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Content provided by the Catalog of Federal Domestic Assistance
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth




Public Health Service Act, Title XXVI, Part D, as amended, Public Law 106-345; Ryan White Care Amendments Act of 2000.
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To support, to improve, and expand the system of comprehensive clinical care and social support services for women, infants, children, and youth who are infected with the human immune deficiency virus (HIV) and acquired immune deficiency syndrome (AIDS), and to provide support services for their affected family members. This program is also intended to link comprehensive systems of care with clinical research.


Project Grants.
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All funds granted should be expended solely for carrying out the approved project in accordance with application guidelines, the conditions of award and the applicable cost principles.


Applicant Eligibility:   Public and nonprofit private entities that provide primary care services, either directly or by another entity that is linked with the grantee, either through a contract, written partnership, or other formal agreement. Proof of nonprofit status is required for nonprofit organizations.

Beneficiary Eligibility:   Women, infants, children, and youth with HIV/AIDS and their affected family members.

Credentials/Documentation:   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 74.27 and 45 CFR 92.22. 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 74, Appendix E for hospitals, OMB Circular No. A-122 for nonprofit organizations, and 48 CFR 74, Subpart 31.2 for-profit (commercial) organizations.

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Pre-application Coordination:   Preapplication coordination is not required. This program is subject to the provisions of Executive Order 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process which the State requires to be followed in applying for assistance if the State has selected the program for review.

Application Procedure:   Applications are solicited by a program announcement in the HRSA Preview. Applications and required forms for this program can be obtained from the HRSA Application Center, 901 Russell Ave., Suite 450, Gaithersburg, MD 20879 or by calling 1-877-477-2123. All applicants must submit PHS Form 5161, Application for Federal Assistance (nonconstruction), which incorporates the SF 424 application pages, fully documenting the need for and the proposed amount of the grant. All qualified applications will be forwarded to an objective review committee which will make recommendations to the Associate Administrator, HAB. The Associate Administrator has approval authority. This program is subject to the provisions of 45 CFR 92 for State and local governments and 45 CFR 74 for nonprofit organizations.

Award Procedure:   After approval by the Associate Administrator, the Grants Management Branch prepares a Notice of Grant Award and issues the award.

Deadlines:   Contact the Headquarters office listed below for deadline dates.

Range of Approval/Disapproval Time:   From 90 to 120 days.

Appeals:   None.

Renewals:   Grants may be made for up to 3-year project periods, subject to availability of funds. After initial awards, projects may be renewed contingent upon submission and approval of a continuation application.


Formula and Matching Requirements:   None.

Length and Time Phasing of Assistance:   Awards are made annually, subject to availability of funds. Initial awards will be made for 1 year and continuation awards may be made for an additional 2 years.


Reports:   Annual program reports, annual program service reports and special reports must be submitted as required. Grantees must submit a Financial Status Report on SF 269 within 90 days after the end of the budget period. The grantee must also submit an annual program data report, due March 1 each year, covering the just ended Jan.1-Dec. 31 calendar year. A final Financial Status Report and final progress report must be submitted 90 days after the end of the project period.

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 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 74.53 and 45 CFR 92.42, grantees are required to maintain grant accounting records 3 years after the end of a budget period. If any litigation, claims, 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.


Account Identification:   75-0350-0-1-550.

Obligations:   (Grants) FY 01 $61,264,017; FY 02 est $60,901,000; and FY 03 est $60,901,000.

Range and Average of Financial Assistance:  
FY 15 $100,000 to $2,143,182; Average $581,322.

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In fiscal year 2001, a total of 90 project grants were awarded. which included 16 Youth Services Initiative grants. It is estimated that a total of 90 projects will be funded in fiscal year 2002 and fiscal year 2003.


PHS Grants Policy Statement, DHHS Publication No. (OASH) 90-50,000, (Rev.) October 1, 1990. Pertinent information may be obtained by contacting the Headquarters Office.


Regional or Local Office:   See Regional Agency Offices.

Headquarters Office:   Monique G. Hitch 5600 Fishers Lane, Room 9N18, Rockville, Maryland 20857 Phone: (301) 443-3944

Web Site Address:


A variety of agencies are funded under this grant program, but they all represent the collaboration of local health and social services agencies, both public and private, including faith-based and community-based organizations. All contain health service delivery to infected women, infants, children, and youth, using a case management approach. Projects directly provide or arrange for a range of medical social, psychosocial and family support services. Features unique to each project will help demonstrate collectively a variety of strategies to meet the critical needs of HIV infected women, infants, children, and youth. medical, social, psychosocial and family support services. Features unique to each project will help demonstrate collectively a variety of strategies to meet the critical needs of HIV infected women, infants, children, and youth. demonstrate collectively a variety of meeting critical needs of HIV infected women and children.


Criteria are included in the program guidance materials provided with application kits. Contact the HRSA Grant Application Center for details.

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