96-20563. Congregate Housing Services Program: Streamlining; Final Rule  

  • [Federal Register Volume 61, Number 161 (Monday, August 19, 1996)]
    [Rules and Regulations]
    [Pages 42942-42949]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 96-20563]
    
    
    
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    _______________________________________________________________________
    
    Part II
    
    
    
    
    
    Department of Agriculture
    
    
    
    
    
    Rural Housing Service
    
    
    
    7 CFR Part 1944
    
    
    
    _______________________________________________________________________
    
    
    
    
    
    Department of Housing and Urban Development
    
    
    
    
    
    24 CFR Part 700
    
    
    
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    Congregate Housing Services Program: Streamlining; Final Common Rule
    
    Federal Register / Vol. 61, No. 161 / Monday, August 19, 1996 / Rules 
    and Regulations
    
    [[Page 42942]]
    
    
    
    DEPARTMENT OF AGRICULTURE
    
    Rural Housing Service
    
    7 CFR Part 1944
    
    DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
    
    24 CFR Part 700
    [Docket No. FR-4033-F-01]
    RIN 2501-AC21
    
    
    Congregate Housing Services Program: Streamlining; Final Rule
    
    AGENCY: Rural Housing Service, (USDA), and Office of the Secretary, 
    HUD.
    
    ACTION: Final common rule.
    
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    SUMMARY: This document amends the joint USDA and HUD regulations for 
    the Congregate Housing Services Program (CHSP or Program). In an effort 
    to comply with the President's regulatory reform initiatives, this rule 
    will streamline CHSP regulations by eliminating provisions that are 
    redundant of statutes or are otherwise unnecessary. This final rule 
    will make CHSP regulations clearer and more concise.
    
    EFFECTIVE DATE: September 18, 1996.
    
    FOR FURTHER INFORMATION CONTACT: With respect to HUD's Congregate 
    Housing Services Program: Carissa Janis, Program Analyst, Room 6176, 
    Department of Housing and Urban Development, 451 Seventh Street, SW, 
    Washington, DC 20410, telephone number (202) 708-3291 (this is not a 
    toll-free number). With respect to the Rural Housing Service's 
    Congregate Housing Services Program: Sue M. Harris-Green, Senior Loan 
    Officer, Rural Housing Service, Department of Agriculture, 14th and 
    Independence Avenue, S.W., room 5343, Washington, D.C., 20250, 
    telephone number (202) 720-1660. Hearing- and speech-impaired persons 
    may access these telephone numbers via TTY by calling the Federal 
    Information Relay Service at 1-800-877-8339.
    
    SUPPLEMENTARY INFORMATION: On March 4, 1995, President Clinton issued a 
    memorandum to all Federal departments and agencies regarding regulatory 
    reinvention. In response to this memorandum, the Department of Housing 
    and Urban Development conducted a page-by-page review of its 
    regulations to determine which can be eliminated, consolidated, or 
    otherwise improved. HUD and USDA have determined that the regulations 
    for CHSP can be improved and streamlined by eliminating unnecessary 
    provisions.
        Several provisions in the regulations repeat statutory language 
    from the National Affordable Housing Act (NAHA) of 1990 and the Housing 
    and Community Development Act of 1992. It is unnecessary to maintain 
    statutory requirements in the Code of Federal Regulations (CFR), since 
    those requirements are otherwise fully accessible and binding. 
    Furthermore, if regulations contain statutory language, HUD and USDA 
    must amend the regulations whenever Congress amends the statute. 
    Therefore, this final rule will remove repetitious statutory language 
    and replace it with a citation to the specific statutory section for 
    easy reference. Readers of 24 CFR part 700 must have copies of the 
    appropriate sections of both Acts readily available in order to 
    effectively read and understand this regulation.
        Several other provisions in the regulations apply to more than one 
    program, and therefore HUD repeated these provisions in different 
    subparts. This repetition is unnecessary, and updating these provisions 
    is cumbersome and often creates confusion. Therefore, this final rule 
    will consolidate these duplicative provisions, maintaining appropriate 
    cross-references for the reader's convenience.
    
    Justification for Final Rulemaking
    
        HUD generally publishes a rule for public comment before issuing a 
    rule for effect, in accordance with its own regulations on rulemaking 
    in 24 CFR part 10. However, part 10 provides for exceptions to the 
    general rule if the agency finds good cause to omit advance notice and 
    public participation. The good cause requirement is satisfied when 
    prior public procedure is ``impracticable, unnecessary, or contrary to 
    the public interest'' (24 CFR 10.1). HUD and USDA find that good cause 
    exists to publish this rule for effect without first soliciting public 
    comment. This rule merely removes unnecessary regulatory provisions and 
    does not establish or affect substantive policy. Therefore, prior 
    public comment is unnecessary.
    
    Other Matters
    
    Regulatory Flexibility Act
    
        The Secretary concerned, in accordance with the Regulatory 
    Flexibility Act (5 U.S.C. 605(b)), has reviewed and approved this final 
    rule, and in so doing certifies that this rule will not have a 
    significant economic impact on a substantial number of small entities. 
    This rule merely streamlines regulations by removing unnecessary 
    provisions. The rule will have no adverse or disproportionate economic 
    impact on small businesses.
    
    Unfunded Mandate Reform Act of 1995
    
        Title II of the Unfunded Mandate Reform Act of 1995 (UMRA), Pub. L. 
    104-4, established requirements for Federal agencies to assess the 
    effects of their regulatory actions on state, local, and tribal 
    governments and the private sector. Under section 202 of the UMRA, the 
    agencies generally must prepare a written statement, including a cost-
    benefit analysis, for proposed and final rules with ``Federal 
    mandates'' that may result in expenditures to state, local, or tribal 
    governments, in the aggregate, or to the private sector. When such a 
    statement is needed for a rule, section 205 of the UMRA generally 
    requires the agencies to identify and consider a reasonable number of 
    regulatory alternatives and adopt the least costly, more cost-effective 
    or least burdensome alternative that achieves the objectives of the 
    rule.
        This rule contains no Federal mandates (under regulatory provisions 
    of Title II of the UMRA) for state, local, and tribal governments or 
    the private sector. Thus, this rule is not subject to the requirements 
    of sections 202 and 205 of the UMRA.
    
    Environmental Impact
    
        This rulemaking does not have an environmental impact. This 
    rulemaking simply amends an existing regulation by consolidating and 
    streamlining provisions and does not alter the environmental effect of 
    the regulations being amended. A Finding of No Significant Impact with 
    respect to the environment was made in accordance with HUD regulations 
    in 24 CFR part 50 that implement section 102(2)(C) of the National 
    Environmental Policy Act of 1969 (42 U.S.C. 4332) at the time of 
    development of regulations implementing CHSP. That finding remains 
    applicable to this rule and is available for public inspection between 
    7:30 a.m. and 5:30 p.m. weekdays in the Office of the Rules Docket 
    Clerk, Office of General Counsel, Room 10276, Department of Housing and 
    Urban Development, 451 Seventh Street, SW, Washington, DC.
        This document has been reviewed in accordance with 7 CFR part 1940, 
    subpart G, ``Environmental Program''. It is the determination of the 
    RHS that the proposed action does not constitute a major Federal order 
    significantly affecting the quality of the human environment and in 
    accordance with the National Environmental Policy Act of
    
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    1969, Pub. L. 91-190, an environmental impact statement is not 
    required.
    
    Executive Order 12612, Federalism
    
        The General Counsel, as the Designated Official under section 6(a) 
    of Executive Order 12612, Federalism, has determined that this rule 
    will not have substantial direct effects on States or their political 
    subdivisions, or the relationship between the Federal government and 
    the States, or on the distribution of power and responsibilities among 
    the various levels of government. No programmatic or policy changes 
    will result from this rule that would affect the relationship between 
    the Federal Government and State and local governments.
    
    Executive Order 12606, The Family
    
        The General Counsel, as the Designated Official under Executive 
    Order 12606, The Family, has determined that this rule will not have 
    the potential for significant impact on family formation, maintenance, 
    or general well-being, and thus is not subject to review under the 
    Order. No significant change in existing HUD or USDA policies or 
    programs will result from promulgation of this rule.
    
    Text of Final Common Rule
    
        The text of the final common rule, as adopted by the agencies in 
    this document, appears below:
    
    PART ______--CONGREGATE HOUSING SERVICES PROGRAM
    
    Sec.
    ______.100  Purpose.
    ______.105  Definitions.
    ______.110  Announcement of fund availability, application process 
    and selection.
    ______.115  Program costs.
    ______.120  Eligible supportive services.
    ______.125  Eligibility for services.
    ______.130  Service coordinator.
    ______.135  Professional assessment committee.
    ______.140  Participatory agreement.
    ______.145  Cost distribution.
    ______.150  Program participant fees.
    ______.155  Grant agreement and administration.
    ______.160  Eligibility and priority for 1978 Act recipients.
    ______.165  Evaluation of Congregate Housing Services Programs.
    ______.170  Reserve for supplemental adjustment.
    ______.175  Other Federal requirements.
    
    
    $______.100  Purpose.
    
        The requirements of this part augment the requirements of section 
    802 of the National Affordable Housing Act of 1990 (approved November 
    28, 1990, Public Law 101-625) (42 U.S.C. 8011), (hereinafter, section 
    802), as amended by the Housing and Community Development Act of 1992 
    (Public Law 102-550, approved October 28, 1992), which authorizes the 
    Congregate Housing Services Program (hereinafter, CHSP or Program).
    
    
    Sec.  ______ .105  Definitions.
    
        In addition to the definitions in section 802(k), the following 
    definitions apply to CHSP:
        Activity of Daily Living (ADL) means an activity regularly 
    necessary for personal care. (1) The minimum requirements of ADLs 
    include:
        (i) Eating (may need assistance with cooking, preparing or serving 
    food, but must be able to feed self);
        (ii) Dressing (must be able to dress self, but may need occasional 
    assistance);
        (iii) Bathing (may need assistance in getting in and out of the 
    shower or tub, but must be able to wash self);
        (iv) Grooming (may need assistance in washing hair, but must be 
    able to take care of personal appearance);
        (v) Getting in and out of bed and chairs, walking, going outdoors, 
    using the toilet; and
        (vi) Household management activities (may need assistance in doing 
    housework, grocery shopping or laundry, or getting to and from one 
    location to another for activities such as going to the doctor and 
    shopping, but must be mobile. The mobility requirement does not exclude 
    persons in wheelchairs or those requiring mobility devices.)
        (2) Each of the Activities of Daily Living noted in paragraph (1) 
    of this definition includes a requirement that a person must be able to 
    perform at a specified minimal level (e.g., to satisfy the eating ADL, 
    the person must be able to feed himself or herself). The determination 
    of whether a person meets this minimal level of performance must 
    include consideration of those services that will be performed by a 
    person's spouse, relatives or other attendants to be provided by the 
    individual. For example, if a person requires assistance with cooking, 
    preparing or serving food plus assistance in feeding himself or 
    herself, the individual would meet the minimal performance level and 
    thus satisfy the eating ADL, if a spouse, relative or attendant 
    provides assistance with feeding the person. Should such assistance 
    become unavailable at any time, the owner is not obligated at any time 
    to provide individualized services beyond those offered to the resident 
    population in general. The Activities of Daily Living analysis is 
    relevant only with regard to determination of a person's eligibility to 
    receive supportive services paid for by CHSP and is not a determination 
    of eligibility for occupancy;
        Adjusted income means adjusted income as defined in 24 CFR parts 
    813 or 913.
        Applicant means a State, Indian tribe, unit of general local 
    government, public housing authority (PHA), Indian housing authority 
    (IHA) or local nonprofit housing sponsor. A State, Indian tribe, or 
    unit of general local government may apply on behalf of a local 
    nonprofit housing sponsor or a for-profit owner of eligible housing for 
    the elderly.
        Area agency on aging means the single agency designated by the 
    State Agency on Aging to administer the program described in Title III 
    of the Older Americans Act of 1965 (45 CFR chapter 13).
        Assistant Secretary means the HUD Assistant Secretary for Housing-
    Federal Housing Commissioner or the HUD Assistant Secretary for Public 
    and Indian Housing.
        Case management means implementing the processes of: establishing 
    linkages with appropriate agencies and service providers in the general 
    community in order to tailor the needed services to the program 
    participant; linking program participants to providers of services that 
    the participant needs; making decisions about the way resources are 
    allocated to an individual on the basis of needs; developing and 
    monitoring of case plans in coordination with a formal assessment of 
    services needed; and educating participants on issues, including, but 
    not limited to, supportive service availability, application procedures 
    and client rights.
        Eligible housing for the elderly means any eligible project 
    including any building within a mixed-use project that was designated 
    for occupancy by elderly persons, or persons with disabilities at its 
    inception or, although not so designated, for which the eligible owner 
    or grantee gives preference in tenant selection (with HUD approval) for 
    all units in the eligible project (or for a building within an eligible 
    mixed-use project) to eligible elderly persons, persons with 
    disabilities, or temporarily disabled individuals. For purposes of this 
    part, this term does not include projects assisted under the Low-Rent 
    Housing Homeownership Opportunity program (Turnkey III (24 CFR part 
    905, subpart G)).
        Eligible owner means an owner of an eligible housing project.
    
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        Excess residual receipts mean residual receipts of more than $500 
    per unit in the project which are available and not committed to other 
    uses at the time of application to HUD for CHSP. Such receipts may be 
    used as matching funds and may be spent down to a minimum of $500/unit.
        For-profit owner of eligible housing for the elderly means an owner 
    of an eligible housing project in which some part of the project's 
    earnings lawfully inure to the benefit of any private shareholder or 
    individual.
        Grantee or Grant recipient means the recipient of funding under 
    CHSP. Grantees under this Program may be states, units of general local 
    government, Indian tribes, PHAs, IHAs, and local nonprofit housing 
    sponsors.
        Local nonprofit housing sponsor means an owner or borrower of 
    eligible housing for the elderly; no part of the net earnings of the 
    owning organization shall lawfully inure to the benefit of any 
    shareholder or individual.
        Nonprofit includes a public housing agency as that term is defined 
    in section 3(b)(6) of the United States Housing Act of 1937.
        Person with disabilities means a household composed of one or more 
    persons, at least one of whom is an adult who has a disability. (1) A 
    person shall be considered to have a disability if such person is 
    determined under regulations issued by the Secretary to have a 
    physical, mental, or emotional impairment which:
        (i) Is expected to be of long-continued and indefinite duration;
        (ii) Substantially impedes his or her ability to live 
    independently; and
        (iii) Is of such a nature that the person's ability could be 
    improved by more suitable housing conditions.
        (2) A person shall also be considered to have a disability if the 
    person has a developmental disability as defined in section 102(5) of 
    the Developmental Disabilities Assistance and Bill of Rights Act (42 
    U.S.C. 6001-7). Notwithstanding the preceding provisions of this 
    paragraph, the terms ``person with disabilities'' or ``temporarily 
    disabled'' include two or more persons with disabilities living 
    together, one or more such persons living with another person who is 
    determined (under regulations prescribed by the Secretary of HUD) to be 
    essential to their care or well-being, and the surviving member or 
    members of any household where at least one or more persons was an 
    adult with a disability who was living, in a unit assisted under this 
    section, with the deceased member of the household at the time of his 
    or her death.
        Program participant (participant) means any project resident as 
    defined in section 802(e)(1) who is formally accepted into CHSP, 
    receives CHSP services, and resides in the eligible housing project 
    served by CHSP grant.
        Qualifying supportive services means those services described in 
    section 802(k)(16). Under this Program, ``health-related services'' 
    mean non-medical supervision, wellness programs, preventive health 
    screening, monitoring of medication consistent with state law, and non-
    medical components of adult day care. The Secretary concerned may also 
    approve other requested supportive services essential for achieving and 
    maintaining independent living.
        Rural Housing Service (RHS) means a credit agency for rural housing 
    and rural development in the U.S. Department of Agriculture (USDA).
        Secretary concerned means (1) The Secretary of Housing and Urban 
    Development, with respect to eligible federally assisted housing 
    administered by HUD; and
        (2) The Secretary of Agriculture with reference to programs 
    administered by the Administrator of the Rural Housing Service.
        Service coordinator means CHSP staff person responsible for 
    coordinating Program services as described in section ______.130.
        Service provider means a person or organization licensed or 
    otherwise approved in writing by a State or local agency (e.g., 
    Department of Health, Department of Human Services or Welfare) to 
    provide supportive services.
        State agency means the State or an agency or instrumentality of the 
    State.
        State agency on aging means the single agency designated by the 
    Governor to administer the program described in Title III of the Older 
    Americans Act of 1965 (See 45 CFR part 13).
    
    
    Sec. ______.110  Notice of funding availability, application process 
    and selection.
    
        (a) Notice of funding availability. A Notice of Funding 
    Availability (NOFA) will be published periodically in the Federal 
    Register by the Secretary concerned containing the amounts of funds 
    available, allocation or distribution of funds available among eligible 
    applicant groups, where to obtain and submit applications, the deadline 
    for submissions, and further explanation of the selection criteria, 
    review and selection process. The Secretary concerned will designate 
    the maximum allowable size for grants.
        (b) Selection criteria are set forth in section 802(h)(1) and shall 
    include additional criteria specified by the Secretary concerned.
    
    
    Sec. ______.115  Program costs.
    
        (a) Allowable costs. (1) Allowable costs for direct provision of 
    supportive services includes the provision of supportive services and 
    others approved by the Secretary concerned for:
        (i) Direct hiring of staff, including a service coordinator;
        (ii) Supportive service contracts with third parties;
        (iii) Equipment and supplies (including food) necessary to provide 
    services;
        (iv) Operational costs of a transportation service (e.g., mileage, 
    insurance, gasoline and maintenance, driver wages, taxi or bus 
    vouchers);
        (v) Purchase or leasing of vehicles;
        (vi) Direct and indirect administrative expenses for administrative 
    costs such as annual fiscal review and audit, telephones, postage, 
    travel, professional education, furniture and equipment, and costs 
    associated with self evaluation or assessment (not to exceed one 
    percent of the total budget for the activities approved); and
        (vii) States, Indian tribes and units of general local government 
    with more than one project included in the grant may receive up to 1% 
    of the total cost of the grant for monitoring the projects.
        (2) Allowable costs shall be reasonable, necessary and recognized 
    as expenditures in compliance with OMB Cost Policies, i.e., OMB 
    Circular A-87, 24 CFR 85.36, and OMB Circular A-128.
        (b) Nonallowable costs. (1) CHSP funds may not be used to cover 
    expenses related to any grantee program, service, or activity existing 
    at the time of application to CHSP.
        (2) Examples of nonallowable costs under the program are:
        (i) Capital funding (such as purchase of buildings, related 
    facilities or land and certain major kitchen items such as stoves, 
    refrigerators, freezers, dishwashers, trash compactors or sinks);
        (ii) Administrative costs that represent a non-proportional share 
    of costs charged to the Congregate Housing Services Program for rent or 
    lease, utilities, staff time;
        (iii) Cost of supportive services other than those approved by the 
    Secretary concerned;
        (iv) Modernization, renovation or new construction of a building or 
    facility, including kitchens;
        (v) Any costs related to the development of the application and 
    plan of operations before the effective date of CHSP grant award;
        (vi) Emergency medical services and ongoing and regular care from 
    doctors
    
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    and nurses, including but not limited to administering medication, 
    purchase of medical supplies, equipment and medications, overnight 
    nursing services, and other institutional forms of service, care or 
    support;
        (vii) Occupational therapy and vocational rehabilitation services; 
    or
        (viii) Other items defined as unallowable costs elsewhere in this 
    part, in CHSP grant agreement, and OMB Circular A-87 or 122.
        (c) Administrative cost limitation. Grantees are subject to the 
    limitation in section 802(j)(4).
    
    
    Sec.  ______.120  Eligible supportive services.
    
        (a) Supportive services or funding for such services may be 
    provided by state, local, public or private providers and CHSP funds. A 
    CHSP under this section shall provide meal and other qualifying 
    services for program participants (and other residents and 
    nonresidents, as described in Sec. ______ .125(a)) that are coordinated 
    on site.
        (b) Qualifying supportive services are those listed in section 
    802(k)(16) and in section ______ .105.
        (c) Meal services shall meet the following guidelines:
        (1) Type of service. At least one meal a day must be served in a 
    group setting for some or all of the participants; if more than one 
    meal a day is provided, a combination of a group setting and carry-out 
    meals may be utilized.
        (2) Hot meals. At least one meal a day must be hot. A hot meal for 
    the purpose of this program is one in which the principal food item is 
    hot at the time of serving.
        (3) Special menus. Grantees shall provide special menus as 
    necessary for meeting the dietary needs arising from the health 
    requirements of conditions such as diabetes and hypertension. Grantees 
    should attempt to meet the dietary needs of varying religious and 
    ethnic backgrounds.
        (4) Meal service standards. Grantees shall plan for and provide 
    meals which are wholesome, nutritious, and each of which meets a 
    minimum of one-third of the minimum daily dietary allowances as 
    established by the Food and Nutrition Board of the National Academy of 
    Sciences-National Research Council (or State or local standards, if 
    these standards are higher). Grantees must have an annual 
    certification, prepared and signed by a registered dietitian, which 
    states that each meal provided under CHSP meets the minimum daily 
    dietary allowances.
        (5) Food stamps and agricultural commodities. In providing meal 
    services grantees must apply for and use food stamps and agricultural 
    commodities as set forth in section 802(d)(2)(A).
        (6) Preference for nutrition providers: In contracting for or 
    otherwise providing for meal services grantees must follow the 
    requirements of section 802(d)(2)(B). These requirements do not 
    preclude a grantee or owner from directly preparing and providing meals 
    under its own auspices.
    
    
    Sec. ______ .125  Eligibility for services.
    
        (a) Participants, other residents, and nonresidents. Such 
    individuals are eligible either to participate in CHSP or to receive 
    CHSP services, if they qualify under section 802(e)(1), (4) and (5). 
    Under this paragraph, temporarily disabled persons are also eligible.
        (b) Economic need. In providing services under CHSP, grantees shall 
    give priority to very low income individuals, and shall consider their 
    service needs in selecting program participants.
    
    
    Sec.  ______.130  Service coordinator.
    
        (a) Each grantee must have at least one service coordinator who 
    shall perform the responsibilities listed in section 802(d)(4).
        (b) The service coordinator shall comply with the qualifications 
    and standards required by the Secretary concerned. The service 
    coordinator shall be trained in the subject areas set forth in section 
    802(d)(4), and in any other areas required by the Secretary concerned.
        (c) The service coordinator may be employed directly by the 
    grantee, or employed under a contract with a case management agency on 
    a fee-for-service basis, and may serve less than full-time. The service 
    coordinator or the case management agency providing service 
    coordination shall not provide supportive services under a CHSP grant 
    or have a financial interest in a service provider agency which intends 
    to provide services to the grantee for CHSP.
        (d) The service coordinator shall:
        (1) Provide general case management and referral services to all 
    potential participants in CHSP. This involves intake screening, upon 
    referral from the grantee of potential program participants, and 
    preliminary assessment of frailty or disability, using a commonly 
    accepted assessment tool. The service coordinator then will refer to 
    the professional assessment committee (PAC) those individuals who 
    appear eligible for CHSP;
        (2) Establish professional relationships with all agencies and 
    service providers in the community, and develop a directory of 
    providers for use by program staff and program participants;
        (3) Refer proposed participants to service providers in the 
    community, or those of the grantee;
        (4) Serve as staff to the PAC;
        (5) Complete, for the PAC, all paperwork necessary for the 
    assessment, referral, case monitoring and reassessment processes;
        (6) Implement any case plan developed by the PAC and agreed to by 
    the program participant;
        (7) Maintain necessary case files on each program participant, 
    containing such information and kept in such form as HUD and RHS shall 
    require;
        (8) Provide the necessary case files to PAC members upon request, 
    in connection with PAC duties;
        (9) Monitor the ongoing provision of services from community 
    agencies and keep the PAC and the agency providing the supportive 
    service informed of the progress of the participant;
        (10) Educate grant recipient's program participants on such issues 
    as benefits application procedures (e.g. SSI, food stamps, Medicaid), 
    service availability, and program participant options and 
    responsibilities;
        (11) Establish volunteer support programs with service 
    organizations in the community;
        (12) Assist the grant recipient in building informal support 
    networks with neighbors, friends and family; and
        (13) Educate other project management staff on issues related to 
    ``aging-in-place'' and services coordination, to help them to work with 
    and assist other persons receiving housing assistance through the 
    grantee.
        (e) The service coordinator shall tailor each participant's case 
    plan to the individual's particular needs. The service coordinator 
    shall work with community agencies, the grantee and third party service 
    providers to ensure that the services are provided on a regular, 
    ongoing, and satisfactory basis, in accordance with the case plan 
    approved by the PAC and the participant.
        (f) Service coordinators shall not serve as members of the PAC.
    
    
    Sec. ______.135  Professional assessment committee.
    
        (a) General. (1) A professional assessment committee (PAC), as 
    described in this section, shall recommend services appropriate to the 
    functional abilities and needs of each eligible project resident. The 
    PAC shall be either a voluntary committee appointed by the project 
    management or an agency in the community which provides assessment 
    services and
    
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    conforms to section 802(e)(3)(A) and (B). PAC members are subject to 
    the conflict of interest provisions in section ______ .175(b).
        (2) The PAC shall utilize procedures that ensure that the process 
    of determining eligibility of individuals for congregate services 
    affords individuals fair treatment, due process, and a right of appeal 
    of the determination of eligibility, and shall ensure the 
    confidentiality of personal and medical records.
        (3) The dollar value of PAC members' time spent on regular 
    assessments after initial approval of program participants may be 
    counted as match. If a community agency discharges the duties of the 
    PAC, staff time is counted as its imputed value, and if the members are 
    volunteers, their time is counted as volunteer time, according to 
    sections ______.145(c)(2) (ii) and (iv).
        (b) Duties of the PAC. The PAC is required to:
        (1) Perform a formal assessment of each potential elderly program 
    participant to determine if the individual is frail. To qualify as 
    frail, the PAC must determine if the elderly person is deficient in at 
    least three ADLs, as defined in section ______.105. This assessment 
    shall be based upon the screening done by the service coordinator, and 
    shall include a review of the adequacy of the informal support network 
    (i.e., family and friends available to the potential participant to 
    assist in meeting the ADL needs of that individual), and may include a 
    more in-depth medical evaluation, if necessary;
        (2) Determine if non-elderly disabled individuals qualify under the 
    definition of person with disabilities under section ______.105. If 
    they do qualify, this is the acceptance criterion for them for CHSP. 
    Persons with disabilities do not require an assessment by the PAC;
        (3) Perform a regular assessment and updating of the case plan of 
    all participants;
        (4) Obtain and retain information in participant files, containing 
    such information and maintained in such form, as HUD or RHS shall 
    require;
        (5) Replace any members of the PAC within 30 days after a member 
    resigns. A PAC shall not do formal assessments if its membership drops 
    below three, or if the qualified medical professional leaves the PAC 
    and has not been replaced.
        (6) Notify the grantee or eligible owner and the program 
    participants of any proposed modifications to PAC procedures, and 
    provide these parties with a process and reasonable time period in 
    which to review and comment, before adoption of a modification;
        (7) Provide assurance of nondiscrimination in selection of CHSP 
    participants, with respect to race, religion, color, sex, national 
    origin, familial status or type of disability;
        (8) Provide complete confidentiality of information related to any 
    individual examined, in accordance with the Privacy Act of 1974;
        (9) Provide all formal information and reports in writing.
        (c) Prohibitions relating to the PAC. (1) At least one PAC member 
    shall not have any direct or indirect relationship to the grantee.
        (2) No PAC member may be affiliated with organizations providing 
    services under the grant.
        (3) Individuals or staff of third party organizations that act as 
    PAC members may not be paid with CHSP grant funds.
        (d) Eligibility and admissions. (1) Before selecting potential 
    program participants, each grantee (with PAC assistance) shall develop 
    a CHSP application form. The information in the individual's 
    application is crucial to the PAC's ability to determine the need for 
    further physical or psychological evaluation.
        (2) The PAC, upon completion of a potential program participant's 
    initial assessment, must make a recommendation to the service 
    coordinator for that individual's acceptance or denial into CHSP.
        (3) Once a program participant is accepted into CHSP, the PAC must 
    provide a supportive services case plan for each participant. In 
    developing this plan, the PAC must take into consideration the 
    participant's needs and wants. The case plan must provide the minimum 
    supportive services necessary to maintain independence.
        (e) Transition-out procedures. The grantee or PAC must develop 
    procedures for providing for an individual's transition out of CHSP to 
    another setting. Transition out is based upon the degree of supportive 
    services needed by an individual to continue to live independently. If 
    a program participant leaves the program, but wishes to retain 
    supportive services, he or she may do so, as long as he or she 
    continues to live in an eligible project, pays the full cost of 
    services provided, and management agrees (section 802(e)(4) and (5)). A 
    participant can be moved out of CHSP if he or she:
        (1) Gains physical and mental health and is able to function 
    without supportive services, even if only for a short time (in which 
    case readmission, based upon reassessment to determine the degree of 
    frailty or the disability, is acceptable);
        (2) Requires a higher level of care than that which can be provided 
    under CHSP; or
        (3) Fails to pay services fees.
        (f) Procedural rights of participants. (1) The PAC must provide an 
    informal process that recognizes the right to due process of 
    individuals receiving assistance. This process, at a minimum, must 
    consist of:
        (i) Serving the participant with a written notice containing a 
    clear statement of the reasons for termination;
        (ii) A review of the decision, in which the participant is given 
    the opportunity to present written or oral objections before a person 
    other than the person (or a subordinate of that person) who made or 
    approved the termination decision; and
        (iii) Prompt written notification of the final decision to the 
    participant.
        (2) Procedures must ensure that any potential or current program 
    participant, at the time of initial or regular assessment, has the 
    option of refusing offered services and requesting other supportive 
    services as part of the case planning process.
        (3) In situations where an individual requests additional services, 
    not initially recommended by the PAC, the PAC must make a determination 
    of whether the request is legitimately a needs-based service that can 
    be covered under CHSP subsidy. Individuals can pay for services other 
    than those recommended by the PAC as long as the additional services do 
    not interfere with the efficient operation of the program.
    
    
    Sec. ______  .140  Participatory agreement.
    
        (a) Before actual acceptance into CHSP, potential participants must 
    work with the PAC and the service coordinator in developing supportive 
    services case plans. A participant has the option of accepting any of 
    the services under the case plan.
        (b) Once the plan is approved by the PAC and the program 
    participant, the participant must sign a participatory agreement 
    governing the utilization of the plan's supportive services and the 
    payment of supportive services fees. The grantee annually must 
    renegotiate the agreement with the participant.
    
    
    Sec. ______  .145  Cost distribution.
    
        (a) General. (1) Grantees, the Secretary concerned, and 
    participants shall all contribute to the cost of providing supportive 
    services according to section 802(i)(A)(i). Grantees must contribute at 
    least 50 percent of program cost, participants must contribute fees 
    that in total are at least 10 percent of program
    
    [[Page 42947]]
    
    cost, and the Secretary concerned will provide funds in an amount not 
    to exceed 40 percent.
        (2) Section 802(i)(1)(B)(ii) creates a cost-sharing provision 
    between grantee and the Secretary concerned if total participant fees 
    collected over a year are less than 10 percent of total program cost. 
    This provision is subject to availability of appropriated grant funds. 
    If funds are not available, the grantee must assume the funding 
    shortfall.
        (b) Prohibition on substitution of funds and maintenance of 
    existing supportive services. Grantees shall maintain existing funding 
    for and provision of supportive services prior to the application date, 
    as set forth in section 802(i)(1)(D). The grantee shall ensure that the 
    activities provided to the project under a CHSP grant will be in 
    addition to, and not in substitution for, these previously existing 
    services. The value of these services do not qualify as matching funds. 
    Such services must be maintained either for the time the participant 
    remains in CHSP, or for the duration of CHSP grant. The grantee shall 
    certify compliance with this paragraph to the Secretary concerned.
        (c) Eligible matching funds. (1) All sources of matching funds must 
    be directly related to the types of supportive services prescribed by 
    the PAC or used for administration of CHSP.
        (2) Matching funds may include:
        (i) Cash (which may include funds from Federal, State and local 
    governments, third party contributions, available payments authorized 
    under Medicaid for specific individuals in CHSP, Community Development 
    Block Grants or Community Services Block Grants, Older American Act 
    programs or excess residual funds with the approval of the Secretary 
    concerned),
        (ii) The imputed dollar value of other agency or third party-
    provided direct services or staff who will work with or provide 
    services to program participants; these services must be justified in 
    the application to assure that they are the new or expanded services of 
    CHSP necessary to keep the program participants independent. If 
    services are provided by the state, Indian tribe, unit of general local 
    government, or local nonprofit housing sponsor, IHA, PHA, or for-profit 
    or not-for-profit owner, any salary paid to staff from governmental 
    sources to carry out the program of the grantee and any funds paid to 
    residents employed by the Program (other than from amounts under a 
    contract under section ______.155) is allowable match.
        (iii) In-kind items (these are limited to 10 percent of the 50 
    percent matching amount), such as the current market value of donated 
    common or office space, utility costs, furniture, material, supplies, 
    equipment and food used in direct provision of services. The applicant 
    must provide an explanation for the estimated donated value of any item 
    listed.
        (iv) The value of services performed by volunteers to CHSP, at the 
    rate of $5.00 an hour.
        (d) Limitation. (1) The following are not eligible for use as 
    matching funds:
        (i) PHA operating funds;
        (ii) CHSP funds;
        (iii) Section 8 funds other than excess residual receipts;
        (iv) Funds under section 14 of the U.S. Housing Act of 1937, unless 
    used for service coordination or case management; and
        (v) Comprehensive grant funds unless used for service coordination 
    or case management;
        (2) Local government contributions are limited by section 
    802(i)(1)(E).
        (e) Annual review of match. The Secretary concerned will review the 
    infusion of matching funds annually, as part of the program or budget 
    review. If there are insufficient matching funds available to meet 
    program requirements at any point after grant start-up, or at any time 
    during the term of the grant (i.e., if matching funds from sources 
    other than program participant fees drop below 50 percent of total 
    supportive services cost), the Secretary concerned may decrease the 
    federal grant share of supportive services funds accordingly.
    
    
    Sec. ______.150  Program participant fees.
    
        (a) Eligible program participants. The grantee shall establish fees 
    consistent with section ______.145(a). Each program participant shall 
    pay CHSP fees as stated in paragraphs (d) and (e) of this section, up 
    to a maximum of 20 percent of the program participant's adjusted 
    income. Consistent with section 802(d)(7)(A), the Secretary concerned 
    shall provide for the waiver of fees for individuals who are without 
    sufficient income to provide for any payment.
        (b) Fees shall include: (1) Cash contributions of the program 
    participant;
        (2) Food Stamps; and
        (3) Contributions or donations to other eligible programs 
    acceptable as matching funds under section ______.145(c).
        (c) Older Americans Act programs. No fee may be charged for any 
    meals or supportive services under CHSP if that service is funded under 
    an Older Americans Act Program.
        (d) Meals fees: (1) For full meal services, the fees for residents 
    receiving more than one meal per day, seven days per week, shall be 
    reasonable and shall equal between 10 and 20 percent of the adjusted 
    income of the project resident, or the cost of providing the services, 
    whichever is less.
        (2) The fees for residents receiving meal services less frequently 
    than as described in paragraph (d)(1) of this section shall be in an 
    amount equal to 10 percent of the adjusted income of the project 
    resident, or the cost of providing the services, whichever is less.
        (e) Other service fees. The grantee may also establish fees for 
    other supportive services so that the total fees collected from all 
    participants for meals and other services is at least 10 percent of the 
    total cost of CHSP. However, no program participants may be required to 
    pay more than 20 percent of their adjusted incomes for any combination 
    of services.
        (f) Other residents and nonresidents. Fees shall be established for 
    residents of eligible housing projects (other than eligible project 
    residents) and for nonresidents who receive meals and other services 
    from CHSP under section ______.125(a). These fees shall be in an amount 
    equal to the cost of providing the services.
    
    
    Sec. ________.155  Grant agreement and administration.
    
        (a) General. HUD will enter into grant agreements with grantees, to 
    provide congregate services for program participants in eligible 
    housing projects, in order to meet the purposes of CHSP.
        (b) Term of grant agreement and reservation of amount. A grant will 
    be for a term of five years and the Secretary concerned shall reserve a 
    sum equal to the total approved grant amount for each grantee. Grants 
    will be renewable at the expiration of a term, subject to the 
    availability of funds and conformance with the regulations in this 
    part, except as otherwise provided in section ______.160.
        (c) Monitoring of project sites by governmental units. States, 
    Indian tribes, and units of general local government with a grant 
    covering multiple projects shall monitor, review, and evaluate Program 
    performance at each project site for compliance with CHSP regulations 
    and procedures, in such manner as prescribed by HUD or RHS.
        (d) Reports. Each grantee shall submit program and fiscal reports 
    and program budgets to the Secretary concerned in such form and at such 
    times, as the Secretary concerned requires.
        (e) Enforcement. The Secretary concerned will enforce the 
    obligations of the grantee under the agreement through such action as 
    may be
    
    [[Page 42948]]
    
    necessary, including terminating grants, recapturing grant funds, and 
    imposing sanctions.
        (1) These actions may be taken for:
        (i) A grantee's non-compliance with the grant agreement or HUD or 
    RHS regulations;
        (ii) Failure of the grantee to provide supportive services within 
    12 months of execution of the grant agreement.
        (2) Sanctions include but are not limited to the following:
        (i) Temporary withholding of reimbursements or extensions or 
    renewals under the grant agreement, pending correction of deficiencies 
    by the grantee;
        (ii) Setting conditions in the contract;
        (iii) Termination of the grant;
        (iv) Substitution of grantee; and
        (v) Any other action deemed necessary by the Secretary concerned.
        (f) Renewal of grants. Subject to the availability of funding, 
    satisfactory performance, and compliance with the regulations in this 
    part:
        (1) Grantees funded initially under this part shall be eligible to 
    receive continued, non-competitive renewals after the initial five-year 
    term of the grant.
        (2) Grantees will receive priority funding and grants will be 
    renewed within time periods prescribed by the Secretary concerned.
        (g) Use of Grant Funds. If during any year, grantees use less than 
    the annual amount of CHSP funds provided to them for that year, the 
    excess amount can be carried forward for use in later years.
    
    
    Sec. ______ .160  Eligibility and priority for 1978 Act recipients.
    
        Grantees funded initially under 42 U.S.C. 8001 shall be eligible to 
    receive continued, non-competitive funding subject to its availability. 
    These grantees will be eligible to receive priority funding under this 
    part if they comply with the regulations in this part and with the 
    requirements of any NOFA issued in a particular fiscal year.
    
    
    Sec. ________.165  Evaluation of Congregate Housing Services Programs.
    
        (a) Grantees shall submit annually to the Secretary concerned, a 
    report evaluating the impact and effectiveness of CHSPs at the grant 
    sites, in such form as the Secretary concerned shall require.
        (b) The Secretaries concerned shall further review and evaluate the 
    performance of CHSPs at these sites and shall evaluate the Program as a 
    whole.
        (c) Each grantee shall submit a certification with its application, 
    agreeing to cooperate with and to provide requested data to the entity 
    responsible for the Program's evaluation, if requested to do so by the 
    Secretary concerned.
    
    
    Sec. ________.170 Reserve for supplemental adjustment.
    
        The Secretary concerned may reserve funds subject to section 
    802(o). Requests to utilize supplemental funds by the grantee shall be 
    transmitted to the Secretary concerned in such form as may be required.
    
    
    Sec. ________.175 Other Federal requirements.
    
        In addition to the Federal Requirements set forth in 24 CFR part 5, 
    the following requirements apply to grant recipient organizations in 
    this program:
        (a) Office of Management and Budget (OMB) Circulars and 
    Administrative Requirements. The policies, guidelines, and requirements 
    of OMB Circular No. A-87 and 24 CFR part 85 apply to the acceptance and 
    use of assistance under this program by public body grantees. The 
    policies, guidelines, and requirements of OMB Circular No. A-122 apply 
    to the acceptance and use of assistance under this program by non-
    profit grantees. Grantees are also subject to the audit requirements 
    described in 24 CFR part 44 (OMB Circular A-128).
        (b) Conflict of interest. In addition to the conflict of interest 
    requirements in OMB Circular A-87 and 24 CFR part 85, no person who is 
    an employee, agent, consultant, officer, or elected or appointed 
    official of the applicant, and who exercises or has exercised any 
    function or responsibilities with respect to activities assisted with 
    CHSP grant funds, or who is in a position to participate in a decision-
    making process or gain inside information with regard to such 
    activities, may obtain a personal or financial interest or benefit from 
    the activity, or have an interest in any contract, subcontract, or 
    agreement with respect thereto, or any proceeds thereunder, either for 
    himself or herself or for those with whom he or she has family or 
    business ties during his or her tenure, or for one year thereafter. 
    CHSP employees may receive reasonable salary and benefits.
        (c) Disclosures required by Reform Act. Section 102(c) of the HUD 
    Reform Act of 1989 (42 U.S.C. 3545(c)) requires disclosure concerning 
    other government assistance to be made available with respect to the 
    Program and parties with a pecuniary interest in CHSP and submission of 
    a report on expected sources and uses of funds to be made available for 
    CHSP. Each applicant shall include information required by 24 CFR part 
    12 on form HUD-2880 ``Applicant/Recipient Disclosure/Update Report,'' 
    as required by the Federal Register Notice published on January 16, 
    1992, at 57 FR 1942.
        (d) Nondiscrimination and equal opportunity. (1) The fair housing 
    poster regulations (24 CFR part 110) and advertising guidelines (24 CFR 
    part 109);
        (2) The Affirmative Fair Housing Marketing Program requirements of 
    24 CFR part 200, subpart M, and the implementing regulations at 24 CFR 
    part 108; and
        (3) Racial and ethnic collection requirements--Recipients must 
    maintain current data on the race, ethnicity and gender of program 
    applicants and beneficiaries in accordance with section 562 of the 
    Housing and Community Development Act of 1987 and section 808(e)(6) of 
    the Fair Housing Act.
        (e) Environmental requirements. Support services, including the 
    operating and administrative expenses described in 
    section________.115(a), are categorically excluded from the 
    requirements of the National Environmental Policy Act (NEPA) of 1969. 
    These actions, however, are not excluded from individual compliance 
    requirements of other environmental statutes, Executive Orders, and 
    agency regulations where appropriate. When the responsible official 
    determines that any action under this part may have an environmental 
    effect because of extraordinary circumstances, the requirements of NEPA 
    shall apply.
    -----------------------------------------------------------------------
    
    
    DEPARTMENT OF AGRICULTURE
    Adoption of the Final Common Rule
    
        The agency specific adoption of the final common rule, which 
    appears at the end of the common preamble, appears below:
    
    RURAL HOUSING SERVICE
    
    7 CFR Part 1944
    
    List of Subjects in 7 CFR Part 1944
    
        Farm labor housing, Migrant labor, Nonprofit organizations, Public 
    housing, Rent subsidies, and Rural rental housing.
    
    
        Dated: July 18, 1996.
    Jill Long Thompson,
    Under Secretary, Rural Development.
    
        Title 7 of the Code of Federal Regulations, part 1944 is amended as 
    follows:
        1. The authority citation for subpart F continues to read as 
    follows:
    
    
        Authority: 42 U.S.C. 1480, 8011 and 5 U.S.C. 301.
    
        2. Subpart F, consisting of Secs. 1944.251 [______.100] through
    
    [[Page 42949]]
    
    1944.266 [________.175], is revised to read as set forth at the end of 
    the common preamble.
    
    PART 1944--HOUSING
    
    Subpart F--Congregate Housing Services Program
    
    Sec.
    1944.251  Purpose.
    1944.252  Definitions.
    1944.253  Announcement of fund availability, application process and 
    selection.
    1944.254  Program costs.
    1944.255  Eligible supportive services.
    1944.256  Eligibility for services.
    1944.257  Service coordinator.
    1944.258  Professional assessment committee.
    1944.259  Participatory agreement.
    1944.260  Cost distribution.
    1944.261  Program participant fees.
    1944.262  Grant agreement and administration.
    1944.263  Eligibility and priority for 1978 Act recipients.
    1944.264  Evaluation of Congregate Housing Services Programs.
    1944.265  Reserve for supplemental adjustment.
    1944.266  Other Federal requirements.
    
        3. The words ``this part'' are revised to read ``this subpart'' in 
    the following places: Secs. 1944.100, 1944.105 in the definition for 
    ``Eligible housing for the elderly'', 1944.115(b)(2)(viii), 1944.155 
    (b) introductory text, (f) introductory text and (f)(1), 1944.160, and 
    1944.175(e).
    
    -----------------------------------------------------------------------
    
    DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
    
    24 CFR Part 700
    
    List of Subjects in 24 CFR Part 700
    
        Aged, Grant programs--housing and community development, 
    Individuals with disabilities, Low and moderate income housing, 
    Nutrition, Public housing, Rent subsidies, Reporting and recordkeeping 
    requirements, Supportive services.
    
        Title 24 of the Code of Federal Regulations is amended by revising 
    part 700 to read as set forth at the end of the common preamble.
    
        Dated: March 14, 1996.
    Henry G. Cisneros,
    Secretary.
    
    PART 700--CONGREGATE HOUSING SERVICES PROGRAM
    
    Sec.
    700.100  Purpose.
    700.105  Definitions.
    700.110  Announcement of fund availability, application process and 
    selection.
    700.115  Program costs.
    700.120  Eligible supportive services.
    700.125  Eligibility for services.
    700.130  Service coordinator.
    700.135  Professional assessment committee.
    700.140  Participatory agreement.
    700.145  Cost distribution.
    700.150  Program participant fees.
    700.155  Grant agreement and administration.
    700.160  Eligibility and priority for 1978 Act recipients.
    700.165  Evaluation of Congregate Housing Services Programs.
    700.170  Reserve for supplemental adjustment.
    700.175  Other Federal requirements.
    
        Authority: 42 U.S.C. 3535(d) and 8011.
    
    [FR Doc. 96-20563 Filed 8-16-96; 8:45 am]
    BILLING CODE 3410-07-P; 4210-32-P
    
    
    

Document Information

Effective Date:
9/18/1996
Published:
08/19/1996
Department:
Housing and Urban Development Department
Entry Type:
Rule
Action:
Final common rule.
Document Number:
96-20563
Dates:
September 18, 1996.
Pages:
42942-42949 (8 pages)
Docket Numbers:
Docket No. FR-4033-F-01
RINs:
2501-AC21: Congregate Housing Services Program--Streamlining (FR-4033)
RIN Links:
https://www.federalregister.gov/regulations/2501-AC21/congregate-housing-services-program-streamlining-fr-4033-
PDF File:
96-20563.pdf
CFR: (33)
7 CFR 1944.175(e)
7 CFR 1944.251
7 CFR 1944.252
7 CFR 1944.253
7 CFR 1944.254
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