[Federal Register Volume 60, Number 160 (Friday, August 18, 1995)]
[Notices]
[Pages 43160-43161]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-20508]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Availability of Funds for Grants to Provide Health Care for
Individuals With Hansen's Disease
AGENCY: Health Resources and Services Administration.
ACTION: Notice of available funds.
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SUMMARY: The Health Resources and Services Administration (HRSA)
announces that it anticipates approximately $2.0 million will be
available in fiscal year (FY) 1996, based on the President's budget,
for awards under section 320 of the Public Health Service (PHS) Act to
provide outpatient medical care and treatment for individuals with
Hansen's Disease.
This program announcement is subject to the appropriation of funds.
Applicants are advised that this application announcement is a
contingency action being taken to assure that should funds become
available for this purpose, they can be awarded in a timely fashion
consistent with the needs of the program.
The Public Health Service (PHS) is committed to achieving the
health promotion and disease prevention objectives of Healthy People
2000, a PHS-led national activity for setting priority areas. The
Hansen's Disease Program is related to the priority areas for health
promotion and disease prevention services. Potential applicants may
obtain a copy of Healthy People 2000 (Full Report: Stock No.017-001-
00474-0) or Healthy People 2000 (Summary Report: Stock No. 017-001-
00473-1) through the Superintendent of Documents, Government Printing
Office, Washington, D.C. 20402-9323 (Telephone (202) 783-3238).
PHS strongly encourages all grant recipients to provide a smoke-
free workplace and promote the non-use of all tobacco products. In
addition, Public Law 103-227, the Pro-Children Act of 1994, prohibits
smoking in certain facilities (or in some cases, any portion of a
facility) in which regular or routine education, library, day care,
health care or early childhood development services are provided to
children.
DUE DATE: Applications are due by October 16, 1995. Applications will
be considered as having met the deadline if they are: (1) Received on
or before the established deadline date; or (2) postmarked on or before
the deadline date and received in time for orderly processing.
Applicants must obtain a legibly dated receipt from a commercial
carrier or the U.S. Postal Service in lieu of a postmark. Private
metered postmarks are not acceptable as proof of timely mailing. Late
applications will be returned to the sender.
ADDRESSES: Application kits (Form PHS 5161-1 with revised face sheet
DHHS form 424, as approved by the OMB under control number 0937-0189)
may be obtained from, and completed applications sent to: Bureau of
Primary Health Care, c/o Houston Associates, Inc., 1010 Wayne Avenue,
Suite 1200, Silver Spring, Maryland 20910. The telephone number is
(800) 523-2192. The Fax number is (800) 523-2193.
FOR FURTHER INFORMATION CONTACT: Information or technical assistance
regarding business management issues should be directed to Pam Hilton,
Office of Grants Management, Bureau of Primary Health Care, 4350 East-
West Highway, Bethesda, Maryland 20814. The telephone number is (301)
594-4255. The Fax number is (301) 594-4073. Her internet address is:
philton@hrsa.ssw.dhhs.gov.
Technical and/or programmatic information should be directed to
Irma E. Guerra, Ambulatory Care Program, Gillis W. Long Hansen's
Disease Center, 5445 Point Clair Road, Carville, Louisiana 70721. The
telephone number is (800) 642-2477.
SUPPLEMENTARY INFORMATION: Hansen's Disease (HD) affects the skin,
peripheral nerves, anterior part of the eyes, and the nasal area.
Patients are in the age range of 20-77, have a male to female ratio of
2:1, and consist primarily of Hispanic and Asian populations. The
Division of National Hansen's Disease Programs (DNHDP) provides
outpatient HD medical care and services to patients in the United
States (U.S.) and Puerto Rico through the Ambulatory Care Program at
the Gillis W. Long Hansen's Disease Center in Carville, Louisiana.
Currently and historically, services have been offered in California,
Florida, Illinois, Massachusetts, New York, Puerto Rico, Texas, and the
State of Washington.
Patients are admitted to the Gillis W. Long Hansen's Disease Center
only as authorized by medical staff at the Center.
Grants will range from $25,000 to $400,000 depending on the number
of HD patients to be served by each entity. No more than 10 grants to
entities serving 100 or more HD patients at $100,000 to $400,000 and no
more than 4 grants to entities serving 50-100 HD
[[Page 43161]]
patients at $25,000 to $100,000 will be awarded. Budget periods will be
for 12 months, and project periods may be for up to 5 years.
Eligible Applicants: Any public or private nonprofit entity is
eligible to apply to provide HD services.
Project Objectives: The purpose of this program is to support HD
outreach and outpatient health care services delivery in areas with HD
patient concentrations and to enable this patient population to access
these services.
The central goal of this program is to prevent disability through
early diagnosis and treatment of HD. Grantees must be able to provide
or arrange for the provision of the following services:
1. Outpatient HD Medical Care
a. Diagnostic tests;
b. Laboratory monitoring of HD chemotherapy and disease status;
c. Nursing assessment through HD monitors (visual assessment of
eyes, hands, and feet) at each patient visit;
d. Hand and foot screens;
e. HD contact exams for any person who has lived in the same
household with a new patient in the 3 year period prior to the
diagnosis and beginning of treatment of the index case;
f. Ancillary services such as ophthalmology, ENT, occupational
therapy, neurology, orthopedics, orthotics, physical therapy, and
podiatry; and
g. HD medications.
2. Culturally appropriate and competent patient and contact education.
3. Outreach and follow-up of patients through culturally competent
networks of public health agencies.
Criteria for Evaluating Applications: Applications will be reviewed
based on the following evaluation criteria, which for items a through e
include assuring the provision of culturally competent systems of care:
a. Extent to which the applicant displays an understanding of the
problems and methods of treatment associated with the care of HD
patients;
b. Adequacy of the applicant's plan for providing services to HD
patients;
c. Extent to which the applicant develops arrangements to serve HD
patients outside its current catchment area.
d. Adequacy of the applicant's outreach plans including referral
arrangements with public health agencies for follow-up of patients and
contacts and training programs for health care professionals.
e. Appropriateness of the qualifications and experience of the
proposed project staff;
f. Adequacy of the proposed budget and budget justification;
g. Evidence of administrative procedures for fiscal control and
fund accounting procedures.
Other Information
Grant funds may not be used for the purchase, construction, or
renovation of real property.
Other Award Information: This program is subject to the provisions
of Executive Order 12372 concerning intergovernmental review of Federal
programs as implemented by 45 CFR part 100. Executive Order 12372
allows States the option of setting up a system to review applications
from within their States under certain Federal programs. The
application kit, to be made available under this notice, will contain a
listing of States which have chosen to set up a review system and will
provide a single point of contact (SPOC) in the States for that review.
Applicants (other than federally recognized Indian tribal governments)
should contact their State SPOCs as early as possible to alert them to
the prospective applications and receive any necessary instructions on
the State process. For proposed projects serving more than one State,
the applicant is advised to contact the SPOC of each affected State.
The due date for State process recommendations is 60 days after the
appropriate application deadline date. The BPHC does not guarantee that
it will accommodate or explain its response to State process
recommendations received after the due date.
Public Health System Impact Statement
This program is subject to the Public Health System Reporting
Requirements. Reporting requirements have been approved by the Office
of Management and Budget (#0937-0195). Under these requirements, the
community-based nongovernmental applicant must prepare and submit a
Public Health System Impact Statement (PHSIS). The PHSIS is intended to
provide information to State and local health officials to keep them
apprised of proposed health services grant applications submitted by
community-based nongovernmental organizations within their
jurisdictions.
Community-based nongovernmental applicants are required to submit
the following information to the head of the appropriate State and
local health agencies in the area(s) to be impacted no later than the
Federal application receipt due date:
a. A copy of the face page of the application (SF 424).
b. A summary of the project not to exceed one page, which provides:
(1) A description of the population to be served.
(2) A summary of the services to be provided.
The OMB Catalogue of Federal Domestic Assistance number for this
program is 93.215.
Dated: August 14, 1995.
Ciro V. Sumaya,
Administrator.
[FR Doc. 95-20508 Filed 8-17-95; 8:45 am]
BILLING CODE 4160-15-P
