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Catalog of Federal Domestic Assistance

Program Descriptions

93.127:  Emergency Medical Services for Children

Popular Name:  EMS for Children

Objectives:  To support demonstration projects for the expansion and improvement of emergency medical services for children who need treatment for trauma or critical care. It is expected that maximum distribution of projects among the States will be made and that priority will be given to projects targeted toward populations with special needs, including Native Americans, minorities, and the disabled.

PROGRAM AND AWARD	FINANCIAL AND INFORMATION CONTACTS
ELIGIBILITY REQUIREMENTS	FINANCIAL AND ADMINISTRATIVE INFO.
APPLICATION AND AWARD PROCESS	INFORMATION CONTACTS
RELATED PROGRAMS	ASSISTANCE CONSIDERATIONS
PROGRAM ACCOMPLISHMENTS	POST ASSISTANCE REQUIREMENTS

93.127 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility:  State governments and schools of medicine.

Beneficiary Eligibility:  All children will benefit from the project grants administered by this program, including children from minority groups.

Credentials/Documentation:  The basis for determining the allowance and allocability of costs charged to Public Health Service (PHS) grants is set forth in DHHS Regulations 45 CFR Part 74, Subpart Q, and 45 CFR Part 92, Subpart C. The cost principles prescribed for recipients are in: OMB Circular No. A-87 for State and local governments, OMB Circular No. A-21 for institutions of higher education, 45 CFR Part 74, Appendix E for hospitals, OMB Circular No. 122 for nonprofit organizations, and 48 CFR Subpart 31.2 for-profit (commercial) organizations.

93.127 APPLICATION AND AWARD PROCESS:

Preapplication Coordination:  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 the 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. Informal inquiries regarding the program and indication of intent to submit an application may be addressed to the Central Office.

Application Procedure:  Application is made by the submission of the standard PHS application form, PHS-5161-l. The standard application forms, as furnished by PHS and required by 45 CFR, 92 and 45 CFR 74 must be used for this program. Application kits are obtained by writing to the Grants Management Officer (see address below under "Information Contacts"). This program is subject to the provisions of 45 CFR 92 for State and local governments and 45 CFR 74 for nonprofit organizations.

Award Procedure:  Applications are reviewed by a review committee of experts who are generally nongovernmental. Applications are reviewed based on their merit, are recommended for approval or disapproval, and are ranked according to a point score. Final decisions are made by the Associate Administrator for Maternal and Child Health Bureau.

Deadlines:  Contact Headquarters Office for application deadlines.

Range of Approval/Disapproval Time:  Final decisions are made about 4 months after receipt of applications.

Appeals:  Applicants may reapply for support by submitting a revised application.

Renewals:  Renewal applications will be accepted.

Criteria for Selecting Proposals:  Grant applications will be reviewed and evaluated by a panel of reviewers experienced in the planning, implementation, and monitoring of emergency medical services and pediatric care. The reviewers will recommend approval or disapproval of an application; recommend a priority score for approved applications; recommend any modifications or conditions to the grant if awarded; and recommend any changes to the proposed budget. Recommendations of the review panel are presented to the Director, MCHB. Panel recommendations are advisory only, and the Director, MCHB will be responsible for final decisions regarding awards. Reviewers will use the criteria and questions described in the section on Categories of Grants: Program Narrative and Review Criteria to evaluate proposals. Applicants are urged to address these criteria as directly as possible in the text of the program narrative.

Examples of Funded Projects:  The project funded at the Utah Department of Health is designed to expand and improve a state-wide system of emergency medical services for children. The project is regional in scope, working closely with the Idaho, Oregon, and Washington EMSC projects. Components include development of a comprehensive inter-mountain pediatric EMS database, reducing the morbidity and mortality of Native American children living in the region, educating emergency care providers within the region about the capability, availability and response times of existing inter-mountain regional air transport, and establishing regional protocols and educational programs for the EMS systems through the region.

Range and Average of Financial Assistance:  From $125,000 to $400,000; $219,000.

93.127 RELATED PROGRAMS:

• 20.600 State and Community Highway Safety;
• 93.110 Maternal and Child Health Federal Consolidated Programs.

93.127 PROGRAM ACCOMPLISHMENTS:

93.127 FINANCIAL AND ADMINISTRATIVE INFO:

Federal Agency:  HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES

Type of Assistance:  Project Grants.

Obligations:  (Grants) FY 99 $14,738,244; FY 00 est $15,000,000; and FY 01 est $15,000,000.

Budget Account Number:  75-0350-0-1-550.

Authorization:  Public Health Service Act, Section 1910, as amended, Public Law 102-410.

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.

93.127 INFO CONTACTS:

Regional or Local Office:  Not applicable.

Headquarters Office:  Central Office Contacts: Program Contact: EMSC Program Director, Maternal and Child Health Bureau, Health Resources and Services Administration, Public Health Service, Department of Health and Human Services, Room 18A-38, 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 443-6192 or Office of Emergency Enforcement Services, Office of Traffic Injury Control Programs, National Highway Traffic Safety Administration, NTS-42, 400 7th Street, SW., Washington DC 20590. Phone: (202) 366-5440. 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, Room 18-12, Parklawn Bldg., 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 443-1440. Use the same numbers for FTS.

(See Appendix IV for more contact info.)

93.127 ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements:  This program has no statutory formula or matching requirements.

Length and Time Phasing of Assistance:  Awards are made annually, in accordance with the project period method of awarding grants. Payments are made through a Letter of Credit or Cash Demand System. Project periods are generally for 2 or 3 years.

Uses and Use Restrictions:  All funds granted should be expended solely for carrying out the approved project in accordance with Section 1910 of the Public Health Service Act.

93.127 POST ASSISTANCE REQUIREMENTS:

Reports:  Annual program reports, financial status reports, program service reports, and special reports must be submitted as required.

Audits:  In accordance with the provisions of OMB Circular No. A-133 (Revised, June 24, 1997), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that receive 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 officials.

Records:  Financial records must be kept available for 3 years after the submission of expenditure reports and 3 years after the final disposition 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.