Health Center Regulatory Issues

HRSA Funding Opportunities Announced

Last week, the Health Resources and Services Administration (HRSA) announced two important funding opportunities, the new FY2015 Service Area Competition (SAC) and Supplemental Ryan White Funding. See below for more information on both announcements.

 

FY 2015 Service Area Competition Has Been Released

On June 19, 2014, HRSA issued the FY 2015 Service Area Competition (SAC) application.  In total, there will be eight rounds throughout FY 2015 for project periods beginning November 1, 2014 through June 1, 2015.  HRSA anticipates awarding approximately $591,000,000.00 in funding to 242 applicants.  Similar to prior years, each round will have a distinct Funding Opportunity Announcement (FOA) with its own application package.  Although the applications generally are the same with the exception of the submission deadlines and the service areas available for competition, it is vital that each applicant use the application package that matches its FOA – failure to do so will result in an ineligible application that will not be reviewed and could result in awarding the funds to another applicant or a re-competition of the service area.

Presently, the first four (4) rounds have been announced for project periods beginning:

  •  November 1, 2014 – grants.gov submission of July 23; EHB submission of August 6
  • December 1, 2014 – grants.gov submission of July 30; EHB submission of August 13
  • January 1, 2015 – grants.gov submission of August 13; EHB submission of August 27
  • February 1, 2015 – grants.gov submission of August 27; EHB submission of September 10

HRSA anticipates announcing the next two rounds (with 2015 start dates of March 1 and April 1) on September 10, 2014 and the final two rounds (with 2015 start dates of May 1 and June 1) on October 8, 2014.

Eligible applicants must be organizations that propose to serve an existing service area and its population as specified in the Service Area Announcement Table.  The Table identifies which service areas are available for competition in FY 2015 and pertinent information for each area (such as project period start date, city and state, available funding, respective target population, patient origin and service area zip codes, percentage of patients from each zip code, total patient projection).  Similar to prior years, the applicant must propose a project that: (1) serves all existing target populations (including any special populations); (2) reflects zip codes from where at least 75% of the current patients reside; and (3) requests annual funding that does not exceed the amount specified in the Table.

In a change from prior years, the applicant can propose to serve less than 100% of the patient projection specified in the Table, provided that the proposal will serve at least 75% of the projection by December 31, 2016 and the funding requested is reduced consistent with the SAC instructions.  HRSA indicated that it will hold all grantees accountable for their stated patient projections – if a grantee is unable to demonstrate compliance within 5% of its projection by December 31, 2016, HRSA may proportionately reduce the funding for the service area.  Other changes from prior years include:

  • Availability of 5 priority points for current grantees renewing their existing projects if the grantee has no unresolved grant conditions in the 60-day, 30-day or default phases of the Progressive Action process at the time of submission.
  • Availability of an additional 5 priority points for current grantees renewing their existing projects if they meet the aforementioned and can demonstrate a positive or neutral 3-year patient growth trend (must meet both of these requirements to receive the additional 5 points).
  • Modifications to the standard forms based on HRSA policies issued this past year regarding governance, budgeting and scope of project.

The new SAC also revises the criteria for awarding a one-year project period (as opposed to the standard 3-year period).  Applicants who meet one or more of the following will be awarded a one-year project period:

  •  Current grantee or new applicant has 10 or more grant conditions based on non-compliance with Program Requirements including existing unresolved conditions as well as those that would be placed on the grant based on the SAC application.
  • Current grantee has 3 or more unresolved grant conditions based on non-compliance with Program Requirements that are in the 60-day phase of the Progressive Action process.
  • Current grantee has 1 or more unresolved grant condition(s) based on non-compliance with Program Requirements that are in the 30-day phase of the Progressive Action process.

It is crucial that applicants submit proposals that do not exceed the available funding and that meet all of the other eligibility criteria.  An application that fails to comply with all eligibility requirements will be considered ineligible for funding, which could result in awarding the funds to another applicant or a re-competition of the service area. The FY 2015 SAC Technical Assistance page can be accessed at .  From that page, applicants can access, among other things: (1) the specific FOAs; (2) the Service Area Announcement Table; (3) the chart listing all submission dates; (4) Frequently Asked Questions; (5) eligibility criteria; and (6) links to technical assistance resources, program specific forms that are part of the application, and applicable performance measures.

 

HRSA Announces Availability of Supplemental Ryan White Part D Funding

On June 25, 2104, HRSA published a notice in the Federal Register announcing the availability of a one-time only non-competitive program expansion supplement under the Ryan White HIV/AIDs Part D program.  These supplemental awards will be provided to Part D grantees for the purpose of supporting interventions that will positively impact the HIV health outcomes of women, infants, children, and youth in the grantees’ communities.  All 115 existing grantees are eligible for the funds, which will be awarded in amount not to exceed the lesser of $150,000.00 or 25% of each FY 2014 grant award with a maximum cumulative amount not to exceed $12,177,374.00. The project period for these supplemental funds will be 11 months, starting August 1, 2014 through June 30, 2105.