A Guide to Fiscal Year 1991 Federal Funding for HIV Disease: How Dollars are Spent How to Access Them

formula grants to states; HRSA administers the
second program of categorical grants to public and
private nonprofit clinics.
Outpatient services to be provided by grantees include: pre- and post-test counseling; HIV-antibody
testing; referrals to providers of health and support
services receiving CARE Act funds or to CBOs and
research facilities providing experimental treatment;
other clinical and diagnostic services and medical
evaluations; and therapeutic measures to prevent and
treat the deteriorating immune system and other
complications.
Grantees may also provide services such as: outreach to persons at risk for HIV disease and to healthcare professionals related to the benefits of early
diagnosis and treatment; case management; and
entitlement assistance. States may use up to 5% of
their grant funds to provide early intervention services to hospitalized patients, if the hospitals have
admitted at least 250 persons with AIDS in the most
recent fiscal year, or where 20% of their total
inpatient admissions were PWAs.
All fund recipients must adhere to legislation
relating to confidentiality; written, informed consent
for HIV-antibody testing; anonymous testing; providing pre- and post-test counseling; and not requiring testing as a prerequisite for providing other
health-care services.
Under Title III in FY '91, BHCDA will be funding
programs already underway through non-competitive
grants, plus making $15,000,000 in new awards,
which will fund 30 to 45 grants in national competition. The deadline for applications for Title III
monies is June 3, 1991. For additional information
on this funding opportunity contact:
Joan Holloway, AIDS Coordinator/Special
Populations Program Development
301/443-8134
Joe O'Neill, Title III AIDS Director
301/443-8113
In addition, information relating to Title III money
may be obtained from the PHS regional program
directors and grant officers listed in Appendix D.
Maternal and Child Health Bureau
The Maternal and Child Health Bureau (MCHB)
plans, implements, and oversees national maternal

and child health activities. MCHB administers a pro
gram of block grants to states to enable them to provide quality health-care services particularly focusing on provision and improvement of services to lowincome populations with limited access to such services. MCHB also administers a program of discretionary grants and contracts in maternal and child
health areas of research; training, genetic disease
screening, testing, counseling, referral, and information distribution, hemophilia diagnosis and treatment;
and projects aimed at improving health services for
mothers, infants, and children with special health
care needs.
The MCHB has three main divisions: Maternal,
Infant, Child and Adolescent Health; Services for
Children with Special Health Care Needs; and
Systems, Education and Science.
The Maternal, Infant, Child and Adolescent Health
division focuses on issues such as high rates of infant
and maternal mortality, and morbidity rates associated with low birthweight. It also coordinates activities authorized under Titles V and XIX of the Social
Security Act, and disseminates information to states
on preventive services and treatment advances. The
division promotes development of comprehensive,
community-based child health systems, and improvement of pediatric emergency medical services; and
provides technical assistance and consultation programs that address the physical and mental health
and nutritional needs of these young children.
The Division of Services for Children with Special
Health Care Needs works to improve services for
children at risk for or suffering from genetic diseases.
The division provides genetic services, counseling,
information, and referrals; oversees development and
implementation of community-based services and
systems of care designed to improve the health of
children with disabling conditions and chronic illnesses; administers programs relating to women and
children at risk for or suffering from AIDS; and administers an ongoing program of hemophilia
diagnosis, treatment and information services.
The Division of Systems, Education and Science
administers a program of research, professional
education, and training to develop new knowledge
and skills to improve health and prevent disease
among mothers, infants, children and adolescents,
and children with special health needs. This division
develops, coordinates, and implements technical
assistance and consultation to state and local agencies and organizations on research, professional training, and data and information systems. It also

develops and distributes health education materials.

62

Reproduction By Permission Only

~1991 ASAP

62 Reproduction By Permission Only ~1991 ASAP