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um, the interest of the public health, the conservation of grant funds. 1b.107 Is participation in preventive health service programs required

by these regulations? Nothing in these regulations shall be nstrued to require any State or polital subdivision to have a preventive alth service program which would recire any person who objects to treatent to be treated under the program.

jubpart B-Grants for Childhood

Immunization Programs

SOURCE: 44 FR 40501, July 11, 1979, unless herwise noted.

51b.201 To which programs does this

subpart apply? The regulations in this subpart apply • the award of grants under section 17 of the Act for programs to immuize children against vaccine preventble diseases.

(4) The following program elements should be included and described:

(i) A plan to assure that children begin and complete their immunizations on schedule, including the use of a standard immunization record card, a provider-based tickler system (public and private) for the recall of children, and a hospital-based immunization education program for new mothers.

(ii) Assessment of immunization status of school enterers, children attending licensed day-care centers, and children under 2 years of age and new enrollees under age 5 served in public clinics.

(iii) A plan for surveillance of vaccine-preventable diseases that includes morbidity and mortality reporting as well as field and laboratory investigations.

(iv) Procedures for prompt review of the data collected from the morbidity surveillance system to allow for immediate response to all occurrence of suspected diphtheria and polio cases upon notification and response to suspected measles cases within 48 hours.

(v) A system for monitoring vaccineassociated reactions including a mechanism for responding to persons with vaccine-related complaints.

(vi) A plan to systematically immunize susceptible children at school entry through vigorous enforcement of school immunization laws.

(5) The manner in which the applicant intends to evaluate the project.

(b) An application for a continuation grant must be submitted for each funding period. This continuation application must include the following:

(1) A budget and justification for the grant funds requested.

(2) A summary of the progress achieved during the previous budget period.

(3) A description of any changes in the information shown in the project application. (48 FR 4474, Feb. 1, 1983)

51b.202 Definitions.

As used in this subpart: * Childhood immunization program neans a preventive health service prosram to immunize children against vaccine preventable diseases including poliomyelitis, measles, mumps, rubella, diphtheria, pertussis, and tetaaus.

351b.203 Who is eligible for a grant

under this subpart? An applicant must be a State agency or an agency of a political subdivision of a State which has legal responsibility for disease control under the laws of a State.

851b.204 What information is required

in the application? (a) The initial application must cover the project period, and must include a description of the following:

(1) The need for grant support.

(2) The immediate (1 year budget period) and long-range (2–5 year project period) objectives of the project in specific and measurable terms.

(3) Current immunization programs and the additional or intensified activities to be carried out to meet the objectives and priorities.

851b.205 How will grant applications

be evaluated and the grants award

ed? (a) Within the limits of funds available, the Secretary may award a grant to assist in meeting part of the cost of a childhood immunization program. 42 CFR Ch. I (10-1-95 Edie

Grants will be awarded to those applicants whose projects he determines will best promote the purposes of section 317 of the Act. Before awarding a grant to a local public entity of a State, the Secretary will consult with the State health authority.

(b) Priorities for funding will be based on the following factors:

(1) The relative extent of the problems which are caused by one or more of the vaccine preventable diseases in the area served by the applicant.

(2) The extent to which the proposed program is designed to eliminate or reduce the problems.

(3) The extent to which the proposed program will increase the immunization rates in population groups identified as having the lowest immunity levels.

(4) The extent to which the grantee will cooperate with and use public and nonprofit private entities and volunteers.

(5) The extent to which a strong commitment to the objectives of the program is reflected in the commitment of grantee resources to the program. (44 FR 40501, July 11, 1979, as amended at 48 FR 4475, Feb. 1, 1983)

grams, and under section 318(b) dAct with respect to public informace and education activities which are tegral to a balanced, comprehensite? nereal disease control program. 851b.402 Definitions.

As used in this subpart:

Venereal disease means gonors syphilis, or any other disease we can be sexually transmitted and it the Secretary determines is or mas amenable to control with assisti" provided under this authority & which is of national significance.

Venereal disease control protect means a program designed to carry activities or to provide services to $ tematically detect and prevent ve real disease

distinguished fre those activities or services which designed to diagnose or treat veness disease patients or suspects. 851b.403 Who is eligible for a gre

under this subpart? An applicant must be a State agent or a political subdivision of a ste which has legal responsibility for ease control under the laws of the State.

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851b.206 How

can grant funds be used? Grant funds awarded under this subpart may be used to purchase supplies, materials, and equipment for childhood immunization programs. Grant funds also may be used to pay for salaries or wages and related expenses for personnel directly involved in the planning, organization, promotion, epidemiology, surveillance, and other program activities.

851b.404 What are the confidentialit

requirements? All information obtained by progrs personnel in connection with the exas ination, care, and treatment of an ind vidual in this program shall be held confidential. It shall not be disclosti without the individual's consent exces as may be required by the law of S State or political subdivision of a Star or as may be necessary to provide serv ices to the individual. Information ma! be disclosed in summary, statistical, O other form, or for clinical or research purposes, but only if the disclosure does not identify particular individuals.

Subpart C-(Reserved)

Subpart D-Grants for Venereal

Disease Control Programs

SOURCE: 48 FR 4475, Feb. 1, 1983, unless otherwise noted.

$51b.405 What information is required

in the application? (a) The initial application must include a description of the following:

(1) The nature and extent of the venereal disease problem in the area.

(2) The need for project grant sur port.

851b.401 To which programs does this

subpart apply? The regulations in this subpart apply to the award of project grants under section 318(c) of the Act for venereal disease prevention and control pro

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) The immediate (1-year budget pe1) and long-range (2-5 year project od) objectives of the project in specand measurable terms. ) The activities to be carried out to et the objectives. The following prom elements must be included and cribed: ---) Venereal disease surveillance. ti) Casefinding and case followup. iii) Interstate epidemiologic referral i followup. iv) Public venereal disease informan and education. v)

Professional (including approate allied health personnel) venereal sease education, training, and clini1 skills improvement activities, iniding efforts to assure high quality nical services in public venereal disse clinics. (5) At the option of the applicant, ecial studies or demonstrations to raluate or test venereal disease preention and control strategies and acvities. (6) The manner in which the appliint intends to conduct and evaluate ne project, including a system for nalysis of morbidity data so that concol activities can be efficiently evaluted and targeted.

(7) The diagnostic and treatment ervices that will be provided.

(8) A budget and justification for the rant funds requested. Since public inormation and education activities are sluthorized separately from other concrol program activities, funds quested for this purpose must be itemized and justified separately in the narrative part of the application.

(b) An application for a continuation grant must be submitted for each funding period. This continuation application must include the following:

(1) A budget and justification for the grant funds requested.

(2) A summary of the progress achieved during the previous budget period.

(3) A description of any changes in the information shown in the project

application.

851b.406 How will grant applications

be evaluated and the grants award

ed? (a) Within the limits of funds available, the Secretary may award a grant to assist in meeting the cost of a venereal disease control program. Before awarding a grant to a political subdivision of a State, the Secretary will consult with the State health authority.

(b) Priorities for funding will be based on the following factors:

(1) The relative extent of the venereal disease problem in the area served by the applicant.

(2) The design of the venereal disease prevention and control program.

(3) The general quality of the applicant's plan of operation and objectives in accordance with the requirements in these regulations. Emphasis will be placed on determining the extent to which services are coordinated among health care providers in the area served and integrated into a cohesive plan for delivery of service to groups having the highest incidence of venereal disease.

(4) The capacity of the applicant to make effective use of Federal funds.

(5) The commitment of the applicant to the control of venereal disease as reflected in the commitment of applicant resources to the program.

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$51b.407 How grant funds be

used? Grant funds awarded under this subpart may be used only for programs approved under section 318(c), and with respect to public information and education, those programs approved under section 318(b) of the Act. Unless specifically approved, grant funds shall not be used for performing diagnostic tests (other than gonorrhea screening tests), maintaining central registries, purchasing data processing equipment, or providing diagnostic and treatment facilities and services. The applicant must provide assurances, however, that these services will be available as needed as an adjunct to control program activities supported with grant funds. To obtain special approval for grant support of such activities, the grantee shall justify the exception to the satisfaction of the Secretary that funds for

this purpose are necessary for the prop- mation may be disclosed in summa er conduct of the program and are oth- statistical, or other form, or for di erwise unavailable. Support of these cal or research purposes, but ons : services will generally be approved the disclosure does not identify only in the following situations:

ticular individuals. (a) Special studies or demonstrations, (b) the support of developmental 851b.604 What information is require or start-up activity, or (c) the support in the application? of an essential service which will result

(a) The initial application must in a savings to a detection or prevention activity supported by the grant.

clude a description of the following: Unless otherwise approved, exceptions

(1) The setting and circumstances it based on paragraphs (b) and (c) of this

which project grant support is being it section are only allowed during one

quested, including: funding period. The grantee is expected (i) The immediate and long-range of to support these activities in subse- jectives of the project in specific az quent funding periods.

measurable terms.

(ii) The activities which will be Subpart E-(Reserved)

dertaken to accomplish the objectives

including the timing of these actit: Subpart F-Grants for Research, ties.

Demonstrations, and Public (iii) The anticipated application
Information and Education for findings to the national venereal
the Prevention and Control of ease control effort.
Venereal Disease

(iv) Any other information which we

support the request for grant assis: SOURCE: 48 FR 4476, Feb. 1, 1983, unless oth- ance. erwise noted.

(2) The relationship between the 851b.601 To which programs does this

planned activities and the project of subpart apply?

jectives. The application must describe

in detail how the applicant intends to The regulations in this subpart apply

proceed, particularly if the project is to the award of venereal disease control project grants for research, dem

unusually complex and several activi onstrations, public information, and

ties are interdependent or unprec education activities which can be ap

dented. plied to achieve improvements in vene

(3) A comprehensive and realisti: real disease prevention and control

plan which the applicant will use ti under section 318(b) of the Act.

evaluate the project. The plan must is

clude periodic assessment of any Doe851b.602 Who is eligible for a grant sible impact, both positive and negs. under this subpart?

tive, that the proposed project might An applicant must be a State, politi- have upon the established venereal dis cal subdivision of any State, or any ease control program in the locality or other public or nonprofit private en- localities in which the project will be tity.

undertaken.

(b) An application for a continuation $51b.603 What are the confidentiality requirements?

grant must be submitted for each fundAll information obtained by program

ing period. This continuation applica

tion must include the following: personnel in connection with the examination, care, and treatment of an indi

(1) A budget and justification for the vidual in this program shall be held

grant funds requested. confidential. It shall not be disclosed

(2) A summary of the progress without the individual's consent except

achieved during the previous budget as may be required by the law of a period. State, or political subdivision of a (3) A description of any changes in State, or as may be necessary to pro- the information shown in the project vide services to the individual. Infor- application.

projects. This reimbursement, however, must be justified as necessary and reasonable. A schedule of reimbursements must be submitted with the application and approved as part of the program plan.

(c) Grant funds may not be used to supplant funds supporting existing venereal disease control services provided by a State or locality.

PART 51c-GRANTS FOR COMMUNITY HEALTH SERVICES

Subpart A-General Provisions

51b.605 How will grant applications

be evaluated and the grants award

ed? (a) Within the limits of funds availble, the Secretary may award a grant o assist in meeting the costs of special ctivities authorized under section 18(b) of the Act.

(b) Grant applications will be reiewed and evaluated according to the ollowing criteria:

(1) Is there adequate evidence that he proposed project is needed and that he outcome has potential to directly enefit the national venereal disease ontrol effort? ; (2) Are the project objectives specific,

neasurable, realistic, time phased, and 'elated to promoting the purposes of section 318? ; (3) Is the method of operation logical and clearly related to project objectives, and does it describe how the applicant intends to proceed particularly with activities which are complex, interrelated, or unprecedented?

(4) Does the method of operation include an assessment of any possible impact, both positive and negative, that the conduct of the proposed initiative might have upon the established venereal disease control program in the locality or localities in which the project

will be undertaken? = (5) Does the proposal include a comprehensive and realistic plan for the evaluation of the project, and specify the measures and instruments of measurement to be used?

(6) Is the budget request reasonable and consistent with the intended use of grant funds?

(7) If the applicant intends only to evaluate an existing disease prevention and control approach, are the objectives substantially different from those which could be met by routine program evaluation?

Sec. 51c.101 Applicability. 51c.102 Definitions. 51c.103 Eligibility. 51c.104 Application. 51c.105 Accord with health planning. 51c.106 Amount of grant. 51c.107 Use of project funds. 51c.108 Grant payments. 51c.109 Nondiscrimination. 51c.110 Confidentiality. 51c.111 Publications and copyright. 51c.112 Grantee accountability. 51c.113 Applicability of 45 CFR part 74.

Subpart B-Grants for Planning and Developing Community Health Centers 510.201 Applicability. 510.202 Application. 510.203 Project elements. 51c.204 Grant evaluation and award.

Subpart C-Grants for Operating

Community Health Centers 510.301 Applicability. 510.302 Application. 510.303 Project elements. 510.304 Governing board. 510.305 Grant evaluation and award.

Subpart D-Grants for Operating

Community Health Projects

51c.401 Applicability. 510.402 Application. 51c.403 Project elements. 510.404 Grant evaluation and award.

851b.606 How can grant funds be

used? (a) Grant funds may be used for the costs associated with planning, organizing, and conducting applied research, demonstrations, and public information and education programs.

(b) Grant funds may also be used to reimburse individuals who agree to be participants in the applied research

Subpart E-Acquisition and Modernization

of Existing Buildings

51c.501 Applicability. 510.502 Definitions. 510.503 Application. 51c.504 Project elements. 510.505 Determination of cost.

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