PRIA, Government Policy, Made Personal

Summary

The Secretary must put terms on any grant or contract under this chapter to make sure the program’s goals are met. The Secretary will check regularly how well grantees and contractors are doing and whether they follow the rules. No grant or contract can be made unless the group receiving money agrees to set up proper fiscal controls and accounting, keep client health records confidential, and file an annual report to the Secretary and Papa Ola Lokahi showing how services were used and what they cost (including average cost per user). If services serve Native Hawaiians who mostly do not speak English, the group must have a plan to provide care in the right language and culture and must name at least one person who speaks both English and the needed language. For services covered under Hawaii’s title XIX (Medicaid) plan, providers and any subcontractors must have participation agreements and be eligible for payments under that plan. If a contractor is not performing or is not following the rules, the Secretary will try to fix the problems before renewing the contract. If problems cannot be fixed, the Secretary may not renew and can hire another provider serving the same population. Contracts must follow federal contracting laws, though the Secretary may, at their choice, negotiate without advertising and exempt contracts from sections 3131 and 3133 of title 40. Payments can be made in advance, by reimbursement, or in installments with conditions the Secretary sets. Except for grants or contracts under section 11706, recipients may not spend more than 10 percent of funds on administration. Recipients must file quarterly reports each fiscal year on activities, federal spending, and other requested information. The Secretary, the HHS Inspector General, and the Comptroller General may audit reports and records. The cost of one annual private audit by a certified public accountant may be charged to the grant or contract.

Title 42, §11707

The Public Health and Welfare, Source: USLM XML via OLRC

(a)Terms and conditions

The Secretary shall include in any grant made or contract entered into under this chapter such terms and conditions as the Secretary considers necessary or appropriate to ensure that the objectives of such grant or contract are achieved.

(b)Periodic review

The Secretary shall periodically evaluate the performance of, and compliance with, grants and contracts under this chapter.

(c)Administrative requirements

The Secretary may not make a grant or enter into a contract under this chapter with an entity unless the entity—

(1)agrees to establish such procedures for fiscal control and fund accounting as may be necessary to ensure proper disbursement and accounting with respect to the grant or contract;

(2)agrees to ensure the confidentiality of records maintained on individuals receiving health services under the grant or contract;

(3)with respect to providing health services to any population of Native Hawaiians, a substantial portion of which has a limited ability to speak the English language—

(A)has developed and has the ability to carry out a reasonable plan to provide health services under the grant or contract through individuals who are able to communicate with the population involved in the language and cultural context that is most appropriate; and

(B)has designated at least one individual, fluent in both English and the appropriate language, to assist in carrying out the plan;

(4)with respect to health services that are covered in the plan of the State of Hawaii approved under title XIX of the Social Security Act [42 U.S.C. 1396 et seq.]—

(A)if the entity will provide under the grant or contract any such health services directly—

(i)the entity has entered into a participation agreement under such plans; and

(ii)the entity is qualified to receive payments under such plan; and

(B)if the entity will provide under the grant or contract any such health services through a contract with an organization—

(i)the organization has entered into a participation agreement under such plan; and

(ii)the organization is qualified to receive payments under such plan; and

(5)agrees to submit to the Secretary and to Papa Ola Lokahi an annual report that describes the utilization and costs of health services provided under the grant or contract (including the average cost of health services per user) and that provides such other information as the Secretary determines to be appropriate.

(d)Contract evaluation

(1)If, as a result of evaluations conducted by the Secretary, the Secretary determines that an entity has not complied with or satisfactorily performed a contract entered into under section 11705 of this title, the Secretary shall, prior to renewing such contract, attempt to resolve the areas of noncompliance or unsatisfactory performance and modify such contract to prevent future occurrences of such noncompliance or unsatisfactory performance. If the Secretary determines that such noncompliance or unsatisfactory performance cannot be resolved and prevented in the future, the Secretary shall not renew such contract with such entity and is authorized to enter into a contract under section 11705 of this title with another entity referred to in section 11705(b) of this title that provides services to the same population of Native Hawaiians which is served by the entity whose contract is not renewed by reason of this subsection.

(2)In determining whether to renew a contract entered into with an entity under this chapter, the Secretary shall consider the results of the evaluation under this section.

(3)All contracts entered into by the Secretary under this chapter shall be in accordance with all Federal contracting laws and regulations except that, in the discretion of the Secretary, such contracts may be negotiated without advertising and may be exempted from the provisions of section 3131 and 3133 of title 40.

(4)Payments made under any contract entered into under this chapter may be made in advance, by means of reimbursement, or in installments and shall be made on such conditions as the Secretary deems necessary to carry out the purposes of this chapter.

(e)Limitation on use of funds for administrative expenses

Except for grants and contracts under section 11706 of this title, the Secretary may not grant to, or enter into a contract with, an entity under this chapter unless the entity agrees that the entity will not expend more than 10 percent of amounts received pursuant to this chapter for the purpose of administering the grant or contract.

(f)Report

(1)For each fiscal year during which an entity receives or expends funds pursuant to a grant or contract under this chapter, such entity shall submit to the Secretary and to Papa Ola Lokahi a quarterly report on—

(A)activities conducted by the entity under the grant or contract;

(B)the amounts and purposes for which Federal funds were expended; and

(C)such other information as the Secretary may request.

(2)The reports and records of any entity which concern any grant or contract under this chapter shall be subject to audit by the Secretary, the Inspector General of the Department of Health and Human Services, and the Comptroller General of the United States.

(g)Annual private audit

The Secretary shall allow as a cost of any grant made or contract entered into under this chapter the cost of an annual private audit conducted by a certified public accountant.

Notes & Related Subsidiaries

Editorial Notes

References in Text

The Social Security Act, referred to in subsec. (c)(4), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Title XIX of the Act is classified generally to subchapter XIX (§ 1396 et seq.) of chapter 7 of this title. For complete classification of this Act to the Code, see section 1305 of this title and Tables. Codification In subsec. (d)(3), “section 3131 and 3133 of title 40” substituted for “the Act of

August 24, 1935 (40 U.S.C. 270a et seq.)” on authority of Pub. L. 107–217, § 5(c), Aug. 21, 2002, 116 Stat. 1303, the first section of which enacted Title 40, Public Buildings, Property, and Works. The 1992 amendment is based on section 1 of S. 2681, One Hundred Second Congress, as passed by the Senate on Aug. 7, 1992, and enacted into law by section 9168 of Pub. L. 102–396. section 9168, which referred to S. 2681, as passed by the Senate on “

September 12, 1992”, has been treated as referring to S. 2681, as passed by the Senate on Aug. 7, 1992, to reflect the probable intent of Congress. Pub. L. 100–579 and Pub. L. 100–690 enacted substantially identical sections. The text of this section is based on section 8 of Pub. L. 100–579, as subsequently amended.

Amendments

1992—Pub. L. 102–396 amended section generally. Prior to amendment, section defined terms for purposes of this chapter.

§11707 Administration of Grants and Contracts