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Coal Miners Respiratory Impairment Treatment Clinics and Services

Program Information

Popular name

Black Lung Clinics Program (BLCP) and the Black Lung Data and Resource Center (BLDRC)

Program Number

93.965

Program objective

The Black Lung Clinics Program aims to reduce the morbidity and mortality associated with occupationally-related coal mine dust lung disease (CMDLD) through the provision of quality medical, outreach, educational, and benefits counseling services to coal miners. The primary objective of the Black Lung Data and Resource Center is to improve patient-level data collection and analysis, clinic operations, and the quality and breadth of services provided by the Black Lung Clinics Program (BLCP) recipients.

Program expenditures, by FY (2023 - 2025)

This chart shows obligations for the program by fiscal year. All data for this chart was provided by the administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.

For more information on each of these data sources, please see the About the data page.

Additional program information

  1. 2020

    The program recently implemented a new reporting system that will better allow the clinics, HRSA, and other stakeholders to understand the burden of disease in the coal miner patient population. BLCP recipients worked in concert with HRSA and the BLDRC to develop and implement the system which was fully deployed in FY19. Quality data for analysis should be available in FY20 and will be used to monitor medical, outreach, educational, and benefits counseling services provided.

  2. 2021

    This year, the Black Lung Clinics program achieved 100% cohort representation within the BLDRC REDCap data management system. This system was created in order to assist with the collection of Patient Level Data (PLD) measures instituted in FY19. Complete cohort participation will now assure that all program data can be consolidated and accessed in one place. This will facilitate access to data for program evaluation and management, and analyses of changes and trends in the health of the patient population served by BLCP grantees.

  3. 2022

    In FY2021, BLCP grantees predominately leaned on HRSA funding to maintain a community presence to the greatest extent possible in the face of COVID restrictions. In FY2022, funds were deployed to take advantage of the proliferation of vaccines and loosening of restrictions to spur a push towards pre-pandemic productivity. According to the patient-level data reporting system, BLCP grantees achieved a 32% average increase in number of miners served between FY2021 and FY2022.

  4. 2023

    Deployment of vaccines and intensive clinical protocols have allowed Black Lung Clinics to transition back to pre-pandemic levels of clinical operations for their complex respiratory and pulmonary services. Accordingly, the patient-level data reporting system shows an increase in number of miners served between FY 2021 and FY 2022. As well as supporting internal data management for BLCP, the Black Lung Data and Resource Center has utilized HRSA funding, and BLCP data, to begin improving the quantity, and quality, of available data related to the health status of the miners they serve and ensure ease of reporting into the patient-level data system.

Single Audit Applies (2 CFR Part 200 Subpart F):

For additional information on single audit requirements for this program, review the current Compliance Supplement.

OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.

This program is subject to the provisions of 45 CFR Part 92 for state, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants.

  1. Sec. 427(a) of the Federal Mine Safety and Health Act of 1977, as amended (30 U.S.C. 937), Section 711(b) of the Social Security Act (42 U.S.C. 912(b)).