Affordable Care Act (ACA) Grants for Capital Development in Health Centers


To award Health Center Capital Development Grants for: (1) immediate facility improvements or (2) building capacity.

General information about this opportunity
Last Known Status
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.
Section 330(e)(3) of the Public Health Service Act, 42 U.S.C. 254b(e)(3); Section 10503(b) of the Patient Protection and Affordable Care Act of 2010, P.L. 111-148; and Division G, Title II, p. 2466, Consolidated and Further Continuing Appropriations Act, 2015, P.L. 113-235, Title IV, Section 4101.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Eligibility is limited to currently-funded health centers (see applicable Funding Opportunity Announcement available through for additional eligibility information).
Beneficiary Eligibility
Populations in medically underserved areas.
Applicants should review the applicable HRSA funding opportunity announcement(s) issued under the relevant program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an 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. Eligibility is limited to currently-funded grantees under the Health Center Program.

HRSA requires all applicants to apply electronically through
Award Procedure
All qualified applications will be forwarded to an objective review committee. Taking into consideration 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.
Contact the headquarters or regional office, as appropriate, for application deadlines.
Approval/Disapproval Decision Time
Refer to the applicable funding opportunity announcement(s) under this CFDA program for application deadlines.
Not Applicable.
Not Applicable.
How are proposals selected?
Refer to the applicable funding opportunity announcement(s) issued under this CFDA program for specific information on the review criteria used in evaluating applications.
How may assistance be used?
Funds will be used (1) to address immediate and pressing capital needs or (2) to support the costs of alteration/renovation or construction of a facility that is consistent with the Health Center Program’s mission – to provide comprehensive, culturally competent, quality primary healthcare services to medically underserved communities and vulnerable populations.
What are the requirements after being awarded this opportunity?
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. 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.
Grantees are required to maintain grant accounting records 3 years after the end of a grant period. If any litigation, claim, negotiation, audit or other action involving the record 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.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formulas are not applicable to this program.
Matching requirements are not applicable to this program.
MOE requirements are not applicable to this program.
Length and Time Phasing of Assistance
Grant funds will be awarded for up to 2 or 3 year budget/project periods. See the following for information on how assistance is awarded/released: After Notices of Award are issued, funds are released in accordance with HHS payment procedures, which may be through an Electronic Transfer System or a Monthly Cash Request System.
Who do I contact about this opportunity?
Regional or Local Office
See Regional Agency Offices. HRSA, 5600 Fishers Lane, Rockville, MD 20857. Northeast Division: (301) 594-4488; Central Southeast Division: (301) 594-4420; Southwest Division: (301) 480-1130; North Central Division: (301) 443-0111.
Headquarters Office
Bureau of Primary Health Care, Health Resources and Services Administration, 5600 Fishers Lane, Room 17C-26, Rockville, Maryland 20857 Phone: (301) 594-4300
Website Address
Financial Information
Account Identification
(Project Grants) FY 14 $35,700,000; FY 15 est $150,000,000; and FY 16 est $0
Range and Average of Financial Assistance
Varies. See applicable Funding Opportunity Announcement.
Regulations, Guidelines and Literature
This program is subject to the provisions of 45 CFR Part 75.

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
Examples of Funded Projects
Not Applicable.


Federal Grants Resources