Affordable Care Act (ACA) Nursing and Home Health Aides Training Program

To train nurse and home health aides to provide care in complex health care environments.

These training programs could be offered on-campus, at alternate sites, and through distance education methodologies and could enable the aides to receive college credits for future advancement opportunities.

program would ensure that we have competent nursing and home health aides with acquire skills that would be transportable to any job market in the Nation.

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.

Renata Thompson, Division of Nursing, Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 9-36, Rockville, MD 20857.

Telephone: (301) 443-6193.
Website Address

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Infrastructure training grants are awarded to eligible applicant organizations for project to strengthen and enhance the capacity of nursing and home health aide training programs.

This will enable individuals to enter into a nursing or home health aide position and gain entry into the nursing career ladder.

Funds may be used for the development, testing, and demonstration of training programs for nursing home aides and home health aides on-campus, at alternate sites, and through distance education methodologies.

Restricted Uses: Indirect costs under training grants to organizations other than state, local or Indian tribal governments will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment.

Eligibility Requirements

Applicant Eligibility

Grants may be made to colleges or community-based training programs.

Beneficiary Eligibility

Beneficiary Eligibility: Students, the general public, etc.


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.


Application Procedures

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

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.


Contact the headquarters or regional office, as appropriate, for application deadlines.


Public Health Service Act, Title VIII, Section 831, 42 U.S.C. 296p, as amended by the Patient Protection and Affordable Care Act (Public Law111-148); Conference Report, H. Rept. 111-366, Division D, Title II at 997 (referencing S. Rept. 111-66), accompanying the Consolidated Appropriations Act, 2010, Public Law 111-117.

Range of Approval/Disapproval Time

From 90 to 120 days. For application deadline, refer to funding opportunity announcement.


Not Applicable.


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.

Length and Time Phasing of Assistance

Competing and competing continuation grant applications are submitted for three (3) 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


Status Reports

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.


Submit 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 (EHBs) system at


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

See below.

See above for additional information.

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

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 for additional information.

See above.


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.


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

75-0321-0-1-550 - (75-321-2010).


(Project Grants) FY 09 not reported.; FY 10 est $2,605,000; FY 11 est not reported. - Newly created program in FY 2010.

Range and Average of Financial Assistance

Up to $250,000 per grantee; Approximately 10 new awards.

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

Information Contacts

Regional or Local Office

See Regional Agency Offices. Renata Thompson, Division of Nursing, Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 9-36, Rockville, MD 20857. Telephone: (301) 443-6193.

Headquarters Office

Renata Thompson, Division of Nursing, Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 9-36, Rockville, Maryland 20857 Phone: (301) 443-6193.

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. In making awards of grants under this section, preference will be given to any qualified applicant with a project that will substantially benefit rural or underserved populations, or help meet public health nursing needs in State in local health departments.

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