ARRA - Grants to Health Center Programs


The American Recovery and Reinvestment Act of 2009 (ARRA) provided funds to support grants for the following purposes: (1) to establish new access points that will increase the number of underserved and uninsured persons with access to comprehensive primary and preventive health care (new access point); (2) to enable health centers to increases services at existing sites and to address spikes in demand to serve uninsured persons (increased demand for services); (3) to enable health centers to carry out alteration/repair/renovation projects; construction projects; health information technology and other equipment purchases (capital improvement projects); and (4) to support selected competitively-reviewed applications submitted by health centers to address significant and pressing capital improvement needs, including modernization, renovation, and construction (facility improvement projects).

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.
American Recovery and Reinvestment Act of 2009, Public Law 111-5., Public Law 111-5.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Eligible applicants for new access point funding were public and private non-profit entities, including tribal, faith-based and community based organizations that demonstrate the capability to effectively administer the grant. Eligibility for other opportunities were limited to currently-funded health centers (93.224).
Beneficiary Eligibility
Population groups in medically underserved areas.
Refer to the applicable HRSA funding opportunity announcements issued under this CFDA program for 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 was required for the new access points opportunity. An applicant under the new access opportunity was advised to 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. Preapplication coordination was not required for the other opportunities. 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
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Applications are generally solicited by a program announcement in Application were required electronically through Application and review procedures varied with the opportunity. Applications for new access points are subject to open competition. All currently-funded health centers were permitted to submit applications for increased demand for services and for capital improvement projects at funding levels targeted to each grantee based on that grantee’s current patient load.
Award Procedure
Qualified applications were forwarded to an objective review committee if applicable to the opportunity. Taking into consideration the objective review committee, the HRSA program official with delegated authority was responsible for final selection and funding decisions. Notification was made in writing by a Notice of Award.
Applicants who were selected for funding may be required to respond in a satisfactory manner to conditions placed on their application before funding may proceed. Letters of notification do not provide authorization to begin performance.
Not Applicable.
Approval/Disapproval Decision Time
Not Applicable.
Not Applicable.
Not Applicable.
How are proposals selected?
Refer to the applicable funding opportunity announcement.
How may assistance be used?
Funds may not be used to make cash payments to intended recipients of services. Specific restrictions were applicable to specific opportunities and were specified in applicable award notices. See above.
What are the requirements after being awarded this opportunity?
Program reports are not applicable. 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. No expenditure reports are required. No performance monitoring is required.
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 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 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.
This program has no matching requirements.
This program does not have MOE requirements.
Length and Time Phasing of Assistance
After Notices of Award are issued, funds are released after any applicable special conditions of the award are resolved to the satisfaction of the HRSA. After all conditions applicable to a project are resolved, funds are released in accordance with DHHS payment procedure. See the following for information on how assistance is awarded/released: Grantee 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.
Headquarters Office
Bureau of Primary Health Care 5600 Fishers Lane, Room 17C-26, Rockville, Maryland 20857 Phone: (301) 594-4300
Website Address
Financial Information
Account Identification
(Project Grants) FY 14 $0; FY 15 est $0; and FY 16 est $0
Range and Average of Financial Assistance
Refer to the applicable funding opportunity announcement.
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. 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.