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as authorized by section 474 of (42 U.S.C. 286b-5).

is subpart also applies to coopagreements awarded for this

In these circumstances, refto "grant(s)" shall include "cove agreements(s)."

Definitions.

ined terms have the same g as provided in the Act. As this subpart:

eans the Public Health Service ⚫ amended (42 U.S.C. 201 et seq.). ct period-See §59a.5(c).

ed instrumentality means a public ate institution, organization, or , other than a medical library, : primary function is the acquisireservation, dissemination, and/ cessing of information relating health sciences.

etary means the Secretary of and Human Services and any official of the Department of 1 and Human Services to whom ithority involved is delegated.

3 Who is eligible for a grant? ept as otherwise prohibited by ny public or private nonprofit inion, organization, or agency auzed or qualified to carry on the ions of a medical library, and any c or private related instrumentalis eligible for a grant under this art.

4 How are grant applications Evaluated?

e Secretary shall evaluate grant ications using the officers and emees, and experts, consultants, or ps engaged by the Secretary for purpose. The Secretary's evaluashall consider the scope of library elated services for the population purposes served by the applicant. 3 evaluation shall include consideron of the following information ch must be set forth in the grant lication and such other information Secretary considers pertinent: 1) Evidence of the applicant's effincy in providing services,

b) Amount of available equipment 1 other resources on hand to satisfy 19 needs of the ares served by the faity.

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(c) Extent of coordination with other libraries and related facilities, and

(d) Potential for testing or demonstration of new or improved techniques in health-sciences informational services.

(Approved by the Office of Management and Budget under control number 0925-0276)

859a.5 Awards.

(a) General. Within the limits of funds available, the Secretary may award grants to those applicants whose proposals for establishments, expansion, or improvement will, in the Secretary's judgment, best promote the purposes of section 474 of the Act (42 U.S.C. 286b-5).

(b) Determination of award amount. An Award may not exceed $1,000,000 or other amount established by law for any fiscal year.

(1) The scope of medical-library or related services provided by the applicant for the population and purposes it serves considering:

(1) The number of graduate and undergraduate students, and physicians and other practitioners in health-related sciences making use of the applicant's library resources;

(ii) The type and availability of library support staff;

(iii) The type, size, and qualifications of the faculty of any school with which the applicant is affiliated;

(iv) The staff of any hospitals or clinics with which the applicant's library is affiliated;

(v) The geographic area served and, within that area, the medical-library or related services otherwise available; and

(2) The amount adequate to insure continuing financial support from nonFederal sources of the applicant's proposed activity during and after the period of award. The Secretary shall consider the level of non-Federal support for the proposed activity for periods prior to the fiscal year in which a grant is made. The Secretary shall require the applicant's assurance that non-Federal support will not be diminished as a result of the award and that adequate support for this activity will be continued during and after the period of Federal assistance.

(c) Project period. (1) the notice of grant ward specifies how long the Sec

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retary intends to support the project without requiring the project to recompete for funds. This period, called the project period, will usually be for one to five years.

(2) Generally, the grant will initially be for one year at a time and subsequent continuation awards will also be for one year at a time. A grantee must submit a separate application to have the support continued for each subsequent year. Decisions regarding continuation awards and the funding level of these awards will be made after consideration of such factors as the grantee's progress and management practices, 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.

(3) Neither the approval of any application nor the award of any grant commits or obligates the Federal Government in any way to make any additional, supplemental, continuation, or other award for any approved application or portion of an approved application.

[56 FR 29189, June 26, 1991, as amended at 59 FR 59168, Nov. 16, 1994]

§ 59a.6 How may funds or materials be used?

The grantee shall expend funds or use materials provided by a grant under this subpart solely for the purposes for which the funds or materials were granted, in accordance with the pertinent provisions of the approved application and budget, the regulations of this subpart, the terms and conditions of the award, and the applicable cost principles in subpart Q of 45 CFR part

74.

§ 59a.7 Other HHS regulations that apply.

Several other regulations apply to grants under this subpart. These include, but are not necessarily limited to:

42 CFR part 50, subpart D-Public Health Service grant appeals procedure

45 CFR parts 6 and 8-Inventions and patents 45 CFR part 16-Procedures of the Departmental Grant Appeals Board

45 CFR part 74-Administration of grants

45 CFR part 75-Informal grant appeal 7 cedures

45 CFR part 76 subparts A-F-Govering" wide debarment and (nonprocurement) and requirement ! drug-free workplace (grants)

45 CFR part 80-Nondiscrimination z programs receiving Federal assi through the Department of Health Human Services effectuation of th of the Civil Rights Act of 1964 45 CFR part 81-Practice and procedur hearings under part 80 of this title 45 CFR part 84-Nondiscrimination ma basis of handicap in programs and at ties receiving or benefiting from Fein financial assistance

45 CFR part 86-Nondiscrimination in 2 basis of sex in education programs i activities receiving or benefiting Federal financial assistance

45 CFR part 91-Nondiscrimination a basis of age in HHS programs or st ties receiving Federal financial

ance

45 CFR part 92-Uniform administratio quirements for grants and coope agreements to state and local ments

Subpart B-Establishment d Regional Medical Libraries

AUTHORITY: 42 U.S.C. 286b-2, 296b-6.

§ 59a.11 Programs to which these re lations apply.

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(a) This subpart applies to made under section 475 of the Act U.S.C. 286b-6). Grants are awarded medical libraries to enable them serve as regional medical librarie their geographic areas. The purpose the program is to develop a nati system of regional medical libro each of which would have sufficient cilities to supplement the service other medical libraries in its region

(b) The purpose of the program also be supported by contracts. Sza the primary purpose of these contra for is to assist regional libraries and is for the purpose of acquiring supplies services for use of the Federal Gover ment, the provisions of the Federal quisition Regulation (48 CFR chapter do not apply. Any contract awa pursuant to section 475 of the Act st be subject to the applicable provisio of this subpart.

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EX

.12 Definitions.

derfined terms have the same
ling as provided in the Act.
used in this subpart:

means the Public Health Service cas amended (42 U.S.C. 201 et seq.). nual operating expenses means the age annual operating expenses for Actual years of operation or an ested amount based on the expenses Ibraries or institutions of similar and function.

ard means the Board of Regents of National Library of Medicine esshed by section 466 of the Act (42 C. 286a).

graphic area means an area that 8 an academically and profeslly integrated region. Factors idered are location and extent of nunication facilities and systems, ence and distribution of eduɔnal and medical and health faciliand programs and other activities h, in the Secretary's opinion, jus-the establishment and operation of rional medical library.

dify and increase means the use of eral funds or materials to supplet rather than supplant non-Federal is available for library resources services.

\pject period—See § 59a.15(b).

cretary means the Secretary of th and Human Services and any r official of the Department of th and Human Services to whom authority involved is delegated. 1.13 Who is eligible for a grant? cept as otherwise prohibited by any public or private nonprofit orzation which is authorized and Sified to operate a medical library Migible for a grant under this sub

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sources to attain the purposes stated in the application;

(c) The size and nature of the population to be served;

(d) The region to be served;

(e) Cooperative arrangements in effect, or proposed, with other qualified organizations; and

(f) The justification for the funds requested.

(Approved by the Office of Management and Budget under control number 0925-0276)

§59a.15 Awards.

(a) General. The Secretary, with the advice of the Board in each case, shall award grants to those applicants whose arrangements and proposed services will, in the Secretary's judgment, have the greatest potential for fulfilling the need for a regional medical library. The Secretary, in determining the priority assigned an applicant, must consider:

(1) The adequacy of the applicant's library in terms of collections, personnel, equipment, and other facilities; and

(2) The size and nature of the population to be served in the applicant's region.

(b) Project period. (1) The notice of grant award specifies how long the Secretary intends to support the project without requiring the project to recompete for funds. This period, called the project period, will usually be for one to five years.

(2) Generally, the grant will initially be for one year and subsequent continuation awards will also be for one year at a time. A grantee must submit a separate application to have the support continued for each subsequent year. Decisions regarding continuation awards and the funding level of these awards will be made after consideration of such factors as the grantee's progress and management practices, 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.

(3) Neither the approval of any application nor the award of any grant commits or obligates the Federal Government in any way to make any additional, supplemental, continuation, or

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VILII PIŁÕet reclasters MAT NG Beastmacie fees LT be charged fr toples a FLORD SETULES

free ad Prices Tied by a grand* oder 123 night Pruded. That etal access to the bea rona d the region or of the tional network is assured. These fees ada de decaged to recover expenses. The grantee & access polices shadetermine the qualifications of individZa organizations for access to the services provided under the grant, so long as those policies are consistent with the mandatory service undertakings of the program. The Secretary may review the grantee's access policles to assure compliance with this requirement.

(Approved by the Office of Management and Budget under control number 0825-0276) (59.17 Other HHS regulations that apply.

Several other regulations apply to grants under this subpart. These in

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he insurance premium. ther charges to the borrower. ower of attorney.

Security and endorsement. onsolidation of HEAL loans.

orms.

The Secretary's collection efforts after Iment of a default claim. efunds.

>part D-The Lender and Holder

hich organizations are eligible to y to be HEAL lenders and holders? he application to be a HEAL lender older.

he HEAL lender or holder insurance Gract.

laking a HEAL loan.

-EAL loan account servicing. EAL loan collection. onsequence of using an agent. orbearance.

ssignment of a HEAL loan. eath and disability claims. rocedures for filing claims. etermination of amount of loss on

ms.

tecords, reports, inspection, and audit irements for HEAL lenders and hold

imitation, suspension, or termiion of the eligibility of a HEAL lender older.

Subpart E-The School

Thich schools are eligible to be HEAL bols?

he student loan application. he student's loan check. lotification to lender or holder of nge in enrollment status. Payment of refunds by schools.

Administrative and fiscal procedures.
Lecords.
Leports.

ederal access to school records. Lecords and federal access after a ool is no longer a HEAL school.

imitation, suspension, or termiion of the eligibility of a HEAL 001.

Responsibilities of a HEAL school.

ORITY: Sec. 215, of the Public Health Act, 58 Stat. 690, as amended, 63 5 (42 U.S.C. 216); secs. 727-739A of the Health Service Act, 90 Stat. 2243, as ed, 93 Stat. 582, 99 Stat. 529-532, 102 122-3125 (42 U.S.C. 294-2941-1); renumas secs. 701-720, amended by 106 994-2011 (42 U.S.C-292p).

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Subpart A-General Program
Description

860.1 What is the HEAL program?

(a) The Health Education Assistance Loan (HEAL) program is a program of Federal insurance of educational loans to graduate students in the fields of medicine, osteopathic medicine, dentistry, veterinary medicine, optometry, podiatric medicine, pharmacy, public health, chiropractic, health administration and clinical psychology. The basic purpose of the program is to encourage lenders to make loans to students in these fields who desire to borrow money to pay for their educational costs. In addition, certain nonstudents (such as doctors serving as interns or residents) can borrow in order to pay the current interest charges accruing on earlier HEAL loans. By taking a HEAL loan, the borrower is obligated to repay the lender or holder the full amount of the money borrowed, plus all interest which accrues on the loan.

(b) HEAL loans may be made by schools, banks, credit unions, State agencies, and other institutions eligible as lenders under $60.30. HEAL school eligibility is described in §60.50.

(c) The Secretary insures each lender or holder for the losses of principal and interest it may incur in the event that a borrower dies; becomes totally and permanently disabled; files for bankruptcy under chapter 11 or 13 of the Bankruptcy Act; files for bankruptcy under chapter 7 of the Bankruptcy Act and files a compliant to determine the dischargeability of the HEAL loan; or defaults on his or her loan. In these instances, if the lender or holder has complied with all HEAL statutes and regulations, and with the lender's or holder's insurance contract, and the Secretary pays the amount of the loss to the lender or holder, the borrower's loan is then assigned to the Secretary. Only at that time, the United States Government becomes the borrower's direct creditor and will actively pursue the borrower for repayment of the debt, including reporting the borrower's default on the loan to consumer credit porting agencies or to the Internal venue Service for purposes of locating ch taxpayer or for income

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