Strengthening Public Health Services at the Outreach Offices of the U.S.-Mexico Border Health Commission

This funding is intended to support projects aligned with the goals of the United States-Mexico Border Health Commission (BHC), and its mission to provide leadership to optimize health and quality of life for residents in the border region.

Funding priorities include programs or initiatives related
to the BHC Healthy Border 2020 Strategy (Chronic and Degenerative diseases; Infectious diseases; Maternal and Child Health; Mental Health and Addiction; and Injury prevention) and BHC transversal issues (access to care, research, strategic planning); other border health needs identified during relevant bi-national Commission meetings.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Office - See Regional Agency Offices.

U. S. Section of the United States-Mexico Border Health Commission Office of Global Affairs, HHS 211 N.

Florence, Suite 101- El Paso, TX 79901 Phone: 915-532-1006 or 1-866-785-9867 Email: bhc@borderhealth.org For information on program requirements, contact the program office. Office of Global Affairs (OGA) 330 C Street SW, Room 2300 Washington, DC 20201 Phone: (202) 690-6174, (202)-260-0399 Email: globalhealth@hhs.gov.



Selected Recipients for this Program


RecipientAmount Start DateEnd Date
Public Health, California Department Of $ 325,000   2016-07-012021-06-30
State Health Services, Texas Department Of $ 402,000   2016-07-012021-06-30
Health Services Department $ 300,000   2016-07-012021-06-30
Health, New Mexico Department Of $ 273,000   2016-07-012021-06-30
State Health Services, Texas Department Of $ 285,696   2016-07-012019-06-30
Public Health, California Department Of $ 272,321   2016-07-012018-06-30
Health Services Department $ 235,063   2016-07-012018-06-30
Health, New Mexico Department Of $ 196,062   2016-07-012018-06-30
Health Services Department-$ 10,355   2011-09-012016-08-31
Health Services Department $ 1,675,500   2011-09-012016-08-31



Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Grant funds may only be used to support activities outlined in the approved project plan.

The successful applicant will be responsible for the overall management of activities within the scope of the approved project plan.

Please consult the HHS GPS Section II and 45 CFR 75.308 for aspects of your grant award that will require prior approval for any changes from the Grants Management Officer.

The allowability, allocability, reasonableness, and necessity of direct and indirect costs that may be charged to HHS/OASH grants must be in accordance with Department regulations and policy effective at the time of the award.

Current requirements are outlined at 45 CFR part 75 ?Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards.? Indirect costs may be included per 45 CFR 75.414.

Applicants should indicate which method and/or rate is used for this application.

Pre-award costs are not allowed.

The Consolidated Appropriations Act, 2016 (P.L.

114-113) limits the salary amount that you may be awarded and charge to HHS grants and cooperative agreements.

Grant funds may only be used to support activities outlined in the approved project plan.

The successful applicant will be responsible for the overall management of activities within the scope of the approved project plan.

Please consult the HHS GPS Section II and 45 CFR 75.308 for aspects of your grant award that will require prior approval for any changes from the Grants Management Officer.

This award may also be subject to the HHS Policy on Promoting Efficient Spending: Use of Appropriated Funds for Conferences and Meetings, Food, Promotional Items, and Printing and Publications available at http://www.hhs.gov/grants/contracts/contract-policies-regulations/efficient-spending/.

Eligibility Requirements

Applicant Eligibility

This is a limited eligibility cooperative agreement offered to the Arizona Department of Health Services/Office of Border Health; the California Department of Public Health/California Office of Bi-national Border Health; the New Mexico Department of Health/Office of Border Health; and the Texas Department of State Health Services/Office of Border Health.

The BHC?s establishing legislation (22 U.S.C.

290n) calls for close coordination and integration with each of the four state offices of border health, and enabled the Commission to locate its border health operations within those existing state offices to avoid duplicative efforts.

The four U.S.

offices of border health have extensive experience supporting the BHC?s bi-national goals, objectives, and initiatives, and maintain important working relationships and shared ongoing initiatives with Mexico through the appropriate BHC outreach office(s) on the Mexican side of the border.

Continuity and consistency in this bi-national effort in the border region is essential to the productivity and success of the BHC.

Beneficiary Eligibility

This funding is intended to support projects aligned with the goals of the United States-Mexico Border Health Commission, and its mission to provide leadership to optimize health and quality of life for residents in the border region. Special target populations and organizations can include specific sub-groups of interest, such as disadvantaged or medically underserved areas, limited-English speaking groups, migrant populations, native communities, and community-based organizations. The cooperative agreement mechanism encourages the formation and development of collaborative partnerships to facilitate sustainability of efforts and to maximize impact in the border region.

Credentials/Documentation

Applicants should provide documentation of the availability and qualifications (including expertise, relevant experience, education, and competence) of its proposed programmatic and administrative staff, as well as other personnel (including partner institutions, subcontractors, and consultants) who would perform required work activities. Acceptable documentation could include resumes/CVs, letters of endorsement, and narrative descriptions of previous work. Applicants should also provide documentation that demonstrates relevant depth of previous experiences communicating, coordinating, and collaborating with key stakeholders on multi-year border health initiatives involving relevant multi-sectoral partners (including those focusing on clinical medicine, public health, community outreach, academic research, government programs, policy making, etc.). 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication 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 Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program.

Award Procedures

Applications will be screened upon receipt. Those that are judged to be incomplete or arrive after the deadline will be returned without comment. Each HHS/OGA Program's office is responsible for facilitating the process of evaluating applications and setting funding levels according to the criteria set forth in the Funding Opportunity Announcement. An independent review panel will evaluate applications that pass the screening and meet the responsiveness criteria if applicable. These reviewers are experts in their fields, and are drawn from academic institutions, non-profit organizations, state and local government, and Federal government agencies. Based on the Application Review Criteria (as outlined under Section E.1 of the Funding Opportunity Announcement), the reviewers will comment on and score the applications, focusing their comments and scoring decisions on the identified criteria. In addition to the independent review panel, Federal staff will review each application for programmatic, budgetary, and grants management compliance. Final award decisions will be made by the HHS Assistant Secretary for Global Affairs.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

Public Health Service Act As Amended, Executive Order 22 U.S.C 290n, Title XVII, Section 1701(e) (1), 22 U.S.C 290n.

Range of Approval/Disapproval Time

From 30 to 60 days. HHS/OASH seeks to award funds as much in advance of the anticipated project start date shown in Section B ?Federal Award Information,? as practicable, with a goal of 10-15 days. If you are unsuccessful, you will be notified by the program office by email and/or letter and will receive summary comments pertaining to the application resulting from the review process. On occasion, some applicants may receive a letter indicating that an application was approved but unfunded. These applications are kept active for one year and may be considered for award without re-competing should funds become available during the hold period.

Appeals

Not Applicable.

Renewals

Project period is for 3 years. Each year of the approved project period, you will be required to submit a noncompeting application which includes a progress report for the current budget year, and work plan, budget and budget justification for the upcoming year. Specific guidance will be provided via Grant Solutions well in advance of the application due date. HHS/OASH will award continuation funding based on availability of funds, satisfactory progress of the project, and grants management compliance, including timely reporting. Additionally, failure to provide final progress or financial reports on other grants with HHS may affect continuation funding.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula. This program has no matching requirements. This program does not have MOE requirements.

Length and Time Phasing of Assistance

The Office of Global Affairs intends to make available approximately $1,100,000 for cooperative agreements during the second year of this cooperative agreement (July 1, 2017-June 30, 2018), and anticipates making four awards. OGA will fund grants in annual increments (budget periods) and for an anticipated project period of up to five years. Cost-sharing is not required, but development of sustainable partnerships and collaborative initiatives is highly encouraged. Method of awarding/releasing assistance: by letter of credit.

Post Assistance Requirements

Reports

No program reports are required.

Quarterly cash reporting to the HHS Payment Management System on the Federal Financial Reports (FFR) (SF-425) is required.

Please note, at this time, these FFR reports are separate submissions via the Payment Management System.

You must submit performance reports on a semi-annual basis.

Your performance reports must address content required by 45 CFR 75.342(b)(2).

You must submit your performance reports by upload to our grants management system (GrantSolutions.gov), in the Grant Notes module.

You will also be required to submit a final progress report covering the entire project period 90 days after the end of the project period.

You must submit the final report by upload to our grants management system (GrantSolutions.gov), in the Grant Notes module.

You will be required to submit quarterly and annual Federal Financial Reports (FFR) (SF-425).

Your specific reporting schedule will be issued as a condition of grant award.

You will also be required to submit a final FFR covering the entire project period 90 days after the end of the project period.

You must submit FFRs via our grants management system (GrantSolutions.gov) FFR module.

In accordance with 45 CFR 75.301, reporting requirements must be clearly articulated such that, where appropriate, performance during the execution of the Federal award can be measured.

Over the five-year cooperative agreement period, the grantee should remain in close communication with the BHC U.S.

Section Office and HHS/OGA to collaboratively develop a detailed evaluation plan for each annual budget period (i.e.

Program Years 1 through 5). At the end of each funding year of this initiative, the grantee should be able to: * Describe the process for partnership development with key organizations, and share feedback on the progress of more complex binational, cross-border, or border-wide partnerships. * Describe collaborations to address priority border health issues, and progress towards sustainability of border health initiatives and activities. * Describe outcomes achieved as a result of the influence of the grantee, the BHC, or other implementing partners. * Describe border community involvement for relevant border health activities. * Describe accomplishments and progress toward achieving BHC goals and addressing Healthy Border 2020 priority issues.

Audits

In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.

Records

Financial records, supporting documents, statistical records, and all other records pertinent to a grant shall be retained for a minimum of 3 years, or longer pending completion and resolution of any audit findings. HHS and the Comptroller General of the United States or any of their designated authorized officials shall have the right of access to any books, documents, papers, or other records of a grantee, sub-grantee, contractor, or subcontractor, which are pertinent to the HHS grant, in order to make audits, examinations, 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.

Financial Information

Account Identification

75-0120-0-1-551.

Obigations

(Cooperative Agreements) FY 16 $1,300,000; FY 17 est $1,100,000; and FY 18 Estimate Not Available

Range and Average of Financial Assistance

Fiscal Year 2014: $1,300,000 Fiscal Year 2015: $1,350,000 Fiscal Year 2016: $1,300,000 Fiscal Year 2017: $1,100,000 Anticipated future budget period amounts are dependent on the availability of funding.

Regulations, Guidelines, and Literature

Specific program requirements are described in the application instructions. If you are successful and receive a Notice of Award, in accepting the grant award, you stipulate that the award and any activities thereunder are subject to all provisions of 45 CFR part 75, currently in effect or implemented during the period of the grant or other Department regulations and policies effective at the time of the award. In addition, your organization must comply with all terms and conditions outlined in the Notice of Award, the U.S. Department of Health and Human Services (HHS) Grants Policy Statement (GPS), requirements imposed by program statutes and regulations and HHS grant administration regulations, as applicable, as well as any requirements or limitations in any applicable appropriations acts. The current HHS GPS is available at http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf. Please note HHS plans to revise the HHS GPS to reflect changes to the regulations; 45 CFR parts 74 and 92 have been superseded by 45 CFR part 75.

Information Contacts

Regional or Local Office

See Regional Agency Offices. U.S. Section of the United States-Mexico Border Health Commission Office of Global Affairs, HHS 211 N. Florence, Suite 101- El Paso, TX 79901 Phone: 915-532-1006 or 1-866-785-9867 Email: bhc@borderhealth.org For information on program requirements, contact the program office. Office of Global Affairs (OGA) 330 C Street SW, Room 2300 Washington, DC 20201 Phone: (202) 690-6174, (202)-260-0399 Email: globalhealth@hhs.gov.

Headquarters Office

Eric C. West For information related to administrative and budgetary requirements, contact the HHS/OASH Office of Grants Management Specialist listed below. DeWayne Wynn 1101 Wootton Parkway, Suite 550 Rockville, MD 20852 Phone: 240-453-8822 Email: Dewayne.Wynn@hhs.gov , Rockville, Maryland 20852 Email: eric.west@hhs.gov Phone: (240) 453-8822

Criteria for Selecting Proposals

Technical Approach: 30 points; Organizational Approach: 20 points; Personnel Qualifications: 20 points; Border Coordination Experience: 30 points.



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