Special Diabetes Program for Indians_Diabetes Prevention and Treatment Projects

To promote improved health care among American Indians/Alaska Natives through special diabetes prevention and treatment services projects with objectives and priorities determined at the local level.

SDPI Reauthorization of 2002 includes a new initiative.

The funding mechanism is a competitive
grant program that will provide funding to selected SDPI grantees for a demonstration project to implement and evaluate defined activities in two areas - primary prevention of diabetes in people with prediabetes and prevention of cardoivascular disease in people with diabetes.

Examples of Funded Projects

Non-competitive grant programs: Examples include primary prevention efforts to prevent the onset of diabetes in people at risk for the disease and have not been diagnosed with diabetes (such as nutrition and exercise programs); or secondary prevention efforts to prevent complications of diabetes such as kidney disease, eye disease, heart disease, and amputations in patients diagnosed with diabetes; and tertiary prevention efforts to prevent or delay morbidity and mortality in patients with diabetes already having complications from the disease.

Competitive grant programs: Two types of demonstration programs have been funded: 1) prevention of diabetes in patients diagnosed with prediabetes and 2) prevention of cardiovascular disease in patients diagnosed with type 2 diabetes.


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.



Program Accomplishments

Of the Public Law 107-360 funds: In FY 2004 and FY 2005, 330 non-competitive grants and 66 competitive grants were awarded. It is estimated that a similar number of grant awards will be made in FY 2006, FY 2007, and FY 2008.

Uses and Use Restrictions

Public Law 107-360 funds (FY 2004-2008) to fund: 1) non-competitive grant programs to implement primary, secondary, and tertiary diabetic prevention and treatment and related data collection and 2) competitive demonstration projects to implement and evaluate (a) primary prevention of diabetes in people with prediabetes and (b) prevention of cardiovascular disease in people with diabetes.

The award amount will include both direct and indirect costs.

Grant funds may not be used for any other purpose.

Funding may not be used as matching funds for other Federal programs.



Eligibility Requirements

Applicant Eligibility

The Public Health Service Act, as amended, states that the following groups are eligible to apply for grants: Indian Health Service (IHS) entities: Indian tribes or tribal organizations who operate an Indian Health program.

This includes program under a contract, grant, cooperative agreement or compact with the IHS under the Indian Self-Determination Act; and Urban Indian organizations that operate an urban Indian Health program.

This includes programs under a grant or contract with the IHS under Title V of the Indian Health Care Improvement Act.

Beneficiary Eligibility

American Indians/Alaskan Natives will be the ultimate beneficiaries of the funded projects through either prevention or direct treatment services.

Credentials/Documentation

Costs will be determined in accordance with OMB Circular No. A-87, "State and Local Governments," or OMB Circular No. A-122, for nonprofit organizations.

Aplication and Award Process

Preapplication Coordination

Not applicable.

This program is excluded from coverage under E.O.

12372.

Application Procedures

The preferred method for receipt of applications is electronic submission through Grants.gov. However, should any technical problems arise regarding the submission, please contact Grants.gov Customer Support at 1-800-518-4726 or support@grants.gov. The Contact Center hours of operation are Monday-Friday from 7:00 a.m. to 9:00 p.m. (Eastern Standard Time). If you require additional assistance please contact Michelle G. Bulls, Grants Policy Officer at (301) 443-6528 at least fifteen days prior to the application deadline. To submit an application electronically, please use the http://www.Grants.gov apply site. Download a copy of the application package, on the Grants.gov website, complete it offline and then upload and submit the application via the Grants.gov site. You may not e-mail an electronic copy of a grant application to us. This program is subject to the provisions of either 45 CFR 92 or 45 CFR 74, depending upon the type of applicant organization. Applications will be reviewed by the Division of Grants Operations in Headquarters East, Indian Health Service, for eligibility and compliance with the announcement. Chief Medical Officers (CMOs) and Area Diabetes Consultants (ADCs) in IHS Area Offices will be responsible for programmatic review, addressing the soundness of the proposed services, compliance of proposed service with the legislation, and recommending the proposed costs. Applications will be rated not ranked. Grants will be awarded based on CMOs and ADCs acceptance of the applications.

Award Procedures

After review and approval, a notice of this grant award is prepared and processed along with the appropriate notification to the public.

Deadlines

Contact the Division of Grants Operations, Headquarters Office for information regarding application deadline dates. Deadline dates are also noted in the grant announcement.

Authorization

Balanced Budget Act of 1997, Public Law 105-33; Consolidated Appropriation Act 2001, Public Law 106-554; SDPI Reauthorization of 2002 Public Law 107-360 (FY 2004 through FY 2008).

Range of Approval/Disapproval Time

Funds are expected to be awarded no later than 45 days after complete applications are received. Awards could be delayed for applications not meeting initial approval.

Appeals

None.

Renewals

The 1997 BBA Public Law 105-33 project period is currently up to 5 years with non-competitive renewals projected annually. The HR 4577 Public Law 106-554 project period is projected to be 3 years with non-competitive renewals projected annually. The SDPI Reauthorization of 2002 Public Law 107-360 project period is up to 5 years with non-competitive grants and competitive grants renewals projected annually.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula or matching requirements. IHS will distribute the Balanced Budget Act (BBA) of 1997 (Public Law 105-33) funds of $150 million for a 5-year period based on the following formula: 1) $1.5 million is set aside for urban programs; and 2) $30.2 million is available to IHS entities, Indian tribes, or tribal organizations that operate an Indian Health program. IHS will distribute the Consolidated Appropriation Act 2001 (Public Law 106-554) funds based on the following formula: 1) $70 million in 2001; 2) $70 million in 2002; and 3) $100 million in 2003 to IHS entities, urban programs, Indian tribes, and tribal organizations that operate an Indian health program. IHS will distribute the SDPI Reauthorization of 2002 Public Law 107-360 funds based on the following formula: 1) $23.3 million to competitive grant awards, 2) $112.3 million to non-competitive grant awards to IHS entities, urban Indian health programs, Indian tribes and tribal organizations that operate an Indian health programs. Funds to the non-competitive grant awards will be utilized to address diabetes prevention and treatment activities. Funds to the competitive grant awards are to be used to implement and evaluate two demonstration projects aimed at 1) prevention of diabetes for patients with prediabetes, and 2) prevention of cardiovascular disease in patients with type 2 diabetes.

Length and Time Phasing of Assistance

The Public Law 105-33 project was limited to 5 years (total) with annual budget periods. The Public Law 106-554 project was limited to 3 years (total) with annual budget periods. The Public Law 107-360 project is limited to 5 years (total) with annual budget periods.

Post Assistance Requirements

Reports

For Public Law 107-360 (fiscal year 2004-2008) non-competitive grant program, an annual interim Program Progress Report, Work Plan and Budget Justification is required.

At a minimum the interim Program Progress Report must include: 1) progress made to date on the current budget year's goals and objectives, 2) description of community collaborations, and 3) diabetes prevalence.

The Work Plan will describe how the grant funds will be used to continue activities and/or enhance new activities.

The Budget Justification must explain all proposed costs.

For Public Law 107-360 (fiscal year 2004-2008) competitive grant program, an annual interim Program Progress Report, Work Plan and Budget Justification is required according to the specific guidance and direction provided by the Coordinating Center annually.

In addition, all competitive grant programs are required to complete and submit an annual Assessment Tool.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Nonprofit Organizations," non-federal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or program-specific audit conducted for that year. Non-federal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.

Records

Financial records of the grant must be retained for 3 years after submission of the final expenditure report. If questions remain, such as those resulting from an audit, pertinent records must be kept until the matter is resolved. The Secretary, the Inspector General of the Department of Health and Human Services, and the Comptroller General of the United States or any of their authorized representatives shall have the right to access all records, reports, books, documents, papers, or other records of the grantee, contractor, or subcontractor, or of any entity pertinent to the DHHS grant in order to make audits, examinations, excerpts, and transcripts. In accordance with 45 CFR 92 or 45 CFR 74, Subpart D, as applicable, grantees are required to maintain grant records for 3 years after they submit their final expenditures report. If any litigation, claim, negotiation, audit or other action involving the records have been started before the end of the 3-year period, the records must be retained until completion of the action and resolution of all issues arising from it, or until the end of the regular 3-year period, whichever is later.

Financial Information

Account Identification

75-0390-0-1-551.

Obigations

(Grants) FY 07 $112,300,000; FY 08 $112,300,000; and FY 09 est not available.

Range and Average of Financial Assistance

Public Law 107-360 funds: Non-competitive grant programs range is $46,000 to $5 million and average is $350,350. Competitive grants receive one of two specified amounts depend on size of demonstration project: $324,300 or $397,100.

Regulations, Guidelines, and Literature

45 CFR 92 and 45 CFR 74; Public Health Service Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000 (Rev.) April 1, 1994.

Information Contacts

Regional or Local Office

Not applicable.

Headquarters Office

Program Contact: Dr. Kelly Acton, Director, Division of Diabetes Treatment and Prvention, 5300 Homestead Road, NE., Albuquerque, New Mexico 87110. Telephone: (505) 248-4182. Fax: (505) 248-4188. Grant Management contact: Ms. Kimberly Pendleton, Senior Grants Management Officer, Division of Grants Operations, Indian Health Service, 801 Thompson Avenue, TMP, Suite 360, Rockville, MD 20852. Telephone: (301) 443-5204. Fax: (301) 443- 9602.

Criteria for Selecting Proposals

For Public Law 107-360 funds (from FY 2004 through 2008), all grant programs reapply for continuation funding only.



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