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Appendix C: Title X Family Planning Program Regulations
Pages 197-214

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From page 197...
... Appendix C Title X Family Planning Program Regulations 197
From page 198...
... the Civil Rights Act of 1964 59.6 What procedures apply to assure the 45 CFR part 81 -- Practice and procedure for suitability of informational and edu hearings under part 80 of this title cational material? 45 CFR part 83 -- Regulation for the adminis- 59.7 What criteria will the Department of tration and enforcement of sections 794 and Health and Human Services use to decide 855 of the Public Health Service Act which family planning services projects 45 CFR part 84 -- Nondiscrimination on the to fund and in what amount?
From page 199...
... applicable to the award of grants under § 59.3 Who is eligible to apply for a section 1001 of the Public Health Serv- family planning services grant?
From page 200...
... and regional entities include existing (7) Provide that no charge will be or potential subgrantees which have made for services provided to any per- previously provided or propose to pro sons from a low-income family except vide family planning services to the to the extent that payment will be area proposed to be served by the appli made by a third party (including a gov- cant.
From page 201...
... Promote continued participation informational and educational mate in the project by persons to whom fam rials developed or made available under ily planning services may be beneficial. the project by an Advisory Committee (4)
From page 202...
... The notice of grant award speci- other nonprofit organizations, and com mercial organizations; and certain grants fies how long HHS intends to support and agreements with states, local govern the project without requiring the ments and Indian tribal governments project to recompete for funds. This pe- 45 CFR Part 80 -- Nondiscrimination under riod, called the project period, will usu- programs receiving Federal assistance ally be for three to five years.
From page 203...
... 45 CFR Part 91 -- Nondiscrimination on the As used in this subpart: basis of age in HHS programs or activities (a) Act means the Public Health Serv receiving Federal financial assistance ice Act.
From page 204...
... Improvement in the utilization tained from the Program Director, Family and career development of paraprofes Planning Services, at the Regional Office of sional and paramedical manpower in the Department of Health and Human Serv ices for the region in which the project is to family planning services; be conducted, or the Office of Family Plan- (iv) Expansion of family planning ning, Office of the Assistant Secretary for services, particularly in rural areas, Health, Washington, DC 20201.
From page 205...
... Any funds granted pursuant to determined by the Secretary on the this subpart as well as other funds to basis of his estimate of the sum nec- be used in performance of the approved essary for all or a designated portion of project shall be expended solely for direct project costs plus an additional carrying out the approved project in amount for indirect costs, if any, which accordance with the statute, the regu will be calculated by the Secretary ei- lations of this subpart, the terms and ther: (1) On the basis of his estimate of conditions of the award, and, except as the actual indirect costs reasonably re- may otherwise be provided in this sub lated to the project, or (2)
From page 206...
... direct costs was based on a predeter Any grant award pursuant to § 59.206 mined fixed-percentage of estimated di is subject to the regulations of the De- rect costs, the amount allowed for indi partment of Health and Human Serv- rect costs shall be computed on the ices as set forth in 45 CFR parts 6 and basis of such predetermined fixed-per 8, as amended. Such regulations shall centage rates applied to the total, or a apply to any activity for which grant selected element thereof, of the reim funds are in fact used whether within bursable direct costs incurred.
From page 207...
... conditions are necessary to assure or protect advancement of the approved SOURCE: 56 FR 29189, June 26, 1991, unless project, the interests of public health, otherwise noted. or the conservation of grant funds.
From page 208...
... and, if necessary, perform its own in vestigation. While primary responsi- The provisions of this subpart are ap bility for the conduct of investigations plicable to programs or projects for and inquiries lies with the institution, health services which are supported in the Department reserves the right to whole or in part by Federal financial assistance, whether by grant or con perform its own investigation at any tract, administered by the Public time prior to, during, or following an Health Service.
From page 209...
... of the Assistant Secretary for Health, (a) A person who obtains informed Health Resources and Services Admin- consent for a sterilization procedure istration, National Institutes of must offer to answer any questions the Health, Centers for Disease Control, individual to be sterilized may have Alcohol, Drug Abuse and Mental concerning the procedure, provide a Health Administration and all of their copy of the consent form, and provide constituent agencies.
From page 210...
... mature delivery occurs or emergency abdominal surgery is required within § 50.205 Consent form requirements. the 30–day period, the physician must (a)
From page 211...
... Federal financial assistance thorization to perform the adminstered by the Public Health Serv hysterectomy has informed the indi- ice may not be used for expenditures vidual and her representative, if any, for sterilization procedures unless the orally and in writing, that the consent form appended to this section hysterectomy will make her perma- or another form approved by the Sec nently incapable of reproducing; and retary is used.
From page 212...
... , be provided to me which will allow me to signed the consent form, I explained to him/ bear or father a child in the future. I have re her the nature of the sterilization operation jected these alternatives and chosen to be , the fact that it is intended to sterilized.
From page 213...
... Public health service means: (1) An the date of the individual's signature on this agency of the United States or of a consent form and the date the sterilization State or local government, that pro was performed.


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