83 FR 16877 - Office of Tribal Self-Governance; Negotiation Cooperative Agreement
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service Federal Register Volume 83, Issue 74 (April 17, 2018)
Indian Health Service
Federal Register Volume 83, Issue 74 (April 17, 2018)
| Page Range | 16877-16885 | |
| FR Document | 2018-07941 |
[Federal Register Volume 83, Number 74 (Tuesday, April 17, 2018)] [Notices] [Pages 16877-16885] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-07941] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Office of Tribal Self-Governance; Negotiation Cooperative Agreement Announcement Type: New--Limited Competition Funding Announcement Number: HHS-2018-IHS-TSGN-0001 Catalog of Federal Domestic Assistance Number: 93.444 Key Dates Application Deadline Date: June 17, 2018 Review Date: June 25-29, 2018 Earliest Anticipated Start Date: July 15, 2018 Tribal Resolutions Due Date: June 17, 2018 I. Funding Opportunity Description Statutory Authority The Indian Health Service (IHS) Office of Tribal Self-Governance (OTSG) is accepting applications for Negotiation Cooperative Agreements for the Tribal Self-Governance Program (TSGP). This program is authorized under: Title V of the Indian Self-Determination and Education Assistance Act (ISDEAA), 25 U.S.C. 5383(e). This program is described in the Catalog of Federal Domestic Assistance (CFDA) under 93.444. Background The TSGP is more than an IHS program; it is an expression of the Government-to-Government relationship between the United States (U.S.) and Indian Tribes. Through the TSGP, Tribes negotiate with the IHS to assume Programs, Services, Functions, and Activities (PSFAs), or portions thereof, which gives Tribes the authority to manage and tailor health care programs in a manner that best fits the needs of their communities. Participation in the TSGP affords Tribes the most flexibility to tailor health care PSFAs and is one of three ways that Tribes can choose to obtain health care from the Federal Government for their citizens. Specifically, Tribes can choose to: (1) Receive health care services directly from the IHS, (2) contract with the IHS to administer individual programs and services the IHS would otherwise provide (referred to as Title I Self-Determination Contracting, and (3) compact with the IHS to assume control over health care programs the IHS would otherwise provide (referred to as Title V Self-Governance Compacting or the TSGP). These options are not exclusive and Tribes may choose to combine options based on their individual needs and circumstances. The TSGP is a tribally driven initiative, and strong Federal-Tribal partnerships are essential to the program's success. The IHS established the OTSG to implement the Tribal Self-Governance authorities under the ISDEAA. The primary OTSG functions are to: (1) Serve as the primary liaison and advocate for Tribes participating in the TSGP, (2) develop, direct, and implement TSGP policies and procedures, (3) provide information and technical assistance to Self- Governance Tribes, and (4) advise the IHS Director on compliance with TSGP policies, regulations, and guidelines. Each IHS Area has an Agency Lead Negotiator (ALN), designated by the IHS Director to act on his or her behalf, who has authority to negotiate Self-Governance Compacts and Funding Agreements (FA). Prospective Tribes interested in participating in the TSGP should contact their respective ALN to begin the Self- Governance planning process. Also, Tribes currently participating in the TSGP, who are interested in expanding existing or adding new PSFAs, should also contact their respective ALN to discuss the best methods for expanding or adding new PSFAs. Purpose The purpose of this Negotiation Cooperative Agreement is to provide Tribes with resources to help defray the costs associated with preparing for and engaging in TSGP negotiations. TSGP [[Page 16878]] negotiations are a dynamic, evolving, and tribally driven process that requires careful planning, preparation and sharing of precise, up-to- date information by both Tribal and Federal parties. Because each Tribal situation is unique, a Tribe's successful transition into the TSGP, or expansion of their current program, requires focused discussions between the Federal and Tribal negotiation teams about the Tribe's specific health care concerns and plans. One of the hallmarks of the TSGP is the collaborative nature of the negotiations process, which is designed to: (1) Enable a Tribe to set its own priorities when assuming responsibility for IHS PSFAs, (2) observe and respect the Government-to-Government relationship between the U.S. and each Tribe, and (3) involve the active participation of both Tribal and IHS representatives, including the OTSG. Negotiations are a method of determining and agreeing upon the terms and provisions of a Tribe's Compact and FA, the implementation documents required for the Tribe to enter into the TSGP. The Compact sets forth the general terms of the Government-to-Government relationship between the Tribe and the Secretary of the U.S. Department of Health and Human Services (HHS). The FA: (1) Describes the length of the agreement (whether it will be annual or multi-year), (2) identifies the PSFAs, or portions thereof, the Tribe will assume, (3) specifies the amount of funding associated with the Tribal assumption, and (4) includes terms required by Federal statute and other terms agreed to by the parties. Both documents are required to participate in the TSGP and they are mutually negotiated agreements that become legally binding and mutually enforceable after both parties sign the documents. Either document can be renegotiated at the request of the Tribe. The negotiations process has four major stages, including: (1) Planning, (2) pre-negotiations, (3) negotiations, and (4) post- negotiations. Title V of the ISDEAA requires that a Tribe or Tribal organization complete a planning phase to the satisfaction of the Tribe. The planning phase must include legal and budgetary research and internal Tribal Government planning and organizational preparation relating to the administration of health care programs. See 25 U.S.C. 5383(d). The planning phase is critical to negotiations and helps Tribes make informed decisions about which PSFAs to assume and what organizational changes or modifications are necessary to support those PSFAs. A thorough planning phase improves timeliness and efficient negotiations and ensures that the Tribe is fully prepared to assume the transfer of IHS PSFAs to the Tribal health program. During pre-negotiations, the Tribal and Federal negotiation teams review and discuss issues identified during the planning phase. Pre- negotiations provide an opportunity for the Tribe and the IHS to identify and discuss issues directly related to the Tribe's Compact, FA and Tribal shares. They may take the form of a formal meeting or a series of informal meetings or conference calls. In advance of final negotiations, the Tribe should work with the IHS to secure the following: (1) Program titles and descriptions, (2) financial tables and information, (3) information related to the identification and justification of residuals, and (4) the basis for determining Tribal shares (distribution formula). The Tribe may also wish to discuss financial materials that show estimated funding for next year, and the increases or decreases in funding it may receive in the current year, as well as the basis for those changes. Having reviewed the draft documents and funding tables, at final negotiations both negotiation teams work together in good faith to determine and agree upon the terms and provisions of the Tribe's Compact and FA. Negotiations are not an allocation process; they provide an opportunity to mutually review and discuss budget and program issues. As issues arise, both negotiations teams work through the issues to reach agreement on the final documents. There are various entities involved throughout the negotiations process. For example, a Tribal government selects its representative(s) for negotiations and the Tribal negotiations team, which may include a Tribal leader from the governing body, a Tribal health director, technical and program staff, legal counsel, and other consultants. Regardless of the composition of the Tribal team, Tribal representatives must have decision making authority from the Tribal governing body to successfully negotiate and agree to the provisions within the agreements. The Federal negotiations team is led by the ALN and may include area and headquarters staff, including staff from the OTSG, the Office of Finance and Accounting, and the Office of the General Counsel. The ALN is the only member of the Federal negotiations team with delegated authority to negotiate on behalf of the IHS Director. The ALN is the designated official that provides Tribes with Self-Governance information, assists Tribes in planning, organizes meetings between the Tribe and the IHS, and coordinates the Agency's response to Tribal questions during the negotiations process. The ALN role requires detailed knowledge of the IHS, awareness of current policy and practice, and understanding of the rights and authorities available to a Tribe under Title V of the ISDEAA. In post-negotiations, after the Compact, FA and all negotiations are complete, the documents are signed by the authorizing Tribal official and submitted to the ALN who reviews the final package to ensure each document accurately reflects what was negotiated. Once the ALN completes this review, then the final package is submitted to the OTSG to be prepared for the IHS Director's signature, provided that no outstanding issues delay or prevent signature. After the Compact and FA have been signed by both parties, they become legally binding and enforceable agreements. A signed Compact and FA are necessary for the payment process to begin. The negotiating Tribe then becomes a ``Self- Governance Tribe'' and a participant in the TSGP. Acquiring a Negotiation Cooperative Agreement is not a prerequisite to enter the TSGP. A Tribe may use other resources to develop and negotiate its Compact and FA. See 42 CFR 137.26. Tribes that receive a Negotiation Cooperative Agreement are not obligated to participate in Title V and may choose to delay or decline participation or expansion in the TSGP. Limited Competition Justification There is limited competition under this announcement because the authorizing legislation restricts eligibility to Tribes that meet specific criteria identified in Section III. Eligibility Criteria, 1. Eligibility, A. See 25 U.S.C. 5383(e); 42 CFR 137.10 and 42 CFR 137.24- 26. II. Award Information Type of Award Cooperative Agreement. Estimated Funds Available The total amount of funding identified for the current fiscal year (FY) 2018 is approximately $240,000. Individual award amounts are anticipated to be $48,000. The amount of funding available for awards issued under this announcement are subject to the availability of appropriations and budgetary priorities of the Agency. The IHS is under no obligation to make awards that are selected for funding under this announcement. [[Page 16879]] Anticipated Number of Awards Approximately five awards will be issued under this program announcement. Period of Performance The period of performance is for one year and runs from July 15, 2018, to July 14, 2019. Cooperative Agreement Cooperative agreements awarded by the Department of Health and Human Services (HHS) are administered under the same policies as a grant. However, the IHS is required to have substantial programmatic involvement in the project during the entire award segment. Below is a detailed description of the level of involvement required for both the IHS and the grantee. The IHS will be responsible for activities listed under section A and the grantee will be responsible for activities listed under section B as stated: Substantial Involvement Description for the Cooperative Agreement A. IHS Programmatic Involvement (1) Provide descriptions of PSFAs and associated funding at all organizational levels (Service Unit, Area, and Headquarters), including funding formulas and methodologies related to determining Tribal shares. (2) Meet with Negotiation Cooperative Agreement recipients to provide program information and discuss methods currently used to manage and deliver health care. (3) Identify and provide statutes, regulations, and policies that provide authority for administering IHS programs. (4) Provide technical assistance on the IHS budget, Tribal shares, and other topics as needed. B. Grantee Cooperative Agreement Award Activities (1) Determine the PSFAs that will be negotiated into the Tribe's Compact and FA. Prepare and discuss each Program, Service Function and Activity in comparison to the current level of services provided so that an informed decision can be made on new or expanded program assumption. (2) Identify Tribal shares associated with the PSFAs that will be included in the FA. (3) Develop the terms and conditions that will be set for in both the Compact and FA to submit to the ALN prior to negotiations. III. Eligibility Information 1. Eligibility To be eligible for the New Limited Competition Negotiation Cooperative Agreement under this announcement, an applicant must: (A) Be an ``Indian Tribe'' as defined in 25 U.S.C. 5304(e); a ``Tribal Organization'' as defined in 25 U.S.C. 5304(l); or an ``Inter- Tribal Consortium: as defined at 42 CFR 137.10. However, Alaska Native Villages or Alaska Native Village Corporations are not eligible if they are located within the area served by an Alaska Native regional health entity. See Consolidated Appropriations Act, 2014, Public Law 113-76. By statute, the Native Village of Eyak, Eastern Aleutian Tribes, and the Council for Athabascan Tribal Governments have also been deemed Alaska Native regional health entities and therefore are eligible to apply. Those Alaska Tribes not represented by a Self-Governance Tribal consortium FA within their area may still be considered to participate in the TSGP. (B) Submit Tribal resolution(s) from the appropriate governing body of each Indian Tribe to be served by the ISDEAA Compact authorizing the submission of the Negotiation Cooperative Agreement. Tribal consortia applying for a TSGP Negotiation Cooperative Agreement shall submit Tribal Council resolutions from each Tribe in the consortium. Tribal resolutions can be attached to the electronic online application. (C) Demonstrate for three fiscal years, financial stability and financial management capability. The Indian Tribe must provide evidence that, for the three fiscal years prior to requesting participation in the TSGP, the Indian Tribe has had no uncorrected significant and material audit exceptions in the required annual audit of the Indian Tribe's Self-Determination Contracts or Self-Governance FAs with any Federal Agency. See 25 U.S.C. 5383; 42 CFR 137.15-23. For Tribes or Tribal organizations (T/TO) that expended $750,000 or more ($500,000 for fiscal years ending after December 31, 2003) in Federal awards, the OTSG shall retrieve the audits directly from the Federal Audit Clearinghouse. For T/TO that expended less than $750,000 ($500,000 for fiscal years ending after December 31, 2003) in Federal awards, the T/TO must provide evidence of the program review correspondence from IHS or Bureau of Indian Affairs officials. See 42 CFR 137.21-23. Meeting the eligibility criteria for a Negotiation Cooperative Agreement does not mean that a Tribe/Tribal Organization is eligible for participation in the IHS TSGP under Title V of the ISDEAA. See 25 U.S.C. 5383; 42 CFR 137.15-23. For additional information on the eligibility for the IHS TSGP, please visit the ``Eligibility and Funding'' page on the OTSG website located at: http://www.ihs.gov/SelfGovernance. Note: Please refer to Section IV.2 (Application and Submission Information/Subsection 2, Content and Form of Application Submission) for additional proof of applicant status documents required, such as Tribal resolutions, proof of non-profit status, etc. 2. Cost Sharing or Matching The IHS does not require matching funds or cost sharing for grants or cooperative agreements. 3. Other Requirements If application budgets exceed the highest dollar amount outlined under the ``Estimated Funds Available'' section within this funding announcement, the application will be considered ineligible and will not be reviewed for further consideration. If deemed ineligible, the IHS will not return the application. The applicant will be notified by email by the Division of Grants Management (DGM) of this decision. Tribal Resolution(s) Submit Tribal resolution(s) from the appropriate governing body of the Indian Tribe to be served by the ISDEAA Compact authorizing the submission of a Negotiation Cooperative Agreement application. Tribal consortia applying for a TSGP Negotiation Cooperative Agreement shall submit Tribal Council resolutions from each Tribe in the consortium. Tribal resolutions can be attached to the electronic online application. An official signed Tribal resolution must be received by the DGM prior to a Notice of Award (NoA) being issued to any applicant selected for funding. However, if an official signed Tribal resolution cannot be submitted with the electronic application submission prior to the official application deadline date, then a draft Tribal resolution is acceptable and must be submitted by the deadline in order for the application to be considered complete and eligible for review. The draft Tribal resolution is not in lieu of the required signed resolution, but is acceptable until a signed resolution is received. If an official signed Tribal resolution is not [[Page 16880]] received by DGM when funding decisions are made, then a (NoA) will not be issued to that applicant and they will not receive any IHS funds until such time as they have submitted a signed resolution to the Grants Management Specialist listed in this Funding Announcement. An applicant submitting Tribal resolution(s) after the initial application submission due date is required to ensure the information was received by the IHS by obtaining documentation confirming delivery (i.e., FedEx tracking, postal return receipt, etc.). IV. Application and Submission Information 1. Obtaining Application Materials The application package and detailed instructions for this announcement can be found at: http://www.Grants.gov or http://www.ihs.gov/dgm/funding/. Questions regarding the electronic application process may be directed to Mr. Paul Gettys at (301) 443-2114 or (301) 443-5204. 2. Content and Form Application Submission The applicant must include the project narrative as an attachment to the application package. Mandatory documents for all applicants include:Table of contents. Abstract (one page) summarizing the project. Application forms: [cir] SF-424, Application for Federal Assistance. [cir] SF-424A, Budget Information--Non-Construction Programs. [cir] SF-424B, Assurances--Non-Construction Programs. Line Item Budget and Narrative (must be single-spaced and not exceed five pages). Project Narrative (must be single-spaced and not exceed ten pages). [cir] Background information on the organization. [cir] Proposed scope of work, objectives, and activities that provide a description of what will be accomplished, including a one- page Timeframe Chart. Tribal Resolution(s). Letters of Support from organization's Board of Directors. 501(c)(3) Certificate (if applicable). Biographical sketches for all Key Personnel. Contractor/Consultant resumes or qualifications and scope of work. Disclosure of Lobbying Activities (SF-LLL). Certification Regarding Lobbying (GG-Lobbying Form). Copy of current Negotiated Indirect Cost rate (IDC) agreement (required in order to receive IDC). Organizational Chart (optional). Documentation of current Office of Management and Budget (OMB) Financial Audit. Acceptable forms of documentation include: [cir] Email confirmation from Federal Audit Clearinghouse (FAC) that audits were submitted; or [cir] Face sheets from audit reports. These can be found on the FAC website: https://harvester.census.gov/facdissem/Main.aspx. Public Policy Requirements All Federal wide public policies apply to IHS grants and cooperative agreements with exception of the Discrimination Policy. Requirements for Project and Budget Narratives A. Project Narrative: This narrative should be a separate Word document that is not to exceed ten pages and must be single-spaced, type written, have consecutively numbered pages, use black type not smaller than 12 points, and be printed on one side only of standard size 8\1/2\ x 11 paper. Be sure to succinctly answer all questions listed under the evaluation criteria (refer to Section V.1, Evaluation criteria in this announcement) and place all responses and required information in the correct section (noted below), or they will not be considered or scored. These narratives will assist the Objective Review Committee (ORC) in becoming familiar with the applicant's activities and accomplishments prior to this possible cooperative agreement award. If the narrative exceeds the page limit, then only the first ten pages will be reviewed. The ten page limit for the narrative does not include the work plan, standard forms, Tribal resolutions, table of contents, budget, budget justifications, narratives, and/or other appendix items. There are three parts to the narrative: Part A--Program Information; Part B--Program Planning and Evaluation; and Part C-- Program Report. See below for additional details about what must be included in the narrative. The page limitations below are for each narrative and budget submitted. Part A: Program Information (4 page limit) Section 1: Needs Introduction and Need for Assistance Demonstrate that the Tribe has conducted previous Self-Governance planning activities by clearly stating the results of what was learned during the planning process. Explain how the Tribe has determined it has the: (1) Knowledge and expertise to assume or expand PSFAs, and (2) the administrative infrastructure to support the assumption of PSFAs. Identify the need for assistance and how the Negotiation Cooperative Agreement would benefit the health activities the Tribe is preparing to assume or expand. Part B: Program Planning and Evaluation (4 page limit) Section 1: Program Plans Project Objective(s), Work Plan and Approach State in measureable terms the objectives and appropriate activities to achieve the following Negotiation Cooperative Agreement recipient award activities: (A) Determine the PSFAs that will be negotiated into the Tribe's Compact and FA. Prepare and discuss each Program, Service, Function, and Activity in comparison to the current level of services provided so that an informed decision can be made on new or expanded program assumption. (B) Identify Tribal shares associated with the PSFAs that will be included in the FA. (C) Develop the terms and conditions that will be set forth in both the Compact and FA to submit to the ALN prior to negotiations. (D) Describe fully and clearly how the Tribe's proposal will result in an improved approach to managing the PSFAs to be assumed or expanded. Include how the Tribe plans to demonstrate improved health services to the community and incorporate the proposed timelines for negotiations. Organizational Capabilities, Key Personnel, and Qualifications Describe the organizational structure of the Tribe and its ability to manage the proposed project. Include resumes or position descriptions of key staff showing requisite experience and expertise. If applicable, include resumes and scope of work for consultants that demonstrate experience and expertise relevant to the project. Section 2: Program Evaluation Describe fully and clearly how the improvements that will be made by the Tribe to manage the health care system and identify the anticipated or expected benefits for the Tribe. Define the criteria to be used to evaluate objectives associated with the project. Part C: Program Report (2 page limit) Section 1: Describe major accomplishments over the last 24 months associated with the goals of this announcement. Please identify and describe significant health related [[Page 16881]] program accomplishments associated with the delivery of quality health services. This section should highlight major program achievements over the last 24 months. Section 2: Describe major activities over the last 24 months. Please provide an overview of significant program activities associated with the delivery of quality health services over the last 24 months. This section should address significant program activities and include those related to the accomplishments listed in the previous section. B. Budget Narrative (5 page limit) This narrative must include a line item budget with a narrative justification for all expenditures identifying reasonable allowable, allocable costs necessary to accomplish the goals and objectives as outlined in the project narrative. Budget should match the scope of work described in the project narrative. 3. Submission Dates and Times Applications must be submitted electronically through Grants.gov by 11:59 p.m. Eastern Daylight Time (EDT) on the Application Deadline Date listed in the Key Dates section on page one of this announcement. Any application received after the application deadline will not be accepted for processing, nor will it be given further consideration for funding. Grants.gov will notify the applicant via email if the application is rejected. If technical challenges arise and assistance is required with the electronic application process, contact Grants.gov Customer Support via email to [email protected] or at (800) 518-4726. Customer Support is available to address questions 24 hours a day, 7 days a week (except on Federal holidays). If problems persist, contact Mr. Gettys ([email protected]), DGM Grant Systems Coordinator, by telephone at (301) 443-2114 or (301) 443-5204. Please be sure to contact Mr. Gettys at least ten days prior to the application deadline. Please do not contact the DGM until you have received a Grants.gov tracking number. In the event you are not able to obtain a tracking number, call the DGM as soon as possible. 4. Intergovernmental Review Executive Order 12372 requiring intergovernmental review is not applicable to this program. 5. Funding Restrictions Pre-award costs are not allowable. The available funds are inclusive of direct and appropriate indirect costs. Tribes can apply for a Planning Cooperative Agreement and a Negotiation Cooperative Agreement in the same cycle, so long as the project proposals are different for each application. Tribes cannot apply for both the Planning Cooperative Agreement and the Negotiation Cooperative Agreement within the same grant cycle with the same proposed project. Only one Negotiation grant/cooperative agreement will be awarded per applicant per grant cycle under this announcement. IHS will not acknowledge receipt of applications. 6. Electronic Submission Requirements All applications must be submitted electronically. Please use the http://www.Grants.gov website to submit an application electronically and select the ``Search Grants'' link on the homepage. Follow the instructions for submitting an application under the Package tab. Electronic copies of the application may not be submitted as attachments to email messages addressed to IHS employees or offices. Waiver Request If the applicant needs to submit a paper application instead of submitting electronically through Grants.gov, a waiver must be requested. Prior approval must be requested and obtained from Mr. Robert Tarwater, Director, DGM, (see Section IV.6 below for additional information). A written waiver request must be sent to [email protected] with a copy to [email protected]. The waiver must: (1) Be documented in writing (emails are acceptable), before submitting a paper application, and (2) include clear justification for the need to deviate from the required electronic grants submission process. Once the waiver request has been approved, the applicant will receive a confirmation of approval email containing submission instructions and the mailing address to submit the application. A copy of the written approval must be submitted along with the hardcopy of the application that is mailed to DGM. Paper applications that are submitted without a copy of the signed waiver from the Director of the DGM will not be reviewed or considered for funding. The applicant will be notified via email of this decision by the Grants Management Officer of the DGM. Paper applications must be received by the DGM no later than 5:00 p.m., EDT, on the Application Deadline Date listed in the Key Dates section on page one of this announcement. Late applications will not be accepted for processing or considered for funding. Applicants that do not adhere to the timelines for System for Award Management (SAM) and/or http://www.Grants.gov registration or that fail to request timely assistance with technical issues will not be considered for a waiver to submit a paper application. Please be aware of the following: Please search for the application package in http://www.Grants.gov by entering the CFDA number or the Funding Opportunity Number. Both numbers are located in the header of this announcement. If you experience technical challenges while submitting your application electronically, please contact Grants.gov support directly at: [email protected] or (800) 518-4726. Customer Support is available to address questions 24 hours a day, 7 days a week (except on Federal holidays). Upon contacting Grants.gov, obtain a tracking number as proof of contact. The tracking number is helpful if there are technical issues that cannot be resolved and a waiver from the agency must be obtained. Applicants are strongly encouraged not to wait until the deadline date to begin the application process through Grants.gov as the registration process for SAM and Grants.gov could take up to fifteen working days. Please use the optional attachment feature in Grants.gov to attach additional documentation that may be requested by the DGM. All applicants must comply with any page limitation requirements described in this funding announcement. After electronically submitting the application, the applicant will receive an automatic acknowledgment from Grants.gov that contains a Grants.gov tracking number. The DGM will download the application from Grants.gov and provide necessary copies to the appropriate agency officials. Neither the DGM nor the OTSG will notify the applicant that the application has been received. Email applications will not be accepted under this announcement. Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS) All IHS applicants and grantee organizations are required to obtain a DUNS number and maintain an active registration in the SAM database. The DUNS number is a unique 9-digit identification number provided by D&B which uniquely identifies each entity. The DUNS number is site specific; therefore, each distinct performance site [[Page 16882]] may be assigned a DUNS number. Obtaining a DUNS number is easy, and there is no charge. To obtain a DUNS number, you may access it through http://fedgov.dnb.com/webform, or to expedite the process, call (866) 705-5711. All HHS recipients are required by the Federal Funding Accountability and Transparency Act of 2006, as amended (``Transparency Act''), to report information on sub-awards. Accordingly, all IHS grantees must notify potential first-tier sub-recipients that no entity may receive a first-tier sub-award unless the entity has provided its DUNS number to the prime grantee organization. This requirement ensures the use of a universal identifier to enhance the quality of information available to the public pursuant to the Transparency Act. System for Award Management (SAM) Organizations that were not registered with Central Contractor Registration and have not registered with SAM will need to obtain a DUNS number first and then access the SAM online registration through the SAM home page at: https://www.sam.gov (U.S. organizations will also need to provide an Employer Identification Number from the Internal Revenue Service that may take an additional 2-5 weeks to become active). Completing and submitting the registration takes approximately one hour to complete and SAM registration will take 3-5 business days to process. Registration with the SAM is free of charge. Applicants may register online at: https://www.sam.gov. Additional information on implementing the Transparency Act, including the specific requirements for DUNS and SAM, can be found on the IHS Grants Management, Grants Policy website: http://www.ihs.gov/dgm/policytopics/. V. Application Review Information The instructions for preparing the application narrative also constitute the evaluation criteria for reviewing and scoring the application. Weights assigned to each section are noted in parentheses. The ten page narrative section should be written in a manner that is clear to outside reviewers unfamiliar with prior related activities of the applicant. It should be well organized, succinct, and contain all information necessary for reviewers to understand the project fully. Points will be assigned to each evaluation criteria adding up to a total of 100 points. A minimum score of 60 points is required for funding. Points are assigned as follows: 1. Criteria A. Introduction and Need for Assistance (25 points) Demonstrate that the Tribe has conducted previous Self-Governance planning activities by clearly stating the results of what was learned during the planning process. Explain how the Tribe has determined it has the: (1) Knowledge and expertise to assume or expand PSFAs, and (2) the administrative infrastructure to support the assumption of PSFAs. Identify the need for assistance and how the Negotiation Cooperative Agreement would benefit the health activities the Tribe is preparing to assume or expand. B. Project Objective(s), Work Plan and Approach (25 points) State in measurable terms the objectives and appropriate activities to achieve the following Planning Cooperative Agreement recipient award activities: (1) Determine the PSFAs that will be negotiated into the Tribe's Compact and FA. Prepare and discuss each Program, Service, Function and Activity in comparison to the level of services provided so that an informed decision can be made on new or expanded program assumption. (2) Identify Tribal shares associated with the PSFAs that will be included in the FA. (3) Develop the terms and conditions that will be set forth in both the Compact and FA to submit to the ALN prior to negotiations. Clearly describe how the Tribe's proposal will result in an improved approach to managing the PSFAs to be assumed or expanded. Include how the Tribe plans to demonstrate improved health care services to the community and incorporate the proposed timelines for negotiations. C. Program Evaluation (25 points) Describe fully the improvements that will be made by the Tribe to manage the health care system and identify the anticipated or expected benefits for the Tribe. Define the criteria to be used to evaluate objectives associated with the project. D. Organizational Capabilities, Key Personnel and Qualifications (15 points) Describe the organizational structure of the Tribe and its ability to manage the proposed project. Include resumes or position descriptions of key staff showing requisite experience and expertise. If applicable, include resumes and scope of work for consultants that demonstrate experience and expertise relevant to the project. E. Categorical Budget and Budget Justification (10 points) Submit a budget with a narrative describing the budget request and matching the scope of work described in the project narrative. Justify all expenditures identifying reasonable and allowable costs necessary to accomplish the goals and objectives as outlined in the project narrative. Additional documents can be uploaded as Appendix Items in Grants.gov: Work plan, logic model and/or time line for proposed objectives. Position descriptions for key staff. Resumes of key staff that reflect current duties. Consultant or contractor proposed scope of work and letter of commitment (if applicable). Current Indirect Cost Agreement. Organizational chart. Map of area identifying project location(s). Additional documents to support narrative (i.e. data tables, key news articles, etc.). 2. Review and Selection Each application will be prescreened by the DGM staff for eligibility and completeness as outlined in the funding announcement. Applications that meet the eligibility criteria shall be reviewed for merit by the ORC based on evaluation criteria in this funding announcement. The ORC could be composed of both Tribal and Federal reviewers appointed by the IHS Program to review and make recommendations on these applications. The technical review process ensures selection of quality projects in a national competition for limited funding. Incomplete applications and applications that are non- responsive to the eligibility criteria will not be referred to the ORC. The applicant will be notified via email of this decision by the Grants Management Officer of the DGM. Applicants will be notified by DGM, via email, to outline minor missing components (i.e., budget narratives, audit documentation, key contact form) needed for an otherwise complete application. All missing documents must be sent to DGM on or before the due date listed in the email of notification of missing documents required. To obtain a minimum score for funding by the ORC, applicants must address all program requirements and provide all required documentation. [[Page 16883]] VI. Award Administration Information 1. Award Notices The NoA is a legally binding document signed by the Grants Management Officer and serves as the official notification of the grant award. The NoA will be initiated by the DGM in our grant system, GrantSolutions (https://www.grantsolutions.gov). Each entity that is approved for funding under this announcement will need to request or have a user account in GrantSolutions in order to retrieve their NoA. The NoA is the authorizing document for which funds are dispersed to the approved entities and reflects the amount of Federal funds awarded, the purpose of the grant, the terms and conditions of the award, the effective date of the award, and the budget/period of performance. Disapproved Applicants Applicants who received a score less than the recommended funding level for approval, 60 and were deemed to be disapproved by the ORC, will receive an Executive Summary Statement from the OTSG within 30 days of the conclusion of the ORC outlining the strengths and weaknesses of their application. The summary statement will be sent to the Authorized Organizational Representative that is identified on the face page (SF-424) of the application. The OTSG will also provide additional contact information as needed to address questions and concerns as well as provide technical assistance if desired. Approved but Unfunded Applicants Approved but unfunded applicants that met the minimum scoring range and were deemed by the ORC to be ``Approved,'' but were not funded due to lack of funding, will have their applications held by DGM for a period of one year. If additional funding becomes available during the course of FY 2018 the approved but unfunded application may be re- considered by the OTSG for possible funding. The applicant will also receive an Executive Summary Statement from the OTSG within 30 days of the conclusion of the ORC. Note: Any correspondence other than the official NoA signed by an IHS grants management official announcing to the project director that an award has been made to their organization is not an authorization to implement their program on behalf of the IHS. 2. Administrative Requirements Cooperative agreements are administered in accordance with the following regulations and policies: A. The criteria as outlined in this program announcement. B. Administrative Regulations for Grants: Uniform Administrative Requirements for HHS Awards, located at 45 CFR part 75, located on the U.S. Government Publishing Office website at: http://www.ecfr.gov/cgi-bin/text-idx?node=pt45.1.75. C. Grants Policy: HHS Grants Policy Statement, Revised 01/07, located at: http://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf. D. Cost Principles: Uniform Administrative Requirements for HHS Awards, ``Cost Principles,'' located at 45 CFR part 75, subpart E. E. Audit Requirements: Uniform Administrative Requirements for HHS Awards, ``Audit Requirements,'' located at 45 CFR part 75, subpart F. 3. Indirect Costs This section applies to all grant recipients that request reimbursement of indirect costs (IDC) in their grant application. In accordance with HHS Grants Policy Statement, Part II-27, IHS requires applicants to obtain a current IDC rate agreement prior to award. The rate agreement must be prepared in accordance with the applicable cost principles and guidance as provided by the cognizant agency or office. A current rate covers the applicable grant activities under the current award's budget period. If the current rate is not on file with the DGM at the time of award, the IDC portion of the budget will be restricted. The restrictions remain in place until the current rate is provided to the DGM. Generally, IDC rates for IHS grantees are negotiated with the Division of Cost Allocation (DCA) https://rates.psc.gov/ and the Department of the Interior (Interior Business Center) https://www.doi.gov/ibc/services/finance/indirect-Cost-Services/indian-tribes. For questions regarding the indirect cost policy, please call the Grants Management Specialist listed under ``Agency Contacts'' or the main DGM office at (301) 443-5204. 4. Reporting Requirements The grantee must submit required reports consistent with the applicable deadlines. Failure to submit required reports within the time allowed may result in suspension or termination of an active grant, withholding of additional awards for the project, or other enforcement actions such as withholding of payments or converting to the reimbursement method of payment. Continued failure to submit required reports may result in one or both of the following: (1) The imposition of special award provisions; and (2) the non-funding or non- award of other eligible projects or activities. This requirement applies whether the delinquency is attributable to the failure of the grantee organization or the individual responsible for preparation of the reports. Per DGM policy, all reports are required to be submitted electronically by attaching them as a ``Grant Note'' in GrantSolutions. Personnel responsible for submitting reports will be required to obtain a login and password for GrantSolutions. Please see the Agency Contacts list in section VII for the systems contact information. The reporting requirements for this program are noted below. A. Progress Reports Program progress reports are required semi-annually. These reports must include a brief comparison of actual accomplishments to the goals established for the six month period, a summary of progress to date or, if applicable, provide sound justification for the lack of progress, and other pertinent information as required by the program office. A final report must be submitted within 90 days of expiration of the budget or period of performance. B. Financial Reports Federal Financial Report (FFR or SF-425), Cash Transaction Reports are due 30 days after the close of every calendar quarter to the Payment Management Services, HHS at: https://pms.psc.gov. It is recommended that the applicant also send a copy of the FFR (SF-425) report to the Grants Management Specialist. Failure to submit timely reports may cause a disruption in timely payments to the organization. Grantees are responsible and accountable for accurate information being reported on all required reports: The Progress Reports and Federal Financial Report. C. Federal Sub-Award Reporting System (FSRS) This award may be subject to the Transparency Act sub-award and executive compensation reporting requirements of 2 CFR part 170. The Transparency Act requires the OMB to establish a single searchable [[Page 16884]] database, accessible to the public, with information on financial assistance awards made by Federal agencies. The Transparency Act also includes a requirement for recipients of Federal grants to report information about first-tier sub-awards and executive compensation under Federal assistance awards. IHS has implemented a Term of Award into all IHS Standard Terms and Conditions, NoAs and funding announcements regarding the FSRS reporting requirement. This IHS Term of Award is applicable to all IHS grant and cooperative agreements issued on or after October 1, 2010, with a $25,000 sub-award obligation dollar threshold met for any specific reporting period. Additionally, all new (discretionary) IHS awards (where the period of performance is made up of more than one budget period) and where: (1) The period of performance start date was October 1, 2010 or after, and (2) the primary awardee will have a $25,000 sub- award obligation dollar threshold during any specific reporting period will be required to address the FSRS reporting. For the full IHS award term implementing this requirement and additional award applicability information, visit the DGM Grants Policy website at: http://www.ihs.gov/dgm/policytopics/. D. Compliance With Executive Order 13166 Implementation of Services Accessibility Provisions for All Grant Application Packages and Funding Opportunity Announcements Recipients of Federal financial assistance (FFA) from HHS must administer their programs in compliance with Federal civil rights law. This means that recipients of HHS funds must ensure equal access to their programs without regard to a person's race, color, national origin, disability, age and, in some circumstances, sex and religion. This includes ensuring your programs are accessible to persons with limited English proficiency. HHS provides guidance to recipients of FFA on meeting their legal obligation to take reasonable steps to provide meaningful access to their programs by persons with limited English proficiency. Please see http://www.hhs.gov/civil-rights/for-individuals/special-topics/limited-english-proficiency/guidance-federal-financial-assistance-recipients-title-VI/. The HHS Office for Civil Rights (OCR) also provides guidance on complying with civil rights laws enforced by HHS. Please see http://www.hhs.gov/civil-rights/for-individuals/section-1557/index.html; and http://www.hhs.gov/civil-rights/index.html. Recipients of FFA also have specific legal obligations for serving qualified individuals with disabilities. Please see http://www.hhs.gov/civil-rights/for-individuals/disability/index.html. Please contact the HHS OCR for more information about obligations and prohibitions under Federal civil rights laws at: https://www.hhs.gov/ocr/about-us/contact-us/index.html or call (800) 368-1019 or TDD (800) 537-7697. Also note it is an HHS Departmental goal to ensure access to quality, culturally competent care, including long-term services and supports, for vulnerable populations. For further guidance on providing culturally and linguistically appropriate services, recipients should review the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care at: https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53. Pursuant to 45 CFR 80.3(d), an individual shall not be deemed subjected to discrimination by reason of his/her exclusion from benefits limited by Federal law to individuals eligible for benefits and services from the IHS. Recipients will be required to sign the HHS-690 Assurance of Compliance form which can be obtained from the following website: http://www.hhs.gov/sites/default/files/forms/hhs-690.pdf, and send it directly to the: U.S. Department of Health and Human Services, Office of Civil Rights, 200 Independence Avenue SW, Washington, DC 20201. E. Federal Awardee Performance and Integrity Information System (FAPIIS) The IHS is required to review and consider any information about the applicant that is in the Federal Awardee Performance and Integrity Information System (FAPIIS) before making any award in excess of the simplified acquisition threshold (currently $150,000) over the period of performance. An applicant may review and comment on any information about itself that a Federal awarding agency previously entered. IHS will consider any comments by the applicant, in addition to other information in FAPIIS in making a judgment about the applicant's integrity, business ethics, and record of performance under Federal awards when completing the review of risk posed by applicants as described in 45 CFR 75.205. As required by 45 CFR part 75 Appendix XII of the Uniform Guidance, non-Federal entities (NFEs) are required to disclose in FAPIIS any information about criminal, civil, and administrative proceedings, and/ or affirm that there is no new information to provide. This applies to NFEs that receive Federal awards (currently active grants, cooperative agreements, and procurement contracts) greater than $10,000,000 for any period of time during the period of performance of an award/project. Mandatory Disclosure Requirements As required by 2 CFR part 200 of the Uniform Guidance, and the HHS implementing regulations at 45 CFR part 75, effective January 1, 2016, the IHS must require a non-Federal entity or an applicant for a Federal award to disclose, in a timely manner, in writing to the IHS or pass- through entity all violations of Federal criminal law involving fraud, bribery, or gratuity violations potentially affecting the Federal award. Submission is required for all applicants and recipients, in writing, to the IHS and to the HHS Office of Inspector General all information related to violations of Federal criminal law involving fraud, bribery, or gratuity violations potentially affecting the Federal award. 45 CFR 75.113. Disclosures must be sent in writing to: U.S. Department of Health and Human Services, Indian Health Service, Division of Grants Management, ATTN: Robert Tarwater, Director, 5600 Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857, (Include ``Mandatory Grant Disclosures'' in subject line), Office: (301) 443- 5204, Fax: (301) 594-0899, Email: [email protected]. AND U.S. Department of Health and Human Services, Office of Inspector General, ATTN: Mandatory Grant Disclosures, Intake Coordinator, 330 Independence Avenue SW, Cohen Building, Room 5527, Washington, DC 20201, URL: http://oig.hhs.gov/fraud/report-fraud/index.asp, (Include ``Mandatory Grant Disclosures'' in subject line), Fax: (202) 205-0604 (Include ``Mandatory Grant Disclosures'' in subject line) or Email: [email protected]. Failure to make required disclosures can result in any of the remedies described in 45 CFR 75.371 Remedies for noncompliance, including suspension or debarment (See 2 CFR parts 180 & 376 and 31 U.S.C. 3321). VII. Agency Contacts 1. Questions on the programmatic issues may be directed to: Roxanne [[Page 16885]] Houston, Program Officer, Office of Tribal Self-Governance, 5600 Fishers Lane, Mail Stop: 08E05, Rockville, MD 20857, Phone: (301) 443- 7821, Email: [email protected], website: http://www.ihs.gov/self-governance. 2. Questions on grants management and fiscal matters may be directed to: Vanietta Armstrong, Grants Management Specialist, 5600 Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857, Phone: (301) 443- 4792, Fax: (301) 594-0899, Email: [email protected]. 3. Questions on systems matters may be directed to: Paul Gettys, Grant Systems Coordinator, 5600 Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857, Phone: (301) 443-2114; or the DGM main line (301) 443-5204, Fax: (301) 594-0899, Email: [email protected]. VIII. Other Information The Public Health Service strongly encourages all cooperative agreement and contract recipients to provide a smoke-free workplace and promote the non-use of all tobacco products. In addition, Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in certain facilities (or in some cases, any portion of the facility) in which regular or routine education, library, day care, health care, or early childhood development services are provided to children. This is consistent with the HHS mission to protect and advance the physical and mental health of the American people. Dated: April 5, 2018. Michael D. Weahkee, Assistant Surgeon General, U.S. Public Health Service, Acting Director, Indian Health Service. [FR Doc. 2018-07941 Filed 4-16-18; 8:45 am] BILLING CODE 4165-16-P
![Federal Register / Vol. 83, No. 74 / Tuesday, April 17, 2018 / Notices 16877
During the second part of the forum, & Medicaid Services, Office of relationship between the United States
the group will engage in an open Information Technology, Division of (U.S.) and Indian Tribes. Through the
discussion about the roadmap themes National Standards, 7500 Security TSGP, Tribes negotiate with the IHS to
and develop additional action items and Boulevard, Baltimore, Maryland, 21244, assume Programs, Services, Functions,
recommendations for the Secretary. The telephone (443) 615–1309. Summaries and Activities (PSFAs), or portions
roadmap themes and their problem of meetings and a roster of Committee thereof, which gives Tribes the authority
statements are listed below: members are available on the NCVHS to manage and tailor health care
1. Standards Development and update website: www.ncvhs.hhs.gov, where programs in a manner that best fits the
process. Frequency of updates to further information including an agenda needs of their communities.
standards and operating rules is not and instructions to access the live audio Participation in the TSGP affords
aligned with industry business and broadcast of the meetings will also be Tribes the most flexibility to tailor
technical changes and does not enable posted. health care PSFAs and is one of three
covered entities, trading partners, or Should you require reasonable ways that Tribes can choose to obtain
business associates to take advantage of accommodation, please contact the CDC health care from the Federal
developments in technology. Office of Equal Employment Government for their citizens.
2. Governance, or oversight of the Opportunity on (770) 488–3210 as soon Specifically, Tribes can choose to: (1)
standards review process (currently the as possible. Receive health care services directly
Designated Standards Maintenance from the IHS, (2) contract with the IHS
Dated: April 10, 2018.
Organization or DSMO process to administer individual programs and
established through regulation). Current Laina Bush, services the IHS would otherwise
coordinating body (i.e., the DSMO) is Deputy Assistant Secretary for Planning and provide (referred to as Title I Self-
charged with oversight of standards Evaluation, Office of the Assistant Secretary Determination Contracting, and (3)
revision priorities but may be operating for Planning and Evaluation.
compact with the IHS to assume control
with too narrow a charter or lacking the [FR Doc. 2018–07926 Filed 4–16–18; 8:45 am]
over health care programs the IHS
authority and resources to be effective. BILLING CODE 4151–05–P would otherwise provide (referred to as
3. Federal regulatory process to adopt Title V Self-Governance Compacting or
new versions of standards. The Federal the TSGP). These options are not
process for adoption of standards and DEPARTMENT OF HEALTH AND exclusive and Tribes may choose to
operating rules is lengthy, of HUMAN SERVICES combine options based on their
unpredictable duration and contains individual needs and circumstances.
numerous checks and balances that Indian Health Service
The TSGP is a tribally driven
duplicate similar processes within the Office of Tribal Self-Governance; initiative, and strong Federal-Tribal
standards development organizations. Negotiation Cooperative Agreement partnerships are essential to the
The lack of predictability and timeliness program’s success. The IHS established
jeopardizes the smooth adoption and Announcement Type: New—Limited the OTSG to implement the Tribal Self-
uptake of standards and operating rules Competition Governance authorities under the
once they are developed and published Funding Announcement Number: HHS– ISDEAA. The primary OTSG functions
by the SDO. 2018–IHS–TSGN–0001 are to: (1) Serve as the primary liaison
4. Data harmonization. The lack of Catalog of Federal Domestic Assistance and advocate for Tribes participating in
data cohesion due to inconsistencies in Number: 93.444 the TSGP, (2) develop, direct, and
data dictionaries and data elements Key Dates implement TSGP policies and
across SDOs jeopardizes procedures, (3) provide information and
interoperability. Application Deadline Date: June 17, technical assistance to Self-Governance
5. Inclusion of non-covered entities 2018 Tribes, and (4) advise the IHS Director
under HIPAA. Covered entities include Review Date: June 25–29, 2018 on compliance with TSGP policies,
providers, health plans and health care Earliest Anticipated Start Date: July 15, regulations, and guidelines. Each IHS
clearinghouses. Vendors and other 2018 Area has an Agency Lead Negotiator
business associates are not covered Tribal Resolutions Due Date: June 17, (ALN), designated by the IHS Director to
entities but often play a role in the 2018 act on his or her behalf, who has
exchange and/or processing of the I. Funding Opportunity Description authority to negotiate Self-Governance
adopted standards. The Federal Compacts and Funding Agreements
government is limited in its authority Statutory Authority (FA). Prospective Tribes interested in
over non-covered entities. This impacts The Indian Health Service (IHS) participating in the TSGP should
the use of standards in a variety of ways, Office of Tribal Self-Governance (OTSG) contact their respective ALN to begin
from costs to actual utilization. is accepting applications for Negotiation the Self-Governance planning process.
The times and topics are subject to Cooperative Agreements for the Tribal Also, Tribes currently participating in
change. Please refer to the posted Self-Governance Program (TSGP). This the TSGP, who are interested in
agenda for any updates. program is authorized under: Title V of expanding existing or adding new
Contact Persons for More Information: the Indian Self-Determination and PSFAs, should also contact their
Substantive program information may Education Assistance Act (ISDEAA), 25 respective ALN to discuss the best
be obtained from Rebecca Hines, MHS, U.S.C. 5383(e). This program is methods for expanding or adding new
Executive Secretary, NCVHS, National described in the Catalog of Federal PSFAs.
daltland on DSKBBV9HB2PROD with NOTICES
Center for Health Statistics, Centers for Domestic Assistance (CFDA) under
Disease Control and Prevention, 3311 Purpose
93.444.
Toledo Road, Hyattsville, Maryland The purpose of this Negotiation
20782, telephone (301) 458–4715. Background Cooperative Agreement is to provide
Information pertaining to meeting The TSGP is more than an IHS Tribes with resources to help defray the
content may be obtained from Lorraine program; it is an expression of the costs associated with preparing for and
Doo, MSW, MPH, Centers for Medicare Government-to-Government engaging in TSGP negotiations. TSGP
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![Federal Register / Vol. 83, No. 74 / Tuesday, April 17, 2018 / Notices 16885
Houston, Program Officer, Office of Tribal Resolutions Due Date: June 17, Area has an Agency Lead Negotiator
Tribal Self-Governance, 5600 Fishers 2018 (ALN), designated by the IHS Director to
Lane, Mail Stop: 08E05, Rockville, MD act on his or her behalf, who has
I. Funding Opportunity Description
20857, Phone: (301) 443–7821, Email: authority to negotiate Self-Governance
Roxanne.Houston@ihs.gov, website: Statutory Authority Compacts and Funding Agreements.
http://www.ihs.gov/self-governance. The Indian Health Service (IHS) Prospective Tribes interested in
2. Questions on grants management participating in the TSGP should
Office of Tribal Self-Governance
and fiscal matters may be directed to: contact their respective ALN to begin
(OTSG), is accepting applications for
Vanietta Armstrong, Grants the Self-Governance planning process.
Planning Cooperative Agreements for
Management Specialist, 5600 Fishers Also, Tribes currently participating in
the Tribal Self-Governance Program
Lane, Mail Stop: 09E70, Rockville, MD the TSGP, who are interested in
(TSGP). This program is authorized
20857, Phone: (301) 443–4792, Fax: expanding existing or adding new
under: Title V of the Indian Self-
(301) 594–0899, Email: PSFAs should also contact their
Determination and Education
Vanietta.Armstrong@ihs.gov. respective ALN to discuss the best
Assistance Act (ISDEAA), 25 U.S.C.
3. Questions on systems matters may methods for expanding or adding new
5383(e). This program is described in
be directed to: Paul Gettys, Grant PSFAs.
the Catalog of Federal Domestic
Systems Coordinator, 5600 Fishers
Assistance (CFDA) under 93.444. Purpose
Lane, Mail Stop: 09E70, Rockville, MD
20857, Phone: (301) 443–2114; or the Background The purpose of this Planning
DGM main line (301) 443–5204, Fax: The TSGP is more than an IHS Cooperative Agreement is to provide
(301) 594–0899, Email: Paul.Gettys@ program; it is an expression of the resources to Tribes interested in
ihs.gov. Government-to-Government entering the TSGP and to existing Self-
VIII. Other Information relationship between the United States Governance Tribes interested in
The Public Health Service strongly (U.S.) and Indian Tribes. Through the assuming new or expanded PSFAs. Title
encourages all cooperative agreement TSGP, Tribes negotiate with the IHS to V of the ISDEAA requires a Tribe or
and contract recipients to provide a assume Programs, Services, Functions, Tribal organization to complete a
smoke-free workplace and promote the and Activities (PSFAs), or portions planning phase to the satisfaction of the
non-use of all tobacco products. In thereof, which gives Tribes the authority Tribe. The planning phase must include
addition, Public Law 103–227, the Pro- to manage and tailor health care legal and budgetary research and
Children Act of 1994, prohibits smoking programs in a manner that best fits the internal Tribal government planning
in certain facilities (or in some cases, needs of their communities. and organizational preparation relating
any portion of the facility) in which Participation in the TSGP affords to the administration of health care
regular or routine education, library, Tribes the most flexibility to tailor programs. See 25 U.S.C. 5383(d).
day care, health care, or early childhood health care PSFAs and is one of three The planning phase is critical to
development services are provided to ways that Tribes can choose to obtain negotiations and helps Tribes make
children. This is consistent with the health care from the Federal informed decisions about which PSFAs
HHS mission to protect and advance the Government for their citizens. to assume and what organizational
physical and mental health of the Specifically, Tribes can choose to: (1) changes or modifications are necessary
American people. Receive health care services directly to successfully support those PSFAs. A
from the IHS, (2) contract with the IHS thorough planning phase improves
Dated: April 5, 2018. to administer individual programs and
Michael D. Weahkee,
timeliness and efficient negotiations and
services the IHS would otherwise ensures that the Tribe is fully prepared
Assistant Surgeon General, U.S. Public Health provide (referred to as Title I Self-
Service, Acting Director, Indian Health
to assume the transfer of IHS PSFAs to
Determination Contracting, and (3) the Tribal health program.
Service. compact with the IHS to assume control
[FR Doc. 2018–07941 Filed 4–16–18; 8:45 am] over health care programs the IHS A Planning Cooperative Agreement is
BILLING CODE 4165–16–P would otherwise provide (referred to as not a prerequisite to enter the TSGP and
Title V Self-Governance Compacting or a Tribe may use other resources to meet
the TSGP). These options are not the planning requirement. Tribes that
DEPARTMENT OF HEALTH AND exclusive and Tribes may choose to receive Planning Cooperative
HUMAN SERVICES combine options based on their Agreements are not obligated to
individual needs and circumstances. participate in the TSGP and may choose
Indian Health Service to delay or decline participation based
The TSGP is a tribally driven
initiative, and strong Federal-Tribal on the outcome of their planning
Office of Tribal Self-Governance; activities. This also applies to existing
Planning Cooperative Agreement partnerships are essential to the
program’s success. The IHS established Self-Governance Tribes exploring the
Announcement Type: New—Limited the OTSG to implement the self- option to expand their current PSFAs or
Competition governance authorities under the assume additional PSFAs.
Funding Announcement Number: HHS– ISDEAA. The primary OTSG functions
2018–IHS–TSGP–0001 Limited Competition Justification
are to: (1) Serve as the primary liaison
Catalog of Federal Domestic Assistance
Number: 93.444 and advocate for Tribes participating in There is limited competition under
daltland on DSKBBV9HB2PROD with NOTICES
the TSGP, (2) develop, direct, and this announcement because the
Key Dates implement TSGP policies and authorizing legislation restricts
Application Deadline Date: June 17, procedures, (3) provide information and eligibility to Tribes that meet specific
2018 technical assistance to Self-Governance criteria identified in Section III.
Review Date: June 25–29, 2018 Tribes, and (4) advise the IHS Director Eligibility Criteria, 1. Eligibility, A. See
Earliest Anticipated Start Date: July 15, on compliance with TSGP policies, 25 U.S.C. 5383(e); 42 CFR 137.10 and
2018 regulations, and guidelines. Each IHS §§ 137.24–26.
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Document Created: 2018-04-17 02:52:48
Document Modified: 2018-04-17 02:52:48
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Dates | June 17, 2018 Review Date: June 25-29, 2018 Earliest Anticipated Start Date: July 15, 2018 Tribal Resolutions Due Date: June 17, 2018 | |
| FR Citation | 83 FR 16877 |
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