Affordable Care Act (ACA) Grants for School-Based Health Center Capital Expenditures

The goal of the program is to award funds made available by the Patient Protection and Affordable Care Act (Health Reform) that will support school-based health center efforts to expand capacity to provide primary healthcare services to school-aged children.

This competitive funding opportunity
will be available to new and existing school-based health centers to address significant and pressing capital improvement needs, including: construction, repair, renovation, and the purchase of equipment.
Examples of Funded Projects

Fiscal Year 2009: No Current Data Available Fiscal Year 2010: The types of projects that HRSA anticipates funding will consist of, but not limited to the following:

• New construction/addition to an existing or new site;
• Renovation of an existing or newly acquired site;
• Minor modifications/repairs to an existing site;
• The purchase and installation of modular units;
• The purchase of mobile vans; and
• Purchase of moveable equipment.

Fiscal Year 2011: No Current Data Available


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.

Matthew Kozar, Public Health Analyst, Office of Policy and program Development, Bureau of Primary Health Care, Health Resources and Services Administration, Room 17C-26, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857.

Telephone: (301) 443-1034, and e-mail address mkozar@hrsa.gov.
Website Address

http://www.hrsa.gov




Program Accomplishments

Not Applicable.

Uses and Use Restrictions

An eligible entity shall use funds provided under an awarded grant only for expenditures for facilities (including the acquisition or improvement of land, or the acquisition, construction, expansion, replacement, or other improvement of any building or other facility), equipment, or similar expenditures.

No funds provided shall be used for expenditures for personnel or to provide health services.

See above and funding opportunity announcement.

Eligibility Requirements

Applicant Eligibility

To be eligible for a grant under this subsection, an entity shall be a school-based health center or a sponsoring facility of a school-based health center.



A school-based health center is defined as a health clinic that:

1.

Is located in or near a school facility of a school district or board of an Indian tribe or tribal organization;
2.

Is organized through school, community, and health provider relationships;
3.

Is administered by a sponsoring facility;
4.

Provides through health professionals primary health services to children in accordance with State and local law, including laws relating to licensure and certification; and
5.

Satisfies such other requirements as a State may establish for the operation of such a clinic.

A sponsoring facility includes any of the following:

1.

A hospital
2.

A public health department
3.

A community health center
4.

A non-profit health care agency
5.

A school or school system
6.

A program administered by the Indian Health Service or the Bureau of Indian Affairs or operated by an Indian tribe or a tribal organization.

Beneficiary Eligibility

Beneficiary Eligibility: School-based health centers or a sponsoring facility of a school-based health center.

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. OMB Circular No. A-87 applies to this program.

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

OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. 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

Patient Protection and Affordable Care Act of 2010, Title IV, Section 4101,
Public Law 111-148.

Range of Approval/Disapproval Time

From 90 to 120 days. Deadlines are included in the Funding Opportunity Announcement. You may also contact the headquarters for application deadlines or www.hrsa.gov.

Appeals

Not Applicable.

Renewals

Not Applicable.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program.
Matching requirements are not applicable to this program.
MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

Project periods are for 2 years. 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

A progress report must be submitted quarterly.

A final progress report and final Federal Financial Report (FFR) must be submitted within 90 days after the end of the project period.

See below.

A progress report must be submitted quarterly.

A final progress report and final Federal Financial Report (FFR) must be submitted within 90 days after the end of the project period.

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.

Performance monitoring is not applicable.

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

07-0352-0-1-035 - TAFS number 75-0352/x.

Obigations

(Salaries) FY 09 $0; FY 10 est $50,000,000; FY 11 est $50,000,000

Range and Average of Financial Assistance

$25,000 to $350,000; $250,000.
It is anticipated that approximately 1,000 applications will be received and 350 awards will be made in fiscal year 2011.

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. Matthew Kozar, Public Health Analyst, Office of Policy and program Development, Bureau of Primary Health Care, Health Resources and Services Administration, Room 17C-26, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-1034, and e-mail address mkozar@hrsa.gov.

Headquarters Office

Matthew Kozar, Office of Policy and Program Development, Bureau of Primary Health Care, Health Resources and Services Administration, Room 17C-26, Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20857 Email: mkozar@hrsa.gov Phone: (301) 443-1034.

Criteria for Selecting Proposals

All applications will be evaluated by an Objective Review Committee to determine the extent to which the applicant addresses the Review Criteria outlined in Section V of the funding opportunity announcement.


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