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.


Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Office - See Regional Agency Offices.

David Colwander, Chief, Facilities Monitoring Branch, Division of Facilities Compliance and Recovery, Healthcare Systems Bureau, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 10-105, Rockville, MD, 301 443-5656.
Website Address

http://www.hrsa.gov



Program Accomplishments

Fiscal Year 2009: Program not offered in FY 09. Fiscal Year 2010: FOA developed and announced. Fiscal Year 2011: No Current Data Available

Uses and Use Restrictions

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.

See answer provided above under item 70.

Funding is available for debt service on, or direct construction or renovation of a health care facility.

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.



Eligibility Requirements

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 OMB Circular No. A-87.

Aplication and Award Process

Preapplication Coordination

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.

An environmental impact assessment is required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

This program is excluded from coverage under OMB Circular No. A-102. OMB Circular No. A-110 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 Procedures

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.

Authorization

Title X, Section 10502 of the Patient Protection and Affordable Care Act of 2010 (Public Law 111-148).

Range of Approval/Disapproval Time

From 60 to 90 days.

Appeals

Not Applicable.

Renewals

Not Applicable.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
Matching Requirements: Percent: 40.%. 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.

Post Assistance Requirements

Reports

Grantee must submit quarterly progress and financial reports on the status of the project.

No cash reports are required.

Grantee must submit quarterly progress and financial reports on the status of the project.

Submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System.

The report identifies cash expenditures against the authorized funds for the grant.

The FFR Cash Transaction Reports must be filed within 30 days of the end of each quarter.

No performance monitoring is required.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.

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.

Financial Information

Account Identification

75-0350-0-1-550 - TAFS 75-0950-10/11.

Obigations

(Project Grants) FY 09 $0; FY 10 est $0; FY 11 est $99,900,000

Range and Average of Financial Assistance

One award will be made ($100,000,000).

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/hhsgrantspolicy.pdf.

Information Contacts

Regional or Local Office

See Regional Agency Offices. David Colwander, Chief, Facilities Monitoring Branch, Division of Facilities Compliance and Recovery, Healthcare Systems Bureau, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 10-105, Rockville, MD, 301 443-5656.

Headquarters Office

David Colwander, 5600 Fishers Lane, Room 10-105, Rockville, Maryland 20857 Phone: (301) 443-5656.

Criteria for Selecting Proposals

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.



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