Maternal and Child Health Federal Consolidated Programs (93.110)
Program
93.110 Maternal and Child Health Federal Consolidated Programs
Federal Agency
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration
Authorization
Social Security Act, Title V, Section 502(a)(1) and (b)(1) and 501(c)(1), as amended; 42 U.S.C. 702.; Section 399BB of the Public Health service Act; Section 1109, 1111 and 1112 of the Public Health Service Act and Section 399R of the Public Health Service Act.
Program Number
93.110
Last Known Status
Active
Objectives
To carry out special maternal and child health (MCH) projects of regional and national significance; to conduct training and research; to conduct genetic disease testing, counseling, and information development and dissemination programs; for grants relating to hemophilia without regard to age; and for the screening of newborns for sickle cell anemia, and other genetic disorders. and to support comprehensive hemophilia diagnostic and treatment centers. These grants are funded with a set-aside from the MCH Block grant program. SPRANS grants are funded with 15 percent of the Block Grant appropriation of up to $600 million. When the appropriation exceeds $600 million, 12.75 percent of the amount over $600 million is set aside for the Community Integrated Service Systems grants. 15 percent of the balance remaining over $600 million is also for SPRANS. The CISS program is to develop and expand the following: (1) Home visitation; (2) increased participation of obstetricians and pediatricians; (3) integrated service delivery systems; (4) maternal and child health centers for women and infants, under the direction of a not-for-profit hospital; (5) services for rural populations; and (6) community-based services for children with special health care needs in order to enhance or develop an integrated services system. Funds are appropriated for the development of family to family health information centers as such: $3,000,000 for FY 07; $4,000,000 for FY 08; and $5,000,000 for FY 09. Family to Family health information centers assist families with children with disabilities or special health care needs to make informed choices about health care in order to promote good treatment decisions, cost effectiveness, and improved health outcomes for such families.
In FY 2008 Congress first funded the Combating Autism Act program, which is for early detection, education and intervention activities on autism and other developmental disorders.
To fund the Heritable Disorder program to improve newborn and child screening for heritable disorders.
To fund the Congenital condition program to provide information and support services to women and their families that have received a diagnosis for Down Syndrome, Spina Bifida, Dwarfism and other penatally or postnatally diagnosed conditions.
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Types of Assistance
PROJECT GRANTS
Uses and Use Restrictions
Training grants are made to institutions of higher learning for training personnel for health care and related services for mothers and children. Research grants are for the purpose of research activities which show promise of a substantial contribution to the advancement of maternal and child health services. Genetic grants are for genetic disease testing, counseling and information development and dissemination. Hemophilia grants are for the support of centers which provide hemophilia diagnostic and treatment services. Other special project grants are designed to support activities of a demonstration nature which are designed to improve services for mothers and children.
Eligibility Requirements
Applicant Eligibility
Training grants may be made to public or private nonprofit institutions of higher learning. Research grants may be made to public or private nonprofit institutions of higher learning and public or private nonprofit private agencies and organizations engaged in research or in Maternal and Child Health (MCH) or Children with Special Health Care Needs (CSHCN) programs. Any public or private entity is eligible for hemophilia and genetics grants and other special project grants, including CISS. Family to Family Health Information Centers are to be developed in the 50 States and the District of Columbia.
Beneficiary Eligibility
For training grants: (1) Trainees in the health professions related to MCH; and (2) mothers and children who receive services through training programs. For research grants: public or private nonprofit agencies and organizations engaged in research in MCH or CSHCN programs. For hemophilia, genetics, and special projects: (1) Public or private agencies, organizations and institutions; and (2) mothers and children, and persons with hemophilia (any age), who receive services through the programs.
Credentials/Documentation
Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. OMB Circular No. A-87 applies to this program.
Application and Award Process
Preapplication Coordination
Preapplication coordination is required. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
Application Procedure
OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. HRSA requires all applicants to apply electronically through Grants.gov.
All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.
Award Procedure
Notification is made in writing by a Notice of Grant Award.
Deadlines
Contact the headquarters or regional office, as appropriate, for application deadlines.
Range of Approval/Disapproval Time
From 3 to 6 months.
Appeals
Not Applicable.
Renewals
After initial award, projects may be renewed annually up to the limit of the project period upon the submission and approval of a satisfactory continuation application.
Assistance Considerations
Formula and Matching Requirements
This program has no statutory formula.
Matching Requirements: Percent: 35.%.
This program does not have MOE requirements.
Length and Time Phasing of Assistance
Awards are made on an annual basis for the duration of the grant period, and payments are made through an Electronic Transfer System or Cash Demand System. See the following for information on how assistance is awarded/released: Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Post Assistance Requirements
Reports
Annual program reports, annual program service reports, and special reports as required. No cash reports are required. Annual financial reports. No expenditure reports are required. No performance monitoring is required.
Audits
In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.
Records
Grantees are required to maintain grant accounting records for 3 years after the date they submit the FSR. If any litigation, claim, negotiation, audit, or other action involving the award 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.
Program Accomplishments
Fiscal Year 2008: In FY 08, 578projects werefunded, including new projects for the Combating Autism Act. Fiscal Year 2009: In FY 09, it is estimated that 589 projects will be funded for all the activities supported under this CFDA. Fiscal Year 2010: In FY 2010, 566 projects will be funded for all the activities supported under this CFDA.
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Project Grants) FY 08 $131,649,370; FY 09 est $141,084,124; FY 10 est $141,984,124
Range and Average of Financial Assistance
$14,000 to $3,999,342; $227,767.
Regulations, Guidelines and Literature
This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable.
Related Programs
93.234 Traumatic Brain Injury State Demonstration Grant Program; 93.251 Universal Newborn Hearing Screening; 93.365 Sickle Cell Treatment Demonstration Program; 93.926 Healthy Start Initiative; 93.994 Maternal and Child Health Services Block Grant to the States
Information Contacts
Regional or Local Office
See Regional Agency Offices. Associate Administrator for Maternal and Child Health, Health Resources and Services Administration, Department of Health and Human Services, Room 18-05, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-2170.
Headquarters Office
Associate Administrator for Maternal and Child Health 5600 Fishers Lane, Room 18-05, Rockville, Maryland 20857 Phone: (301) 443-2170
Web Site Address
Examples of Funded Projects
Fiscal Year 2008: (1) Health Professional Training Projects; (2) Schools of Public Health; (3) Maternal and Child Health Research; (4) Genetic Screening, Testing and Counseling; (5) Hemophilia Diagnosis and Treatment Centers; (6) Child and Adolescent Health Services Demonstration Projects; (7) Healthy Tomorrows Community Based Partnerships; (8) Community Integrated Service Systems (CISS) to develop comprehensive community based systems to services; and (9) Family to Family Health Information Centers. Fiscal Year 2009: No Current Data Available Fiscal Year 2010: No Current Data Available
Criteria for Selecting Proposals
General criteria are described in Program Regulations 45 CFR 51, and specific criteria are included in the program guidance materials provided with application kits. Contact Central Office for details.
