Coal Miners Respiratory Impairment Treatment Clinics and Services

 

TThe Black Lung Clinics Program aims to reduce the morbidity and mortality associated with occupationally-related coal mine dust lung disease (CMDLD) through the provision of quality medical, outreach, educational, and benefits counseling services to coal miners. The primary objective of the Black Lung Data and Resource Center is to improve patient-level data collection and analysis, clinic operations, and the quality and breadth of services provided by the Black Lung Clinics Program (BLCP) recipients.

General information about this opportunity
Last Known Status
Active
Program Number
93.965
Federal Agency/Office
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Fiscal Year 2020 The program recently implemented a new reporting system that will better allow the clinics, HRSA, and other stakeholders to understand the burden of disease in the coal miner patient population. BLCP recipients worked in concert with HRSA and the BLDRC to develop and implement the system which was fully deployed in FY19. Quality data for analysis should be available in FY20 and will be used to monitor medical, outreach, educational, and benefits counseling services provided.
Fiscal Year 2021 This year, the Black Lung Clinics program achieved 100% cohort representation within the BLDRC REDCap data management system. This system was created in order to assist with the collection of Patient Level Data (PLD) measures instituted in FY19. Complete cohort participation will now assure that all program data can be consolidated and accessed in one place. This will facilitate access to data for program evaluation and management, and analyses of changes and trends in the health of the patient population served by BLCP grantees.
Fiscal Year 2022 In FY2021, BLCP grantees predominately leaned on HRSA funding to maintain a community presence to the greatest extent possible in the face of COVID restrictions. In FY2022, funds were deployed to take advantage of the proliferation of vaccines and loosening of restrictions to spur a push towards pre-pandemic productivity. According to the patient-level data reporting system, BLCP grantees achieved a 32% average increase in number of miners served between FY2021 and FY2022.
Authorization
Sec. 427(a) of the Federal Mine Safety and Health Act of 1977, as amended (30 U.S.C. 937)
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
The BLCP is open to any state or public or private entity that meets the requirements of the program. This includes faith-based and community-based organizations as well as federally-recognized Tribes and Tribal organizations. The requirements may be met by a state, a single entity in a state, or a newly-formed consortium within a state. The BLDRC is open to any state or public or private entity that meets the requirements of the program. This includes faith-based and community-based organizations as well as federally-recognized Tribes and Tribal organizations.
Beneficiary Eligibility
Per 42 CFR Part 55a, a "coal miner" is defined as: Any individual who works or has worked in or around a coal mine or coal preparation facility in the extraction or preparation of coal. The term also includes an individual who works or has worked in coal mine construction or transportation in and around a coal mine, to the extent that the individual was exposed to coal dust as a result of employment.
Credentials/Documentation
Applicants should review the individual HRSA notice of funding opportunity issued under this assistance listing for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is 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. 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
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards 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 Award.
Deadlines
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
From 120 to 180 days. Up to 6 months.
Appeals
Not applicable.
Renewals
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
How are proposals selected?
Per the 42 CFR Part 55a, funding criteria will take into account: (1) The number of miners to be served and their needs; and (2) The quality and breadth of services to be provided. Additionally, state applicants will be given preference over individual entities who apply within the same state.
How may assistance be used?
Screening, diagnosis and treatment services to active, inactive, disabled, and retired coal miners, including provision of the following services: education and outreach; medical case management; compensation counseling; DOL medical exams in accordance with the authorizing legislation; patient data collection and analysis; and other treatments that may relieve symptoms.
What are the requirements after being awarded this opportunity?
Reporting
Not applicable.
Auditing
Not applicable.
Records
Awardees are required to maintain grant accounting records 3 years after the date they submit the Federal Financial Report (FFR). 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.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
Assistance will cover operational costs and awardees will generally be expected to begin to deliver services immediately. Awardees draw down funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Jason Rush
Federal Office of Rural Health Policy
Rockville, MD 20857 US
blacklung@hrsa.gov
Phone: (301) 945-3054
Website Address
https://www.hrsa.gov/get-health-care/conditions/black-lung
Financial Information
Account Identification
75-0350-0-1-550
Obligations
(Cooperative Agreements) FY 22$125,000.00; FY 23 est $125,000.00; FY 24 est $156,250.00; FY 21$125,000.00; FY 20$125,000.00; FY 19$125,000.00; FY 18$120,000.00; FY 17$150,000.00; FY 16$150,000.00; - BLCRD(Project Grants) FY 22$10,869,651.00; FY 23 est $11,726,859.00; FY 24 est $12,190,000.00; FY 21$11,253,686.00; FY 20$11,253,686.00; FY 19$10,680,746.00; FY 18$9,770,410.00; FY 17$6,991,084.00; FY 16$6,537,443.00; - BLCP
Range and Average of Financial Assistance
BLCP (FY 2022): Range of awards: $342,614 - $2,162,010 Average award: $785,227 BLDRC (FY 2023): Range of award: $125,000. Average award: $125,000 BLCP & BLDRC combined (FY 2023): Range of awards: $125,000 - $2,262,010 Average award: $455,114
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. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants.
Examples of Funded Projects
Not applicable.