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(b) The grantee must terminate the traineeship if the trainee is no longer enrolled full-time in the training program for which the traineeship was awarded, or fails to maintain the level of academic standing required by the institution's standards and practices for full-time enrollment.

hologist/Audiologist - Technician What are the requirements for reships and the appointment inees? · the Allied Health Advanced aip program:

grantee must appoint each or a full academic year (not to welve months) except that a

appointment may be made ecessary to enable the trainee .ete the training program. e grantee must require each to complete a statement of apnt by the beginning of the · period or as soon as possible if inee receives notice after the i period has begun. The proirector must sign it, and the

must retain it for audit purThe grantee must also send a

the Secretary upon request. the grantee must advise each

who is enrolled in a course of requiring more than twelve s to complete that continued t under this program is continpon the continued availability of funds. for the Allied Health Training Ine program, the grantee's appointfor each trainee must be effective irst day of required attendance aust terminate on the last day of offering or session of the insti

858.513 What additional Department

regulations apply to grantees? Several other regulations apply to these grants. They include, but are not limited to: 42 CFR part 50—PHS grant appeals process 45 CFR part 16-Department grant appeals

process 45 CFR part 46–Protection of human sub

jects 45 CFR part 74-Administration of grants 45 CFR part 80-Nondiscrimination under

programs receiving Federal assistance through the Department-Implements

title VI of the Civil Rights Act of 1964 45 CFR part 81—Practice and procedure for

hearings under part 80 45 CFR part 83—Nondiscrimination on the

basis of sex in the admission of individ

uals to training programs 45 CFR part 84—Nondiscrimination on the

basis of handicap in federally assisted

programs 45 CFR part 86—Nondiscrimination on the

basis of sex in federally assisted edu

cation programs 45 CFR part 91-Nondiscrimination on the

basis of age in Department programs or activities receiving Federal financial assistance.

The grantee may not require ees to perform any work which is in integral part of their training am and required of all students in program, or to perform services h detract from or prolong the ring. 512 Termination of traineeship. ) The grantee will terminate a neeship upon request of the trainee.

$ 58.514 What other audit and inspec

tion requirements apply to grant

ees? 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.

lame as 3. ncludes persons prepared as an opthalmic istant, ophthalmic dispenser, opthalmic iclan, optometic technician, low vision hnician, orthoptist, and contact lens

858.515 Additional conditions.

The Secretary may impose additional conditions on any grant award before or at the time of an 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.




Subpart A-Project Grants for Family

Planning Services Sec. 50.1 To what programs do these regulations

apply? 59.2 Definitions. 50.3 Who 18 eligible to apply for a family

planning services grant? 50.4 How does one apply for a family plan

ning services grant? 59.5 What requirements must be met by a

family planning project? 59.6 What procedures apply to assure the

suitability of informational and edu

cational material? 59.7 Standards of compliance with prohibi

tion on abortion. 59.8 Prohibition on counseling and referral

for abortion services; limitation of pro

gram services to family planning. 59.9 Maintenance of program integrity. 59.10 Prohibition on activities that encour

age, promote or advocate abortion. 59.11 What criteria will the Department of

Health and Human Services (HHS) use to decide which family planning services

projects to fund and in what amount? 59.12 How is a grant awarded? 59.13 For what purposes may grant funds be

used? 59.14 What other HHS regulations apply to

grants under this subpart?
59.15 Confidentiality.
59.16 Inventions or discoveries.
59.17 Additional conditions.

Subpart B-(Reserved)
Subpart C-Grants for Family Planning

Service Training
69.201 Applicability.
59.202 Definitions.
59.203 Eligibility.
59.204 Application for a grant.
59.205 Project requirements.
59.206 Evaluation and grant award.
59.207 Payments.
59.208 Use of project funds.
59.209 Civil rights.
59.210 Inventions or discoveries.
59.211 Publications and copyright.
59.212 Grantee accountability.
59.213 (Reserved)
59.214 Additional conditions.
59.215 Applicability of 45 CFR part 74.

SOURCE: 45 FR 37436, June 1980, mis otherwise noted.

EDITORIAL NOTE. At 58 FR 7482–74, Fati 1983, the Secretary of Health and Boss Services (HHS) suspended the effected of the provisions of Subpart A issued El FR 2322, Feb. 2. 1988. The actions takes Feb. 2. 1988, were:

1. The authority citation for Subpartad 12 CFR Part 50 is revised

2. In 12 CFR 59.2, the following definitie are added:

Family planning
Prenatal care
Program and project
Title X

Title X program and Titie X project 3. In 12 CFR 59.5(8), paragraph (@X(5) is n moved and paragraphs (&X6) through (ali are redesignated as paragraphs (a)(5) throul (2/10), respectively.

4. 42 CFR 50.5(0X3X(i) is revised.

5. In 42 CFR Part 59, $50.7 through (221 are redesignated as $59.11 through $50.19 1 spectively, and new (59.7 through $50.10 added.

6. In addition to the amendments forth above, in 42 CFR Part 50 remore words "project" or "projects" or "projects and add in their place, the words "Tide 1 project" or "Title x projects" or "Tide 1 project's" respectively, in the follori places:

(a) Section 59.2 definition of "low incom family";

(b) Section 59.5(a)(1);
(c) Section 59.5(b) introductory text;
(d) Section 59.5(b)(3)(111);
(e) Section 59.5(b)(4);
(1) Section 59.5(b)(7);
(8) Section 59.5(b)(10);
(b) Section 59.6(a);
(1) Newly redesignated $59.11(a);
(k) Newly redesignated $59.11(aX(T);
(1) Newly redesignated $59.11(b);
(m) Newly redesignated $59.11(c);

(1) Newly redesignated $59.12(a), the ti time it appears;

(0) Newly redesignated $59.15;
(p) Newly redesignated $59.16(a).

859.1 To what programs do these rep

ulations apply? The regulations of this subpart an applicable to the award of grants under section 1001 of the Public Health Serv ice Act (42 U.S.C. 300) to assist in the establishment and operation of vol untary family planning projects. These projects shall consist of the edi

Subpart A-Project Grants for

Family Planning Services

AUTHORITY: 42 U.S.C. 300a-4.

comprehensive medical, and fit, any private shareholder or individrvices necessary to aid individ- val.

determine freely the number Prenatal care means medical services ing of their children.

provided to a pregnant woman to pro

mote maternal and fetal health. lefinitions.

Program and project are used interid in this subpart:

changeably and mean a coherent aseans the Public Health Service sembly of plans, activities and supportamended.

ing resources contained within an ady means a social unit composed ministrative framework. person, or two or more persons Secretary means the Secretary of ogether, as a household.

Health and Human Services and any y planning means the process of other officer or employee of the Dehing objectives for the number partment of Health and Human Seryacing of one's children and se- ices to whom the authority involved

the means by which those ob- has been delegated. 3 may be achieved. These means State means one of the 50 States, the , a broad range of acceptable and District of Columbia, Puerto Rico, ve methods and services to limit Guam, the Virgin Islands, American ance fertility, including contra- Samoa, Northern Marianas, or the

methods (including natural Trust Territory of the Pacific Islands. planning and abstinence) and Title X means title X of the Act, 42 anagement of infertility (includ

U.S.C. 300, et seq. loption). Family planning serv- Title X program and title X project are acludes preconceptional counsel- used interchangeably and mean the ducation, and general reproduc- identified program which is approved health care (including diagnosis by the Secretary for support under sectreatment of infections which tion 1001 of the Act, as the context may ten reproductive capability). require. Title X project funds include ly planning does not include preg

all funds allocated to the title X procare (including obstetric or pre- gram, including but not limited to care). As required by section 1008 grant funds, grant-related income or le Act, abortion may not be in- matching funds. d as a method of family planning

(45 FR 37436, June 3, 1980, as amended at 48 e title X project. Family planning, FR 3614, Jan, 26, 1983; 49 FR 38118, Sept. 27, pported under this subpart, should 1984; 53 FR 2944, 2946, Feb. 2, 1988) ce the incidence of abortion.

EDITORIAL NOTE: For provisions of $59.2 antee means the organization to

which have been suspended, see the EDIh a grant is awarded under section

TORIAL NOTE following the SOURCE of Subof the Act.

part A. r income family means a family se total annual income does not ex- 8 59.3 Who is eligible to apply for a 1 100 percent of the most recent family planning services grant? nmunity Services Administration Any public or nonprofit private enome Poverty Guidelines (45 CFR tity in a State may apply for a grant 1.2). Low-income family also includes under this subpart. mbers of families whose annual famincome exceeds this amount, but

859.4 How does one apply for a family o, as determined by the title X

planning services grant? )ject director, are unable, for good (a) Application for a grant under this asons, to pay for family planning subpart shall be made on an authorized rvices. For example, unemancipated form. inors who wish to receive services on (b) An individual authorized to act confidential basis must be considered for the applicant and to assume on beI the basis of their own resources. half of the applicant the obligations Nonprofit, as applied to any private imposed by the terms and conditions of gency, institution, or organization, the grant, including the regulats of leans that no part of the entity's net this subpart, must arnings benefit, or may lawfully bene- (c) The applicatio


(1) A description, satisfactory to the (4) Provide services without regardal Secretary, of the project and how it religion, race, color, national art will meet the requirements of this sub handicapping condition, age, sei, 12 part;

ber of pregnancies, or marital status (2) A budget and justification of the (5) Provide that priority in the persons amount of grant funds requested; sion of services will be given to DENT

(3) A description of the standards and from low-income families. qualifications which will be required for all personnel and for all facilities to made for services provided to any

(6) Provide that no charge will be used by the project; and (4) Such other pertinent information

son from a low-income family except as the Secretary may require.

the extent that payment will be red

by a third party (including a Govers $59.5 What requirements must be met

ment agency) which is authorized to : by a family planning project? is under legal obligation to per *** (a) Each project supported under this

charge. part must:

(7) Provide that charges will be mad (1) Provide a broad range of accept

for services to persons other than able and effective medically approved from low-income families in accord family planning methods (including

ance with a schedule of discounts te natural family planning methods) and

on ability to pay, except that charg services (including infertility services to persons from families whose 2000 and services for adolescents). If an or- income exceeds 250 percent of the ganization offers only a single method els set forth in the most recent CSA) of family planning, such as natural come Poverty Guidelines (45 family planning, it may participate as 1060.2) will be made in accordance part of a title & project as long as the a schedule of fees designed to recor entire title X project offers a broad the reasonable cost of providing ser range of family planning services.

ices. (2) Provide services without subject- (8) If a third party (including a Go ing individuals to any coercion to ac- ernment agency) is authorized or cept services or to employ or not to gally obligated to pay for services, employ any particular methods of fam- reasonable efforts must be made to o ily planning. Acceptance of services tain the third-party payment witho must be solely on a voluntary basis and application of any discounts. Where to may not be made a prerequisite to eli- cost of services is to be reimburse gibility for, or receipt of, any other under title XIX or title XX of the so service, assistance from or participa- cial Security Act, a written agreeme tion in any other program of the appli- with the title XIX or title XX agencs cant.1

required. (3) Provide services in a manner which protects the dignity of the indi- relates to consolidation of servir

(9)(1) Provide that if an applicatis vidual.

areas or health resources or would oth

erwise affect the operations of local a 1 Section 205 of Pub. L. 94-63 states: “Any regional entities, the applicant more (1) officer or employee of the United States, document that these entities have been (2) officer or employee of any State, political subdivision of a State, or any other entity,

given, to the maximum feasible extent which administers or supervises the adminis

an opportunity to participate in the de tration of any program receiving Federal fl

velopment of the application. Lors nancial assistance, or (3) person who re- and regional entities include existing ceives, under any program receiving Federal or potential subgrantees which henne assistance, compensation for services, who previously provided or propose to pro coerces or endeavors to coerce any person to vide family planning services to the undergo an abortion or sterilization proce

area proposed to be served by the appli dure by threatening such person with the

cant. loss of, or disqualification for the receipt of, any benefit or service under a program re

(ii) Provide an opportunity for maz! ceiving Federal financial assistance shall be mum participation by existing or fined not more than $1,000 or imprisoned for tential subgrantees in the ongoing pole not more than one year, or both."

icy decisionmaking of the project.

'rovide for an Advisory Commit- (9) Provide that if family planning 'equired by $59.6.

services are provided by contract or addition to the requirements of other similar arrangements with aceph (a) of this section, each title tual providers of services, services will ict must meet each of the follow- be provided in accordance with a plan quirements unless the Secretary which establishes rates and methods of dnes that the title X project has payment for medical care. These payshed good cause for its omission. ments must be made under agreements itle X project must:

with a schedule of rates and payment rovide for medical services relat- procedures maintained by the grantee. amily planning (including physi- The grantee must be prepared to subconsultation, examination pre

stantiate that these rates are reasonon, and continuing supervision,

able and necessary. tory examination, contraceptive (10) Provide, to the maximum feaes) and necessary referral to sible extent, an opportunity for particimedical facilities when medically pation in the development, implemented, and provid for the effective tation, and evaluation of the title X

of contraceptive devices and project by persons broadly representaces.

tive of all significant elements of the Provide for social services related population to be served, and by others nily planning, including counsel- in the community knowledgeable eferral to and from other social about the community's needs for famnedical service agencies, and any ily planning services. lary services which may be nec

(Sec. 215, Public Health Service Act, 58 Stat. y to facilitate clinic attendance.

690, 42 U.S.C. 216; sec. 1006(a), Public Health Provide for informational and Service Act, 84 Stat. 1507, 42 U.S.C. 300a 4(a); ational programs designed to (1) sec. 931(b)(1) of Pub. L. 97-35, 95 Stat. 570, 42 ive community understanding of U.S.C. 300(a)) objectives of the title X program,

(45 FR 37436, June 3, 1980, as amended at 49 nform the community of the avail

FR 38118, Sept. 27, 1984; 53 FR 2944, 2946, Feb. ty of services, and (iii) promote 2, 1988) inued participation in the title X ect by persons to whom family

EDITORIAL NOTE: For provisions of $59.5

which have been suspended, see the EDIning services may be beneficial.

TORIAL NOTE following the SOURCE of SubProvide for orientation and in

part A. rice training for all title X project sonnel.

859.6 What procedures apply to assure ) Provide services without the im- the suitability of informational and ition of any durational residency re

educational material? rement or requirement that the pa- (a) A grant under this section may be at be referred by a physician.

made only upon assurances satisfac3) Provide that family planning tory to the Secretary that the title X dical services will be performed project shall provide for the review and der the direction of a physician with approval of informational and educial training or experience in family cational materials developed or made unning.

available under the title X project by 7) Provide that all services pur- an Advisory Committee prior to their ased for title X project participants distribution, to assure that the mate11 be authorized by the title X rials are suitable for the population or oject director or his designee on the community to which they are to be tle X project staff.

made available and the purposes of (8) Provide for coordination and use title X of the Act. The title X project

referral arrangements with other shall not disseminate any such materoviders of health care services, local rials which are not approved by the AdDalth and welfare departments, hos- visory Committee. tals, voluntary agencies, and health (b) The Advisory Committee referred Orvices projects supported by other to in paragraph (a) of this section shall ederal programs.

be established as follows:

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