[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: 42CFR56.108]



[Page 248-249]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                                SERVICES

 

PART 56_GRANTS FOR MIGRANT HEALTH SERVICES--Table of Contents

 

                      Subpart A_General Provisions

 

Sec. 56.108  Use of grant 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 

319 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 H of this part and as 

approved in the grant award;

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

improve the management or service capability of the project but only as 

approved by the Secretary;

    (3) To reimburse members of the grantee's governing board 

established pursuant to Sec. 56.304 of subpart C, or advisory council 

established pursuant to Sec. 56.603(q) of subpart F, if any, for 

reasonable expenses actually incurred by reason of their participation 

in the activities of such board or council;



[[Page 249]]



    (4) To reimburse such governing board or advisory council members 

who are individuals eligible to be served by the project for wages lost 

by reason of participation in the activities of such board or council;

    (5) The cost of delivering health services to migratory agricultural 

workers, seasonal agricultural workers and the members of their families 

within the project's catchment area, within the following limitations: 

grant funds may be used to pay the full cost of project services to such 

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. 56.303(f) of subpart C or Sec. 56.603(e) of 

subpart F, as applicable;

    (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; and

    (7) The cost of providing to the staff and governing board, if any, 

of the project training related to the management of an ambulatory care 

facility, and to the staff of a project funded under subpart C, D, or F 

of this part, training related to the provision of primary, supplemental 

and environmental health services provided or to be provided by the 

project, consistent with the applicable requirements of 45 CFR part 74.

    (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.