Coal Miners Respiratory Impairment Treatment Clinics and Services

Under the Black Lung Clinics Program, the primary objective is to reduce the morbidity and mortality associated with occupationally-related coal mine dust lung disease (CMDLD) through the provision of medical, outreach, educational, and benefits counseling services to coal miners and their families.
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Under the Black Lung Center of Excellence, the primary objective is to strengthen the operations of the BLCP awardees and their ability to examine and treat respiratory and pulmonary impairments in active and inactive coal miners through improved data collection and analysis and to contribute to the body of knowledge on the health status and needs of U.S.

coal miners.

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.

Allison Hutchings, ahutchings@hrsa.gov, 301-945-9819.

Federal Office of Rural Health Policy, Health Resources and Services Administration, 5600 Fishers Lane, Mailstop 17W29-C, Rockville, MD 20857.



Program Accomplishments

Not Applicable.

Uses and Use Restrictions

USES: 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.

Eligibility Requirements

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.

In addition to the 50 states and the District of Columbia, applicants can be located in the Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Islands, the Territories of the Virgin Islands, Guam, American Samoa, the Compact Free Association Jurisdictions of the Republic of the Marshall Islands, the Republic of Palau, and the Federated States of Micronesia, if they meet eligibility requirements.

Foreign entities are not eligible for HRSA awards, unless the authorizing legislation specifically authorizes awards to foreign entities or the award is for research.

This exception does not extend to research training awards or construction of research facilities. The BLCE is open to BLCP recipients awarded funding under the HRSA-17-023/Black Lung Clinics Program notice of funding opportunity and that are involved in the operation of fixed-site and or mobile clinic facilities for the analysis, examination and treatment of respiratory and pulmonary impairments in active and inactive coal miners, assuming they meet the requirements of the BLCE.

Beneficiary Eligibility

Per 42 CFR Part55a, 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 CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

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.

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. 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 Procedures

Notification is made in writing by a Notice of Award.

Deadlines

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

Authorization

Sec. 427(a) of the Federal Mine Safety and Health Act of 1977, as amended (30 U.S.C. 937).

Range of Approval/Disapproval Time

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.

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

Assistance will cover operational costs and awardees will generally be expected to begin to deliver services immediately. See the following for information on how assistance is awarded/released: Awardees draw down funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards. See the following for information on how assistance is awarded/released: Grantees draw down funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Post Assistance Requirements

Reports

Awardees are required to submit an annual report that describes the utilization costs of services provided under the grant, and provide such other information as the Secretary determines appropriate.

Awardees will be required to submit a Performance Improvement Measurement System (PIMS) report through the EHB once a year throughout their project period.

The awardee will be required to submit performance and progress reports as well as status-federal financial reports (see the program announcement and notice of award for details for each required report).

The awardee must submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System within 30 days of the end of each calendar quarter.

A Federal Financial Report (SF-425) according to the following schedule: http://www.hrsa.gov/grants/manage/technicalassistance/federalfinancialreport/ffrschedule.pdf.

A final report is due within 90 days after the project period ends.

If applicable, the awardee must submit a Tangible Personal Property Report (SF-428) and any related forms within 90 days after the project period ends.

New awards (?Type 1?) issued under this notice of funding opportunity are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub.

L.

109?282), as amended by section 6202 of Public Law 110?252, and implemented by 2 CFR Part 170.

Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient?s and subrecipient?s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (FFATA details are available online at http://www.hrsa.gov/grants/ffata.html).

Competing continuation awardees, etc.

may be subject to this requirement and will be so notified in the Notice of Award.

A Non-competing Continuation report is required once a year throughout their project period.

No expenditure reports are required.

No performance monitoring is required.

No expenditure reports are required.

No performance monitoring is required.

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 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.

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.

Financial Information

Account Identification

75-0350-0-1-550.

Obigations

(Cooperative Agreements) FY 16 $150,000; FY 17 est $150,000; and FY 18 est $125,000 - BLCE. (Project Grants) FY 16 $6,537,443; FY 17 est $6,991,084; and FY 18 est $6,991,084 - BLCP.

Range and Average of Financial Assistance

BLCP (FY 2017): Range of awards (est.): $187,740 - 658,427. Average award (est.): $466,072 BLCE (FY 2017): Range of award (est.): $150,000. Average award (est.): $150,000 BLCP & BLCE combined (FY 2017): Range of awards (est.): $150,000 - 658,427 Average award (est.): $446,318.

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.

Information Contacts

Regional or Local Office

See Regional Agency Offices. Allison Hutchings, ahutchings@hrsa.gov, 301-945-9819. Federal Office of Rural Health Policy, Health Resources and Services Administration, 5600 Fishers Lane, Mailstop 17W29-C, Rockville, MD 20857.

Headquarters Office

Federal Office of Rural Health Policy 5600 Fishers Lane, Room 17W29-C, Rockville, Maryland 20857 Phone: (301) 443-0835

Criteria for Selecting Proposals

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.



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