form and at such time as the Secretary may prescribe. (Approved by the Office of Management and Budget under control number 0915-0060) [54 FR 5617, Feb. 6, 1989, as amended at 57 FR 45746, Oct. 5, 1992] $57.4104 For what projects may grant funds be requested? Each eligible applicant must propose a fellowship program or a retraining program. [54 FR 5617, Feb. 6, 1989, as amended at 57 FR 45746, Oct. 5, 1992] $57.4105 Project requirements. A project supported under this subpart must be conducted in accordance with the following requirements: (a) The project must have a project director who is employed full time by the grantee institution; (b) Projects must have an appropriate administrative and organizational plan, and adequate faculty, physical, and administrative resources for the achievement of stated objectives; (c) Projects must systematically evaluate the training program, including the performance and competence of trainees and faculty, the administration of the program, and the degree to which program and educational objectives are met; (d) The project must be under the programmatic control of a graduate medical education program in internal medicine or family medicine (including osteopathic general practice) or in a department of geriatrics in existence as of December 1, 1987; (e) The project must be staffed by at least two physicians in full-time teaching positions who have experience or training in geriatric medicine and be staffed, or enter into an agreement with an institution staffed, by at least one dentist who is employed in a fullor part-time teaching position and has experience or training in geriatrics; (f) The project must provide fellows with exposure to a diverse population of elderly individuals. The population must include: (1) Elderly in various levels of wellness from fully independent and well, to patients confined to bed with serious illness; and (2) Elderly from a range of socioeconomic, racial and ethnic backgrounds; (g) The project must provide medical and dental training experiences in: (1) An ambulatory care setting; (2) An inpatient service; and (3) An extended care facility, During the course of the training, each fellow must receive experience in primary care, consultation, and longitudinal care; (h) Fellowship programs must have a curriculum which includes training in clinical geriatrics, teaching skills, administrative skills, and research skills for physicians and dentists; (i) Retraining programs must provide 1 year of full-time training suited to the individual needs of each fellow. To assure that the needs of all fellows can be met, each retraining program must have the resources available to provide clinical, research, administrative, and teacher-training experience; and (j) Effective in the second year of grant support, a minimum of three entering fellows, including at least one physician and one dentist, must be enrolled in each training program for which grant support is received. The Secretary may suspend this requirement if the Secretary determines that a grantee has made a good faith effort to comply with this requirement through the various recruitment means available in its institution and at the national level, and has met the other requirements stated in this section but is unable to have the required number of fellows in the program due to circumstances beyond its control. [55 FR 37481, Sept. 12, 1990, as amended at 56 FR 29194, June 26, 1991; 57 FR 45746, Oct. 5, 1992] $57.4106 How will applications be evaluated? (a) After consultation with the National Advisory Council on Health Professions Education established by section 702 of the Act, the Secretary will approve projects which best promote the purposes of section 789(b) of the Act. The Secretary will consider, among other factors: (1) The extent to which the proposed training program will prepare physicians and dentists to perform the re search, teaching, administrative and clinical duties of a faculty member specializing in geriatrics; (2) The degree to which the project plan adequately provides for meeting the requirements set forth in §57.4105; (3) The administrative, management and resource capability of the applicant to carry out the proposed project in a cost-effective manner; (4) The potential for the applicant to continue the program without Federal support after completion of the requested project period; and (5) The extent to which the project will increase the number of geriatric fellowship and retraining positions available for individuals who want to prepare for academic careers in geriatric medicine and dentistry. (b) In determining the funding of applications approved under paragraph (a) of this section, the Secretary will consider any special factors relating to national needs as the Secretary may from time to time announce in the FEDERAL REGISTER. [55 FR 37481, Sept. 12, 1990, as amended at 56 FR 29194, June 26, 1991] $57.4107 How long does grant support last? (a) The notice of grant award specifies the length of time the Secretary intends to support the project without requiring the project to recompete for funds. This period, called the project period, will not exceed 5 years. (b) Generally, the grant will initially be funded for 1 year, and subsequent continuation awards will also be for 1 year at a time. Decisions regarding continuation awards and the funding levels of these awards will be made after consideration of such factors as the grantee's progress and management practices, existence of legislative authority, and the availability of funds. In all cases, continuation awards require a determination by the Secretary that continued funding is in the best interest of the Federal Government. (c) Neither the approval of any application nor the award of any grant shall commit or obligate the United States in any way to make any additional, supplemental, continuation, or other award with respect to any approved ap $57.4109 Who is eligible for financial assistance as a fellow? To be eligible for a fellowship an individual must: (a) Be a resident of the United States and either a citizen or national of the United States, an alien lawfully admitted for permanent residence in the United States, a citizen of the Commonwealth of the Northern Mariana Islands, a citizen of the Trust Territory of the Pacific Islands (TTPI) (consisting of the Republic of Palau), or a citizen of the Republic of the Marshall Islands or the Federated States of Micronesia (both formerly part of the TTPI); (b) Be a physician or a dentist enrolled in a "fellowship program" or a "retraining program" as defined in §57.4102; and (c) Not be receiving concurrent support for the same training from another Federal education award which provides a stipend or otherwise duplicates financial provisions except education benefits under the Veteran's Readjustment Benefits Act, and loans from Federal sources. § 57.4110 What are the requirements for fellowships and the appointment of fellows? (a) The grantee must complete a statement which documents the appointment of each fellow. To complete this statement the grantee must require the provision of information and documentation of eligibility by each fellow. The statement of appointment must be completed by the beginning of the training period or as soon thereafter as possible if the fellow receives notice of his or her fellowship appointment after the training period has begun. The statement of appointment must include information to document the eligibility of the fellow and certify that there will be compliance with all applicable Public Health Service terms and conditions governing the appointment. The program director must sign the statement on behalf of the grantee, and the fellow must sign it thus certifying the statements are true and complete. The original copy of the statement must be retained by the grantee to be available for program review and financial audit. A copy shall be provided to the fellow for his or her records. (b) The grantee may not require fellows to perform work which is not an integral part of the geriatric training program, or to perform services which detract from or prolong their training. (Approved by the Office of Management and Budget under control number 0915-0060) [55 FR 37481, Sept. 12, 1990, as amended at 56 FR 29194, June 26, 1991] $57.4111 Duration of fellowships. An appointment to a fellowship may be made for a period not to exceed 12 months. Fellowship assistance for participants in a 1-year fellowship program and a 1-year retraining program is limited to 12 months. Participants in 2-year fellowship programs may receive a second 12-month appointment for a total period of 24 months. [55 FR 37481, Sept. 12, 1990, as amended at 57 FR 45746, Oct. 5, 1992] $57.4112 Termination of fellowships (a) The grantee must terminate a fellowship: (1) Upon request of the fellow; (2) If the fellow withdraws from the grantee institution; or (3) If the grantee determines that: (i) The fellow is no longer an active participant in the training program; or (ii) The fellow is not eligible or able to continue in accordance with its standards and practices. (b) The grantee must deposit any Federal portion of the tuition refund owed to a fellow into the grant account and provide written notice to the fellow that it is doing so. (Approved by the Office of Management and Budget under control number 0915-0060) [55 FR 37481, Sept. 12, 1990, as amended at 56 FR 29194, June 26, 1991] $57.4113 For what purposes may grant funds be spent? (a) A grantee shall only spend funds it receives under this subpart according to the approved application and budget, the authorizing legislation, terms and conditions of the grant award, applicable cost principles specified in subpart Q of 45 CFR part 74, and this subpart. (b) Grantees may not spend grant funds for sectarian instruction or for any religious purpose. (c) Any balance of federally-obligated grant funds remaining unobligated by the grantee at the end of a budget period may be carried forward provided specific approval is granted by the Secretary. If at any time during a budget period, it becomes apparent to the Secretary that the amount of Federal funds awarded and available to the grantee for that period, including any unobligated balance carried forward from prior periods, exceeds the grantee's needs for the period, the Secretary may adjust the amounts awarded by withdrawing the excess. A budget period is an interval of time (usually 12 months) into which the project period is divided for funding and reporting purposes. [55 FR 37481, Sept. 12, 1990, as amended at 57 FR 45746, Oct. 5, 1992] $57.4114 What additional Department regulations apply to grantees? Several other regulations apply to grants under this subpart. These include, but are not limited to: 42 CFR part 50, subpart D-Public Health Service grant appeals procedure 45 CFR part 16-Procedures of the Departmental Grant Appeals Board 45 CFR part 46-Protection of human subjects 45 CFR part 74-Administration of grants 45 CFR part 75-Informal grant appeals procedures 45 CFR part 76 Governmentwide Debarment and Suspension (nonprocurement) and Governmentwide Requirements for DrugFree Workplace (Grants) 45 CFR part 80-Nondiscrimination under programs receiving Federal assistance through the department of Health and Human Services effectuation of title VI of the Civil Rights Act of 1964 45 CFR part 81-Practice and procedure for hearings under part 80 of this title 45 CFR part 83-Regulation for the administration and enforcement of sections 799A and 845 of the Public Health Services Act 1 45 CFR part 84-Nondiscrimination on the basis of handicap in programs and activities receiving or benefiting from Federal financial assistance 45 CFR part 86-Nondiscrimination on the basis of sex in education programs and activities receiving or benefiting from Federal financial assistance 45 CFR part 91-Nondiscrimination on the basis of age in HHS programs or activities receiving Federal financial assist ance 45 CFR part 93-New restrictions on lobbying [55 FR 37481, Sept. 12, 1990, as amended at 57 FR 45746, Oct. 5, 1992] $57.4115 What other audit and inspection requirements apply to grantees? Each grantee must, in addition to the requirements of 45 CFR part 74, meet the requirements of section 705 of the Act, concerning audit and inspection. (Approved by the Office of Management and Budget under control number 0915-0060) [55 FR 37481, Sept. 12, 1990, as amended at 56 FR 29194, June 26, 1991] 1 Section 799A of the Public Health Service Act was redesignated as section 704 by Public Law 94-484; section 845 of the Public Health Service Act was redesignated as section 855 by Public Law 94-63. $57.4116 Additional conditions. The Secretary may impose additional conditions on any grant award before or at the time of any award if he or she determines that these conditions are necessary to assure or protect the advancement of the approved activity, the interest of the public health, or the conservation of grant funds. PART 58-GRANTS FOR TRAINING OF PUBLIC HEALTH AND ALLIED HEALTH PERSONNEL Subpart A-Grants for Graduate Programs in Health Administration Sec. 58.1 To what grant program do these regulations apply? 58.2 Definitions. 58.3 Who is eligible to apply for a grant? 58.4 What assurances must be provided in an application? 58.5 What activities must be addressed in an application? 58.6 How is the amount of the grant award determined? 58.7 How long does grant support last? 58.8 For what purposes may grant funds be spent? 58.9 What additional Department regulations apply to grantees? 58.10 What other audit and inspection requirements apply to grantees? 58.11 Additional conditions. Subpart B-Special Project Grants for 58.20 To what grant program do these regulations apply? 58.21 Definitions. 58.22 Who is eligible to apply for a grant? 58.23 Project requirements. 58.24 How will applications be evaluated? 58.25 How long does grant support last? 58.26 For what purposes may grant funds be spent? 58.27 What additional Department regulations apply to grantees? 58.28 What other recordkeeping, audit and inspection requirements apply to grantees? 58.29 Additional conditions. Subpart C-Grants for Public Health Traineeships for Students in Schools of 58.201 To what grant program do these regulations apply? 58.202 Definitions. 58.203 Who is eligible to apply for a grant? 58.204 How will applications be evaluated? 58.205 How is the amount of the award determined? 58.206 How long does grant support last? 58.207 For what purposes may grant funds be spent? 58.208 What are the requirements for traineeships and the appointment of trainees? 58.209 Who is eligible for financial assistance as a trainee? 58.210 What financial support is available to trainees? 58.211 Duration of traineeships. 58.212 Termination of traineeships. 58.213 What additional Department regulations apply to grantees? 58.214 What other audit and inspection requirements apply to grantees? 58.215 Additional conditions. 58.223 Who is eligible to apply for a grant? 58.224 How will applications be evaluated? 58.225 How is the amount of the award determined? 58.226 How long does grant support last? 58.227 For what purposes may grant funds be spent? 58.228 What are the requirements for traineeships and the appointment of trainees? 58.229 Who is eligible for financial assistance as a trainee? 58.230 What financial support is available to trainees? 58.231 Duration of traineeships. 58.232 Termination of traineeships. 58.233 What additional Department regulations apply to grantees? 58.234 What other audit and inspection requirements apply to grantees? 58.235 Additional conditions. Subpart E-Grants for Allied Health Projects 58.401 To what programs do these regulations apply? 58.402 Definitions. 58.403 Who is eligible to apply for a grant? 58.404 What are the requirements of an affiliation? 58.405 [Reserved] 58.406 What projects can be supported? 58.407 Project requirements. 58.408 How will applications be evaluated? 68.409 How long does grant support last? 58.505 How will applications be evaluated? 58.506 How long does grant support last? 58.507 How is the amount of the award determined? 58.508 For what purposes may grant funds be spent? 58.509 What financial support is available to trainees? 58.510 Who is eligible for financial assistance as a trainee? 58.511 What are the requirements for traineeships and the appointment of trainees? 58.512 Termination of traineeship. 58.513 What additional Department regulations apply to grantees? 58.514 What other audit and inspection requirements apply to grantees? 58.515 Additional conditions. Subpart A-Grants for Graduate Programs in Health Administration AUTHORITY: Sec. 215 of the Public Health Service Act, 58 Stat. 690, as amended by 67 Stat. 631 (42 U.S.C. 216); sec. 791 of the Public Health Service Act; 90 Stat. 2303-2304, 96 Stat. 2061, and 99 Stat. 543 (42 U.S.C. 295h). SOURCE: 45 FR 51210, Aug. 1, 1980, unless otherwise noted. § 58.1 To what grant program do these regulations apply? These regulations apply to the award of grants under section 791 of the Public Health Service Act to public or nonprofit private educational entities (including schools of social work and excluding schools of public health) to support graduate educational programs in health administration, hospital administration, and health planning. |