To
carry out special maternal and child health (MCH) projects of regional
and national significance; to conduct training and research; to
conduct genetic disease testing, counseling, and information development
and dissemination programs; and to support comprehensive hemophilia
diagnostic and treatment centers. These grants are funded with a
set-aside from the MCH Block grant program. SPRANS grants are funded
with 15 percent of the Block Grant appropriation of up to $600 million,
and when the appropriation exceeds $600 million, an additional 12.75
percent is set aside for the Community Integrated Service Systems
grants.
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
Training
grants are made to institutions of higher learning for training
personnel for health care and related services for mothers and children.
Research grants are for the purpose of research activities which
show promise of a substantial contribution to the advancement of
maternal and child health services. Genetic grants are for genetic
disease testing, counseling and information development and dissemination.
Hemophilia grants are for the support of centers which provide hemophilia
diagnostic and treatment services. Other special project grants
are designed to support activities of a demonstration nature which
are designed to improve services for mothers and children. The grant
program, the Community Integrated Service Systems (CISS) program,
is initiated whenever the total appropriation for a year exceeds
$600 million. The sum of 12.75 percent of the amount over $600 million
is used to fund this program in which communities employ a variety
of strategies including: (1) Home visitation; (2) increased participation
of obstetricians and pediatricians; (3) integrated service delivery
systems; (4) maternal and child health centers for women and infants,
under the direction of a not-for-profit hospital; (5) services for
rural populations; and (6) community-based services for children
with special health care needs in order to enhance or develop an
integrated services system.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Training grants may be made to
public or private nonprofit institutions of higher learning. Research
grants may be made to public or private nonprofit institutions of
higher learning and public or private nonprofit private agencies
and organizations engaged in research or in Maternal and Child Health
(MCH) or Children with Special Health Care Needs (CSHCN) programs.
Any public or private entity is eligible for hemophilia and genetics
grants and other special project grants.
Beneficiary
Eligibility: For training grants: (1) Trainees
in the health professions related to MCH; and (2) mothers and
children who receive services through training programs. For research
grants: public or private nonprofit agencies and organizations
engaged in research or in MCH or CSHCN programs. For hemophilia,
genetics, and special projects: (1) Public or private agencies,
organizations and institutions; and (2) mothers and children,
and persons with hemophilia (any age), who receive services through
the programs.
Credentials/Documentation:
Proof of nonprofit status is required for some grant categories.
The basis for determining the allowance and allocability of costs
charged to Public Health Service (PHS) grants is set forth in
DHHS Regulations 45 CFR Part 92, Subpart C, for State and local
governments; for other grantees, costs will be determined by DHHS
Regulations 45 CFR, Part 74, Subpart Q, and Appendix E. The cost
principles prescribed for recipients are in: OMB Circular No.
A-87 for State and local governments, OMB Circular No. A-21 for
institutions of higher education, 45 CFR Part 74, Appendix E for
hospitals, OMB Circular No. A-122 for nonprofit organizations,
and 48 CFR Subpart 31.2 for-profit (commercial) organizations.
Pre-application
Coordination: Not applicable. This program is
excluded from coverage under E.O. 12372.
Application
Procedure: Informal inquiries regarding the
program and intent to submit an application should be directed
to the Central Office. The standard application forms PHS 5161-1
and SF-424, PHS 6025 (Training), PHS 398 (Research) as furnished
by DHHS and required by 45 CFR Part 92, and 45 CFR Part 74, must
be used for this program. Application procedures differ by subprogram
category and may be obtained from the Central Office (see listing
below for address). This program is subject to the provisions
of 45 CFR Part 92 for State and local governments, and 45 CFR
Part 74 for nonprofit organizations.
Award
Procedure: Project applications are reviewed
by committees composed of staff of DHHS and/or nongovernmental
experts. Applications are reviewed based on their merit, are then
recommended for approval or disapproval, and are ranked according
to the priority score the committees have assigned. Final decisions
regarding funding are made by the Associate Administrator of the
Maternal and Child Health Bureau.
Deadlines:
Consult Central Office for application deadlines.
Range
of Approval/Disapproval Time: From 3 to 6
months.
Appeals:
None.
Renewals:
After initial award, projects may be renewed annually up to the
limit of the project period upon the submission and approval of
a satisfactory continuation application.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: This program has
no statutory formula or matching requirements.
Length
and Time Phasing of Assistance: Awards are
made on an annual basis for the duration of the grant period,
and payments are made through an Electronic Transfer System or
Cash Demand System.
POST
ASSISTANCE REQUIREMENTS:
Reports:
Annual program reports, annual financial status reports, annual
program service reports and special reports as required.
Audits:
In accordance with the provisions of OMB Circular No. A-133 (Revised,
June 24, 1997), "Audits of States, Local Governments, and Nonprofit
Organizations," nonfederal entities that expend financial assistance
of $300,000 or more in Federal awards will have a single or a
program-specific audit conducted for that year. Nonfederal entities
that expend less than $300,000 a year in Federal awards are exempt
from Federal audit requirements for that year, except as noted
in Circular No. A-133. In addition, grants and cooperative agreements
are subject to inspection and audits by DHHS and other Federal
officials.
Records:
DHHS and the Comptroller General of the United States or any of
their authorized representatives, shall have the right of access
to any books, documents, papers or other records of a grantee,
sub-grantee, contractor or subcontractor, which are pertinent
to the DHHS grant, in order to make audits, examinations excerpts
and transcripts. In accordance with 45 CFR Part 74, Subpart D,
grantees are required to maintain grant accounting records 3 years
after the end of a grant period. If any litigation, claim, negotiation,
audit or other action involving the record has been started before
the expiration of the 3-year period, the records shall be retained
until completion of the action and resolution of all issues which
arise from it, or until the end of the regular 3-year period,
whichever is later.
FINANCIAL
INFORMATION:
Account
Identification: 75-0350-0-1-550.
Obligations:
(Grants) FY 01 $127,087,341; FY 02 est $147,028,995; and FY 03
est $167,400,755.
Range
and Average of Financial Assistance:
From $50,000 to $1,500,000; Average: $248,317.
In fiscal year 2001, 505 projects were funded. A wide variety of
services were provided to thousands of mothers and children, including
counseling, diagnostic, therapeutic, and other secondary and tertiary
level services. In fiscal years 2002 and fiscal year 2003, it is
estimated that 500 to 600 projects will be funded.
REGULATIONS,
GUIDELINES, AND LITERATURE:
Pertinent information may be obtained by contacting the Central
Office indicated below. PHS Grants Policy Statement, DHHS Publication
No. (OASH) 90-50,000, (Rev.) October 1, 1990.
INFORMATION
CONTACTS:
Regional
or Local Office: Consult appropriate DHHS Regional
Office (see Appendix IV of the Catalog for a listing of the regional
offices).
Headquarters
Office: Central Office Contacts: Program Office:
Associate Administrator, Maternal and Child Health Bureau, Health
Resources and Services Administration, Public Health Service,
Department of Health and Human Services, Room 18-05, 5600 Fishers
Lane, Rockville, MD 20857. Telephone: (301) 443-2170. Grants Management
Contact: Grants Management Branch, Maternal and Child Health Bureau,
Health Resources and Services Administration, Public Health Service,
Room 18-12, Parklawn Building, 5600 Fishers Lane, Rockville, MD
20857. Telephone: (301) 443-1440. Use the same numbers for FTS.
Web
Site Address: http://www.hrsa.gov
EXAMPLES
OF FUNDED PROJECTS:
(1) Health Professional Training Projects; (2) Schools of Public
Health; (3) Maternal and Child Health Research; (4) Genetic Screening,
Testing and Counseling; (5) Hemophilia Diagnosis and Treatment Centers;
(6) Child and Adolescent Health Services Demonstration Projects;
(7) Healthy Tomorrows Community Based Partnerships; and (8) Community
Integrated Service Systems (CISS) to develop comprehensive community
based systems to services.
CRITERIA
FOR SELECTING PROPOSALS:
General criteria are described in Program Regulations 45 CFR 51,
and specific criteria are included in the program guidance materials
provided with application kits. Contact Central Office for details.
