Affordable Care Act (ACA) Grants for Capital Development in Health Centers

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.

Website Address

Relevant Nonprofit Program Categories

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
Health, Florida Department Of $ 568,717   2021-09-152024-09-14
Knox, County Of $ 531,911   2021-09-152024-09-14
Monterey, County Of $ 1,017,066   2021-09-152024-09-14
Health, Florida Department Of $ 566,451   2021-09-152024-09-14
King, County Of $ 738,953   2021-09-152024-09-14
Medina County $ 539,391   2021-09-152024-09-14
Health & Human Services, North Carolina Department Of $ 609,571   2021-09-152024-09-14
Benton County $ 614,972   2021-09-152024-09-14
Hennepin County $ 485,954   2021-09-152024-09-14
Travis County Healthcare District $ 1,777,925   2021-09-152024-09-14

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Funds will be used to support the costs of alteration/renovation or construction of a facility that is consistent with the Health Center Program s mission - to provide comprehensive, culturally competent, quality primary healthcare services to medically underserved communities and vulnerable populations.

Eligibility Requirements

Applicant Eligibility

Eligibility is limited to currently-funded health centers (see 93.224).

Beneficiary Eligibility

Populations in medically underserved areas.


Applicants should review the individual HRSA funding opportunity announcement issued under the relevant 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. OMB Circular No. A-110 applies to this program. Eligibility is limited to currently-funded grantees under the Health Center Program. HRSA requires all applicants to apply electronically through

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.


The Patient Protection and Affordable Care Act of 2010, Title IV, Section 4101.

Range of Approval/Disapproval Time

Refer to the specific funding opportunity announcement issued under the s program for additional information.


Not Applicable.


Not Applicable.

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. Grant funds will be awarded for 1-5 years.

Length and Time Phasing of Assistance

Grant funds will be awarded for 1-5 years. See the following for information on how assistance is awarded/released: Refer to the relevant funding opportunity announcement for additional information. After Notices of Award are issued, funds are released in accordance iwth DHHS payment procedures, which may be through an Electronic Transfer System or a Monthly Case Request System.

Post Assistance Requirements


Refer to the relevant funding opportunity announcement for additional information.

Refer to the relevant funding opportunity announcement for additional information.

Refer to the relevant funding opportunity announcement for additional information.

Refer to the relevant funding opportunity announcement for additional information.

Refer to the relevant funding opportunity announcement for additional information.


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 end of a grant period. If any litigation, claim, negotiation, audit or other action involving the record 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



(Salaries) FY 09 $0; FY 10 est $0; FY 11 est $300,000,000 - Project Grants - Estimated obligations over the FY 2011 through FY 2015 are a total of $1.5 billion.

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 and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations.
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


Headquarters Office

Bureau of Primary Health Care, Health Resources and Services Administration 5600 Fishers Lane, Room 17C-26, Rockville, Maryland 20857 Phone: (301) 594-4300.

Criteria for Selecting Proposals

Refer to the funding opportunity announcement issued under this CFDA program for specific information on the review criteria used in evaluating all applications.

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Edited by: Michael Saunders

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