Affordable Care Act (ACA) Advanced Nursing Education Expansion Initiative


The purpose of the Advanced Nursing Education Expansion (ANEE) Initiative is to 1) increase the number of students enrolled full time in accredited primary care Nurse Practitioner and Nurse Midwifery programs, and 2) accelerate the graduation of part time student in such programs by encouraging full time enrollment.

General information about this opportunity
Last Known Status
Deleted 04/02/2020 (Archived.)
Program Number
Federal Agency/Office
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration
Type(s) of Assistance Offered
Project Grants
Program Accomplishments
Not Applicable.
Title VIII of the Public Health Service Act, Section 811 (42 U.S.C. 296j), as amended by the Affordable Care Act, Public Law 111-148.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Eligible applicants are collegiate schools of nursing, academic health centers, and other private or public entities accredited by a national nursing accrediting agency recognized by the Secretary of the U.S. Department of Education that offers and has students enrolled in primary care nurse practitioner programs and/or a nurse-midwifery program. The nurse midwifery program must be accredited by the Accreditation Commission on Midwifery Education. Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible.
Beneficiary Eligibility
Project participants (students) must be U.S. Citizens, non-citizen nationals, or foreign nationals who possess visas permitting permanent residence in the United States. Individuals on temporary student visas are not eligible. Students must be enrolled full-time in a primary care nurse practitioners and/or nurse-midwifery program during the project period.
Applicants should review the individual HRSA funding opportunity announcement issued under this CFDA program for any required proof or accreditation which must be submitted with an application package. Grantees must include an accreditation documentation letter from a national nursing accrediting agency with their application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.
What is the process for applying and being award this assistance?
Pre-Application Procedure
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
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through

All eligible, 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. Notification is made in writing by a Notice of Award.
Award Procedure
Notification of award is made in writing (electronic) by a Notice of Award.
Contact the headquarters or regional office, as appropriate, for application deadlines.
Approval/Disapproval Decision Time
From 120 to 180 days.
Not Applicable.
Not Applicable.
How are proposals selected?
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 non-Federal expert consultant(s) for technical merit recommendations. See the most recent Funding Opportunity Announcement for detailed selection criteria.
How may assistance be used?
The grantee is responsible for the disbursement of grant funds to eligible students. Stipend grant funds may be used as follows:

1) ANEE grant funds are used to support stipends awarded under the terms of the Notice of Award.
2) Stipends for students cannot exceed $22,000 per year.
3) Full tuition and fees, reasonable living expenses and other educational costs are allowable costs.
4) Trainee travel (including daily commuting costs) is not an allowable expense.
5) Indirect Costs (Facilities and Administrative - F&A Costs) are applicable to the ANEE Program.

Restricted Uses: Indirect costs under training awards to organizations other than State, local or American Indian tribal governments will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment.

Student support through stipends, tuition, and fees is eligible for support.

Personnel, staffing, consultant cost, equipment, travel and subcontracts are prohibited under this grant award. Furthermore, funding may not be used for fringe benefits.
What are the requirements after being awarded this opportunity?
The recipient will be required to submit semi-annual performance and annual progress reports. A Federal Financial Report (SF-425) is required according to the schedule in HRSA’s Application Guide. A final report is due within 90 days after the project period ends. If applicable, the recipient 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 (The FFATA details are available online at Competing continuation recipients, etc. may be subject to this requirement and will be so notified in the Notice of Award. Cash reports are not applicable. Progress reports are not applicable. Expenditure reports are not applicable. Performance monitoring is not applicable.
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.
Recipients 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.
Other 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. The recipient must agree to maintain non-federal funding for grant activities at a level which is not less than expenditures for such activities during the fiscal year prior to receiving the award.
Length and Time Phasing of Assistance
This funding opportunity provides support for a 5-year project, with funding for the entire five year budget period awarded in the first year of support. See the following for information on how assistance is awarded/released: Recipients draw down funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Who do I contact about this opportunity?
Regional or Local Office
See Regional Agency Offices. Miryam Gerdine, Project Officer, Behavioral and Public Health Branch, Division of Nursing and Public Health, Bureau of Health Workforce, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 9C-05, Rockville, Maryland 20857 Phone: (301) 443-6760, Email:
Headquarters Office
Kellie Gilchrist, 5600 Fishers Lane, Room 9C-05, , Rockville, Maryland 20857 Email: Phone: 301-443-1077
Website Address
Financial Information
Account Identification
(Project Grants) FY 14 $0; FY 15 est $0; and FY 16 est $0 - All funds were awarded in FY10 with a five year budget and project period.
Range and Average of Financial Assistance
Up to $22,000 per full-time student for each year of the two-year program enrollment per student.

FY 2010 range: $704,000 to $1,425,600: average: $1,194,009 (award amounts are for 5 years of funding per grantee).
Regulations, Guidelines and Literature
All administrative and audit requirements and the cost principles that govern Federal monies associated with this activity will be subject to the Uniform Guidance 2 CFR 200 as codified by HHS at 45 CFR 75.

HRSA awards are also 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
Examples of Funded Projects
Not Applicable.


Federal Grants Resources