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Catalog of Federal Domestic Assistance

Program Descriptions

93.965:  Coal Miners Respiratory Impairment Treatment Clinics and Services

Popular Name:  Black Lung Clinics

Objectives:  (1) To develop high quality, patient-oriented, integrated systems of care which assure access to and continuity of appropriate primary, secondary and tertiary care with maximum use of existing resources; (2) to minimize the effects of respiratory and pulmonary impairments in coal miners and others with occupational related respiratory diseases; and (3) to emphasize patient and family member education to maximize the patient's ability for self-care.

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

93.965 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility:  State and local government agencies; private nonprofit agencies.

Beneficiary Eligibility:  Coal workers with respiratory and pulmonary impairments and their families.

Credentials/Documentation:  Evidence demonstrating that supported services will be accessible to a significant number of eligible beneficiaries is necessary. Costs will be determined in accordance with OMB Circular No. A-87 for State and local governments. For other grantees, costs will be determined by DHHS Regulations 45 CFR, Part 74, Subpart Q.

93.965 APPLICATION AND AWARD PROCESS:

Preapplication Coordination:  Preapplication Coordination is not 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. This program is subject to the requirements of the Public Health System Impact Statement.

Application Procedure:  The standard application forms, as furnished by DHHS and required by 45 CFR 92 for State and local governments, must be used for this program. State and local governments must prepare Form PHS-5161, Application for Federal Assistance (Nonconstruction), fully documenting the need for the grant and the proposed amount for the project. Other nonprofit entities must complete Form PHS-5194, Grant Application for Health Services, documenting the need for and the proposed amount of the grant. Applications are to be submitted to the Regional Health Administrator of the appropriate DHHS Regional Office. This program is subject to the provisions of 45 CFR, Part 92 for State and local governments and 45 CFR, Part 74 for nonprofit organizations. Applications are subject to review pursuant to 45 CFR, Part 100.

Award Procedure:  Final decisions are made by the Director, Bureau of Primary Health Care, Health Resources and Services Administration.

Deadlines:  None.

Range of Approval/Disapproval Time:  From 45 to 90 days.

Appeals:  None.

Renewals:  Same as Application Procedure.

Criteria for Selecting Proposals:  Projects must: (1) Serve a significant number of coal workers with pulmonary impairment without regard for their ability to pay; (2) maximize use of existing resources; (3) assure high quality treatment services and management; (4) assure that enrolled clients will receive education and training in the management of their health care; (5) establish agreements with all levels of care providers to assure continuity of care; (6) provide a coordinator of patient care who will assure the implementation of a patient care plan for each enrollee; and (7) coordinate with other similar projects to assure access to those who need services without duplication of effort.

Examples of Funded Projects:  (1) A statewide program of Black Lung Clinics as part of community primary care centers with coordination and assistance from the State health department; (2) An area-wide system of clinical and educational services in a rural area for Black Lung victims administered by a secondary referral hospital through linkage arrangements with other provider agencies; (3) A respiratory clinic operated by a nonprofit community organization to serve Black Lung victims in a county. Primary care services can be provided by private practitioners and community clinics through referral agreements.

Range and Average of Financial Assistance:  Generally, assistance will range from $50,000 to $350,000 for local programs. Statewide or area-wide program assistance will be proportionately greater.

93.965 RELATED PROGRAMS:

• 17.307 Coal Mine Workers' Compensation;
• 93.224 Community Health Centers;
• 93.773 Medicare: Hospital Insurance;
• 93.774 Medicare: Supplementary Medical Insurance;
• 93.778 Medical Assistance Program (Medicaid).

93.965 PROGRAM ACCOMPLISHMENTS:

93.965 FINANCIAL AND ADMINISTRATIVE INFO:

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

Type of Assistance:  Advisory Services and Counseling.

Obligations:  FY 99 $4,998,000; FY 00 est $5,943,000; and FY 01 est $5,943,000.

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

Authorization:  Federal Mine Safety and Health Act, Section 427(a); Black Lung Benefits Act; Public Law 95-239.

Regulations, Guidelines, and Literature:  Regulations and grant application guidance for the coal miners' respiratory treatment program are available from Regional Offices (see Appendix IV of the Catalog for list of Regional Offices) and 42 CFR 55a. PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994.

93.965 INFO CONTACTS:

Regional or Local Office:  Contact the Regional Health Administrators of DHHS Regional Offices. (See Appendix IV for list of regional offices.)

Headquarters Office:  Program Contact: Director, Division of Special Populations, Bureau of Primary Health Care, Health Resources and Services Administration, 9th Floor, 4350 East-West Highway, Bethesda, MD 20814. Phone: (301) 594-4420. Grants Management Contact: Office of Grants Management, Bureau of Primary Health Care, Health Resources and Services Administration, 11th Floor, 4350 East-West Highway, Bethesda, MD 20814. Phone: (301) 594-4237. Use the same numbers for FTS.

(See Appendix IV for more contact info.)

93.965 ASSISTANCE CONSIDERATIONS:

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

Length and Time Phasing of Assistance:  Assistance will cover operational costs and grantees will generally be expected to begin to deliver services immediately. However, at the discretion of the awarding office, up to 6 months may be allowed for planning and program development.

Uses and Use Restrictions:  USES: Grants may be used for the cost of providing diagnostic and treatment procedures required in the management of black lung and other respiratory impairments in coal miners and others with occupational related respiratory diseases, and costs of equipment and facilities renovation when these costs are demonstrated to be necessary to enable the implementation of services. RESTRICTIONS: Support is available only in areas where it can be demonstrated that there are significant numbers of active and/or inactive coal miners.

93.965 POST ASSISTANCE REQUIREMENTS:

Reports:  All grantees must submit financial status reports 90 days after the end of each budget period and a final financial status report at the end of the project period. Basic data, cost accounting, and reporting or monitoring systems will be compatible with federally established national reporting requirements for health services delivery projects.

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 government officials.

Records:  DHHS and the Comptroller General of the United States or any of their authorized representatives, shall have the right of access to any books, documents, papers, or other records of a grantee, subgrantee, contractor, or subcontractor, which are pertinent to the DHHS grant, in order to made audit, examination, excerpts and transcripts. Grantees are required to maintain grant accounting records 3 years after the end of a budget period. If any litigation, claim, negotiation, audit or other action involving the records 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.