Health Education and Training Centers (93.189)
Program
93.189 Health Education and Training Centers
Federal Agency
HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Authorization
Public Health Service Act, Title VII, Part C, Section 752, 42 U.S.C. 294b, as amended; Health Professions Education Partnerships Act of 1998, Public Law 105-392.
Program Number
93.189
Last Known Status
Active
Objectives
To provide assistance for establishing, maintaining, and operating Health Education and Training Centers (HETCs) that: (1) address the persistent and severe unmet health care needs in States along the border between the United States and Mexico and in the State of Florida, and in other urban and rural areas with populations with serious unmet health care needs; (2) establish an advisory board comprised of health service providers, educators and consumers from the service area; (3) conduct training and education programs for health professions students these areas; (4) conduct training in health education services, including training to prepare community health workers; and (5) support health professionals (including nursing) practicing in the area through educational and other services. Applicants shall collaborate with 2 or more disciplines, e.g., medicine, dentistry, nursing, advanced practice nursing, physicians assistant, mental health, public health, pharmacy, physical therapist, social work, allied health, community health worker; enter into contracts and agreements with entities with expertise in providing public health and health education services to the public; and coordinate activities and programs with similar activities and programs carried out in the target communities and minority, disadvantaged, and/or underserved populations.
Types of Assistance
Project Grants.
Uses and Use Restrictions
Grants are to assist in meeting costs of the program which cannot be met from other sources. Not less than 75 percent of the total funds provided to a school or schools of allopathic medicine or osteopathic medicine or nursing will be expended in the development and operation of the health education and training center in the service area of such program; to the maximum extent feasible, the schools of medicine or nursing will obtain from nongovernmental sources the amount of the total operating funds for such program which are not provided by the Secretary; no grant or contract shall provide funds solely for the planning or development of a health education and training center program for a period in excess of 2 years; not more than 10 percent of the annual budget of each program may be utilized for the renovation and equipping of clinical teaching sites; and no grant or contract shall provide funds to be used outside the United States, except as the Secretary may prescribe for travel and communications purposes related to the conduct of a border health education and training center.
Eligibility Requirements
Applicant Eligibility
Accredited schools of allopathic or osteopathic medicine, or the parent institution on behalf of such schools, or a consortium of such schools. In States in which no area health education centers program is in operation, an accredited school of nursing is also an eligible applicant.
Beneficiary Eligibility
Same as applicant eligibility above.
Credentials/Documentation
The basis for determining the allowability and allocability of costs charged to PHS grants is set forth in 45 CFR 74, Subpart Q.
Application and Award Process
Preapplication Coordination
Not applicable. This program is excluded from coverage under E.O. 12372.
Application Procedure
The new URL (Uniform Resource Locator) for the Bureau of Health Professions (BHPr) Grants Page is "http://www.bhpr.hrsa.gov/grants.2002". This year BHPr has decided to use Adobe Acrobat to publish the grant documents on the Web page. In order to download, view and print these grant documents, you will need a copy of Adobe Acrobat Reader. This can be obtained without charge from the Internet by going to the Adobe Web page ("http://www.adobe.com") and downloading the version of the Adobe Acrobat Reader which is appropriate for your operating system, i.e., Windows, Unix, Macintosh, etc. A set of more detailed instructions on how to download and use the Adobe Acrobat Reader can be found on the BHPr Grants Web page under "Notes on this WWW Page."
Award Procedure
Notification is made in writing by a Notice of Grant Award issued from the Headquarters Office.
Deadlines
Application deadlines can be obtained via the Internet at http://www.bhpr.hrsa/gov/grants.2002.
Range of Approval/Disapproval Time
Appeals
Appeal available only to grantees.
Renewals
At the end of the initial project period, competing continuation applications may be submitted for up to 3 years of support.
Assistance Considerations
Formula and Matching Requirements
Fifty percent of the appropriated funds each year must be made available for approved applications for border HETCs. The amount allocated for each approved application for a border HETC shall be determined in accordance with a formula which is based on data relative to: (1) The low-income population, in 233 counties and the 67 counties of Florida (2) the percent change in population of those counties 3) need for primary care physicians and 4) infant mortality rate for each county.
Length and Time Phasing of Assistance
The first project period will be up to 3 years to allow for the development of the health education and training centers. However, no Federal funds will be used solely for the planning or development of a program period after the first project period which will be a maximum of 3 years.
Post Assistance Requirements
Reports
A Uniform Progress Report(UPR) must be submitted annually. A Financial Status Report must be submitted within 90 days after the end of each budget period. A final progress report and Financial Status Report must be submitted within 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 the year, except as noted in Circular No. A-133.
Records
Financial records must be kept available for 3 years after the submission of an expense report and 3 years after final disposition of nonexpendable property. If questions remain, such as those raised as a result of audit, records must be retained until the matter is resolved.
Program Accomplishments
In fiscal year 2002, 13 were made; 5 border HETCs and 8 Non-Border HETCs. Competing awards will be made. In fiscal year 2003, it is estimated that no new awards will be made.
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Grants) FY 02 $4,200,000; FY 03 est $4,200,000; and FY 04 est $4,200,000.
Range and Average of Financial Assistance
Fiscal year 2002 Border HETC: $84,237 to $560,874; $388,889. Non-Border HETC: $177,316 to $281,018; $250,361.
Regulations, Guidelines and Literature
Pertinent information may be obtained by contacting the Bureau of Health Professions Grants Office, Grants Management Branch, Room 8C-26, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-6960.
Related Programs
None.
Information Contacts
Regional or Local Office
Not applicable.
Headquarters Office
Program Contact: Louis D. Coccodrilli, M.P.H., Chief, AHEC Branch, Division of State, Community and Public Health, Bureau of Health Professions, Health Resources and Services Administration, Public Health Service, Parklawn Building, Room 9-105, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-6950. Grants Management Contact: Division of Grants Management Operations, Health Resources and Services Administration, Public Health Service, Room 11-03, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857.
Web Site Address
Examples of Funded Projects
Grants cover planning and implementation strategies on statewide, regional and local levels, including training programs serving Hispanics and other minority/underserved populations in Florida and United States-Mexico border areas, and in other underserved, rural and inner-city communities. Trainees include physicians, nurses, allied health personnel, public health personnel, community health workers and others.
Criteria for Selecting Proposals
Competing applications are initially reviewed by nonfederal consultants whose recommendations are considered by the Secretary. The Secretary will approve projects which best promote the purposes of Section 746(f). The Secretary will consider, among other factors: (1) The degree to which the proposed project meets legislative intent and adequately provides for the project specifications; (2) the administrative and management capability of the applicant to carry out the proposed project in a cost-effective manner; (3) the extent of the need of the area to be served by the proposed health education and training center; (4) the potential of the project to continue on a self-sustaining basis, and (5) the extent to which the project responds to performance measures of distribution, diversity, and quality.
