OFFICE
OF THE SECRETARY, DEPARTMENT OF HEALTH AND HUMAN SERVICES
AUTHORIZATION:
Public
Health Service Act, Title XX, Section 2003, Public Law 104-193,
Public Law 98-512, 42 U.S.C. 300z-2, as amended; Public Laws 101-517;
and Public Law 95-35.
To
establish innovative, comprehensive, and integrated approaches to
the delivery of care services for pregnant and parenting adolescents
with primary emphasis on adolescents who are under 17 years of age.
To promote abstinence from sexual relations through provision of
age-appropriate education on sexuality and decision-making skills
as the most effective method of preventing adolescent pregnancy
and avoiding sexually transmitted diseases, including HIV/AIDS.
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
Funds
for services under this program can only be used to: (1) Provide
care services, prevention services, or both care and prevention
services to eligible persons; (2) coordinate integrate and provide
linkages among providers of care, prevention, and other services
for eligible persons; (3) provide supplemental services to eligible
persons in the community when existing services are not adequate
or not available and are essential to the care of pregnant adolescents
and/or to the prevention of adolescent sexual activity and adolescent
pregnancy; (4) plan for the administration, evaluation, and coordination
of pregnancy prevention services and programs of care for pregnant
adolescents and adolescent parents to further the objectives of
this legislation; and (5) fulfill assurances required for grant
approval. Funded projects may not provide or subcontract for the
provision of abortions or abortion counseling or referral (with
exceptions).
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Public (including city, county,
regional, and State government) organizations; and private nonprofit
organizations.
Beneficiary
Eligibility: For prevention services: non-pregnant
adolescents and their families. For care services: pregnant adolescents,
infants, adolescent parents, and their families. Primary emphasis
should be given to unmarried adolescents 17 years of age and under.
Credentials/Documentation:
A nonprofit private entity must provide evidence of its nonprofit
status. Allowability of costs charged to the grant will be determined
in accordance with the following Cost Principles: OMB Circular
No. A-21 for educational institutions, OMB Circular No. A-87 for
State and local governments, and OMB Circular No. A-122 for nonprofit
organizations.
Pre-application
Coordination: There is no preapplication coordination
requirement. The Governor(s) of the State(s) in which the project
is to be located is to be given 60 days in which to review and comment
on applications for funding under this authority. 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 Public Health
Systems Reporting Requirements.
Application
Procedure: Application kits may be obtained
from the Grants Management Officer, Office of Grants Management,
Office of Population Affairs, Department of Health and Human Services,
4350 East-West Highway, Suite 200, Bethesda, MD 20814; or our
web page www.dhhs.gov/opa. The standard Application forms, as
furnished by PHS and required by 45 CFR 75 (for institutions of
higher education, hospitals and other nonprofit organizations),
and 45 CFR 92 (for State and local governments), must be used
for this program. This program is subject to the provisions of
45 CFR 74, and 45 CFR 92 as well as OMB Circular No. A-102 (administrative
guidelines and standards for states and local governments), and
OMB Circular No. A-110 (administrative guidelines and standards
for institutions of higher education, hospitals, and other nonprofit
organizations).
Award
Procedure: All applications and proposals
are read by a panel of independent experts who make recommendations
for action to the Office of Adolescent Pregnancy Programs. After
considering the recommendation of this panel, the Deputy Assistant
Secretary for Population Affairs makes the final decision on the
funding of applications. All applicants are notified in writing
of actions taken on their applications. A Notice of Grant Award
is issued for those applications that are approved and funded.
Deadlines:
Contact the Headquarters Office for application deadlines or visit
our web page at www.opa.osophs.dhhs.gov.
Range
of Approval/Disapproval Time: From 3 to 5
months.
Appeals:
None.
Renewals:
Renewal awards may be approved pending availability of funding,
and evidence of satisfactory progress and compliance.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: Federal participation
is limited to 70 percent of total project costs for the first and
second years and decreases in each subsequent year of funding.
Length
and Time Phasing of Assistance: Grants may
not exceed 5 years (subject to the availability of funds). Payments
will be made either on a monthly cash request basis or under the
Electronic Transfer System. Necessary instructions for the appropriate
type of payment will be issued at the time an award is made.
POST
ASSISTANCE REQUIREMENTS:
Reports:
Grantees must submit annual and final progress and evaluation reports.
Expenditure reports are required 90 days after the end of each budget
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.
Records:
HHS 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 HHS grant, in order to make audits, examinations, excerpts
and transcripts. In accordance with 45 CFR, Part 74.53 and 45
CFR, Part 92, 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: 75-0120-0-1-550.
Obligations:
(Grants) FY 01 $21,181,761; FY 02 est $21,500,000; and FY 03 est
$25,000,000.
Range
and Average of Financial Assistance:
The range is from $150,000 to $250,000.
In fiscal year 2001, 92 continuations were funded, and 19 new care
grants were awarded. In fiscal year 2002, it is estimated that 56
continuations will be funded and 35 to 50 new prevention/education
grants will be awarded and 3-4 new care grants awarded. In fiscal
2003, it is estimated that approximately 55 continuations will be
funded, and approximately 75 new grants will be awarded.
REGULATIONS,
GUIDELINES, AND LITERATURE:
None.
INFORMATION
CONTACTS:
Regional
or Local Office: Not applicable.
Headquarters
Office: Program Contact: Dr. Patrick Sheeran,
Director, Office of Adolescent Pregnancy Programs, Office of Population
Affairs, Department of Health and Human Services, 4350 East-West
Highway, Suite 200, Bethesda, MD 20814. Telephone: (301) 594-2799.
Grants Management Contact: The Grants Management Officer, Office
of Grants Management, Office of Population Affairs, Department
of Health and Human Services, 4350 East-West Highway, Suite 200,
Bethesda, MD 20814. Telephone: (301) 594-4012. Use the same numbers
for FTS.
Web
Site Address: http://www.opa.osophs.dhhs.gov
EXAMPLES
OF FUNDED PROJECTS:
Projects to provide care services, prevention services, or both
care and prevention services to eligible persons; projects to coordinate,
integrate, and provide linkages among providers of care, prevention,
and other services for eligible persons; projects to provide supplemental
services where these services are not adequate or not available
to eligible persons and which are essential to the care of pregnant
adolescents and to the prevention of adolescent sexual relations
and adolescent pregnancy; and projects which test new approaches
to providing care and prevention services which are national in
scope.
CRITERIA
FOR SELECTING PROPOSALS:
Proposals must contain care and/or prevention services requirements
specified in the statute. Priority will be given to applicants who:
(1) Serve an area (a) where there is a high incidence of adolescent
pregnancy, (b) where the incidence of low-income families is high,
and (c) where the availability of programs for adolescents as specified
in this act is low; (2) show evidence (a) for care services, of
ability to deliver wide range of required services on single-site
or network basis, or (b) for prevention services, ability to provide
services targeted to population; (3) will utilize to maximum extent
possible (a) existing programs and facilities, and (b) other sources
of funding; (4) can demonstrate community commitment to the project;
(5) have involved community in developing the project; (6) will
demonstrate innovative approaches; and (7) demonstrate the reasonableness
of the estimated cost considering the anticipated results.
