Modification of Trauma Care Component of State EMS Plan (93.953)
Program
93.953 Modification of Trauma Care Component of State EMS Plan
Federal Agency
HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Authorization
Public Health Service Act, Title XII, Sections 1211 and 1232(c), as amended.
Program Number
93.953
Last Known Status
Deleted 06/29/2005 (Program now under 93.952)
Objectives
To make grants to States and Territories for the purpose of developing, implementing, and monitoring modifications to the trauma care component of the State plan for the provision of emergency medical services.
Types of Assistance
Project Grants.
Uses and Use Restrictions
Funds may not be used for the following: (1) Any purpose other than developing, implementing, and monitoring the modifications required by Section 1211(b) to be made to the State plan for the provision of emergency medical services; (2) purchase or improvement of real property; or to purchase major medical or communication equipment, ambulance, or aircraft; (3) to make cash payments to intended recipients of services; (4) to satisfy any requirement for the expenditure of nonfederal funds as a condition for the receipt of Federal funds; or (5) to provide financial assistance to any entity other than a public or nonprofit private entity.
Eligibility Requirements
Applicant Eligibility
States and Territories.
Beneficiary Eligibility
Individuals in the State will benefit from this program.
Credentials/Documentation
Costs will be determined in accordance with the OMB Circular No. A-87 for State and local governments.
Application and Award Process
Preapplication Coordination
This program is excluded from coverage under E.O. 12372.
Application Procedure
Grantees must use the PHS Form 5161 for submitting applications. Application kits may be obtained by writing to the Grants Management Officer, Maternal and Child Health Bureau, Health Resources and Services Administration, Parklawn Building, Room 18-12, 5600 Fishers Lane, Rockville, MD 20857. This program is subject to the provisions of 45 CFR 74 for institutions of higher education, hospitals and other nonprofit organizations and 45 CFR 92 for State and local governments.
Award Procedure
Applications are reviewed by a committee composed of members of the staff of the Department of Health and Human Services (DHHS) and nongovernmental representatives. Applications are reviewed for merit, and are recommended for approval or disapproval. Final decisions are made by the Associate Administrator, Maternal and Child Health Bureau.
Deadlines
Contact Headquarters Office listed below for application deadlines.
Range of Approval/Disapproval Time
From 30 to 60 days.
Appeals
None.
Renewals
None.
Assistance Considerations
Formula and Matching Requirements
This program has no formula. Matching is required in the second and subsequent years.
Length and Time Phasing of Assistance
Awards are made for a 1-year budget and up to a 3-year project period.
Post Assistance Requirements
Reports
A progress report is required on a quarterly basis. A final progress report is required 90 days after the end of the project period. In addition, a final financial status report is to be submitted 90 days after the close 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 that year, except as noted in Circular A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal officials.
Records
Financial records must be kept available for 3 years after the submission of expenditure reports and 3 years after the final decision of non-expendable property. If questions remain, such as those raised as a result of an audit, records must be retained until the problem is resolved.
Program Accomplishments
No grants were awarded in fiscal year 2001. It is anticipated that approximately 20 grants will be awarded in fiscal year 2002. For fiscal year 2003, there are no current plans for awarding project grants.
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Grants) FY 02 $0; FY 03 est $2,000,000; and FY 04 est $0.
Range and Average of Financial Assistance
From $25,000 to $100,000. Average: $40,000.
Regulations, Guidelines and Literature
Pertinent information may be obtained by contacting the Headquarters Office listed below. PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994.
Related Programs
93.952, Improving EMS/Trauma Care in Rural Areas.
Information Contacts
Regional or Local Office
Not applicable.
Headquarters Office
Richard J. Smith III, M.S., Chief, Injury/EMS Branch, Maternal and Child Health Bureau, Health Resources and Services Administration, Public Health Service, Department of Health and Human Services, Parklawn Building, Room 18A-38, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0324. Grants Management Contact: Grants Management Branch, Maternal and Child Health Bureau, Health Resources and Services Administration, Public Health Service, Department of Health and Human Services, Parklawn Building, Room 18-12, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-1440.
Web Site Address
Examples of Funded Projects
None.
Criteria for Selecting Proposals
(1) Adequacy of the description of the gap in EMS/Trauma system components and of data presented in the needs assessment to support that the applicant is among those States that have the greatest need to develop, implement, and monitor trauma care systems. (2) Adequacy of documentation to support that the applicant is among those States that demonstrate the greatest commitment to establishing and maintaining such systems. (3) Completeness of the current State emergency medical services plan and of anticipated modifications to ensure adequate availability of complementary components necessary to support the trauma care plan. (4) Adequacy of the rationale that the modifications proposed for development, implementation, or monitoring follow a rational sequence of EMS and trauma care planning activities, support the commitment to a continuum of care, and will improve quality of trauma care provided. (5) Appropriateness and adequacy of the work plan, methodologies, and schedule for organizing and completing the project within the timeframe. (6) Preparation of application and proposed activities and workplan demonstrate coordination and consultation with, and commitment of, the medical, surgical, and nursing specialty groups, hospital associations, State and local emergency medical services directors, concerned advocates and other interested parties. (7) Reasonableness of the proposed budget and the cost efficiency of the project relative to service versus administrative costs. (8) Proposal demonstrates an understanding of the obstacles to completion and proposes effective measures to overcome these problems.
