[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: 42CFR56.404]



[Page 257]

 

                         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 D_Grants for Operating Migrant Health Entities

 

Sec. 56.404  Grant evaluation and award.



    (a) Within the limits of funds determined by the Secretary to be 

available for such purposes, the Secretary may award grants under this 

subpart to applicants therefor which, in his judgment, will provide 

needed health services in a catchment area not served by another project 

funded under this part and meet the applicable requirements of section 

319(d)(1)(B) of the Act and this part, in accordance with the priorities 

established pursuant to section 319(b) of the Act and Sec. 56.107 of 

subpart A of this part; Provided, That in the case of applicants which 

propose to serve substantially the same catchment area or where 

available funds are insufficient to fund all approvable applications 

within a priority category specified in Sec. 56.107, the Secretary will 

award the grant to the applicants which, in his judgment, will best 

promote the purposes of section 319(d)(1)(B) of the Act and the 

applicable regulations of this part, taking into account with respect to 

each application:

    (1) The degree to which the project would provide the services 

enumerated in Sec. 56.102(g)(1) and the feasibility of its providing 

all of such enumerated services by the end of the period of support 

under section 319(d)(1)(B) of the Act and this subpart;

    (2) The degree to which the applicant intends to integrate services 

supported by a grant under this subpart with health services provided 

under other federally assisted health service or reimbursement programs 

or projects;

    (3) The capability of the project to provide quality health care 

services;

    (4) The administrative and management capability of the applicant; 

and

    (5) The capability of the applicant to provide primary health 

services directly. In evaluating the relative capability of the 

applicant to provide such services directly, the Secretary shall take 

into consideration whether the direct provision of services is 

inappropriate because:

    (i) Provision of such services through contract or other arrangement 

would be more cost-effective;

    (ii) Provision of such services directly would unnecessarily 

duplicate existing resources; or

    (iii) Provision of the services other than directly would enhance 

the accessibility or acceptability of the services to the population 

served.

    (6) The extent to which community resources will be utilized by the 

proj ect; and

    (7) Consistent with the other requirements of this part, the degree 

to which and the manner in which the applicant provides specific health 

services which the Secretary has, through publication of a notice in the 

Federal Register, established as services which should receive emphasis 

by applicants.

    (b) The Secretary shall:

    (1) Make no more than two grants for the same entity under section 

319(d)(1)(B) of the Act;

    (2) Not make any grant under section 319(d)(1)(B) to an entity 

which, for the same project, has been awarded more than one grant under 

section 319(c) of the Act;

    (3) Not make a grant under section 319(d)(1)(B) to an entity which 

has been awarded a grant under section 319(d)(1)(A) of the Act.