13.210 COMPREHENSIVE PUBLIC HEALTH SERVICES - FORMULA GRANTS FEDERAL AGENCY: HEALTH SERVICES AND MENTAL HEALTH TYPES OF ASSISTANCE: Formula Grants. USES AND USE RESTRICTIONS: Assist States in making significant contributions toward providing and strengthening public health services in its various political subdivisions. Restrictions are that 70 percent of Federal funds allotted in the State health and mental health agencies must be available to support services in communities of the State; 15 percent of a State's allotment must be allocated to the State mental health authority. Services must be provided in accordance with plans of the State comprehensive health planning agency. The 314(d) State plan must contain or be supported by satisfactory assurances that public health services are furnished in accordance with the planning recommendations of the State comprehensive health planning agency supported under section 314(a) of the Public Health Service Act, as amended (See 13.207, Comprehensive Health Planning - Grants to States). ELIGIBILITY REQUIREMENTS: Applicant Eligibility: Only State health and mental health authorities Beneficiary Eligibility: Same as applicant eligibility. Preapplication Coordination: New State plans and amendments of the United States and adjusted so that the total allotment to any State will not be less than the total amounts allotted to it under formula grants for health services in effect for the fiscal year ending June 30, 1967. Matching Requirements: The level of State funds required depends on each State's per capita income. Ranges from 1/3 to 2/3 of the costs incurred. Length and Time Phasing of Assistance: Annual fiscal year basis. POST ASSISTANCE REQUIREMENTS: Reports: An annual expenditure report is to be submitted to the regional health director and one to the State health planning agency not later than 60 days after the end of the fiscal year. Audits: Grants are subject to inspection and audit by representatives of HEW to verify financial transactions and determine whether funds were used in accordance with applicable laws and procedures; to provide management appraisals; and to determine reliability of financial records and reports. Records: Grantees are required to maintain accounting records 3 Account Identification: 09-20-0318-0-1-650. Range and Average of Financial Assistance: $65,700 to $5,558,900; PROGRAM ACCOMPLISHMENTS: The State health and mental health departments continue to find these grants a flexible source of funds to support a wide range of public health services. Many State agencies have reported supporting a number of new, innovative, and developmental services, in addition to continuing basic services. It is anticipated that States will use these funds increasingly for services for "high risk” populations, including the poor, and to improve the health services delivery system. REGULATIONS, GUIDELINES, AND LITERATURE: Factsheet on "Comprehensive Health Planning Comprehensive Health Services," no charge. "Grants to States for Public Health Services Regulation," no charge (limited supply under revision); "Grants to States for Public Health Services - Regulations," no charge (limited supply under revision). INFORMATION CONTACTS: Regional or Local Office: Each regional health director of the HEW regional offices is responsible for the administration of this program. (See appendix for a list of regional offices.) Headquarters Office: Chief, Health Services Formula Grants Staff, Division of Analysis and Evaluation, Community Health Service, Room 7A-09, Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20852. Telephone: (301) 443-2853. RELATED PROGRAMS: The comprehensive nature of this program relates it to all other health programs supported by the Federal government. Those programs to which it relates most immediately are: 13.200, Communicable Disease Prevention and Control Consultation and Technical Assistance; 13.204, Communicable Diseases Tuberculosis Control; 13.205, Communicable Diseases · Venereal Disease Control; 13.206, CHP Areawide Grants; 13.207, Comprehensive Health Planning Grants to States; 13.224, Health Services Development - Project Grants; 13.232, Maternal and Child Health Services; 13.249, Regional Medical Programs - Operational and Planning Grants; 13.714, Medical Assistance Program; 14.203, Comprehensive Planning Assistance; 49.003, Comprehensive Health Services. 13.211 CRIPPLED CHILDREN'S SERVICES (CC) FEDERAL AGENCY: HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION, DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE AUTHORIZATION: Social Security Act, as amended, Title V, Section 504; Public Law 90-248; 42 U.S.C. 704. OBJECTIVES: This program provides financial support to States to extend and improve (especially in rural areas and in areas suffering from severe economic distress) medical and related services to crippled children and children suffering from conditions that lead to crippling. TYPES OF ASSISTANCE: Formula Grants; Project Grants. USES AND USE RESTRICTIONS: Grants may be used for locating crippled children and providing medical, surgical, corrective, and other services for diagnosis, hospitalization, and aftercare for such children, and for training of professional personnel. Grants may be used for the purchase of services and care from hospitals and supporting activities. Funds may not be used for purchase or construction of buildings; for salaries of personnel paid from other Federal grant funds; and certain other miscellaneous items as specified in regulations. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: Formula grants are available to State crippled children's agencies. Project grants are available to State crippled children's agencies and to institutions of higher learning. Beneficiary Eligibility: Children under 21 years of age who are crippled or are suffering from conditions that lead to crippling (diagnostic services must be provded without any eligibility requirements), and trainees in the health professions. Credentials/Documentation: None. APPLICATION AND AWARD PROCESS: Preapplication Coordination: None. Application Procedure: State Crippled Children's Agencies must submit State Plans, Amendments of State Plans, and other plan documents required by Regulations to the Governor for his review and comments before they are forwarded to the appropriate Regional Office (listed in the appendix). The State Plan must include "Budget for Health Services." (Form HSM-234). A separate plan and budget must be submitted by State agencies or institutions of higher learning applying for a project grant to the appropriate regional or headquarters office. Award Procedure: The Regional Health Director makes final decisions to approve or withhold approval pending compliance with HEW policies. The Regional Office is responsible for providing notification of the grant approval to the State Agency as well as the designated State Central Information Reception Agency on Standard Form 240. Project grants to institutions of higher learning are approved by the Director, Division of Health Services, HSMHA. Deadlines: None, except that State plans must be submitted annually. Range of Approval/Disapproval Time: Not applicable for formula grants. Project grants range 90 to 270 days from time discussion begins. Appeals: Not applicable. Renewals: This program is on-going and is renewed annually. Grantees are required to update their plan and submit a current year budget. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: One-half of the crippled children's services grant funds are apportioned among the States in accordance with criteria specified in the law (Section 504(1)). These funds are referred to as "Fund A". Each State receives a grant of $70,000 and such part of the appropriation remaining as the number of children under 21 in the State bears to the total number of such children in the United States. States must match dollar for dollar to the funds allotted to them under this section. The other half of the crippled children's grant funds (Section 504(2)) is known as "Fund B". From this fund, an amount designated by the Appropriation Act is allocated for special projects. The remainder of Fund B is apportioned among the States according to the financial need of each State for assistance in carrying out its State plan. No matching is required for the funds allotted under this section. Length and Time Phasing of Assistance: The Federal fiscal year. Formula grants are awarded quarterly based on an annual apportionment. Projects grants to institutions will normally be in 1 lump sum for the entire grant period. For both types, payments are made periodically through a letter-of-credit or cash demand system. POST ASSISTANCE REQUIREMENTS: Reports: Annual progress reports, annual statistical program reports, and semiannual expenditure reports. Audits: Audits of all Title V programs are performed by HEW Audit Agency as necessary and in accord with planned schedule. Records: All supporting claims for Federal and matching funds must be retained until audit by or on behalf of the Department or 5 years after the end of the budget period, but in no case for less than 3 years after the end of the budget period. FINANCIAL INFORMATION: Account Identification: 09-20-0369-0-1-652. Obligations: (Grants) FY 70 $57,922,348; FY 71 est $58,600,000; and FY 72 est $60,400,000. Range and Average of Financial Assistance: Formula: $149,000 to $2,526,000; $1,188,000; Project: $2,000 to $350,000; $76,000. PROGRAM ACCOMPLISHMENTS: Despite the rising costs of medical care, about 490,000 crippled children will receive physicians services through this program in 1971, including over 82,000 children with multiple handicaps and 30,000 children with congenital heart disease. Through intensified casefinding and screening activities and provision of necessary treatment and follow-up care, the program will be about midway to reaching its goal of making physicians' services available to children statewide by 1975. Approximately 150 professional personnel are provided training. REGULATIONS, GUIDELINES, AND LITERATURE: Title 42, Chapter II, Part 200, Code of Federal Regulations Grants-in-Aid, PHS Pub. No. 1945, no charge. "Health Services for Mothers and Children Under Title V, Social Security Act," 1969; no charge. INFORMATION CONTACTS: Regional or Local Office: Regional health directors, HEW regional offices (see appendix for list of addresses). Headquarters Office: Director, Division of Health Services, Maternal and Child Health Service, Health Services and Mental Health Administration, Department of Health, Education, and Welfare, Rockville, Maryland 20852. Telephone: (301) 443-2280. RELATED PROGRAMS: 13.212, Dental Health of Children; 13.218, Health Care of Children and Youth; 13.230, Intensive Infant Care Projects; 13.232, Maternal and Child Health Services; 13.233, Maternal and Child Health Training; 13.234, Maternity and Infant Care Projects. 13.212 DENTAL HEALTH OF CHILDREN (Dental Care Projects) FEDERAL AGENCY: HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION, DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE AUTHORIZATION: Social Security Act, as amended, Title V, Section 510; Public Law 90-248; 42 U.S.C. 710. OBJECTIVES: The objective of this program is to promote the dental health of children and youth of school or preschool age, particularly in areas with concentrations of low-income families. TYPES OF ASSISTANCE: Project Grants. USES AND USE RESTRICTIONS: The grants may be used to increase the availability of services and to improve the quality of such services to include all preventive procedures available. Such projects may also include research looking toward the development of new methods of diagnosis or treatment, or demonstration of the utilization of dental personnel with various levels of training. Funds may not be used for purchase or construction of buildings; for salaries of personnel paid from other Federal grant funds; and certain other miscellaneous items. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: These grants are available to the State health agencies, or with the consent of such agencies, to health agencies of any political subdivision of the State, and to any other public or nonprofit agency, institution, or organization. Beneficiary Eligibility: Any child may receive treatment, correction of defects, or aftercare only if they would not otherwise receive it because they are from low-income families or for other reasons beyond their control. Credentials/Documentation: None. APPLICATION AND AWARD PROCESS: Preapplication Coordination: Local health departments are required to obtain the consent of State health agencies prior to application. Application Procedure: Applicants must first contact the Health Services and Mental Health Administration Regional Health Director to make their interest known. A formal proposal for a project grant will be made on a project application form. Each project application must be accompanied by a written project proposal and by a completed project budget. Completed applications, budgets, and project proposals are to be submitted to the regional health director (listed in the appendix). Award Procedure: The Regional Health Directors make final decisions to approve, hold, or reject individual projects. These offices are responsible for providing notification of the grant approval to the public body as well as the designated State Central Information Reception Agency (on SF 240). Deadlines: None. Range of Approval/Disapproval Time: 90 to 270 days from the time discussion begins. Appeals: There are no appeals procedures as such. Applicants may rework applications through consultations with regional office staff. Renewals: Projects are renewed yearly based on the submission of a progress report and evidence that the project plan is being carried out. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: Federal funds may not exceed 75 percent of the cost of the project. The 25 percent of non-Federal participation may be derived from a variety of sources including: (1) new State or local appropriations; (2) existing funds and time of personnel used for the ongoing activities of the grantee agency which are made a part of the project; (3) or similar items or gifts from other sources. Length and Time Phasing of Assistance: Usually for a year. The award will normally be made in 1 lump sum for the entire grant period and payments made periodically through a Letter of Credit or Cash Demand system. POST ASSISTANCE REQUIREMENTS: Reports: Quarterly expenditure reports, quarterly statistical reports, and annual progress reports. Audits: Audits of all Title V programs are performed by HEW Audit Agency as necessary and in accord with planned schedule. Records: All supporting claims for Federal and matching funds must be retained until audit by or on behalf of the Department or 5 years after the end of the budget period, but in no case for less than 3 years after the end of the budget period. FINANCIAL INFORMATION: Account Identification: 09-20-0369-0-1-652. Obligations: (Grants) FY 71 est $500,000; FY 72 est $860,000. Range and Average of Financial Assistance: $60,000 to $80,000; $70,000. (Estimate - no awards have been made) PROGRAM ACCOMPLISHMENTS: This is the first year that funds have been made available for this program and it is anticipated that 10,000 children will benefit from the appropriation of $500,000. REGULATIONS, GUIDELINES, AND LITERATURE: "Health Regional or Local Office: Regional Health Directors, HEW Regional RELATED PROGRAMS: 13.211, Crippled Children's Services; 13.218, 13.213 EMERGENCY HEALTH - CIVIL DEFENSE MEDICAL SELF-HELP (Medical Self-Help) FEDERAL AGENCY: HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION, DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE AUTHORIZATION: The Federal Civil Defense Act of 1950, Section 201, as amended; Public Law 81-920; 50 U.S.C. APP. 2281. OBJECTIVES: To provide information and training that will help prepare people for survival in a time of natural or nuclear disaster when the services of a physician or other allied health personnel are not available. TYPES OF ASSISTANCE: Training; Use of Property, Facilities, and Equipment. USES AND USE RESTRICTIONS: Training guides and student manuals are available and administrative assistance is provided to the States through HEW Regional Representatives. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: State and local governmental agencies, school systems, health and medical groups and medically trained individuals. With the ultimate goal of one member of each family trained in medical self-help, the main eligibility requirement is interest. Training supplies are available to all States as needed. Beneficiary Eligibility: Same as applicant eligibility. Credentials/Documentation: None. APPLICATION AND AWARD PROCESS: Preapplication Coordination: All local applications for materials must be sent to the State medical self-help representative. Application Procedure: Letter requests for materials and assistance should be sent to the State medical self help representative. Award Procedure: Not applicable. Deadlines: None. Range of Approval/Disapproval Time: Not applicable. Appeals: Not applicable. Renewals: Not applicable. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: Not applicable. Length and Time Phasing of Assistance: Materials are provided as needed. These materials are purchased on a fiscal year basis. POST ASSISTANCE REQUIREMENTS: Reports: State Health Departments are required to effect inventory control of training materials, maintain lists of instructors, and report periodically the status and progress of the program. Audits: Periodic audit of inventory of materials maintained by the State. Records: Quarterly and monthly activity reports; materials inventory. FINANCIAL INFORMATION: Account Identification: 07-35-0604-0-1-051. Obligations: (Salaries and expenses) FY 70 $255,236; FY 71 est $270,000; and FY 72 est $270,000. Range and Average of Financial Assistance: Not applicable. PROGRAM ACCOMPLISHMENTS: In fiscal year 1970, 1,881,214 persons were trained in medical self-help. In fiscal year 1971 it is estimated that there will be 1,500,000 graduates. REGULATIONS, GUIDELINES, AND LITERATURE: “Instructor Kits"; "Student Materials" (Family Guides); "Lesson Book Sets"; "Examination Book Sets"; "Film Strip Sets"; “Training Films". There is no charge for these items when used in a bona fide class. INFORMATION CONTACTS: Regional or Local Office: Information can be obtained from State health departments, State civil defense offices, OCD regional offices, and DHEW regional offices. See appendix for a list of regional offices. Headquarters Office: Director, Division of Emergency Health Services, Health Services and Mental Health Administration, 14A-55, Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20852. Telephone: (301) 443-1990. RELATED PROGRAMS: 13.214, Emergency Health Community Preparedness; 12.302, Civil Defense - Community Action; 12.307, Civil Defense - Exhibits; 12.319, Civil Defense - Survival Supplies, Equipment, and Training. 13.214 EMERGENCY HEALTH COMMUNITY PREPAREDNESS FEDERAL AGENCY: HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION, DEPARTMENT OF HEALTH, EDUCATION AND WELFARE AUTHORIZATION: Federal Civil Defense Act of 1950, section 201(h); 50 U.S.C. App. 2281(h); Public Health Service Act, sections 301 and 311; 42 U.S.C. 241, 243. OBJECTIVES: To reduce morbidity and mortality by improving the organization and delivery of emergency health and medical services. TYPES OF ASSISTANCE: Training; Advisory Services and Counseling; Dissemination of Technical Information. USES AND USE RESTRICTIONS: Training and education programs are conducted on national, regional, State, and local levels to provide instruction in emergency preparedness. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: State and local health departments. Beneficiary Eligibility: General public. Credentials/Documentation: Not applicable. APPLICATION AND AWARD PROCESS: Preapplication Coordination: None. Application Procedure: Contact the Division of Emergency Health Services in headquarters or the HEW Regional Office. Award Procedure: Not applicable. Deadlines: None. Range of Approval/Disapproval Time: Not applicable. Appeals: Not applicable. Renewals: Not applicable. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: Not applicable. Length and Time Phasing of Assistance: Not applicable. POST ASSISTANCE REQUIREMENTS: Records: None. FINANCIAL INFORMATION: Account Identification: 09-20-0315-0-1-059. Obligations: (Salaries and expenses) FY 70 $1,331,795; FY 71 est $1,403,600; and FY 72 est $1,447,600. Range and Average of Financial Assistance: Not applicable. PROGRAM ACCOMPLISHMENTS: Fiscal year 1970 accomplishments in selected program activities (with estimates for 1971 in parentheses) are: Emergency Health Services training individuals 52,512 (50,000); additional hospitals meeting preparedness standards 173 (150); hospital staffs trained in use of Packaged Disaster Hospitals - 340 (250) and additional communities of 25,000 and over meeting preparedness standards - 61 (50). REGULATIONS, GUIDELINES, AND LITERATURE: "Hospital Planning for National Disaster" (1071-G-1), "Community Emergency Health Preparedness" (1071-A-2), "Model State Emergency Health Service Plan" (1071-A-5), "Model Plan: Metropolitan Area Emergency Health Service" (1071-A-7), "Preparing the Hospital Plant for Emergencies" (1071-G-2), "Community Emergency Health Manpower Planning” (1071-A-1), "Emergency Health Service Preparedness Checklist" (1071-A-3), "Emergency Health Services Selected Bibliography" (1071-A-1), medical self-help training course materials. All may be obtained without charge. INFORMATION CONTACTS: Regional or Local Office: HEW regional offices (see appendix for list of addreses). Headquarters Office: Director, Division of Emergency Health Services, Health Services and Mental Health Administration, 14A-55 Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20852. Telephone: (301) 443-1990. RELATED PROGRAMS 13.213, Emergency Health - Civil Defense Medical Self-Help; 13.215, Emergency Health Hospital and Ambulance Services; 13.216, Emergency Health Medical Stockpile; 50.001, Continuity of Government and Management of Resources in Emergencies; 50.002, Disaster Relief to States. 13.215 EMERGENCY HEALTH HOSPITAL AND AMBULANCE SERVICES FEDERAL AGENCY: HEALTH SERVICES AND MENTAL HEALTH transportation and care of victims of accidents and sudden illness at the scene of the accident, during transport to the medical facility, and at the emergency facility. TYPES OF ASSISTANCE: Training; Advisory Services, and Counseling. USES AND USE RESTRICTIONS: Limited funding is available for developmental studies relating to guideline and standards for training of ambulance and emergency department personnel, organization of ambulance and hospital emergency services, and the equipment of emergency vehicles and hospital emergency departments. Very limited support is also available for special demonstrations and short-term training in the same areas. Funds are available only to State and local health departments, and qualified medical and paramedical organizations to provide materials on which communities can base comprehensive emergency health services systems. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: State and local health departments, medical and paramedical professional organizations. Beneficiary Eligibility: Same as applicant eligibility. Credentials/Documentation: Not applicable. APPLICATION AND AWARD PROCESS: Preapplication Coordination: Not applicable. Application Procedure: Contact the Division of Emergency Health Services Regional or headquarters office. Award Procedure: Contract approval begins with State and/or local health agency and contract award is made, through DEHS regional and headquarters channels, by HSMHA Contracting Officer. DEHS contracts that are developed as national programs may begin within the Division and then negotiated and awarded by HSMHA Contracts Office. Deadlines: None. Range of Approval/Disapproval Time: Not applicable. Appeals: Not applicable. Renewals: Not applicable. ASSISTANCE CONSIDERATIONS: Formula and Matching Requirements: Not applicable. Length and Time Phasing of Assistance: Not applicable. POST ASSISTANCE REQUIREMENTS: Records: None. FINANCIAL INFORMATION: Account Identification: 09-20-0315-0-1-059. Obligations: (Salaries and expenses) FY 70 $1,168,622; FY 71 est $1,281,435; and FY 72 est $1,309,435. Range and Average of Financial Assistance: Not applicable. PROGRAM ACCOMPLISHMENTS: In fiscal year 1970, 2 statewide surveys on ambulance services; 19 community hospital services forums, workshops, seminars, and meetings; 17 statewide surveys on emergency care facilities. In fiscal year 1971, it is projected that there will be an increase of ambulance surveys by 10; of emergency care facilities by 20; and of community hospital services by 25. REGULATIONS, GUIDELINES, AND LITERATURE: "Medical Requirements for Ambulance Design and Equipment," "Training of Ambulance Personnel and Others Responsible for Emergency Care of the Sick and Injured at the Scene and During Transportation," "Compendium of State Statutes on Ambulance Services, Emergency Vehicle Operations and Good Samaritan Laws" (1071-A-11). Wide range of materials available from Information Clearinghouse, Hospital and Ambulance Services Branch, Division of Emergency Health Services, without charge. INFORMATION CONTACT: Regional or Local Office: HEW regional offices (see appendix for list of addresses). Headquarters Office: Director, Division of Emergency Health Services Health Services and Mental Health Administration, 14A-55 Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20852. RELATED PROGRAMS: 13.207, Comprehensive Health Planning Grants to States; 13.214, Emergency Health Community Preparedness; 13.220, Health Facilities Construction - Grants; 13.226, Health Services Research and Development Grants and Contracts; 13.227, Health Statistics Analysis and Technical Assistance; 13.249, Regional Medical Programs - Operational and Planning Grants; 13.334, General Medical Sciences - Fellowships; 16.500, Law Enforcement Assistance - Comprehensive Planning; 17.215, Manpower Development and Training Institutional Training; 23.004, Appalachian Health Demonstrations. 13.216 EMERGENCY HEALTH - MEDICAL STOCKPILE FEDERAL AGENCY: HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION, DEPARTMENT OF HEALTH, EDUCATION AND WELFARE AUTHORIZATION: Federal Civil Defense Act of 1950, Section 201(h); 50 U.S.C. 2281(h); Executive Order 10958, dated August 14, 1961. OBJECTIVES: The emergency medical stockpile is designed to provide resources for medical care in the event of nuclear disaster, natural disasters, and other large-scale health emergencies which strain normally available resources. TYPES OF ASSISTANCE: Use of Property, Facilities and Equipment. USES AND USE RESTRICTIONS: Authority for the use of packaged disaster and natural disaster hospitals is granted by the regional health director, to State health officers on the basis of emergency need. Hospital administrators may use hospital disaster reserve inventory supplies at their own discretion in an emergency. Release of depot materials is federally controlled. ELIGIBILITY REQUIREMENTS: Applicant Eligibility: Community hospitals of at least 50 beds are eligible for affiliation with the packaged disaster hospital and hospital reserve disaster inventory programs. Natural disaster hospitals are positioned under agreements with State and local health officials. Beneficiary Eligibility: Same as applicant eligibility. Credentials/Documentation: Not applicable. APPLICATION AND AWARD PROCESS: |