Section 960.10  Definitions

            "Cardiovascular Disease" means the disease of the circulatory system as coded in the International Classification of Diseases, 9^th Revision Clinical Modification (ICD-9-CM).

            "Cardiovascular Disease Prevention Programs" means a program that addresses at least two of the three major modifiable risk factors in heart disease and stroke − high blood pressure, elevated cholesterol and smoking.

            "Department" means the Illinois Department of Public Health.

            "Director" means the Director of the Illinois Department of Public Health.

            "Governmental Unit Code" means the Illinois Comptroller's preassigned vendor identification number for governmental agencies and municipalities.

            "Healthy People 2000 Priorities" means selected priority areas from Healthy People 2000, the national health objectives for the year 2000.  The selected priority areas include:  Tobacco; Alcohol and Other Drugs; Violent and Abusive Behavior; Unintentional Injuries; Physical Activity and Fitness; Nutrition; Cancer (breast and cervical cancer components); and Heart Disease and Stroke (for Cardiovascular Disease Prevention Programs only).

            "Line Item Category" means the following:  personal services, fringe benefits, contractual, travel, supplies, and equipment.

            "Local Needs Assessment" means application of a needs assessment tool approved by the Department.

            "Not-for-profit" means a corporation as described in Section 101.80 of the General Not for Profit Corporation Act of 1986 [805 ILCS 105/101.80].

            "TIN number" means the nine digit federal Taxpayer Identification Number, also known as the Federal Employer Identification Number (FEIN).

            "Year 2000 Plan" means a document specific to the applicant's jurisdiction which, at a minimum, identifies one or more Healthy People 2000 Priorities; identifies the objectives from Healthy People 2000 that are the focus of the plan; summarizes the relevant results of a Local Needs Assessment; lists process objectives for a three-year time frame; and identifies the intervention strategies or program models that will be implemented in support of achieving the plan's objectives.

Section 960.20  Incorporated Materials

The following materials are incorporated or referenced in this Part:

a)         The Omnibus Budget Reconciliation Act of 1981 (42 U.S.C. 300w through w-8), as amended by the Health Omnibus Programs Extension of 1988 (Public Law 100-607).

b)         Regulations of the U.S. Department of Health and Human Services entitled Block Grants (45 CFR 96) (1991).

c)         International Classification of Diseases, 9th Revision Clinical Modification (ICD-9-CM), World Health Organization, Geneva, Switzerland (1986).

d)         Healthy People 2000, National Health Promotion and Disease Prevention Objectives, U.S. Department of Health and Human Services, Public Health Service, U.S. Government Printing Office, Washington, D.C. (1990).

Section 960.30  Purpose

The purpose of grants from the Preventive Health and Health Services Block Grant (PHHSBG) is to support local projects that target priority areas from Healthy People 2000, the nation's health objectives.

Section 960.40  Eligibility

a)         Eligible applicants include all certified local health departments that provide public health programs as defined in the Department's rules entitled Local Health Protection Grant Rules (77 Ill. Adm. 615.200).

b)         In addition, funds for sexual assault programs may be made available to public or not-for-profit Statewide agencies or organizations capable of providing a program of comprehensive services to prevent sexual assault and to assist victims of sexual assault.

Section 960.50  Application Procedures

The Department shall provide written application instructions to local agencies.

a)         All applications shall include the following:

1)         applicant's name, address and telephone number;

2)         documentation of applicant's not-for-profit status (such as Certificate of Good Standing from the Secretary of State) for non-governmental units;

3)         Taxpayer Identification Number (TIN) or for governmental agencies, the Governmental Unit Code assigned by the State of Illinois Office of the Comptroller;

4)         date of submission;

5)         signature of agency official authorized to certify the application;

6)         project period;

7)         a detailed budget providing sufficient resources to carry out the project. The budget shall be by line item category and provide sufficient detail to justify the use of grant funds to support project activities.  The budget shall indicate the total cost of conducting the projects, the source of other funds supporting the projects, as well as the amount of support requested from the Department; and

8)         a signed Statement of Assurances indicating compliance with applicable State and federal requirements, such as the Fiscal Control and Internal Auditing Act, Office of Management and Budget (OMB) Circular A-128 (local governments), OMB Circular A-133 (not-for-profit organizations), bribery certification, contract debarment, unlawful discrimination, Illinois Human Rights Act, Federal Civil Rights Act, Drug Free Workplace Act, Davis-Bacon Act, conflict of interest as specified in the Illinois Purchasing Act, and protection of the confidentiality of recipients of services.

b)         In addition to the items listed in subsection (a) of this Section, all initial applications shall include the following:

1)         Healthy People 2000 Priorities selected by the applicant;

2)         geographic areas and target populations to be served, including estimated numbers by age range and sex, and estimates of any special population targets (consistent with Healthy People 2000) within the general target population;

3)         target area data summary relevant to the selected priorities as documented by a Local Needs Assessment (beginning with State Fiscal Year 1995 application);

4)         documentation of the existence of a Year 2000 Plan for the selected priorities or a description of how one will be organized;

5)         description of the methods to be used to identify and select interventions or model programs or a description of interventions or model programs on which project implementation will be based;

6)         a prioritized listing of project objectives for the funding period;

7)         for each objective, a sequential listing of activities to achieve the objective and the timeline for completing each activity; and

8)         evaluation methods to be used to measure progress in achieving objectives and a plan for monitoring the overall project including, for the selected priorities, any data items identified by the Centers for Disease Control and Prevention for use in uniform tracking through Preventive Health and Health Services Block Grant funded agencies.

c)         In addition to the items listed in subsection (a) of this Section, continuation applications shall include the following:

1)         a progress report that contains a description of the findings to date as specified in subsection (b)(8) of this Section;

2)         progress in meeting each project objective;

3)         project objectives for the new grant year, along with activities and timelines for completion of each activity; and

4)         any revisions in the evaluation methods or the monitoring plan along with the rationale for such revisions.

Section 960.60  Application Review Criteria

Applications shall be subject to a non-technical and technical review.

a)         Criteria for the non-technical review shall include:

1)         adherence to format;

2)         inclusion of all required forms; and

3)         the inclusion of a response to each required item.

b)         Criteria for the technical review shall be as follows:

1)         the objectives are adapted from the identified priority areas in Healthy People 2000;

2)         the results of a Local Needs Assessment supports the objectives selected by the applicant;

3)         the activities identified by the applicant will lead to achievement of the project objectives;

4)         the project objectives are achievable in the stated time frame;

5)         the evaluation methods measure progress toward achievement of the identified objectives;

6)         the budget (Section 960.50(a)(7)) provides sufficient resources to carry out the project; and

7)         continuation applications have documented the status of each activity in support of the current year objectives and have provided an estimate of the extent to which each current year objective will be met.

Section 960.70  Notification of Award of Grant Funds

a)         The Department shall be empowered to award an amount less than the amount requested in an application.

b)         The Department shall prepare grant agreements and award transmittal letters.  Receipt of the transmittal letter and grant agreement for signature by the applicant shall constitute notification of award.

c)         Applicants that are not awarded grant funds shall be notified in writing by the Department.

d)         The grant agreement shall not be sold, assigned or transferred in any manner.  Any actual or attempted sale, assignment or transfer shall render the grant agreement null, void and of no further effect.  If the grantee for whatever reason ceases operation, the grant agreement shall be terminated.  Any remaining funds may be granted to a successor agency by the Department.

Section 960.80  Award and Use of Grant Funds

a)         Grantees shall only use Preventive Health and Health Services Block Grant funds for the direct cost of administering, operating and maintaining a project.  The following direct costs are examples of those that may be incurred when specified in the grant agreement:

1)         personal services costs, including gross salaries and employer paid fringe benefits for full-time and part-time employees of the project;

2)         contractual services costs, including but not limited to fees for consultants and specialists, exclusive of consultant services for patient care; conference registration fees; repair and maintenance of furniture and equipment; postage and postal services; subscriptions; training and education costs; software; and telecommunications costs;

3)         travel of personnel, consultants and specialists in carrying out authorized activities.  Travel costs are the expenses for transportation, lodging and subsistence for personnel who are on travel status on official business for the project.  Out of State travel requires prior written approval of the Department;

4)         supplies/commodities as required in the operation of the project which are directly related to its operation.  Supplies include, but are not limited to, office, medical and educational supplies; equipment items costing less than $100 each; printing; and paper; and

5)         equipment directly related to the operation of the project.  Equipment is defined as items costing over $100 each, with a useful life of more than one year (Section 20 of the State Finance Act (Ill. Rev. Stat. 1991, ch. 127, par. 156) [30 ILCS 105/20]).  Equipment costs shall include all freight and installation costs. Purchase of equipment items, other than those included in the approved budget, require prior written approval from the Department.

b)         Amounts available to grantees for Cardiovascular Disease Prevention activities will not be less than a sum based on weighted criteria that include total population; per capita income; minority population; and years of potential life lost due to causes of death related to cardiovascular disease as defined in Section 960.10.

c)         In those instances in which an applicant does not have sufficient operating funds to conduct the project, a cash advance may be requested.  The request must be in writing and be signed by the applicant agency's executive officer.

1)         The Director or designee shall determine whether a cash advance will be issued.

2)         The methodology for repayment or documentation of the use of advanced funds shall be included in the grant agreement.

d)         Payments to the grantee shall be made on a reimbursement basis.

1)         The grantee shall use the Department's Reimbursement Certification Form or a reasonable facsimile to request reimbursement.

2)         The grantee shall document actual expenditures incurred for the purchase of goods and services necessary for conducting program activities.

A)        Expenditures shall be itemized on the Reimbursement Certification Form in such a manner as to establish an audit trail for future verification of appropriate use of grant funds.

B)        Each item claimed on the Reimbursement Certification Form shall be based on an expenditure traceable through the grantee's internal accounting system and shall include:

i)          the check number or internal ledger transfer code;

ii)         date of payment;

iii)        dates goods or services were received or the period covered;

iv)        a description of the goods or services for gross amount of the check or transfer; and

v)         the amount claimed for reimbursement from the Department.

3)         The grantee shall submit requests for reimbursement either monthly or quarterly throughout the period of the grant agreement.  The final request for reimbursement shall be submitted within forty-five (45) calendar days after the end of the grant agreement period.

e)         Requests for  budget adjustments shall be submitted to the Department in writing and shall be received by the Department no later than forty-five (45) calendar days before the end of the grant agreement period.

Section 960.90  Monitoring Criteria

Successful grant recipients will be required to submit reports at three months into the grant agreement period, with the submission of a continuation application, and at the end of the grant agreement period.

Section 960.100  Contract Expiration

All projects shall end on the date specified in the grant agreement and shall not be extended or renewed.  A continuation application as provided for in Section 960.50(c) shall result in a new grant agreement with a new expiration date.

Section 960.110  Termination of the Grant Agreement or Funding

a)         The grant agreement may be terminated by either party upon 30 calendar days written notice to the other party as specified in the grant agreement.

b)         The grant agreement may be terminated immediately without penalty of further payment being required if the Illinois General Assembly or federal funding source fails to appropriate or otherwise make available sufficient funds for the awards.

c)         The Department shall be empowered to suspend funding or terminate the contract of a grantee who has substantially failed to comply with this Part and the terms and conditions of the grant agreement.

Section 960.120  Denial, Suspension or Revocation of Grant Application or Grant Agreement

a)         The Director, after notice and opportunity for hearing, may deny the application for grant funds or suspend or revoke the grant agreement of any grantee in any case in which the Director finds substantial or continued failure to comply with this Part.  If, however, the Director finds that the public interest, health, safety, or welfare requires emergency action and if the Director incorporates a finding to that effect in the order, summary suspension of a grant agreement may be ordered pending proceedings for revocation.  Such proceedings shall be promptly instituted and promptly determined.

b)         Such notice shall be made by certified mail or by personal service and shall set forth the particular reasons for the proposed action and provide the grantee with an opportunity to request a hearing.  If a written hearing request is not received within 10 days after receipt of notice by the grantee, the right to a hearing is waived.

Section 960.130  Procedures for Hearings

The Department's Rules of Practice and Procedure in Administrative Hearings, 77 Ill. Adm. Code 100, shall apply to all proceedings conducted under this Part, with the exception that where the terms "license" and "licensing" are used in Part 100, the definitions of those terms shall be expanded to include any grantee awarded funds pursuant to this Part and any grant agreement executed pursuant to this Part.