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PA Bulletin, Doc. No. 13-1361


Availability of Traumatic Brain Injury (TBI) Grant Funds to Support TBI Education and Public Awareness of the Causes and Consequences of TBI

[43 Pa.B. 4181]
[Saturday, July 20, 2013]

 The Bureau of Family Health's (Bureau) Division of Child and Adult Health Services is accepting applications for funding to support education and awareness of the causes and consequences of concussion and mild to severe traumatic brain injury (TBI) in youth in junior and high school. Funding for up to $5,000 is available to develop trainings and materials to reach the identified population. Education and awareness activities should target professionals (that is, practitioners, teachers, athletic trainers, coaches, school nurses), community sports programs, community members and/or providers of recreational opportunities which could result in physical injury and should teach appropriate intervention strategies in the event an individual sustains an injury which could result in TBI.

 For the purpose of this funding opportunity, a TBI is defined as an insult to the brain, not of a degenerative or congenital nature, caused by an external physical force that may produce a diminished or altered state of consciousness, which results in impairment of cognitive abilities or physical functioning or in the disturbance of behavioral or emotional functioning. These impairments may be either temporary or permanent and cause partial or total functional disability or psychosocial maladjustment.

 Youth with concussions/mild head injury often do not benefit from intervention because the extent of the injury is not recognized. Currently, approximately 200 high schools and colleges in this Commonwealth are utilizing pre-play neuropsychological testing to develop a ''baseline'' or ''benchmark'' of an athlete's level of cognitive functioning in the event that the youth has a concussion while participating in sports. Additional screening tools are also available that can be utilized after a youth sustains a concussion/head injury to determine if further evaluation or action is needed. While attention to the causes and consequences of concussion and TBI in youth has grown dramatically over the past 5 years, the majority of high schools in this Commonwealth are not using any kind of concussion management program and junior high/middle schools and recreational programs have been particularly underserved.

 The learning objectives of the proposed education and awareness activities must incorporate education on TBI, not just concussion, and should include the following:

 a) How to recognize the warning signs that indicate a concussion/mild head injury has occurred.

 b) How to manage concussions/mild head injuries.

 c) How to intervene in the event that a concussion/mild head injury is suspected.

 Educational and recreational settings in Communities in this Commonwealth are being targeted for this effort. Through educational opportunities, teachers, coaches, athletic trainers, school nurses, camp counselors, and the like will be better equipped to prevent, recognize, manage and provide support for youth sustaining concussions/head injuries resulting from participation in sports or other recreational activities. Project funds must be used to reimburse purchases and activities occurring prior to March 1, 2014.

 Eligible applicants are Commonwealth public and private organizations, community-based programs and agencies that have a Federal Tax ID number. Individuals may not apply. Informal groups without Federal Tax ID numbers are encouraged to partner with a sponsor organization who may apply on behalf of the group. For-profit organizations may apply. However, no applicant may take a profit from these funds. Only those organizations, programs or agencies that have not received any grant funds from the Bureau during the current fiscal year may apply for these funds.

 Applicants may include the following: sports organizations; schools; recreation providers; community organizations; park and recreation centers; camps; athletic directors, coaches, trainers, school nurses; and parent groups and organizations.

 To apply for funding, a complete application must be postmarked and mailed to the Department of Health (Department) no later than August 16, 2013. Applications may be mailed or hand-delivered. Applications may not be faxed. Late applications will not be accepted regardless of the reason. The Department expects to notify all applicants of award status by September 1, 2013. It is anticipated that 13 awards of up to $5,000 or less will be made. This is a reimbursement program. Grantees must spend their own funds first and then be reimbursed by the Department.

Application Process: Complete Attachment A ''FY 2013-2014 APPLICATION,'' and attach a clear and concise narrative of no more than five typewritten pages single spaced that includes the following information, labeled by section:

 1. The identified target audience for the training.

 2. A description of the proposed awareness and education activities that addresses the learning objectives under the Purpose section of this funding opportunity, including who will do the training and the training content (any training/educational material used must be described).

 3. A description of how funds will be expended.

 4. How the proposed activity will be evaluated or measured for a change in awareness and education on head injury and TBI, specifically.

 An authorized official of the organization who can bind individuals to the provisions of the proposal must sign and date Attachment A. Submit an original and three complete copies of the application, which includes Attachment A, a narrative addressing the five previously listed points and any supporting documentation. Applications should be page-numbered and unbound. Incomplete applications will not be reviewed.

Eligible Costs: The maximum cumulative award to any one applicant (as identified by Federal Tax ID number) is $5,000 per fiscal year. Funds may be used for reimbursement of the costs incurred prior to March 1, 2014. The budget section of the application must include a budget narrative detailing by line item how project funds will be used. Expenses eligible for reimbursement under this project include:

 1. Purchase of a concussion screening program.

 2. Purchase of educational materials.

 3. Trainers with expertise in TBI. See included resource list.

 4. Consultation by the trainer for the program after the initial training.

 5. Training costs.

Ineligible Costs: The following costs are not eligible for reimbursement under this project:

 1. Administrative/indirect costs.

 2. Purchases/activities mandated by the Americans with Disabilities Act.

 3. New building construction or structural renovation of an existing space.

 4. Capital expenses or equipment.

Summary Report and Invoice Procedures: To receive reimbursement of approved expenses, awardees must submit the following documentation, found in Attachment B, to the Bureau no later than April 15, 2014:

 1. A summary report of activities and evaluative efforts.

 2. Attendance list, including person's position in relation to youth.

 3. Plan for continuing traumatic brain injury awareness and education.

 4. Invoice with expense documentation supporting line item amounts.

 Funding decisions are contingent upon the availability of Fiscal Year 2013-2014 funds and Department approval by means of a proposal review panel. The approval will be based upon a common set of preestablished criteria, including:

 1. Does the audience of the proposed activity meet the intended target.

 2. Do the awareness and education activities meet the learning objectives.

 3. Are the proposed expenditures/purchases reasonable.

 4. Can the evaluation or measures taken demonstrate a change in awareness and knowledge.

 5. Will the activity proposed be of an on-going, systemic benefit to the community.

 Applications should be mailed to Attention: Julie Hohney, Public Health Program Administrator, Department of Health, Bureau of Family Health, Division of Child and Adult Health Services, Health and Welfare Building, 7th Floor, East Wing, 625 Forster Street, Harrisburg, PA 17120. Julie Hohney may also be contacted at (717) 772-2762, TDD (717) 783-6514 or at with additional questions or to request application materials.


Attachment A

Pennsylvania Department of Health—Bureau of Family Health
September 1, 2013—February 28, 2014
FY 2-13-2014 Funding Application Request: Traumatic Brain Injury Education and Awareness

Applicant Information:

  • Name of Organization: ___________________________

  • FID Number: ___________________________

  • Complete Mailing Address: ___________________________

  • Contact Person: ___________________________

  • Telephone Number: (______) ______ Fax Number: (______) ______

  • E-mail Address: ___________________________

  • SAP #: _____________________________________

Itemized Budget:

Itemized Activity Expenses
#1: ___________________________ = $ ______
#2: ___________________________ = $ ______
#3: ___________________________ = $ ______
#4: ___________________________ = $ ______
#5: ___________________________ = $ ______
#6: ___________________________ = $ ______
#7: ___________________________ = $ ______
  (attach additional sheets, if necessary)
= $ ______
                           *May not exceed $5,000.00

Provide a brief written description of what will be purchased with the money:

Attach copies of the proof of cost for every expense proposed within your itemized budget.

Authorized Applicant Signature/Title: ___________________________

Printed Name: _____________________________________

Attachment B

Pennsylvania Department of Health—Bureau of Family Health
September 1, 2013—February 28, 2014
Traumatic Brain Injury Education and Awareness

Awardee Information
Name of Organization: ___________________________
FID number: ___________________________
Complete Mailing Address: ___________________________
Contact Person: ___________________________
Telephone Number: (______) ______ Fax Number: (______) ______
E-mail Address: ___________________________
SAP#: _____________________________________
Please attach the following:
 • A written narrative that includes a summary report of activities and evaluative efforts,
 • Attendance list(s), including person's position in relation to youth,
 • Plan for continuing traumatic brain injury awareness and education, and
 • Expense documentation supporting line item amounts.
Itemized Expenses
#1: _________________ = $ ______
#2: _________________ = $ ______
#3: _________________ = $ ______
#4: _________________ = $ ______
#5: _________________ = $ ______
#6: _________________ = $ ______
#7: _________________ = $ ______
#8: _________________ = $ ______
#9: _________________ = $ ______
= $ ______  *May not exceed $5,000.00
Awardee authorized signature/title: ___________________________
Awardee printed name and title: ___________________________
DOH Use Only:
Approved for Payment: Date:

Attachment C

Pennsylvania Department of Health—
Bureau of Family Health


 This mini-grant's funding consists of Federal block grant monies. The Contractor (mini-grant awardee) shall not use such funds in a manner not in accordance with the Maternal and Child Health Services Block Grant legislation at 42 U.S.C. Section 701 et seq., and the Contractor assures that no block grant funds shall be used to:

 1. Provide inpatient services, other than inpatient services provided to children with special health care needs or to high-risk pregnant women and infants and such other inpatient services as the Secretary of the U.S. Department of Health and Human Services (HHS) may approve in writing. (The use of block grant funds provided through this contract to provide permitted inpatient services shall be limited to those services specifically set forth in this contract's work statement and/or budget);

 2. Make cash payments to intended recipients of health services;

 3. Purchase or improve land, purchase, construct, or permanently improve (other than minor remodeling if provided for in the line item budget of this contract) any building or other facility, or purchase major medical equipment. (No minor equipment may be purchased unless the line item budget specifically provides for such purchase);

 4. Satisfy any requirement for the expenditure of non-Federal funds as a condition for the receipt of Federal funds;

 5. Provide funds for research or training to any entity other than a public or nonprofit private entity; or

 6. Pay for any item or service (other than an emergency item or service) furnished by an individual or entity or at the medical direction or on the prescription of a physician during the period when the individual, entity, or the physician is excluded under subchapter V (Maternal and Child Health Services Block Grant, 42 U.S.C. Section 701 et seq.), subchapter XVIII (Medicare, 42 U.S.C. Section 1395 et seq.), subchapter XIX (Medicaid, 42 U.S.C. Section 1396 et seq.), or subchapter XX (Block Grants to States for Social Services, 42 U.S.C. Section 1397 et seq.) of Chapter 7 of the Social Security Act pursuant to 42 U.S.C. Sections 1320a-7, 1320a-7a, 1320c-5, or 1395u(j)(2).

 • These sections forbid the use of block grant funds to pay for any item or service provided by an individual or entity, or at the medical direction or on the prescription of a physician, when the Secretary of HHS has excluded such individual, entity, or physician from the right or privilege to participate in or receive funds through the programs of Titles V, XVIII, XIX, or XX. Exclusion necessarily results, or may result, from such events generally (non-inclusive) as the following: conviction for criminal offenses, including fraud, or patient abuse or neglect, under federal or state health care programs; conviction relating to obstruction of investigations; convictions relating to controlled substances; license revocation or suspension; submission of claims for excessive charges or unnecessary services; failure to disclose certain information required or requested by HHS or state agencies; default on health education loans or scholarships; filing improper claims for medical payments; or violation of certain Medicare requirements.

 • In entering into this contract and by invoicing for or accepting payment hereunder, the Contractor assures that the Contractor is not in a state of exclusion per notice from HHS, and that no contract funds have been or shall be utilized to pay any individual or entity, whether the Contractor's employee, subcontractor, or otherwise, as prohibited by 42 U.S.C. Section 704(b) or this contract.

 • The Contractor shall immediately provide written notice to the Pennsylvania Department of Health (DOH) of any exclusion notice from HHS which exclusion is effective at any time during the term of this contract. Exclusion of the Contractor by HHS shall constitute a material breach and shall automatically terminate the contract as of the effective date of the exclusion.

 • The Contractor shall be liable for repayment of any contract funds either accepted by the Contractor for services or items while the Contractor is in a state of exclusion by HHS or utilized by the Contractor to pay for any item or service contrary to the requirements of 42 U.S.C. Section 704(b) of this contract.

 The Contractor assures that under this contract it and any subcontractors shall cooperate fully with the Commonwealth to enable it to comply with any reporting, audit, or fiscal requirements imposed under 42 U.S.C. Section 706.

 The Contractor assures that should the federal government conduct any investigation or should the Department be a party to any hearing under 42 U.S.C. Section 706, that the Contractor and any subcontractors shall cooperate in general with the Commonwealth in such investigation or hearing (prior to and during the time of such hearing) and specifically shall make available for examination and copying by the Commonwealth, the U.S. Department of Health and Human Services, or the Comptroller General of the United States, documentary records required by 42 U.S.C. Section 706(d)(1).

[Pa.B. Doc. No. 13-1361. Filed for public inspection July 19, 2013, 9:00 a.m.]

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