63356 Federal Register / Vol. 62, No. 229 / Friday, November 28, 1997 / Notices

Herbert Traxler, Ph.D., Office of

Research and Planning, Bureau of

Health Professions, Health Resources

and Services Administration, Parklawn

Building, Room 8–47, 5600 Fishers

Lane, Rockville, Maryland 20857,

Telephone: (301) 443–6662 or 3148,

FAX: (301) 443–8003, EMAIL:

htraxler@hrsa.dhhs.gov.

Dated: November 21, 1997.

Claude Earl Fox,

Acting Administrator.

[FR Doc. 97–31224 Filed 11–26–97; 8:45 am]

BILLING CODE 4160–15–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Resources and Services

Administration

HIV Care Grant Program

AGENCY: Health Resources and Services

Administration.

ACTION: Notice of grants made to States

and territories.

SUMMARY: The Health Resources and

Services Administration (HRSA)

announces that fiscal year 1997 funds

have been awarded to States and

territories (hereinafter States) for the

HIV Care Grant Program. Although these

funds have already been awarded to the

States, HRSA is publishing this notice to

inform the general public of the

existence of the funds. In addition,

HRSA determined that it would be

useful for the general public to be aware

of the structure of the HIV Care Grant

Program and the statutory requirements

governing the use of the funds.

Funds will be used by the States to

improve the quality, availability, and

organization of health care and support

services for individuals and families

with HIV disease. The HIV Care Grant

Program is authorized by Title II of the

Ryan White Comprehensive AIDS

Resources Emergency (CARE) Act of

1990, Public Law 101–381, as amended

by the Ryan White CARE Act

amendments of 1996, Public Law 104–

146, which amended Title XXVI of the

Public Health Service Act. Funds were

appropriated under Public Law 104–

208.

FOR FURTHER INFORMATION CONTACT:

Individuals interested in the HIV Care

Grant Program should contact the

appropriate office in their State, and

may obtain information on their State

contact by calling Anita Eichler, M.P.H.,

Director, Division of Service Systems, at

(301) 443–6745.

SUPPLEMENTARY INFORMATION:

Availability of Funds

A total of $230,895,000 was made

available for the Title II HIV Care Grant

Program. These funds have been allotted

to the States according to a formula that

is determined by multiplying the

amount appropriated for Title II, less

any set-asides, by the distribution factor

determined for the State. In addition to

the Care Grants, $167,000,000 was also

awarded for the AIDS Drug Assistance

Program (ADAP) to help States increase

the number of HIV patients receiving

drugs, including combination therapies

and new drugs, and to help pay for their

increasing costs. Below are two tables.

The first shows the distribution of funds

for the Care Grant Program by State. The

second shows the distribution of funds

for the ADAP by State.

CARE GRANT AWARDS

State Amount

Alabama ................................ $2,838,265

Alaska ................................... 250,000

Arizona .................................. 2,045,462

Arkansas ............................... 1,395,995

California ............................... 31,548,137

Colorado ............................... 2,127,037

Connecticut ........................... 3,330,036

Delaware ............................... 1,322,724

District of Columbia .............. 2,877,431

Florida ................................... 23,416,364

Georgia ................................. 7,214,630

Hawaii ................................... 1,158,830

Idaho ..................................... 250,000

Illinois .................................... 6,606,747

Indiana .................................. 2,928,889

Iowa ...................................... 624,726

Kansas .................................. 997,168

Kentucky ............................... 1,415,277

Louisiana ............................... 4,252,105

Maine .................................... 489,755

Maryland ............................... 5,923,285

Massachusetts ...................... 4,217,542

Michigan ................................ 3,405,961

Minnesota ............................. 1,037,082

Mississippi ............................. 1,879,965

Missouri ................................. 2,620,796

Montana ................................ 136,900

Nebraska ............................... 499,395

Nevada .................................. 2,043,859

New Hampshire .................... 314,204

New Jersey ........................... 11,931,930

New Mexico .......................... 805,975

New York .............................. 34,972,364

North Carolina ....................... 4,803,070

North Dakota ......................... 100,000

Ohio ...................................... 4,739,289

Oklahoma .............................. 1,554,105

Oregon .................................. 1,601,172

Pennsylvania ......................... 7,686,648

Rhode Island ......................... 1,054,708

South Carolina ...................... 4,509,988

South Dakota ........................ 100,000

Tennessee ............................ 3,906,471

Texas .................................... 14,636,207

Utah ...................................... 852,251

Vermont ................................ 250,000

Virginia .................................. 5,235,047

CARE GRANT AWARDS—Continued

State Amount

Washington ........................... 2,830,277

West Virginia ......................... 492,843

Wisconsin .............................. 1,755,689

Wyoming ............................... 100,000

Guam .................................... 11,608

Puerto Rico ........................... 7,605,266

Virgin Islands ........................ 191,525

AIDS DRUG ASSISTANCE PROGRAM

AWARDS

[State/Territory—FY 1997 Grant Award]

Alabama $1,329,706

Alaska ................................... 112,917

Arizona .................................. 1,450,752

Arkansas ............................... 654,013

California ............................... 26,371,892

Colorado ............................... 1,607,932

Connecticut ........................... 2,790,394

Delaware ............................... 619,686

District of Columbia .............. 2,613,341

Florida ................................... 17,898,632

Georgia ................................. 5,125,509

Hawaii ................................... 542,903

Idaho ..................................... 112,917

Illinois .................................... 5,427,222

Indiana .................................. 1,372,162

Iowa ...................................... 292,680

Kansas .................................. 568,196

Kentucky ............................... 663,046

Louisiana ............................... 2,717,224

Maine .................................... 229,446

Maryland ............................... 5,025,239

Massachusetts ...................... 3,310,714

Michigan ................................ 2,408,285

Minnesota ............................. 841,003

Mississippi ............................. 880,749

Missouri ................................. 1,965,652

Montana ................................ 64,137

Nebraska ............................... 233,963

Nevada .................................. 975,533

New Hampshire .................... 214,993

New Jersey ........................... 9,448,859

New Mexico .......................... 377,593

New York .............................. 29,381,796

North Carolina ....................... 2,250,201

North Dakota ......................... 24,390

Ohio ...................................... 2,577,208

Oklahoma .............................. 728,086

Oregon .................................. 1,148,136

Pennsylvania ......................... 5,258,299

Rhode Island ......................... 494,123

South Carolina ...................... 2,112,895

South Dakota ........................ 38,843

Tennessee ............................ 1,830,152

Texas .................................... 11,061,308

Utah ...................................... 399,273

Vermont ................................ 92,140

Virginia .................................. 2,881,631

Washington ........................... 2,067,728

West Virginia ......................... 247,513

Wisconsin .............................. 823,839

Wyoming ............................... 37,940

Guam .................................... N/A

Puerto Rico ........................... 5,315,209

Virgin Islands ........................ N/A

Total ............................... $167,000,000
Federal Register / Vol. 62, No. 229 / Friday, November 28, 1997 / Notices 63357

Eligibility Criteria

In order to receive funding under

Title II of the CARE Act, each State was

required to develop:

• A detailed description of the HIVrelated services provided in the State to

individuals and families with HIV

disease during the year preceding the

year for which the grant was requested,

and the number of individuals and

families receiving such services; and

• A comprehensive plan for the

organization and delivery of HIV health

care and support services to be funded

with the Title II grant, including a

description of the purposes for which

the State intends to use such assistance.

Each State was also required to

submit an application containing such

agreements, assurances, and information

as the Secretary determined to be

necessary to carry out this program,

including an assurance that:

• The public health agency that is

administering the grant for the State will

conduct public hearings concerning the

proposed use and distribution of the

Title II grant assistance;

• The State will, to the maximum

extent practicable, ensure that HIVrelated health care and support services

delivered with Title II assistance will be

provided without regard to the ability of

the individual to pay or the current or

past health condition of the individual;

ensure that such services will be

provided in a setting that is accessible

to low-income individuals with HIV

disease, and provide outreach to inform

such individuals of the services

available; and, in the case of a State that

intends to use grant funds for the

continuation of health insurance

coverage, ensure that the State has

established a program that assures that

such amounts will be targeted to

individuals who would not otherwise be

able to afford health insurance coverage,

that income, assets, and medical

expense criteria will be established and

applied by the State to identify those

individuals who qualify for assistance,

and that information concerning such

criteria will be made available to the

public;

• The State will provide for periodic

independent peer review to assess the

quality and appropriateness of health

and support services provided by

entities that receive Title II funds from

the State;

• The State will permit and cooperate

with any Federal investigations

undertaken regarding programs

conducted under Title II;

• The State will maintain HIV-related

activities at a level that is equal to not

less than the level of such expenditures

by the State for the 1-year period

preceding the fiscal year for which the

State applied to receive a grant under

Title II; and

• The State will ensure that grant

funds are not utilized to make payments

for any item or service to the extent that

payment has been made, or can

reasonably be expected to be made, with

respect to that item or service (1) under

any State compensation program, under

an insurance policy, or under any

Federal or State health benefits program,

or (2) by an entity that provides health

services on a prepaid basis.

General Use of Grant Funds

States may use the HIV Care Grant

funds to:

• Deliver or enhance HIV-related

outpatient and ambulatory health and

support services, including case

management, substance abuse treatment

and mental health treatment, and

comprehensive treatment services,

which include treatment education and

prophylactic treatment for opportunistic

infections, for individuals and families

with HIV disease.

• Deliver or enhance HIV-related

inpatient case management services that

prevent unnecessary hospitalization or

that expedite discharge, as medically

appropriate, from inpatient facilities.

• Establish and operate HIV care

consortia within areas most affected by

HIV. The statute defines a consortium as

an association of one or more public,

and one or more nonprofit private (or

private for-profit providers or

organizations if such entities are the

only available providers of quality HIV

care in the area) health care and support

service providers and community-based

organizations operating within areas

determined by the State to be most

affected by HIV disease.

• Provide home- and communitybased care services for individuals with

HIV disease. Funding priorities must be

given to entities that provide assurances

to the State that they will participate in

HIV care consortia if such consortia

exist within the State, and will utilize

the funds for the provision of home- and

community-based services to lowincome individuals with HIV disease.

• Provide assistance to assure health

insurance coverage for low-income

individuals with HIV disease.

• Provide therapeutics to treat HIV

disease or prevent the serious

deterioration of health arising from HIV

disease in eligible individuals,

including measures for the prevention

and treatment of opportunistic

infections.

A State must use not less than the

percentage of its grant funds constituted

by the ratio of the population in the

State of infants, children, and women

with AIDS to the general population in

the State of individuals with AIDS to

provide health and support services to

infants, children, and women with such

syndrome.

A State must take administrative or

legislative action to require that a good

faith effort be made to notify a spouse

of a known HIV-infected patient that

such spouse may have been exposed to

HIV and should seek testing.

At least 75 percent of the fiscal year

1997 Title II grant awarded to a State

must be obligated to specific programs

and projects and made available for

expenditure not later than 150 days after

receipt of such amounts in the case of

a the first fiscal year for which amounts

are received, and within 120 days of the

receipt of the grant by the State in

succeeding fiscal years.

Federal Smoke-Free Compliance

The Public Health Service strongly

encourages all grant and contract

recipients to provide a smoke-free

workplace and promote the non-use of

all tobacco products. In addition, Public

Law 103–227, the Pro-Children Act of

1994, prohibits smoking in certain

facilities (or in some cases, any portion

of a facility) in which regular or routine

education, library, day care, health care

or early childhood development

services are provided to children.

Executive Order 12372

It has been determined that the Title

II HIV Care Grant Program is not subject

to the provisions of Executive Order

12372 concerning inter-governmental

review of Federal programs.

The Catalog of Federal Domestic

Assistance Number is 93.917.

Dated: November 21, 1997.

Claude Earl Fox,

Acting Administrator.

[FR Doc. 97–31211 Filed 11–26–97; 8:45 am]

BILLING CODE 4160–15–U

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Resources and Services

Administration

HIV Emergency Relief Grant Program

AGENCY: Health Resources and Services

Administration.

ACTION: Notice of grants made to eligible

metropolitan areas.

SUMMARY: The Health Resources and

Services Administration (HRSA)

announces that fiscal year 1997 funds