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Federal Register / Vol. 86, No. 153 / Thursday, August 12, 2021 / Notices
median household income being eligible for a higher proportion of grant funds.
Grant funds will be limited to:
1 The percentages of eligible project costs as outlined below:
a Up to 75 percent when the proposed project is located in a rural community having a population of 5,000 or less and the median household income of the population to be served by the proposed facility is below the poverty line or 60 percent of the State nonmetropolitan median household income, whichever is greater.
b Up to 55 percent when the proposed project is located in a rural community having a population of 12,000 or less and the median household income of the population to be served by the proposed facility is below the poverty line or 70 percent of the State nonmetropolitan median household income, whichever is greater.
c Up to 35 percent when the proposed project is located in a rural community having a population of 20,000 or less and the median household income of the population to be served by the proposed facility is below the poverty line or 80 percent of the State nonmetropolitan median household income, whichever is greater.
d Up to 15 percent when the proposed project is located in a rural community having a population of 20,000 or less and the median household income of the population to be served by the proposed facility is below the poverty line or 90 percent of the state nonmetropolitan median household income, whichever is greater.
e In-kind contributions are not an acceptable source of cost-sharing funds.
Applicants must utilize cash contributions to fund the remaining project costs and these funds must be expended for an eligible purpose outlined in this Notice.
i If requesting Track One, Recovery funds for lost revenue or staffing expenses as defined in paragraphs D.1c and D.1f of this section, respectively, applicants may utilize the applicable percentage of lost revenue or staffing expenses to satisfy the costsharing requirement. For example, an applicant that experienced $100,000 in lost revenues associated with a facility located in a rural community of less than 5,000 population and a median household income of less than 60
percent of the state nonmetropolitan median household income is eligible for a maximum project cost of 75 percent.
In this example, the applicant can request $75,000 for grant funding associated with lost revenues and the remaining $25,000 in lost revenues
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serves as the balance of the total project cost.
ii Applicants may not use grant funds received under other Rural Development RD programs to satisfy cost-sharing or matching requirements.
Federal and state resources may be acceptable sources to the extent it is allowable under the Federal or state programs.
iii If awarded grant funds under this program, grant funds may not be utilized as matching funds for other Federal programs.
2 Under Track One, Recovery, the maximum grant assistance allowed is $1,000,000. Under Track Two, Impact, the maximum grant assistance allowed is $10,000,000.
3 Under Track One, Recovery, the minimum grant assistance allowed is $25,000. Under Track Two, Impact, the minimum grant assistance is $5,000,000.
4 Applicants may request and receive assistance under both Track One and Track Two awards. Applicants may submit only one application for Track Two assistance. Affiliated entities may only participate in a single Track Two application.
5 Applicants may request assistance for more than one project location. An applicant entity with wholly owned affiliated entities or subsidiaries may apply on behalf of one or more affiliated entities. An Affiliate is an entity controlling or having the power to control another entity, or a third party or parties that control or have the power to control both entities.
6 If it is determined that an applicant is affiliated with another entity that has also applied, then the maximum grant award applies to all affiliated entities as if they applied as one applicant.
D. Eligible Use of Grant Funds Grant funds must be used to support health care and nutritional assistance needs in correlation with the COVID19
pandemic and as defined below. Funds may be requested for one or more purposes outlined below:
1 Track One, Recovery funds must be used to support immediate health care needs stemming from the COVID
19 pandemic, to support preparedness for a future pandemic event, and/or to increase access to quality health care services to improve community health outcomes. To be eligible for this program, a project must support the health care needs, including access to nutrition assistance through food banks and food distribution facilities, for a rural communityies. Funds requested from the categories below may be requested for expenses incurred during
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the grant period and/or the eligible preaward period dating back to March 13, 2020:
a Increase capacity for vaccine distribution, including cold storage, vehicle, transportation, and other equipment expenses.
b Provide medical supplies and equipment to increase medical surge capacity, including personal protective equipment and laboratory equipment.
c Reimburse for health care-related revenue lost during the COVID19
pandemic, including revenue losses incurred prior to the awarding of the grant through March 13, 2020. Requests for this category must include a certification from a certified public accountant CPA that the calculation of health care-related lost revenue requested is accurate and in alignment with previous years revenue. When calculating lost revenue, CPAs may use budgeted revenues if the budgets and associated documents covering calendar year 2020 were established and approved on or before March 13, 2020.
To be considered an approved budget, the budget must have been ratified, certified, or adopted by the applicants financial executive or executive officer as of that date, and the CPA will be required to attest that the budget was established and approved on or before March 13, 2020. The CPA certification must also definitively state that these lost revenues have not been reimbursed from other Federal or state resources.
d Increase telehealth capabilities, including the purchase of and training needed for provider and end-user telehealth equipment, telehealth software, telehealth electronic security upgrades, electronic health records, data sharing capacity, video and teleconference services, and other underlying health care information systems.
e Construct or renovate temporary or permanent structures to provide health care services, such as vaccine administration, testing, and facility modifications. Examples of facilities offering health care services include health care clinics, hospitals, medical offices, outpatient facilities, mobile health clinics, mental/behavioral health, and addiction treatment centers, assisted and skilled living facilities, rehabilitation facilities, urgent care, telehealth facilities, and wellness centers. Any construction work completed with grant funds under this award shall meet the Davis-Bacon Act conditions set forth in section 9003f of the Farm Security and Rural Investment Act of 2002 7 U.S.C. 8103f.
f Support staffing needs for vaccine administration and/or testing. Requests
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