Allied Health Advanced Traineeship grant, and may not exceed one year for an Allied Health Training Institute grant. (b) For Allied Health Advanced Traineeship grants, generally the grant will initially be funded 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 levels of these awards will be made after consideration of factors such 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. (c) 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 with respect to any approved application or portion of an approved application. (d) Any balance of federally obligated grant funds remaining unobligated by the grantee at the end of a budget period may be carried forward to the next budget period, for use as prescribed by the Secretary, provided a continuation award is made. 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. § 58.507 How is the amount of the award determined? The amount of the award to the grantee will be based on the Secretary's estimate of the sum necessary during the budget period to cover the costs of the trainees' tuition, fees, sti § 58.508 For what purposes may grant funds be spend? (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 these regulations. (b) Grantees may not spend grant funds for sectarian instructions or for any religious purpose. § 58.509 What financial support is available to trainees? (a) The grantee may pay to the trainee: (1) Tuition and fees in accordance with the established rates of the institution, except as limited by the Secretary. (2) Stipends, in whatever amount the grantee determines that each trainee needs to pursue the training program, as long as that amount does not exceed the limits established by the Secretary. (3) Transportation allowances on an individual basis when prior approval has been obtained from the Secretary in the circumstances described in paragraph (b) of this section. (b) For Allied Health Advanced Traineeship grants: (1) In cases of extreme need, the grantee may pay a trainee an allowance from grant funds for travel from his or her residence to the training site. (2) The grantee may pay a trainee an allowance from grant funds for travel to field training if the site is beyond a reasonable commuting distance and requires the trainee to establish a temporary new residence. However, the grantee may not pay an allowance for daily commuting from the new place of residence to the field training headquarters. (3) The grantee may pay a trainee an allowance from grant funds for domestic travel to conduct research to meet dissertation requirements. (c) For Allied Health Training Institute programs: (1) The grantee may pay stipends from grant funds only to trainees who must temporarily change their place of residence to attend the training program. (2) The grantee may pay stipends from grant funds only for days of instruction during which the trainee receives a minimum of six hours of formal instruction, except that during the first and last days of the training session the trainee must receive a minimum of three hours during the day. (3) The grantee may not pay stipends from grant funds to a trainee. receiving concurrent support for the same training from another Federal source, except education benefits under the Veterans Readjustment Benefits Act. § 58.510 Who is eligible for financial assistance as a trainee? (a) To be eligible for a traineeship, an individual must: (1) Be a national of the United States or a lawful permanent resident of the United States, Puerto Rico, the Virgin Islands, Guam or a permanent resident of the Trust Territory of the Pacific Islands or the Northern Mariana Islands; (2) Be accepted for enrollment, or be enrolled, as a full-time student in a training program for which these traineeships are available; (3) Not be the program director, financial officer, or the official authorized to represent the grantee institution for the grant application; (4) Not be receiving lecture fees, salary, travel, expenses, or any other form of payment as a member of the grantee training program staff or faculty. (b) For the Allied Health Advanced Traineeship program: (1) Be qualified to practice as one of the following: Clinical Psychologist Dental Assistant Dental Hygienist Dental Laboratory Technician Dietitian 1 'Limited to graduates of a coordinated undergraduate program and those persons Medical Assistant Medical Record Administrator Primary Care Physician Assistant Respiratory Therapist Speech Pathologist/Audiologist (2) Have a baccalaureate degree; (3) Not be receiving concurrent support for the same training from another Federal source except education benefits under the Veterans Readjustment Benefits Act; (4) Not be a full-time Federal employee unless on leave without pay. (c) For the Allied Health Training Institute program: (1) Be qualified to practice as one of the following: Clinical Psychologist Dental Laboratory Technician Medical Assistant Medical Laboratory Technician Physical Therapist Assistant having completed a clinical dietetic internship or other clinical practicum training acceptable to the Secretary. 2Limited to persons qualified as medical technologists whether or not employed in a specialty area and does not include persons qualified only in a clinical laboratory specialty. 'Limited to graduates of baccalaureate level educational programs or to those who are State registered sanitarians or possess the professional qualifications necessary for registration under any of the State registration acts. 'Includes persons prepared as an opthalmic medical assistant, optometric technician, low vision technician, orthoptist, contact lens technician. Same as 1. "Same as 2. Primary Care Physician Assistant Respiratory Therapy Technician/Therapist Speech Pathologist/Audiologist § 58.511 What are the requirements for traineeships and the appointment of trainees? (a) For the Allied Health Advanced Traineeship program: (1) The grantee must appoint each trainee for a full academic year (not to exceed twelve months) except that a shorter appointment may be made where necessary to enable the trainee to complete the training program. (2) The grantee must require each trainee to complete a statement of appointment by the beginning of the training period or as soon as possible if the trainee receives notice after the training period has begun. The program director must sign it, and the grantee must retain it for audit purposes. The grantee must also send a copy to the Secretary upon request. (3) The grantee must advise each trainee who is enrolled in a course of study requiring more than twelve months to complete that continued support under this program is contingent upon the continued availability of grant funds. (b) For the Allied Health Training Institute program, the grantee's appointment for each trainee must be effective the first day of required attendance and must terminate on the last day of each offering or session of the institute. (c) The grantee may not require trainees to perform any work which is not an integral part of their training program and required of all students in the program, or to perform services which detract from or prolong the training. 'Same as 3. "Includes persons prepared as an opthalmic assistant, ophthalmic dispenser, opthalmic optician, optometic technician, low vision technician, orthoptist, and contact lens technician. 45 CFR Part 46 Protection of human subjects 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 individuals 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 education programs 45 CFR Part 911 Nondiscrimination on the basis of age in Department programs or activities receiving Federal financial assistance. § 58.514 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. § 58.515 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 'When issued. 59.3 Who is eligible to apply for a family planning services grant? 59.4 How does one apply for a family planning 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 educational material? 59.7 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? 59.8 How is a grant awarded? 59.9 For what purposes may grant funds be used? 59.10 What other HHS regulations apply to grants under this subpart? Confidentiality. 59.11 59.12 Inventions or discoveries. 59.13 Additional conditions. As used in this subpart: "Act" means the Public Health Service Act, as amended. "Family" means a social unit composed of one person, or two or more persons living together, as a household. "Low income family" means a family whose total annual income does not exceed 100 percent of the most recent Community Services Administration Income Poverty Guidelines (45 CFR 1060.2). "Low-income family" also includes members of families whose annual family income exceeds this amount, but who, as determined by the project director, are unable, for good reasons, to pay for family planning services. For example, unemancipated minors who wish to receive services on a confidential basis must be considered on the basis of their own resources. "Nonprofit," as applied to any private agency, institution, or organization, means that no part of the entity's net earnings benefit, or may lawfully benefit, any private shareholder or individual. "Secretary" means the Secretary of Health and Human Services and any other officer or employee of the Department of Health and Human Services to whom the authority involved has been delegated. "State" means one of the 50 States, the District of Columbia, Puerto Rico, Guam, the Virgin Islands, American Samoa, Northern Marianas, or the Trust Territory of the Pacific Islands. [45 FR 37436, June 3, 1980, as amended at 48 FR 3614, Jan, 26, 1983; 49 FR 38118, Sept. 27, 1984] § 59.3 Who is eligible to apply for a family planning services grant? Any public or nonprofit private entity in a State may apply for a grant under this subpart. § 59.4 How does one apply for a family planning services grant? (a) Application for a grant under this subpart shall be made on an authorized form. (b) An individual authorized to act for the applicant and to assume on behalf of the applicant the obligations imposed by the terms and conditions of the grant, including the regulations of this subpart, must sign the application. (c) The application shall contain (1) A description, satisfactory to the Secretary, of the project and how it will meet the requirements of this subpart; (2) A budget and justification of the amount of grant funds requested; (3) A description of the standards and qualifications which will be required for all personnel and for all facilities to be used by the project; and (4) Such other pertinent information as the Secretary may require. § 59.5 What requirements must be met by a family planning project? (a) Each project supported under this part must: (1) Provide a broad range of acceptable and effective medically approved family planning methods (including natural family planning methods) and services (including infertility services and services for adolescents). If an organization offers only a single method of family planning, such as natural family planning, it may participate as part of a project as long as the entire project offers a broad range of family planning services. (2) Provide services without subjecting individuals to any coercion to accept services or to employ or not to employ any particular methods of family planning. Acceptance of services must be solely on a voluntary basis and may not be made a prerequi site to eligibility for, or receipt of, any other service, assistance from or participation in any other program of the applicant.' (3) Provide services in a manner which protects the dignity of the individual. (4) Provide services without regard to religion, race, color, national origin, handicapping condition, age, sex, number of pregnancies, or marital status. (5) Not provide abortions as a method of family planning. (6) Provide that priority in the provision of services will be given to persons from low-income families. (7) Provide that no charge will be made for services provided to any person from a low-income family except to the extent that payment will be made by a third party (including a Government agency) which is authorized to or is under legal obligation to pay this charge. (8) Provide that charges will be made for services to persons other than those from low-income families in accordance with a schedule of discounts based on ability to pay, except that charges to persons from families whose annual income exceeds 250 percent of the levels set forth in the most recent CSA Income Poverty Guidelines (45 CFR 1060.2) will be made in accordance with a schedule of fees designed to recover the reasonable cost of providing services. (9) If a third party (including a Government agency) is authorized or legally obligated to pay for services, all 'Section 205 of Pub. L. 94-63 states: "Any (1) officer or employee of the United States, (2) officer or employee of any State, political subdivision of a State, or any other entity, which administers or supervises the administration of any program receiving Federal financial assistance, or (3) person who receives, under any program receiving Federal assistance, compensation for services, who coerces or endeavors to coerce any person to undergo an abortion or sterilization procedure by threatening such person with the loss of, or disqualification for the receipt of, any benefit or service under a program receiving Federal financial assistance shall be fined not more than $1,000 or imprisoned for not more than one year, or both." |