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42 CFR Part 50, Subpart D-Public Health

Service grant appeals procedure 45 CFR Part 16 Procedures of the Depart

mental Grant Appeals Board 45 CFR Part 74_Uniform Administrative Re

quirements for Awards and Subawards to Institutions of Higher Education, Hospitals, Other Non-Profit Organizations, and Commercial Organizations; and Certain Grants and Agreements with States, Local Governments and Indian Tribal Govern

ments 45 CFR Part 76—Government-wide debar

ment and suspension (non-procurement) 45 CFR Part 79—Program Fraud Civil Rem

edies 45 CFR Part 92—Uniform Administrative Re

quirements for Grants and Cooperative Agreements to State and Local Governments

intervention training and services i velopment); genetic disease tests counseling and information progrecomprehensive hemophilia diagnos and treatment centers; projects screening and follow-up of newborns i sickle cell anemia and other gece disorders; and special maternal E child health improvement projec Section 502(b)(1)(A) authorizes fudi for projects termed community to grated service system (CISS) proje: for the development and expansios maternal and infant health home vis ing; projects to increase the parties tion of obstetricians and pediatrician in title V and title XIX programs; iz grated maternal and child health se ice systems; maternal and child bea.. centers operating under the direct of not-for-profit hospitals; rural mate nal and child health programs; and patient and community-based servis programs for children with speci health care needs. (59 FR 36706, July 19, 1994)

PART 519-PROJECT GRANTS FOR MATERNAL AND CHILD HEALTH

Sec. bla.1 To which programs does this regula

tion apply? 51a.2 Definitions. bla.3 Who is eligible to apply for Federal

runding? 5la.4 How is application made for Federal

funding? 5la.5 What criteria will DHHS use to decide

which projects to fund? 51a.6 What confidentiality requirements

must be met? 5la.7 What other DHHS regulations apply? bla.8 What other conditions apply to these

grants? AUTHORITY: Sec. 1102 of the Social Security Act, 49 Stat. 647 (42 U.S.C. 1302); sec. 502(a), 502(b)(1)(A), and 506(a)(3) of the Social Security Act, 95 Stat. 819-20 (42 U.S.C. 702(a). 702(b)(1)(A) and 706(a)(3)).

SOURCE: 51 FR 7727, Mar. 5, 1986, unless otherwise noted.

$51a.1 To which programs does this

regulation apply? The regulation in this part applies to grants, contracts, and other arrangements under section 502(a) and 502(b)(1)(A) of the Social Security Act, as amended (42 U.S.C. 702(a) and 702(b)(1)(A)), the Maternal and Child Health (MCH) Federal Set-Aside project grant programs. Section 502(a) authorizes funding for special projects of regional and national significance (SPRANS), research and training projects with respect to maternal and child health and children with special health

needs (including early

$ 5la.2 Definitions.

Act means the Social Security Acts amended.

Genetic diseases means inherited orders caused by the transmission certain aberrant genes from one gel eration to another.

Hemophilia means a genetics transmitted bleeding disorder resultin from a deficiency of a plasma cloths factor.

Institution of higher learning mess any college or university accredited a regionalized body or bodies appron for such purpose by the Secretary Education, and any teaching hospita which has higher learning among it purposes and functions and which has formal affiliation with an accredite school of medicine and a full-time act: demic medical staff holding facula status in such school of medicine.

Secretary means the Secretary Health and Human Services or his her designee. 851a.3 Who is eligible to apply for

Federal funding? (a) With the exception of trainin and research, as described in paragraph (b) of this section, any public or part vate entity, including an Indian

care

tribal organization (as those terms e defined at 25 U.S.C. 450b) is eligible

apply for federal funding under this urt. (b) Only public or nonprofit private stitutions of higher learning may vply for training grants. Only public E nonprofit institutions of higher arning and public or private nonrofit agencies engaged in research or 1 programs relating to maternal and

zild health and/or services for chileren with special health care needs ay apply for grants contracts or coperative agreements for research in siaternal and child health services or

services for children with special ealth care needs. 9 FR 36706, July 19, 1994)

Healthy Children 2000 objectives,' taking, the following factors into account:

(1) The extent to which the project will contribute to the advancement of maternal and child health and/or improvement of the health of children with special health care needs;

(2) The extent to which the project is responsive to policy concerns applicable to MCH grants and to program objectives, requirements, priorities and or review criteria for specific project categories, as published in program announcements or guidance materials.

(3) The extent to which the estimated cost to the Government of the project is reasonable, considering the anticipated results;

(4) The extent to which the project personnel are well qualified by training and/or experience for their roles in the project and the applicant organization has adequate facilities and personnel; and

(5) The extent to which, insofar as practicable, the proposed activities, if well executed, are capable of attaining project objectives.

(c) For the following types of CISS projects, preference for funding will be given to qualified applicants in areas with a high infant mortality rate (relative to the latest average infant mortality rate in the United States or in the State in which the area is located):

(1) Projects for the development and expansion of maternal and infant health home visiting;

(2) Projects to increase the participation of obstetricians and pediatricians in title V and title XIX programs;

(3) Integrated maternal and child health service systems;

51a.4 How is application made for

Federal funding? An application for funding under the ICH Federal Set-Aside project grant rograms must be submitted to the ecretary at such time and in such

as the Secretary may precribe. It must include a budget and

arrative plan of the manner in which he project will meet each of the re

uirements prescribed by the Secetary. The plan must describe the roject in sufficient detail to identify learly the nature, need, and specific bjectives of, and methodology for carying out, the project. Approved by the Office of Management and Budget under control number 0915-0050) 59 FR 36706, July 19, 1994) 5la.5 What criteria will DHHS use to

decide which projects to fund? (a) The Secretary will determine the allocation of funds available under sections 502(a) and 502(b)(1)(A) of the Act -for each of the activities described in 351a.1.

(b) Within the limit of funds determined by the Secretary to be available - for each of the activities described in 351a.1, the Secretary may award Federal funding for projects under this part to applicants which will, in his or her judgment, best promote the purpose of title V of the Social Security Act

and address achievement of

manner

1 Healthy Children 2000: National Health Promotion and Disease Prevention Objectives Related to Mothers, Infants, Children, Adolescents, and Youth is a special compendium of health status goals and national health objectives affecting mothers, infants, children, adolescents, and youth originally published in Healthy People 2000 in September 1990. 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. 017-00100473-1) through the Superintendent of Documents, Government Printing Office Washington, DC 20402-9325, (telephone: 202 512–1800).

(4) Maternal and child health centers operating under the direction of notfor-profit hospitals;

(5) Rural maternal and child health programs; and

(6) Outpatient and community based services for children with special health care needs.

(59 FR 36706, July 19, 1994)

45 CFR Part 91-Nondiscrimination on a basis of age in HHS programs or activizs receiving Federal financial assistance.

45 CFR Part 93—New restrictions on lobes ing.

(b) In addition to the above regule tions, the following apply to project funded through grants:

42 CFR Part 50-Policies of general appecability: Subpart D-Public Health Service Tas

appeals procedure. 45 CFR Part 16—Procedures of the Depart mental Grant Appeals Board.

45 CFR Part 74Administration of great to nonprofit organizations.

45 CFR Part 75—Informal grant appesis procedures.

45 CFR Part 92-Administration of grants to State and local governments. (59 FR 36707, July 19, 1994)

851a.6 What confidentiality require

ments must be met? All information as to personal facts and circumstances obtained by the project's staff about recipients of services shall be held confidential, and shall not be disclosed without the individual's consent except as may be otherwise required by applicable law or as may be necessary to provide for medical audits by the Secretary with appropriate safeguards for confidentiality of patient records. Otherwise, information may be disclosed only in summary, statistical, or other form which does not identify particular individuals.

851a.7 What other DHHS regulations

apply? (a) Several other DHHS regulations apply to awards under this part. These include, but are not limited to:

42 CFR Part 50—Policies of general applicability: Subpart B-Sterilization of persons in fed

erally assisted family planning projects. Subpart C-Abortions and related medical

services in federally assisted programs of

the Public Health Service. Subpart E-Maximum allowable cost for

drugs. 45 CFR Part 76-Governmentwide debarment and suspension (nonprocurement) and governmentwide requirements for drug-free workplace (grants).

45 CFR Part 80—Nondiscrimination under programs receiving Federal assistance through the Department of Health and Human Service-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 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.

851a.8 What other conditions apply to

these grants? (a) Recipients of project grants will be required to submit such additional information to the Secretary on an annual basis as the Secretary determines. including:

(1) the number of individuals served or trained, as appropriate under the project;

(2) a copy of any evaluation conducted by the recipient; and

(3) a list of Healthy Children 2000 objectives addressed by the project and data on how the project contributed toward meeting the objectives.

(b) The Secretary may at the time of award of project grants under this part impose additional conditions, including conditions governing the use of information or consent forms, when, in the Secretary's judgment, they are necessary to advance the approved program, the interest of public health, or the conservation of grant funds. (59 FR 36707, July 19, 1994)

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Subpart A-General Provisions

SOURCE: 48 FR 4473, Feb. 1, 1983, unless otherwise noted.

104 Can personnel, supplies, and related items be provided in lieu of cash? 105 Which other HHS regulations apply to these grants? 106 What other conditions apply to these grants? .107 Is participation in preventive health service programs required by these regulations?

Subpart B-Grants for Childhood

Immunization Programs

851b.101 To which programs do these

regulations apply? The regulations in this part apply to grants for preventive health service programs authorized under section 317 (42 U.S.C. 247b) and for venereal disease prevention and control programs authorized under section 318 (42 U.S.C. 247c) of the Act.

9.201 To which programs does this subpart

apply? b.202 Definitions. 6.203 Who is eligible for a grant under this

subpart? b.204 What information is required in the

application? b. 205 How will grant applications be eval

uated and the grants awarded? Ib. 206 How can grant funds be used?

Subpart C-(Reserved) Subpart D-Grants for Venereal Disease

Control Programs

516.401 To which programs does this subpart

apply? 51b.402 Definitions. 516.403 Who is eligible for a grant under this

subpart? 51b.404 What are the confidentiality re

quirements? 51b.405 What information is required in the

application? 516.406 How will grant applications be eval

uated and the grants awarded? 516.407 How can grant funds be used?

851b.102 Definitions.

As used in these regulations:

Act means the Public Health Service Act, as amended.

Secretary means the Secretary of Health and Human Services (HHS) or any other officer or employee of that Department to whom the authority involved has been delegated.

State means one of the 50 States, the District of Columbia, Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, the Virgin Islands, American Samoa, and the Trust Territory of the Pacific Islands. 851b.103 What are the general applica

tion requirements? (a) The project application shall contain a full description of the program objectives, plans, and activities. With respect to programs authorized by section 317 of the Act only, the application shall also provide, as the Secretary may require:

(1) The amount of Federal, State, and other funds obligated by the applicant in its latest annual accounting period for the provision of such program.

(2) A description of the services provided by the applicant for this accounting period covered under paragraph (a)(1) of this section.

(3) The amount of Federal funds needed by the applicant to continue providing these services.

(4) A description of any proposed changes in the provision of the services, reasons and priorities, and the amount of Federal funds needed by the applicant to make the changes.

(b) The application shall contain evidence satisfactory to the Secretary that it has been submitted, as appro

Subpart E-(Reserved)

Subpart F-Grants for Research, Dem

onstrations, and Public Information and Education for the Prevention and Control of Venereal Disease

516.601 To which programs does this subpart

apply? 516.602 Who is eligible for a grant under this

subpart? 516.603 What are the confidentiality re

quirements? 516.604 What information is required in the

application? 516.605 How will grant applications be eval

uated and the grants awarded? 516.606 How can grant funds be used?

AUTHORITY: Secs. 317 and 318, Public Health Service Act, 92 Stat. 3574 and 3582 (42 U.S.C. 2476, 247c); sec. 1743 Pub. L. 97-35, 95 Stat. 763 (31 U.S.C. 1243 note).

ties receiving or benefiting from Feder:

financial assistance 45 CFR part 86_Nondiscrimination on 3

basis of sex in education programs and I tivities receiving or benefiting from it

eral financial assistance 45 CFR part 91—Nondiscrimination c**

basis of age in HHS programs or actit!

receiving Federal financial assistance (49 FR 38109, Sept. 27, 1984)

priate, for action to the planning agency designated by the Secretary under title XV of the Act (42 CFR parts 122 and 123). These grants are subject to the intergovernmental review of Federal programs of Executive Order 12372.

(c) The application shall contain assurances that no one will be denied services because of inability to pay, and that the services are provided in a manner which preserves human dignity and maximizes acceptance. $51b.104 Can personnel, supplies, and

related items be provided in lieu of

cash? The Secretary may reduce a grant by the amount of the fair market value of any supplies (including vaccines and other preventive agents) or equipment furnished a grant recipient when furnished at the request of the recipient. The Secretary also may reduce a grant by the amount of the pay, allowances, travel expenses, and any other costs in connection with the detail of any officer or employee of the Government to the recipient when the detail is at the request of the recipient. The amount the grant is reduced shall be available for payment by the Secretary of the costs incurred in furnishing the supplies or equipment or in detailing personnel and shall be deemed to have been paid to the recipient.

851b.106 What other conditions app

to these grants? (a) The notice of grant award spec fies how long HHS intends to suppu the project without requiring the project to recompete for funds. This de riod, called the project period, will us. ally be for 2 to 5 years.

(b) For budgetary and funding pera poses, the project period is general divided into 12-month intervals called budget periods. A grantee must subre a separate application to have the sam port continued for each subsequez budget period after the initial award Decisions regarding continuatic awards and the funding level of such awards will be made after consides ation of such factors as the grantes progress and management practice and the availability of funds. In cases, continuation awards require : determination by HHS that continue funding is in the best interest of the government.

(c) Neither the approval of any appiication nor the award of any grant cour mits or obligates the United States 1: any way to make any additional, sup plemental, continuation, or other award with respect to any approved ap plication or portion of an approved ap plication.

(d) Any funds granted pursuant to this subpart shall be expended solely for the purposes for which the funds were granted in accordance with the approved application and budget, the regulations of this part, the terms and conditions of the award, and the applicable cost principles prescribed in subpart Q of 45 CFR part 74.

(e) The Secretary may, at the time of award, impose additional conditions. including conditions governing the use of information or consent forms, when, in the Secretary's judgment, they are necessary to advance the approved pro

$51b.105 Which other HHS Regula

tions apply to these grants? Several other HHS regulations apply to grants under this part. 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 Depart

mental Grant Appeals Board 45 CFR part 46—Protection of human sub

jects 45 CFR part 74-Administration of grants 45 CFR part 75—Informal grant appeals pro

cedures 45 CFR part 76_Debarment and suspension

from eligibility for financial assistance 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 84—Nondiscrimination on the

basis of handicap in programs and activi.

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