[Code of Federal Regulations]

[Title 42, Volume 1]

[Revised as of October 1, 2006]

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

[CITE: 42CFR56.104]



[Page 245-247]

 

                         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.  56.104  Application.



    (a) An application for a grant under this part shall be submitted to 

the Secretary at such time and in such form and manner as the Secretary 

may prescribe.

    (b) The application shall contain a budget and narrative plan of the 

manner in which the applicant intends to



[[Page 246]]



conduct the project and carry out the requirements of this part. The 

application must describe how and the extent to which the project has 

met, or plans to meet, each of the requirements in subpart B (relating 

to grants for planning and development of migrant health centers), 

subpart C (relating to grants for the operation of migrant health 

centers), subpart D (relating to grants for the operation of migrant 

health entities), subpart E (relating to grants for planning and 

developing migrant health programs), subpart F (relating to grants for 

the operation of migrant health programs), or subpart G (relating to 

grants for technical assistance), as applicable. In addition, 

applications must include:

    (1) A statement of specific, measurable objectives and the methods 

to be used to assess the achievement of the objectives in specified time 

periods and at least on an annual basis.

    (2) The precise boundaries of the catchment area to be served by the 

applicant. In addition, the application shall include information 

sufficient to enable the Secretary to determine that the applicant's 

catchment area meets the following criteria:

    (i) The size of such area is such that the services to be provided 

by the applicant are available and accessible to the residents of the 

area promptly and as appropriate;

    (ii) The boundaries of such area conform, to the extent practicable, 

to relevant boundaries of political subdivisions, school districts, and 

areas served by Federal and State health and social service programs; 

and

    (iii) The boundaries of such area eliminate, to the extent possible, 

barriers resulting from the area's physical characteristics, its 

residential patterns, its economic and social groupings, and available 

transportation.

    (3)(i) The number of migratory agricultural workers and members of 

their families, and seasonal agricultural workers and members of their 

families which resided in the project's catchment area in the most 

recent calendar year for which statistical data acceptable to the 

Secretary is available; and

    (ii) The approximate period or periods of residence of all groups of 

migratory agricultural workers and their families counted under 

paragraph (b)(3)(i) of this section.

    (4) The results of an assessment of the need that the population to 

be served has for the services to be provided by the project (or in the 

case of applications for planning and development projects, the methods 

to be used in assessing such need), taking into consideration the 

following factors:

    (i) Available health resources in relation to size of the catchment 

area and population of migratory and seasonal agricultural workers and 

their families in such area, including appropriate ratios of primary 

care physicians in general or family practice, internal medicine, 

pediatrics, or obstetrics and gynecology, to such population;

    (ii) Health indices for such population, such as infant mortality 

rate;

    (iii) Economic factors affecting such population's use of health 

services, such as percentage of such population with incomes below the 

poverty level;

    (iv) Demographic factors affecting such population's need and demand 

for health services, such as percentage of such population age 65 and 

over; and

    (v) Special factors of access resulting from the conditions of 

employment of such workers (including working hours, housing, and 

sanitation).

    (5) Position descriptions for personnel who will be utilized in 

carrying out the activities of the project and a statement indicating 

the need for the positions to be supported with grant funds to 

accomplish the objectives of the project.

    (6) Letters and other forms of evidence showing that efforts have 

been made to secure financial and professional assistance and support 

for the project within the proposed catchment area and the continuing 

involvement of the community in the development and operation of the 

project.

    (7) An assurance that an independent certified public accountant 

will be engaged to certify that the project's system for the management 

and control of its finances will be in accord with sound financial 

management practices, including applicable Federal requirements.



[[Page 247]]



    (8) A list of all services proposed to be provided by the project.

    (9) A list of services which are to be provided directly by the 

project through its own staff and resources and a description of any 

contractual or other arrangements (including copies of documents, where 

available) entered into, or planned for the provision of services.

    (10) The schedule of fees and/or payments and schedule of discounts 

for services provided by the project.

    (11) If the applicant provides services to populations other than 

migratory and seasonal agricultural workers and their families, 

identification of such populations.



    Note: Funds granted under this part and non-Federal funds required 

to be expended by the project as a condition of any such grant may not 

be used to provide services to individuals who are not migratory or 

seasonal agricultural workers or members of the families of such 

workers.



    (12) Evidence that all applicable requirements for review and/or 

approval of the application under title XV of the Act have been met.

    (13) An assurance that the project will be conducted in accordance 

with the applicable requirements of this part.

    (c) The application must be executed by an individual authorized to 

act for the applicant and to assume on behalf of the applicant the 

obligations imposed by the statute, the applicable regulations of this 

part, and any additional conditions of the grant.



(Sec. 215, Public Health Service Act, 58 Stat. 690, 67 Stat. 631 (42 

U.S.C. 216); sec. 329, Public Health Service Act, 95 Stat. 569 (42 

U.S.C. 254b)).



[42 FR 60406, Nov. 25, 1977, as amended at 48 FR 29202, June 24, 1983; 

48 FR 45559, Oct. 6, 1983]