Grants to Increase Organ Donations (93.134)
Program
93.134 Grants to Increase Organ Donations
Federal Agency
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration
Authorization
Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation: Section 377 of the Public Health Service (PHS) Act, 42 U.S.C. Section 274f. Clinical Interventions to Increase Organ Procurement (CIOP): Section 377A of the Public Health Service (PHS) Act, 42 U.S.C. Section 274f-1. Social and Behavioral Interventions to Increase Solid Organ Donation: Section 377A of the Public Health Service (PHS) Act, 42 U.S.C. Section 274f-1. State Donor Registry Support Program and Public Education Efforts to Increase Solid Organ Donation: Section 377A of the Public Health Service (PHS) Act, 42 U.S.C. Section 274f-1. Public Education Efforts to Increase Solid Organ Donation: Section 377A of the Public Health Service (PHS) Act, 42 U.S.C. Section 274f-1.
Program Number
93.134
Last Known Status
Active
Objectives
To support grants for the purpose of increasing public commitment to organ donation and the number of organs recovered and ultimately transplanted. To that end, the Division of Transplantation has a cooperative agreement and 4 grant programs with the following objectives:
Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation: The purpose of this program is to establish and operate a national system to provide reimbursement of travel and subsistence expenses, and other non-medical expenses that may be authorized by the Secretary to individuals making living donations of their organs.
Clinical Interventions to Increase Organ Procurement (CIOP): This program provides support for the implementation and evaluation of model interventions for identifying appropriate heart beating and non-heart-beating donation candidates, evaluating donated organs, maintaining donor stability, and optimizing methods for organ procurement. In FY 2007, the sole focus of the CIOP was to provide support for model interventions for increasing organ donation from uncontrolled donors after cardiac death (UDCD). In FY 2008 the CIOP focus returned to Donation after Neurological Death (DND) and Donation after Cardiac Death (DCD) both controlled and uncontrolled. The FY 2009 focus will again be on DND and DCD. Support would also be likely for hypothesis driven testing of emerging technologies that may be useful for evaluating and improving organ function.
Social and Behavioral Interventions to Increase Solid Organ Donation: This program provides support for the implementation and rigorous evaluation of highly promising strategies and approaches for increasing public attitudes, practices and ultimately commitment to organ donation as well as family consent at a relative’s time of death.
State Donor Registry Support Program: This program provides support to units of State government to develop or improve a statewide electronic registry in which residents can indicate their intent to be a donor which can be accessed by procurement personnel on a 24/7 basis to determine donation wishes of residents at their time of death. The ultimate objective is to ensure that every American has the opportunity to designate his or her donation wishes in a manner that is consistently available when needed.
Public Education Efforts to Increase Solid Organ Donation: The purpose of this program is to support the implementation of public education and outreach programs that show promise of increasing organ donation. Specifically, this program supports the replication of strategies demonstrated in the Division’s grant program Social and Behavioral Interventions to Increase Solid Organ Donation or through other research efforts to be effective in increasing organ donation. The program also supports the implementation of efforts to increase organ donation that adopt and replicate strategies demonstrated in the public health literature as being effective methods for modifying other health behaviors. The program also supports the implementation of public education and outreach efforts that are based on an established framework for successful public health outreach programs. This grant program is supportive of the Division’s mission to educate the public about deceased and/or living donation and to encourage individuals’ to document their decision to be a donor in their statewide donor registry or by some other mechanism where a registry is unavailable.
Types of Assistance
Cooperative Agreements; Project Grants
Uses and Use Restrictions
Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation: Funds made available through this program may not be made available to donating individuals when payment for qualified reimbursement expenses has been made, or can reasonably be expected to be made: (1) under any State compensation program, under an insurance policy, or under any Federal or State health benefits program; (2) by an entity that provides health services on a prepaid basis; or (3) by the recipient of the organ.
All Other Programs: Funds may not be used for activities that are reimbursable under Medicare.
Eligibility Requirements
Applicant Eligibility
Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation: As specified in Section 377 of the Public Health Service Act, as amended, eligible applicants include States, transplant centers, qualified organ procurement organizations under section 371, or other public or private entities. Clinical Interventions to Increase Organ Procurement Grant Program (CIOP): As specified in Section 377A (b) of the Public Health Service Act, as amended, the Secretary may make peer-reviewed grants to public and nonprofit private entities. If the applicant is an OPTN member, and if the applicant is working with a consortium that includes OPTN members, the applicant and all other OPTN members are expected to be in compliance with the final rule governing the operation of the OPTN Section 121.11(b2). Social and Behavioral Interventions to Increase Solid Organ Donation Grant Program: As specified in Section 377A(b) of the Public Health Service Act, as amended, the Secretary may make peer-reviewed grants to public and nonprofit private entities for the purpose of carrying out studies and demonstration projects to increase organ donation and recovery rates, including living donation. If the applicant is an OPTN member, and if the applicant is working with a consortium that includes OPTN members, the applicant and all other OPTN members are expected to be in compliance with the final rule governing the operation of the OPTN Section 121.11(b2). State Donor Registry Support Program: As specified in Section 377A(c) of the Public Health Service Act, as amended, the Secretary may make peer-reviewed grants to States for activities pertaining to the State donor registry. If the applicant is working with a consortium, any consortium members that are OPTN members are expected to be in compliance with the final rule governing the operation of the OPTN Section 121.11(b2). Public Education Efforts to Increase Solid Organ Donation: As specified in Section 377A(b) of the Public Health Service Act, as amended, the Secretary may make peer-reviewed grants to public and nonprofit private entities for the purpose of carrying out studies and demonstration projects to increase organ donation and recovery rates, including living donation. If the applicant is an OPTN member, and if the applicant is working with a consortium that includes OPTN members, the applicant and all other OPTN members involved in the project are expected to be in compliance with the final rule governing the operation of the OPTN Section 121.11(b2). Grants to Establish Programs Coordinating Organ Donation Activities of Hospitals and Organ Procurement Organizations: As specified under section 377B of the Public Health Service Act, the Secretary may award grants to qualified organ procurement organizations and hospitals under section 371 to establish programs coordinating organ donation activities of eligible hospitals and qualified organ procurement organizations under section 371. For purposes of this section, eligible hospital means a hospital that performs significant trauma care, or a hospital or consortium of hospitals that serves a population base of not fewer than 200,000 individuals.
Beneficiary Eligibility
Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation: Primary beneficiaries are low/moderate income living organ donors and recipients. All other Programs: Beneficiaries are all organ transplant recipients.
Credentials/Documentation
Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. OMB Circular No. A-87 applies to this program.
Application and Award Process
Preapplication Coordination
Preapplication coordination is required. Environmental impact information is not required for this program. 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 his or her 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.
Application Procedure
OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. HRSA requires all applicants to apply electronically through Grants.gov.
All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.
Award Procedure
Notification is made in writing by a Notice of Grant Award.
Deadlines
Contact the headquarters or regional office, as appropriate, for application deadlines.
Range of Approval/Disapproval Time
From 30 to 90 days.
Appeals
Not Applicable.
Renewals
Not Applicable.
Assistance Considerations
Formula and Matching Requirements
This program has no statutory formula.
This program has no matching requirements.
This program does not have MOE requirements.
Length and Time Phasing of Assistance
The Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation Cooperative Agreement is awarded for a 12-month budget period over a four-year period. Both Clinical Interventions Research grants and Social and Behavioral Research grants are awarded for a 12-month budget period over a three-year period. State Donor Registry Support Program grants are awarded for a 12-month budget period over a one-year period. Public Education Efforts to Increase Solid Organ Donation are awarded for a 12-month budget period over a two year period. Grants to Establish Programs Coordinating Organ Donation Activities of Hospitals and Organ Procurement Organizations are awarded for a 12-month budget period over a two-year period. See the following for information on how assistance is awarded/released: Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Post Assistance Requirements
Reports
No program reports are required. No cash reports are required. Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation: Two progress reports are required in addition to annual financial reports. Final reports and final financial status reports are due 90 days from the end of the project period. The grantee also submits monthly updates to HRSA on applications received and funded by the Program.
Clinical Interventions to Increase Organ Procurement Grant Program: Quarterly progress reports are required for all awardees in addition annual financial reports. Final progress reports and final financial status reports are due 90 days from the end of the project period.
Social and Behavioral Interventions to Increase Organ Donation Grant Program: Two progress reports are required for all awardees in addition to annual financial reports. Final reports and final financial status reports are due 90 days from the end of the project period.
State Donor Registry Support Program: One progress report is required for all awardees in addition to annual financial reports. Final reports and final financial status reports are due 90 days from the end of the project period.
Public Education Efforts to Increase Solid Organ Donation: Two progress reports are required for all awardees in addition to annual financial reports. Final reports and final financial status reports are due 90 days from the end of the project period. No expenditure reports are required. No performance monitoring is required.
Audits
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.
Records
Grantees are required to maintain grant accounting records for 3 years after the date they submit the FSR. If any litigation, claim, negotiation, audit, or other action involving the award has been started before the expiration of the 3-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 3-year period, whichever is later.
Program Accomplishments
Fiscal Year 2008: Clinical Interventions to Increase Organ Procurement Grant Program: The CIOP Grant Program has led to the publication of cutting edge publications dealing with important end of life issues. In FY 2007 the CIOP grant program guidance was released with a new focus on uncontrolled donation after cardiac death (UDCD), and two compete grants were awarded. In FY 2008 the focus of the program returned to donation after brain or circulatory death, both controlled and uncontrolled. Four compete and two non-compete grants were awarded.
Social and Behavioral Interventions to Increase Solid Organ Donation Grant Program: Studies funded through the grant program have resulted in the identification of several successful approaches to increasing organ donation through either increased organ donor designation or increased family consent for donation at time of death. Many of the current organ donation best practices evolved from grants funded through this grant program, including the use of in-house organ donation coordinators in large trauma centers, the use of ‘like-requestors,’ the ‘presumptive approach to consent’ and various educational interventions involving both the general public and medical and other professionals that demonstrated effective approaches to increase the intent and consent to become an organ donor. Many of these best practices have been widely disseminated though a series of HHS-sponsored Breakthrough Collaboratives that began in 2003. As a result of these efforts and other efforts of HHS and the donation community, the number of deceased organ donors increased 24% from the end of 2003 to the end of 2008. In contrast the rate of increase for the previous 5-year period was 12%. In addition to direct transfer of best practices through the Breakthrough Collaboratives, findings from grants funded through this program have been widely disseminated through presentations and publications, including more than 50 journal articles.
State Donor Registry Support Program: States have been able to establish or improve their registry as a way of to increase the number of people who signed up to be donors. For example, the State of North Carolina was able to add an additional web-based registry that would complement the DVM sponsored registry.
Public Education Efforts to Increase Solid Organ Donation: This two year grant program began in FY 2007 with four funded grants. Two grants were funded in FY 2008. While the final reports for the first cohort of grant programs are not yet due, some preliminary findings show positive outcomes. Several of these projects have focused on increasing enrollment in State organ donor registries. Fiscal Year 2009: Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation: The Regents of the University in collaboration with the American Society of Transplant Surgeons established the National Living Donor Assistance Center (NLDAC) to operate the Program. The NLDAC, www.livingdonorassistance.org, was officially launched on October 17, 2007. Through May 2009, The NLDAC has facilitated 257 living donor transplants. An additional 197 prospective living donors have been approved for reimbursement pending the organ donation procedures. Overall, more than 600 prospective living donors have applied for assistance from NLDAC.
Clinical Interventions to Increase Organ Procurement Grant Program: The CIOP Grant Program has led to the publication of cutting edge publications dealing with important end of life issues. In FY 2009 six compete applications were submitted and it is anticipated that two will be funded in addition to 4 non-compete applications.
State Donor Registry Support Program: States have been able to establish or improve their registry as a way of to increase the number of people who signed up to be donors. For example, the State of North Carolina was able to add an additional web-based registry that would complement the DVM sponsored registry.
Public Education Efforts to Increase Solid Organ Donation: This two year grant program began in FY 2007 with four funded grants. Four awards will be made in FY 2009. While the final reports for the first cohort of grant programs are not yet due, some preliminary findings show positive outcomes. Several of these projects have focused on increasing enrollment in State organ donor registries. Fiscal Year 2010: Clinical Interventions to Increase Organ Procurement Grant Program: No new competing grants will be funded in FY 2010.
Social and Behavioral Interventions to Increase Solid Organ Donation Grant Program: The State Donor Registry Support Grant will not be funded in FY 2010.
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Salaries) FY 08 $2,065,745; FY 09 est $2,441,829; FY 10 est $1,392,776 - These figures are for the Clinical Interventions to Increase Organ Procurement Grant Program. (Cooperative Agreements) FY 08 $5,000; FY 09 est $2,000,000; FY 10 est $2,000,000 - These figures are for the Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation Program. (Project Grants) FY 08 $3,834,198; FY 09 est $3,583,649; FY 10 est $3,458,610 - These figures are for the Social and Behavioral Interventions to Increase Organ Donation Grant Program. (Project Grants) FY 08 $263,027; FY 09 est $122,409; FY 10 est not reported. - These figures are for the State Donor Registry Support Program. (Project Grants) FY 08 $1,964,053; FY 09 est $1,662,830; FY 10 est $1,838,489 - These figures are for the Public Education Efforts to Increase Organ Donation Program.
Range and Average of Financial Assistance
Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation: $2,000,000
Social and Behavioral Interventions to Increase Organ Donation Grant Program: $65,000 to $585,761; $226,789.
State Donor Registry Support Program: $97,872 to $175,725; $145,352
Public Education Efforts to Increase Organ Donation: $206,362 to $413,360; $328,294.75.
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.
Related Programs
Not Applicable.
Information Contacts
Regional or Local Office
See Regional Agency Offices. Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation: Mesmin Germain, Division of Transplantation, Healthcare Systems Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 12C-06, Rockville, MD 20857. Telephone: 301-443-0053.
Clinical Interventions to Increase Organ Procurement Grant Program: Bernard Kozlovsky, MD, MS, Division of Transplantation, Healthcare Systems Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 12C-06, Rockville, MD 20857. Telephone: 301-443-0565.
Social and Behavioral Interventions to Increase Organ Donation Grant Program and Public Education Efforts to Increase Solid Organ Donation: Rita Maldonado, MPH, Division of Transplantation, Healthcare Systems Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 12C-06, Rockville, MD 20857. Telephone: 301-443-3622.
State Donor Registry Support Program: Venus Walker, Division of Transplantation, Healthcare Systems Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 12C-06, Rockville, MD 20857. Telephone: 301.443.7578.
Public Education Efforts to Increase Solid Organ Donation: Rita Maldonado, MPH, Division of Transplantation, Healthcare Systems Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 12C-06, Rockville, MD 20857. Telephone: 301-443-3622.
Headquarters Office
Division of Transplantation 5600 Fishers Lane, Room 12-105, Rockville, Maryland 20857 Phone: (301) 443-3300
Web Site Address
Examples of Funded Projects
Fiscal Year 2008: Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation: The grantee established a national center to provide reimbursement of travel and subsistence expenses to individuals making living donations of their organs.
Clinical Interventions to Increase Organ Procurement Grant Program: Funded projects include such interventions such as pulsatile perfusion of kidneys, pulsatile perfusion in the expanded kidney donor, chest wall oscillation to improve quantity and quality of brain dead heart beating donor lungs and validation of identification criteria for DCD donors. FY 2007 funded awards are focused on uncontrolled donation after cardiac death (UDCD) both in hospital and in the community. FY 2008 funded awards included protocols for liver preservation by pulsatile perfusion, as well as strict insulin control and nutritional supplementation in brain dead donors.
Social and Behavioral Interventions to Increase Organ Donation Grant Program: Funded projects include social and behavioral interventions to promote awareness of the need for donors and commitment to organ donation through the workplace, in schools, on Native American Indian reservations, in departments of motor vehicles, and in other community settings and projects to increase the knowledge of living donation among patients waiting for an organ, family members and the public. Interventions evaluated include mass media and grass roots campaigns
State Donor Registry Support Program: Grantees developed or improved statewide registry so residents can indicate their intent to be organ, tissue, and eye donors.
Public Education Efforts to Increase Solid Organ Donation: Funded projects include public education interventions to increase organ donation in churches, colleges/universities and departments of motor vehicles. Specific outreach methods include combined mass media and grassroots efforts, internet-based viral marketing campaigns and peer counseling. Fiscal Year 2009: No Current Data Available Fiscal Year 2010: No Current Data Available
Criteria for Selecting Proposals
Please refer to the Program Guidance.
