Funding Opportunity for the Community Opioid Intervention Prevention Program, 87435-87444 [2023-27765]

Agencies

• DEPARTMENT OF HEALTH AND HUMAN SERVICES
• Indian Health Service

[Federal Register Volume 88, Number 241 (Monday, December 18, 2023)]
[Notices]
[Pages 87435-87444]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-27765]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Funding Opportunity for the Community Opioid Intervention 
Prevention Program

    Announcement Type: New.
    Funding Announcement Number: HHS-2024-IHS-COIPP-0001.
    Assistance Listing (Catalog of Federal Domestic Assistance or CFDA) 
Number: 93.654.

Key Dates

    Application Deadline Date: February 7, 2024.
    Earliest Anticipated Start Date: April 1, 2024.

I. Funding Opportunity Description

Statutory Authority

    The Indian Health Service (IHS), Office of Clinical and Preventive 
Services, Division of Behavioral Health (DBH) is accepting applications 
for grants for the Community Opioid Intervention Prevention Program 
(COIPP). This program is authorized under the Snyder Act, 25 U.S.C. 13, 
and the Transfer Act, 42 U.S.C. 2001(a). Funding for this program is 
provided in the Consolidated Appropriations Act, 2023, Public Law 117-
328, 136 Stat. 4459, 4808 (2022). The Assistance Listings section of 
SAM.gov (https://sam.gov/content/home) describes this program under 
93.654.

Background

    The initial opioid prevention program, called the Community Opioid 
Intervention Pilot Project, was first established in Fiscal Year (FY) 
2019, pursuant to Congressional instruction to better combat the opioid 
epidemic. The goal was to create a pilot program to address the opioid 
epidemic in Indian Country and award grants that supported the 
development, documentation, and sharing of locally designed and 
culturally appropriate prevention, treatment, recovery, and aftercare 
services for opioid use disorders in the American Indian and Alaska 
Native (AI/AN) communities. Evidence-based activities are available for 
reference at https://www.ihs.gov/asap/coipp/. A total of 35 grants were 
awarded to Tribal and Urban Indian communities in the pilot phase. 
Based on evaluation results from the pilot project, this funding 
opportunity will continue to provide grant support to Tribal and Urban 
Indian communities to continue efforts to combat the opioid epidemic 
and develop strategies that align with the Department of Health and 
Human Services Overdose Prevention Strategy.
    The Centers for Disease Control and Prevention (CDC) reported that 
the AI/AN population had the highest drug overdose death rates in both 
2020 and 2021, at rates of 42.5 and 56.6 deaths per 100,000 persons, 
respectively. The AI/AN population also experienced a 33 percent 
increase in drug overdose deaths from 2020 through 2021. Overdose 
deaths among AI/AN have continued to increase over the last 20 years. 
The CDC reported from 2019 to 2020, overdose death rates increased 39 
percent for the non-Hispanic AI/AN population and drug overdose death 
rates were highest for AI/AN people compared to other racial and ethnic 
groups.

[[Page 87436]]

    While the overall AI/AN population is at risk for overdoses, 
special populations to consider are youth, pregnant persons, young 
parents, and those experiencing housing insecurity. Over the last two 
decades, opioid-related overdose mortality among adolescent and young 
adults has increased dramatically. Low-income women and women of color 
are at higher risk for barriers to seek appropriate care for substance 
use disorders during pregnancy. AI/AN women with opioid use disorder 
(OUD) encounter barriers to accessing services for treatment. Maternal 
substance misuse can result in neonatal abstinence syndrome, a drug 
withdrawal process in newborns exposed in utero to drugs. Correct 
racial classification is an important factor in improving data quality 
for AI/AN populations and establishing accurate surveillance to help 
address the disproportionate burden of neonatal abstinence syndrome 
among AI/AN.
    Housing insecurity takes on many forms, including homelessness, 
housing cost burden, overcrowding, poor quality housing, and living 
with persons who use substances. The rate of AI/AN that experience 
housing insecurity is 45 out of 10,000. Young AI/AN adults are three 
times more likely to experience homelessness than their non-Native 
peers and one third of AI/AN adults experienced homelessness.

Purpose

    The purpose of this grant program is to address the opioid crisis 
in AI/AN communities by doing the following: first, developing and 
expanding community education and awareness of prevention, treatment, 
and recovery activities for opioid misuse and opioid use disorder; 
second, increasing knowledge and use of culturally appropriate 
interventions and to encourage an increased use of medication-assisted 
treatment/medications for opioid use disorder (MAT/MOUD); third, 
supporting Tribal and Urban Indian communities in their effort to 
provide prevention, treatment, and recovery services to address the 
impact of the opioid crisis; and fourth, increase harm reduction within 
their communities.
    Recipients for this funding opportunity are required to address the 
following four objectives:
    1. Increase public awareness and education about culturally 
appropriate and family-centered opioid and overdose 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 and overdose crisis in Tribal or 
Urban Indian communities.
    3. Increase access to MAT/MOUD treatment for persons who experience 
opioid misuse, opioid use disorder, and opioid related overdoses.
    4. Increase harm reduction activities in Tribal and Urban Indian 
communities.
    In alignment with the agency goals to ensure that comprehensive, 
culturally appropriate personal and public health services are 
available and accessible to AI/AN people, the COIPP is designed to 
provide recipients 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, community resources, and culturally appropriate 
approaches.
    Recipients are also encouraged to incorporate foundational 
elements, priorities, and strategies from the National Tribal 
Behavioral Health Agenda (TBHA) as appropriate. The TBHA was developed 
by Substance Abuse and Mental Health Services Administration (SAMHSA) 
in collaboration with Tribes, the Indian Health Service, and the 
National Indian Health Board. A component of the TBHA is the AI/AN 
Cultural Wisdom Declaration (CWD), which elevates the importance of 
Tribal identities, culture, spiritual beliefs, and practices for 
improving well-being. This grant announcement supports the CWD and 
inclusion of ancestral cultural knowledge, wisdom, ceremony, and 
practices of AI/AN Tribes into the grant application. The TBHA can be 
found at https://store.samhsa.gov/product/The-National-Tribal-Behavioral-HealthAgenda/PEP16-NTBH-AGENDA.

Required Activities

    The focus of this 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.
    The IHS is seeking applications that include the following required 
activities:
    1. Community Awareness and Education:
    a. Recipients shall promote family, youth and community engagement 
in the planning and implementation of opioid use prevention and harm 
reduction activities.
    b. Recipients 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. Recipients 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/MOUD 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/MOUD 
services that include Tribal values, culture, and treatments.
    c. Increase access to continuing education on MAT/MOUD.
    d. Expand access to integrated MAT/MOUD services for Tribal 
communities, including TeleMAT.
    e. Increase the availability and utilization of buprenorphine to 
Tribal communities in both rural and urban settings including increased 
collaboration with local Emergency Departments to establish 
buprenorphine bridge programs.
    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.

[[Page 87437]]

    c. Link assessment needs to support and recovery services.
    d. Collaborate with relevant partners to build a support system for 
recovery.
    4. Increase harm reduction activities.
    a. Increase awareness and distribution of naloxone as an overdose 
intervention and teach skills in how to use it.
    b. Increase awareness and distribution of medication lock boxes and 
teach skills in how to use.
    c. Collaborate with relevant partners to implement harm reduction 
activities.

II. Award Information

Funding Instrument--Grant

Estimated Funds Available
    The total annual funding identified is approximately $9.5 million. 
Individual award amounts for the first budget year are anticipated to 
be between $350,000 and $500,000. The funding available for subsequent 
budget years issued under this announcement is subject to the 
availability of appropriations and budgetary priorities of the Agency. 
The IHS is under no obligation to make awards to applicants selected 
for funding under this announcement.
    The actual amount available will not be determined until enactment 
of the FY 24 Fiscal Year federal budget. This program announcement is 
subject to the appropriation of funds, and is a contingency action 
taken to ensure that, should funds become available for this purpose, 
applications can be processed, and funds can be awarded in a timely 
manner.
Anticipated Number of Awards
    The IHS anticipates issuing up to 27 awards under this program 
announcement.
Period of Performance
    The period of performance is for 5 years.

III. Eligibility Information

1. Eligibility

    To be eligible for this funding opportunity an applicant 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(l)): ``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 (UIO), as defined by 25 
U.S.C. 1603(29). 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).

2. Additional Information on Eligibility

    The IHS does not fund concurrent projects. If an applicant is 
successful under this announcement, any subsequent applications in 
response to other COIPP announcements from the same applicant will not 
be funded. Applications on behalf of individuals (including sole 
proprietorships) and foreign organizations are not eligible. 
Applications deemed ineligible will be disqualified from competitive 
review and funding under this funding opportunity.

    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 nonprofit status, 
etc.

3. Cost Sharing or Matching

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

4. Other Requirements

    Applications with budget requests that exceed the highest dollar 
amount outlined under Section II Award Information, Estimated Funds 
Available, or exceed the period of performance outlined under Section 
II Award Information, Period of Performance, are considered not 
responsive and will not be reviewed. The 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 Tribe or Tribal organization 
selected for funding. An applicant 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 application 
without a signed Tribal Resolution is selected for funding, the 
applicant will be contacted by the Grants Management Specialist (GMS) 
listed in this funding announcement and given 90 days to submit an 
official signed Tribal Resolution to the GMS. If the signed Tribal 
Resolution is not received within 90 days, the award will be forfeited.
    Applicants organized with a governing structure other than a Tribal 
council may submit an equivalent document commensurate with their 
governing organization. Please include documentation explaining and 
substantiating this.
Proof of Non-Profit Status
    Organizations claiming non-profit status must submit a current copy 
of the 501(c)(3) Certificate with the application.

IV. Application and Submission Information

    Grants.gov uses a Workspace model for accepting applications. The 
Workspace consists of several online forms and three forms in which to

[[Page 87438]]

upload documents--Project Narrative, Budget Narrative, and Other 
Documents. Give your files brief descriptive names. The filenames are 
key in finding specific documents during the merit review and in 
processing awards. Upload all requested and optional documents 
individually, rather than combining them into a single file. Creating a 
single file creates confusion when trying to find specific documents. 
Such confusion can contribute to delays in processing awards, and could 
lead to lower scores during the merit review.

1. Obtaining Application Materials

    The application package and detailed instructions for this 
announcement are available at https://www.Grants.gov.
    Please direct questions regarding the application process to 
[email protected].

2. Content and Form Application Submission

    Mandatory documents for all applications are listed below. An 
application is incomplete if any of the listed mandatory documents are 
missing. Incomplete applications will not be reviewed.
     Application forms:
    1. SF-424, Application for Federal Assistance.
    2. SF-424A, Budget Information--Non-Construction Programs.
    3. SF-424B, Assurances--Non-Construction Programs.
    4. Project Abstract Summary form.
     Project Narrative (not to exceed 10 pages). See Section 
IV.2.A, Project Narrative for instructions.
     Budget Narrative (not to exceed 4 pages). See Section 
IV.2.B, Budget Narrative for instructions.
     One-page Timeframe Chart.
     Biographical sketches for all Key Personnel.
     Contractor/Consultant resumes or qualifications and scope 
of work.
     Certification Regarding Lobbying (GG-Lobbying Form).
     Organizational Chart (optional).
    The documents listed here may be required. Please read this list 
carefully.
     Tribal Resolution(s) as described in Section III, 
Eligibility.
     Letters of Support from organization's Board of Directors.
     Disclosure of Lobbying Activities (SF-LLL), if applicant 
conducts reportable lobbying.
     Copy of current Negotiated Indirect Cost (IDC) rate 
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 at https://facdissem.census.gov/.
    Additional documents can be uploaded as Other Attachments in 
Grants.gov. These can include:
     Work plan, logic model, and/or timeline for proposed 
objectives.
     Position descriptions for key staff.
     Resumes of key staff that reflect current duties.
     Consultant or contractor proposed scope of work and letter 
of commitment (if applicable).
     Current Indirect Cost Rate Agreement.
     Organizational chart.
     Map of area identifying project location(s).
     Additional documents to support narrative (i.e., data 
tables, key news articles, etc.).
Public Policy Requirements
    All Federal public policies apply to IHS grants and cooperative 
agreements. Pursuant to 45 CFR 80.3(d), an individual shall not be 
deemed subjected to discrimination by reason of their exclusion from 
benefits limited by Federal law to individuals eligible for benefits 
and services from the IHS. See https://www.hhs.gov/grants/grants/grants-policies-regulations/.
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 (applicants may use 10 point font for tables); 
(3) be single-spaced; and (4) be formatted to fit standard letter paper 
(8\1/2\ x 11 inches). Do not combine this document with any others.
    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 overall page limit, the reviewers will be directed to 
ignore any content beyond the page limit. The 10-page limit for the 
project narrative does not include the work plan, standard forms, 
Tribal Resolutions, budget, budget narratives, and/or other items. Page 
limits for each section within the project narrative are guidelines, 
not hard limits.
    There are four parts to the project narrative:
    Part 1--Statement of Need;
    Part 2--Program Plan--Objectives and Activities;
    Part 3--Organizational Capacity; and
    Part 4--Program Evaluation (Data Collection and Reporting).
    See below for additional details about what must be included in the 
narrative.
Part 1: Statement of Need (Limit--1 Page)
    Describe the extent of the problem related to opioid misuse, opioid 
use disorder, and opioid related overdoses 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/
MOUD; current or ongoing projects related to opioid prevention, 
treatment, recovery support, and aftercare; a detailed description of 
partnerships and networks with opioid misuse and harm reduction 
providers. Provide detail on significant program activities and 
achievements/accomplishments over the past 5 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

[[Page 87439]]

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, etc.) 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). Logic Models are highly recommended to include in the 
application. The IHS will partner with Technical Assistance Providers 
to assist recipients develop data collection and evaluation plans and 
tools. Recipients 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).
B. Budget Narrative (Limit--4 Pages)
    Provide a budget narrative that explains the amounts requested for 
each line item of the budget from the SF-424A (Budget Information for 
Non-Construction Programs) for the entire project, by year. The 
applicant can submit with the budget narrative a more detailed 
spreadsheet than is provided by the SF-424A (the spreadsheet will not 
be considered part of the budget narrative). The budget narrative 
should specifically describe how each item would support the 
achievement of proposed objectives. Be very careful about showing how 
each item in the ``Other'' category is justified. 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 Time 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, Deputy Director, DGM, by email at [email protected]. Please 
be sure to contact Mr. Gettys at least 10 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.
    The 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

     The available funds are inclusive of direct and indirect 
costs.
     Only one grant may be awarded per applicant.
     Food is an allowable expense under this program. Recipient 
may not exceed $10,000.00.
     While construction is not an allowable cost, alteration 
and renovation (A&R) is allowable. A&R must be consistent with the 
following criteria and documentation requirements:
    a. The building has a useful life consistent with program purposes 
and is architecturally and structurally suitable for conversion to the 
type of space required.
    b. The A&R is essential to the purpose of the grant-supported 
project or program.
    c. The space involved will be occupied by the project or program.
    d. The space is suitable for human occupancy before A&R work is 
started except where the purpose of the A&R is to make the space 
suitable for some purpose other than human occupancy, such as storage.
    e. For minor A&R, if the space is rented, evidence is provided that 
the terms of the lease are compatible with the A&R proposed and cover 
the duration of the period of performance.

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 you cannot submit an application through Grants.gov, you must 
request a waiver prior to the application due date. You must submit 
your waiver request by email to [email protected]. Your waiver request must 
include clear justification for the need to deviate from the required 
application submission process. The IHS will not accept any 
applications submitted through any means outside of Grants.gov without 
an approved waiver.
    If the DGM approves your waiver request, you will receive a 
confirmation of approval email containing submission instructions. You 
must include a copy of the written approval with the application 
submitted to the DGM. Applications that do not include a copy of the 
waiver approval from 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. Eastern Time 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 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 20 
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, you will receive an 
automatic

[[Page 87440]]

acknowledgment from Grants.gov that contains a Grants.gov tracking 
number. The IHS will not notify you that the application has been 
received.
System for Award Management
    Organizations that are not registered with the System for Award 
Management (SAM) must access the SAM online registration through the 
SAM home page at https://sam.gov. Organizations based in the United 
States (U.S.) 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://sam.gov.
Unique Entity Identifier
    Your SAM.gov registration now includes a Unique Entity Identifier 
(UEI), generated by SAM.gov, which replaces the DUNS number obtained 
from Dun and Bradstreet. SAM.gov registration no longer requires a DUNS 
number.
    Check your organization's SAM.gov registration as soon as you 
decide to apply for this program. If your SAM.gov registration is 
expired, you will not be able to submit an application. It can take 
several weeks to renew it or resolve any issues with your registration, 
so do not wait.
    Check your Grants.gov registration. Registration and role 
assignments in Grants.gov are self-serve functions. One user for your 
organization will have the authority to approve role assignments, and 
these must be approved for active users in order to ensure someone in 
your organization has the necessary access to submit an application.
    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 recipients must notify 
potential first-tier sub-recipients that no entity may receive a first-
tier sub-award unless the entity has provided its UEI number to the 
prime recipient 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.
    Additional information on implementing the Transparency Act, 
including the specific requirements for SAM, are available on the DGM 
Grants Management, Policy Topics web page at https://www.ihs.gov/dgm/policytopics/.

V. Application Review Information

    Possible points assigned to each section are noted in parentheses. 
The project narrative and budget narrative should include the proposed 
activities for the entire period of performance. The project narrative 
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 fully understand the project. Attachments requested in the 
criteria do not count toward the page limit for the narratives. 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

    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, 
opioid use disorder and opioid related overdoses 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 establishes 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 misuse, opioid use disorder, and opioid 
related overdoses 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) Provides 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 and overdose 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 and overdose prevention, treatment, 
aftercare, recovery, and harm reduction 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.
    (7) Describe potential Tribal and community partners and resources 
in the catchment area that can participate in the broad community 
awareness campaign.
    (8) Affirm 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 relate 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 misuse, opioid use disorder, and overdose in the 
communities and implement harm reduction activities.
    (3) Describe organizational capacity to implement the proposed 
activities, including increased public awareness and education on 
opioids and overdose; developing a comprehensive support team to 
strengthen and empower AI/AN families in addressing the opioid and 
overdose crisis in Tribal or Urban Indian communities; integrating the 
use of MAT/MOUD, and harm reduction into the 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, primary care

[[Page 87441]]

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 the IHS, SAMHSA, BIA, or other Federal agencies.
    (6) Provide a timeline 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)
    Organizational capacity 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; integrating the use of MAT/MOUD, 
and implementing harm reduction activities into the Tribal and Urban 
Indian community.
    (1) Describe significant harm reduction activities, achievements, 
and/or accomplishments over the past five years for opioid misuse, 
opioid use disorder, and opioid related overdoses.
    (2) Describe the applicant Tribe, Tribal organization, or UIO 
experience and capacity to provide culturally appropriate/competent 
opioid misuse and harm reduction 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. Key staff have the following:
    a. Relevant health or behavioral health experience.
    b. Experience with award program management, including skills in 
program coordination, budgeting, reporting, and staff supervision.
    (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:
    a. Personal Identifiable Information (i.e., SSN, home address, 
etc.);
    b. Resumes; or
    c. Curriculum Vitae.
D. Program Evaluation (Data Collection and Reporting) (20 Points)
    Recipients 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 required to collect data within their communities on the 
prevalence and incidence rates for opioid misuse, opioid use disorders, 
opioid related overdoses, and other data metrics such as mortality and 
morbidity rates from opioid related events.
    (1) Progress reports will include the compilation of quantitative 
data (e.g. number served; screenings completed, etc.) 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, did the applicant describe 
any type(s) of evaluation(s) that will be used and how they will 
collaborate with partners such as Tribal Epidemiology Centers to 
complete any evaluation efforts or data collection?
    (5) Did the applicant affirm their organization will participate in 
completing the annual progress report and did they describe their 
capability and experience with similar evaluations?
    (6) Did applicant describe necessary data-sharing agreements 
established, or will be established in support of these activities?
E. Budget and Budget Justification (10 Points)
    (1) The applicant is required to 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 the entire period of performance. The budget expenditures 
should correlate with the scope of work described in the project 
narrative.
    (2) The applicant must 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 applicant's 
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 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 two 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.

2. Review and Selection

    Each application will be prescreened for eligibility and 
completeness as outlined in this funding announcement. The Review 
Committee (RC) will review applications that meet the eligibility 
criteria. The RC will review the applications for merit based on the 
evaluation criteria. Incomplete applications and applications that are 
not responsive to the administrative thresholds (budget limit, period 
of performance limit) will not be referred to the RC and will not be 
funded. The DGM will notify the applicant of this determination.

[[Page 87442]]

    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 review 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 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 award, the terms and conditions of the 
award, the effective date of the award, the budget period, and period 
of performance. 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 1 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

    Awards issued under this announcement are subject to, and are 
administered in accordance with, the following regulations and 
policies:
    A. The criteria as outlined in this program announcement.
    B. Administrative Regulations for Awards:
     Uniform Administrative Requirements, Cost Principles, and 
Audit Requirements for HHS Awards currently in effect or implemented 
during the period of award, other Department regulations and policies 
in effect at the time of award, and applicable statutory provisions. At 
the time of publication, this includes 45 CFR part 75, at https://www.govinfo.gov/content/pkg/CFR-2022-title45-vol1/pdf/CFR-2022-title45-vol1-part75.pdf.
     If you receive an award, HHS may terminate it if any of 
the conditions in 2 CFR 200.340(a)(1)-(4) are met. Please review all 
HHS regulatory provisions for Termination at 2 CFR 200.340, at the time 
of this publication located at https://www.govinfo.gov/content/pkg/CFR-2023-title2-vol1/pdf/CFR-2023-title2-vol1-sec200-340.pdf. No other 
termination conditions apply.
    C. Grants Policy:
     HHS Grants Policy Statement, Revised January 2007, at 
https://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf.
    D. Cost Principles:
     Uniform Administrative Requirements for HHS Awards, ``Cost 
Principles,'' at 45 CFR part 75 subpart E, at the time of this 
publication located at https://www.govinfo.gov/content/pkg/CFR-2022-title45-vol1/pdf/CFR-2022-title45-vol1-part75-subpartE.pdf.
    E. Audit Requirements:
     Uniform Administrative Requirements for HHS Awards, 
``Audit Requirements,'' at 45 CFR part 75 subpart F, at the time of 
this publication located at https://www.govinfo.gov/content/pkg/CFR-2022-title45-vol1/pdf/CFR-2022-title45-vol1-part75-subpartF.pdf.
    F. As of August 13, 2020, 2 CFR part 200 was updated to include a 
prohibition on certain telecommunications and video surveillance 
services or equipment. This prohibition is described in 2 CFR 200.216, 
at the time of this publication located at https://www.govinfo.gov/content/pkg/CFR-2023-title2-vol1/pdf/CFR-2023-title2-vol1-sec200-216.pdf. This will also be described in the terms and conditions of 
every IHS grant and cooperative agreement awarded on or after August 
13, 2020.

2. Indirect Costs

    This section applies to all recipients that request reimbursement 
of IDC in their application budget. In accordance with HHS Grants 
Policy Statement, Part II-27, the IHS requires applicants to obtain a 
current IDC rate agreement and submit it to the DGM prior to the 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 award 
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.
    Please refer to 2 CFR 200.414(f) Indirect (F&A) costs, found at 
https://www.govinfo.gov/content/pkg/CFR-2023-title2-vol1/pdf/CFR-2023-title2-vol1-sec200-414.pdf.
    Electing to charge a de minimis rate of 10 percent can be used by 
applicants that have received an approved negotiated indirect cost rate 
from HHS or another cognizant Federal agency. Applicants awaiting 
approval of their indirect cost proposal may request the 10 percent de 
minimis rate. When the applicant chooses this method, costs included in 
the indirect cost pool must not be charged as direct costs to the 
award.
    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 recipients are negotiated with the 
Division of Cost Allocation at https://rates.psc.gov/ or the Department 
of the Interior (Interior Business Center) at https://ibc.doi.gov/ICS/tribal. For questions regarding the indirect cost policy, please write 
to [email protected].

3. Reporting Requirements

    The recipient 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 
award, 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 the imposition of special award 
provisions and/or 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 recipient 
organization or the individual responsible for preparation of the 
reports. Per DGM policy, all reports must be submitted electronically 
by attaching them as a ``Grant Note'' in GrantSolutions. Personnel 
responsible for submitting reports will be required to obtain a login 
and password for GrantSolutions. Please use the form under the 
Recipient User section of https://www.grantsolutions.gov/home/getting-started-request-a-user-account/. Download the Recipient User Account 
Request Form, fill it out completely, and submit it as described on the 
web page and in the form.
    The reporting requirements for this program are noted below.

[[Page 87443]]

A. Progress Reports
    Program progress reports are required semi-annually. The progress 
reports are due within 30 days after the reporting 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. Recipient must submit a 
final report within 120 days of the period of performance end date.
B. Financial Reports
    Federal Financial Reports are due 30 days after the end of each 
budget period, and a final report is due 120 days after the end of the 
period of performance.
    Recipients are responsible and accountable for reporting accurate 
information on all required reports: the Progress Reports and the 
Federal Financial Report.
    Failure to submit timely reports may result in adverse award 
actions blocking access to funds.
C. Data Collection and Reporting
    All recipients will be required to collect and report data 
pertaining to activities, processes, and outcomes. Logic Models are 
highly recommended to provide guidance on collecting data for 
evaluation purposes (see Attachment A). The IHS DBH will provide 
guidance on data collection and reporting for evaluation purposes 
within 6 months of award. All reporting items will be submitted via the 
GrantSolutions. Technical assistance for web-based data entry will be 
timely and readily available to recipients by assigned IHS DBH staff. 
Recipients are responsible and accountable for accurate information 
being submitted by required due dates for Data Collection and 
Reporting.
D. 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 awards to 
report information about first-tier sub-awards and executive 
compensation under Federal assistance awards.
    The 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 threshold met for any specific 
reporting period.
    For the full IHS award term implementing this requirement and 
additional award applicability information, visit the DGM Grants 
Management website at https://www.ihs.gov/dgm/policytopics/.
E. Non-Discrimination Legal Requirements for Recipients of Federal 
Financial Assistance (FFA)
    If you receive an award, you must follow all applicable 
nondiscrimination laws. You agree to this when you register in SAM.gov. 
You must also submit an Assurance of Compliance (HHS-690). To learn 
more, see https://www.hhs.gov/civil-rights/for-providers/laws-regulations-guidance/laws/. Pursuant to 45 CFR 80.3(d), an 
individual shall not be deemed subjected to discrimination by reason of 
their exclusion from benefits limited by Federal law to individuals 
eligible for benefits and services from the IHS.
F. 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 FAPIIS at https://sam.gov/content/fapiis 
before making any award in excess of the simplified acquisition 
threshold (currently $250,000) over the period of performance. An 
applicant may review and comment on any information about itself that a 
Federal awarding agency previously entered. The 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, 
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 million for any period of time 
during the period of performance of an award/project.
Mandatory Disclosure Requirements
    As required by 2 CFR part 200 of the Uniform Guidance, and HHS 
implementing regulations at 45 CFR part 75, the IHS must require an NFE 
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.
    All applicants and recipients must disclose in writing, in a timely 
manner, 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: Marsha Brookins, 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/. (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 part 180 and 2 CFR part 
376).

VII. Agency Contacts

    1. Questions on the program matters may be directed to: Cassandra 
Allen, Public Health Advisor, Indian Health Service, Division of 
Behavioral Health, 5600 Fishers Lane, Mail Stop: 0834NB, Rockville, MD 
20857, Phone: (240) 485-7524, Email: [email protected].
    2. Questions on awards management and fiscal matters may be 
directed to: Indian Health Service, Division of Grants Management, 5600 
Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857, Email: 
[email protected].

[[Page 87444]]

    3. For technical assistance with Grants.gov, please contact the 
Grants.gov help desk at (800) 518-4726, or by email at 
[email protected].
    4. For technical assistance with GrantSolutions, please contact the 
GrantSolutions help desk at (866) 577-0771, or by email at 
[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.

Roselyn Tso,
Director, Indian Health Service.

Attachment A: Community Opioid Intervention Prevention Program Logic 
Model (Example)

------------------------------------------------------------------------
      Input            Activities          Outputs          Outcomes
------------------------------------------------------------------------
[ssquf]            1. Community        # of     
 Implementing       awareness/         trainings         Increasing
 agency             education:         offered.          community
 leadership and    --Cultural          # of      awareness.
 support.           integration.       educational
[ssquf]            --Promote family    awareness
 Participants       and community      campaigns
 (families,         engagement.        across service
 community                             population.
 leaders, Tribal
 leaders,
 professional
 staff).
[ssquf] Community  2. Build support   [ssquf] # of       Develop
 support and        system to          partnerships/     a response
 partnerships.      strengthen AI/AN   collaboration     team.
[ssquf] Program     families:          (MOU, MOA,
 management,       --Cultural          etc).
 evaluation and     integration.      [ssquf] # of
 continuous        --Maternal &        providers
 improvement.       Child Health.      supporting
[ssquf] Training.  --Promote family    activities.
[ssquf] Technical   and community     [ssquf] # of
 Assistance to      engagement.        facilities
 grantees.                             providing MAT/
[ssquf] Annual                         MOUD.
 convening of                         [ssquf] # of
 grantees.                             referrals to
                                       treatment.
                                      [ssquf] # of
                                       systems
                                       involved
                                       (social
                                       services, child
                                       advocacy, etc).
                   3. Expand access   [ssquf] # of      
                    to MAT/MOUD:       providers         Increase access
                   --Cultural          trained in MAT/   to treatment.
                    integration.       MOUD.
                   --Buprenorphine/   [ssquf] # of
                    Suboxone.          Buprenorphine/
                   --Promote family    Suboxone
                    and community      administered.
                    engagement.       [ssquf] # of
                                       active MAT/MOUD
                                       prescribers.
                                      [ssquf] Promote
                                       family
                                       engagement in
                                       treatment.
                   4. Implement harm  [ssquf] # of      
                    reduction          Naloxone          Increase access
                    activities:        provided.         to harm
                   --Naloxone.        [ssquf] # of       reduction
                   --Medication lock   Naloxone          services.
                    boxes.             administered.
                   --Syringe Service  [ssquf] #
                    Program.           Medication lock
                   --Fentanyl Test     boxes.
                    Strips (FTS).     [ssquf] #
                                       Syringe
                                       exchange.
                                      [ssquf] # of FTS
                                       administered.
------------------------------------------------------------------------

[FR Doc. 2023-27765 Filed 12-15-23; 8:45 am]
BILLING CODE 4166-14 -P