HIV Emergency Relief Project Grants (93.914)
Program
93.914 HIV Emergency Relief Project Grants
Federal Agency
HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Authorization
Public Health Service Act, Title XXVI, Part A, as amended, Public Law 106-345; Ryan White Care Act Amendments of 2000.
Program Number
93.914
Last Known Status
Active
Objectives
To provide direct financial assistance to eligible metropolitan areas (EMAs) that have been the most severely affected by the Human Immunodeficiency Virus (HIV) epidemic to develop, organize and operate programs that provide an effective, appropriate and cost efficient continuum of health care and support services for the individuals and families with HIV disease.
Types of Assistance
Project Grants.
Uses and Use Restrictions
Funds received under a grant are to be used to provide direct financial assistance for the purpose of delivering or enhancing HIV-related outpatient and ambulatory health and support services, including case management, substance abuse treatment and mental health treatment, and comprehensive treatment services, including treatment education and prophylactic treatment for opportunistic infections, for individuals and families with HIV disease; and inpatient case management services that prevent unnecessary hospitalization or that expedite discharge, as medically appropriate, from inpatient facilities. A percentage of the grant, determined by the percentage of women, infants, and children in the area with Acquired Immune Deficiency Syndrome, will be used to provide health and support services to infants, children, and women with HIV disease, including treatment measures to prevent the perinatal transmission of HIV. No more than 10 percent of amounts received under a grant may be used to reduce severe personnel shortages in institutional, inpatient settings such as hospitals and nursing homes. Funds may not be used to supplant or replace the resources of such institutional providers that are already devoted to the support of personnel providing HIV-related services. Funds may not be used to purchase or improve land, or to purchase, construct or make permanent improvement to any building except for minor remodeling. Funds may not be used to make payments to recipients of services. No more than five percent of funds awarded under a grant may be used for administration, accounting, reporting, and program oversight functions.
Eligibility Requirements
Applicant Eligibility
All previous eligible metropolitan areas (EMA) and all metropolitan areas with a population of 500,000 or more individuals for which the Centers for Disease Control and Prevention has reported a cumulative total of more than 2,000 cases of acquired immune deficiency syndrome for the most recent period of 5 calendar years that data are available. Previous EMAs include: Atlanta, Georgia; Baltimore, Maryland; Boston, Massachusetts; Chicago, Illinois; Dallas, Texas; Ft. Lauderdale, Florida; Houston, Texas; Los Angeles, California; Miami, Florida; New York, New York; Newark, New Jersey; Oakland, California; Philadelphia, Pennsylvania; San Diego, California; San Francisco, California; San Juan, Puerto Rico; Washington, DC; Orange County, California; Nassau/Suffolk Counties, New York; Detroit, Michigan; Seattle, Washington; New Orleans, Louisiana; Tampa, Florida. Petersburg, Florida; Ponce, Puerto Rico; Paterson, New Jersey; Denver, Colorado; Kansas City, Missouri; New Haven, Connecticut; Orange County, Florida; Phoenix, Arizona; San Bernardino, California; St. Louis, Missouri; West Palm Beach, Florida; Jacksonville, Florida; Austin, Texas; San Antonio, Texas; Portland, Oregon; Jersey City, New Jersey, Ponce, Puerto Rico; Caguas, Puerto Rico; Dutchess County, New York; Vineland, New Jersey; Santa Rosa, California; Cleveland, Ohio; Fort Worth, Texas; Hartford, Connecticut; Middlesex, New Jersey; Minneapolis, Minnesota; Sacramento, California; San Jose, California; Las Vegas, Nevada; and Norfolk, Virginia.
Beneficiary Eligibility
Individuals and families with HIV disease will benefit.
Credentials/Documentation
OMB Circular No. A-87, Cost Principles for State and Local Governments; OMB Circular No. A-102, Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments; and Public Health Service Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000 (Rev.) April 1, 1994.
Application and Award Process
Preapplication Coordination
There is no preapplication submittal 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.
Application Procedure
Applicants are to use the standard PHS Form 5161 for submitting applications. Applications may be obtained by writing to the Grants Management Branch, c/o HRSA Grants Application Center, 901 Russell Avenue, Suite 450, Gaithersburg, MD 20879 or by calling 1-877-477-2123.
Award Procedure
Applications will undergo an internal review process for funds awarded under Section 2603(a)(3). For funds awarded under Section 2603(b), applications will be reviewed by an Objective Grant Review Committee composed of representatives from various Department of Health and Human Services agencies, as well as outside reviewers that are experts in the field of HIV services planning and service delivery. Grants will be awarded to eligible metropolitan areas.
Deadlines
Contact the Headquarters Office listed below for deadline dates.
Range of Approval/Disapproval Time
Appeals
None.
Renewals
None.
Assistance Considerations
Formula and Matching Requirements
None.
Length and Time Phasing of Assistance
Grants are awarded for a 12-month budget period.
Post Assistance Requirements
Reports
Annual progress and annual financial reports are required. Annual reports are to be submitted within 90 days after the end of each budget period. The final performance report and final financial status reports are due 90 days from the end of the project period. Reports documenting services and costs will also be required.
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
All financial and programmatic records, supporting documents, statistical records, and other records of grantees and subgrantees must be retained for a period of 3 years. For grants that are renewed at annual intervals, the retention period for the records of each funding period starts on the day the grantee or subgrantee submits to the awarding agency its single or last expenditure report for that period. The awarding agency and the Comptroller General of the United States, or any of their authorized representatives, shall have the right of access to any pertinent books, documents, papers, or other records of grantees and subgrantees which are pertinent to the grant, in order to make audits, examinations, excepts, and transcripts.
Program Accomplishments
In fiscal year 2002, 51 non-competing continuation awards were made. It is estimated that 51 non-competing continuation awards will be made in fiscal year 2003. It is anticipated that 51 competing continuation awards will be made in fiscal year 2004.
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Grants) FY 02 599,513,000; FY 03 est $597,256,000; and FY 04 est $599,513,000.
Range and Average of Financial Assistance
From $810,259 to $103,875,412. Average: $11,755,157.
Regulations, Guidelines and Literature
PHS Grants Policy Statement, DHHS (OASH) Publication No. 94-50,000, (Rev.) April 1, 1994.
Related Programs
93.917, HIV Care Formula Grants.
Information Contacts
Regional or Local Office
None.
Headquarters Office
Program Contact: Douglas Morgan, Director, Division of Service Systems, HIV/AIDS Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 7A-55, Rockville, MD 20857. Telephone: (301) 443-6745. Grants Management Contact: Ms. Helen Harpold, Grants Management Specialist, Grants Management Branch, Office of Program Support, HIV/AIDS Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 7-89, Rockville, MD 20857. Telephone: (301) 443-2280. Use the same numbers for FTS.
Web Site Address
Examples of Funded Projects
Programs were funded to deliver or enhance HIV-related outpatient and ambulatory health and support services, including case management and comprehensive treatment services for individual and families with HIV disease and inpatient case management services.
Criteria for Selecting Proposals
Applications must meet seven criteria set forth in the enacting legislation: (1) Contain a report concerning the dissemination of emergency relief funds and the plan for utilization of such funds; (2) demonstrate the severe need in such area for supplemental financial assistance to combat the HIV epidemic; (3) demonstrate the existing commitment of local resources of the area, both financial and in-kind, to combat the HIV epidemic; (4) demonstrate the ability of the area to utilize such supplemental financial resources in a manner that is immediately responsive and cost-effective; (5) demonstrate that resources will be allocated in accordance with the local demographic incidence of AIDS including appropriate allocations for services for infants, children, women, and families with HIV disease; (6) demonstrate the inclusiveness of the planning council membership, with particular emphasis on affected communities and individuals with HIV disease; and (7) demonstrate the manner in which proposed services are consistent with the local needs assessment and the statewide coordinated statement of need.
