Grants for Education, Prevention, and Early Detection of Radiogenic Cancers and Diseases (93.257)
Program
93.257 Grants for Education, Prevention, and Early Detection of Radiogenic Cancers and Diseases
Federal Agency
HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Authorization
Public Health Service Act, Section 417C, Public Law 106-245.
Program Number
93.257
Last Known Status
Active
Objectives
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.
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."
Application and Award Process
Preapplication 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
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.
Program Accomplishments
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.
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Grants) FY 02 $0; FY 03 est $4,000,000; and FY 04 est $4,000,000.
Range and Average of Financial Assistance
$200,00 to $400,000. Average: $300,000.
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).
Related Programs
None.
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
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.
