To
award grants for the purpose of enabling grantees to carry out programs
for: (1) screening individuals described under section 4 (a)(1)(A)(i)
or 5(a)(1)(A) of the Radiation Exposure Compensation Act (42 U.S.C.
2210 note) for cancer as a preventative health measure; (2) providing
appropriate referrals for medical treatment of individuals screened
under paragraph and to ensure, to the extent practicable, the provision
of appropriate follow-up services; (3) developing and disseminating
public information and education programs for the detection, prevention,
and treatment of radiogenic cancers and diseases; and (4) facilitating
putative applicants in the documentation of claims as described
in section 5(a) of the Radiation Exposure Compensation Act (42 U.S.C.
2210 note).
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
Grants
are awarded to organizations that develop new or expand existing
capacity to provide screening, referrals for medical treatment,
education, and eligibility assistance for eligible individuals.
Grant awards will be made subject to the provisions of the Public
Health Service Grants Policy Statement and to 45 CFR Parts 74 and
92. Restrictions on the Use of Grant Funds: (1) Grant funds may
not be used to pay for inpatient services; (2) Grant funds may not
be used to make cash payments to intended recipients of primary
health care services or specialty care (3) Grant funds may not be
used to supplant other provider/third party coverage payments available
to the patient; (4) Grant funds may not be used to purchase or improve
real property (other than minor remodeling of existing improvements
to real property) or to purchase major medical equipment without
the approval of the Office of Grants Management, BPHC; (5) Not more
than 10 percent of any grantee's funds shall be used for legal services
to assist users in obtaining benefits under the Radiation Exposure
Compensation Program.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: The following entities, (located
within the approved States of Arizona, Colorado, Idaho, New Mexico,
North Dakota, Oregon, South Dakota, Texas, Utah, Washington or Wyoming)
are eligible to apply for the funds described in this Policy Information
Notice: (1)National Cancer Institute-designated cancer centers;
(2) Department of Veterans Affairs hospitals or medical centers;
(3) Federally Qualified Health Centers; (3) Agencies of any State
or local government that currently provide direct health care services;
(4) IHS health care facilities, including programs provided through
tribal contracts, compacts, grants, or cooperative agreements with
the HIS and which are determined appropriate to raising the health
status of Indians; and (5) Nonprofit organizations.
Beneficiary
Eligibility: For purposes of the RESEP, individuals
eligible for health screening, education, medical referral, and
appropriate follow-up services include an individual who either:
(1) was employed in a uranium mine or uranium mill (including
any individual who was employed in the transport of uranium ore
or vanadium-uranium ore from such mine or mill) located in Colorado,
New Mexico, Arizona, Wyoming, South Dakota, Washington, Utah,
Idaho, North Dakota, Oregon, and Texas at any time during the
period beginning on January 1, 1942, and ending on December 31,
1971; (2) was a miller or ore transporter who worked for at least
1 year during the period beginning on January 1, 1942, and ending
on December 31, 1971; (3) was physically present in the nuclear
arms testing area (which includes, in the State of Utah, the counties
of Beaver, Garfield, Iron, Kane, Millard, Piute, San Juan, Sevier,
Washington, and Wayne; in the State of Nevada, the counties of
Eureka, Lander, Lincoln, Nye, White Pine, and that portion of
Clark County that consists of townships 13 through 16 at ranges
63 through 71; and in the State of Arizona, the counties of Apache,
Coconino, Gila, Navajo, and Yavapai) for a period of at least
2 years during the period beginning on January 21, 1951, and ending
on October 31, 1958; (4) was physically present in the nuclear
arms testing area, cited in 3. above, for the period beginning
on June 30, 1962, and ending on July 31, 1962, or (5) participated
onsite in a nuclear arms test involving the atmospheric detonation
of a nuclear device, in either the area described in 3. above
or within the official boundaries of the Pacific, Trinity, or
South Atlantic Test Sites.
Credentials/Documentation:
Costs will be determined in accordance with 45 CFR, Part 74, Subpart
Q, for nonprofit organizations and OMB Circular No. A-87, "Cost
Principles for State and Local Governments."
Pre-application
Coordination: The application package will be
made available by the Department of Health and Human Services (DHHS)
(Form PHS-5161-1, with revised factsheet, DHHS-424). The application
kit contains a list of States which have been chosen to set up a
review system and will provide a point of contact in the States
for that review. This program is eligible for coverage under E.O.
12372, "Intergovernmental Review of Federal Programs." An applicant
should consult the office or officials 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. The standard application
forms, as furnished by the DHHS and required by 45 CFR 92 must be
used for this program. This program is subject to the requirements
of the Public Health System Impact Statement.
Application
Procedure: Application is made by the submission
of the DHHS Application Form PHS-5161-1. Applications may be obtained
from the HRSA Grants Application Center, 901 Russell Avenue, Suite
450, Gaithersburg, MD 20879. This program is subject to the provisions
of 45 CFR for State and local governments and 45 CFR 74 for nonprofit
organizations.
Award
Procedure: Applications will be reviewed by
an Objective Review Committee composed of primary care delivery
system experts . Applications are reviewed for merit and are recommended
for approval or disapproval. Grant awards will be made by the
Director, Office of Grants Management, upon approval of the Director,
BPHC.
Deadlines:
Contact HRSA, Bureau of Primary Health Care, Division of Programs
for Special Populations for further information.
Range
of Approval/Disapproval Time: Approximately
120 days.
Appeals:
None.
Renewals:
Support is recommended for a specified project period, from 1
to 5 years. After initial awards are made, continuation projects
will be reviewed annually and funded if approved.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: None.
Length
and Time Phasing of Assistance: Awards are
made annually. After funds are issued, funds are released in accordance
with payment procedures of DHHS, which may be an Electronic Transfer
System or monthly cash request system.
POST
ASSISTANCE REQUIREMENTS:
Reports:
Grantees will be required to complete the Annual Data Reporting
Requirements for the Radiation Exposure Screening and Education
Program (RESEP) Annual Report. Applicants receiving funding are
required to collect, update, and maintain demographic and utilization
information on each individual seen by the applicant, including
age, gender, race/ethnicity, insurance status, date and type of
exposure, dates and types of screening procedures done, the dates
and types of referrals made (provider specialty, facility, reason
for referral - diagnosis and/or treatment), and the dates and types
of radiogenic cancers diagnosed, (and nonmalignant respiratory disease).
Data should also be collected regarding the number of individuals
contacted by type of outreach activity; and the number of individuals
receiving a program of education on the detection, prevention, and
treatment of radiogenic cancers and diseases.
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 receive financial assistance
of $300,000 or more in Federal awards have a single or 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.
Records:
Financial records must be kept available for 3 years after submission
of expenditure reports and 3 years after final disposition of
non-expendable property. If questions remain such as those raised
as a result of an audit, record must be retained until the problem
is resolved.
FINANCIAL
INFORMATION:
Account
Identification: 75-0350-0-1-550.
Obligations:
(Grants) FY 01 $0; FY 02 est $4,000,000; and FY 03 est $4,000,000.
Range
and Average of Financial Assistance:
$200,000 to $400,000. Average: $300,000.
In fiscal year 2002, we expect to award 8-10 grants to organizations
offering Statewide services to affected individuals. In fiscal year
2003, we expect to continue the awards to those entities.
REGULATIONS,
GUIDELINES, AND LITERATURE:
Federal Register Notice of Availability. Grants to State and local
governments will be administered according to DHHS Regulations in
45 CFR, Part 92. Grants to nonprofit organizations are subject to
DHHS Regulations in 45 CFR, Part 74. All grantees are subject to
PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000,
April 1, 1994 (Revised).
INFORMATION
CONTACTS:
Regional
or Local Office: Division of Programs for Special
Populations, Bureau of Primary Health Care, Health Resources and
Services Administration, Department of Health and Human Services,
4350 East West Highway, 9th Floor, Bethesda, MD 20814. Telephone:
(310) 594-4420.
Headquarters
Office: Program Contact: Regan Crump, M.S.N.,
Dr.P.H., Director, Division of Programs for Special Populations,
Bureau of Primary Health Care, Health Resources and Services Administration,
Department of Health and Human Services, 4350 East West Highway,
9th Floor, Bethesda, MD 20814. Telephone: (310) 594-4420. Grants
Management Contact: Office of Grants Management, Bureau of Primary
Health Care, Health Resources and Services Administration, 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:
(1) A statewide program of Radiation Exposure Screening and Education
Program clinics with coordination and assistance from the State
health department; (2) an area-wide system of clinical and educational
services in a rural area for Radiation Exposure victims administered
by a secondary referral hospital through linkage arrangements with
other provider agencies.
CRITERIA
FOR SELECTING PROPOSALS:
(1) Need and Readiness -- the extent to which the applicant can
demonstrate a need for these services in their area and their readiness
to provide them; (2) Administration -- the extent to which the applicant
demonstrates that it has the administrative experience and capacity
to successfully implement this program; (3) Health Care Services
-- the extent to which the applicant has the capacity to provide
or arrange for the required services; (4) Collaborative Arrangements
-- the extent to which the applicant has developed and documented
collaborative arrangements with other local providers to conduct
outreach, provide services and make referrals; and, (5) Appropriateness
of Budget -- the extent to which the applicant's budget for the
scope of the proposed activities.
