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STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT

PROCUREMENT, LOGISTICS MANAGEMENT, WAREHOUSING, AND DISTRIBUTION OF HIV/AIDS, TB-RELATED COMMODITIES

THE CALIFORNIA RURAL HEALTH TRANSFORMATION PROGRAM WILL PROVIDE NOVEL AND INNOVATIVE STRATEGIES TO BRING RURAL AND FRONTIER COMMUNITIES THE RESOURCES AND QUALITY HEALTH CARE SERVICES THAT THEY NEED. - APPLICANT ORGANIZATION: CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS & INFORMATION SUBRECIPIENTS OR SUB-AWARDEES: TBD TOTAL FUNDING REQUESTED: $1,000,000,000 PURPOSE: HCAI PROPOSES TO CREATE A NETWORK OF REGIONAL CARE COLLABORATIVES FOR RURAL COMMUNITIES. THE PROGRAM WILL FOCUS ON TIMELY, PERSON-CENTERED PRIMARY, MATERNITY, CHRONIC DISEASE, AND SPECIALTY CARE CLOSE TO HOME. INFORMED BY EXTENSIVE STAKEHOLDER INPUT, THE PROGRAM ALIGNS WITH FEDERAL AND STATEWIDE PRIORITIES AND THE FIVE STRATEGIC GOALS OF THE RURAL HEALTH TRANSFORMATION PROGRAM. THE PROGRAM WILL CREATE NOVEL INITIATIVES TO INCREASE THE WORKFORCE SUPPLY AND MODERNIZE RURAL TECHNOLOGY WITH THE GOAL TO IMPROVE PRIMARY, MATERNITY, CHRONIC CONDITION, AND SPECIALTY CARE THROUGHOUT RURAL CALIFORNIA. PROJECT GOALS: THE CALIFORNIA RURAL HEALTH TRANSFORMATION PROGRAM WILL IMPROVE LOCAL ACCESS TO COMPREHENSIVE, EVIDENCE-BASED CARE; STRENGTHEN AND RETAIN A HOMEGROWN RURAL WORKFORCE; MODERNIZE TECHNOLOGY, HEALTH INFORMATION EXCHANGE, AND CYBERSECURITY; IMPROVE FINANCIAL STABILITY OF RURAL PROVIDERS TO KEEP ESSENTIAL SERVICES AVAILABLE; REDUCE RURAL PATIENT TRAVEL BURDEN; AND IMPROVE MATERNAL AND CHRONIC DISEASE OUTCOMES THROUGH EARLIER DETECTION AND IMPROVED COORDINATED MANAGEMENT. THE PROGRAM WILL PROVIDE NOVEL AND INNOVATIVE STRATEGIES TO BRING RURAL AND FRONTIER COMMUNITIES THE RESOURCES AND QUALITY HEALTH CARE SERVICES THAT THEY NEED. USE OF FUNDS: RURAL HEALTH TRANSFORMATIVE CARE MODEL: THE PROGRAM WILL CREATE REGIONAL HUB AND SPOKE NETWORKS ANCHORED BY HOSPITAL HUBS AND SPOKES THAT INCLUDE CRITICAL ACCESS HOSPITALS, CLINICS, BIRTHING CENTERS, AND OTHER PROVIDERS. KEY ACTIVITIES WILL INCLUDE SHARED LEVELS OF CARE AND TRANSFER PROTOCOLS; PROJECT EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES FOR CHRONIC DISEASE AND PRIMARY-SPECIALTY CARE COLLABORATION; FAMILY MEDICINE WITH OBSTETRICS FELLOWSHIPS; OB NEST FOR PRENATAL CARE WITH REMOTE PATIENT SELF-MONITORING AND NURSING SUPPORT; AND E-CONSULT RESOURCES AND PERINATAL PSYCHIATRY ACCESS PROGRAMS. THE PROGRAM WILL INCLUDE TARGETED TRANSFORMATION PAYMENTS TO SUPPORT RURAL HOSPITALS’ CAPACITY TO TRANSFORM THEIR SYSTEMS TO SUPPORT REGIONAL DELIVERY OF CARE, COMPLETE A TELEHEALTH GAP ASSESSMENT FOR EACH HUB AND SPOKE, AND USE ACCELERATOR PARTNERS TO INCUBATE WORKFORCE, TECHNOLOGY, AND PAYMENT SOLUTIONS. RURAL HEALTH WORKFORCE DEVELOPMENT: THE PROGRAM WILL BUILD A STATEWIDE WORKFORCE MAPPING AND PLANNING TOOL TO IDENTIFY REGIONAL, COUNTY, AND SUB-COUNTY WORKFORCE NEEDS; STRENGTHEN EDUCATION PATHWAYS FROM HIGH SCHOOL TO COMMUNITY COLLEGES, AND 4-YEAR UNIVERSITIES WITH WRAPAROUND SUPPORTS; EXPAND REGIONAL UPSKILLING THROUGH TRAIN-THE-TRAINER PROGRAMS IN MATERNAL HEALTH, CHRONIC DISEASE, BEHAVIORAL HEALTH, AND TELEHEALTH; AND GROW NON-PHYSICIAN ROLES SUCH AS COMMUNITY HEALTH WORKERS, NURSES, DOULAS, AND MIDWIVES. THE PROGRAM WILL FUND PIPELINE AND PATHWAY PROGRAMS, THE EXPANSION OF CLINICAL PLACEMENT AND SUPERVISION SITES, AND INCLUDE RETENTION AND RELOCATION INCENTIVE PAYMENTS. RURAL HEALTH TECHNOLOGY AND TOOLS: THE PROGRAM WILL MODERNIZE INFRASTRUCTURE AND CONNECTIVITY, INCLUDING ELECTRONIC HEALTH RECORD ENHANCEMENTS, HEALTH INFORMATION EXCHANGE, AND CYBERSECURITY; OPERATE A TECHNICAL ASSISTANCE CENTER THAT PROVIDES IMPLEMENTATION SUPPORT, TRAINING AND CERTIFICATION, AND CAPABILITIES ASSESSMENT; EXPAND COLLABORATION THROUGH SHARED PURCHASES AND SERVICES; AND DEPLOY PATIENT CENTERED TOOLS SUCH AS REMOTE PATIENT SELF-MONITORING THAT INTEGRATE PERSON GENERATED DATA INTO CLINICAL WORKFLOWS. EXPECTED OUTCOMES THE PROGRAM WILL DELIVER BETTER HEALTH OUTCOMES INCLUDING MORE RURAL RESIDENTS RECEIVING PRIMARY, MATERNITY, CHRONIC DISEASE, AND SPECIALTY SERVICES LOCALLY; FEWER PREVENTABLE MATERNAL COMPLICATIONS; EXPANDED LOCAL CLINICIAN AND PROVIDER CAPACITY; INCREASED USE OF TELEHEALTH AND E-CONSULTS; IMPROVED HEALTH INFORMATION EXCHANGE; STRONGER CYBERSECURITY; REDUCED RURAL HOSPITAL BYPASS; AND HIGHER PATIENT ENGAGEMENT.

PROGRAM AREA B:PROVISION OF PROCUREMENT AND LOGISTICS MANAGEMENT OF HEALTH-RELATE

APPLICATION PURPOSE: THE PURPOSE OF THIS AWARD IS TO SUBMIT THIS APPLICATION IN SUPPORT OF THE FOLLOWING CAPITAL PROJECTS BELOW. THIS GRANT WILL ASSIST IN FUNDS TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE SIX (6) DIFFERENT SERVICE AREAS ACCESS SERVICES OPERATES WITHIN LOS ANGELES COUNTY. ADVANCE OBLIGATION WAS INITIATED TO OBLIGATE FUNDS IN FEDERAL FISCAL YEAR 2023 THIS PROJECT WILL FUND AND EXPEND CONTRACTED SERVICE FOR THE PERIOD BETWEEN JULY 1 2024 THROUGH JUNE 30 2026.; ACTIVITIES PERFORMED: FUNDS WILL COVER AND BE USED TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE SIX (6) DIFFERENT SERVICE AREAS ACCESS OPERATES WITHIN LOS ANGELES COUNTY. THIS PROJECT WILL FUND CONTRACTED SERVICE FOR THE PERIOD BETWEEN OCTOBER 1 2023 THROUGH JUNE 30 2026. ACCESS SERVICES IS A PUBLIC TRANSIT AGENCY THAT PROVIDES AMERICAN WITH DISABILITIES ACT (ADA) COMPLEMENTARY PARATRANSIT SERVICE PURSUANT TO THE LOS ANGELES COUNTY COORDINATED PUBLIC TRANSIT HUMAN SERVICES PLAN.; EXPECTED OUTCOMES: FUNDING WILL ALLOW THE CONTINUED OPERATION OF ADA COMPLEMENTARY PARATRANSIT SERVICES ON BEHALF OF LOS ANGELES COUNTYS 45 FIXED TRANSIT OPERATORS. CAPITAL COST OF CONTRACTING FOR FY 24-26 TO PROVIDE ADA COMPLEMENTARY PARATRANSIT SERVICES THROUGHOUT LOS ANGELES COUNTY IS BUDGETED AT $495118940. ACCESS SERVICES PROVIDES SERVICE THROUGHOUT LOS ANGELES COUNTY IN THE FOLLOWING 6 SERVICE AREAS: 1.SOUTHERN REGION 2.NORTHERN REGION 3.EASTERN REGION 4.WEST- CENTRAL REGION 5.SANTA CLARITA REGION 6.ANTELOPE VALLEY REGION.THE SERVICE IN EACH REGION IS DIRECTLY PROVIDED BY A SERVICE PROVIDER CONTRACTOR.; INTENDED BENEFICIARIES: THE INTENDED BENEFICIARIES ARE THE PARATRANSIT CUSTOMERS IN ACCESS SERVICE REGIONS. ACCESS SERVICES CONTRACTS WITH SIX PARATRANSIT PROVIDERS IN THE: NORTHERN EASTERN SOUTHERN AND WEST-CENTRAL REGIONS OF LOS ANGELES COUNTY INCLUDING SANTA CLARITA AND ANTELOPE VALLEY.; SUBRECIPIENT ACTIVITIES: NONE.

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

PROVISION OF FAMILY PLANNING SERVICES AND OUTREACH SERVICES TO ELIGIBLE CLIENTS IN THE STATE OF CALIFORNIA

APPLICATION PURPOSE: THE PURPOSE OF THIS AWARD IS TO SUBMIT THIS APPLICATION IN SUPPORT OF THE FOLLOWING CAPITAL PROJECTS BELOW. THIS GRANT WILL ASSIST IN FUNDS TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE SIX (6) DIFFERENT SERVICE AREAS ACCESS SERVICES OPERATES WITHIN LOS ANGELES COUNTY. THIS PROJECT WILL FUND CONTRACTED SERVICE FOR THE PERIOD BETWEEN JULY 1 2023 THROUGH JUNE 30 2024. ; ACTIVITIES PERFORMED: FUNDS WILL COVER AND BE USED TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE SIX (6) DIFFERENT SERVICE AREAS ACCESS OPERATES WITHIN LOS ANGELES COUNTY. THIS PROJECT WILL FUND CONTRACTED SERVICE FOR THE PERIOD BETWEEN JULY 1 2023 THROUGH JUNE 30 2024. ACCESS SERVICES IS A PUBLIC TRANSIT AGENCY THAT PROVIDES AMERICAN WITH DISABILITIES ACT (ADA) COMPLEMENTARY PARATRANSIT SERVICE PURSUANT TO THE LOS ANGELES COUNTY COORDINATED PUBLIC TRANSIT HUMAN SERVICES PLAN. ACCESS SERVICES IS ALSO THE DESIGNATED LOS ANGELES COUNTY CONSOLIDATED TRANSPORTATION SERVICE AGENCY (CTSA) PURSUANT TO GOVERNMENT CODE 15975. THE CORE PURPOSE OF THE CTSA DESIGNATION IS TO FOSTER AND PROMOTE COORDINATION OF TRANSIT SERVICES IN THE COUNTY. THIS ACTIVITY WAS DERIVED FROM THE COORDINATED PUBLIC TRANSIT HUMAN SERVICES PLAN IN THAT IT MEETS THE NEEDS OF SENIORS AND PERSONS WITH DISABILITIES AS IDENTIFIED IN THE PLAN. THE ACTIVITY WILL ALSO BE CONSISTENT AS ACCESS PROVIDES ADA COMPLEMENTARY PARATRANSIT SERVICE TO CUSTOMERS IN THE LOS ANGELES BASIN INCLUDING SANTA CLARITA AND ANTELOPE VALLEY. ACCESS SERVICES IS A NOT-FOR-PROFIT PUBLIC AGENCY THAT OPERATES ADA COMPLEMENTARY PARATRANSIT SERVICE ON BEHALF OF FORTY-FIVE PUBLIC FIXED ROUTE OPERATORS INCLUDING L.A. METRO AND LOCAL AND MUNICIPAL PUBLIC TRANSIT AGENCIES. A LISTING OF ACCESS SERVICES MEMBER AGENCIES HAS BEEN UPLOADED TO TRAMS UNDER RECIPIENT DOCUMENTS. LOS ANGELES COUNTY SPANS OVER 4700 SQUARE MILES OF WHICH 1950 SQUARES MILES IS ACCESS SERVICE AREA. THIS VAST SERVICE AREA PROMPTED ACCESS IN 1994 TO ASSESS THE BEST METHOD IN DELIVERING AN EFFICIENT AND EFFECTIVE COORDINATED ADA COMPLEMENTARY PARATRANSIT SERVICE MODEL. DUE TO THE SIZE OF THE SERVICE AREA INCLUDING TAKING INTO CONSIDERATION ASPECTS OF IMPLEMENTING A COORDINATED ADA COMPLEMENTARY SYSTEM SIX (6) SERVICE AREAS WERE ESTABLISHED. THE INCEPTION OF THE SIX (6) SERVICE REGIONS PROMPTED SIX (6) DIFFERENT CONTRACTORS WITH EACH SERVICE REGION COMPETITIVELY BID AND PROCURED. THIS SERVICE MODEL HAS BEEN PROVEN EFFECTIVE IN OVER 20 YEARS THAT ACCESS HAS OPERATED AS IT ALLOWS ACCESS SERVICES TO EFFICIENTLY MANAGE ADA COMPLEMENTARY PARATRANSIT SERVICES IN LOS ANGELES COUNTY. IN ADDITION THE COORDINATED EFFORTS INCLUDING SERVICE DESIGN ENCOURAGED BY THE ORIGINAL ADA PARATRANSIT REGULATIONS PROVIDES CONVENIENCE AND EASE FOR PARATRANSIT CUSTOMERS IN THE LOS ANGELES COUNTY BASIN WHO ARE ABLE TO ENJOY TRANSFER-FREE PARATRANSIT SERVICE FOR THEIR TRIPS; EXPECTED OUTCOMES: FUNDING WILL ALLOW THE CONTINUED OPERATION OF ADA COMPLEMENTARY PARATRANSIT SERVICES ON BEHALF OF LOS ANGELES COUNTYS 45 FIXED TRANSIT OPERATORS. THE ANNUAL CONTRACT COST TO PROVIDE ADA COMPLEMENTARY PARATRANSIT SERVICES THROUGHOUT LOS ANGELES COUNTY IS BUDGETED AT $191253135 AND IS PROVIDED BY ACCESS SERVICE PROVIDER CONTRACTORS. ACCESS SERVICES PROVIDES SERVICE THROUGHOUT LOS ANGELES COUNTY IN THE FOLLOWING 6 SERVICE AREAS:1.SOUTHERN REGION2.NORTHERN REGION3.EASTERN REGION4.WEST- CENTRAL REGION5.SANTA CLARITA REGION6.ANTELOPE VALLEY REGION; INTENDED BENEFICIARIES: THE INTENDED BENEFICIARIES ARE THE PARATRANSIT CUSTOMERS IN ACCESS SERVICE REGIONS. ACCESS SERVICES CONTRACTS WITH SIX PARATRANSIT PROVIDERS IN THE: NORTHERN EASTERN SOUTHERN AND WEST-CENTRAL REGIONS OF LOS ANGELES COUNTY INCLUDING SANTA CLARITA AND ANTELOPE VALLEY. ; SUBRECIPIENT ACTIVITIES: NONE.

RECOVERY ACT - NOANET BB INFRASTRUCTURE PROJECT

THIS APPLICATION IS TO REQUEST FHWA SURFACE TRANSPORTATION PROGRAM (STP) TRANSFERRED TO SECTION 5310 SENIORS INDIVIDUALS WITH DISABILITIES FUNDS IN THE AMOUNT OF $73000000. PURPOSE:THE PURPOSE OF THIS AWARD IS TO SUBMIT THIS APPLICATION IN SUPPORT OF THE FOLLOWING CAPITAL PROJECTS BELOW. THIS GRANT WILL ASSIST IN FUNDS TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE SIX (6) DIFFERENT SERVICE AREAS ACCESS SERVICES OPERATES WITHIN LOS ANGELES COUNTY. THIS PROJECT WILL FUND CONTRACTED SERVICE FOR THE PERIOD BETWEEN JULY 1 2022 THROUGH JUNE 30 2023. FEDERAL FUNDING FOR THE PROJECT INCLUDED IN THIS GRANT APPLICATION IS PROVIDED BY THE FOLLOWING:SURFACE TRANSPORTATION PROGRAM (STP) FLEXIBLE FUNDS TRANSFERRED TO 5310 FROM THE LOS ANGELES-LONG BEACH-SANTA ANA UZA #60020: $73000000.TOTAL SECTION FHWA TRANSFER TO 5310 FFY 2022 LOS ANGELES-LONG BEACH-SANTA ANA UZA: $73000000OVERALL GRANT FUNDING: TOTAL FEDERAL FUNDS (88.53%): $73000000TOTAL LOCAL MATCH (11.47%): $9457924TOTAL PROJECT COST: $82457924ACCESS SERVICES IS HEREBY SUBMITTING THIS GRANT APPLICATION IN SUPPORT OF THE FOLLOWING CAPITAL PROJECTS:THIS GRANT APPLIES $73000000 OF STP FUNDS (FHWA TRANSFER TO 5310) TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE SIX (6) DIFFERENT SERVICE AREAS ACCESS SERVICES OPERATES WITHIN LOS ANGELES COUNTY. THIS PROJECT WILL FUND CONTRACTED SERVICE FOR THE PERIOD BETWEEN JULY 1 2022 THROUGH JUNE 30 2023.IN THE FUTURE ACCESS SERVICES WILL FLEX FHWA SURFACE TRANSPORTATION PROGRAM (STP) DOLLARS INTO SECTION 5307 URBANIZED FORMULA FUNDS. ACTIVITIES TO BE PERFORMED:FUNDS WILL COVER AND BE USED TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE SIX (6) DIFFERENT SERVICE AREAS ACCESS OPERATES WITHIN LOS ANGELES COUNTY. THIS PROJECT WILL FUND CONTRACTED SERVICE FOR THE PERIOD BETWEEN JULY 1 2022 THROUGH JUNE 30 2023. ACCESS SERVICES IS A PUBLIC TRANSIT AGENCY THAT PROVIDES AMERICAN WITH DISABILITIES ACT (ADA) COMPLEMENTARY PARATRANSIT SERVICE PURSUANT TO THE LOS ANGELES COUNTY COORDINATED PUBLIC TRANSIT HUMAN SERVICES PLAN. ACCESS SERVICES IS ALSO THE DESIGNATED LOS ANGELES COUNTY CONSOLIDATED TRANSPORTATION SERVICE AGENCY (CTSA) PURSUANT TO GOVERNMENT CODE 15975. THE CORE PURPOSE OF THE CTSA DESIGNATION IS TO FOSTER AND PROMOTE COORDINATION OF TRANSIT SERVICES IN THE COUNTY. THIS ACTIVITY WAS DERIVED FROM THE COORDINATED PUBLIC TRANSIT HUMAN SERVICES PLAN IN THAT IT MEETS THE NEEDS OF SENIORS AND PERSONS WITH DISABILITIES AS IDENTIFIED IN THE PLAN. THE ACTIVITY WILL ALSO BE CONSISTENT AS ACCESS PROVIDES ADA COMPLEMENTARY PARATRANSIT SERVICE TO CUSTOMERS IN THE LOS ANGELES BASIN INCLUDING SANTA CLARITA AND ANTELOPE VALLEY. ACCESS SERVICES IS A NOT-FOR-PROFIT PUBLIC AGENCY THAT OPERATES ADA COMPLEMENTARY PARATRANSIT SERVICE ON BEHALF OF FORTY-FIVE PUBLIC FIXED ROUTE OPERATORS INCLUDING L.A. METRO AND LOCAL AND MUNICIPAL PUBLIC TRANSIT AGENCIES. A LISTING OF ACCESS SERVICES MEMBER AGENCIES HAS BEEN UPLOADED TO TRAMS UNDER RECIPIENT DOCUMENTS. LOS ANGELES COUNTY SPANS OVER 4700 SQUARE MILES OF WHICH 1950 SQUARES MILES IS ACCESS SERVICE AREA. THIS VAST SERVICE AREA PROMPTED ACCESS IN 1994 TO ASSESS THE BEST METHOD IN DELIVERING AN EFFICIENT AND EFFECTIVE COORDINATED ADA COMPLEMENTARY PARATRANSIT SERVICE MODEL. DUE TO THE SIZE OF THE SERVICE AREA INCLUDING TAKING INTO CONSIDERATION ASPECTS OF IMPLEMENTING A COORDINATED ADA COMPLEMENTARY SYSTEM SIX (6) SERVICE AREAS WERE ESTABLISHED. THE INCEPTION OF THE SIX (6) SERVICE REGIONS PROMPTED SIX (6) DIFFERENT CONTRACTORS WITH EACH SERVICE REGION COMPETITIVELY BID AND PROCURED. THIS SERVICE MODEL HAS BEEN PROVEN EFFECTIVE IN OVER 20 YEARS THAT ACCESS HAS OPERATED AS IT ALLOWS ACCESS SERVICES TO EFFICIENTLY MANAGE ADA COMPLEMENTARY PARATRANSIT SERVICES IN LOS ANGELES COUNTY. IN ADDITION THE COORDINATED EFFORTS INCLUDING SERVICE DESIGN ENCOURAGED BY THE ORIGINAL ADA PARATRANSIT REGULATIONS PROVIDES CONVENIENCE AND EASE FOR PARATRANSIT CUSTOMERS IN THE LOS ANGELES COUNTY BASIN WHO ARE ABLE TO ENJOY TRANSFER-FREE PARATRANSIT SERVICE FOR THEIR TRIPS. EXPECTED OUTCOMES: FUNDING WILL ALLOW THE CONTINUED OPERATION OF ADA COMPLEMENTARY PARATRANSIT SERVICES ON BEHALF OF LOS ANGELES COUNTYS 45 FIXED TRANSIT OPERATORS. THE ANNUAL CONTRACT COST TO PROVIDE ADA COMPLEMENTARY PARATRANSIT SERVICES THROUGHOUT LOS ANGELES COUNTY IS BUDGETED AT $176512083 AND IS PROVIDED BY ACCESS SERVICE PROVIDER CONTRACTORS. ACCESS SERVICES PROVIDES SERVICE THROUGHOUT LOS ANGELES COUNTY IN THE FOLLOWING 6 SERVICE AREAS:1.SOUTHERN REGION2.NORTHERN REGION3.EASTERN REGION4.WEST- CENTRAL REGION5.SANTA CLARITA REGION6.ANTELOPE VALLEY REGIONINTENDED BENEFICIARIES:THE INTENDED BENEFICIARES ARE THE PARATRANSIT CUSTOMERS IN ACCESS SERVICE REGIONS. ACCESS SERVICES CONTRACTS WITH SIX PARATRANSIT PROVIDERS IN THE: NORTHERN EASTERN SOUTHERN AND WEST-CENTRAL REGIONS OF LOS ANGELES COUNTY INCLUDING SANTA CLARITA AND ANTELOPE VALLEY. SUBRECIPIENT ACTIVITIES:NONE.

FEDERAL FUNDING FOR THE PROJECT INCLUDED IN THIS GRANT APPLICATION IS PROVIDED BY THE FOLLOWING:SURFACE TRANSPORTATION PROGRAM (STP) FLEXIBLE FUNDS TRANSFERRED TO 5310 FROM THE LOS ANGELES-LONG BEACH-SANTA ANA UZA #60020: $71300000.TOTAL SECTION FHWA TRANSFER TO 5310 FFY 2021 LOS ANGELES-LONG BEACH-SANTA ANA UZA: $71300000OVERALL GRANT FUNDING: TOTAL FEDERAL FUNDS (88.53%): $71300000TOTAL LOCAL MATCH (11.47%): $9237671TOTAL PROJECT COST: $80537671ACCESS SERVICES IS HEREBY SUBMITTING THIS GRANT APPLICATION IN SUPPORT OF THE FOLLOWING CAPITAL PROJECTS:THIS GRANT APPLIES $71300000 OF STP FUNDS (FHWA TRANSFER TO 5310) TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE 6 DIFFERENT SERVICE AREAS ACCESS SERVICES OPERATES WITHIN LOS ANGELES COUNTY. THIS PROJECT WILL FUND CONTRACTED SERVICE FOR THE PERIOD BETWEEN JULY 1 2021 THROUGH JUNE 30 2022.

5310- PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICES FY 20

5310 - PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICES FY21

PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICES FY 19

PROVISION OF FAMILY PLANNING AND RELATED PREVENTIVE HEALTH SERVICES TO ELIGIBLE CLIENTS IN THE STATE OF CALIFORNIA.

5310 - PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICES FY 18

PROVISION OF FAMILY PLANNING AND RELATED PREVENTIVE HEALTH SERVICES TO ELIGIBLE CLIENTS IN THE STATE OF CALIFORNIA.

PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICES FY 17

FY 2016 CAP PROJECTS; PURCHASED TRANSP.

PROVISION OF FAMILY PLANNING AND RELATED PREVENTIVE HEALTH SERVICES TO ELIGIBLE CLIENTS IN THE STATE OF CALIFORNIA.

FY 2015 CAP PRJCTS; PURCHASED TRANS

FY 2013 CAP PRJCTS; PURCHASED TRANS

FY 2012 CAP PRJCTS; PURCHASED TRANS

APPLICATION PURPOSE: THESE FUNDS WILL ENABLE US TO PROCURE CONTRACTOR SERVICES TO FACILITATE ADA COMPLEMENTARY PARATRANSIT SERVICE ACROSS ACCESS SERVICES SIX SERVICE AREAS WITHIN LOS ANGELES COUNTY SPECIFICALLY FUNDING CONTRACTED SERVICES FROM JULY 1 2025 THROUGH JUNE 30 2027.; ACTIVITIES PERFORMED: THE FUNDS ARE DESIGNATED TO COVER AND SECURE CONTRACTOR SERVICES ESSENTIAL FOR DELIVERING ADA COMPLEMENTARY PARATRANSIT SERVICE ACROSS THE SIX SERVICE AREAS MANAGED BY ACCESS WITHIN LOS ANGELES COUNTY. THESE FUNDS WILL SUPPORT CONTRACTED SERVICES FROM JULY 1 2025 THROUGH JUNE 30 2027.AS A PUBLIC TRANSIT AGENCY ACCESS SERVICES PROVIDES AMERICAN WITH DISABILITIES ACT (ADA) COMPLEMENTARY PARATRANSIT SERVICE UNDER THE LOS ANGELES COUNTY COORDINATED PUBLIC TRANSIT HUMAN SERVICES PLAN. FURTHERMORE ACCESS SERVICES IS RECOGNIZED AS THE LOS ANGELES COUNTY CONSOLIDATED TRANSPORTATION SERVICE AGENCY (CTSA) ACCORDING TO GOVERNMENT CODE 15975 WITH A PRIMARY GOAL TO ENHANCE TRANSIT SERVICE COORDINATION THROUGHOUT THE COUNTY. THESE ACTIVITIES ALIGN WITH THE COORDINATED PUBLIC TRANSIT HUMAN SERVICES PLAN BY ADDRESSING THE REQUIREMENTS OF SENIORS AND INDIVIDUALS WITH DISABILITIES ENSURING CONSISTENT ADA COMPLEMENTARY PARATRANSIT SERVICE DELIVERY TO CUSTOMERS THROUGHOUT THE LOS ANGELES BASIN INCLUDING SANTA CLARITA AND ANTELOPE VALLEY.OPERATING AS A NON-PROFIT PUBLIC AGENCY ACCESS SERVICES MANAGES ADA COMPLEMENTARY PARATRANSIT SERVICE ON BEHALF OF FORTY-FIVE PUBLIC FIXED ROUTE OPERATORS SUCH AS L.A. METRO AND VARIOUS LOCAL AND MUNICIPAL PUBLIC TRANSIT AGENCIES. GIVEN THE EXTENSIVE SERVICE AREA OF ACCESS WHICH COVERS 1950 SQUARE MILES WITHIN LOS ANGELES COUNTYS TOTAL AREA OF OVER 4700 SQUARE MILES ACCESS ESTABLISHED SIX SERVICE AREAS IN 1994 TO OPTIMIZE THE EFFICIENCY AND EFFECTIVENESS OF THE COORDINATED ADA COMPLEMENTARY PARATRANSIT SERVICE MODEL. THIS STRATEGIC DIVISION LED TO THE COMPETITIVE BIDDING AND PROCUREMENT OF SIX DISTINCT CONTRACTORS EACH RESPONSIBLE FOR A SPECIFIC SERVICE REGION. OVER THE PAST TWO DECADES THIS SERVICE MODEL HAS DEMONSTRATED ITS EFFECTIVENESS ENABLING ACCESS SERVICES TO EFFICIENTLY MANAGE ADA COMPLEMENTARY PARATRANSIT SERVICES ACROSS LOS ANGELES COUNTY. MOREOVER THE COORDINATED EFFORTS IN SERVICE DESIGN ENCOURAGED BY THE ORIGINAL ADA PARATRANSIT REGULATIONS OFFER CONVENIENCE AND SEAMLESS TRANSFER SERVICE FOR PARATRANSIT CUSTOMERS WITHIN THE LOS ANGELES COUNTY BASIN.; EXPECTED OUTCOMES: FUNDING WILL ALLOW THE CONTINUED OPERATION OF ADA COMPLEMENTARY PARATRANSIT SERVICES ON BEHALF OF LOS ANGELES COUNTYS 45 FIXED TRANSIT OPERATORS. CAPITAL COST OF CONTRACTING FOR FY25/26 - FY26/27 TO PROVIDE ADA COMPLEMENTARY PARATRANSIT SERVICES THROUGHOUT LOS ANGELES COUNTY IS BUDGETED AT $544049130. ACCESS SERVICES PROVIDES SERVICE THROUGHOUT LOS ANGELES COUNTY IN THE FOLLOWING 6 SERVICE AREAS: 1.SOUTHERN REGION 2.NORTHERN REGION 3.EASTERN REGION 4.WEST- CENTRAL REGION 5.SANTA CLARITA REGION 6.ANTELOPE VALLEY REGION.THE SERVICE IN EACH REGION IS DIRECTLY PROVIDED BY A SERVICE PROVIDER CONTRACTOR.; INTENDED BENEFICIARIES: THE INTENDED BENEFICIARIES ARE THE CUSTOMERS WITHIN ACCESS SERVICES OPERATIONAL REGIONS. ACCESS SERVICES HAS CONTRACTED WITH SIX PARATRANSIT PROVIDERS ACROSS THE NORTHERN EASTERN SOUTHERN AND WEST-CENTRAL REGIONS OF LOS ANGELES COUNTY WHICH INCLUDE SANTA CLARITA AND ANTELOPE VALLEY.; SUBRECIPIENT ACTIVITIES: NONE.

FY 2011 CAP PRJCTS; PURCHASED TRANS

FY 2011 CAP PRJCTS; PURCHASED TRANS

RECOVERY ACT - STATE OF WASHINGTON BROADBAND CONSORTIUM

FY 2010 CAP PRJCTS; PURCHASED TRANS

FY 2009 CAP PRJCTS; PURCHASED TRANS

PROVISION OF FAMILY PLANNING AND RELATED PREVENTIVE HEALTH SERVICES TO ELIGIBLE CLIENTS IN THE STATE OF CALIFORNIA.

HEALTH CENTER CLUSTER

TANZANIA PEOPLES DEFENSE FORCES HIV/AIDS WORKPLACE PROGRAM

HEALTH CENTER CLUSTER

2008 FAMILY PLANNING SERVICES (REGION 3 - SOUTHEAST PENNSYLVANIA)

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

MODERATE VOICES

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

COMPREHENSIVE FAMILY PLANNING SERVICES IN SOUTHEASTERN PENNSYLVANIA

HEALTH CENTER CLUSTER

NUESTROS BOSQUES OUR FORESTS INFLATION REDUCTION ACT INITIATIVE

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

POSITIVE LIVING PROJECT

THE GOAL OF R4P IS TO STRENGTHEN COMMUNITY RESILIENCE AND LEARNING, PARTICULARLY FOR YOUTH AND WOMEN, TO COUNTER VIOLENT EXTREMISM (CVE) AND PREVENT THE SPILL OVER OF VE FROM THE SAHEL IN COTE D’IVOIRE’S NORTHERN BORDER AREAS . THIS PROGRAM WILL REINFORCE RESILIENCE STRUCTURES AND FACTORS AS WELL AS BUILD IN LEARNING TO BETTER IDENTIFY ANY POCKETS OF RADICALIZATION AND VULNERABILITY.

COMPREHENSIVE FAMILY PLANNING SERVICES IN SOUTHEASTERN PENNSYLVANIA

PILOT BROADBAND GRANT

HEALTH CENTER CLUSTER

COMPREHENSIVE FAMILY PLANNING SERVICES PROVIDED IN SOUTHEASTERN PENNSYLVANIA

ELIMINATING DISPARITIES IN PERINATAL HEALTH

PROVISION OF FAMILY PLANNING AND RELATED PREVENTIVE HEALTH SERVICES TO ELIGIBLE CLIENTS IN THE STATE OF CALIFORNIA

HEAD START PROGRAM

SHIP COVID TESTING AND MITIGATION

FAMILY PLANNING SERVICES FOR SOUTHEASTERN PENNSYLVANIA

APPLICATION PURPOSE: BUDGET REVISION #1 - CA-2020-284-01 LOS ANGELES UZA #60020 AND CA-2020-284-02 SANTA CLARITA UZA #61770 ADA VEHICLE REPLACEMENTBUDGET REVISION 1 FOR PROJECT CA-2020-284-01 AND CA-2020-284-02 AMENDS VEHICLE TYPE AND QUANTITY THERE ARE NO CHANGES TO THE PROJECT FUNDING. PROJECT CA-2020-284-01 ALI 11.12.04 REDUCES THE OVERALL VEHICLE QUANTITY FROM 133 TO 121PROJECT CA-2020-284-02 ALI 11.12.04 CHANGES THE VEHICLE TYPE FROM CLASS A TO CLASS P GASOLINE POWERED LOW-FLOOR RAM PROMASTER 159ACCESS SERVICES USES THE CALACT/MBTA PURCHASING COOPERATIVE TO PROCURE VEHICLES. DUE TO THE PANDEMIC ALONG WITH SUPPLY CHAIN ISSUES CHIP SHORTAGES AND PRODUCTION STOPPAGES AT ALL THE MANUFACTURERS ARE RESULTING IN SIGNIFICANT COST INCREASES. THE SUPPLIERS FOR CALACT/MBTA PURCHASING COOPERATIVE HAVE APPLIED FOR FORCE MAJEURE RELIEF UNDER THE TERMS OF THE CONTRACT.THE MARKET IS PRESENTLY IN A STATE OF FLUX AND VERY UNSTABLE WITH ORDERING OPPORTUNITIES CHANGING FREQUENTLY. ACCORDINGLY STAFF MUST ACT IN THE BEST INTEREST OF THE AGENCY AND MAKE ORDER DECISIONS WHEN CHASSIS AND OR BUILD SLOTS BECOME AVAILABLE AVOIDING ADDITIONAL DELAYS. DUE TO THESE REASONS ACCESS IS AMENDING PROJECT CA-2020-284-01 LOS ANGELES UZA #60020 AND PROJECT CA-2020-284-02 SANTA CLARITA UZA #61770 ADA VEHICLE REPLACEMENT AND ORDERING VEHICLES BASED ON AVAILABILITY OF CHASSIS AND MANUFACTURERS BUILD SCHEDULES. ; ACTIVITIES PERFORMED: PROCURE 128 REPLACEMENT ADA ACCESSIBLE VEHICLES; EXPECTED OUTCOMES: REPLACEMENT VEHICLES WILL BE RELIABLE HAVE LOWER MAINTENANCE COSTS (IF ANY) BETTER GAS MILEAGE LOWER CO2 EMISSIONS BETTER PERFORMANCE WITH ENHANCED SAFETY FEATURES.; INTENDED BENEFICIARIES: SENIORS INDIVIDUALS WITH DISABILITIES; SUBRECIPIENT ACTIVITIES: N/A

STATE LOAN REPAYMENT PROGRAM

PROVISION OF FAMILY PLANNING AND RELATED PREVENTIVE HEALTH SERVICES TO ELIGIBLE CLIENTS IN THE STATE OF HAWAII.

5310 ADA COMPLEMENTARY PARATRANSIT VEHICLE REPLACEMENT FY 18

HEALTH CENTER CLUSTER

RYAN WHITE TITLE IV PROGRAM

ELIMINATING DISPARITIES IN PERINATAL HEALTH

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

THE GOAL OF THE ACTIVITY IS TO MITIGATE THE IMPACT OF HIV AND IMPROVE THE HEALTH AND WELLBEING OF VCA THROUGH THE DELIVERY OF HIGH-IMPACT, EVIDENCE-INFORMED, AND AGE-APPROPRIATE INTERVENTIONS CUSTOMIZED FOR EACH VCA SUB-POPULATION USING A FAMILY-CENTERED APPROACH. THE ACTIVITY SEEKS TO IMPROVE THE SOCIAL AND HEALTH OUTCOMES OF VULNERABLE HOUSEHOLDS IN HIGH HIV BURDEN DISTRICTS ACROSS TWO PROVINCES OF ZAMBIA (COPPERBELT AND NORTH-WESTERN) IN CLOSE COLLABORATION WITH THE GOVERNMENT OF THE REPUBLIC OF ZAMBIA

ESTABLISH ADJUVANT HUB TO ENABLE ADJUVANTED INFLUENZA VACCINES IN UNDER-RESOURCED NATIONS

APPLICATION PURPOSE: ACCESS SERVICES USES THE CALACT/MBTA PURCHASING COOPERATIVE TO PROCURE VEHICLES. AS A RESULT OF THE PANDEMIC ALONG WITH THE SUPPLY CHAIN ISSUES CHIP SHORTAGES AND PRODUCTION STOPPAGES AT ALL THE MANUFACTURERS ARE RESULTING IN SIGNIFICANT COST INCREASES.; ACTIVITIES PERFORMED: PROCURE REPLACEMENT ADA ACCESSIBLE VEHICLES; EXPECTED OUTCOMES: REPLACEMENT VEHICLES WILL BE RELIABLE HAVE LOWER MAINTENANCE COSTS (IF ANY) BETTER GAS MILEAGE LOWER CO2 EMISSIONS BETTER PERFORMANCE WITH ENHANCED SAFETY FEATURES.; INTENDED BENEFICIARIES: SENIORS AND INDIVIDUALS WITH DISABILITIES; SUBRECIPIENT ACTIVITIES: ACCESS DOES NOT INTEND TO SUBAWARD FUNDS

CLINTON HEALTH ACCESS INITATIVE INC.

HIV/AIDS CARE AND PREVENTION

TO INCREASE ACCESS TO COST EFFECTIVE, QUALITY BASIC HEALTH SERVICES AT COMMUNITY LEVEL AND IN HEALTH POSTS ACROSS EIGHT PROVINCES OF ZAMBIA

ACCESS TO WORK PROGRAM (AMENDMENT)

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

EARLY INTERVENTION SERVICES

COMMUNITY NAVIGATORS PROGRAM

ACCESS HEALTH INSURANCE NAVIGATORS FOR MICHIGAN

APPLICATION PURPOSE: ACCESS SERVICES USES THE CALACT/MBTA PURCHASING COOPERATIVE TO PROCURE VEHICLES. AS A RESULT OF THE PANDEMIC ALONG WITH THE SUPPLY CHAIN ISSUES CHIP SHORTAGES AND PRODUCTION STOPPAGES AT ALL THE MANUFACTURERS ARE RESULTING IN SIGNIFICANT COST INCREASES.; ACTIVITIES PERFORMED: PROCURE REPLACEMENT ADA ACCESSIBLE VEHICLES; EXPECTED OUTCOMES: REPLACEMENT VEHICLES WILL BE RELIABLE HAVE LOWER MAINTENANCE COSTS (IF ANY) BETTER GAS MILEAGE LOWER CO2 EMISSIONS BETTER PERFORMANCE WITH ENHANCED SAFETY FEATURES.; INTENDED BENEFICIARIES: SENIORS AND INDIVIDUALS WITH DISABILITIES; SUBRECIPIENT ACTIVITIES: N/A

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

THE ACCESS RESEARCH HUB: COMMUNITY-BASED RESEARCH FACILITY TO PROMOTE TRANSLATI

HEALTH CENTER PROGRAM

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

NEW ASSISTANCE CA IN THE AMOUNT OF $1 270 000. THE TEC FOR THIS AGREEMENT IS $10 000 000.

DEVELOPMENT AND MANUFACTURE OF ADJUVANTS FOR VACCINES TARGETING MDR TUBERCULOSIS

PURPOSE: TO PROVIDE GRANTS TO COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS (CDFIS) FOR THE FOLLOWING PURPOSES 1) TO EXPAND LENDING, GRANT MAKING AND INVESTMENT ACTIVITIES IN LOW OR MODERATE INCOME COMMUNITIES AND TO BORROWERS THAT HAVE HISTORICALLY EXPERIENCED SIGNIFICANT UNMET CAPITAL AND FINANCIAL SERVICES NEEDS AND WERE DISPROPORTIONATELY IMPACTED BY THE COVID 19 PANDEMIC; AND 2) TO ENABLE CDFIS TO BUILD ORGANIZATIONAL CAPACITY AND ACQUIRE TECHNOLOGY, STAFF, AND OTHER TOOLS NECESSARY TO ACCOMPLISH THE ACTIVITIES UNDER A CDFI ERP AWARD. PLANNED ACTIVITIES: ELIGIBLE ACTIVITIES INCLUDE FINANCIAL PRODUCTS, FINANCIAL SERVICES, DEVELOPMENT SERVICES, GRANTS, LOAN LOSS RESERVES AND CAPITAL RESERVES THAT MAY BE USED TO MITIGATE THE IMPACT OF THE COVID 19 PANDEMIC ON UNEMPLOYMENT, CHILDCARE, HEALTHCARE, MENTAL HEALTHCARE, AFFORDABLE HOUSING, AFFORDABLE HOUSING FINANCE, SMALL BUSINESS, SMALL FARMS, BROADBAND INTERNET, AND FOOD SUFFICIENCY. IN ADDITION, TO SUPPORT CDFIS IN BUILDING THEIR CAPACITY TO RESPOND TO THE ECONOMIC IMPACT OF COVID 19, CDFI ERP AWARDS MAY BE USED FOR COMPENSATION PERSONAL SERVICES; COMPENSATION FRINGE BENEFITS; PROFESSIONAL SERVICE COSTS; TRAVEL COSTS; TRAINING AND EDUCATION COSTS; EQUIPMENT; SUPPLIES. END GOALS: EXPANDED FINANCING FOR LOW TO MODERATE INCOME COMMUNITIES AND INDIVIDUALS THAT HAVE HISTORICALLY EXPERIENCED SIGNIFICANT UNMET CAPITAL AND FINANCIAL SERVICES NEEDS AND WERE DISPROPORTIONATELY IMPACTED BY THE COVID 19 PANDEMIC INCLUDING SPECIFIC DESIGNATED COVID IMPACTED CDFI ERP ELIGIBLE GEOGRAPHIES AS AREAS THAT MAY BENEFIT FROM CDFI ERP ASSISTANCE. BENEFICIARIES: CERTIFIED CDFIS WHICH MAY BE FOR PROFIT ORGANIZATION, PRIVATE NONPROFIT INSTITUTION/ORGANIZATION, AND OTHER PRIVATE INSTITUTION/ORGANIZATION, AS DEFINED IN 12 C.F.R. 1805, AND LOW AND MODERATE INCOME INDIVIDUALS AND FAMILIES. SUBRECIPIENTS: THERE ARE NO SUBRECIPIENTS FOR THIS PROGRAM. BROADBAND: SPECIFIC ACTIVITIES RELATING TO BROADBAND USAGE ARE NOT KNOWN AT THE TIME OF AWARD. REASON/PURPOSE OF MODIFICATION: NOT APPLICABLE.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CHICAGO SBIRT PROJECT

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE PROJECT INVOLVES CONSTRUCTION OF A NEW OUTPATIENT CLINIC, A PHARMACY ADDITION TO THE EXISTING MACON PRIMARY CLINIC, AND CONSTRUCTION OF ASSOCIATED ACCESS/PARKING IMPROVEMENTS AT NOXUBEE GENERAL HOSPITAL. AS AN ADD ALTERNATE, THE INTERIOR FINISHES OF THE EXISTING CLINIC WILL BE UPDATED, IF FUNDS ALLOW. THE NEW PROPOSED FACILITY WILL BE OWNED BY THE APPLICANT.

APPLICATION PURPOSE: PREVENTIVE MAINTENANCE MAJOR COMPONENT REPAIRS AND REHABILITATION OF ADA ACCESSIBLE VEHICLES THAT HAVE EXCEEDED THEIR USEFUL LIFE STANDARD.; ACTIVITIES PERFORMED: WITH THIS AWARD ACCESS WILL HAVE THE ABILITY TO USE FEDERAL FUNDING TO HELP CONTRACTORS PAY FOR MAJOR COMPONENT REPAIRS WHICH CAN INCLUDE ENGINES TRANSMISSIONS DIFFERENTIALS TRANS-AXLES SUSPENSION AND AIR CONDITIONING UNITS.; EXPECTED OUTCOMES: THE GRANT FUNDS WILL HELP EXTEND THE LIFE OF ACCESS SERVICES FLEET WHICH IS CRITICAL GIVEN THE SHORTAGES IN THE ADA PARATRANSIT AUTOMOTIVE MARKET.; INTENDED BENEFICIARIES: THE INTENDED BENEFICIARIES ARE THE PARATRANSIT CUSTOMERS IN ACCESS SERVICE REGIONS. ACCESS SERVICES CONTRACTS WITH SIX PARATRANSIT PROVIDERS IN THE: NORTHERN EASTERN SOUTHERN AND WEST-CENTRAL REGIONS OF LOS ANGELES COUNTY INCLUDING SANTA CLARITA AND ANTELOPE VALLEY.THE GRANT FUNDS WILL HELP EXTEND THE LIFE OF ACCESS SERVICES FLEET WHICH IS CRITICAL GIVEN THE SHORTAGES IN THE ADA PARATRANSIT AUTOMOTIVE MARKET. FLEET MAINTENANCE IS A VITAL FUNCTION TO ENSURING ACCESS SERVICES CUSTOMERS CONTINUE TO BE TRANSPORTED IN SAFE AND RELIABLE VEHICLES.; SUBRECIPIENT ACTIVITIES: ACCESS SERVICES DOES NOT INTEND TO USE SUBRECIPIENTS

HEPATITIS C ELIMINATION FOR GREATER DETROIT - “RISE: REGIONAL INITIATIVE TO SUPPRESS AND ELIMINATE HCV” WILL EXPAND ACCESS TO HEPATITIS C VIRUS (HCV), HUMAN IMMUNODEFICIENCY VIRUS (HIV), AND SEXUALLY TRANSMITTED INFECTION (STI) TESTING, TREATMENT, AND RECOVERY SUPPORT AMONG AT-RISK POPULATIONS. THROUGH MOBILE MEDICAL OUTREACH, INTEGRATED BEHAVIORAL HEALTH, AND PEER-LED NAVIGATION, THIS INITIATIVE WILL PROVIDE WRAPAROUND CARE TO COMMUNITIES IMPACTED BY THE SYNDEMIC OF HCV, SUBSTANCE USE, AND HOMELESSNESS. THE PROJECT SEEKS TO CURE HEPATITIS C IN 100 INDIVIDUALS ANNUALLY BY DELIVERING EVIDENCE-BASED TREATMENT ALONGSIDE COMPREHENSIVE, PERSON-CENTERED SERVICES TO IMPROVE OVERALL HEALTH OUTCOMES AND QUALITY OF LIFE. THE ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES (ACCESS), AS LEAD APPLICANT, WILL COLLABORATE WITH WAYNE HEALTH MOBILE UNITS, FAMILIES AGAINST NARCOTICS (FAN), STRATEGIES TO OVERCOME OBSTACLES AND AVOID RECIDIVISM (SOOAR), LIVE RITE RECOVERY HOUSING, ALPHA RECOVERY HOUSING, AND STREET OUTREACH TEAMS TO BRING SERVICES DIRECTLY TO COMMUNITY MEMBERS. ALL PARTNERS CURRENTLY PROVIDE THE CORE SERVICES OUTLINED IN THIS PROPOSAL INCLUDING MOBILE HEALTHCARE, LOW-BARRIER INFECTIOUS DISEASE AND SUBSTANCE USE TREATMENT, HARM REDUCTION, RECOVERY HOUSING, AND PEER RECOVERY SUPPORT ENABLING EFFICIENT AND SEAMLESS PROJECT IMPLEMENTATION FROM DAY ONE. THE INITIATIVE TARGETS INDIVIDUALS AT HIGHEST RISK OF CONTRACTING AND TRANSMITTING HCV, INCLUDING PEOPLE WHO USE SUBSTANCES, THOSE EXPERIENCING HOMELESSNESS, AND INDIVIDUALS LIVING WITH SERIOUS MENTAL ILLNESS. EFFORTS WILL FOCUS ON SOUTHEAST MICHIGAN’S TRI-COUNTY REGION OF WAYNE, OAKLAND, AND MACOMB COUNTIES, WITH PARTICULAR EMPHASIS ON DETROIT, WHERE HCV RATES, OVERDOSES, AND BARRIERS TO CONSISTENT CARE REMAIN HIGH. THIS REGION FACES SIGNIFICANT ECONOMIC CHALLENGES, HOUSING INSTABILITY, AND LIMITED BEHAVIORAL HEALTH AND SUBSTANCE USE TREATMENT AVAILABILITY. KEY SERVICES INCLUDE COMMUNITY-BASED HCV, HIV, AND STI OUTREACH AND SCREENING; SAME-DAY INITIATION OF HCV, HIV, STI, AND SUBSTANCE USE TREATMENT; MEDICATION ADHERENCE SUPPORT; RECOVERY COACHING AND NAVIGATION; AND COMMUNITY HEALTH WORKER CARE COORDINATION. THE PROJECT WILL EMPLOY EVIDENCE-BASED, EVIDENCE-INFORMED, AND COMMUNITY-DEFINED PRACTICES TO DELIVER LOW-BARRIER, TRAUMA-INFORMED, AND PERSON-CENTERED CARE. CORE STRATEGIES INCLUDE THE AASLD/IDSA SIMPLIFIED HCV TREATMENT PROTOCOL TO EXPAND TREATMENT ACCESS; TRAUMA-INFORMED CARE TO ADDRESS CHRONIC TRAUMA; AND INTEGRATED MEDICATION-ASSISTED TREATMENT (MAT) WITH BEHAVIORAL HEALTH SERVICES FOR CO-OCCURRING CONDITIONS. EVIDENCE-INFORMED INTERVENTIONS INCLUDE MOBILE OUTREACH AND ENGAGEMENT; MODIFIED DIRECTLY OBSERVED THERAPY (MDOT) TO PROMOTE ADHERENCE; AND MOBILE HARM REDUCTION SERVICES PROVIDING SAFER USE SUPPLIES, EDUCATION, AND LINKAGE TO CARE. COMMUNITY-DEFINED APPROACHES SUCH AS PEER RECOVERY COACHING AND COMMUNITY HEALTH WORKER ENGAGEMENT WILL ENHANCE TRUST, CONTINUITY, AND SUSTAINED CARE THROUGH LIVED EXPERIENCE AND CULTURALLY RESPONSIVE SUPPORT. THE PROJECT AIMS TO CURE HCV IN 100 INDIVIDUALS ANNUALLY, INCREASE ACCESS TO BEHAVIORAL HEALTH AND RECOVERY SERVICES, AND REDUCE NEW INFECTIONS THROUGH EVIDENCE-BASED HARM REDUCTION AND TREATMENT. OVER THE INITIAL TWO-YEAR PERIOD, THE INITIATIVE PLANS TO ENGAGE OVER 2,000 INDIVIDUALS, SCREEN 1,820 FOR HCV, INITIATE TREATMENT IN ALL ELIGIBLE PARTICIPANTS, AND PROVIDE RECOVERY HOUSING TO 100 INDIVIDUALS. ADDITIONAL OBJECTIVES INCLUDE DISTRIBUTING 2,500 BASIC NEEDS SUPPLIES ANNUALLY, OFFERING TRANSPORTATION ASSISTANCE TO PARTICIPANTS FACING BARRIERS, AND PROVIDING NURSE-LED CARE COORDINATION AND INCENTIVES TO PROMOTE FOLLOW-UP AND ADHERENCE.

CENTERS FOR INDEPENDENT LIVING - CENTERS FOR INDEPENDENT LIVING

THE A4D ACTIVITY WILL ADDRESS IMPROVEMENT OF THE GOVERNMENT OF CÔTE D'IVOIRE¿S (GOCI) INCLUSIVITY, RESPONSIVENESS, AND ACCOUNTABILITY TO CITIZENS¿ NEEDS AND CONCERNS, PARTICULARLY FOR YOUTH AND WOMEN AS A MEANS TO STRENGTHEN CONDITIONS FOR STABILITY.

STATE PRIMARY CARE OFFICES

EARLY INTERVENTION SERVICES

ROUTE 66 ACCOUNTABLE HEALTH COMMUNITIES PROJECT

COMMUNITY-WIDE, MULTI-COMPONENT TEEN PREGNANCY PREVENTION INITIATIVE IN W. PHILA

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

ENGINEERING SUSTAINABLE SQUALENE ANALOGUES FOR NOVEL VACCINE ADJUVANT EMULSIONS

WATER, SANITATION AND HYGIENE (WASH) RECOVERY ACTIVITY (WRA) PROJECT

COMMUNITY COMPASS TECHNICAL ASSISTANCE AND CAPACITY BUILDING

CULTIVATING ACTION, RESILIENCY AND EMPOWERMENT (CARE): EXPANDING THE RESILIENT JACKSONVILLE SYSTEM OF CARE - JACKSONVILLE HAS A HAS A LONG HISTORY OF SEGREGATION, OPPRESSION, RACISM, AND POLICE BRUTALITY—LEADING TO THE DEMONSTRATIONS INVOLVING MORE THAN 3,000 PEOPLE IN MAY 2021 AND QUENCH THE VIOLENCE PROTEST MARCHES IN MAY 2022. CULTIVATING ACTION, RESILIENCE AND EMPOWERMENT (CARE): EXPANDING THE RESILIENT JACKSONVILLE SYSTEM OF CARE WILL UTILIZE A RIGHTS-BASED FRAMEWORK TO CREATE AN ECOSYSTEM OF CARE TO SOLIDIFY, SUSTAIN AND BUILD UPON COMMUNITY-BASED PARTICIPATORY EFFORTS; MEET THE NEEDS OF HIGH-RISK YOUTH AND THEIR FAMILIES; AND PROMOTE WELL-BEING, RESILIENCY, AND COMMUNITY HEALING. CARE WILL SERVE MORE THAN 15,000 UNDUPLICATED INDIVIDUALS IN JACKSONVILLE’S HEALTH ZONE 4, AN AREA THAT HAS BEEN PLAGUED WITH A STRING OF VIOLENCE STEMMING FROM MULTIPLE MURDERS OF YOUNG MEN, IN ADDITION TO HAVING THE HIGHEST RATE OF DRUG OVERDOSES, INFANT MORTALITY AND DOMESTIC VIOLENCE HOMICIDES OF THE SIX DUVAL COUNTY HEALTH ZONES. BY BUILDING ON THE CITY OF JACKSONVILLE’S EXISTING SAMHSA SYSTEM OF CARE (SOC), WE WILL INTEGRATE, RESTRUCTURE AND EXPAND THE FOUNDATIONAL COMPONENTS OF THE SOC (E.G. CULTURAL AND LINGUISTIC COMPETENCY, FAMILY-DRIVEN, YOUTH-GUIDED, AND EVIDENCE BASED) AND RECAST (E.G., TRAUMA-RESPONSIVE TRAINING, EVIDENCE-BASED INTERVENTIONS, VIOLENCE PREVENTION STRATEGIES AND COMMUNITY ENGAGEMENT STRATEGIES) THAT HAVE BEEN SUCCESSFULLY IMPLEMENTED THROUGH OUR PRIOR AND CURRENT SAMHSA GRANTS TO ESTABLISH A TRAUMA INFORMED JACKSONVILLE THAT WILL FOCUS ON TRAINING FIRST RESPONDERS, COMMUNITY STAKEHOLDERS, PROVIDERS, EDUCATORS, LAW-ENFORCEMENT, CLERGY AND PARENTS IN TRAUMA-INFORMED CARE AND PRACTICES AND SERVING MORE THAN 15,000 COMMUNITY STAKEHOLDERS, PROVIDERS, HIGH-RISK CHILDREN, YOUTH, THEIR FAMILIES AND COMMUNITY RESIDENTS RESIDING IN JACKSONVILLE’S WEST SIDE CORRIDOR, AN AREA WITH VIOLENCE PRONE COMMUNITIES THAT EXPERIENCE HIGH-RATES OF STRESS AND TRAUMA. CARE WILL BE UNDER THE LEADERSHIP AND GUIDANCE OF THE SOC COMMUNITY ADVISORY BOARD, A DIVERSE LEADERSHIP CONSORTIUM OF COMMUNITY STAKEHOLDERS, PROVIDERS, AND FAMILIES AND YOUTH IN THE COMMUNITY THAT WILL ENSURE TRANSPARENCY IN SYSTEMIC AND PROGRAMMATIC INTERVENTION IMPLEMENTATION. PROJECT GOALS INCLUDE: (1) BUILDING A FOUNDATION TO PROMOTE WELL-BEING, RESILIENCY, AND COMMUNITY HEALING AND CHANGE THROUGH COMMUNITY-BASED, PARTICIPATORY APPROACHES THAT PROMOTE COMMUNITY AND YOUTH ENGAGEMENT, LEADERSHIP DEVELOPMENT, IMPROVED GOVERNANCE, AND CAPACITY BUILDING; (2) CREATING MORE EQUITABLE ACCESS TO TRAUMA-INFORMED COMMUNITY BEHAVIORAL HEALTH RESOURCES; (3) STRENGTHENING THE INTEGRATION OF BEHAVIORAL HEALTH SERVICES AND OTHER COMMUNITY SYSTEMS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, RECOGNIZING THAT FACTORS, SUCH AS LAW ENFORCEMENT PRACTICES, TRANSPORTATION, EMPLOYMENT, AND HOUSING POLICIES, CAN CONTRIBUTE TO HEALTH OUTCOMES; AND (4) ENSURING THAT PROGRAM SERVICES ARE CULTURALLY RESPONSIVE AND DEVELOPMENTALLY APPROPRIATE.

BRIDGE TO RECOVERY CCBHC - OVERVIEW: BRIDGING ACCESS TO CARE (BAC) SEEKS A CCBHC GRANT TO CREATE BRIDGE TO RECOVERY CCBHC IN BROOKLYN, NY THAT WILL PROVIDE INTEGRATED MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT WITH PRIMARY/PREVENTIVE HEALTH SERVICES. THE CCBHC IS DESIGNED TO REMEDY THE IMPACTS OF THE COVID PANDEMIC AND HISTORIC HEALTH INEQUITIES FOR 1,868 LOW-INCOME, PREDOMINANTLY BLACK / LATINX PEOPLE OF ALL AGES OVER THE 2-YEAR GRANT PERIOD. THE POPULATION OF FOCUS ARE PRIMARILY BLACK AND LATINX LOW-INCOME RESIDENTS, AGES 6 YEARS AND OLDER, LIVING IN WILLIAMSBURG-BUSHWICK/GREENPOINT IN BROOKLYN. TWO-THIRDS WILL HAVE SERIOUS MENTAL HEALTH CONDITIONS, SERIOUS EMOTIONAL DISTURBANCES AND/OR SERIOUS ADDICTION DISORDERS. A SIGNIFICANT NUMBER WILL BE INVOLVED OR HAVE HISTORY WITH THE JUSTICE SYSTEM. MANY WILL HAVE A HISTORY OF HOMELESSNESS AND/OR HOUSING INSTABILITY. ONE IN 3 WILL BE SEEKING TREATMENT FOR LESSER BEHAVIORAL HEALTH CONDITIONS THAT MAY HAVE BEEN TRIGGERED OR EXACERBATED BY THE COVID-19 PANDEMIC AND ITS LIFE-ALTERING IMPACTS. COMMUNITY RESIDENTS SUFFER FROM A HIGH RATE OF DEPRESSION; 23% ARE OBESE; 11% OF ADULTS HAVE BEEN DIAGNOSED WITH DIABETES; AND 25% OF ADULTS HAVE HYPERTENSION. THE COMMUNITY HAS ONE OF THE HIGHEST RATES OF OPIOID DEATHS IN NYC. GOALS/OBJECTIVES: BAC WILL SERVE 859 INDIVIDUALS IN YEAR 1 AND 1,009 IN YEAR 2, IMPROVING THEIR QUALITY OF CARE BY (1) DECREASING TOBACCO USE BY ROUTINELY SCREENING ADOLESCENTS/ADULTS AND PROVIDING APPROPRIATE FOLLOW-UP; (2) REDUCING THE BMI OF OBESE/OVERWEIGHT ADULTS THROUGH ROUTINE WEIGHT SCREENING AND FOLLOW-UP PLANS /COUNSELING; (3) IMPROVING THE DETECTION OF DIABETES/PRE-DIABETES IN ADULTS WITH SCHIZOPHRENIA AND BIPOLAR DISORDER WHO USE ANTI-PSYCHOTIC MEDICATIONS THROUGH ROUTINE SCREENING OF HEMOGLOBIN A1C LEVELS; (4) ADDRESSING SOCIAL DETERMINANTS OF HEALTH THROUGH UNIVERSAL SCREENING / MONITORING AND IMPROVED LINKAGES WITH SERVICES OFFERED BY BAC AND COMMUNITY PARTNERS; AND (5) INCREASE DEPRESSION DIAGNOSES FOR CONSUMERS AGES 12+ BY ADMINISTERING THE PHQ PER RECOMMENDED FREQUENCY AND IMPLEMENTING FOLLOW-UP PLANS AS APPROPRIATE. PROPOSED ACTIVITIES: WITH GRANT FUNDS, BAC WILL EXPAND A NEW YORK STATE-LICENSED MENTAL HEALTH CLINIC TO SERVE CHILDREN/ADOLESCENTS AGES 6-17 YEARS; CO-LOCATE A NEW NYS-CERTIFIED SUBSTANCE USE DISORDER CLINIC SATELLITE THAT OFFERS MEDICATION-ASSISTED TREATMENT; CO-LOCATE A HEALTH TEAM (PHYSICIAN’S ASSISTANT, REGISTERED NURSE, MEDICAL ASSISTANT) TO PROVIDE HEALTH SCREENINGS, MONITORING AND PHYSICALS, VACCINATIONS AND OTHER PREVENTIVE SERVICES; ADD A CRISIS TEAM FOR 24/7 IN-HOME AND COMMUNITY CRISIS STABILIZATION AND INTERVENTION SERVICES; AND BUILD ON EXISTING HCBS REHABILITATION, PEER AND EMPLOYMENT SERVICES. THE CCBHC WILL PROVIDE SIGNIFICANT OUTREACH/ENGAGEMENT SERVICES IN ITS CATCHMENT AREA TO LOW-INCOME RESIDENTS IN PUBLIC HOUSING, PUBLIC SCHOOLS, HOMELESS SHELTERS, SENIOR CENTERS AND OTHER LOCATIONS THAT ARE DISPROPORTIONATELY IMPACTED BY THE COVID-19 PANDEMIC, BEHAVIORAL HEALTH CONDITIONS AND CHRONIC MEDICAL DISORDERS.

COMMUNITY COMPASS TECHNICAL ASSISTANCE AND CAPACITY BUILDING

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

CCBHC ACCESS TO INTEGRATED BEHAVIORAL HEALTH URGENT CARE

CCBHC ACCESS TO INTEGRATED BEHAVIORAL HEALTH URGENT CARE IN ORANGE COUNTY - ACCESS: SUPPORTS FOR LIVING INC. (ACCESS) INTENDS TO EXPAND CCBHC SERVICES TO NEW YORK'S ORANGE COUNTY THROUGH THE PROVISION OF TELEHEALTH AND WALK-IN SERVICES AT ITS MENTAL HEALTH AND SUBSTANCE USE URGENT CARE MODEL (BHUC). ACCESS WILL CONTINUE TO PROVIDE THE FULL SCOPE OF CCBHC SERVICES, INCLUDING SAME DAY ACCESS TO PSYCHIATRY, THERAPY, MEDICATION ASSISTED TREATMENT (MAT), CARE MANAGEMENT, PEER SERVICES, NURSING, AND INTEGRATED PHYSICAL HEALTH SERVICES AT IS BHUC, WITH THOSE SAME SERVICES AVAILABLE TO TELEHEALTH PATIENTS. THIS EXPANDED TELEHEALTH MODEL WILL ALLOW MORE PEOPLE TO SEEK CARE WITHOUT THE BURDEN OR BARRIER OF TRAVEL. ACCESS WILL CONTINUE TO FOCUS ON THOSE LIVING IN POVERTY AND UNINSURED AND UNDERINSURED INDIVIDUALS IN ORANGE COUNTY, WITH A FOCUS ON THE DIVERSE SUBPOPULATIONS WITHIN THE COUNTY. WHILE COUNTY DEMOGRAPHICS INDICATE A PREDOMINANTLY WHITE COMMUNITY, ACCESS SERVES A HIGHER PERCENTAGE OF INDIVIDUALS IDENTIFYING AS AFRICAN AMERICAN OR HISPANIC. THE POPULATION SO F FOCUS ALSO INCLUDES 11% OF COUNTY RESIDENTS WHO REPORT LIVING IN POVERTY, WITH 38% OF PEOPLE SERVED HAVING MEDICAID AS THEIR PRIMARY FORM OF INSURANCE. IN OPERATING THE BHUC, ACCESS INTENDS TO MAKE CARE MORE ACCESSIBLE TO ALL INDIVIDUALS IN THE COUNTY AND TO REMOVE SOME OF THE STIGMA OF RECEIVING MENTAL HEALTH AND SUD CARE. INDIVIDUALS WILL BE GREETING IN A "LIVING ROOM" TYPE OF EXPERIENCE, ALLOWING SOMEONE TO GET COMFORTABLE WITH SEEKING CARE AS THE FIRST STEP IN CARE. ONCE THE INDIVIDUAL IS COMFORTABLE, ACCESS PROVIDES THE FULL SPECTRUM OF CCBHC SERVICES TO MEET THE INDIVIDUAL'S NEEDS INCLUDING ON-SITE PSYCHIATRIC SERVICES AND MAT INDUCTIONS, AS INDICATED. ACCESS ALSO PROVIDES ALL OF THE ROUTINE AND FOLLOW-UP CARE A PERSON MAY NEED TO BE SUCCESSFUL IN TREATMENT. FURTHER, ACCESS INTENDS TO ADDRESS KEY SOCIAL DETERMINANTS OF HEALTH BY PROVIDING EMPLOYMENT, HOUSING, AND FOOD SECURITY SUPPORTS TO INDIVIDUALS WHO NEED IT. IN THE FIRST YEAR OF THE PROJECT, ACCESS INTENDS TO TO SEE 850 INDIVIDUALS, GROWING TO 3,400 INDIVIDUALS SERVED OVER THE FOUR-YEAR LIFE OF THE PROJECT.

CCBHC ACCESS TO INTEGRATED BEHAVIORAL HEALTH URGENT CARE IN ULSTER COUNTY - ACCESS: SUPPORTS FOR LIVING INC. (ACCESS) INTENDS TO PROVIDE CCBHC SERVICES TO NEW YORK'S ULSTER COUNTY THROUGH A BEHAVIORAL HEALTH/SUBSTANCE USE DISORDER (SUD) URGENT CARE (BHUC) MODEL THAT CAN COMBINE WALK0IN AND TELEHEALTH SAME-DAY SERVICES WITH THE FULL SCOPE OF CCBHC SERVICES, INCLUDING SAME-DAY ACCESS TO PSYCHIATRY, THERAPY, MEDICATION ASSISTED TREATMENT (MAT), CARE MANAGEMENT, PEER SERVICES, NURSING, AND INTEGRATED PHYSICAL HEALTH SERVICES. ACCESS INTENDS TO SERVE THOSE IN POVERTY AND UNINSURED AND UNDERINSURED INDIVIDUALS IN ULSTER COUNTY, FOCUSING ON THE DIVERSE SUBPOPULATIONS WITHIN THE COUNTY. WHILE THE DEMOGRAPHIC MAKE-UP OF THE COUNTY IS PREDOMINANTLY WHITE, ACCESS ALREADY SERVES A HIGHER PERCENTAGE OF INDIVIDUALS IDENTIFYING AS AFRICAN AMERICAN OR HISPANIC. THE POPULATION OF FOCUS ALSO INCLUDES 11% OF COUNTY RESIDENTS WHO REPORT POOR MENTAL HEALTH FOR TWO WEEKS OR MORE OVER THE LAST MONTH AND 13% OF RESIDENTS WHO DID NOT SEEK CARE BECAUSE OF COST. IN OPERATING THE BHUC, ACCESS INTENDS TO MAKE CARE MORE ACCISSIBLE TO ALL INDIVIDUALS IN THE COUNTY AND REMOVE SOME OF THE STIGMA OF RECEIVING MENTAL HEALTH AND SUD CARE. INDIVIDUALS WILL BE GREETED IN A "LIVING ROOM" TYPE OF EXPERIENCE, ALLOWING SOMEONE TO GET COMFORTABLE WITH SEEKING CARE AS THE FIRST STEP IN CARE. ONCE THE INDIVIDUAL IS COMFORTABLE, ACCESS PROVIDES THE FULL SPECTRUM OF CCBHC SERVICES TO MEET THE INDIVIDUAL'S NEEDS INCLUDING ON-SITE PSYCHIATRIC SERVICES AND MAT INDUCTIONS, AS INDICATED. ACCESS ALSO PROVIDES ALL OF THE ROUTINE AND FOLLOW-UP CARE A PERSON MAY NEED TO BE SUCCESSFUL IN TREATMENT. FURTHER, ACCESS INTENDS TO ADDRESS KEY SOCIAL DETERMINANTS OF HEALTH BY PROVIDING EMPLOYMENT HOUSING, AND FOOD SECURITY SUPPORTS TO INDIVIDUALS WHO NEED IT. IN THE FIRST YEAR OF THE PROJECT, ACCESS INTENDS TO SERVE 250 INDIVIDUALS, GROWING TO 2, 250 INDIVIDUALS OVER THE FOUR-YEAR LIFE OF THE PROJECT.

ARRA - STATE LOAN REPAYMENT PROGRAM

COMPREHENSIVE FAMILY PLANNING SERVICES IN SOUTHEASTERN PENNSYLVANIA

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

TRAINING AND TECHNICAL ASSISTANCE NATIONAL COOPERATIVE AGREEMENTS (NCAS)

ELECTROCHEMICAL PAPER-BASED ANALYTICAL DEVICES FOR METAL DETERMINATION

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM

HEALTH CENTER CONTROLLED NETWORK - PROJECT TITLE: COMMUNITY HEALTH ACCESS NETWORK HCCN 2022 APPLICANT ORGANIZATION NAME: COMMUNITY HEALTH ACCESS NETWORK (CHAN), A HCCN CURRENT HEALTH CENTER CONTROLLED NETWORK (HCCN) GRANT NO: H2QCS30248 ADDRESS: 207 SOUTH MAIN STREET, NEWMARKET, NH 03857 PROJECT DIRECTOR: JOAN TULK PHONE/FAX: 603-292-7284/603-292-1036 EMAIL: JTULK@CHAN-NH.ORG WEBSITE: WWW.CHAN-NH.ORG FUNDING REQUESTED: $2,625,000.00 PROJECT ABSTRACT IN ORDER TO LEVERAGE HEALTH INFORMATION TECHNOLOGY AND DATA TO DELIVER HIGH QUALITY, CULTURALLY COMPETENT, EQUITABLE, AND COMPREHENSIVE PRIMARY HEALTH CARE, THE BUREAU OF PRIMARY HEALTH CARE’S (BPHC)’S 330 GRANTEES HAVE A COMMON SET OF FOCUS AREAS WHICH INCLUDE IMPROVING (1) CLINICAL QUALITY, (2) PATIENT-CENTERED CARE, AND (3) PROVIDER AND STAFF WELL-BEING. THESE AREAS ARE UNIVERSAL, REGARDLESS OF STATE OR REGIONAL LOCATION, AND CAN BEST BE TACKLED CENTRALLY THROUGH SHARED RESOURCES AND TOOLS. HEALTH CENTER CONTROLLED NETWORKS (HCCNS) ARE UNIQUELY POSITIONED TO SUPPORT PARTICIPATING HEALTH CENTERS (PHCS) IN ACCOMPLISHING THESE GOALS. AS A ROBUST HCCN ESTABLISHED MORE THAN TWENTY YEARS AGO WITH A HISTORY OF SUCCESSFUL NETWORK PARTNERSHIPS, CHAN IS APPLYING FOR A FOURTH ROUND OF HCCN FUNDING IN COLLABORATION WITH (1) THE VERMONT RURAL HEALTH ASSOCIATION (VRHA), AN HCCN PROGRAM OF BI-STATE PRIMARY CARE ASSOCIATION AND (2) BREAKWATER HEALTH NETWORK (BHN); BOTH SUB-RECIPIENTS FOR THIS APPLICATION. OUR PROPOSED PROJECT IDENTIFIES SEVERAL COMMON AREAS OF HEALTH CENTER FOCUS WHERE CHAN AND OUR NETWORK PARTNERS CAN COLLABORATE ON THE FOLLOWING OBJECTIVES: (1) PATIENT ENGAGEMENT – WE WILL EXPLORE PATIENT AND PROVIDER COMFORT IN ASYNCHRONOUS ENGAGEMENT AS WELL AS TECHNOLOGY OPTIONS TO PRESENT OPPORTUNITIES TO PHCS. (2) PATIENT PRIVACY AND CYBERSECURITY – WE WILL MAKE AVAILABLE A LIBRARY OF RESOURCES (TEMPLATE POLICIES AND PROCEDURES) TO PHCS AND NEGOTIATE GROUP PURCHASES OF SECURITY RISK ASSESSMENTS AND RELATED T/TA. (3) SOCI AL RISK FACTOR INTERVENTION – WE WILL PROVIDE DATA RESOURCES TO IMPROVE DATA COLLECTION, DATA ANALYSIS AND EXPLORE AND PLAN EHR INTEGRATION WITH CLOSED-LOOP E-REFERRAL SOURCES. (4) DISAGGREGATED, PATIENT-LEVEL DATA – WE WILL EDUCATE OURSELVES AND OUR PHCS ON UDS+ REQUIREMENTS, SUPPORTING THEM AS THEY NAVIGATE THIS NEW PROCESS AND TECHNOLOGY. (5) INTEROPERABLE DATA EXCHANGE AND INTEGRATION – WE WILL SUPPORT PHCS INTEGRATING DATA FROM CLINICAL AND NON-CLINICAL SOURCES, INCLUDING FROM HEALTH INFORMATION EXCHANGES, IMMUNIZATION REGISTRIES, MEDICAID PROGRAMS, AND/OR CMS. (6) DATA UTILIZATION – WE WILL EXPAND OUR DATA REPORTING AND ANALYSIS TOOLS AND TEACH OUR PHCS HOW TO TURN THEIR DATA INTO INFORMATION. (7, 10) LEVERAGING AND IMPROVING DIGITAL HEALTH TOOLS – WE WILL STRUCTURE FORMAL TRAININGS TO MEET EDUCATIONAL NEEDS AND INCLUDE A FOCUS ON THE HUMAN ASPECTS OF DIGITAL WORKFLOWS. (8) HEALTH INFORMATION TECHNOLOGY AND ADOPTION – WE WILL SEEK NEEDS FROM PHCS AND ASSIST HEALTH CENTERS IN IMPLEMENTATION OF NEW TECHNOLOGY. (9) HEALTH EQUITY – WE WILL EXPLORE PHC READINESS FOR HEALTH EQUITY ACTIVITIES AND WORK WITH DIGITAL TOOLS TO ADDRESS SPECIFIC NEEDS OF SUBPOPULATIONS AS DETERMINED BY PHC DATA AND IDENTIFIED NEEDS. OUR NETWORK COLLABORATIVE SUPPORTS 29 PHCS: 28 FQHC PROGRAM AWARD RECIPIENTS AND 1 FQHC LOOK-ALIKE. OUR PHCS SPAN ABOUT 160 SITES (PLUS MULTIPLE PROGRAMS AT SCHOOLS AND COMMUNITY MENTAL HEALTH CENTERS AND MOBILE VANS) AND THE EIGHT (8) STATES OF NH, TX, VT, MN, IL, IA, WI AND ND. THIS PROJECT HAS POTENTIAL TO IMPACT UP TO 320,000 PATIENTS, 31% AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL), 14% UNINSURED, AND 31% ON MEDICAID. SEVERAL OF THE PHCS HAVE AN EMPHASIS ON AGRICULTURAL WORKERS AND HOMELESS POPULATIONS.

BILINGUAL AND BICULTURAL CERTIFIED COMMUNITY BEHAVIORAL HEALTH SERVICES FOR SOUTHEAST MICHIGAN - THE ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES, A PROVIDER OF BIDIRECTIONAL BEHAVIORAL AND PRIMARY CARE IN SOUTHEAST MICHIGAN, WILL INCREASE THE TOTAL NUMBER OF SOUTHEAST MICHIGAN ADULTS AND CHILDREN, STRUGGLING WITH SERIOUS MENTAL ILLNESS AND SUBSTANCE USE DISORDERS, WHO HAVE ACCESS TO AND UTILIZE PERSON-CENTERED TREATMENT. THE TWO-YEAR PROJECT WILL PARTICULARLY TARGET THE LARGE, MARGINALIZED ARAB AMERICAN COMMUNITY, INCLUDING THOSE WHO ARE RESETTLED REFUGEES AND OTHER VULNERABLE IMMIGRANTS. THE PROPOSED PROJECT WILL ANNUALLY SERVE AT LEAST 4,000 UNDUPLICATED PEOPLE. THE PROJECT WILL SIGNIFICANTLY ENHANCE ACCESS’S CAPACITY TO DELIVER COMPREHENSIVE, BILINGUAL TREATMENT IN THE TWO COMMUNITIES WHERE ARAB AMERICANS PREDOMINATE (DEARBORN AND STERLING HEIGHTS), DURING BUSINESS AND NON-BUSINESS HOURS, AND UTILIZING AN ETHNIC SELF-HELP MODEL. THE PROJECT FEATURES THE FOLLOWING INNOVATIONS: - EXPANDED USE PEER SUPPORT STAFF TO REACH AND ENGAGE INDIVIDUALS WHO, FOR REASONS OF LANGUAGE AND CULTURE, DO NOT SEEK CARE FROM TRADITIONAL MENTAL HEALTH PROVIDERS - SPECIALIZED BEHAVIORAL HEALTH CARE TEAM TO FLEXIBLY TREAT RECENTLY RESETTLED REFUGEES AND OTHER VULNERABLE IMMIGRANT COMMUNITIES - RESTRUCTURING THE ORGANIZATION’S CASE MANAGEMENT PROGRAM BETTER ADDRESS SOCIAL DETERMINANTS OF HEALTH AND CULTURALLY SPECIFIC CONSUMER PREFERENCES - IMPROVE THE CAPACITY OF ACCESS’S STERLING HEIGHTS OFFICE TO MEET CCBHC QUALITY CRITERIA ACCESS WILL IMPLEMENT ALL OF THE CCBHC REQUIRED ACTIVITIES AT THE SCOPE AND STANDARDS OUTLINED IN THE CCBHC CRITERIA COMPLIANCE CHECKLIST IN PURSUIT OF THE FOLLOWING OBJECTIVES: 1. INCREASE THE NUMBER OF INDIVIDUALS WHO RECEIVE INTEGRATED MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT FROM TWO COMMUNITY-BASED LOCATIONS, FROM 2,430 DURING 2020 TO 4,000 BY THE END OF 2022, INCLUDING 3,200 ARAB AMERICANS WITH SMI/SED, SUD, AND COD. 2. IMPLEMENT LINGUISTICALLY AND CULTURALLY CUSTOMIZED, EVIDENCE-BASED SERVICE DELIVERY TO IMPROVE CONSUMER 6-MONTH RETENTION IN TREATMENT FROM 55% DURING 2020 TO AT LEAST 75% BY THE END OF THE PROJECT PERIOD. 3. LAUNCH AND MAINTAIN A SPECIALIZED, BILINGUAL / BICULTURAL TEAM THAT ANNUALLY REACHES AND ADDRESSES THE COMPLEX ACCULTURATIVE AND POST-TRAUMATIC BEHAVIORAL HEALTH NEEDS OF 220 RESETTLED REFUGEES AND OTHER VULNERABLE IMMIGRANT GROUPS.

CHEMICAL PROBES OF VULNERABLE PATHWAYS IN ANTIBIOTIC-RESISTANT PATHOGENS

ADVANCING SEXUAL HEALTH AND EQUITY IN PHILADELPHIA WITH YOUTH EXPERIENCING POVERTY - AS DESCRIBED IN GREATER DETAIL BELOW, ACCESSMATTERS’ AIMS TO REACH 1655 YOUTH AGES 13-19 IN PHILADELPHIA, AND OUR PRIORITY POPULATION IS YOUTH LIVING AT OR BELOW 150% OF THE FEDERAL POVERTY LEVEL (FPL), MANY OF WHOM ARE SYSTEM-IMPACTED AND ARE LIVING WITH COMPLEX TRAUMA. THIS POPULATION WAS PRIORITIZED FOR THE FOLLOWING REASONS. FIRST, THE PROPORTION OF CHILDREN IN PHILADELPHIA LIVING IN HOUSEHOLDS WITH INCOME AT OR BELOW 150% OF THE FEDERAL POVERTY LEVEL IS NEARLY TWICE THAT OF THE U.S. GENERALLY. SECOND, THE BURDEN OF TRAUMA THAT YOUNG PHILADELPHIANS FACE IS DISPROPORTIONALLY LARGE COMPARED TO THE REST OF THE COUNTRY, AND TRAUMA IS LINKED TO WORSE HEALTH OUTCOMES. THIRD, SEXUAL AND REPRODUCTIVE HEALTH (SRH) OUTCOMES FOR PHILADELPHIA’S YOUTH – AND PARTICULARLY FOR YOUTH LIVING IN POVERTY – ARE SIGNIFICANTLY POORER THAN THOSE FOR THE AVERAGE YOUTH IN PENNSYLVANIA AND IN THE U.S. FOURTH, THERE IS AN IDENTIFIED NEED FOR EXPANDED ACCESS TO SRH SERVICES AND EDUCATION FOR YOUTH IN PHILADELPHIA, AS IS SUPPORTED BY OUR WORK WITH KEY MEMBERS OF THE COMMUNITY. THE PROPOSED PROJECT WILL UTILIZE ACCESSMATTERS’ HEALTHCARE NETWORK MANAGEMENT EXPERIENCE AND EXPERTISE IN EDUCATION AND ENGAGEMENT AROUND ADOLESCENT SRH TO BRING TOGETHER COMMUNITY ORGANIZATIONS AND OTHER STAKEHOLDERS TO DIRECTLY ADDRESS THE SRH NEEDS OF THE YOUTH OF PHILADELPHIA, LEADING TO REDUCTIONS IN KEY MARKERS SUCH AS UNINTENDED PREGNANCY AND SEXUALLY TRANSMITTED INFECTIONS (STIS). THROUGH THREE SETTINGS – EDUCATIONAL, CLINICAL AND COMMUNITY-BASED – WE AIM TO REACH 1655 YOUTH, 250 PARENTS/CAREGIVERS, AND 200 PROFESSIONALS PER YEAR.

STATE PRIMARY CARE OFFICES

CENTERS FOR INDEPENDENT LIVING - CENTERS FOR INDEPENDENT LIVING

ACT TEAM

A SINGLE SHOT FLU VACCINE

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

2008 ANNOUNCEMENT OF AVAILABILITY OF FUNDS FOR TEN FAMILY PLANNING REGIONAL GENERAL TRAINING AND TECHNICAL ASSISTANCE PR

CCBHC ACCESS TO INTEGRATED BEHAVIORAL HEALTH URGENT CARE - THROUGH THIS PROJECT, TITLE CCBHC ACCESS TO INTEGRATED BEHAVIORAL HEALTH URGENT CARE, ACCESS: SUPPORTS FOR LIVING INC.'S (ACCESS) CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) FOCUSES ON THE POPULATION SEEKING URGENT MENTAL HEALTH AND/OR SUBSTANCE USE DISORDER SERVIES TO CREATE IMMEDIATE ACCESS, AND TO AVOID AND RESOLVE ACUTE CRISES. THE ACCESS CATCHMENT AREA IS CENTERED ON ORANGE COUNTY (OC), NEW YORK, AND SERVICES THE ENTIRE HUDSON VALLEY REGION. ACCORDING TO THE US CENSUS 2018, OC HAS 381,951 RESIDENTS. OF THE TOTAL POPULATION, 5% ARE VETERANS, 14% ARE 65 AND OLDER, AND 25% ARE UNDER 18. 24.4% OF THE OC POPULATION AGES 5 AND OVER SPEAKS A LANGUAGE OTHER THAN ENGLISH. 12% OF THE OC RESIDENTS MEET THE FEDERAL DEFINITION FOR POVERTY. ACCORDING TO THE NYS OFFICE OF MENTAL HEALTH PATIENT CHARACTERISTICS SURVEY IN 2015, OF THE MORE THAN 2500 TOTAL OC CLIENTS RECEIVING SERVICES FROM PROGRAMS LICENSED OR FUNDED BY THE NYS OFFICE OF MENTAL HEALTH (OMH), THE MOST COMMON DIAGNOSIS IS SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS (30%) FOLLOWED BY DEPRESSIVE DISORDERS (22%) AND BIPOLAR AND RELATED DISORDERS (20%). OF THE 2500 OMH CLIENTS IN THE COUNTY, 16% HAVE AN INTELLECTUAL DISABILITY, ARE ON THE AUTISM SPECTRUM, OR HAVE ANOTHER DEVELOPMENTAL DISABILITY; A QUARTER (25%) OF ALL CLIENTS HAVE CO-OCCURRING DISORDERS. MANY CLIENTS EXPERIENCE PHYSICAL HEALTH CONDITIONS AS WELL AS BEHAVIORAL; 56% HAVE AT LEAST ONE CHRONIC MEDICAL CONDITION. ACCESS PROPOSES TO: (1) INCREASE THE CAPACITY OF ACCESS' CCBHC TO PROVIDE URGENT CARE TO MEET THE IMMEDIATE BEHAVIORAL HEALTH (BH) NEEDS OF ADULTS AND CHILDREN IN OC, (2) INCREASE AND IMPROVE COMMUNITY-BASED ENGAGEMENT WITH INDIVIDUALS WITH BH NEEDS, DISCHARGED FROM FACILITIES IN OC, (3) INCREASE ACCESS' REVENUE SOURCE TO SUSTAIN ROUTINE BEHAVIORAL CARE FOR INDIVIDUALS WITH AN URGENT NEED AFTER THE GRANT TERM, AND (4) UTILIZING EXISTING RESOURCES, CONNECT CCBHC URGENT CARE CLIENTS TO EMPLOYMENT AND VOCATIONAL SUPPORT. THE AGENCY WILL PROVIDE IMMEDIATE, WALK-IN MENTAL HEALTH AND SUBSTANCE USE SERVICES, INCLUDING PSYCHIATRY, FOR ADULTS AND CHILDREN, INCLUDING CRISIS INTERVENTION AND HOSPITAL DIVERSION FOR THOS IN ACUTE BH CRISIS, AND TRANSITIONS OF CARE SERVICES FOR PEOPLE DISCHARGED FROM INPATIENT BH CARE.

HEALTH CENTER CONTROLLED NETWORKS

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS

ACCESS HEALTH INSURANCE NAVIGATORS FOR MICHIGAN

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

APPLICATION PURPOSE: THE PURPOSE OF THIS AWARD IS TO CONSTRUCT A BRAND NEW OPERATIONS AND MAINTENANCE FACILITY FOR ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE ANTELOPE VALLEY REGION.; ACTIVITIES PERFORMED: THIS GRANT AWARD WILL PARTIALLY FUND THE CONSTRUCTION OF A NEW OPERATIONS MAINTENANCE FACILITY TO SUPPORT PARATRANSIT OPERATIONS. ; EXPECTED OUTCOMES: A BRAND NEW FACILITY THAT OPERATES ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE ANTELOPE VALLEY REGION; INTENDED BENEFICIARIES: THIS STRATEGIC INVESTMENT WILL ALLOW ACCESS TO MITIGATE INFRASTRUCTURE RISKS AND OPERATIONAL DISRUPTIONS WHILE IMPROVING CONTRACTOR COMPETITIVENESS AND MEETING INCREASING SERVICE DEMANDS. INTENDED BENEFICIARIES INCLUDE CUSTOMERS OF ACCESS SERVICES IN THE ANTELOPE VALLEY REGION. ; SUBRECIPIENT ACTIVITIES: THIS PROJECT DOES NOT HAVE ANY SUBRECIPIENTS

HEALTH CENTER CONTROLLED NETWORKS

CAPITAL DEVELOPMENT

STATE LOAN REPAYMENT PROGRAM

MEDICARE RURAL HOSPITAL FLEXIBILITY

ACCESS TO WORK PROGRAM

GRANTS TO STATES FOR LOAN REPAYMENT - I. PROJECT ABSTRACT PROJECT TITLE: STATE LOAN REPAYMENT PROGRAM (SLRP) ORGANIZATION NAME: DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION (FORMERLY THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT) MAILING ADDRESS: 2020 WEST EL CAMINO AVENUE, SUITE 1222, SACRAMENTO, CA 95833 PRINCIPAL INVESTIGATOR/PROGRAM DIRECTOR: I. NAME AND TITLE: KIMBERLY RAMSON, STAFF SERVICES MANAGER II II. PHONE: (916) 326-3706 III. EMAIL: KIMBERLY.RAMSON@HCAI.CA.GOV ORGANIZATION WEBSITE: HTTPS://HCAI.CA.GOV/ HRSA-22-048 GRANT FUNDING REQUEST AMOUNT: $1,000,000 PER YEAR FOR A TOTAL OF $4,000,000 OVER THE NEXT FOUR-YEAR GRANT PERIOD (SEPTEMBER 1, 2022, THROUGH AUGUST 31, 2026). THE CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION (HCAI) PREVIOUSLY KNOWN AS THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT, ADMINISTERS THE CALIFORNIA STATE LOAN REPAYMENT PROGRAM (SLRP). SLRP INCREASES THE NUMBER OF PRIMARY CARE, DENTAL, AND MENTAL/BEHAVIORAL HEALTH PROVIDERS PRACTICING IN FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) THROUGHOUT CALIFORNIA. SINCE 1991, CALIFORNIA SLRP HAS PROVIDED APPROXIMATELY $58 MILLION IN LOAN REPAYMENT SUPPORT TO HEALTHCARE PROVIDERS IN EXCHANGE FOR WORKING IN HPSAS. CALIFORNIA FACES A SHORTFALL OF PROVIDERS WITH ITS INCREASING POPULATION. THE EXPANSION OF HEALTHCARE COVERAGE THROUGH THE AFFORDABLE HEALTHCARE ACT (ACA) ALSO CONTRIBUTED TO THE NEED FOR INCREASED ACCESS TO CARE. THE SLRP GRANT ALLOWS HCAI TO EXPAND THE HEALTHCARE SAFETY NET, ENABLING THE COMMUNITIES WITH THE GREATEST NEED TO HAVE ACCESS TO SAFE, QUALITY HEALTH CARE. THE FOLLOWING ARE THE OBJECTIVES OF SLRP: - PROVIDE FUNDING TO APPROXIMATELY 120 CULTURALLY AND LINGUISTICALLY COMPETENT PROVIDERS PROVIDING DIRECT PATIENT CARE IN CALIFORNIA HPSAS OVER THE NEXT FOUR YEARS. - RECRUIT AND RETAIN HEALTHCARE PROFESSIONALS IN HPSAS. EXPAND THE APPLICANT POOL, WITH A PARTICULAR NEED IN RURAL AREAS, FOCUSING ON CHILDREN AND YOUTH MENTAL HEALTH PROVIDERS, SUBSTANCE USE DISORDER COUNSELORS, AND BASIC ACCESS TO PRIMARY CARE. CONTINUATION APPLICANTS, APPLICANTS WITH PREVIOUS SLRP AWARDS, RECEIVE PRIORITY IN THE AWARD PROCESS. THE STATE OF CALIFORNIA HAS AN IMMEDIATE NEED TO RECRUIT AND RETAIN A QUALIFIED, CULTURALLY, AND LINGUISTICALLY COMPETENT HEALTHCARE WORKFORCE TO PROVIDE DIRECT PATIENT CARE IN HPSAS. TO ACCOMPLISH THIS GOAL, HCAI STRIVES TO ATTRACT AND AWARD SLRP APPLICANTS WHO EXPRESS FAMILIARITY WITH CALIFORNIA’S DIVERSE UNDERSERVED POPULATIONS. HCAI USES AN ONLINE FUNDING EAPP THAT ALLOWS APPLICANTS AND PRACTICE SITES TO COMPLETE AND SUBMIT APPLICATIONS ONLINE, STREAMLINING THE PROCESS. THE FUNDING EAPP CAPTURES AND EXTRACTS DATA FOR ANALYSIS, AND FOR STATE AND FEDERAL REPORTING.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

INTEGRATION OF ROUTINE HIV TESTING AND LINKAGE TO HIV CARE

COMMUNITY HEALTH WORKER TRAINING PROGRAM - - ADDRESS: 3611 43RD AVE. BRENTWOOD/COLMAR MANOR MD 20722 - PROJECT DIRECTOR NAME: DR. BETTYE MUWWAKKIL - CONTACT PHONE NUMBERS (VOICE, FAX) – 240 264 0878 - EMAIL ADDRESS: BETTYE@AWPLI.ORG - WEBSITE ADDRESS, IF APPLICABLE: WWW.AWPLI.ORG - LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION, IF APPLICABLE: ACCESS FOR WHOLISTIC AND PRODUCTIVE LIVING (ACCESS) INTENDS TO SIGNIFICANTLY EXPAND AND EXTEND THE PUBLIC HEALTH WORKFORCE IN MARYLAND BY TRAINING 150 NEW CERTIFIED COMMUNITY HEALTH WORKERS (CHWS) AND EXTENDING KNOWLEDGE AND SKILLS OF CURRENTLY NON-CERTIFIED CHWS SO THEY CAN BE CERTIFIED AND SERVE DISADVANTAGED HEALTH DISPARITY POPULATIONS IN SIX MARYLAND COUNTIES – PRINCE GEORGE’S, MONTGOMERY, CHARLES, ST. MARY’S, WICOMICO AND DORCHESTER- WITH A TOTAL POPULATION OF 2,420. THE TARGET AREA IS A MIX OF URBAN, SUBURBAN AND RURAL COMMUNITIES WITH A LARGE RACIAL, ETHNIC MINORITY POPULATION AND LOW-INCOME RESIDENTS WITH HIGH RATES OF CHRONIC DISEASE AND FACING MULTIPLE SOCIAL DETERMINANTS OF HEALTH. ACCESS HAS ASSEMBLED A DIVERSE GROUP OF COMMUNITY PARTNERS – HEALTH SYSTEMS, LOCAL HEALTH DEPARTMENTS, SOCIAL SERVICES, FAITH-BASED ORGANIZATIONS, IMMIGRANT, YOUTH, LGBTQ, AND SENIOR SERVING ORGANIZATIONS; DAYCARES; PUBLIC HOUSING AND HOMELESS SHELTERS- TO ACHIEVE THE FOLLOWING GOALS AND OBJECTIVES BY SEPTEMBER 14, 2025: GOAL 1: EXPAND THE PUBLIC HEALTH WORKFORCE IN 6 MARYLAND COUNTIES BY DELIVERING CERTIFIED TRAINING AND FINANCIAL SUPPORT TO 150 NEW CHWS BY SEPTEMBER 14, 2025 OBJECTIVE 1.1: RECRUIT AND TRAIN 150 NEW CHW TRAINEES (50 EACH PROGRAM YEAR) TO COMPLETE THE MARYLAND STATE-CERTIFIED CHW CURRICULUM ALONG WITH SUPPLEMENTAL COURSES. OBJECTIVE 1.2: PROVIDE WRAPAROUND SUPPORT TO MAXIMIZE THE LIKELIHOOD THAT 100% OF ALL 150 NEW CHW TRAINEES COMPLETE THE TRAINING PROGRAM AND EARN THEIR STATE CHW CERTIFICATION. GOAL 2: EXTEND THE PUBLIC HEALTH WORKFORCE IN 6 MARYLAND COUNTIES BY OFFERING UPSKILL TRAINING LEADING TO STATE CERTIFIC ATION FOR 60 NON-CERTIFIED CHWS CURRENTLY PRACTICING IN THE TARGET AREA. OBJECTIVE 2.1: RECRUIT A TOTAL OF 60 CURRENTLY PRACTICING NON-CERTIFIED CHWS (20 EACH PROGRAM YEAR) TO COMPLETE THE ACHTWP AND EARN MARYLAND STATE CERTIFICATION. OBJECTIVE 2.2: ENHANCE THE MARYLAND STATE-CERTIFIED CHW TRAINING BY OFFERING EXISTING SUPPLEMENTARY MODULES RELEVANT TO CURRENT AND EMERGING PUBLIC HEALTH TRENDS TO 60 CURRENTLY PRACTICING NON-CERTIFIED CHWS. GOAL 3: INCREASE CHW EMPLOYMENT READINESS IN 6 MARYLAND COUNTIES THROUGH FIELD PLACEMENTS AND APPRENTICESHIPS FOR 86% (180) OF TRAINEES WHO COMPLETE THE ACHTWP CHW TRAINING PROGRAM. OBJECTIVE 3.1 ASSIST 90 ACHWTP NEW CHW TRAINEES AND 60 UPSKILLED CHW TRAINEES TO COMPLETE FIELD PLACEMENTS. OBJECTIVE 3.2: ASSIST 30 ACHWTP NEW CHW TRAINEES TO ENTER A ONE-YEAR APPRENTICESHIP. GOAL 4: ADVANCE HEALTH EQUITY AND SUPPORT FOR UNDERSERVED COMMUNITIES IN 6 MARYLAND COUNTIES BY TRAINING 210 LOW-INCOME RESIDENTS TO BECOME STATE-CERTIFIED CHWS CAPABLE OF SERVING AS INTEGRAL MEMBERS OF INTEGRATED CARE TEAMS. OBJECTIVE 4.1: TRAIN 210 CHWS TO CONDUCT SDOH SCREENING AND ASSESSMENT USING VALIDATED TOOLS AND TO MAKE AND MONITOR CLIENT REFERRALS TO SDOH MITIGATION SERVICES. OBJECTIVE 4.2: RECRUIT, TRAIN AND ASSIST 210 RACIAL/ETHNIC MINORITY CHWS (160 BLACKS AND 50 LATINX) TO FIND EMPLOYMENT AS CHWS IN UNDERSERVED COMMUNITIES IN 6 MARYLAND COUNTIES AS INTEGRAL MEMBERS OF INTEGRATED CARE TEAMS.

VA IS PROVIDING PER DIEM FUNDING TO ASSIST WITH THE OPERATIONAL COSTS ASSOCIATED WITH TRANSITIONAL HOUSING BEDS FOR HOMELESS VETERANS.

TECHNICAL ASSISTANCE TO COMMUNITY AND MIGRANT HEALTH CENTERS AND HOMELESS

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

LEISHMANIA ANTIGENS DEFINED BY HUMAN IMMUNE RESPONSES

CARES 2.0 FUNDING FOR COVID19. THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

CENTERS FOR INDEPENDENT LIVING - CENTERS FOR INDEPENDENT LIVING

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

AMERICORPS*NATIONAL

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HIV/AIDS TESTING AND PREVENTION

ACCESS MAT EXPANSION - ACCESS, AN FQHC, SERVES MORE THAN 175,000 LOW INCOME PATIENTS ANNUALLY IN THE CHICAGO REGION—AN AREA WITH SOME OF THE HIGHEST OPIOID-RELATED DEATH RATES IN THE NATION. THIS PROJECT WILL IMPROVE ACCESS TO TRAUMA-INFORMED MAT SERVICES THROUGH EXPANDED PARTNERSHIPS, THE ADDITION OF A 15TH SITE TO OUR PROGRAM, AND ENHANCED RECOVERY SERVICES. OVER FIVE YEARS WE PLAN TO INCREASE OUR MAT CAPACITY BY 26 PERCENT AND SERVE A TOTAL OF 1,988 UNIQUE PATIENTS. POPULATIONS TO BE SERVED: ACCESS WILL EXPAND AND STRENGTHEN OUR MAT PROGRAM MODEL FOR OUR LOW INCOME, PREDOMINATELY MINORITY PATIENTS IN THE CITY OF CHICAGO, SUBURBAN COOK COUNTY AND DUPAGE COUNTY. SOME COMMUNITIES IN THE TARGET AREA HAVE AN OPIOID-RELATED OVERDOSE DEATH RATE NEARLY FOUR TIMES THAT OF THE NATION OVERALL, WITH EVEN HIGHER RATES SEEN AMONG BLACK INDIVIDUALS AGED 45 TO 64 YEARS. THE COVID-19 PANDEMIC HAS FURTHER EXACERBATED THE OPIOID EPIDEMIC IN THE CHICAGO REGION. THERE WAS A 20 PERCENT INCREASE IN OPIOID-RELATED OVERDOSES IN 2020 BUT A DECREASE IN THE AVAILABILITY OF TREATMENT AND RECOVERY RESOURCES. THE COMMUNITIES IMPACTED ARE HIGHLY IMPOVERISHED WITH SIGNIFICANT HEALTH INEQUITIES AND HIGH RATES OF TRAUMA AND VIOLENCE. PROJECT GOALS: 1. ENSURE CONTINUED ACCESS TO MAT SERVICES DURING THE COVID-19 PANDEMIC; 2. EXPAND ACCESS TO MAT SERVICES IN THE HARDEST HIT COMMUNITIES; 3. LOWER THE RISK OF FENTANYL-RELATED OVERDOSES; 4. EXPAND PARTNERSHIPS TO ENSURE SEAMLESS TRANSITIONS OF CARE FROM INSTITUTIONAL SETTINGS SUCH AS HOSPITALS AND THE CRIMINAL JUSTICE SYSTEM; 5. ENSURE PATIENTS RECEIVE THE RIGHT LEVEL OF CARE AT THE RIGHT TIME AT ACCESS, INCLUDING ACTIVE TREATMENT, INTENSIVE OUTPATIENT PROGRAMS, AND RECOVERY SERVICES; 6. STRENGTHEN THE INFRASTRUCTURE OF THE PROGRAM AT ACCESS TO INCLUDE DEDICATED PROGRAM OVERSIGHT AND EVALUATION TO SUSTAIN HIGH QUALITY CARE. PROJECT STRATEGIES: THESE GOALS WILL BE ACHIEVED BY: (A) EXPANDING TELEHEALTH TO INCLUDE GROUP THERAPY AND INTRODUCE INJECTABLE BUPRENORPHINE; (B) OPENING A NEW MAT PROGRAM AT AN ACCESS HEALTH CENTER WHICH IS CO-LOCATED WITH A SAFETY NET HOSPITAL IN A COMMUNITY WITH ONE OF THE HIGHEST OPIOID-MORTALITY RATES IN THE NATION; (C) UPDATING PROVIDER EDUCATION ON OVERDOSE PREVENTION AND INCREASING THE AVAILABILITY OF NALTREXONE TO ALL ACCESS SITES; (D) EXPANDING PARTNERSHIPS WITH HOSPITAL SYSTEMS AND COMMUNITY PARTNERS; (E) INTEGRATING PEER RECOVERY SPECIALISTS, CHAPLAINCY, AND LEVEL TWO SERVICES INTO THE PROGRAM AND EXPANDING GROUP SERVICES TO SPECIAL POPULATIONS SUCH AS WOMEN; AND (F) HIRING A DEDICATED MANAGER AND EVALUATION STAFF. NUMBER OF PEOPLE TO BE SERVED: THE PROJECTED UNDUPLICATED NUMBER OF PATIENTS SERVED WILL BE: YEAR 1: 725; YEAR 2: 755; YEAR 3: 785; YEAR 4: 835; AND YEAR 5; 875—A TOTAL OF 1,988 PATIENTS OVER THE FIVE-YEAR PROJECT PERIOD, WHICH ASSUMES SOME PATIENTS WILL STAY IN THE PROGRAM FOR MORE THAN ONE YEAR. PATIENTS WILL RECEIVE PATIENT-CENTERED, TRAUMA-INFORMED, EVIDENCE-BASED INTERVENTIONS WITHIN THE PRIMARY CARE SETTING. USING A HARM REDUCTION APPROACH THAT ADDRESSES PATIENTS’ INDIVIDUAL CIRCUMSTANCES, WE WILL REDUCE OPIOID USE AND IMPROVE OVERALL HEALTH OUTCOMES.

CAMEROON PEACE PROMOTION PROJECT

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

PROJECT SUPPORT (SUPPORTING UNDER-SERVED THROUGH PRODUCE/PARK PRESCRIPTION, AND OPPORTUNITIES TO RECREATION-ACTIVITY & TOBACCO-CONTROL).

ARRA - CAPITAL IMPROVEMENT PROGRAM

PURPOSE: TO PROVIDE GRANTS TO COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS (CDFIS) FOR THE FOLLOWING PURPOSES 1) TO EXPAND LENDING, GRANT MAKING AND INVESTMENT ACTIVITIES IN LOW OR MODERATE INCOME COMMUNITIES AND TO BORROWERS THAT HAVE HISTORICALLY EXPERIENCED SIGNIFICANT UNMET CAPITAL AND FINANCIAL SERVICES NEEDS AND WERE DISPROPORTIONATELY IMPACTED BY THE COVID 19 PANDEMIC; AND 2) TO ENABLE CDFIS TO BUILD ORGANIZATIONAL CAPACITY AND ACQUIRE TECHNOLOGY, STAFF, AND OTHER TOOLS NECESSARY TO ACCOMPLISH THE ACTIVITIES UNDER A CDFI ERP AWARD. PLANNED ACTIVITIES: ELIGIBLE ACTIVITIES INCLUDE FINANCIAL PRODUCTS, FINANCIAL SERVICES, DEVELOPMENT SERVICES, GRANTS, LOAN LOSS RESERVES AND CAPITAL RESERVES THAT MAY BE USED TO MITIGATE THE IMPACT OF THE COVID 19 PANDEMIC ON UNEMPLOYMENT, CHILDCARE, HEALTHCARE, MENTAL HEALTHCARE, AFFORDABLE HOUSING, AFFORDABLE HOUSING FINANCE, SMALL BUSINESS, SMALL FARMS, BROADBAND INTERNET, AND FOOD SUFFICIENCY. IN ADDITION, TO SUPPORT CDFIS IN BUILDING THEIR CAPACITY TO RESPOND TO THE ECONOMIC IMPACT OF COVID 19, CDFI ERP AWARDS MAY BE USED FOR COMPENSATION PERSONAL SERVICES; COMPENSATION FRINGE BENEFITS; PROFESSIONAL SERVICE COSTS; TRAVEL COSTS; TRAINING AND EDUCATION COSTS; EQUIPMENT; SUPPLIES. END GOALS: EXPANDED FINANCING FOR LOW TO MODERATE INCOME COMMUNITIES AND INDIVIDUALS THAT HAVE HISTORICALLY EXPERIENCED SIGNIFICANT UNMET CAPITAL AND FINANCIAL SERVICES NEEDS AND WERE DISPROPORTIONATELY IMPACTED BY THE COVID 19 PANDEMIC INCLUDING SPECIFIC DESIGNATED COVID IMPACTED CDFI ERP ELIGIBLE GEOGRAPHIES AS AREAS THAT MAY BENEFIT FROM CDFI ERP ASSISTANCE. BENEFICIARIES: CERTIFIED CDFIS WHICH MAY BE FOR PROFIT ORGANIZATION, PRIVATE NONPROFIT INSTITUTION/ORGANIZATION, AND OTHER PRIVATE INSTITUTION/ORGANIZATION, AS DEFINED IN 12 C.F.R. 1805, AND LOW AND MODERATE INCOME INDIVIDUALS AND FAMILIES. SUBRECIPIENTS: THERE ARE NO SUBRECIPIENTS FOR THIS PROGRAM. BROADBAND: SPECIFIC ACTIVITIES RELATING TO BROADBAND USAGE ARE NOT KNOWN AT THE TIME OF AWARD. REASON/PURPOSE OF MODIFICATION: NOT APPLICABLE.

THE HISPANIC ACCESS FOUNDATION (HAF) IS PARTNERING WITH THE U.S. FISH AND WILDLIFE SERVICE TO ADMINISTER THE 2020 FWS DIRECTORATE RESOURCE ASSISTANT FELLOWS PROGRAM (DFP) FOR STUDENTS WHO ARE INTERESTED IN A CONSERVATION CAREER. THE SERVICE WILL BE PROVIDING THE FELLOWSHIP OPPORTUNITIES FOR UNDERGRADUATE STUDENTS WHO HAVE COMPLETED THEIR JUNIOR YEAR (E.G. RISING SENIOR OR SENIOR) AND ARE EXPECTING TO COMPLETE DEGREE REQUIREMENTS AFTER THE SUMMER OF 2020; HAVE RECENTLY BEEN ACCEPTED AND ENROLLED AS A GRADUATE STUDENT; OR A GRADUATE STUDENT WHO HAS COMPLETED AT LEAST HIS OR HER FIRST YEAR OF GRADUATE SCHOOL.

AMERICAN RESCUE PLAN ACT FUNDING FOR LOOK-ALIKES

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

COMMUNITY COMPASS TECHNICAL ASSISTANCE AND CAPACITY BUILDING

CAPITAL DEVELOPMENT

HEALTH CENTER INFRASTRUCTURE SUPPORT

PURPOSE: TO PROMOTE ECONOMIC REVITALIZATION AND COMMUNITY DEVELOPMENT THROUGH INVESTMENT IN AND FINANCIAL ASSISTANCE TO COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS (CDFIS). PLANNED ACTIVITIES: FINANCIAL ASSISTANCE MUST BE USED FOR FINANCIAL PRODUCTS, FINANCIAL SERVICES (REGULATED INSTITUTIONS ONLY), DEVELOPMENT SERVICES, LOAN LOSS RESERVES, AND CAPITAL RESERVES (REGULATED INSTITUTIONS ONLY), IN AN ELIGIBLE MARKET OR THE RECIPIENT’S APPROVED TARGET MARKET. END GOALS: THE GOAL OF THE FINANCIAL ASSISTANCE IS FOR CDFIS TO BUILD THEIR FINANCIAL CAPACITY TO LEND TO ELIGIBLE MARKETS AND/OR THEIR TARGET MARKETS, IN ORDER TO SERVE RURAL AND URBAN LOW INCOME PEOPLE, AND COMMUNITIES ACROSS THE NATION THAT LACK ADEQUATE ACCESS TO AFFORDABLE FINANCIAL PRODUCTS AND FINANCIAL SERVICES. BENEFICIARIES: PROFIT ORGANIZATION, PRIVATE NONPROFIT INSTITUTION/ORGANIZATION, OTHER PRIVATE INSTITUTION/ORGANIZATION INVESTMENT AREAS AND TARGETED POPULATIONS, AS DEFINED IN 12 C.F.R. 1805. SUBRECIPIENTS: THERE ARE NO SUBRECIPIENTS FOR THIS PROGRAM. BROADBAND: SPECIFIC ACTIVITIES RELATING TO BROADBAND USAGE ARE NOT KNOWN AT THE TIME OF AWARD. REASON/PURPOSE OF MODIFICATION: THE RIEGLE ACT (P.L. 103 325), THE STATUTE WHICH AUTHORIZES THE CDFI PROGRAM, REQUIRES THAT FINANCIAL ASSISTANCE AWARDS, INCLUDING BASE FINANCIAL ASSISTANCE (BASE FA), DISABILITY FUNDS FINANCIAL ASSISTANCE (DF FA), AND PERSISTENT POVERTY COUNTIES FINANCIAL ASSISTANCE (PPC FA), BE MATCHED WITH FUNDS FROM NON FEDERAL GOVERNMENT SOURCES AND COMPARABLE IN FORM AND VALUE TO THE FA AWARD. MODIFICATIONS WOULD BE REQUIRED IF THERE IS A CHANGE IN THE FORM AND/OR AMOUNT ORIGINALLY OBLIGATED FOR THE AWARD, BASED ON APPROVED MATCHING FUNDS. NOTE: MATCHING FUNDS ARE REQUIRED ONLY FOR ORGANIZATIONS APPLYING AS CATEGORY II/CORE FA APPLICANTS UNDER THE CDFI PROGRAM. MATCHING FUNDS ARE NOT REQUIRED FOR ANY NATIVE CDFI APPLICANTS OR HOUSING PRODUCTION FINANCIAL ASSISTANCE AWARDS (HP FA). ADDITIONALLY, MATCHING FUNDS ARE NOT REQUIRED FOR SMALL AND EMERGING CDFI ASSISTANCE (SECA) FA APPLICANTS AND HEALTHY FOOD FINANCING INITIATIVES (HFFI) FA APPLICANTS, PENDING FINAL FY 2025 APPROPRIATIONS LANGUAGE.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

TCE-HIV

TRAINING AND TECHNICAL ASSISTANCE NATIONAL COOPERATIVE AGREEMENTS (NCAS)

HEALTH CENTER CONTROLLED NETWORKS

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

PHILADELPHIA TEEN PREGNANCY PREVENTION PARTNERSHIP TO REPLICATE "POWER THROUGH CHOICES" WITH YOUTH IN FOSTER CARE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CENTERS FOR INDEPENDENT LIVING - CENTERS FOR INDEPENDENT LIVING

CENTERS FOR INDEPENDENT LIVING - CENTERS FOR INDEPENDENT LIVING

TREATMENT AND RECOVERY SERVICES FOR ADOLESCENTS, TRANSITIONAL AGED YOUTH, AND THEIR FAMILIES IN NYC - SUMMARY. BRIDGING ACCESS TO CARE (BAC) IS PROPOSING A PROGRAM TO ENHANCE AND EXPAND COMPREHENSIVE TREATMENT, EARLY INTERVENTION, AND RECOVERY SUPPORT SERVICES FOR TRANSITIONAL AGED YOUTH (AGES 18-25) WITH SUD AND/OR COD, AND THEIR FAMILIES/PRIMARY CAREGIVERS; THE PROJECT WILL SERVE NYC, WITH A FOCUS ON BROOKLYN. BAC PROPOSES TO SERVE 120 UNDUPLICATED INDIVIDUALS ANNUALLY AND 540 OVER THE ENTIRE PROJECT PERIOD. PROJECT NAME. BROOKLYN EXPANSION OF TREATMENT AND RECOVERY SERVICES PROGRAM POPULATIONS TO BE SERVED. BAC’S POPULATION OF FOCUS (POF) WILL BE TRANSITIONAL AGED YOUTH (AGES 18 TO 25) WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD), AND THEIR FAMILIES/PRIMARY CAREGIVERS. BAC’S CATCHMENT AREA WHERE SERVICES WILL BE DELIVERED WILL BE THE UNDERSERVED AND HIGH-NEED COMMUNITIES IN NEW YORK CITY (NYC), WITH A FOCUS ON CENTRAL BROOKLYN, EAST NEW YORK, EAST FLATBUSH, AND BUSHWICK. STRATEGIES/INTERVENTIONS. BAC’S PROGRAM ACTIVITIES WILL INCLUDE: 1) PROVIDING A COMPREHENSIVE, FAMILY-CENTERED, TRAUMA-INFORMED, EVIDENCE-BASED, COORDINATED, AND INTEGRATED OUTPATIENT SYSTEM OF CARE, WHICH INCLUDES EARLY INTERVENTION AND RECOVERY SUPPORT SERVICES; 2) SCREENING CLIENTS FOR ALCOHOL MISUSE AND ILLICIT DRUG USE; 3) SCREENING ALL CLIENTS AND THEIR FAMILY MEMBERS FOR TOBACCO USE; 4) EDUCATION AND MESSAGING ON MAKING HEALTHY CHOICES; 5) HOUSING AND HOUSING PLACEMENT SERVICES; 6) TESTING FOR HIV AND VIRAL HEPATITIS; AND 7) IMPLEMENTING THE FOLLOWING EBPS: MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY, AND CONTINGENCY MANAGEMENT. PROJECT GOALS AND MEASURABLE OBJECTIVES. THE PROGRAM’S GOAL IS TO ENHANCE AND EXPAND COMPREHENSIVE TREATMENT, EARLY INTERVENTION, AND RECOVERY SUPPORT SERVICES FOR THE POF. THE PROGRAM’S OBJECTIVES INCLUDE: PROVIDE COMPREHENSIVE, FAMILY-CENTERED, TRAUMA-INFORMED, EVIDENCE-BASED, COORDINATED, AND INTEGRATED OUTPATIENT SERVICES, INCLUDING INTERVENTION AND RECOVERY SUPPORT SERVICES, TO 60 CLIENTS IN YEAR 1 AND 120 PARTICIPANTS PER YEAR IN EACH OF THE FOLLOWING YEARS; SCREEN CLIENTS (60 IN YEAR 1, 120 IN SUBSEQUENT YEARS) AND THEIR FAMILY MEMBERS/PRIMARY CAREGIVERS, WHO ARE INCLUDED IN TREATMENT PLANNING, FOR ALCOHOL MISUSE AND ILLICIT DRUG USE, INCLUDING MARIJUANA, OPIOIDS, STIMULANTS, INHALANTS, AND BENZODIAZEPINES; PROVIDE PERSONS ENGAGED IN RISKY OR HAZARDOUS DRINKING WITH BRIEF BEHAVIORAL COUNSELING INTERVENTIONS TO REDUCE ALCOHOL MISUSE; SCREEN ALL CLIENTS (60 IN YEAR 1 AND 120 IN SUBSEQUENT YEARS) AND THEIR FAMILY MEMBERS/PRIMARY CAREGIVERS FOR TOBACCO USE AND PROVIDE TOBACCO USE COUNSELING AND INTERVENTIONS AS PART OF A STANDARD OF PRACTICE, AS APPROPRIATE. PROVIDE AUGMENTED, PREGNANCY-TAILORED COUNSELING FOR PREGNANT CLIENTS WHO USE TOBACCO PRODUCTS; PROVIDE TOBACCO CESSATION COUNSELING TO 60 CLIENTS PER YEAR; PROVIDE EDUCATION AND MESSAGING ON MAKING HEALTHY CHOICES THAT INCLUDES NO USE OF ANY SUBSTANCES THROUGH SOCIAL MEDIA AND SOCIAL MARKETING, REACHING 500 PERSONS FROM THE POF PER YEAR; PROVIDE RECOVERY HOUSING TO 2-3 CLIENTS IN YEAR ONE (3 – 5 IN SUBSEQUENT YEARS); AND PROVIDE HIV AND HCV TESTING FOR 50 CLIENTS PER YEAR.

HOMELESS PREVENTION

PURPOSE: TO PROVIDE GRANTS TO COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS (CDFIS) FOR THE FOLLOWING PURPOSES 1) TO EXPAND LENDING, GRANT MAKING AND INVESTMENT ACTIVITIES IN LOW OR MODERATE INCOME COMMUNITIES AND TO BORROWERS THAT HAVE HISTORICALLY EXPERIENCED SIGNIFICANT UNMET CAPITAL AND FINANCIAL SERVICES NEEDS AND WERE DISPROPORTIONATELY IMPACTED BY THE COVID 19 PANDEMIC; AND 2) TO ENABLE CDFIS TO BUILD ORGANIZATIONAL CAPACITY AND ACQUIRE TECHNOLOGY, STAFF, AND OTHER TOOLS NECESSARY TO ACCOMPLISH THE ACTIVITIES UNDER A CDFI ERP AWARD. PLANNED ACTIVITIES: ELIGIBLE ACTIVITIES INCLUDE FINANCIAL PRODUCTS, FINANCIAL SERVICES, DEVELOPMENT SERVICES, GRANTS, LOAN LOSS RESERVES AND CAPITAL RESERVES THAT MAY BE USED TO MITIGATE THE IMPACT OF THE COVID 19 PANDEMIC ON UNEMPLOYMENT, CHILDCARE, HEALTHCARE, MENTAL HEALTHCARE, AFFORDABLE HOUSING, AFFORDABLE HOUSING FINANCE, SMALL BUSINESS, SMALL FARMS, BROADBAND INTERNET, AND FOOD SUFFICIENCY. IN ADDITION, TO SUPPORT CDFIS IN BUILDING THEIR CAPACITY TO RESPOND TO THE ECONOMIC IMPACT OF COVID 19, CDFI ERP AWARDS MAY BE USED FOR COMPENSATION PERSONAL SERVICES; COMPENSATION FRINGE BENEFITS; PROFESSIONAL SERVICE COSTS; TRAVEL COSTS; TRAINING AND EDUCATION COSTS; EQUIPMENT; SUPPLIES. END GOALS: EXPANDED FINANCING FOR LOW TO MODERATE INCOME COMMUNITIES AND INDIVIDUALS THAT HAVE HISTORICALLY EXPERIENCED SIGNIFICANT UNMET CAPITAL AND FINANCIAL SERVICES NEEDS AND WERE DISPROPORTIONATELY IMPACTED BY THE COVID 19 PANDEMIC INCLUDING SPECIFIC DESIGNATED COVID IMPACTED CDFI ERP ELIGIBLE GEOGRAPHIES AS AREAS THAT MAY BENEFIT FROM CDFI ERP ASSISTANCE. BENEFICIARIES: CERTIFIED CDFIS WHICH MAY BE FOR PROFIT ORGANIZATION, PRIVATE NONPROFIT INSTITUTION/ORGANIZATION, AND OTHER PRIVATE INSTITUTION/ORGANIZATION, AS DEFINED IN 12 C.F.R. 1805, AND LOW AND MODERATE INCOME INDIVIDUALS AND FAMILIES. SUBRECIPIENTS: THERE ARE NO SUBRECIPIENTS FOR THIS PROGRAM. BROADBAND: SPECIFIC ACTIVITIES RELATING TO BROADBAND USAGE ARE NOT KNOWN AT THE TIME OF AWARD. REASON/PURPOSE OF MODIFICATION: NOT APPLICABLE.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ACCESS RAPID ENGAGEMENT AND COMMUNITY HEALTH (REACH) TEAM - AS ONE OF THE LARGEST BEHAVIORAL HEALTH (BH) AND HUMAN SERVICE PROVIDERS IN THE MID-HUDSON REGION, ACCESS: SUPPORTS FOR LIVING (ACCESS) IS PROPOSING TO ESTABLISH THE RAPID ENGAGEMENT AND COMMUNITY HEALTH (REACH) TEAM, WHO WILL SERVE 600 INDIVIDUALS WITH SERIOUS EMOTIONAL DISTURBANCES (SED), SERIOUS MENTAL ILLNESSES (SMI), AND CO-OCCURRING DISORDERS (COD) LIVING IN ORANGE AND ULSTER COUNTIES IN NEW YORK OVER THE GRANT'S 2 YEARS (300 EACH YEAR). THIS INCLUDES THOSE LIVING IN THE HISTORICALLY MARGINALIZED COMMUNITIES OF MIDDLETOWN, NEWBURGH, KINGSTON, AND ELLENVILLE/WAWARSING, AS WELL AS RESIDENTS WHO IDENTIFY AS LATINX WHO HAVE TRADITIONALLY LACKED ACCESS TO SERVICES. IN ORDER TO ADDRESS THE SIGNIFICANT AND INCREASING BH NEEDS IN BOTH ORANGE AND ULSTER COUNTIES, ACCESS WILL USE THESE GRANT FUNDS TO STRENGTHEN AND EXPAND OUR EXISTING INFRASTRUCTURE THROUGH THE REACH TEAM IN A WAY THAT IS TRAUMA-INFORMED AND CULTURALLY AND LINGUISTICALLY ACCESSIBLE. OUR CLINICS SAW A 48% INCREASE IN THE NUMBER OF CLIENTS SERVED BETWEEN 2019 AND 2020, AND THIS PROPOSED REACH TEAM WILL EXPAND ON THIS GROWTH, MEETING INDIVIDUALS WHERE THEY ARE IN THE COMMUNITY (I.E., THEIR HOMES OR OTHER FAITH-BASED OR COMMUNITY SETTINGS) IN ORDER TO REDUCE BARRIERS TO SERVICE ACCESS. SPECIFICALLY, WE WILL SEEK TO ACCOMPLISH THE FOLLOWING GOALS THROUGH THIS PROJECT: (1) INCREASE ACCESS TO BH SERVICES FOR THE COMMUNITY OF MIDDLETOWN, NEWBURGH, KINGSTON, AND ELLENVILLE/WAWARSING, AS WELL AS ORANGE AND ULSTER COUNTY RESIDENTS WHO IDENTIFY AS LATINX; (2) HELP THOSE IN ORANGE/ULSTER EXPERIENCING BH CRISES TO STABILIZE AND CONNECT TO TREATMENT AND SUPPORT; AND (3) REDUCE BURNOUT AND PROMOTE JOY AMONG STAFF SO THEY CAN CONTINUE TO SUPPORT OUR TARGET COMMUNITIES.

PATIENT NAVIGATION AS A BRIDGE FROM SUBSTANCE USE DISORDER TREATMENT TO FAMILY PLANNING CARE

WELLNESS TOGETHER: PROVIDING CO-LOCATED BH SERVICES & PRIMARY CARE

PURPOSE: THE OVERALL PURPOSE OF THE OLDER ADULT HOME MODIFICATION PROGRAM (OAHMP) IS TO ASSIST EXPERIENCED NONPROFIT ORGANIZATIONS, STATE AND LOCAL GOVERNMENTS, AND PUBLIC HOUSING AUTHORITIES IN UNDERTAKING COMPREHENSIVE PROGRAMS THAT MAKE SAFETY AND FUNCTIONAL HOME MODIFICATIONS REPAIRS AND RENOVATIONS TO MEET THE NEEDS OF LOW-INCOME ELDERLY HOMEOWNERS. THE GOAL OF THE HOME MODIFICATION PROGRAM IS TO ENABLE LOW-INCOME ELDERLY PERSONS TO REMAIN IN THEIR HOMES THROUGH LOW-COST, LOW BARRIER, HIGH IMPACT HOME MODIFICATIONS TO REDUCE OLDER ADULTS’ RISK OF FALLING, IMPROVE GENERAL SAFETY, INCREASE ACCESSIBILITY, AND TO IMPROVE THEIR FUNCTIONAL ABILITIES IN THEIR HOME. THIS WILL ENABLE OLDER ADULTS TO REMAIN IN THEIR HOMES, THAT IS, TO “AGE IN PLACE,” RATHER THAN MOVE TO NURSING HOMES OR OTHER ASSISTED CARE FACILITIES.; ACTIVITIES TO BE PERFORMED: HUD’S OFFICE OF LEAD HAZARD CONTROL AND HEALTHY HOMES IS MAKING AVAILABLE GRANT FUNDS AND TRAINING RESOURCES TO NON-FEDERAL ENTITIES. UNDER THE OAHMP AWARD, EXPERIENCED NONPROFIT ORGANIZATIONS, STATE AND LOCAL GOVERNMENTS, AND PUBLIC HOUSING AUTHORITIES WILL DELIVER HOME MODIFICATION SERVICES TO QUALIFIED BENEFICIARIES. THE OAHMP MODEL FOCUSES ON LOW-COST, HIGH-IMPACT HOME MODIFICATIONS. EXAMPLES OF THESE HOME MODIFICATIONS INCLUDE INSTALLATION OF GRAB BARS, RAILINGS, AND LEVER-HANDLED DOORKNOBS AND FAUCETS, AS WELL AS THE INSTALLATION OF ADAPTIVE EQUIPMENT, SUCH AS TEMPORARY RAMP, TUB/SHOWER TRANSFER BENCH, HANDHELD SHOWER HEAD, RAISED TOILET SEAT, RISERS FOR CHAIRS AND SOFAS, AND NON-SLIP STRIPS FOR TUB/SHOWER OR STAIRS. THE OAHMP MODEL PRIMARILY RELIES ON THE EXPERTISE OF A LICENSED OCCUPATIONAL THERAPIST (OT) TO ENSURE THAT THE HOME MODIFICATION ADDRESSES THE CLIENT’S SPECIFIC GOALS AND NEEDS AND PROMOTES THEIR FULL PARTICIPATION IN DAILY LIFE ACTIVITIES. THE OT IS TRAINED TO EVALUATE CLIENTS’ FUNCTIONAL ABILITIES AND THE HOME ENVIRONMENT AND HAS KNOWLEDGE OF THE RANGE OF LOW-COST, HIGH-IMPACT ENVIRONMENTAL MODIFICATIONS AND ADAPTIVE EQUIPMENT USED TO OPTIMIZE THE HOME ENVIRONMENT AND INCREASE INDEPENDENCE. THE GRANTEES, WHICH ARE EXPERIENCED IN PROVIDING SERVICES TO SENIORS, WILL DELIVER HOME MODIFICATION SERVICES TO MORE THAN 1,900 SENIOR FAMILIES IN BOTH URBAN COMMUNITIES AND COMMUNITIES WITH SUBSTANTIAL RURAL POPULATIONS.; EXPECTED OUTCOMES: PROVIDED THROUGH HUD’S OLDER ADULTS HOME MODIFICATION PROGRAM (OAHMP), THESE GRANTS ENABLE LOW-INCOME ELDERLY PERSONS TO REMAIN IN THEIR HOMES THROUGH LOW-COST, LOW BARRIER, HIGH IMPACT HOME MODIFICATIONS TO REDUCE OLDER ADULTS’ RISK OF FALLING, IMPROVE GENERAL SAFETY, INCREASE ACCESSIBILITY, AND IMPROVE THEIR FUNCTIONAL ABILITIES IN THEIR HOME. THESE INVESTMENTS WILL DELIVER HOME MODIFICATION SERVICES TO MORE THAN 1,900 SENIOR FAMILIES TO ENABLE OLDER ADULTS TO REMAIN IN THEIR HOMES – TO “AGE IN PLACE” – RATHER THAN MOVE TO NURSING HOMES OR OTHER ASSISTED CARE FACILITIES.; INTENDED BENEFICIARIES: THE OAHMP PROVIDE FUNDING TO EXPERIENCED NON-PROFITS, STATES, LOCAL GOVERNMENTS, AND PUBLIC HOUSING AGENCIES FOR SAFETY AND FUNCTIONAL HOME MODIFICATION REPAIRS TO MEET THE NEEDS OF LOW-INCOME ELDERLY HOMEOWNERS TO ENABLE THEM TO REMAIN IN THEIR RESIDENCES AT LEAST ONE HALF OF THE FUNDS SHALL BE AVAILABLE TO COMMUNITIES WITH SUBSTANTIAL RURAL POPULATIONS. INTENDED TO BENEFIT ELIGIBLE LOW-INCOME HOMEOWNERS WHO ARE AT LEAST 62 YEARS OLD FOR WORK IN THEIR PRIVATE PRIMARY RESIDENCE.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

ONECPD TA & CAPACITY BLDG

INCREASING OPPORTUNITIES NOW THE ION PROGRAM

PRISONER-RE-ENTRY

OPERATION LEAP

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

CHICAGO STRONG START FOR MOTHERS AND NEWBORNS

DEV ARAB AMER EXHIBITS

"EL CANCER NOS AFECTA A TODOS" NATIONAL LATINO CANCER EDUCATION AWARENESS INITIAT

THE SAMHSA TARGETED EXPANSION - HIV PROGRAM WILL ENHANCE AND EXPAND SUBSTANCE MISUSE, MENTAL HEALTH AND HIV PREVENTION SERVICES FOR BROOKLYN YMSM/MSM.

WOMEN RETURNING HOME: SUBSTANCE ABUSE TREATMENT AND HIV/AIDS SERVICES

THE SMALL BUSINESS ADMINISTRATION (SBA) MICROLOAN PROGRAM PROVIDES DIRECT LOANS AND GRANTS TO ELIGIBLE NON-PROFIT MICROLENDERS SO THAT THEY MAY PROVIDE MICRO-LEVEL LOANS, AND BUSINESS BASED TRAINING AND TECHNICAL ASSISTANCE TO START- UP, NEWLY ESTABLISHED AND GROWING SMALL BUSINESS CONCERNS.

COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINATIONS IN UNDERSERVED COMMUNITIES

HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR COMMUNITY BASED ORGS

SBIRT AT ACCESS

CENTERS FOR INDEPENDENT LIVING - CENTERS FOR INDEPENDENT LIVING

THIS HISPANIC ACCESS FOUNDATION AWARD WILL PLACE 57 PARTICIPANTS TO SUPPORT THE 2023 DIRECTORATE FELLOWSHIP PROGRAM.