Rapid Expansion Of Antiretroviral Therapy Programs For Hiv-Infected Persons In Selected Countries In Africa And The Caribbean Under The President'S Emergency Plan For Aids Relief (93.266)

Program

93.266 Rapid Expansion Of Antiretroviral Therapy Programs For Hiv-Infected Persons In Selected Countries In Africa And The Caribbean Under The President'S Emergency Plan For Aids Relief

Federal Agency

Agency: Department of Health and Human Services
Office: Health Resources and Services Administration

Authorization

Section 301(a) and 307 of the Public Health Service Act, 42 U.S.C. Sections 241 (a) and 2421, as amended, Public Law 108-25, United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2003, 22 U.S.C. 7601.

Program Number

93.266

Last Known Status

Active

Objectives

(1) To rapidly expand antiretroviral therapy (ART) to low income HIV-infected persons in a manner that is consistent with national plans and policies in the 15 targeted countries under the President's Emergency Plan for AIDS Relief (PEPFAR); and (2) To develop sustainable indigenous capacity to continue these programs after the project ends.

Types of Assistance

Cooperative Agreements

Uses and Use Restrictions

Cooperative Agreements will be awarded to organizations with excellent HIV care and treatment programs to expand their services.

Eligibility Requirements

Applicant Eligibility

Applicants must have 3 years experience of providing ART in 3 or more of the targeted countries. Eligible entities are those providing clinical care and anti-retroviral therapy in at least 3 of the 15 focus countries under the President's Emergency Plan.

Beneficiary Eligibility

Health care personnel and people living with AIDS.

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 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

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

3-6 months.

Appeals

Not Applicable.

Renewals

Projects are for one to five years with 12-month budget periods.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program.

Matching requirements are not applicable to this program.

MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

Project Period: From 1 to 5 years. Budget Period: For 12 months. 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

No program reports are required. No cash reports are required. Interim Progress Reports no less than 90 days before the end of the budget period. This will serve as the non-competing continuation application. Semi-annual Progress Report 7 months after the beginning of each budget period should provide progress on achieving objectives and modifications or new objectives. 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

All records must be maintained until expiration of 3 years from the date of submission of the final expenditure report. If questions remain following the 3-uear period, such as those raised as a result of an audit or an on-going enforcement action, recipients must retain records until the matter is completely resolved.

Program Accomplishments

Fiscal Year 2008: As of March 31, 2009, the TRACK 1.0 Grantees are responsible for approximately 328,000 individuals on ART and 606,000 receiving care. Over 7,000 health care workers were trained in 25 countries in FY06 as a result of the International Training and Education Center. Fiscal Year 2009: No Current Data Available Fiscal Year 2010: No Current Data Available

Financial Information

Account Identification

75-0350-0-1-550.

Obligations

(Cooperative Agreements) FY 08 $214,000,000; FY 09 est $177,000,000; FY 10 est $177,000,000

Range and Average of Financial Assistance

Floor: $8,000,000; Ceiling $120,000,000; Average $88,000,000.

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

93.941 HIV Demonstration, Research, Public and Professional Education Projects

Information Contacts

Regional or Local Office

See Regional Agency Offices. Dr. Barbara Aranda-Naranjo, Global Program, HIV/AIDS Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Suite 7-05, Rockville, MD 20857. Telephone: (301) 443-3327.

Headquarters Office

Dr. Barbara Aranda-Naranjo 5600 Fishers Lane, Suite 7-05, Rockville, Maryland 20857 Phone: (301) 443-3327

Web Site Address

www.hrsa.gov.

Examples of Funded Projects

Not Applicable.

Criteria for Selecting Proposals

Applications will be evaluated on the extent to which proposed objectives are specific, measurable, time-phased, and consistent with the stated purpose of this program; the extent to which the applicant's capability is sufficient in the areas of clinical care, drug and health commodities, laboratory services, training, community mobilization and behavior, monitoring and evaluation and sustainability; feasibility of their expansion plan; extent to which the organizational structure, management and staffing is appropriate and sound and the presentation of a reasonable budget.