[Federal Register Volume 59, Number 85 (Wednesday, May 4, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-10658]
[[Page Unknown]]
[Federal Register: May 4, 1994]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Services
[0905-ZA53]
Announcement of Availability of Funds for Family Planning Service
Grants
AGENCY: Public Health Service, HHS.
ACTION: Notice.
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SUMMARY: The Office of Population Affairs announces the availability of
funds for FY 1995 family planning services grant projects under the
authority of Title X of the Public Health Service Act (42 U.S.C. 300,
et seq.) and solicits applications for competing grant awards to serve
the areas and/or populations set out below.
OMB Catalog of Federal Domestic Assistance. 13.217
DATES: Application due dates vary. See Supplementary Information below.
ADDRESSES: Additional information may be obtained from and completed
applications should be sent to the appropriate Regional Health
Administrator at the address below:
Region I
(Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island,
Vermont): DHHS/PHS Region I, John F. Kennedy Federal Building,
Government Center, room 1400, Boston, MA 02203
Region II
(New Jersey, New York, Puerto Rico, Virgin Islands): DHHS/PHS
Region II, 26 Federal Plaza, room 3337, New York, NY 10278.
Region III
(Delaware, District of Columbia, Maryland, Pennsylvania, Virginia,
W. Virginia): DHHS/PHS Region III, 3535 Market Street, Philadelphia, PA
19101.
Region IV
(Alabama, Florida, Georgia, Kentucky, Mississippi, N. Carolina, S.
Carolina, Tennessee): DHHS/PHS Region IV, 101 Marietta Tower, suite
1106, Atlanta, GA 30323.
Region V
(Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin): DHHS/PHS
Region V, 105 West Adams Street, 17th floor, Chicago, IL 60603.
Region VI
(Arkansas, Louisiana, New Mexico, Oklahoma, Texas): DHHS/PHS Region
VI, 1200 Main Tower Building, room 1800, Dallas, TX 75202.
Region VII
(Iowa, Kansas, Missouri, Nebraska): DHHS/PHS Region VII, 601 East
12th Street, 5th Fl. W., Kansas City, MO 64106.
Region VIII
(Colorado, Montana, N. Dakota, S. Dakota, Utah, Wyoming): DHHS/PHS
Region VIII, 1961 Stout Street, Denver, CO 80294.
Region IX
(Arizona, California, Hawaii, Nevada, Commonwealth of the Northern
Mariana Islands, American Samoa, Guam, Republic of Palau, Federated
States of Micronesia, Republic of the Marshall Islands): DHHS/PHS
Region IX, 50 United Nations Plaza, room 327, San Francisco, CA 94102.
Region X
(Alaska, Idaho, Oregon, Washington): DHHS/PHS Region X, Blanchard
Plaza, 2201 Sixth Avenue, M/S RX-20, Seattle, WA 98121.
FOR FURTHER INFORMATION CONTACT:
Regional Grants Management Officers: Region I, Mary O'Brien--617/565-
1482; Region II, Steven Wong--212/264-4496; Region III, Marty Bree--
215/596-6653; Region IV, Wayne Cutchins--404/331-2597; Region V,
Lawrence Poole--312/353-8700; Region VI, Joyce Bailey--214/767-3879;
Region VII, Michael Rowland--816/426-2924; Region VIII, Susan A.
Jaworowski--303/844-4461; Region IX, Howard F. (Al) Tevis--415/556-
8233; Region X, Jim Tipton--206/615-2473.
Regional Program Consultants for Family Planning: Region I, James
Sliker--617/565-1452; Region II, Eileen Connolly--212/264-2571; Region
III, Elizabeth Reed--215/596-6686; Region IV, Christino Rodringuez--
404/331-5254; Region V, George Hockenberry--312/353-1700; Region VI,
Paul Smith--214/767-3072; Region VII, Susan Moskosky--816/426-2924;
Region VIII, John J. McCarthy, Jr.--303/844-5955; Region IX, James
Hauser--415/556-7117; Region X, Vivian Lee--206/615-2501.
SUPPLEMENTARY INFORMATION: Title X of the Public Health Service Act, 42
U.S.C. 300, et seq., authorizes the Secretary of Health and Human
Services (HHS) to award grants to public or private nonprofit entities
to assist in the establishment and operation of voluntary family
planning projects to provide a broad range of acceptable and effective
family planning methods and services (including natural family planning
methods, infertility services, and services for adolescents). The
statute requires that, to the extent practicable, entities shall
encourage family participation. Also, Title X funds may not be used in
programs where abortion is a method of family planning. Implementing
regulations appear at 42 CFR part 59 subpart A.
On February 5, 1993, HHS published at 58 FR 7462 an interim rule
that suspends the 1988 Title X rules (popularly known as the ``Gag
Rule''), pending the promulgation of new regulations. The principle
effect of this action was to suspend the definitions of ``family
planning,'' ``grantees,'' ``prenatal care,'' ``Title X,'' ``Title X
Program,'' and ``Title X Project'' presently found at 42 CFR 59.2 and
42 CFR 59.7-59.10. Proposed rules were also published at 58 FR 7464 on
the same date. During the pendency of rulemaking, the compliance
standards that were in effect prior to the issuance of the 1988 rule,
including those set out in the 1981 Family Planning Guidelines, will be
used to administer the program. Copies of the pre-1988 compliance
standards are available from the Regional Program Consultants listed
above.
The Title X program has established these five priorities:
(1) Expansion of current clinic sites and development of new
clinics in high-need areas;
(2) Outreach to low-income women, adolescents and persons at high
risk of unintended pregnancy or infection with STD (including HIV) not
now receiving family planning services;
(3) Increased emphasis on services to adolescents, including
enhanced counseling as well as new service arrangements for providing
services to teens;
(4) Increased focus on quality and comprehensiveness of services,
including treatment of STDs, screening for cervical and breast cancer,
substance abuse counseling, and counseling on avoidance of high risk
behavior which may place clients at risk for STD and HIV; and
(5) Increased emphasis on training and retention of family planning
nurse practitioners, particularly minority nurse practitioners and
those working in clincis serving high-need populations.
These program priorities represent overriding goals which are being
pursued to the extent that funding increases or increases in program
efficiency allow. Some funding may be available to Title X grantees to
improve and expand services.
The Administration's FY 1995 budget request for this program is
$199 million. This amount represents a 10 percent increase over the
appropriation for FY 1994 of $181 million, of which $168 million will
be made available to Title X service grantees. Approximately 16 percent
of the funds appropriated for FY 1995 and made available to Title X
service grantees will be used for competing grants. The remaining funds
will be used for non-competing continuation grants. This program
announcement is subject to the appropriation of funds and is a
contingency action being taken to ensure that, should funds become
available for this purpose, they can be awarded in a timely fashion
consistent with the needs of the program as well as to provide for the
distribution of funds throughout the fiscal year. Since the precise
funding levels for FY 1995 are uncertain at this point, the funding
levels set out below are based on the FY 1993 appropriation level.
However, it is expected that funding levels will be increased if the
appropriation for FY 1995 increases.
Approximately $168 million will be awarded nationwide during FY
1994 for Title X services. The entire $168 million will be allocated
among the 10 DHHS regions, and will be in turn awarded to public and
private non-profit agencies located within the regions. Each regional
office is responsible for evaluating applications, establishing
priorities, and setting funding levels according to criteria in 42 CFR
59.11.
This notice announces the availability of funds to provide family
planning services in 11 States, Washington, DC and Guam. Competing
grant applications are invited for the following areas:
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Number of FY 1993 Grant
Populations or areas grants to funding Application funding
to be served be awarded level due date date
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Region II:
New York, excluding
New York City...... 1 $6,429,872 3/1/95 7/1/95
Region III:
Washington, DC...... 1 635,080 9/1/94 1/1/95
Region V:
Indiana............. 1 3,616,959 10/1/94 2/1/95
Michigan............ 1 4,341,358 12/1/94 4/1/95
Minnesota........... 1 1,723,066 9/1/94 1/1/95
Wisconsin........... 1 2,533,949 11/1/94 3/1/95
Region VI:
Arkansas............ 1 2,561,144 11/1/94 3/1/95
New Mexico.......... 1 1,727,124 9/1/94 1/1/95
Region VII:
Kansas, excluding
Wyandotte County... 1 1,439,100 3/1/95 7/1/95
Wyandotte County, KS 1 167,900 8/1/94 12/1/94
Region VIII:
Larimer County, CO.. 1 128,122 9/1/94 1/1/95
Region IX:
Guam................ 1 143,633 3/1/95 7/1/95
Region X:
Idaho............... 1 921,574 4/1/95 7/1/95
Alaska Natives
residing in the
Yukon and Kuskokwim
River area......... 1 80,000 4/1/95 7/1/95
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Total........... 14 26,448,881
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Applications must be postmarked or, if not mailed, received at the
appropriate Grants Management Office no later than close of business on
application due dates listed above. Private metered postmarks will not
be acceptable as proof of timely mailing. Applications which are
postmarked or, if not sent by U.S. mail, delivered to the appropriate
Grants Management Office later than the application due date will be
judged late and will not be accepted for review. (Applicants should
request a legibly dated postmark from the U.S. Postal Service.)
Applications which do not conform to the requirements of this program
announcement or do not meet the applicable regulatory requirements at
42 CFR part 59, subpart A will not be accepted for review. Applicants
will be so notified,and the applications will be returned.
Applications will be evaluated on the following criteria:
(1) The number of patients and, in particular, the number of low-
income patients to be served;
(2) The extent to which family planning services are needed
locally;
(3) The relative need of the applicant;
(4) The capacity of the applicant to make rapid and effective use
of the Federal assistance;
(5) The adequacy of the applicant's facilities and staff;
(6) The relative availability of non-Federal resources within the
community to be served and the degree to which those resources are
committed to the project; and
(7) The degree to which the project plan adequately provides for
the requirements set forth in the Title X regulations.
The Public Health Service (PHS) is committed to achieving the
health promotion and disease prevention objectives of Healthy People
2000, a PHS-led national activity for setting priority areas. This
announcement is related to the priority areas of Family Planning.
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).
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.
Application Requirements
Applications kits (including the application form, PHS 5161) and
technical assistance for preparing proposals are available from the
regional offices. An application must contain:
(1) A narrative description of the project and the manner in which
the applicant intends to conduct it in order to carry out the
requirements of the law and regulations;
(2) A budget that includes an estimate of project income and costs,
with justification for the amount of grant funds requested;
(3) A description of the standards and qualifications that will be
required for all personnel and facilities to be used by the project;
and
(4) Such other pertinent information as may be required by the
Secretary as specified in the application kit. In preparing an
application, applicants should respond to all applicable regulatory
requirements. (The information collections contained in this notice
have been approved by the Office of Management and Budget and assigned
control number 0937-0189.)
Application Review and Evaluation
Each regional office is responsible for establishing its own review
process. Applications must be submitted to the appropriate regional
office at the address listed above. Staff are available to answer
questions and provide limited technical assistance in the preparation
of grant applications.
Grant Awards
Grant projects are generally approved for 3 to 5 years with an
annual non-competitive review of a continuation application to obtain
continued support. Non-competing continuation awards are subject to
factors such as the project making satisfactory progress and the
availability of funds. In all cases, continuation awards require a
determination by HHS that continued funding is in the best interest of
the Federal Government.
Review Under Executive Order 12372
Applicants under this announcement are subject to the review
requirements of Executive Order 12372, State Review of applications for
Federal Financial Assistance, as implemented by 45 CFR part 100. As
soon as possible, the applicant should discuss the project with the
State Single Point of Contact (SPOC) for each State to be served. The
application kit contains the currently available listing of the SPOCs
which have elected to be informed of the submission of applications.
For those States not represented on the listing, further inquiries
should be made by the applicant regarding the submission to the Grants
Management Office of the appropriate region. State Single Point of
Contact comments must be received by the regional office 30 days prior
to the funding date to be considered.
When final funding decisions have been made, each applicant will be
notified by letter of the outcome of its application. The official
document notifying an applicant that a project application has been
approved for funding is the Notice of Grant Award, which specifies to
the grantee the amount of money awarded, the purpose of the grant, and
terms and conditions of the grant award.
Gerald J. Bennett,
Acting Deputy Assistance Secretary for Population Affairs.
[FR Doc. 94-10658 Filed 5-3-94; 8:45 am]
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