Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review

A program to assist States in a) in reviewing and, if appropriate under State law, approving premium increases for health insurance coverage, and b) in providing information and certain data requirements to the HHS Secretary on premium increase patterns c) grant funds may also be used to establish data
centers that will compile and publish fee schedule information.

Refer to funding opportunity announcement for additional information.

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.

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Grant funds are to be used as outlined in Section 1003 of the Affordable Care Act (ACA).

Grant funds that are not fully obligated under this, or subsequent grant programs authorized under Section 1003 of the ACA, by FY 2014 can remain available to the Secretary for grants to States for planning and implementing the insurance reforms and consumer protections outlined in Section 1003 of the ACA.

Eligibility Requirements

Applicant Eligibility

Grants to States" (including the District of Columbia) Department of Insurance for premium review.

Beneficiary Eligibility

Grants to States" Department of Insurance for premium review.


Applicants should review the OCIIO 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. OMB Circular No. A-87 applies to this program.

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. This program is excluded from coverage under OMB Circular No. A-110. Grant applications and required forms for this program can be obtained from The Office of Consumer Information and Insurance Oversight 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 OCIIO program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing by a Notice of Grant Award.


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


Patient Protection and Affordability Care Act, Section 1003, as amended by Public Health Service Act, Title XXVII, Part C, Section 2794.

Range of Approval/Disapproval Time

From 30 to 60 days.


Not Applicable.


Section 1003 of the ACA provides for a 5-year program of grants to states for premium review; subsequent grants under Section 1003 will be awarded on an annual basis.

Refer to funding opportunity announcement for additional information on subsequent grants awarded for premium review authorized under Section 1003 of ACA.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program.
Matching requirements are not applicable to this program.
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 for the remainder of FY 2010 and FY 2011. 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.

Post Assistance Requirements


Annual program reports, annual program service reports, and special data reports as required in the funding opportunity announcement.

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 grant funds.

Go to for additional information.

Annual financial reports and annual narrative progress reports are required.

Submit a Financial Status Report (FSR or SF-269) directly to OS.

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

The Financial Status Report must be filed semi-annually or annually depending on the terms and conditions of award.

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

As described in the funding opportunity announcement.


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 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.

Financial Information

Account Identification



(Project Grants) FY 09 $0; FY 10 est $51,000,000; FY 11 est $51,000,000

Range and Average of Financial Assistance


Regulations, Guidelines, and Literature

This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments or 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable.

OCIIO 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


Headquarters Office

Jacqueline R. Roche, Department of Health and Human Services, 200 Independence Avenue, SW, Hubert H. Humphrey Building
, Washington DC, District of Columbia 20201 Email: Phone: (202) 260-6094.

Criteria for Selecting Proposals

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.

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