[Code of Federal Regulations]

[Title 42, Volume 1]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR51c.107]



[Page 177]

 

                         TITLE 42--PUBLIC HEALTH

 

    CHAPTER I--PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN 

                                SERVICES

 

PART 51c_GRANTS FOR COMMUNITY HEALTH SERVICES--Table of Contents

 

                      Subpart A_General Provisions

 

Sec. 51c.107  Use of project funds.



    (a) Any funds granted pursuant to this part, as well as other funds 

to be used in performance of the approved project, may be expended 

solely for carrying out the approved project in accordance with section 

330 of the Act, the applicable regulations of this part, the terms and 

conditions of the award, and the applicable cost principles prescribed 

in subpart Q of 45 CFR part 74.

    (b) Project funds awarded under this part may be used for, but need 

not be limited to, the following:

    (1) The costs of acquiring and modernizing existing buildings 

(including the costs of amortizing the principal of, and paying interest 

on, loans), but only in accordance with subpart E of this part and as 

approved in the grant award;

    (2) The costs of obtaining technical assistance to develop and 

improve the management capability of the project, but only as approved 

by the Secretary;

    (3) The reimbursement of members of the grantee's governing board, 

if any, for reasonable expenses actually incurred by reason of their 

participation in board activities;

    (4) The reimbursement of governing board members for wages lost by 

reason of participation in the activities of such board if the member is 

from a family with an annual family income below $10,000 or if the 

member is a single person with an annual income below $7,000;

    (5) The cost of delivering health services, including services 

rendered on a prepaid capitation basis, to residents of the project's 

catchment area within the following limitations: grant funds may be used 

to pay the full cost of project services to individuals and families 

with annual incomes at or below those set forth in the most recent ``CSA 

Income Poverty Guidelines'' (45 CFR 1060.2) issued by the Community 

Services Administration; and to pay the portion of the cost of services 

provided in accordance with the schedule of discounts which, under such 

schedule, is uncompensated; Provided, That (i) charges will be made to 

such individuals and families in accordance with Sec. 51c.303(f) of 

subpart C; (ii) reasonable effort shall be made to collect such charges 

under a billing and collections system; and (iii) the charge to grant 

funds shall exclude any amounts collected pursuant to paragraph 

(b)(5)(ii) of this section;

    (6) The cost of insurance for medical emergency and out-of-area 

coverage;

    (7) The cost of providing to the staff of the project training 

related to the provision of health services provided or to be provided 

by the project, and, to the staff and governing board, if any, training 

related to the management of an ambulatory care facility, consistent 

with the applicable requirements of 45 CFR part 74; and

    (8) The cost of developing and maintaining a reserve fund where 

required by State law for prepaid health care plans.

    (c) Prior approval by the Secretary of revisions of the budget and 

project plan is required whenever there is to be a significant change in 

the scope or nature of project activities.