To
support the development and operation of school- based health centers
that provide preventive and comprehensive primary health care services
to children at risk for poor health outcomes and other medically
underserved populations. Priorities will be focused on providing
services in the most medically underserved areas and maintaining
existing school-based health centers that are serving high need
populations. A school-based health center (SBHC) is defined as a
health center in a school or on school grounds, operating year round,
at least 30 hours per week. SBHCs must demonstrate sound capacities
in the following areas: fiscal and management capabilities; monitoring
and assessment of project performance; development and implementation
of mechanisms for improving quality of care; and maximization of
third- party reimbursement levels, through improved project administration
and management.
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
Applications
should be designed to improve the availability, accessibility and
organization of health care for the children enrolled in the school
and the underserved populations residing in the community.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Public or nonprofit private agency,
institution, or organization. Profit-making organizations are not
eligible.
Beneficiary
Eligibility: Population groups in medically
underserved areas.
Pre-application
Coordination: Necessary coordination varies;
Contact the HRSA Field Offices for details. 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: Application forms are available
from the HRSA Grants Application Center. The standard application
forms, furnished by HRSA and required by 45 CFR, Part 92, must
be used by local government applicants. 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 organizations must complete Form
PHS-5194, Grant Application for Health Services, documenting the
need for and the proposed amount of the grant. Applications must
be given to designated organizations for review and approval.
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 100.
Award
Procedure: HRSA Field Offices review continuation
applications. 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:
Renewals are subject to review pursuant to 45 CFR 100.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: This program has
no statutory formula. The applicant must assume part of the project
costs determined on a case-by-case basis. Statement of availability
is required as indicated in the appropriate program.
Length
and Time Phasing of Assistance: The initial
period of support may be up to 5 years. The project may be renewed
for additional years of support based on its progress and the
need for additional Federal support.
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 Non-Profit
Organizations," nonfederal entities that expend financial assistance
of $300,000 or more 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 end of the regular
3-year period, whichever is later.
FINANCIAL
INFORMATION:
Account
Identification: 75-0350-0-1-550.
Obligations:
(Grants) FY 01 $16,085,000; FY 02 est $18,479,000; and FY 03 est
$20,000,000.
Range
and Average of Financial Assistance:
$100,000 to $300,000; Average: $214,467.
The main purpose of the Healthy School, Healthy Communities program
has been to support the development and operation of school-based
health centers which provide preventive and primary health care
services to at-risk school-children and other underserved populations.
In addition, the Bureau of Primary Health Care identifies the most
needy communities/populations through State-based planning activities.
In fiscal year 2001 approximately 75 grantee organizations were
funded, which provide services in more than 140 school-based health
centers to nearly 50,000 users. Growth during fiscal year 2002 is
expected to be between 5,000 and 10,000 users.
REGULATIONS,
GUIDELINES, AND LITERATURE:
PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000,
(Rev.) April 1, 1994; 42 CFR 51 C.
INFORMATION
CONTACTS:
Regional
or Local Office: Contact the HRSA Offices of
Field Coordination.
Headquarters
Office: Program Contact: Director, Division
of Programs for Special Populations, Bureau of Primary Health
Care, Health Resources and Services Administration, Department
of Health and Human Services, 9th Floor, 4350 East-West Highway,
Bethesda, MD 20814. Telephone: (301) 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, 11th Floor, 4350 East-West Highway,
Bethesda, MD 20814. Telephone: (301) 594-4235. Use the same numbers
for FTS. Web site: www.bphc.hrsa.gov.
Web
Site Address: www.bphc.hrsa.gov
EXAMPLES
OF FUNDED PROJECTS:
(1) Health centers; (2) health departments; (3) university medical
centers; and (4) hospitals.
CRITERIA
FOR SELECTING PROPOSALS:
1) Relative merit of grant proposals as measured against the Bureau's
funding criteria; (2) specific program guidelines; (3) service to
high priority population; (4) demonstrated sound fiscal and management
capabilities; and (5) past management performance of the applicant.
