Community Opioid Intervention Pilot Projects, 65845-65855 [2020-22941]

Agencies

• DEPARTMENT OF HEALTH AND HUMAN SERVICES
• Indian Health Service

[Federal Register Volume 85, Number 201 (Friday, October 16, 2020)]
[Notices]
[Pages 65845-65855]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-22941]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Community Opioid Intervention Pilot Projects

    Announcement Type: New.
    Funding Announcement Number: HHS-2021-IHS-COIPP-0001.
    Catalog of Federal Domestic Assistance Number: 93.933.

Key Dates

    Application Deadline Date: December 15, 2020.
    Earliest Anticipated Start Date: January 14, 2021.

I. Funding Opportunity Description

Statutory Authority

    The Indian Health Service (IHS) is accepting applications for 
grants for the Community Opioid Intervention Pilot Projects (COIPP). 
This program was first established by the Consolidated Appropriations 
Act of 2019, (Pub. L. 116-6) and the accompanying Conference Report, H. 
Rpt. 116-9. IHS received a new appropriation of $10 million in FY 2019 
to better combat the opioid epidemic by creating a pilot program to 
address the opioid epidemic in Indian Country to award grants that 
support the development, documentation, and sharing of locally designed 
and culturally appropriate prevention, treatment, recovery, and 
aftercare services for mental health and substance use disorders in 
American Indian and Alaska Native communities. The IHS received a 
second appropriation of $10 million in the FY 2020 Further Consolidated 
Appropriations Act (Pub. L. 116-94). IHS will provide technical 
assistance to grantees to collect and evaluate performance of the pilot 
program. This program is authorized under the authority of 25 U.S.C. 
13, the Snyder Act, and the Indian Health Care Improvement Act, 25 
U.S.C. 1601-1683. This program is described in the Assistance Listings 
located at https://beta.sam.gov (formerly known as Catalog of Federal 
Domestic Assistance) under 93.933.

Background

    The impact of the opioid crisis on American Indian and Alaska 
Native (AI/AN) populations is immense. The rate of drug overdose deaths 
among AI/ANs is above the national average. The Centers for Disease 
Control and Prevention (CDC) data indicate that AI/ANs had the second 
highest overdose death rates from all opioids in 2017 (15.7 deaths/
100,000 population) among racial/ethnic groups in the United States. 
AI/ANs had the second highest overdose death rates from heroin (5.2 
deaths/100,000 population), third highest from synthetic opioids (6.5 
deaths/100,000 population), and the highest rate from prescription 
opioids (7.2 deaths/100,000 population) during 2016-2017. The overall 
rate of overdose deaths for AI/ANs increased by 13% during 2015-2017. 
These numbers may be underestimated for the AI/AN population due to 
racial misclassification on death certificates as recently published by 
the CDC Morbidity and Mortality Weekly Report, resulting in inaccurate 
public health data for the AI/AN population.\1\
---------------------------------------------------------------------------

    \1\ Joshi, Weiser, & Warren-Mears, Dec 2018. CDC Morbidity and 
Mortality Weekly Report.
---------------------------------------------------------------------------

    The family remains the primary source of attachment, nurturing, and 
socialization for humans in our current society, and opioid use 
disorder (OUD) has had a devastating effect on families. The impact of 
substance use disorders (SUDs) on the family and individual family 
members merits attention. Each family and each family member is 
uniquely affected by the individual using substances including having 
unmet developmental needs, impaired attachment, economic hardship, 
legal problems, emotional distress, and sometimes violence being 
perpetrated against them. For children there is also an increased risk 
of developing a SUD themselves. Thus, treating only the individual with 
the active disease of addiction is limited in effectiveness. This grant 
aims to address the increasing number of infants born to mothers with a 
SUD, and children who reside in homes with parents with OUD by awarding 
at least six grant sites to programs that focus on maternal and child 
health issues.
    In keeping with the IHS policy stating that Tribal consultation 
occurs when a new or revised policy or program is proposed, IHS held a 
tribal consultation and Urban confer process on the development of a 
new opioid grant program from June 21, 2019 to September 3, 2019. 
Formal sessions were held to allow for feedback on priorities, 
methodologies, and desired outcomes to be used in the selection and 
award process. IHS received a total of 119 comments from all 12 IHS 
areas. The comments received represented a wide range of suggestions 
but several themes emerged, most notably the importance of allowing 
flexibility in program design and focus areas. Respondents also 
requested that IHS ensure that programs include: Culturally responsive 
approaches to addressing the opioid crisis; a focus on education and 
training for communities on opioids and treatment options; and a high 
priority area of focus on serving addicted pregnant women and infants 
pre-exposed to opioids. IHS published a Dear Tribal Leader Letter and 
Consultation and Conference Summary Report in the IHS Newsroom on April 
3, 2020. https://www.ihs.gov/sites/newsroom/themes/responsive2017/display_objects/documents/2020_Letters/DTLL_DUIOLL_OGPP_04032020.pdf.

Purpose

    The purpose of this IHS grant is to address the opioid crisis in 
AI/AN communities by developing and expanding community education and 
awareness of prevention, treatment and/or recovery activities for 
opioid misuse and opioid use disorder. The intent is to increase 
knowledge and use of culturally appropriate interventions and to 
encourage an increased use of medication-assisted treatment (MAT). This 
program will support Tribal and Urban Indian communities in their 
effort to provide prevention, treatment, and recovery services to 
address the impact of the opioid crisis within their communities. Each 
application for the COIPP will be required to address the following 
objectives:
    1. Increase public awareness and education about culturally-
appropriate and family-centered opioid prevention, treatment, and 
recovery practices and programs in AI/AN communities.
    2. Create comprehensive support teams to strengthen and empower AI/
AN families in addressing the opioid crisis in Tribal or Urban Indian 
communities.
    3. Reduce unmet treatment needs and opioid overdose related deaths 
through the use of MAT.

[[Page 65846]]

    In alignment with the IHS 2019-2023 Strategic Plan Goal 1: To 
ensure that comprehensive, culturally appropriate personal and public 
health services are available and accessible to American Indian and 
Alaska Native people, the COIPP is designed to provide Tribes with the 
ability to develop unique and innovative community interventions that 
will address the opioid crisis at a local level. The IHS supports 
Tribal and Urban Indian efforts that include addressing substance use 
prevention, treatment, and aftercare from a community-driven context. 
The IHS encourages applicants to develop and submit a plan that 
emphasizes cross-system collaboration, the inclusion of family, youth, 
and community resources, and culturally appropriate approaches.

II. Award Information

Funding Instrument--Grant

Estimated Funds Available
    The total funding identified for fiscal year (FY) 2021 is 
approximately $16,500,000. This includes approximately $8,250,000 in FY 
2019 funds, and $8,250,000 in FY 2020 funds. Individual award amounts 
for the first budget year are anticipated to be $500,000. The amount of 
funding available for competing and continuation awards issued under 
this announcement is subject to the availability of appropriations and 
budgetary priorities of the Agency. IHS expects to allocate funding for 
each IHS area to support Tribes, Tribal organizations and Urban Indian 
Organizations (UIO). The IHS is under no obligation to make awards that 
are selected for funding under this announcement.
Anticipated Number of Awards
    Approximately 33 awards will be issued under this program 
announcement.
    Grant awards will be distributed as follows in the approximate 
numbers:
     2 grants in each IHS Area (24 awards total).
     6 set-aside grants for Urban Indian Organizations.
     3 set-aside grants with Maternal & Child Health as the 
population of focus. One grant will be funded in each of the three 
highest priority IHS Areas (Alaska, Bemidji, and Billings). These 
priority areas were determined by reviewing opioid-related mortality 
data from the CDC and opioid use disorder data and opioid-related birth 
data from the IHS National Data Warehouse.
Period of Performance
    The period of performance is for three years.

III. Eligibility Information

1. Eligibility

    To be eligible for this New FY 2021 funding opportunity applicants 
must be one of the following as defined by 25 U.S.C. 1603:
     A Federally-recognized Indian Tribe as defined by 25 
U.S.C. 1603(14). The term ``Indian Tribe'' means any Indian Tribe, 
band, nation, or other organized group or community, including any 
Alaska Native village or group or regional or village corporation as 
defined in or established pursuant to the Alaska Native Claims 
Settlement Act (85 Stat. 688) [43 U.S.C. 1601 et seq.], which is 
recognized as eligible for the special programs and services provided 
by the United States to Indians because of their status as Indians.
     A Tribal organization as defined by 25 U.S.C. 1603(26). 
The term ``Tribal organization'' has the meaning given the term in 
section 4 of the Indian Self-Determination and Education Assistance Act 
(25 U.S.C. 5304): ``Tribal organization'' means the recognized 
governing body of any Indian Tribe; any legally established 
organization of Indians which is controlled, sanctioned, or chartered 
by such governing body or which is democratically elected by the adult 
members of the Indian community to be served by such organization and 
which includes the maximum participation of Indians in all phases of 
its activities: Provided that, in any case where a contract is let or 
grant made to an organization to perform services benefiting more than 
one Indian Tribe, the approval of each such Indian Tribe shall be a 
prerequisite to the letting or making of such contract or grant. 
Applicant shall submit letters of support and/or Tribal Resolutions 
from the Tribes to be served.
     An Urban Indian organization, as defined by 25 U.S.C. 
1603(29), that currently has a grant or contract award from the IHS 
under the Indian Health Care Improvement Act, 25 U.S.C. 1651-1660h. The 
term ``Urban Indian organization'' means a nonprofit corporate body 
situated in an urban center, governed by an urban Indian controlled 
board of directors, and providing for the maximum participation of all 
interested Indian groups and individuals, which body is capable of 
legally cooperating with other public and private entities for the 
purpose of performing the activities described in 25 U.S.C. 1653(a). 
Applicants must provide proof of non-profit status with the 
application, e.g., 501(c)(3).
    Note: Please refer to Section IV.2 (Application and Submission 
Information/Subsection 2, Content and Form of Application Submission) 
for additional proof of applicant status documents required, such as 
Tribal resolutions, proof of non-profit status, etc.

2. Cost Sharing or Matching

    IHS does not require matching funds or cost sharing for grants or 
cooperative agreements.

3. Other Requirements

    Applications with budget requests that exceed the highest dollar 
amount outlined under the Award Information, Estimated Funds Available 
section, or exceed the Period of Performance outlined under Section II 
Award Information, Period of Performance will be considered not 
responsive and will not be reviewed. The Division of Grants Management 
(DGM) will notify the applicant.
Additional Required Documentation
Tribal Resolution
    The DGM must receive an official, signed Tribal Resolution prior to 
issuing a Notice of Award (NoA) to any applicant selected for funding. 
An Indian Tribe or Tribal organization that is proposing a project 
affecting another Indian Tribe must include resolutions from all 
affected Tribes to be served. However, if an official, signed Tribal 
Resolution cannot be submitted with the application prior to the 
application deadline date, a draft Tribal Resolution must be submitted 
with the application by the deadline date in order for the application 
to be considered complete and eligible for review. The draft Tribal 
Resolution is not in lieu of the required signed resolution, but is 
acceptable until a signed resolution is received. If an official, 
signed Tribal Resolution is not received by DGM when funding decisions 
are made, then a NoA will not be issued to that applicant, and the 
applicant will not receive IHS funds until it has submitted a signed 
resolution to the Grants Management Specialist listed in this funding 
announcement.
Proof of Non-Profit Status
    Organizations claiming non-profit status must submit a current copy 
of the 501(c)(3) Certificate with the application.

[[Page 65847]]

IV. Application and Submission Information

1. Obtaining Application Materials

    The application package and detailed instructions for this 
announcement are hosted on https://www.Grants.gov.
    Please direct questions regarding the application process to Mr. 
Paul Gettys at (301) 443-2114 or (301) 443-5204.

2. Content and Form Application Submission

    The applicant must include the project narrative as an attachment 
to the application package. Mandatory documents for all applicants 
include:
     Abstract (one page) summarizing the project.
     Application forms:
    1. SF-424, Application for Federal Assistance.
    2. SF-424A, Budget Information--Non-Construction Programs.
    3. SF-424B, Assurances--Non-Construction Programs.
     Project Narrative (not to exceed 10 pages). See Section 
IV.2.A Project Narrative for instructions.
    1. Background information on the organization.
    2. Proposed scope of work, objectives, and activities that provide 
a description of what the applicant plans to accomplish.
     Budget Justification and Narrative (not to exceed 4 
pages). See Section IV.2.B Budget Narrative for instructions.
     Timeline (one-page)
     Tribal Resolution or Tribal Letter of Support (only 
required for Tribes and Tribal organizations).
     Letter(s) of Commitment:
    1. From Local Organizational Partners;
    2. From Community Partners;
    3. For Tribal organizations: From the board of directors (or 
relevant equivalent);
    4. For urban Indian organizations: From the board of directors (or 
relevant equivalent).
     501(c)(3) Certificate (if applicable).
     Biographical sketches for all key personnel (e.g., project 
director, project coordinator, grants coordinator, etc.) (not to exceed 
1 page each).
     Contractor/consultant qualifications and scope of work.
     Disclosure of Lobbying Activities (SF-LLL).
     Certification Regarding Lobbying (GG-Lobbying Form).
     Copy of current Negotiated Indirect Cost rate (IDC) 
agreement (required in order to receive IDC).
     Documentation of current Office of Management and Budget 
(OMB) Financial Audit (if applicable).
    Acceptable forms of documentation include:
    1. Email confirmation from Federal Audit Clearinghouse (FAC) that 
audits were submitted; or
    2. Face sheets from audit reports. Applicants can find these on the 
FAC website: https://harvester.census.gov/facdissem/Main.aspx.
Public Policy Requirements
    All Federal public policies apply to IHS grants and cooperative 
agreements with the exception of the Discrimination Policy.
Requirements for Project and Budget Narratives
    A. Project Narrative: This narrative should be a separate document 
that is no more than 10 pages and must: (1) Have consecutively numbered 
pages; (2) use black font 12 points or larger; (3) be single-spaced; 
(4) and be formatted to fit standard letter paper (8\1/2\ x 11 inches).
    Be sure to succinctly answer all questions listed under the 
evaluation criteria (refer to Section V.1, Evaluation Criteria) and 
place all responses and required information in the correct section 
noted below or they will not be considered or scored. If the narrative 
exceeds the page limit, the application will be considered not 
responsive and not be reviewed. The 10-page limit for the narrative 
does not include the standard forms, Tribal Resolutions, budget, budget 
justification and narrative, and/or other appendix items.

    There are four (4) parts to the project narrative:

Part 1--Statement of Need
Part 2--Program Plan (Objectives and Activities)
Part 3--Organizational Capacity
Part 4--Program Evaluation (Data Collection and Reporting)
Part 1: Statement of Need (Limit--1 Page)
    Describe the extent of the problem related to opioid misuse in the 
applicant's community (``community'' means the applicant's Tribe, 
village, Tribal organization, consortium of Tribes or Tribal 
organizations, or urban center). Provide the facts and evidence that 
support the need for the project and establish that the Tribe, Tribal 
organization, or UIO understand the problems and can reasonably address 
them. This section must also succinctly but completely answer the 
questions listed under the evaluation criteria in Section V.1.A 
Statement of Need.
Part 2: Program Plan (Objectives and Activities) (Limit--6 Pages)
    Describe the scope of work the Tribe, Tribal organization, or UIO 
by clearly and concisely outlining the following required components:
    1. Goals and Objectives. Reference all required objectives.
    2. Project Activities. Link your project activities to your 
outlined goals and objectives.
    This section must also succinctly but completely answer the 
questions listed under the evaluation criteria in Section V.1.B Program 
Plan (Objectives and Activities).
Part 3: Organizational Capacity (Limit--2 Pages)
    Describe the Tribe, Tribal organization, or UIO's organizational 
capacity to implement the proposed activities, in the following areas: 
Ability to provide direct care, treatment and services, including MAT; 
Current or ongoing projects related to opioid prevention, treatment, 
recovery support, and aftercare; and a detailed description of 
partnerships and networks with opioid misuse providers. Provide detail 
on significant program activities and achievements/accomplishments over 
the past five years associated with opioid prevention, treatment, 
recovery support, and aftercare activities. Provide success stories, 
data or other examples of how other funded projects/programs made an 
impact in your community to address opioid use. If applicable, provide 
justification for lack of progress of previous efforts. This section 
must also succinctly but completely answer the questions listed under 
the evaluation criteria in Section V.1.C Organizational Capacity.
Part 4: Program Evaluation (Limit--1 Page)
    Based on the required activities in Section V describe how the 
Tribe, Tribal organization, or UIO plans to collect data for the 
proposed project and activities. Identify any type(s) of evaluation(s) 
that will be used and how you will collaborate with partners to 
complete any evaluation efforts or data collection. Progress reports 
will include compilation of quantitative data (e.g., number served; 
screenings completed) and qualitative or narrative (text) data. 
Reporting elements should be specific to activities/programs, processes 
and outcomes such as performance measures and other data relevant to 
evaluation outcomes including intended results (i.e., impact and 
outcomes). The IHS will partner with Technical Assistance Providers to 
assist grantees in

[[Page 65848]]

developing data collection and evaluation plans and tools. Grantees 
will be required to collect and submit semi-annual and annual progress 
reports. Additional information regarding Data Collection refer to 
Section V.1.D. Program Evaluation (Data Collection & Reporting).
    In an effort to reduce the data collection burden for this grant 
program, IHS will compile and analyze aggregate program statistics from 
existing data sources to assist in evaluation of the projects. 
Aggregate data may include, but is not limited to, associated 
community-level Government Performance and Results Act (GPRA) health 
care facility data available in the National Data Warehouse. For 
additional information regarding IHS Government Performance and Results 
Act (GPRA) https://www.ihs.gov/crs/gprareporting/. Comprehensive 
information about CRS software and logic is at https://www.ihs.gov/crs/.
    B. Budget Narrative (Limit--4 Pages): Provide a budget narrative 
that explains the amounts requested for each line item of the budget. 
The budget narrative should specifically describe how each item will 
support the achievement of proposed objectives. Be very careful about 
showing how each item in the ``Other'' category is justified. For 
subsequent budget years, the narrative should highlight the changes 
from year 1 or clearly indicate that there are no substantive budget 
changes during the period of performance. Do NOT use the budget 
narrative to expand the project narrative.

3. Submission Dates and Times

    Applications must be submitted through Grants.gov by 11:59 p.m. 
Eastern Daylight Time (EDT) on the Application Deadline Date. Any 
application received after the application deadline will not be 
accepted for review. Grants.gov will notify the applicant via email if 
the application is rejected.
    If technical challenges arise and assistance is required with the 
application process, contact Grants.gov Customer Support (see contact 
information at https://www.Grants.gov). If problems persist, contact 
Mr. Paul Gettys ([email protected]), Acting Director, DGM, by 
telephone at (301) 443-2114 or (301) 443-5204. Please be sure to 
contact Mr. Gettys at least ten days prior to the application deadline. 
Please do not contact the DGM until you have received a Grants.gov 
tracking number. In the event you are not able to obtain a tracking 
number, call the DGM as soon as possible.
    IHS will not acknowledge receipt of applications.

4. Intergovernmental Review

    Executive Order 12372 requiring intergovernmental review is not 
applicable to this program.

5. Funding Restrictions

     Pre-award costs are allowable up to 90 days before the 
start date of the award provided the costs are otherwise allowable if 
awarded. Pre-award costs are incurred at the risk of the applicant.
     The available funds are inclusive of direct and indirect 
costs.
     Only one grant will be awarded per applicant.
     The purchase of food (i.e., as supplies, for meetings or 
events) is not an allowable cost with this grant funding and should not 
be included in the budget/budget justification. If food is included in 
the budget of an awarded application, those funds will be restricted 
until the applicant supplies a modified budget eliminating those costs.

6. Electronic Submission Requirements

    All applications must be submitted via Grants.gov. Please use the 
https://www.Grants.gov website to submit an application. Find the 
application by selecting the ``Search Grants'' link on the homepage. 
Follow the instructions for submitting an application under the Package 
tab. No other method of application submission is acceptable.
    If the applicant cannot submit an application through Grants.gov, a 
waiver must be requested. Prior approval must be requested and obtained 
from Mr. Paul Gettys, Acting Director, DGM. A written waiver request 
must be sent to [email protected] with a copy to 
[email protected]. The waiver request must: (1) Be documented in 
writing (emails are acceptable) before submitting an application by 
some other method, and (2) include clear justification for the need to 
deviate from the required application submission process.
    Once the waiver request has been approved, the applicant will 
receive a confirmation of approval email containing submission 
instructions. A copy of the written approval must be included with the 
application that is submitted to the DGM. Applications that are 
submitted without a copy of the signed waiver from the Acting Director 
of the DGM will not be reviewed. The Grants Management Officer of the 
DGM will notify the applicant via email of this decision. Applications 
submitted under waiver must be received by the DGM no later than 5:00 
p.m., EDT, on the Application Deadline Date. Late applications will not 
be accepted for processing. Applicants that do not register for both 
the System for Award Management (SAM) and Grants.gov and/or fail to 
request timely assistance with technical issues will not be considered 
for a waiver to submit an application via alternative method.
    Please be aware of the following:
     Please search for the application package in https://www.Grants.gov by entering the Assistance Listing (CFDA) number or the 
Funding Opportunity Number. Both numbers are located in the header of 
this announcement.
     If you experience technical challenges while submitting 
your application, please contact Grants.gov Customer Support (see 
contact information at https://www.Grants.gov).
     Upon contacting Grants.gov, obtain a tracking number as 
proof of contact. The tracking number is helpful if there are technical 
issues that cannot be resolved and a waiver from the agency must be 
obtained.
     Applicants are strongly encouraged not to wait until the 
deadline date to begin the application process through Grants.gov as 
the registration process for SAM and Grants.gov could take up to twenty 
working days.
     Please follow the instructions on Grants.gov to include 
additional documentation that may be requested by this funding 
announcement.
     Applicants must comply with any page limits described in 
this funding announcement.
     After submitting the application, the applicant will 
receive an automatic acknowledgment from Grants.gov that contains a 
Grants.gov tracking number. The IHS will not notify the applicant that 
the application has been received.
Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS)
    Applicants and grantee organizations are required to obtain a DUNS 
number and maintain an active registration in the SAM database. The 
DUNS number is a unique 9-digit identification number provided by D&B 
that uniquely identifies each entity. The DUNS number is site specific; 
therefore, each distinct performance site may be assigned a DUNS 
number. Obtaining a DUNS number is easy, and there is no charge. To 
obtain a DUNS number, please access the request service through https://fedgov.dnb.com/webform, or call (866) 705-5711.
    The Federal Funding Accountability and Transparency Act of 2006, as 
amended (``Transparency Act''), requires all HHS recipients to report 
information on sub-awards. Accordingly, all IHS grantees must

[[Page 65849]]

notify potential first-tier sub-recipients that no entity may receive a 
first-tier sub-award unless the entity has provided its DUNS number to 
the prime grantee organization. This requirement ensures the use of a 
universal identifier to enhance the quality of information available to 
the public pursuant to the Transparency Act.
System for Award Management (SAM)
    Organizations that are not registered with SAM must have a DUNS 
number first, then access the SAM online registration through the SAM 
home page at https://www.sam.gov/SAM/ (U.S. organizations will also 
need to provide an Employer Identification Number from the Internal 
Revenue Service that may take an additional 2-5 weeks to become 
active). Please see SAM.gov for details on the registration process and 
timeline. Registration with the SAM is free of charge, but can take 
several weeks to process. Applicants may register online at https://www.sam.gov/SAM/.
    Additional information on implementing the Transparency Act, 
including the specific requirements for DUNS and SAM, are available on 
the DGM Grants Management, Policy Topics web page: https://www.ihs.gov/dgm/policytopics/.

V. Application Review Information

    Weights assigned to each section are noted in parentheses. The 10-
page project narrative should include only the first year of 
activities; information for multi-year projects should be included as 
an appendix. See ``Multi-year Project Requirements'' at the end of this 
section for more information. The narrative section should be written 
in a manner that is clear to outside reviewers unfamiliar with prior 
related activities of the applicant. It should be well organized, 
succinct, and contain all information necessary for reviewers to 
understand the project fully. Points will be assigned to each 
evaluation criteria adding up to a total of 100 possible points. Points 
are assigned as follows:

1. Evaluation Criteria

Required Activities
    The focus of this pilot program is to support AI/ANs in their 
efforts to provide prevention, treatment, aftercare, and recovery 
services to address the impact of the opioid crisis in Native 
communities. All COIPP activities should be culturally-based, and 
family-oriented.
    IHS is seeking applications that include all of the following 
required activities:
    1. Community Awareness and Education:
    a. Grantees shall promote family, youth and community engagement in 
the planning and implementation of opioid use prevention.
    b. Grantees shall design community awareness campaigns and 
education programs that inform and train community members on how to 
recognize the signs of opioid misuse and overdose. Educational tool(s) 
shall be culturally-appropriate and intended to engage families.
    c. Grantees will develop educational resources, such as factsheets 
using culturally relevant messaging; disseminate materials through 
community stakeholders and community partners, and identify culturally 
appropriate ways to implement educational programs in their local 
communities.
    d. Awareness Campaign should include instructions on the following, 
among others:
     How to access local opioid-specific services.
     How to safeguard controlled prescription medications from 
children and adolescents.
     How to dispose properly of unused controlled prescription 
medications.
    2. Expand access to MAT services that include Tribal values, 
culture, and treatments:
    a. Promote family, youth and community engagement in the planning 
and implementation of opioid use treatment.
    b. Increase number of providers receiving training in MAT services 
that include Tribal values, culture, and treatments.
    c. Increase access to continuing education on MAT.
    d. Expand access to integrated MAT services for Tribal communities, 
including TeleMAT.
    e. Increase the availability and utilization of MAT to include 
Buprenorphine (all FDA approved formulations for OUD); buprenorphine/
naloxone combination product, and/or naltrexone to Tribal communities 
in both rural and urban settings.
    f. Increase awareness and distribution of naloxone as an overdose 
intervention and teach skills in how to use it.
    3. Build a support system for strengthening Native families by 
implementing culturally-appropriate approaches.
    a. Promote family, youth and community engagement in the planning 
and implementation of opioid use recovery activities.
    b. Develop a family-focused and culturally-based assessment that 
captures biopsychosocial needs of AI/ANs.
    c. Link assessment needs to support and recovery services.
    d. Collaborate with relevant partners to build a support system for 
recovery.
    Applications will be reviewed and scored according to the quality 
of responses to the required application components in Sections A-E. 
The number of points after each heading is the maximum number of points 
a review committee may assign to that section. Although scoring weights 
are not assigned to individual numbers, responses to each number are 
assessed in deriving the overall section score.
A. Statement of Need (20 Points)
    1. Describe the extent of the problem related to opioid misuse in 
the applicant's community (``community'' means the applicant's Tribe, 
village, Tribal organization, consortium of Tribes or Tribal 
organizations, or urban center). Provide the facts and evidence that 
support the need for the project and establish that the Tribe, Tribal 
organization, or UIO understands the problems and can reasonably 
address them.
    2. Include a description of social determinants of health that may 
contribute to the opioid crisis in the community. Include details on 
economic stability (such as housing and food insecurity); education 
(such as early childhood education and development, high school 
graduation, and language and literacy); social and community context 
(such as discrimination, incarceration, and social cohesion); health 
and health care (such as access to health care and health literacy); 
and neighborhood and built environment (such as access to foods that 
support healthy eating patterns, crime and violence, environmental 
conditions, and quality of housing).
    3. Provide background information on the Tribe, Tribal 
organization, or UIO.
    4. Based on the information and/or data currently available, 
document the prevalence of opioid misuse rates.
    5. Based on the information and/or data currently available, 
document the need to increase the capacity to implement, sustain, and 
improve effective opioid misuse prevention, treatment, aftercare, and 
recovery services in the proposed catchment area that is consistent 
with the purpose of this funding opportunity announcement.
    6. Describe the service gaps and other problems related to the need 
for funds targeting opioid misuse. Identify the source of the data.

[[Page 65850]]

    7. Describe potential Tribal and community partners and resources 
in the catchment area that can participate in the broad community 
awareness campaign.
    8. Affirm that the goals of the project are consistent with 
priorities of the Tribal government or board of directors and that the 
governing body is in support of this application.
B. Program Plan (Objectives and Activities) (35 Points)
    1. Identify the population of focus for your project. Describe the 
purpose of the proposed project, including goals and objectives and how 
they are linked. Describe how the achievement of goals will increase 
Tribe, Tribal organization, or UIO's capacity to support the goals and 
required activities identified in Section I of this announcement.
    2. Describe how the proposed project activities are related to the 
proposed project's goals and objectives. Describe how the project 
activities will increase the capacity of the community to prevent, and 
treat opioid addiction in the communities.
    3. Describe organizational capacity to implement the proposed 
activities, including increased public awareness and education on 
opioids; developing a comprehensive support team to strengthen and 
empower AI/AN families in addressing the opioid crisis in Tribal or 
Urban Indian communities; and integrating the use of MAT into their 
community.
    4. Describe how community partners (prevention and recovery support 
providers, substance use disorder treatment programs, peer recovery 
specialists, social workers, behavioral health clinics, community 
health centers, youth serving organizations, family and youth homeless 
providers, child welfare agencies, and primary care providers, 
pharmacists, schools, clergy, and law enforcement, among others) will 
be involved in the planning and implementation of the project.
    5. Describe if/how the efforts of the proposed project will be 
coordinated with any other related Federal grants or programs funded 
through IHS, SAMHSA, BIA, or other Federal agencies.
    6. Provide a chart depicting a realistic timeline for the project 
period showing key activities, milestones, and responsible staff. These 
key activities should include the required activities identified in 
Section V of this announcement.
C. Organizational Capacity (15 Points)
    Describe organizational capacity to implement the proposed 
activities, including increased public awareness and education on 
opioids; developing a comprehensive support team to strengthen and 
empower AI/AN families in addressing the opioid crisis in Tribal or 
Urban Indian communities; and integrating the use of MAT into the 
Tribal community.
    1. Describe significant program activities and achievements or 
accomplishments over the past 5 years associated with opioid use 
prevention, treatment and aftercare.
    2. Describe the applicant Tribe, Tribal organization, or UIO's 
experience and capacity to provide culturally appropriate/competent 
opioid use services to the community and specific populations of focus.
    3. Describe the resources available for the proposed project (e.g., 
facilities, equipment, information technology systems, and financial 
management systems).
    4. Describe how project continuity will be maintained if/when there 
is a change in the operational environment (e.g., staff turnover, 
change in project leadership, change in elected officials) to ensure 
project stability over the life of the grant.
    5. Provide a complete list of staff positions anticipated for the 
project, including the Project Director, Project Coordinator, and other 
key personnel, showing the role of each and their level of effort and 
qualifications.
    6. For key staff currently on board, include a biographical sketch 
for the Project Director, Project Coordinator, or other key positions 
as attachments to the project proposal/application. Do not include any 
of the following in the biographical sketch:
    [ssquf] Personally Identifiable Information (i.e., SSN, home 
address);
    [ssquf] Resumes; or
    [ssquf] Curriculum Vitae.
D. Program Evaluation (Data Collection and Reporting) (20 Points)
    Grantees will be required to collect and submit semi-annual and 
annual progress reports. Logic Models are highly recommended to provide 
guidance on collecting data for evaluation purposes (see Attachment A). 
Applicants are expected to collect data within their communities on 
prevalence rates on opioid use disorders and other data metrics related 
to opioid-related mortality and morbidity.
    1. Progress reports will include the compilation of quantitative 
data (e.g., number served; screenings completed) and qualitative or 
narrative (text) data.
    2. Reporting elements should include data from local community-
based and evidence-based programs which pertain to proposed activities, 
processes and outcomes such as performance measures and other data 
relevant to evaluation outcomes including intended results (i.e., 
impact and outcomes).
    3. Describe how the applicant will measure variables, what method 
will be used and how the data will be used for quality improvement and 
sustainability of program and meeting required reporting deadlines.
    4. Based on the required objectives, describe the type(s) of 
evaluation(s) that will be used and how the applicant will collaborate 
with partners such as Tribal Epidemiology Centers or Urban Epidemiology 
Centers to complete any evaluation efforts or data collection.
    5. Describe a data plan on how to prioritize screening efforts such 
as the Screening, Brief Intervention, and Referral to Treatment (SBIRT) 
to identify patients at at-risk levels who use illicit drugs and are 
referred for appropriate services. Describe how the data collection 
plan includes efforts that support the IHS Division of Behavioral 
Health (DBH) GPRA measure 1) Proportion of AI/ANs that received the 
Screening, Brief Intervention, and Referral to Treatment (SBIRT).
    6. Describe how annual progress reports will be entered into the 
Behavioral Health Reporting portal system and capability and experience 
with similar evaluations.
    7. Describe any data-sharing agreements that are established, or 
which will be established, in support of these activities.
E. Budget and Budget Justification (10 Points)
    1. Include a line item budget for all expenditures identifying 
reasonable and allowable costs necessary to accomplish the goals and 
objectives as outlined in the project narrative for Project Year 1 
only. The budget expenditures should correlate with the scope of work 
described in the project narrative for the first project year expenses 
only.
    2. Provide a narrative justification of the budget line items, as 
well as a description of existing resources and other support the 
applicant expects to receive for the proposed project. Other support is 
defined as funds or resources, whether Federal, non-Federal or 
institutional, in direct support of activities through fellowships, 
gifts, prizes, in-kind contributions or non-Federal means. (This should 
correspond to Item #18 on the SF-424, Estimated Funding, and SF-424A 
Budget Information, Section C Non-Federal resources.)
    3. Provide a narrative justification supporting the development or 
continued collaboration with other

[[Page 65851]]

partners regarding the proposed activities to be implemented.
    4. Depending on the availability of funds, the IHS may host annual 
meetings to provide in-depth training and technical assistance to 
awardees. In order to help establish critical mass of community and 
staff members who are informed and committed to implement the project, 
awardees should plan to send a minimum of three people (including the 
Project Director/Project Coordinator) to one meeting of all awardees in 
each year of the grant. At these meetings, awardees will receive 
training related to grant objectives, discuss success and challenges in 
implementation of the program, present the results of their projects, 
and receive other technical assistance from IHS staff and/or 
contractors. Each meeting may be up to 3 days. The locations will be 
determined at a later date, but applicants should estimate costs for 
Denver, CO as a potential site that is accessible to most of ``Indian 
Country'' and attendance is strongly encouraged.
Multi-Year Project Requirements
    Applications must include a brief project narrative and budget (one 
additional page per year) addressing the developmental plans for each 
additional year of the project. This attachment will not count as part 
of the project narrative or the budget narrative.
    Additional documents can be uploaded as Appendix Items in 
Grants.gov
     Work plan, logic model and/or time line for proposed 
objectives.
     Position descriptions for key staff (i.e., Project 
Director, Project Coordinator).
     Consultant or contractor proposed scope of work and letter 
of commitment (if applicable).
     Organizational chart.
     Map of area identifying project location(s).
     Additional documents to support narrative (e.g., data 
tables, relevant news articles).
     Advisory board(s) description (membership, roles and 
functions, and frequency of meetings).

2. Review and Selection

    Each application will be prescreened for eligibility and 
completeness as outlined in the funding announcement. Applications that 
meet the eligibility criteria shall be reviewed for merit by the 
Objective Review Committee (ORC) based on evaluation criteria. 
Incomplete applications and applications that are not responsive to the 
administrative thresholds will not be referred to the ORC and will not 
be funded. The applicant will be notified of this determination.
    Applicants must address all program requirements and provide all 
required documentation.

3. Notifications of Disposition

    All applicants will receive an Executive Summary Statement from the 
IHS DBH within 30 days of the conclusion of the ORC outlining the 
strengths and weaknesses of their application. The summary statement 
will be sent to the Authorizing Official identified on the face page 
(SF-424) of the application.
A. Award Notices for Funded Applications
    The Notice of Award (NoA) is the authorizing document for which 
funds are dispersed to the approved entities and reflects the amount of 
Federal funds awarded, the purpose of the grant, the terms and 
conditions of the award, the effective date of the award, and the 
budget/project period. Each entity approved for funding must have a 
user account in GrantSolutions in order to retrieve the NoA. Please see 
the Agency Contacts list in Section VII for the systems contact 
information.
B. Approved but Unfunded Applications
    Approved applications not funded due to lack of available funds 
will be held for one year. If funding becomes available during the 
course of the year, the application may be reconsidered.
    Note: Any correspondence other than the official NoA executed by an 
IHS grants management official announcing to the project director that 
an award has been made to their organization is not an authorization to 
implement their program on behalf of the IHS.

VI. Award Administration Information

1. Administrative Requirements

    Grants are administered in accordance with the following 
regulations and policies:
    A. The criteria as outlined in this funding announcement.
    B. Administrative Regulations for Grants:
     Uniform Administrative Requirements for HHS Awards, 
located at 45 CFR part 75.
    C. Grants Policy:
     HHS Grants Policy Statement, Revised 01/07.
    D. Cost Principles:
     Uniform Administrative Requirements for HHS Awards, ``Cost 
Principles,'' located at 45 CFR part 75, subpart E.
    E. Audit Requirements:
     Uniform Administrative Requirements for HHS Awards, 
``Audit Requirements,'' located at 45 CFR part 75, subpart F.

2. Indirect Costs

    This section applies to all recipients that request reimbursement 
of indirect costs (IDC) in their application budget. In accordance with 
HHS Grants Policy Statement, Part II-27, IHS requires applicants to 
obtain a current IDC rate agreement, and submit it to DGM, prior to DGM 
issuing an award. The rate agreement must be prepared in accordance 
with the applicable cost principles and guidance as provided by the 
cognizant agency or office. A current rate covers the applicable grant 
activities under the current award's budget period. If the current rate 
agreement is not on file with the DGM at the time of award, the IDC 
portion of the budget will be restricted. The restrictions remain in 
place until the current rate agreement is provided to the DGM.
    Available funds are inclusive of direct and appropriate indirect 
costs. Approved indirect funds are awarded as part of the award amount, 
and no additional funds will be provided.
    Generally, IDC rates for IHS grantees are negotiated with the 
Division of Cost Allocation (DCA) https://rates.psc.gov/ or the 
Department of Interior (Interior Business Center) https://ibc.doi.gov/ICS/tribal. For questions regarding the indirect cost policy, please 
call the Grants Management Specialist listed under ``Agency Contacts'' 
or the main DGM office at (301) 443-5204.

3. Reporting Requirements

    The awardee must submit required reports consistent with the 
applicable deadlines. Failure to submit required reports within the 
time allowed may result in suspension or termination of an active 
grant, withholding of additional awards for the project, or other 
enforcement actions such as withholding of payments or converting to 
the reimbursement method of payment. Continued failure to submit 
required reports may result in one or both of the following: (1) The 
imposition of special award provisions; and (2) the non-funding or non-
award of other eligible projects or activities. This requirement 
applies whether the delinquency is attributable to the failure of the 
awardee organization or the individual responsible for preparation of 
the reports. Per DGM policy, all reports are required to be submitted 
electronically by attaching them as a ``Grant Note'' in GrantSolutions. 
Personnel responsible for submitting

[[Page 65852]]

reports will be required to obtain a login and password for 
GrantSolutions. Please see the Agency Contacts list in Section VII for 
the systems contact information.
    The reporting requirements for this program are noted below.
A. Progress Reports
    Program progress reports are required semi-annually, within 30 days 
after the budget period ends (specific dates will be listed in the NoA 
Terms and Conditions). These reports must include a brief comparison of 
actual accomplishments to the goals established for the period, a 
summary of progress to date or, if applicable, provide sound 
justification for the lack of progress, and other pertinent information 
as required. A final report must be submitted within 90 days of 
expiration of the period of performance.
B. Financial Reports
    Federal Financial Report (FFR or SF-425), Cash Transaction Reports 
are due 30 days after the close of every calendar quarter to the 
Payment Management Services, HHS at https://pms.psc.gov. The applicant 
is also requested to upload a copy of the FFR (SF-425) into our grants 
management system, GrantSolutions. Failure to submit timely reports may 
result in adverse award actions blocking access to funds.
    Grantees are responsible and accountable for accurate information 
being reported on all required reports: The Progress Reports and 
Federal Financial Report.
C. Federal Sub-Award Reporting System (FSRS)
    This award may be subject to the Transparency Act sub-award and 
executive compensation reporting requirements of 2 CFR part 170.
    The Transparency Act requires the OMB to establish a single 
searchable database, accessible to the public, with information on 
financial assistance awards made by Federal agencies. The Transparency 
Act also includes a requirement for recipients of Federal grants to 
report information about first-tier sub-awards and executive 
compensation under Federal assistance awards.
    IHS has implemented a Term of Award into all IHS Standard Terms and 
Conditions, NoAs and funding announcements regarding the FSRS reporting 
requirement. This IHS Term of Award is applicable to all IHS grant and 
cooperative agreements issued on or after October 1, 2010, with a 
$25,000 sub-award obligation dollar threshold met for any specific 
reporting period. Additionally, all new (discretionary) IHS awards 
(where the period of performance is made up of more than one budget 
period) and where: (1) The period of performance start date was October 
1, 2010 or after, and (2) the primary awardee will have a $25,000 sub-
award obligation dollar threshold during any specific reporting period 
will be required to address the FSRS reporting.
    For the full IHS award term implementing this requirement and 
additional award applicability information, visit the DGM Grants Policy 
website at https://www.ihs.gov/dgm/policytopics/.
D. Compliance With Executive Order 13166 Implementation of Services 
Accessibility Provisions for All Grant Application Packages and Funding 
Opportunity Announcements
    Recipients of Federal financial assistance (FFA) from HHS must 
administer their programs in compliance with Federal civil rights laws 
that prohibit discrimination on the basis of race, color, national 
origin, disability, age and, in some circumstances, religion, 
conscience, and sex. This includes ensuring programs are accessible to 
persons with limited English proficiency. The HHS Office for Civil 
Rights provides guidance on complying with civil rights laws enforced 
by HHS. Please see https://www.hhs.gov/civil-rights/for-providers/provider-obligations/ and https://www.hhs.gov/ocr/civilrights/understanding/section1557/.
     Recipients of FFA must ensure that their programs are 
accessible to persons with limited English proficiency. HHS provides 
guidance to recipients of FFA on meeting their legal obligation to take 
reasonable steps to provide meaningful access to their programs by 
persons with limited English proficiency. Please see https://www.hhs.gov/civil-rights/for-individuals/special-topics/limited-english-proficiency/fact-sheet-guidance/ and https://www.lep.gov. For further guidance on providing culturally and 
linguistically appropriate services, recipients should review the 
National Standards for Culturally and Linguistically Appropriate 
Services in Health and Health Care at https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53.
     Recipients of FFA also have specific legal obligations for 
serving qualified individuals with disabilities. Please see https://www.hhs.gov/ocr/civilrights/understanding/disability/.
     HHS funded health and education programs must be 
administered in an environment free of sexual harassment. Please see 
https://www.hhs.gov/civil-rights/for-individuals/sex-discrimination/; https://www2.ed.gov/about/offices/list/ocr/docs/shguide.html; and https://www.eeoc.gov/eeoc/publications/fs-sex.cfm.
     Recipients of FFA must also administer their programs in 
compliance with applicable Federal religious nondiscrimination laws and 
applicable Federal conscience protection and associated anti-
discrimination laws. Collectively, these laws prohibit exclusion, 
adverse treatment, coercion, or other discrimination against persons or 
entities on the basis of their consciences, religious beliefs, or moral 
convictions. Please see https://www.hhs.gov/conscience/conscience-protections/ and https://www.hhs.gov/conscience/religious-freedom/.
    Please contact the HHS Office for Civil Rights for more information 
about obligations and prohibitions under Federal civil rights laws at 
https://www.hhs.gov/ocr/about-us/contact-us/ or call 1-800-
368-1019 or TDD 1-800-537-7697.
E. Federal Awardee Performance and Integrity Information System 
(FAPIIS)
    The IHS is required to review and consider any information about 
the applicant that is in the Federal Awardee Performance and Integrity 
Information System (FAPIIS), at https://www.fapiis.gov, before making 
any award in excess of the simplified acquisition threshold (currently 
$150,000) over the period of performance. An applicant may review and 
comment on any information about itself that a Federal awarding agency 
previously entered. IHS will consider any comments by the applicant, in 
addition to other information in FAPIIS in making a judgment about the 
applicant's integrity, business ethics, and record of performance under 
Federal awards when completing the review of risk posed by applicants 
as described in 45 CFR 75.205.
    As required by 45 CFR part 75 Appendix XII of the Uniform Guidance, 
non-Federal entities (NFEs) are required to disclose in FAPIIS any 
information about criminal, civil, and administrative proceedings, and/
or affirm that there is no new information to provide. This applies to 
NFEs that receive Federal awards (currently active grants, cooperative 
agreements, and procurement contracts) greater than $10,000,000 for any 
period of time during the period of performance of an award/project.

[[Page 65853]]

Mandatory Disclosure Requirements
    As required by 2 CFR part 200 of the Uniform Guidance, and the HHS 
implementing regulations at 45 CFR part 75, the IHS must require a non-
Federal entity or an applicant for a Federal award to disclose, in a 
timely manner, in writing to the IHS or pass-through entity all 
violations of Federal criminal law involving fraud, bribery, or 
gratuity violations potentially affecting the Federal award.
    Submission is required for all applicants and recipients, in 
writing, to the IHS and to the HHS Office of Inspector General all 
information related to violations of Federal criminal law involving 
fraud, bribery, or gratuity violations potentially affecting the 
Federal award. 45 CFR 75.113.

    Disclosures must be sent in writing to:
U.S. Department of Health and Human Services, Indian Health Service, 
Division of Grants Management, ATTN: Paul Gettys, Acting Director, 5600 
Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857 (Include 
``Mandatory Grant Disclosures'' in subject line), Office: (301) 443-
5204, Fax: (301) 594-0899, Email: [email protected]
And
U.S. Department of Health and Human Services, Office of Inspector 
General, ATTN: Mandatory Grant Disclosures, Intake Coordinator, 330 
Independence Avenue SW, Cohen Building, Room 5527, Washington, DC 
20201, URL: https://oig.hhs.gov/fraud/report-fraud/index.asp (Include 
``Mandatory Grant Disclosures'' in subject line), Fax: (202) 205-0604 
(Include ``Mandatory Grant Disclosures'' in subject line) or Email: 
[email protected]

    Failure to make required disclosures can result in any of the 
remedies described in 45 CFR 75.371 Remedies for noncompliance, 
including suspension or debarment (see 2 CFR parts 180 & 376).

VII. Agency Contacts

    1. Questions on the programmatic issues may be directed to: JB 
Kinlacheeny, Alcohol and Substance Abuse Lead, Indian Health Service, 
Office of Clinical and Preventative Services/Division of Behavioral 
Health, 5600 Fishers Lane 08-N34B, Rockville, MD 20857, Phone: 301-443-
0104, Email: [email protected].
    2. Questions on grants management and fiscal matters may be 
directed to: Patience Musikikongo, Grants Management Specialist, 5600 
Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857, Phone: 301-443-
2059, Fax: (301) 594-0899, Email: [email protected].
    3. Questions on systems matters may be directed to: Paul Gettys, 
Acting Director, DGM, Rockville, MD 20857, Phone: (301) 443-2114; or 
the DGM main line (301) 443-5204, Fax: (301) 443-9602, EMail: 
[email protected].

VIII. Other Information

    The Public Health Service strongly encourages all grant, 
cooperative agreement and contract recipients to provide a smoke-free 
workplace and promote the non-use of all tobacco products. In addition, 
Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in 
certain facilities (or in some cases, any portion of the facility) in 
which regular or routine education, library, day care, health care, or 
early childhood development services are provided to children. This is 
consistent with the HHS mission to protect and advance the physical and 
mental health of the American people.

Michael D. Weahkee,
RADM, Assistant Surgeon General, U.S. Public Health Service, Director, 
Indian Health Service.

[[Page 65854]]

[GRAPHIC] [TIFF OMITTED] TN16OC20.004


[[Page 65855]]


[FR Doc. 2020-22941 Filed 10-15-20; 8:45 am]
BILLING CODE 4165-16-P