, and to improve and expand the 
    coordination of a system of comprehensive care for children, youth, 
    women, and families who are infected/affected by HIV. Funds will be 
    used to support programs that: (1) Cross established systems of care to 
    coordinate service delivery HIV prevention efforts and clinical 
    research and other research activities; and (2) creatively address the 
    intensity of service needs high costs, and other complex barriers to 
    comprehensive care and research experienced by underserved, at-risk and 
    economically limited populations. Activities under these grants should 
    address the goals of: increasing client access by linking HIV/AIDS 
    clinical research trials and activities with comprehensive care; 
    fostering the development and support of comprehensive, culturally 
    competent, community-based and family-centered care infrastructures; 
    and emphasizing prevention within the care system.
        Eligibility: All public and private entities, nonprofit and for 
    profit.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $15,500,000.00.
        Number of Expected Awards: 23.
        Funding Priorities and/or Preferences: Preference for funding in 
    this category will be given to projects that have: (1) Established and 
    currently support a comprehensive, coordinated, system of HIV care 
    serving either children, youth, women, or families; and (2) linked with 
    or initiated activities to link with clinical trials or other research.
        Projected Award date: 08/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 04/18/97.
        Application Availability: 02/97.
        CFDA Number: 93.153A.
    
    Healthy Start Cooperative Agreements (Phase II)
    
        Authorization: Section 301 of the Public Health Service Act, and 
    Public Law 104-208, 42 U.S.C. 241(a).
        Purpose: To operationalize successful infant mortality reduction 
    strategies developed during the demonstration phase and to launch 
    Healthy Start projects in new rural and urban communities (i.e., 
    communities currently without a HSI-funded project). Competition is 
    open to community-based entities interested in replicating or adapting 
    existing Healthy Start models. All new HSI communities will be required 
    to receive mentoring from one or more existing HSI projects.
        Eligibility: Public or nonprofit private organizations, or tribal 
    and other nonprofit organizations representing American Indians, Native 
    Hawaiians, or Pacific Islanders, applying as or on behalf of an 
    existing community-based consortium, and have infant mortality 
    reduction initiatives already underway. In the case of applications 
    with overlapping project areas or more than one applicant for the same 
    project area, only one applicant will be considered for funding. 
    Applicants must be in partnership with a current Consortium which has 
    been: a) In operation at least the last two years prior to the date of 
    application, and, b) involved in MCH activities (e.g. health fairs, 
    support groups) in the project area. A consortium which has organized 
    as community-based organization may
    
    [[Page 19594]]
    
    apply if it has demonstrable management and administrative experience.
        New communities targeted under Healthy Start-Phase II are those in 
    which infant mortality problems are most severe, resources can be 
    concentrated, implementation is manageable, and progress can be 
    measured. A project area is defined as a geographic area for which 
    improvements have been planned and are being implemented. A project 
    area must represent a reasonable and logical catchment area. The 
    project consortium's responsibility for this catchment area includes 
    the provision of ongoing advice to and oversight of the delivery of 
    project services for the duration of the project period. Proposed 
    activities should incorporate the Healthy Start principles of 
    innovation, community commitment and involvement, increased access, 
    service integration, and personal responsibility. Applicants are 
    eligible for funding under Healthy Start Phase-II if, for the baseline 
    three-year period 1991-1993, the proposed project area had the 
    following verifiable characteristics:
    
        An average infant mortality rate of at least 12.9 deaths per 
    1,000 live births, from vital statistics data, and at least three of 
    the following:
    
    --A percentage of births to teens which exceeded the national 
    average of 5.0 percent of live births;
    --A percentage of low birthweight births which exceeded the national 
    average of 7.1 percent of live births;
    --A rate of postneonatal mortality which exceeded the national 
    average of 3.6 per 1,000 live births;
    --A percentage of children under 18 with family incomes below the 
    Federal Poverty level which exceeded the national average of 19.9% 
    for 1990. (Federal Register dated 3/6/97).
    
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of the Competition: $54,000,000.00.
        Number of Expected Awards: 30.
        Funding Priorities and/or Preferences: Preference for funding will 
    be given to an approved applicant to achieve an equitable national 
    geographic distribution across all States and territories.
        Projected Award date: 08/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 04/15/97.
        Application Availability: 01/97.
        CFDA Number: 93.926B.
    
    Traumatic Brain Injury Demonstration Grants
    
        Authorization: Section 1252 of the Public Health Service Act, 42 
    U.S.C. 300d-52 et seq.
        Purpose: Category 1, State Planning Grants--Planning grants are 
    intended to support the development of core capacity components for 
    Traumatic Brain Injury (TBI) services. Category 2, State Implementation 
    Grants--Implementation grants are intended for States to have the core 
    capacity components in place. These grants will support activities that 
    represent the next logical step(s) in building a Statewide system to 
    assure access to comprehensive and coordinated TBI services.
        Eligibility: Only State governments are eligible for funding under 
    the TBI demonstration grant program.
        Evaluation Criteria: Category 1: The composition of the Board; 
    commitments from all identified organizations or individuals; 
    organizational and meeting arrangements; the adequacy of the State's 
    proposed method for developing a Statewide needs assessment; the 
    adequacy of the State's proposed method for linking its plan of action 
    to the findings of the Statewide needs assessment; involvement of 
    necessary public/private organizations and agencies to assure a 
    comprehensive approach; the qualifications and experience established 
    for the designated lead person for TBI; and, the reasonableness of the 
    budget. Category 2: The adequacy of proposed methodology to assure full 
    core capacity; the relevance of the goals and objectives to the 
    identified needs assessment; and the adequacy of the plan for 
    organizing and carrying out the project; involvement and participation 
    of TBI survivors, families, and organizations; collaboration and 
    coordination among the entities in the TBI continuum; project 
    involvement in multidisciplinary and multisystem approach to TBI 
    development; and sustainability of the proposed project. Matching 
    requirement: Non-Federal cash contributions of not less than $1.00 for 
    each $2.00 of Federal funds required.
        Estimated Amount of the Competition: $2,800,000.00.
        Number of Expected Awards: 23.
        Funding Priorities and/or Preferences: None.
        Projected Award Date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 05/30/97.
        Application Availability: 02/97.
        CFDA Number: 93.TBA-1.
    
    Rural Health Programs
    
    Rural Outreach, Network Development Grant Program
    
        Authorization: Public Law 104-299, The Health Centers Consolidation 
    Act of 1996, 42 U.S.C. 254b.
        Purpose: To expand access to, coordinate, restrain the cost of, and 
    improve the quality of essential health care services, including 
    preventive and emergency services, through development of integrated 
    health care delivery systems or networks in rural areas and regions. 
    Funds are available for projects to support the direct delivery of 
    health care and related services, to expand existing services, or to 
    enhance health service delivery through education, promotion, and 
    prevention programs. The emphasis is on the actual delivery of specific 
    services rather than the development of organizational capabilities. 
    Projects may be carried out by networks of the same providers (e.g. all 
    hospitals) or more diversified networks. Funds are also available to 
    support planning and development of vertically integrated health care 
    networks in rural areas. Vertically integrated networks must be 
    composed of three or more separate providers. There must be a 
    memorandum of agreement or other formal arrangement between members of 
    a network.
        Eligibility: Rural public or nonprofit private organizations that 
    include three or more health care providers or other entities that 
    provide or support the delivery of health care services. The 
    administrative headquarters of the organizations must be located in a 
    rural county or in a rural census tract or an urban county, or an 
    organization constituted exclusively to provide services to migrant and 
    seasonal farm workers in rural areas and supported under Section 330G 
    of the Public Health Service Act. These organizations are eligible 
    regardless of the urban or rural location of the administrative 
    headquarters.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimate amount of competition: $16,000,000.
        Number of expected awards: 80.
        Funding Priorities and/or Preferences: Funding preference may be 
    given to applicant networks that include: (1) A majority of the health 
    care providers serving in the area or region to be served by the 
    network; (2) any federally qualified health centers, rural health 
    clinics, and local public health departments serving in the area or 
    region; (3) outpatient mental health providers serving in the area or 
    region; or (4) appropriate social service providers, such as agencies 
    on aging, school systems, and providers under the WIC program, to 
    improve access to and coordination of health care services.
        Projected award date: 09/97.
        Contact: 1-888-333-HRSA.
    
    [[Page 19595]]
    
        Application Deadline: 03/31/97.
        Application Availability: 12/96.
        CFDA Number: 93.912.
    
    Telemedicine Network
    
        Authorization: Pub. L. 104-299, The Health Centers Consolidation 
    Act of 1996, 42 U.S.C. 254b.
        Purpose: To demonstrate how telemedicine can be used as a tool in 
    developing integrated systems of health care, improving access to 
    health services for rural citizens and reducing the isolation of rural 
    health care practitioners, and to collect information for the 
    systematic evaluation of the feasibility, costs, appropriateness and 
    acceptability of rural telemedicine. Grantees may not use in excess of 
    40% of their federal grant funds each year for the purchase or lease 
    and installation of equipment (i.e., equipment used inside the health 
    care facility for providing telemedicine services such as codecs, 
    cameras, monitors, computers, multiplezers, etc.). Grantees may not use 
    federal funds to purchase or install transmission equipment (i.e., 
    microwave towers, satellite dishes, amplifiers, or laying of telephone 
    or cable lines). Grantees may not use federal funds to build or acquire 
    real property or for construction, except to the extent that such funds 
    are used for minor renovations related to the installation of 
    telemedicine equipment. No more than 20% of the amounts provided under 
    the grants can be used to pay for the indirect costs associated with 
    carrying out the activities under the grant.
        Eligibility: In general, any public (non-federal) or private-
    nonprofit entity that is: (1) A health care provider and a member of an 
    existing or proposed telemedicine network, or (2) a consortium of 
    providers that are members of an existing or proposed telemedicine 
    network. The applicant must be a legal entity capable of receiving 
    federal grant funds. The applicant may be located in either a rural or 
    urban area. Other telemedicine network members may be public or 
    private, nonprofit or for-profit. Health facilities operated by a 
    federal agency may be members of the network but not the applicant. A 
    telemedicine network shall, at a minimum, be composed of a multi-
    specialty entity that is located in an urban or rural area, which can 
    provide 24-hour-a-day access to a range of specialty care services, and 
    at least two rural health care facilities, which may include rural 
    hospitals (fewer than 100 staffed beds), rural physician offices, rural 
    health clinics, rural community health clinics and rural nursing homes.
        Evaluation Criteria: Final criteria are reflected in the 
    application kit.
        Estimated Amount of Competition: $4-5 Million.
        Number of expected Awards: 10-14.
        Funding Priorities and/or Preferences: Funding preference will be 
    given to applicant networks that include: (1) A majority of the health 
    care providers serving the area or region to be served by the network; 
    (2) any federally qualified health centers, rural health clinics, and 
    local public health departments serving in the area or region; (3) 
    outpatient mental health providers serving in the area or region; or 
    (4) appropriate social service providers (e.g., agencies on aging, 
    school systems, and providers under the WIC program) to improve access 
    to, and coordination of, health care services.
        Projected Award Date: 09/97.
        Contact: 1-888-333-HRSA.
        Application Deadline: 06/97.
        Application Availability: 04/97.
        CFDA Number: 93.211.
    
    [FR Doc. 97-10335 Filed 4-21-97; 8:45 am]
    BILLING CODE 4160-15-P
    
    
    

Document Information

Published:
04/22/1997
Department:
Health Resources and Services Administration
Entry Type:
Notice
Action:
General Notice.
Document Number:
97-10335
Dates:
09/97.
Pages:
19585-19595 (11 pages)
PDF File:
97-10335.pdf