The Health Insurance Enforcement and Consumer Protections Grant Program
The Health Insurance Enforcement and Consumer Protections grants will provide a funding source to assist states in implementing and planning several of the federal market reforms and consumer protections under Part A of Title XXVII of the Public Health Service Act. The Health Insurance Enforcement and Consumer Protections grants will provide states with the opportunity to ensure their laws, regulations, and procedures are in line with federal requirements and that states are able to effectively oversee and enforce the PHS Act?s title XXVII Part A provisions with respect to health insurance issuers.
General information about this opportunity
Last Known Status
Centers For Medicare and Medicaid Services, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Patient Protection and Affordable Care Act (PPACA), Section 1003
Who is eligible to apply/benefit from this assistance?
The Health Insurance Enforcement and Consumer Protections grant is open to all states that are currently enforcing the ACA market reforms and also for those states who are not currently enforcing the ACA market reforms to assist with their respective transition to an active enforcement role for all the market reforms and consumer protections under Part A of Title XXVII of the Public Health Service Act.
Grants to States' (including the District of Columbia) for planning and/or implementing the market reforms and consumer protections in Part A of title XXVII of the PHS Act.
Applicants should review the CMS funding opportunity announcement 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.
What is the process for applying and being award this assistance?
Preapplication coordination is not applicable.
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Grant applications and required forms for this program can be obtained from Grants.gov. CMS 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 CMS program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing by a Notice of Grant Award.
June 24, 2016 to July 25, 2016 A Letter of Intent is mandatory and must be submitted by 5:00 pm Eastern Daylight Time on July 6, 2016. All grant applications must be submitted electronically and be received through http://www.grants.gov by 3:00 pm Eastern Daylight Time on August 15, 2016.
Approval/Disapproval Decision Time
From 30 to 60 days.
Section 1003 of the ACA provides for funding to be awarded between Fiscal Year 2010 and Fiscal Year 2014. Section 2794(c)(2)(B) of the Public Health Service Act specifies that if there are any appropriated Rate Review Grant funds that are not fully obligated by the end of FY14, such amounts shall remain available to the Secretary for grants to states for planning and implementing the insurance market reforms and consumer protections under Part A of title XXVII of the PHS Act. Refer to funding opportunity announcement for additional information on subsequent grants awarded for premium review authorized under Section 1003 of ACA.
How are proposals selected?
Approval of an application will be based on an analysis of the factors set forth in Section V--Application Review in the funding opportunity announcement
How may assistance be used?
Grant funds can be used for a variety of planning and implementation objectives, including but not limited to implementing or enhancing policy form review, market conduct examinations, market analysis, financial examinations, and consumer complaint investigations with respect to the market reforms and consumer protections under Part A of title XXVII of the PHS Act.
What are the requirements after being awarded this opportunity?
Grantees are required to maintain grant accounting records 3 years after the date they submit the final Federal Financial Report. 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.
This program has MOE requirements, see funding agency for further details. Additional Information: This program has MOE requirements, see funding agency for further details.
Length and Time Phasing of Assistance
Grant funding for this funding opportunity announcement will be available through FY 2018. See the following for information on how assistance is awarded/released: Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards. October 31, 2016-October 30, 2018. See the following for information on how assistance is awarded/released: Awards will be created and released by GrantSolutions. Awards will be created and released by GrantSolutions.
Who do I contact about this opportunity?
Regional or Local Office
200 Independence Avenue
Washington, DC 20201 US
(Project Grants) FY 18$8,616,955.00; FY 19 Estimate Not Available FY 20 Estimate Not Available FY 17$25,547,052.00; FY 15$0.00; FY 16$0.00; -
Range and Average of Financial Assistance
Grantees will receive a minimum of $476,998 as a baseline award amount.
Regulations, Guidelines and Literature
This program is subject to 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards implemented by HHS regulation 45 CFR Part 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards.
Examples of Funded Projects