State Planning and Establishment Grants for the Affordable Care Act (ACA) s Exchanges

To provide assistance to States for activities (including planning activities) related to establishing an Exchange that facilitates the purchase of qualified health plans, provides for the establishment of a Small Business Health Options Program (SHOP Exchange), and meets the requirements set forth by
the Secretary and the Affordable Care Act.

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.

Michelle T.

Feagins, Office of Consumer Information and Insurance Oversight, Department of Health and Human Services, 200 Independence Ave, SW, Washington DC 20201.



Program Accomplishments

Fiscal Year 2009: No Current Data Available. Fiscal Year 2010: $48,790,077.00 obligated to 48 States and DC for planning activities) related to establishing an Exchange that meets the requirements set forth by the Secretary and the Affordable Care Act. Fiscal Year 2011: States can use these funds for the establishment of the Exchanges, including information technology, that meets the requirements set forth by the Secretary and the Affordable Care Act that are explained in the funding opportunity announcement.

Uses and Use Restrictions

Grant funds are to be used for planning and implementation activities related to setting up a health insurance Exchange.

Eligibility Requirements

Applicant Eligibility

Eligible applicants for the State Planning and Establishment Grants for the Affordable Care Act"s Exchanges are States (including DC).

Beneficiary Eligibility

Projects will benefit States or entities authorized by the State that will set up Exchanges in States.

Credentials/Documentation

Applicants should review the 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.

12372.

Application Procedures

OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. Grant applications and required forms for this program can be obtained from Grants.gov. OCIIO 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.

Deadlines

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

Authorization

Affordable Care Act, Section 1311(a).

Range of Approval/Disapproval Time

From 30 to 60 days.

Appeals

Not Applicable.

Renewals

The FY 2010 planning grant has a 1-year project period. The FY 2011 IT grant has a 2-year project period.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program.
This program has no matching requirements. Statutory formulas are not applicable to this program.
This program does not have MOE requirements.

Length and Time Phasing of Assistance

Federal Fiscal Year 2010: Grants awarded to 48 States and DC for a one year project period to conduct planning activities related to establishment of their Exchanges.
Federal Fiscal Year 2011: Grant funding for this funding opportunity announcement will be awarded in Federal Fiscal Year 2011 for a two year project period. 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

Reports

Final Report could include a draft implementation plan, needs assessment, list of resources, and an evaluation plan.

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 www.dpm.psc.gov for additional information.

Quarterly Reports required under the FY 2010 planning grant.

FY 2011 IT grant requires a Semi-Annual Project Report- includes information on project status, implementation activities initiated, accomplishments, barriers, and lessons learned in order to ensure that funds are used for authorized purposes and instances of fraud, waste, error, and abuse are mitigated.

Also includes changes in workplan components and progress on goals, objectives, and activities.

Public Report - States post information about the grants on their respective websites.

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 semiannually or annually depending on the terms and conditions of award.

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

Performance Review - as described in the funding opportunity announcement.

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 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

75-0115-0-1-551.

Obigations

(Project Grants) FY 09 $0; FY 10 est $48,790,077; FY 11 est not reported. - Fiscal Year 11 To be determined.

Range and Average of Financial Assistance

FY 2010 planning grants: Up to $1 million for each grant. FY 2011 IT grants: In determining grant amounts, OCIIO will look for efficiencies and consider if the proposed budget is sufficient and reasonable to support the activities proposed in the State s application.

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 http://dhhs.gov/asfr/ogapa/aboutog/ogpoe.html.

Information Contacts

Regional or Local Office

See Regional Agency Offices. Michelle T. Feagins, Office of Consumer Information and Insurance Oversight, Department of Health and Human Services, 200 Independence Ave, SW, Washington DC 20201.

Headquarters Office

Michelle T. Feagins, 200 Independence Ave., SW. , Washington, District of Columbia 20201 Email: michelle.feagins@hhs.gov Phone: (301) 492-4312.

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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