Grants to Increase Organ Donations
To support grants for the purpose of increasing public commitment to organ donation and ultimately the number of organs recovered and transplanted. To that end, the Division of Transplantation has cooperative agreements and grant programs with the following objectives: Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation: The purpose of this program is to operate a national system to provide reimbursement of travel and subsistence expenses, and other non-medical expenses that may be authorized by the Secretary to individuals making living donations of their organs. Increasing Organ Donation Awareness Grant Program: This program provides support for the implementation and rigorous evaluation of highly promising strategies and approaches for: increasing public attitudes, practices and commitment to deceased organ donation as evidenced by donor registry enrollment as well as family consent at a relative?s time of death; the option of living donation and its risks and benefits and methods to promote large scale adaptation of successful interventions.
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.
Authorization
Reimbursement of Travel and Subsistence Expenses Incurred toward Living Organ Donation: 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
Reimbursement of Travel and Subsistence Expenses Incurred toward Living Organ Donation: As specified in Section 377 of the Public Health Service Act, as amended, eligible applicants 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
Reimbursement of Travel and Subsistence Expenses Incurred toward Living Organ Donation: 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 living organ donors and recipients of live organ donation.
Credentials/Documentation
Applicants should review the individual HRSA notice of funding opportunity under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is required. An environmental impact statement is required for this listing. An environmental impact assessment is required for this listing. 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. Pre-application coordination is required. 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. 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
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.
How may assistance be used?
Reimbursement of Travel and Subsistence Expenses Incurred toward Living Organ Donation: 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 (e) interventions inconsistent with existing Federal law; (f) to implement efforts to promote living donation; (g) to conduct interventions to increase tissue donation alone; (h) to evaluate clinical outcomes of donation after cardiac death (DCD) organs; (i) 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.
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 Reimbursement of Travel and Subsistence Expenses Incurred toward Living Organ Donation 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. 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. 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.
Who do I contact about this opportunity?
Regional or Local Office
Reimbursement of Travel and Subsistence Expenses Incurred toward Living Organ Donation: 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. Increasing Organ Donation Awareness Grant Program: Venus Walker, Division of Transplantation, Healthcare Systems Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 08W49D53C, Rockville, MD 20857. Telephone:301-443-7578 . Lost Wages Support for Living Organ Donors (Demonstration Project): Melanie A. Deal, Division of Transplantation, Healthcare Systems Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 08W53D, Rockville, MD 20857, Telephone: (301) 443-9412
Headquarters Office
Division of Transplantation,
5600 Fishers Lane, 08W49
Rockville, MD 20857 US
VWalker@hrsa.gov
Phone: (301) 443-7578.
Website Address
http://www.hrsa.gov
Financial Information
Account Identification
75-0357-0-1-550
Obligations
(Project Grants) FY 18$4,381,564.00; FY 19 est $2,265,545.00; FY 20 est $2,688,688.00; FY 17$3,508,854.00; FY 16$4,857,109.00; - Increasing Organ Donation Awareness(Cooperative Agreements) FY 18$2,744,196.00; FY 19 est $3,250,000.00; FY 20 est $3,250,000.00; FY 17$2,790,204.00; FY 16$1,795,729.00; - Reimbursement of Travel and Subsistence Expenses Incurred toward Living Organ Donation Program(Cooperative Agreements) FY 18$0.00; FY 19 est $1,992,684.00; FY 20 est $1,991,574.00; FY 17$0.00; - Lost Wages Support for Living Organ Donors (Demonstration Project)
Range and Average of Financial Assistance
Reimbursement of Travel and Subsistence Expenses Incurred toward Living Organ Donation: one award up to $3,250,000 Increasing Organ Donation Awareness Grant Program: $301,992 to $548,075; $398,324. Lost Wages Support for Living Organ Donors (Demonstration Project): one award up to $2,000,000.
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
Fiscal Year 2016 Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation: The grantee through partnership with other private non-profit entities established the National Living Donor Assistance Center to operate this national program to support living donors. The current 5-year grant was awarded in FY 2014 and runs through the end of FY 2018. Increasing Organ Donation Awareness Grant Program Fiscal Year 2016: Funded projects include: 1) Deceased organ donation registration among people over 50 years old: (example: University of Pittsburgh "Patients Save Lives: Integrating Real-Time Electronic Form Generation into Primary Care Office Procedures to Test and Tailor Donor Designation Messages to People Age 50 and older); 2) Family discussion and knowledge about donation among adolescents, and actual registration among adolescents, where possible (example: University of Illinois, "A randomized controlled experiment to evaluate a multi-faceted driver education curriculum"); and 3) Knowledge about the opportunities for and risks and benefits of living organ donation (example: "Beth Israel Deaconess Medical Center, Inc. "Kidney Paired Donation: A randomized trial to increase knowledge and informed decision-making).
Fiscal Year 2017 Three projects were funded. Two focused on increasing awareness and knowledge about opportunities for as well as the risks and benefits associated with living donation. These grantees and their project titles are the University of Chicago, “Informing American Muslims about Organ Donation,” and Johns Hopkins University, “Implementation of the Live Donor Champion Program. ” The third funded project focused on increasing 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. The grantee is Beth Israel Deaconess Medical Center whose project focused on “Increasing VCA Donation Knowledge, Attitudes, Willingness, and Designations in Veterans.”).
Fiscal Year 2018 Fiscal Year 2018: Reimbursement of Travel and Subsistence Expenses Incurred toward Living Organ Donation: The grantee through partnership with other private non-profit entities established the National Living Donor Assistance Center to operate this national program to support living donors. The current 5-year grant was awarded in FY 2014 and runs through August 31, 2019. Increasing Organ Donation Awareness Grant Program Fiscal Year 2018: Three projects were funded. Two focused on increasing awareness and knowledge about opportunities for as well as the risks and benefits associated with living donation. These grantees and their project titles are Erie County Medical Center Corporation, “Living Donation and Kidney Transplantation Information Made Easy (Kidneytime) with Animated Video Education,” and, University of California, Los Angeles, “Ensuring Informed Decision-Making for Paired Kidney Donation: A National Kidney Registry Education Collaborative. The third funded project focused on increasing 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. The grantee is Beth Israel Deaconess Medical Center whose project focused on “A Randomized Trial to Increase Donor Registration and VCA Donation Willingness in Veterans.”
Fiscal Year 2019 This funding opportunity was not offered.