Grants to Increase Organ Donations

 

The Living Organ Donation Reimbursement Program (formerly the Reimbursement of Travel and Subsistence Expenses Incurred toward Living Organ Donation): Funds made available through this program help to remove financial barriers to living organ donation by including travel, lost wages, child-care, and elder-care expenses incurred by a caregiver. 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. Increasing Organ Donation Awareness Grant Program: Funds under this notice may not be used for the following purposes: to purchase or improve land, or to purchase, construct, or make permanent improvements to any building except for minor remodeling; to make payments to recipients of services, except for reimbursement of reasonable and allowable out-of-pocket expenses associated with participation in project activities; nor to support: (a) biomedical and clinical research; (b) the development and/or assessment of the efficacy of new or improved clinical methods of donor management, organ recovery, or organ preservation; (c) fundamental research focused on new or improved evaluation tools and methodologies; (d) fundamental research focused on the development of new behavioral theories relevant to health attitudes, practices, and decision-making interventions inconsistent with existing Federal law; (e) to conduct interventions to increase tissue donation alone; (f) to evaluate clinical outcomes of donation after cardiac death (DCD) organs; (g) to fund staff time devoted to project activities that is being supported by other sources. Lost Wages Support for Living Organ Donors (Demonstration Project): funds under this notice may not be used for the following purposes: (a) Support for blood, bone marrow, and blood stem cell donation; (b) Reimbursement for travel and related expenses for living organ donors; (c) Reimbursement for any lost wages expenses and similar expenses if this support is available under other state or prepaid health or insurance program or employer benefits. All Programs: Funds may not be used for activities that are reimbursable under Medicare.

General information about this opportunity
Last Known Status
Active
Program Number
93.134
Federal Agency/Office
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Fiscal Year 2016 Fiscal Year 2016: The University of Arizona in collaboration with the American Society of Transplant Surgeons continue to operate the Program through the National Living Donor Assistance Center (NLDAC). Through the end of March 2017, the NLDAC has received 7,257 applications for reimbursement and has facilitated 3,831 living donor transplants. The median household income for transplant recipients whose transplant was facilitated by NLDAC is $26,914. The average reimbursement to donors and companions is $2,319. The NLDAC, since its inception, has paid out $12.58 million to approved applicants including actual donors. Increasing Organ Donation Awareness Grant Program:. A broad spectrum of interventions to increase donation has been implemented at the national, State, and local levels by a variety of public and private organizations, ranging from large-scale national media and public education programs and statewide donor registries to community-based activities to raise awareness among various population groups. These projects have contributed to the knowledge base about important factors associated with the donation decision-making process and methods for motivating people to make the commitment to become deceased organ donors and educating the public about living donation.
Fiscal Year 2017 The University of Arizona in collaboration with the American Society of Transplant Surgeons continues to operate the Program through the National Living Donor Assistance Center (NLDAC). From September 1, 2017 through the end of February 2018, the NLDAC received 470 applications for reimbursement and facilitated 224 living donor transplants. Since its inception in October 2007 through the end of February 2018, the NLDAC received 8,808 applications for reimbursement and facilitated 4,273 living donor transplants. The median household income for transplant recipients whose transplant was facilitated by NLDAC is $27562. The average reimbursement to donors and companions is $2,313. The NLDAC, since its inception, has paid out $14.55 million to approved applicants including actual donors. Increasing Organ Donation Awareness Grant Program: A broad spectrum of interventions to increase donation has been implemented at the national, State, and local levels by a variety of public and private organizations, ranging from large-scale national media and public education programs and statewide donor registries to community-based activities to raise awareness among various population groups. These projects have contributed to the knowledge base about important factors associated with the donation decision-making process and methods for motivating people to make the commitment to become deceased organ donors as well as educating the public about living donation and vascularized composite allograft (VCA) donation.
Fiscal Year 2018 Fiscal Year 2018: Fiscal Year 2018: The University of Arizona in collaboration with the American Society of Transplant Surgeons continues to operate the Program through the National Living Donor Assistance Center (NLDAC). At the end of calendar year 2018, there were 355 transplant programs in the United States participating in NLDAC. In calendar year 2018, NLDAC received 1,055 applications for assistance and approximately 88 percent (or 930) met the NLDAC eligibility guidelines. NLDAC provided more than $1.8 million in travel expense reimbursement and facilitated 584 living organ transplants. The median household income of the transplant recipients was approximately $27,519 and the donors’ median household income was approximately $35,229. Increasing Organ Donation Awareness Grant Program: A broad spectrum of interventions to increase donation has been implemented at the national, State, and local levels by a variety of public and private organizations, ranging from large-scale national media and public education programs and statewide donor registries to community-based activities to raise awareness among various population groups. These projects have contributed to the knowledge base about important factors associated with the donation decision-making process and methods for motivating people to make the commitment to become deceased organ donors as well as educating the public about living donation and vascularized composite allograft (VCA) donation. Fiscal Year 2018: No Current Data Available Fiscal Year 2019: No Current Data Available Lost Wages Support for Living Organ Donors (Demonstration Project Fiscal Year 2018: No Current Data Available Fiscal Year 2019: No Current Data Available-New grant to be awarded in FY2019.
Fiscal Year 2019 Fiscal Year 2019 A new grant was awarded to the University of Kansas in the FY 2019 grant cycle. The University of Kansas in collaboration with the American Society of Transplant Surgeons continues to operate the Program through the National Living Donor Assistance Center (NLDAC). At the end of calendar year 2019, there were 355 transplant programs in the United States participating in NLDAC. In calendar year 2019, NLDAC received 1,040 applications for assistance, and 904 (87 percent) met the NLDAC eligibility guidelines. NLDAC provided approximately $1.8 million in travel expense reimbursement and facilitated 594 living organ transplants. The median household income of the transplant recipients was $31,772 and the donors’ median household income was $45,798. Increasing Organ Donation Awareness Grant Program: A broad spectrum of interventions to increase donation has been implemented at the national, State, and local levels by a variety of public and private organizations, ranging from large-scale national media and public education programs and statewide donor registries to community-based activities to raise awareness among various population groups. These projects have contributed to the knowledge base about important factors associated with the donation decision-making process and methods for motivating people to make the commitment to become deceased organ donors as well as educating the public about living donation and vascularized composite allograft (VCA) donation. Lost Wages Support for Living Organ Donors (Demonstration Project Fiscal Year 2019 New grant was awarded in FY2019 to Arbor Research Collaborative for Health for the project period of June 1, 2019 to May 31, 2020. At the end of project year there were a total of 10 lost wage reimbursement applications and 147 donation surveys. This survey is administered to potential organ donors at various stages of the decision-making process. During the project period, the grantee also launched a new website with program information and with the option to submit applications online. The website includes a new application summary page that allows the grantee to view and edit travel and/or lost wages application information at a glance. Specific emphasis throughout the process has been on website usability. Outreach materials were also produced including educational videos and brochures.
Fiscal Year 2020 The Living Organ Donation Reimbursement Program: At the end of calendar year 2020, there were close to 3360 transplant programs in the United States participating in NLDAC. In calendar year 2020, NLDAC received more than 800 applications for assistance, and more than 725 (89 percent) met the NLDAC eligibility guidelines. NLDAC provided approximately $1.3 million in travel expense reimbursement and facilitated nearly 350 living organ transplants. The median household income of the transplant recipients was $30,670 and the donors’ median household income was $52,094. Since its inception in 2007, the NLDAC received more than 11,000 applications for financial assistance and facilitated more than 6,000 living organ transplants. The NLDAC has provided more than $20 million in financial assistance to living donors and potential donors. Increasing Organ Donation Awareness Grant Program: A broad spectrum of interventions to increase donation has been implemented at the national, State, and local levels by a variety of public and private organizations, ranging from large-scale national media and public education programs and statewide donor registries to community-based activities to raise awareness among various population groups. These projects have contributed to the knowledge base about important factors associated with the donation decision-making process and methods for motivating people to make the commitment to become deceased organ donors as well as educating the public about living donation and vascularized composite allograft (VCA) donation.
Fiscal Year 2021 The Living Organ Donation Reimbursement Program: At the end of calendar year 2021, there were 286 transplant programs in the United States participating in the National Living Donor Assistance Center (NLDAC). In calendar year 2021, NLDAC received more than 1,600 applications for assistance, and more than 1,490 (89 percent) met the NLDAC eligibility guidelines. NLDAC provided approximately $3.9 million in travel expense reimbursement and facilitated 924 living organ transplants. The median household income of the transplant recipients was $34,673 and the donors’ median household income was $54,673. Since its inception in 2007, the NLDAC received more than 12,561 applications for financial assistance and facilitated more than 6,975 living organ transplants. The NLDAC has provided more than $26 million in financial assistance to living donors and potential donors.
Fiscal Year 2022 The Living Organ Donation Reimbursement Program: In FY 2022, 374 transplant programs in the U.S. participated in the National Living Donor Assistance Center (NLDAC). During that time, NLDAC received 1,987 applications for assistance, 1,803 of which or 90.7 percent met the NLDAC eligibility guidelines. NLDAC provided more than $4.5 million in financial assistance and facilitated 1,111 living organ transplants. The median household income of the transplant recipients was $36,275 and the donors’ median household income was $57,010. Since its inception in 2007, the NLDAC received more than 12,561 applications for financial assistance and facilitated more than 6,975 living organ transplants. The NLDAC has provided more than $26 million in financial assistance to living donors and potential donors. Increasing Organ Donation Awareness Grant Program: A broad spectrum of interventions to increase donation has been implemented at the national, State, and local levels by a variety of public and private organizations, ranging from large-scale national media and public education programs and statewide donor registries to community-based activities to raise awareness among various population groups. These projects have contributed to the knowledge base about important factors associated with the donation decision-making process and methods for motivating people to make the commitment to become deceased organ donors as well as educating the public about living donation and vascularized composite allograft (VCA) donation.
Authorization
The Living Organ Donation Reimbursement Program: Section 377 of the Public Health Service (PHS) Act, as amended, 42 U.S.C. Section 274f. Increasing Organ Donation Awareness: Section 377A(b) of the Public Health Service (PHS) Act, as amended, 42 U.S.C. Section 274f-1(b). Lost Wages Support for Living Organ Donors (Demonstration Project): Section 377A(b) of the Public Health Service (PHS) Act, as amended, 42 U.S.C. 274f-1(b).
The Living Organ Donation Reimbursement Program: Section 377 of the Public Health Service (PHS) Act, as amended, 42 U.S.C. Section 274f. Increasing Organ Donation Awareness: Section 377A(b) of the Public Health Service (PHS) Act, as amended, 42 U.S.C. Section 274f-1(b). Lost Wages Support for Living Organ Donors (Demonstration Project): Section 377A(b) of the Public Health Service (PHS) Act, as amended, 42 U.S.C. 274f-1(b).
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
The Living Organ Donation Reimbursement Program: As specified in Section 377 of the Public Health Service Act, as amended, eligible applicants of the Living Organ Donation Reimbursement Program include States, transplant centers, qualified organ procurement organizations under section 371, or other public or 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 comply with the final rule governing the operation of the OPTN Section 121.11(b2). Faith-based, community organizations and Federally Recognized Indian Tribal Government and Native American Organizations are eligible to apply. Increasing Organ Donation Awareness 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; knowledge about opportunities for, and the risks and benefits associated with living donation; and knowledge about vascularized composite allografts (VCA) and willingness to become a VCA deceased donor or provide authorization for a deceased relative to become a VCA donor. 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 comply with the final rule governing the operation of the OPTN Section 121.11(b2). Faith-based, community organizations and Federally Recognized Indian Tribal Government and Native American Organizations are eligible to apply. Lost Wages Support for Living Organ Donors (Demonstration Project): 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 comply with the final rule governing the operation of the OPTN Section 121.11(b2). Faith-based, community organizations and Federally Recognized Indian Tribal Government and Native American Organizations are eligible to apply.
Beneficiary Eligibility
The Living Organ Donation Reimbursement Program: Primary beneficiaries are low/moderate income living organ donors and recipients. Increasing Organ Donation Awareness Grant Program: Beneficiaries of the grant efforts are patients on the national transplant waiting list. Lost Wages Support for Living Organ Donors (Demonstration Project): Beneficiaries include patients on the national transplant waiting list as well as potential living organ donors.
Credentials/Documentation
Applicants should review the individual HRSA notice of funding opportunity (NOFO) under this assistance listing 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 required. 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. 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 Award.
Deadlines
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
More than 180 days. Up to 200 days from application deadline
Appeals
Not applicable.
Renewals
Not applicable.
How are proposals selected?
Please refer to the notice(s) of funding opportunity (NOFO).
How may assistance be used?
The Living Organ Donation Reimbursement Program helps remove financial barriers to living organ donation by reimbursing costs for travel, lost wages, child-care, and elder-care expenses incurred by a caregiver.
What are the requirements after being awarded this opportunity?
Reporting
Not applicable.
Auditing
Not applicable.
Records
Grantees are required to maintain grant accounting records for 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 formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
The Living Organ Donation Reimbursement Program Cooperative Agreement is awarded for up to five, 12-month budget periods. Increasing Organ Donation Awareness Research grants are awarded for up to three, 12-month budget periods. Lost Wages Support for Living Organ Donors (Demonstration Project) is awarded for up to three 12-month budget periods. Lost Wages Support for Living Organ Donor (Demonstration Project) is awarded for up to three 12-month budget periods. See the following for information on how assistance is awarded/released: For the programs described above, grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards. Method of awarding/releasing assistance: For all three programs described above grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards. HRSA uses a competitive grant process for a new award under this program using an independent review process. An objective review committee consisting of external reviewers review, score, and rank all applications submitted under this program announcement. The independent review process provides an objective evaluation to the individuals responsible for making award decisions. The highest-ranked applications receive consideration for an award. HRSA may also consider the assessment of risk prior to making an award. HRSA will issue the Notice of Award prior to the start date.
Who do I contact about this opportunity?
Regional or Local Office
The Living Organ Donation Reimbursement Program Vanessa Arriola, Division of Transplantation, Healthcare Systems Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 08W0, Rockville, MD 20857. Telephone: 301-443-4564. Increasing Organ Donation Awareness Grant Program: Mesmin Germain, MBA, MPH, Division of Transplantation, Healthcare Systems Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 08W50, Rockville, MD 20857. Telephone:301-443-0053. Lost Wages Support for Living Organ Donors (Demonstration Project): Mesmin Germain, MBA, MPH, Division of Transplantation, Healthcare Systems Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 08W50, Rockville, MD 20857, Telephone: (301) 443-0053.
Headquarters Office
Division of Transplantation,
5600 Fishers Lane, 08W49
Rockville, MD 20857 US
VWalker@hrsa.gov
Phone: (301) 443-7578.
Website Address
http://www.organdonor.gov_and_www.hrsa.gov
Financial Information
Account Identification
75-0357-0-1-550
Obligations
(Cooperative Agreements) FY 22$9,700,000.00; FY 23 est $7,000,000.00; FY 24 est $8,000,000.00; FY 21$9,711,636.00; FY 20$8,150,000.00; FY 19$2,265,545.00; FY 18$4,381,564.00; FY 17$3,508,854.00; FY 16$4,857,109.00; - Cooperative Agreement - The Living Organ Donation Reimbursement Program(Project Grants) FY 22$0.00; FY 23 est $0.00; FY 24 est $0.00; FY 21$0.00; FY 20$1,188,689.00; FY 19$3,250,000.00; FY 18$2,744,196.00; FY 17$2,790,204.00; FY 16$1,795,729.00; - Project Grants- Increasing Organ Donation Awareness(Cooperative Agreements) FY 22$0.00; FY 23 est $0.00; FY 24 est $0.00; FY 21$0.00; FY 20$0.00; FY 19$1,992,684.00; FY 18$0.00; FY 17$0.00; - Cooperative Agreement- Lost Wages Support for Living Organ Donors (Demonstration Project)
Range and Average of Financial Assistance
The Living Organ Donation Reimbursement Program: HRSA makes one cooperative agreement award under this program with a 5-year performance period. Increasing Organ Donation Awareness Grant Program: no funding in FY 2022 and FY 2023. Lost Wages Support for Living Organ Donors (Demonstration Project): no funding in FY 2022 and FY 2023.
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.
Examples of Funded Projects
Not applicable.

 



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