To
support the development and operation of Health Centers and Migrant
Health Programs that provide primary health care services, supplemental
health services, technical assistance and environmental health services,
which are accessible to migrant and seasonal agricultural farm workers
and their families as they move and work.
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
Migrant
Health Centers program funds may be used for the planning, development,
and operation of health programs for migrant and seasonal agricultural
workers. Health Centers Programs for migrant farmworkers include
the defined primary and supplemental services as specified in the
legislation. Funds may also be used to assist in the implementation
of acceptable environmental health programs. In addition, program
funds may be used to conduct projects and studies to assist States
and entities which have received grants or contracts under Section
330 (g) in the assessment of problems related to camp and field
sanitation, pesticide hazards, and other environmental health hazards
to which migrant agricultural workers, seasonal agricultural workers,
and members of their families are exposed.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Any public or nonprofit private
entity. Priority will be given to applications submitted by community-based
organizations which are representative of the populations to be
served. Profit-making organizations are not eligible.
Beneficiary
Eligibility: Migrant agricultural workers,
seasonal agricultural workers, and members of their families,
as defined in Section 330(g) of the Public Health Service Act.
Credentials/Documentation:
Costs will be determined in accordance with OMB Circular No. A-87
for State and local governments. For others, costs will be determined
in accordance with DHHS Regulations 45 CFR, Part 74, Subpart Q.
Pre-application
Coordination: Necessary coordination varies:
Contact the appropriate HRSA Field Office for details. In accordance
with Section 1513 (e) of the Public Health Service Act, these projects
are subject to objective review. This program is eligible for coverage
under E.O. 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 the State requires to be followed in applying for
assistance, if the State has selected the program for review. This
program is subject to the requirements of the Public Health System
Impact Statement.
Application
Procedure: The standard application forms,
as furnished by PHS and required by 45 CFR, Part 92, must be used
for this program by applicants which are State or local government
agencies. Application forms are available from the HRSA Grants
Application Center, 50 East Gude Drive, Rockville, MD, 20850.
State and local governments must prepare a Form DHHS-5161, Application
for Federal Assistance (Nonconstruction), fully documenting the
need for the grant and the proposed amount for the project. Other
nonprofit entities must complete Form PHS 5194, Grant Application
for Health Services, documenting the need for and the proposed
amount of the grant. Applications are to be submitted to the Grants
Management Officer for the appropriate DHHS Regional Office. Applications
must also be submitted to the appropriate health planning agencies
under Title XV of the Public Health Service Act and other designated
organizations for review and comment. 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. Applications
are subject to review pursuant to 45 CFR, Part 100.
Award
Procedure: An objective review committee reviews
applications for merit and recommends approval or disapproval.
Final decisions are made by the Director of the Bureau of Primary
Health Care, Health Resources and Services Administration.
Deadlines:
Contact Headquarters Office for application deadlines.
Range
of Approval/Disapproval Time: From 90 to 120
days.
Appeals:
None.
Renewals:
Same as Application Procedure.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: This program has
no statutory formula or matching requirements.
Length
and Time Phasing of Assistance: Not more than
one grant may be made to an entity to plan and develop a migrant
health program; however, this provision does not prohibit such
entity from receiving additional grants if it becomes a migrant
health program.
POST
ASSISTANCE REQUIREMENTS:
Reports:
All grantees must submit a financial status report 90 days after
the end of each budget period and a final financial status report
90 days after the end of the project period. Basic data, cost accounting,
and reporting or monitoring systems will be compatible with federally-established
national reporting requirements for health services delivery projects.
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
government 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,
subgrantee, contractor, or subcontractor, which are pertinent
to the DHHS grant, in order to make audits, examinations, excerpts
and transcripts. Grantees are required to maintain grant accounting
records 3 years after the end of a budget period. If any litigation,
claim, negotiation, audit or other action involving the records
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 regular 3-year
period, whichever is later.
FINANCIAL
INFORMATION:
Account
Identification: 75-0350-0-1-550.
Obligations:
(Grants) FY 01 $91,011,439; FY 02 est $105,000,000; and FY 03
est $105,000,000.
Range
and Average of Financial Assistance:
From $50,000 to $2,500,000. Average: $800,000. However, the maximum
award for new starts is $650,000.
In fiscal year 2001, about 125 projects/programs served approximately
625,000 migrant and seasonal farmworkers and their families. The
National Advisory Council on Migrant Health has been instrumental
in raising issues of concern to the program by hearing directly
from migrant farmworkers through farmworker public hearings around
the country. The same is expected for fiscal years 2002 and 2003.
REGULATIONS,
GUIDELINES, AND LITERATURE:
PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000,
(Rev.) April 1, 1994. Federal Register publication of rules and
regulations for PHS Grants for Community and Migrant Health Services,
November 25, 1977, and 42 CFR 56.
INFORMATION
CONTACTS:
Regional
or Local Office: Contact the appropriate HRSA
Field Office.
Headquarters
Office: Program Contact: Benjamin Flores,
Chief, Migrant Health Branch, Bureau of Primary Health Care, Health
Resources and Services Administration, Public Health Service,
Department of Health and Human Services, 4350 East-West Highway,
7th Floor, Bethesda, MD 20814. Telephone: (301) 594-4160. Grants
Management Contact: Grants Management Officer, Bureau of Primary
Health Care, Health Resources and Services Administration, Public
Health Service, Department of Health and Human Services, 4350
East-West Highway, 11th Floor, Bethesda, MD 20814. Telephone:
(301) 594-4235. Use the same numbers for FTS.
Web
Site Address: http://www.hrsa.gov
EXAMPLES
OF FUNDED PROJECTS:
Primary or comprehensive ambulatory health care projects include:
outreach, transportation, lab pharmacy, x-ray services, occupational
hazards and environmental studies, as well as technical and nonfinancial
assistance to migrant health centers and programs, children's health
insurance program.
CRITERIA
FOR SELECTING PROPOSALS:
(1) Relative merit of grant proposals as measured against the Bureau's
funding criteria, specific program guidelines, and regional priorities
and needs; (2) reasonableness and appropriateness of costs; and
(3) past management performance of the applicant.
