Affordable Care Act (ACA) Primary Care Residency Expansion Program

The Primary Care Residency Expansion program is a 5-year initiative aimed at increasing the number of primary care residents trained in a primary care specialty.

The program"s purpose is to increase new residency training positions over and above the currently number being trained.

The
program increases enrollment in primary care residency programs through funding additional resident stipends.

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.

Shane Rogers, Division of Medicine and Dentistry, Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 9-05, Rockville, MD 20857.

Telephone: (301) 443-5260.
Website Address

http://www.hrsa.gov



Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Funds may only be used to fund an accredited family medicine, general internal medicine or general pediatric residency program.

Restricted Uses:
Applicants may request support for only one residency program.

Funds may only be used to fund an accredited family medicine, general internal medicine or general pediatric residency program with a funding preference for a program with a community health center as a major participating site and a funding priority for programs with significant community-based clinical rotation(s).



Program funding may only be used to support the cost of resident stipends.

Personnel, staffing, fringe benefits, consultant cost, travel, equipment, supplies, subcontracts and other items are strictly prohibited under this grant award.

Eligibility Requirements

Applicant Eligibility

Eligible applicants include public or nonprofit private hospitals, schools of medicine or osteopathic medicine or a public or private nonprofit entity of which the Secretary has determined is capable of carrying out such grants.

Applicants may request support for only one residency program (discipline).

Beneficiary Eligibility

Primary Care Residency Students.

Credentials/Documentation

Applicants should review the individual HRSA funding opportunity announcement 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. This program is excluded from coverage under OMB Circular No. A-87.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not 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. Grant applications and required forms for this program can be obtained from Grants.gov. HRSA requires all applicants to apply electronically through Grants.gov.

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

Public Health Service Act, Title VII, Section 747, as amended by the Patient Protection and Affordable Care Act (Public Law 111-148); Conference Report, H. Rept. 111-366, Division D (referencing S. Rept. 111-66), accompanying the Consolidated Appropriations Act, 2010, Public Law 111-117.

Range of Approval/Disapproval Time

From 60 to 90 days.

Appeals

Not Applicable.

Renewals

Competing continuation applications may be submitted for continuance of a grant beyond the initial project period. A competing continuation application shall be submitted during the beginning of the last year of the initial project period. The submission date is the same for new applications and competing continuation applications. These applications are reviewed in the same manner and at the same time as new competing applications.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
This program has no matching requirements.
This program has MOE requirements, see funding agency for further details. Total allocations will be over $100 million. Refer to the funding opportunity announcement specific award amounts. There are no additional requirements.

Length and Time Phasing of Assistance

Competing and competing continuation grant applications are submitted for five (5) years of support. 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.

Post Assistance Requirements

Reports

Status Reports
1.

Submit a Financial Report.

A financial report is required within 90 days of the end of each budget period.

The report is an accounting of expenditures under the project that year.



2.

Submit a Progress Report(s).


All Bureau of Health Professions grantees are required to submit a progress report to HRSA on an annual basis.

This report entitled, "BHPr Progress Report," has two parts.

The first part demonstrates grantee progress on program-specific goals.

The second part collects core performance measurement data to measure the Bureau s progress through its grantees in: (1) improving the distribution, diversity, and quality of the healthcare workforce, (2) improving the educational environment infrastructure, and (3) increasing students selection of primary care education.

Progress reports are generally due in August each year and must be submitted on-line by grantees in the Electronic Handbooks system at https://grants.hrsa.gov/webexternal/home.asp.

3.

Submit a Final Report.
All BHPr grantees are required to submit a final report within 90 days after the project period ends.

The final report collects program-specific goals, core performance measurement data, grantee objectives and accomplishments, barriers encountered, and responses to summary questions regarding the grantee s overall experiences over the entire project period.

The final report must be submitted on-line by grantees in the Electronic Handbooks system at https://grants.hrsa.gov/webexternal/home.asp.

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.

Failure to submit the report may result in the inability to access award funds.

Go to www.dpm.psc.gov for additional information.

See above or refer to funding opportunity announcement.

See above.

Refer to the funding opportunity announcement for additional information.

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 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.

Financial Information

Account Identification

75-0350-0-1-550 - TAFS: 75-0350X.

Obigations

(Project Grants) FY 09 $0; FY 10 est $168,000,000; FY 11 est $36,372,375 - Newly created program in FY 2010.

Range and Average of Financial Assistance

$1,900,000 per award over a 5-year period.

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.

Information Contacts

Regional or Local Office

See Regional Agency Offices. Shane Rogers, Division of Medicine and Dentistry, Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 9-05, Rockville, MD 20857. Telephone: (301) 443-5260.

Headquarters Office

Shane Rogers, 5600 Fishers Lane, Room 9-05, Rockville, Maryland 20857 Phone: (301) 443-5260.

Criteria for Selecting Proposals

Approval of an application will be based on an analysis of the factors set forth in the application. See the section on Application Review in the funding opportunity announcement. The program has a funding preference for those programs with a community health center as a major participating site and it has a funding priority for programs with significant community-based clinical rotation(s). HRSA is placing an emphasis on program evaluation and prefers to fund applicants with processes in place to assess the impact and outcome of the program.



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