Emergency Medical Services for Children

Published on AidPage by IDILOGIC on Jun 24, 2005

Purpose of this program:

To support demonstration projects for the expansion and improvement of emergency medical services for children who need treatment for trauma or critical care. It is expected that maximum distribution of projects among the States will be made and that priority will be given to projects targeted toward populations with special needs, including Native Americans, minorities, and the disabled.

Possible uses and use restrictions...

All funds granted should be expended solely for carrying out the approved project in accordance with Section 1910 of the Public Health Service Act.

Who is eligible to apply...

State governments and schools of medicine.

Eligible Applicant Categories:
Eligible Functional Categories:

The basis for determining the allowance and allocability of costs charged to Public Health Service (PHS) grants is set forth in DHHS Regulations 45 CFR Part 74, Subpart Q, and 45 CFR Part 92, Subpart C. The cost principles prescribed for recipients are in: OMB Circular No. A-87 for State and local governments, OMB Circular No. A-21 for institutions of higher education, 45 CFR Part 74, Appendix E for hospitals, OMB Circular No. 122 for nonprofit organizations, and 48 CFR Subpart 31.2 for-profit (commercial) organizations.

Note:This is a brief description of the credentials or documentation required prior to, or along with, an application for assistance.

About this section:

This section indicates who can apply to the Federal government for assistance and the criteria the potential applicant must satisfy. For example, individuals may be eligible for research grants, and the criteria to be satisfied may be that they have a professional or scientific degree, 3 years of research experience, and be a citizen of the United States. Universities, medical schools, hospitals, or State and local governments may also be eligible. Where State governments are eligible, the type of State agency will be indicated (State welfare agency or State agency on aging) and the criteria that they must satisfy.

Certain federal programs (e.g., the Pell Grant program which provides grants to students) involve intermediate levels of application processing, i.e., applications are transmitted through colleges or universities that are neither the direct applicant nor the ultimate beneficiary. For these programs, the criteria that the intermediaries must satisfy are also indicated, along with intermediaries who are not eligible.

How to apply...

Application Procedure:

Application is made by the submission of the standard PHS application form, PHS-5161-l. The standard application forms, as furnished by PHS and required by 45 CFR, 92 and 45 CFR 74 must be used for this program. Application kits are obtained by writing to the Grants Management Officer (see address below under "Information Contacts"). This program is subject to the provisions of 45 CFR 92 for State and local governments and 45 CFR 74 for nonprofit organizations.

Note: Each program will indicate whether applications are to be submitted to the Federal headquarters, regional or local office, or to a State or local government office.

Award Procedure:

Applications are reviewed by a review committee of experts who are generally nongovernmental. Applications are reviewed based on their merit, are recommended for approval or disapproval, and are ranked according to a point score. Final decisions are made by the Associate Administrator for Maternal and Child Health Bureau.

Note: Grant payments may be made by a letter of credit, advance by Treasury check, or reimbursement by Treasury check. Awards may be made by the headquarters office directly to the applicant, an agency field office, a regional office, or by an authorized county office. The assistance may pass through the initial applicant for further distribution by intermediate level applicants to groups or individuals in the private sector.

Deadlines and process...


Contact Headquarters Office for application deadlines.

Note: When available, this section indicates the deadlines for applications to the funding agency which will be stated in terms of the date(s) or between what dates the application should be received. When not available, applicants should contact the funding agency for deadline information.

Range of Approval/Disapproval Time

Final decisions are made about 4 months after receipt of applications.

Preapplication Coordination

This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in the State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review. Informal inquiries regarding the program and indication of intent to submit an application may be addressed to the Central Office.

Note: This section indicates whether any prior coordination or approval is required with governmental or nongovernmental units prior to the submission of a formal application to the federal funding agency.


Applicants may reapply for support by submitting a revised application.

Note: In some cases, there are no provisions for appeal. Where applicable, this section discusses appeal procedures or allowable rework time for resubmission of applications to be processed by the funding agency. Appeal procedures vary with individual programs and are either listed in this section or applicants are referred to appeal procedures documented in the relevant Code of Federal Regulations (CFR).


Renewal applications will be accepted.

Note: In some instances, renewal procedures may be the same as for the application procedure, e.g., for projects of a non-continuing nature renewals will be treated as new, competing applications; for projects of an ongoing nature, renewals may be given annually.

Who can benefit...

All children will benefit from the project grants administered by this program, including children from minority groups.

About this section:

This section lists the ultimate beneficiaries of a program, the criteria they must satisfy and who specifically is not eligible. The applicant and beneficiary will generally be the same for programs that provide assistance directly from a Federal agency. However, financial assistance that passes through State or local governments will have different applicants and beneficiaries since the assistance is transmitted to private sector beneficiaries who are not obligated to request or apply for the assistance.

What types of assistance...

Project Grants

The funding, for fixed or known periods, of specific projects. Project grants can include fellowships, scholarships, research grants, training grants, traineeships, experimental and demonstration grants, evaluation grants, planning grants, technical assistance grants, survey grants, and construction grants.

How much financial aid...

Range and Average of Financial Assistance

$100,000 to $1,000,000; $178,000.

Note: This section lists the representative range (smallest to largest) of the amount of financial assistance available. These figures are based upon funds awarded in the past fiscal year and the current fiscal year to date. Also indicated is an approximate average amount of awards which were made in the past and current fiscal years.


(Grants) FY 03 $13,978,432; FY 04 est $14,330,000 and FY 05 est 14,330,000.

Note: The dollar amounts listed in this section represent obligations for the past fiscal year (PY), estimates for the current fiscal year (CY), and estimates for the budget fiscal year (BY) as reported by the Federal agencies. Obligations for non-financial assistance programs indicate the administrative expenses involved in the operation of a program.

Account Identification


Note: Note: This 11-digit budget account identification code represents the account which funds a particular program. This code should be consistent with the code given for the program area as specified in Appendix III of the Budget of the United States Government.

Examples of funded projects...

1) The Emergency Medical Services for Children Network Development Demonstration Projects are cooperative agreements that demonstrate a system of regional applied pediatric emergency medical services centers designed to expand and improve emergency services for children who need treatment for trauma or critical care. Awardees are linked together in a network to demonstrate a capacity to conduct multi-site studies on issued relating to the management of pediatric events that occur in hospitals as well as in transport. 2) Targeted Issues grants are intended to address specific needs or concerns in the field of pediatric emergency care that transcend state boundaries. Typically the projects result in a new product or resource or the demonstration of the effectiveness of a model system component or service of value to the nation. Types of projects that have been funded within this category include developing model pediatric components for state disaster plans, screening and secondary prevention for psychological sequelae of pediatric injury, basic emergency lifesaving skills in schools, and emergency preparedness for infants with significant heart disease. 3) Clinical Practice Guidelines for Emergency Care grants are intended to promote the development of further strategies to improve the quality of care for children who need emergency care through developing and pilot-testing emergency care practice guidelines for pediatric conditions for which evidenced-based guidelines do not exist and development of a model for implementation and assessment of effectiveness for existing evidenced-based pediatric emergency practice guidelines. 4) Enhancing Pediatric Patient Safety demonstration projects support the assessment and implementation of an existing strategy with the potential for improving patient safety in pediatric emergency care delivery in multiple pre-hospital and hospital emergency department settings. 5) State Partnership grants are intended to solidify the integration of a pediatric focus within the State EMS system. The only eligible applicant is the State EMS agency, unless the State specifically requests and designates another State entity or a school of medicine. Funded projects have included providing rural hospitals with training materials for EMSC teaching and developing a method of ongoing EMSC education and training in rural areas, developing evidenced-based injury prevention programs, develop continuing education for pre-hospital providers that focuses on children with special health care needs, development of a model suicide prevention pilot program, and assessing outcomes of children arriving at trauma centers by direct arrival versus secondary transfer. 6) National Trauma Registry for Children Planning Grant. The purpose of this project is to promote the development of further strategies to improve the quality of care for children who have experienced traumatic injury. This priority is designed to stimulate and devise innovative strategies for collecting uniform data elements characterizing pediatric trauma and clinical management of pediatric injuries.

About this section

This section indicates the different types of projects which have been funded in the past. Only projects funded under Project Grants or Direct Payments for Specified Use should be listed here. The examples give potential applicants an idea of the types of projects that may be accepted for funding. The agency should list at least five examples of the most recently funded projects.

Program accomplishments...

For fiscal year 2002, 81 grants were funded and for fiscal year 2003 79 grants were funded. For fiscal years 2004 and 2005, it is estimated that 77 grants will be funded each year.

Criteria for selecting proposals...

Grant applications will be reviewed and evaluated by a panel of reviewers experienced in the planning, implementation, and monitoring of emergency medical services and pediatric care. The reviewers will recommend approval or disapproval of an application; recommend a priority score for approved applications; recommend any modifications or conditions to the grant if awarded; and recommend any changes to the proposed budget. Recommendations of the review panel are presented to the Director, MCHB. Panel recommendations are advisory only, and the Director, MCHB will be responsible for final decisions regarding awards. Reviewers will use the criteria and questions described in the section on Categories of Grants: Program Narrative and Review Criteria to evaluate proposals. Applicants are urged to address these criteria as directly as possible in the text of the program narrative.

Assistance considerations...

Length and Time Phasing of Assistance

Awards are made annually, in accordance with the project period method of awarding grants. Payments are made through a Letter of Credit or Cash Demand System. Project periods are generally for 2 or 3 years.

Formula and Matching Requirements

This program has no statutory formula or matching requirements.

A formula may be based on population, per capita income, and other statistical factors. Applicants are informed whether there are any matching requirements to be met when participating in the cost of a project. In general, the matching share represents that portion of the project costs not borne by the Federal government. Attachment F of OMB Circular No. A-102 (Office of Management and Budget) sets forth the criteria and procedures for the evaluation of matching share requirements which may be cash or in-kind contributions made by State and local governments or other agencies, institutions, private organizations, or individuals to satisfy matching requirements of Federal grants or loans.

Cash contributions represent the grantees' cash outlay, including the outlay of money contributed to the grantee by other public agencies, institutions, private organizations, or individuals. When authorized by Federal regulation, Federal funds received from other grants may be considered as the grantees' cash contribution.

In-kind contributions represent the value of noncash contributions provided by the grantee, other public agencies and institutions, private organizations or individuals. In-kind contributions may consist of charges for real property and equipment, and value of goods and services directly benefiting and specifically identifiable to the grant program. When authorized by Federal legislation, property purchased with Federal funds may be considered as grantees' in-kind contribution.

Maintenance of effort (MOE) is a requirement contained in certain legislation, regulations, or administrative policies stating that a grantee must maintain a specified level of financial effort in a specific area in order to receive Federal grant funds, and that the Federal grant funds may be used only to supplement, not supplant, the level of grantee funds.

Post assistance requirements...


Annual program reports, financial status reports, program service reports, and special reports must be submitted as required.

Note: This section indicates whether program reports, expenditure reports, cash reports or performance monitoring are required by the Federal funding agency, and specifies at what time intervals (monthly, annually, etc.) this must be accomplished.


In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal officials.

Note: This section discusses audits required by the Federal agency. The procedures and requirements for State and local governments and nonprofit entities are set forth in OMB Circular No. A-133. These requirements pertain to awards made within the respective State's fiscal year - not the Federal fiscal year, as some State and local governments may use the calendar year or other variation of time span designated as the fiscal year period, rather than that commonly known as the Federal fiscal year (from October 1st through September 30th).


Financial records must be kept available for 3 years after the submission of expenditure reports and 3 years after the final disposition of non-expendable property. If questions remain, such as those raised as a result of an audit, records must be retained until the problem is resolved.

Note: This section indicates the record retention requirements and the type of records the Federal agency may require. Not included are the normally imposed requirements of the General Accounting Office. For programs falling under the purview of OMB Circular No. A-102, record retention is set forth in Attachment C. For other programs, record retention is governed by the funding agency's requirements.



Public Health Service Act, Section 1910, as amended, Public Law 102-410.

Note: This section lists the legal authority upon which a program is based (acts, amendments to acts, Public Law numbers, titles, sections, Statute Codes, citations to the U.S. Code, Executive Orders, Presidential Reorganization Plans, and Memoranda from an agency head).

Regulations, Guidelines, And Literature

Pertinent information may be obtained by contacting the Headquarters Office listed below. PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994.

Contact information...

Web Sites
Regional Or Local Office

Not applicable.

Note: This section lists the agency contact person, address and telephone number of the Federal Regional or Local Office(s) to be contacted for detailed information regarding a program such as: (1) current availability of funds and the likelihood of receiving assistance within a given period; (2) pre-application and application forms required; (3) whether a pre-application conference is recommended; (4) assistance available in preparation of applications; (5) whether funding decisions are made at the headquarters, regional or local level; (6) application renewal procedures (including continuations and supplementals) or appeal procedures for rejected applications; and (7) recently published program guidelines and material. However, for most federal programs, this section will instruct the reader to consult the so-called Appendix IV of the Catalog due to the large volume of Regional and Local Office Contacts for most agencies. This information is provided in Additional Contact Information (see below).

Headquarters Office

(Central Office Contacts and Program Contact) EMSC Program Director, Maternal and Child Health Bureau, Health Resources and Services Administration, Public Health Service, Department of Health and Human Services, Room 18A-38, 5600 Fishers Lane, Rockville, MD 20857. Grants Management Contact: Division of Grants Management Operations, Lawrence Poole, Director, Health Resources and Services Administration, Department of Health and Human Services, Room 11-03, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0354. Use the same numbers for FTS.

Note: This section lists names and addresses of the office at the headquarters level with direct operational responsibility for managing a program. A telephone number is provided in cases where a Regional or Local Office is not normally able to answer detailed inquiries concerning a program. Also listed are the name(s) and telephone number(s) of the information contact person(s) who can provide additional program information to applicants.

Additional Contact Information (Appendix IV)

Due to the large volume of regional and local office contacts for most agencies, full contact information is also provided separately here in a PDF format: