Affordable Care Act (aca) Primary Care Residency Expansion Program

The Primary Care Residency Expansion program is a five-year initiative to increase the number of physicians trained in family medicine, general internal medicine, and general pediatrics residency programs. Grantees are primary care residency programs that commit to increasing their number of training positions by one to four new post-graduate year one positions for five consecutive years. Awards facilitate this expansion by providing $80,000 per expanded position per year.

Last Known Status
Program Number
Federal Agency
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration
Types of Assistance
Project Grants
Uses and Use Restrictions
Awards may only be used to fund an accredited family medicine, general internal medicine, or general pediatric residency program. Applicants may request support for only one residency program (discipline).

Approved uses of Primary Care Residency Expansion grant funds are resident salary including fringe benefits and indirect costs, training expenses, and resident physician travel. Personnel, staffing, consultant cost, equipment, supplies, subcontracts and other items are strictly prohibited under this grant award.
Public Health Service Act, Title VII, Section 747, as amended by the Patient Protection and Affordable Care Act (Public Law 111-148); and the Public Health Prevention Act Section 4002, Conference Report, H. Rept. 111-366, Division D (referencing S. Rept. 111-66), accompanying the Consolidated Appropriations Act, 2010, Public Law 111-117.
Eligibility Requirements
Applicant Eligibility
Eligible applicants include public or nonprofit private hospitals, schools of medicine or osteopathic medicine or a public or private nonprofit entity of which the Secretary has determined is capable of carrying out such grants. Applicants may request support for only one residency program (discipline). Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible.
Beneficiary Eligibility
Accredited primary care residency training programs in family medicine, general internal medicine, and general pediatrics.

Project participants (residents) must be U.S. Citizens, non-citizen nationals, or foreign nationals who possess visas permitting permanent residence in the United States. Individuals on temporary or student visas are not eligible.
Applicants should review the individual HRSA funding opportunity announcement issued under this CFDA program for any required proof or certifications that must be submitted prior to or simultaneous with submission of an application package. This program is excluded from coverage under OMB Circular No. A-87.
Application and Award Process
Preapplication Coordination
Preapplication coordination is not applicable. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
Application Procedure
This program is excluded from coverage under OMB Circular No. A-102. OMB Circular No. A-110 applies to this program. Grant applications and required forms for this program can be obtained from HRSA requires all applicants to apply electronically through
Award Procedure
All qualified applications were forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority was responsible for final selection and funding decisions.
Notification was made in writing (electronic) by a Notice of Award.
Contact the headquarters or regional office, as appropriate, for application deadlines.
Range of Approval/Disapproval Time
From 60 to 90 days.
Not Applicable.
Not Applicable.
Assistance Considerations
Formula and Matching Requirements
This program has no statutory formula.
This program has no matching requirements.
This program has MOE requirements, see funding agency for further details.
Length and Time Phasing of Assistance
Awards are funded for five (5) years of support. See the following for information on how assistance is awarded/released: Grantees draw down funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Post Assistance Requirements
Program reports are required. The awardee will be required to submit semi-annual performance and annual progress reports as well as status-federal financial reports (see below for general information on each required report). Cash reports are not applicable. The awardee will be required to submit performance and progress reports as well as status-federal financial reports (see the program announcement and notice of award for details for each required report). The awardee must submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System within 30 days of the end of each calendar quarter. A Federal Financial Report (SF-425) according to the following schedule: A final report is due within 90 days after the project period ends. If applicable, the awardee must submit a Tangible Personal Property Report (SF-428) and any related forms within 90 days after the project period ends. New awards (“Type 1”) issued under this funding opportunity announcement are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub. L. 109–282), as amended by section 6202 of Public Law 110–252, and implemented by 2 CFR Part 170. Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient’s and subrecipient’s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (FFATA details are available online at Competing continuation awardees, etc. may be subject to this requirement and will be so notified in the Notice of Award. Expenditure reports are not applicable. Performance monitoring is not applicable.
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.
Grantees are required to maintain grant accounting records three years after the date they submit the Federal Financial Report (FFR). If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the three year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular three year period, whichever is later.
Program Accomplishments
Fiscal Year 2013: In Academic Year 2012-2013, PCRE grant funds supported 332 resident physician positions. Of the residents occupying the funded positions, nearly one-quarter were from a rural background and more than 16 percent were from a disadvantaged background. The residents trained in almost 400 clinical sites, including medically underserved communities, health professional shortage areas, and primary care settings. Fiscal Year 2014: No Current Data Available Fiscal Year 2015: No Current Data Available
Financial Information
Account Identification
(Project Grants) FY 13 $0; FY 14 est $0; and FY 15 est $0 - This program was fully funded with Public Health and Prevention Fund (PHPF) money – budget and project periods were 9/30-2010-9/29/2015. .
Range and Average of Financial Assistance
Total award amounts range from $960,000 to $3,840,000 per grantee.
The average total award for the five year project period is $1,440,000.
Regulations, Guidelines and Literature
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
Information Contacts
Regional or Local Office
See Regional Agency Offices.
Headquarters Office
Anthony Anyanwu, Project Officer, Medical Training and Geriatrics Branch, Division of Medicine and Dentistry, Bureau of Health Workforce 5600 Fishers Lane, Room 12C-06, Rockville, Maryland 20857 Email: Phone: (301) 443-8437 Fax: (301) 443-8437
Website Address
Examples of Funded Projects
Not Applicable.
Criteria for Selecting Proposals
Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by nonfederal reviewers for technical merit recommendations.
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