1)
To develop high quality, patient-oriented, integrated systems of
care which assure access to and continuity of appropriate primary,
secondary and tertiary care with maximum use of existing resources;
(2) to minimize the effects of respiratory and pulmonary impairments
in coal miners and others with occupational related respiratory
diseases; and (3) to emphasize patient and family member education
to maximize the patient's ability for self-care.
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
USES:
Grants may be used for the cost of providing diagnostic and treatment
procedures required in the management of black lung and other respiratory
impairments in coal miners and others with occupational related
respiratory diseases, and costs of equipment and facilities renovation
when these costs are demonstrated to be necessary to enable the
implementation of services. RESTRICTIONS: Support is available only
in areas where it can be demonstrated that there are significant
numbers of active and/or inactive coal miners.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Any state and/or public or private
entity.
Beneficiary
Eligibility: Coal workers with respiratory
and pulmonary impairments and their families.
Credentials/Documentation:
Evidence demonstrating that supported services will be accessible
to a significant number of eligible beneficiaries is necessary.
Costs will be determined in accordance with OMB Circular No. A-87
for State and local governments. For other grantees, costs will
be determined by DHHS Regulations 45 CFR, Part 74, Subpart Q.
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. This program is subject
to the requirements of the Public Health System Impact Statement.
Application
Procedure: The standard application forms,
as furnished by DHHS and required by 45 CFR 92 for State and local
governments, must be used for this program. State and local governments
must prepare Form PHS-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 Regional Health Administrator
of the appropriate DHHS Regional Office. 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: Final decisions are made by the
Director, Bureau of Primary Health Care, Health Resources and
Services Administration.
Deadlines:
None.
Range
of Approval/Disapproval Time: From 45 to 90
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: Assistance
will cover operational costs and grantees will generally be expected
to begin to deliver services immediately. However, at the discretion
of the awarding office, up to 6 months may be allowed for planning
and program development.
POST
ASSISTANCE REQUIREMENTS:
Reports:
All grantees must submit financial status reports 90 days after
the end of each budget period and a final financial status report
at 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 made audit, examination, 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 $6,000,000; FY 02 est $6,000,000; and FY 03 est
$6,000,000.
Range
and Average of Financial Assistance:
From $150,000 to $1,200,000. Average: $423,000.
Fourteen grants were awarded in fiscal year 2001. It is estimated
that 16 continuing grants will be made in fiscal years 2002 and
2003, continuing support of clinics serving victims of black lung
disease.
REGULATIONS,
GUIDELINES, AND LITERATURE:
Regulations and grant application guidance for the coal miners'
respiratory treatment program are available from Field Offices (see
Appendix IV of the Catalog for list of Regional Offices) and 42
CFR 55a. PHS Grants Policy Statement, DHHS Publication No. (OASH)
94-50,000, (Rev.) April 1, 1994.
INFORMATION
CONTACTS:
Regional
or Local Office: Contact the Division Directors
of DHHS Field Offices. (See Appendix IV for list of Field offices).
Headquarters
Office: Program Contact: Director, Division
of Special Populations, Bureau of Primary Health Care, Health
Resources and Services Administration, 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, 11th
Floor, 4350 East-West Highway, Bethesda, MD 20814. Telephone:
(301) 594-4237. Use the same numbers for FTS.
Web
Site Address: http://www.bphc.hrsa.gov
EXAMPLES
OF FUNDED PROJECTS:
(1) A statewide program of Black Lung Clinics as part of community
primary care centers with coordination and assistance from the State
health department; (2) an area-wide system of clinical and educational
services in a rural area for Black Lung victims administered by
a secondary referral hospital through linkage arrangements with
other provider agencies; and (3) a respiratory clinic operated by
a nonprofit community organization to serve Black Lung victims in
a county. Primary care services can be provided by private practitioners
and community clinics through referral agreements.
CRITERIA
FOR SELECTING PROPOSALS:
Projects must: (1) Serve a significant number of coal workers with
pulmonary impairment without regard for their ability to pay; (2)
maximize use of existing resources; (3) assure high quality treatment
services and management; (4) assure that enrolled clients will receive
education and training in the management of their health care; (5)
establish agreements with all levels of care providers to assure
continuity of care; (6) provide a coordinator of patient care who
will assure the implementation of a patient care plan for each enrollee;
and (7) coordinate with other similar projects to assure access
to those who need services without duplication of effort.
