[Federal Register Volume 59, Number 117 (Monday, June 20, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-14964]
[[Page Unknown]]
[Federal Register: June 20, 1994]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources And Services Administration
RIN: 0905-ZA66
Program Announcement and Proposed Funding Preferences for
Scholarships for Disadvantaged Students
The Health Resources and Services Administration (HRSA) announces
that applications for fiscal year (FY) 1994 for the Scholarships for
Disadvantaged Students (SDS) program are being accepted under the
authority of section 737 of the Public Health Service Act (the Act),
title VII, Part B, as amended by the Health Professions Education
Extension Amendments of 1992, Pub. L. 102-408, dated October 13, 1992.
Comments are invited on the proposed funding preferences stated below.
Purpose
The SDS program is a program of grants to health professions and
nursing schools for the purpose of assisting such schools in providing
scholarships to individuals from disadvantaged background who are
enrolled (or accepted for enrollment) as full-time students in the
schools, as well as to undergraduate students who have demonstrated a
commitment to pursuing a career in health professions.
For purposes of the SDS program in FY 1994, an ``individual from
disadvantaged backgrounds'' is defined in 42 CFR part 57.1804, subpart
S, as one who:
(1) Comes from an environment that has inhibited the individual
from obtaining the knowledge, skill, and abilities required to enroll
in and graduate from a health professions school, or from a program
providing education or training in allied health professions; or
(2) Comes from a family with an annual income below a level based
low-income thresholds according to family size published by the U.S.
Bureau of the Census, adjusted annually for changes in the Consumer
Price Index, and adjusted by the Secretary for use in all health
professions and nursing programs. The Secretary will periodically
publish these low-income levels in the Federal Register.
The following income figures determine what constitutes a low-
income family for purposes of the Scholarships for Disadvantaged
Students program for FY 1994.
------------------------------------------------------------------------
Income
Size of parents' family\1\ level\2\
------------------------------------------------------------------------
1............................................................ $9,700
2............................................................ 12,600
3............................................................ 15,000
4............................................................ 19,200
5............................................................ 22,600
6 or more.................................................... 25,400
------------------------------------------------------------------------
\1\Includes only dependents listed on Federal income tax forms.
\2\Adjusted gross income for calendar year 1993, rounded to nearest
$100.
Approximately $17.1 million is available in FY 1994 for competing
applications for the SDS Program from eligible health professions and
nursing schools. Of the funds available, 30 percent shall be made
available to schools agreeing to expend the grants only for nursing
scholarships. An estimated $5.1 million will support approximately
2,040 scholarships averaging $2,500 for students at schools of nursing.
The balance of $12.0 million will support approximately 4,858
scholarships averaging $2,450 for eligible health professions students.
The period of fund availability will be for one academic year.
Use of Funds
Funds awarded to a school under this program may be used as
follows:
(1) To award scholarships to eligible students enrolled in the
school, to be expended only for tuition expenses, other reasonable
educational expenses, and reasonable living expenses (as defined by the
school for all students attending the school) incurred while enrolled
in a school as a full-time student. The amount of the scholarship may
not, for any year of attendance, exceed the total amount required for
the year for the expenses specified above.
(2) To provide financial assistance to undergraduate students who
have demonstrated a commitment to pursuing a career in the health
professions, in order to facilities the completion of the educational
requirements for such careers, provided that the total amount used for
this purpose may not exceed 25 percent of the funds awarded to the
school under this program.
Any school receiving SDS funds will be required to maintain
separate accountability for these funds.
School Eligibility
Grants under this program will be made available to accredited
public or nonprofit private health professions schools. For purposes of
the SDS program, as defined in section 737(a)(3) of the Act, the term
``health professions schools'' means schools of medicine, nursing,
osteopathic medicine, dentistry, pharmacy, podiatric medicine,
optometry, veterinary medicine, public health, or allied health or
schools offering graduate programs in clinical psychology and which are
accredited as provided in section 799(1)(E) of the Act, schools of
allied health as defined in section 799(4) of the Act, and which are
located in States as defined in section 799(9) of the Act, and schools
of nursing as defined in section 853 of the Act.
As required by statute, to qualify for participation in the SDS
program, a school must be:
(1) Carrying out a program for recruiting and retaining students
from disadvantaged backgrounds, including racial and ethnic minorities;
and
(2) Carrying out a program for recruiting and retaining minority
faculty.
In addition, each school that received funds in FY 1993 must
demonstrate in its fiscal year 1994 application that they are carrying
out all of the statutory requirements listed below:
(1) Ensure that adequate instruction regarding minority health
issues is provided for in the curricula of the school. This does not
include normal course work, that by definition includes minority health
issues (e.g., sickle cell anemia in a pathology class), but refers to
course work reflecting an institutional awareness of the special health
needs of minority populations;
(2) Enter into arrangements with one or more health clinics
providing services to a significant number of individuals who are from
disadvantaged backgrounds, including members of minority groups, for
the purpose of providing students of the school with experience in
providing clinical services to such individuals;
(3) Enter into arrangements with one or more public or nonprofit
private secondary educational institutions and undergraduate
institutions of higher education (feeder schools), for the purpose of
carrying out programs regarding:
(a) The educational preparation of disadvantaged students,
including minority students, to enter the health professions; and
(b) The recruitment of disadvantaged students, including minority
students, into the health professions; and
(4) Establish a mentor program for assisting disadvantaged
students, including minority students, regarding the completion of the
educational requirements for degrees from the school. This program may
include the involvement of students, community health professionals,
faculty, alumni, past recipients of Health Career Opportunity Program
(HCOP) funds, faculty/staff of feeder schools, etc., in institutionally
organized activity (e.g., tutoring, counseling, and summer/bridge
programs).
Each school funded for the first time in FY 1994 will also be
required to carry out each of the activities specified above by not
later than 12 months from receipt of award. Funds awarded to a school
under the SDS program may not be used to carry out any of the above
activities which the school must be doing, or must agree to do. In
addition, a school will be required to continue to carry out all
described activities, and also the student/faculty recruitment and
retention activities, for as long as the SDS program is in operation in
the school.
Evaluation Criteria for Fiscal Year 1994
For FY 1994, applications will be evaluated on the degree to which
the schools meet the statutory requirements listed above. Guidance for
presenting the information will be provided in the FY 1994 application
materials.
Student Eligibility: As required by statute, to qualify for the SDS
program, a student must:
(1) Be a citizen, a U.S. national, an alien lawfully admitted for
permanent residency in the U.S., or a citizen of the Commonwealth of
the Northern Mariana Islands, a citizen of the Commonwealth of Puerto
Rico, a citizen of the Trust Territory of the Pacific Islands
(consisting of the Republic of Palau) or a citizen of the Republic of
the Marshall Islands, the Federated States of Micronesia (both formally
part of the Trust Territory of the Pacific Islands);
(2) Meet the definition of an ``individual from a disadvantaged
background'' as defined above; and
(3) (a) Be enrolled in or accepted by an eligible school for
enrollment as a full-time student; or
(b) Be an undergraduate student who has demonstrated a commitment
to pursuing a career in health professions, including nursing.
Statutory Preference
The law requires that in providing SDS scholarships, the school
give preference to students who are from disadvantaged backgrounds and
for whom the cost of attending an SDS school would constitute a severe
financial hardship. Severe financial hardship will be determined by the
school in accordance with standard need analysis procedures prescribed
by the Department of Education for Its Federal student aid programs.
The following Acceptability of Undergraduate Students, Definitions,
Methodology for Implementing the Statutory Special Consideration, the
Nonstatutory Special Consideration for Baccalaureate Nursing Programs,
and the Procedures for Calculating Scholarship Awards were established
in FY 1991 after public comment (at 57 FR 49779) on October 1, 1991,
and are being extended in FY 1994.
Acceptability of Undergraduate Students
In the instance of (3)(b) above, it has been established that the
undergraduate students eligible for scholarships must be at feeder
schools and have signed statements that they are interested in health
professions or nursing careers.
Definitions
Black. means a person having origins in any of the black racial
groups of Africa.
Hispanic means a person of Mexican, Puerto Rican, Cuban, Central or
South American or other Spanish culture or origin, regardless of race.
American Indian or Alaskan Native means a person having origins in
any of the original peoples of North America, and who maintains
cultural identification through tribal affiliation or community
recognition.
Definitions listed above are contained in Directive No. 15 of
Office of Management and Budget Circular No. A-46, dated May 3, 1974.
Native American as defined in Pub. L. 101-527, means American
Indian, Alaskan Native, Aleut, or Native Hawaiian.
Minority with respect to faculty, refers to Blacks, Hispanics,
Native Americans, Filipinos, Koreans, Pacific Islanders, and Southeast
Asians whose percentage among the total supply of practitioners in the
applicable health profession is below that group's percentage in the
total population.
Methodology for Implementing the Statutory Special Consideration
In accordance with the statute, in making awards under section
737(a), the Secretary shall give special consideration to eligible
schools that have enrollments of underrepresented minorities above the
national average for its particular discipline.
For purposes of determining eligibility of a school, Asians will
not be included in the definition of underrepresented minorities for
the school. Although certain Asian subgroups (i.e., Filipinos, Koreans,
Pacific Islanders, and Southeast Asians) are considered to be
underrepresented in the health professions and are included as
minorities for purposes of program requirements relating to faculty
recruitment and retention (see above), national data on these subgroups
are not available as a basis for establishing national average
enrollment of underrepresented minorities.
For purposes of the FY 1994 award cycle, the national average
enrollments, of Blacks, Hispanics, and Native Americans (in
combination) are: for medicine 13.3 percent; osteopathic medicine 7.7
percent; nursing (RN only) 12.2 percent; dentistry 13.4 percent;
pharmacy 10.6 percent; optometry 9.4 percent; podiatric medicine 17.9
percent; veterinary medicine 5.9 percent; public health 15.7 percent;
allied health 17.3 percent; and clinical psychology 13 percent.
Nonstatutory Special Consideration for Baccalaureate Nursing
Programs
Among schools of nursing, additional special consideration will be
given to baccalaureate programs. One of the distinguishing features of
baccalaureate education is the substantial focus on preparation for
community health practice. Training nurses for community health
practice is an integral component of the Department's access strategy.
It is not required that applicants request consideration for a
funding factor. Applications which do not request consideration for
funding factors will be reviewed and given full consideration for
funding.
Procedures for Calculating Awards
Awards to eligible schools which have applied will be calculated by
comparing the enrollment of disadvantaged students in each eligible
school with the total enrollment of the disadvantaged students in all
eligible schools.
A school with an enrollment of underrepresented minority students
which is above the national average (for each discipline) will be given
double credit (i.e., its enrollment of disadvantaged students would be
doubled for awarding purposes). A baccalaureate nursing school will be
given double credit. A baccalaureate nursing school with an
underrepresented minority enrollment above the national average will be
given quadruple credit (i.e., its enrollment of disadvantaged students
will be multiplied by four for awarding purposes).
Other Consideration
Other funding factors may be applied in determining the funding of
approved applications.
A funding preference is defined as the funding of a specific
category or group of approved applications ahead of other categories or
groups of approved applications.
It is not required that applicants request consideration for a
funding factor. Applications which do not request consideration for
funding factors will be reviewed and given full consideration for
funding.
Proposed Funding Preferences
For fiscal year 1994, it is proposed that among allied health
schools or programs, preference be given to the following baccalaureate
and graduate programs: dental hygiene, medical laboratory technology,
occupational therapy, physical therapy and radiologic technology. This
proposal is in accordance with House Report No. 101-804, accompanying
the Disadvantaged Minority Health Improvement Act of 1990, which
recommended that funding be restricted to these allied health
professions programs. With over 3,000 accredited allied health
programs, the SDS program focus would be directed to those allied
health professions with the greatest current or personnel shortages.
In addition, it is also proposed that preference be given to
baccalaureate and graduate programs. Although programs of study leading
to the award of an associate degree or certificate are of significant
value in educating allied health personnel, the cost of education at
the baccalaureate and graduate levels is substantially greater, and
thus such cost is a major deterrent to the recruitment and retention of
disadvantaged individuals.
Additional Information
Interested persons are invited to comment on the proposed funding
preferences. The comment period is 30 days. All comments received on or
before (insert 30 days from date of publication in the Federal Register
will be considered before the final funding preferences are
established.
Written comments should be addressed to: Mr. Michael Heiningburg,
Director, Division of Student Assistance, Bureau of Health Professions,
Health Resources and Services Administration, 5600 Fishers Lane, Room
8-48, Parklawn Building, Rockville, Maryland 20782.
All comments received will be available for public inspection and
copying at the Division of Student Assistance, Bureau of Health
Professions, at the above address, weekdays (Federal holidays excepted)
between the hours of 8:30 a.m. and 5 p.m.
National Health Objectives for the Year 2000
The Public Health Service 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 Scholarships
for Students From Disadvantaged Backgrounds program is related to the
priority area of Educational and 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).
Smoke-Free Workplace
The Public Health Service strongly encourages all grant recipients
to provide a smoke-free workplace and promote the non-use of all
tobacco products. This is consistent with the PHS mission to protect
and advance the physical and mental health of the American people.
Paperwork Reduction Act
The application form and instructions for this program have been
approved by the Office of Management and Budget (OMB) under the
Paperwork Reduction Act. The OMB clearance number is 0915-0149.
Application Requests
Applications will be mailed to all schools of medicine, osteopathic
medicine, dentistry, pharmacy, optometry, podiatric medicine,
veterinary medicine, nursing, public health, clinical psychology and
allied health which received SDS awards in FY 93. Upon request,
applications will be mailed to those schools identified above who have
not previously participated in the SDS program.
Requests for grant application materials and questions regarding
business management and program policy should be directed to: Mr. Bruce
Baggett, Chief, Student and Institutional Support Branch, Division of
Student Assistance, Bureau of Health Professions, Health Resources and
Services Administration, Parklawn Building, Room 8-34, 5600 Fishers
Lane, Rockville, Maryland 20857. Telephone: (301) 443-4776; FAX: (301)
594-6911.
The application deadline date is July 20, 1994. Applications shall
be considered as meeting the deadline if they are either:
(1) Received on or before the established deadline date, or
(2) Sent on or before the established deadline and received in time
for orderly processing. (Applicants should request a legibly dated U.S.
Postal Service postmark or obtain a legibly dated receipt from a
commercial carrier or the U.S. Postal Service. Private metered
postmarks shall not be acceptable as proof of timely mailing.)
Late applications not accepted for processing will be returned to
the applicant.
The Catalog of Federal Domestic Assistance Number for the
Scholarships for Disadvantaged Students program is 93.925. This program
is not subject to the provisions of Executive Order 12372,
Intergovernmental Review of Federal Programs (as implemented through 45
CFR part 100).
This program is not subject to the Public Health System Reporting
Requirements.
Dated: June 15, 1994.
Ciro V. Sumaya,
Administrator.
[FR Doc. 94-14964 Filed 6-17-94; 8:45 am]
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