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Special Diabetes Program for Indians_Diabetes Prevention and Treatment
HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Budget Act of 1997, Public Law 105-33; Consolidated Appropriation
Act 2001, Public Law 106-554.
promote improved health care among American Indians/Alaska Natives
through special diabetes prevention and treatment services projects
with objectives and priorities determined at the local level.
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AND USE RESTRICTIONS:
To fund primary, secondary,
and tertiary diabetic prevention and treatment and related data
collection. The award amount will include both direct and indirect
costs. Grant funds may not be used for any other purpose. Funding
may not be used as matching funds for other Federal programs.
The Public Health Service Act, as amended, states that the following
groups are eligible to apply for grants: Indian Health Service (IHS)
entities: Indian tribes or tribal organizations who operate an Indian
Health program. This includes program under a contract, grant, cooperative
agreement or compact with the IHS under the Indian Self-Determination
Act; and Urban Indian organizations that operate an urban Indian
Health program. This includes programs under a grant or contract
with the IHS under Title V of the Indian Health Care Improvement
APPLICATION AND AWARD PROCESS:
American Indians/Alaskan Natives will be the ultimate beneficiaries
of the funded projects through either prevention or direct treatment
Costs will be determined in accordance with OMB Circular No. A-87,
"State and Local Governments," or OMB Circular No. A-122, for
Coordination: Not applicable. This program is
excluded from coverage under E.O. 12372.
This program is subject to the provisions of either 45 CFR 92
or 45 CFR 74, depending upon the type of applicant organization.
Information on the submission of applications may be obtained
from the Grants Management Officer, Grants Management Branch,
Division of Acquisition and Grants Management, 801 Thompson Avenue,
Suite 120, Parkway, Rockville, MD 20852. Telephone: (301) 443-5204.
Applications will be reviewed by the Grants Management Branch
in Headquarters East, Indian Health Service, for eligibility and
compliance with the announcement. Chief Medical Officers (CMOs)
and Area Diabetes Consultants (ADCs) in IHS Area Offices will
be responsible for programmatic review, addressing the soundness
of the proposed services, compliance of proposed service with
the legislation, and recommending the proposed costs. Applications
will be rated not ranked. Grants will be awarded based on CMOs
and ADCs acceptance of the applications.
After review and approval, a notice of this grant award is prepared
and processed along with the appropriate notification to the public.
Contact the Grants Management Officer, Headquarters Office for
information regarding application deadline dates. Deadline dates
are also noted in the grant announcement.
Range of Approval/Disapproval
Time: Funds are expected to be awarded no
later than 45 days after complete applications are received. Awards
could be delayed for applications not meeting initial approval.
The 1997 BBA Public Law 105-33 project period is currently up
to 5 years with non-competitive renewals projected annually. The
HR 4577 Public Law 106-554 project period is projected to be 3
years with non-competitive renewals projected annually.
Formula and Matching
Requirements: This program has no statutory
formula or matching requirements. IHS will distribute the Balanced
Budget Act (BBA) of 1997 (Public Law 105-33) funds of $150 million
for a 5-year period based on the following formula: 1) $1.5 million
is set aside for urban programs; and 2) $30.2 million is available
to IHS entities, Indian tribes, or tribal organizations that operate
an Indian Health program. IHS will distribute the Consolidated Appropriation
Act 2001 (Public Law 106-554) funds based on the following formula:
1) $70 million in 2001; 2) $70 million in 2002; and 3) $100 million
in 2003 to IHS entities, urban programs, Indian tribes, and tribal
organizations that operate an Indian health program. Funds will
be utilized to address diabetes prevention and treatment activities.
The actual distribution formula and methodology for these funds
is currently pending IHS tribal consultation recommendations.
Length and Time Phasing
of Assistance: The Public Law 105-33 project
is limited to 5 years (total) with annual budget periods. The
Public Law 106-554 project is projected to be 3 years with annual
POST ASSISTANCE REQUIREMENTS:
An annual Program Progress Report as part of the grant continuation
application for year 02 through year 05 of the 1997 BBA funds is
required. At a minimum, this report must include: (1) Accomplishments
and challenges of the program; (2) an annual Financial Status Report
(Standard Form 269 - long form) must be submitted within 90 days
after the expiration of each budget period; (3) Data Report including
(a) diabetes prevalence for the target site, and (b) diabetes audit
results for target site or other diabetes measures (amputations,
end stage renal disease, laser treatments, obesity prevalence);
and (4) completion of the IHS Diabetes Program questionnaire.
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
Financial records of the grant must be retained for 3 years after
submission of the final expenditure report. If questions remain,
such as those resulting from an audit, pertinent records must
be kept until the matter is resolved. The Secretary, the Inspector
General of the Department of Health and Human Services, and the
Comptroller General of the United States or any of their authorized
representatives shall have the right to access all records, reports,
books, documents, papers, or other records of the grantee, contractor,
or subcontractor, or of any entity pertinent to the DHHS grant
in order to make audits, examinations, excerpts, and transcripts.
In accordance with 45 CFR 92 or 45 CFR 74, Subpart D, as applicable,
grantees are required to maintain grant records for 3 years after
they submit their final expenditures report. If any litigation,
claim, negotiation, audit or other action involving the records
have been started before the end of the 3-year period, the records
must be retained until completion of the action and resolution
of all issues arising from it, or until the end of the regular
3-year period, whichever is later.
(Grants) FY 01 $100,200,000; FY 02 est $100,200,000; and FY 03
est $100,200,000. (Note: Public Law 105-33 authorizes $30.2 million
each year in FY 01, FY 02, and FY 03. Public Law 106-554 authorizes
$70 million each year in FY 02 and FY 03.)
and Average of Financial Assistance:
From $46,000 to $5,000,000; Average: $350,350.
In fiscal year 2001, 286
grants were awarded. It is estimated that a similar number of grant
awards will be made in fiscal years 2002 and fiscal year 2003 under
the Public Law 105-33 funding. It is not yet known how many grant
awards will be made in fiscal year 2002 and fiscal year 2003 under
the Public Law 106-554 funding.
REGULATIONS, GUIDELINES, AND
45 CFR 92 and 45 CFR 74;
Public Health Service Grants Policy Statement, DHHS Publication
No. (OASH) 94-50,000 (Rev.) April 1, 1994.
Regional or Local
Office: Not applicable.
Program Contact: Dr. Kelly Acton, Director, Diabetes Program,
Indian Health Service, 5300 Homestead Road, NE., Albuquerque,
New Mexico 87110. Telephone: (505) 248-4182. Fax: (505) 248-4188.
Grant Management contact: Ms. Crystal C. Ferguson, Grants Management
Officer, Grants Management Branch, Division of Acquisition and
Grants Management, Indian Health Service, 801 Thompson Avenue,
Suite 120, Rockville, MD 20852. Telephone: (301) 443-5204. Fax:
Web Site Address:
EXAMPLES OF FUNDED PROJECTS:
Examples include primary
prevention efforts to prevent the onset of diabetes in people at
risk for the disease and have not been diagnosed with diabetes (such
as diet and exercise programs); or secondary prevention efforts
to prevent complications of diabetes such as kidney disease, eye
disease, heart disease, and amputations in patients diagnosed with
diabetes; and tertiary prevention efforts to prevent or delay morbidity
and mortality in patients with diabetes already having complications
from the disease.
CRITERIA FOR SELECTING PROPOSALS:
that meet eligibility criteria must address: Soundness of proposed
services to be provided and prevention/treatment; compliance with
proposed services with the legislation, likelihood of success in
that area; and proposed costs.
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