To
increase the capacity of entities that provide comprehensive primary
care services to persons with Human Immunodeficiency Virus (HIV)
infection, or who are at-risk of infection, and to offer more early
intervention services. The services will include increased counseling
and testing, partner involvement in risk reduction, transmission
prevention, appropriate primary care diagnostic and treatment services,
and, as needed, case-management to ensure that individual service
needs are met. A planning and capacity building program provides
assistance to organizations wishing to develop a new or expanded
HIV program, particularly in rural and underserved areas and communities
of color.
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 ambulatory health services to persons infected with
HIV or who are at high risk. Funds may not be used for acquiring
property, used for inpatient or residential care, and no more than
10 percent of the Federal funds may be used for administrative costs.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Eligible applicants are public
and private nonprofit entities that are: health centers under Section
330 of the Public Health Service Act; family planning grantees under
Section 1001 of the Public Health Service Act other than States;
comprehensive hemophilia diagnostic and treatment centers; federally-qualified
health centers under Section 1905(1)(B) of the Social Security Act;
or a public or private nonprofit entity that provides comprehensive
primary care services to populations at-risk of HIV disease. Planning
and capacity building grants require that applicants be public or
private non-profit organizations that are or intend to become HIV
Primary Care Providers.
Beneficiary
Eligibility: Persons infected with HIV or
who are at high risk of HIV infection.
Credentials/Documentation:
Costs will be determined in accordance with DHHS Regulations,
45 CFR, Part 74, Subpart Q and 45 CFR Part 92.22. Grantees must
provide satisfactory assurances and agreements as required by
law.
Pre-application
Coordination: Preapplication coordination is
not required. 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. The single point
of contact for the State may be obtained from the Grants Management
Branch, HIV/AIDS Bureau (HAB), Health Resources and Services Administration,
5600 Fishers Lane, Room 7-89, Rockville, MD 20857. This program
is subject to the requirements of the Public Health System Impact
Statement.
Application
Procedure: Applications are solicited by a
program announcement in the Preview. Application forms and program
guidance are available from the HRSA Grants Application Center.
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 Grant Notice
of Award and issues the award.
Deadlines:
Contact the Headquarters Office listed below for deadline dates.
Range
of Approval/Disapproval Time: From 60 to 90
days.
Appeals:
None.
Renewals:
None.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: This program has
no statutory formula for the amount of the grant. The amount is
negotiated based on costs of the proposed grant activities. Grantees
are not required to match Federal funds under the grant; however,
the level of nonfederal expenditures for early intervention services
must be maintained at the level for the year prior to the grant
award.
Length
and Time Phasing of Assistance: Early Intervention
Services grants may be made for up to 3-year project periods.
Continued support, beyond the first year, is contingent upon satisfactory
performance and the availability of Federal funds. Planning grants
are limited to $50,000 and are funded for 1 year with an option
for transition grant funds in year 2 and year 3. Capacity building
grants are funded at $150,000 for up to 3 years.
POST
ASSISTANCE REQUIREMENTS:
Reports:
Grantees must submit a Financial Status Report on SF 269 (long form)
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. Additionally,
each funded program must submit a 5-page progress report each year
prior to the end of the budget period. A final financial status
report and final performance 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
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) EIS grants: FY 01 $154,882,554; FY 02 est $164,772,554;
and FY 03 est $164,772,554. Planning grants: FY 01 $4,648,864;
FY 02 est $2,000,000; and FY 03 est $2,000,000. Capacity Building
grants: FY 01 $4,389,106; FY 02 est $2,857,520; and FY 03 est
$4,000,000.
Range
and Average of Financial Assistance:
From $100,000 to $650,000. Average: $350,000. Planning
grants are limited to $50,000 and capacity building grants are
limited to $150,000.
In fiscal year 2001, 311 programs were funded and provided early
intervention services, including primary and preventive care to
over 117,000 people with HIV disease. Also in fiscal year 2001,
we awarded 96 Planning grants and 48 Capacity Building grants. Other
accomplishments include the provision of technical assistance to
existing grantees, funded support for the development of an action
plan to address HIV-related issues and problems facing HIV infected
persons living near the U.S.-Mexico border and development of a
manual focused on the nutritional needs of persons living with HIV.
It is estimated that 20 new Early Intervention Services grants and
40 Planning and 40 Capacity Building grants will be awarded in fiscal
years 2002 and 2003.
REGULATIONS,
GUIDELINES, AND LITERATURE:
Grants to State and local governments will be administered according
to DHHS Regulations in 45 CFR 92. Grants to nonprofit private organizations
are subject to DHHS Regulations in 45 CFR Part 74. All grantees
use PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000,
(Rev.) April 1, 1994 and HIV Program Guidance.
INFORMATION
CONTACTS:
Regional
or Local Office: Not applicable.
Headquarters
Office: Program Contact: For Early Intervention
Services Grants: Dr. Lois Eldred, Division of Community Based
Programs, Title III, HIV/AIDS Bureau, Health Resources and Services
Administration, 5600 Fishers Lane, Room 7A-30, Rockville, MD 20857.
Telephone: (301)443-0735. For Planning Grants: Sylvia Trent-Adams
at (301) 443-2177 or at the same address as above. Grants Management
Contact: Grants Management Branch, HIV/AIDS Bureau, Health Resources
and Services Administration, 5600 Fishers Lane, Room 7-89, Rockville,
MD 20857. Telephone: (301) 443-2280.
Web
Site Address: http://www.hrsa.gov
EXAMPLES
OF FUNDED PROJECTS:
Grantees include health centers; family planning grantees under
Section 1001 of the PHS Act other than States; federally-qualified
health centers; and public and private nonprofit entities that provide
comprehensive primary care services to populations at risk of HIV
disease. Planning and capacity building grants include a wide variety
of public and private nonprofit entities.
CRITERIA
FOR SELECTING PROPOSALS:
Evaluations will be based on (1) Applicant's assessment of community
need for additional preventive and primary care services to those
with, and at risk for, HIV infection; (2) applicant's ability to
describe its role in addressing unmet needs; (3) appropriateness
of the proposed budget; (4) comprehensiveness of existing and proposed
services; (5) collaboration with other local city, county, State
HIV-prevention and treatment activities; and (6) adequacy and completeness
of applicant's program evaluation plan.
