Affordable Care Act (ACA) Infrastructure to Expand Access to Care

 

Grants are awarded to meet the cost of projects for debt service on, or direct construction or renovation of a health care facility that provides research, inpatient tertiary care, or outpatient clinical services. The facility must be affiliated with an academic health center at a public research university that contains a State’s sole public academic medical and dental school. The Governor must certify that: (1) the new health center is critical for the greater access to care in the State; (2) the new health center is essential for the continued viability of the medical and dental school and its academic health center; (3) the Federal support is up to 40 percent of the total cost of the project; and (4) the State has an established funding mechanism to provide the remaining funds to complete the project.

General information about this opportunity
Last Known Status
Active
Program Number
93.502
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.
Authorization
Title X, Section 10502 of the Patient Protection and Affordable Care Act of 2010 (Public Law 111-148).
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Institutions of Higher Education. Eligible applicants must have a project that requires debt service on, or direct construction or renovation of a health care facility that provides research, inpatient tertiary care, or outpatient clinical services. The project must be affiliated with an academic health center at a public research university that contains a State’s sole public academic medical and dental school.
Beneficiary Eligibility
Institutions of Higher Education, General Public.
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. The Governor must certify that: (1) the new health center is critical for the greater access to care in the State; (2) the new health center is essential for the continued viability of the medical and dental school and its academic health center; (3) the Federal support is up to 40 percent of the total cost of the project; and (4) the State has an established funding mechanism to provide the remaining funds to complete the project. This program is excluded from coverage under 2 CFR 200, Subpart E - Cost Principles.
What is the process for applying and being award this assistance?
Pre-Application Procedure
The National Environmental Policy Act of 1969 (NEPA), 42 U.S.C. 4321 (Public Law 91-190, Section 2, January 1, 1970, 83 Stat. 852), including Public Disclosure, Section 102 of NEPA, and E.O. 11514, requires Federal agencies to assess the environment impacts of major Federal actions, including construction projects supported in whole or in part through Federal contracts, grants, subsidies, loans, or other forms of funding assistance.

HRSA requires that applicants provide information on anticipated environmental impact as part of their applications. An environmental impact statement is required for this program. This program is excluded from coverage under E.O. 12372.
Application Procedure
This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. HRSA requires all applicants to apply electronically through Grants.gov.

Award Procedure
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.
Notification is made in writing by a Notice of Award.
Deadlines
Contact the headquarters or regional office, as appropriate, for application deadlines.
Approval/Disapproval Decision Time
From 60 to 90 days.
Appeals
Not Applicable.
Renewals
Not Applicable.
How are proposals selected?
All applications will be evaluated by an Objective Review Committee to determine the extent to which the applicant documents the following, such as: (1) the project is for debt service on, or direct construction or renovation of a health care facility that provides research, inpatient tertiary care, or outpatient clinical services; (2) the facility is affiliated with an academic health center at a public research university that contains a State’s sole public academic medical and dental school; (3) the Governor certifying that: (a) the new health center is critical for the greater access to care in the State; (b) the new health center is essential for the continued viability of the medical and dental school and its academic health center; (c) the Federal support is up to 40 percent of the total cost of the project; and (d) the State has an established funding mechanism to provide the remaining funds to complete the project.
How may assistance be used?
Funds must be used for debt service on or the construction or renovation of a health care facility that provides research, inpatient tertiary care, or outpatient clinical services. The facility must be affiliated with an academic health center at a public research university that contains a State’s sole public academic medical and dental school. The Federal support is up to 40 percent of the total cost of the project and the State must have an established funding mechanism to provide the remaining funds to complete the project.
What are the requirements after being awarded this opportunity?
Reporting
Grantee must submit quarterly progress reports on the status of the project via the Electronic Handbook. 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: http://www.hrsa.gov/grants/manage/technicalassistance/federalfinancialreport/ffrschedule.pdf. 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 http://www.hrsa.gov/grants/ffata.html). 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. No performance monitoring is required.
Auditing
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.
Records
Grantees are required to maintain grant accounting records 3 years after the date they submit the FFR. 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.
Other Assistance Considerations
Formula and Matching Requirements
This program has no statutory formula.
Matching Requirements: Percent: 60.%. 40 percent Federal support and 60 percent State funding mechanism to provide remaining funds to complete the project.
This program does not have MOE requirements.
Length and Time Phasing of Assistance
Grantee will be given 5 years to complete the project and drawdown the funds from the Payment Management System (PMS). See the following for information on how assistance is awarded/released: Grantee will drawdown 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. David Colwander, Chief, Facilities Services Branch, Division of Poison Control and Healthcare Facilities, Healthcare Systems Bureau, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 08W50, Rockville, MD, 301 443-5656.
Headquarters Office
David Colwander, 5600 Fishers Lane, Room 08W50, Rockville, Maryland 20857 Phone: (301) 443-5656.
Website Address
http://www.hrsa.gov
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Project Grants) FY 14 $0; FY 15 est $0; and FY 16 est $0
Range and Average of Financial Assistance
One award was made in FY 2011 for $99,943,199.
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: http://www.hrsa.gov/grants/hhsgrantspolicy.pdf.

Examples of Funded Projects
Not Applicable.

 



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