The State Flexibility to Stabilize the Market Grant Program

The State Flexibility to Stabilize the Market Grant Program will provide a funding source to enhance the role of states in the implementation and planning for several of the Federal market reforms and consumer protections under Part A of Title XXVII of the Public Health Service Act (PHS Act).

The
State Flexibility to Stabilize the Market Grants will provide states with the opportunity to ensure their laws, regulations, and procedures are in line with Federal requirements, and enhance the states? ability to effectively regulate their respective health insurance markets through innovative measures that support the pre-selected market reforms and consumer protections under Part A of Title XXVII of the PHS 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 - None.

N/A.



Selected Recipients for this Program


RecipientAmount Start DateEnd Date
Insurance, Idaho Department Of $ 278,684   2018-12-192020-12-18
Department Of Commerce Minnesota $ 274,593   2018-12-062020-12-05
Insurance Commissioner, Washington State $ 284,135   2018-08-202020-08-19
Department Of Insurance For State Of Kentucky $ 279,183   2018-08-202020-08-19
Commerce And Consumer Affairs, Hawaii Department Of $ 278,528   2018-08-202020-08-19
Insurance, Pennsylvania Department Of $ 290,203   2018-08-202020-08-19
Insurance, Indiana Department Of $ 283,955   2018-08-202020-08-19
State Corporation Commission, Virginia $ 285,093   2018-08-202020-08-19
Insurance, North Carolina Department Of $ 283,873   2018-08-202020-08-19
Consumer And Business Services, Oregon Department Of $ 282,754   2018-08-202020-08-19



Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Applicants may use grant funds for a variety of planning and implementation objectives related to the pre-selected market reforms and consumer protections under Part A of title XXVII of the PHS Act , including but not limited to implementing or enhancing policy form review, hiring or contracting with a clinician to review formularies, developing actuarial and economic analyses, and performing market scans of the respective state?s health insurance market to assess the current healthcare and coverage landscape.

The Department of Health and Human Services funds for The State Flexibility to Stabilize the Market Grant Program may not be used for any of the following: cover the costs to provide direct services to individuals; to match any other Federal funds; provide services, equipment, or supports that are the legal responsibility of another party under Federal or State law (e.g.; vocational rehabilitation or education services) or under any civil rights laws; supplant existing State, local, Tribal, or private funding of infrastructure or services such as staff salaries, etc.; provide goods or services not allocable to the approved budget; be used by local entities to satisfy state matching requirements; pay for construction; pay for capital expenditures for improvements to land, buildings, or equipment which materially increase their value or useful life as a direct cost, except with the prior written approval of the Federal awarding agency; pay for the cost of independent research and development, including their proportionate share of indirect costs (unallowable in accordance with 45 CFR 75.476); or to use as profit to any award recipient even if the award recipient is a commercial organization, (unallowable in accordance with 45 CFR 75.215(b)), except for grants awarded under the Small Business Innovative Research (SBIR) and Small Business Technology Transfer Research (STTR) programs (15 U.S.C.

638).

Profit is any amount in excess of allowable direct and indirect costs.

Eligibility Requirements

Applicant Eligibility

This Funding Opportunity Announcement is open to all fifty States and the District of Columbia for planning and/or implementing one or more of the three pre-selected market reforms and consumer protections in Part A of title XXVII of the PHS Act.

Only one application per state is permitted, except in a state in which there is more than one regulating entity, each with a primary responsibility over the regulation of a portion of the private health insurance market.

Beneficiary Eligibility

Grants to States' (including the District of Columbia) for planning and/or implementing the market reforms and consumer protections in Part A of title XXVII of the PHS Act.

Credentials/Documentation

Applicants should review the CMS 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. 2 CFR 200, Subpart E - Cost Principles 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

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Grant applications and required forms for this program can be obtained from Grants.gov. CMS 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 CMS 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

Feb 26, 2018 to Apr 05, 2018 A Letter of Intent is mandatory and must be submitted by 5:00 pm Eastern Daylight Time on February 26, 2018. All grant applications must be submitted electronically and be received through http://www.grants.gov by 3:00 pm Eastern Daylight Time on April 5, 2018.

Authorization

Patient Protection and Affordable Care Act (PPACA), Section 1003 For all authorizations/amendments, you must supply the Act or the Executive Order in order to continue.

Range of Approval/Disapproval Time

From 30 to 60 days. From 30 to 60 days.

Appeals

Not Applicable.

Renewals

Section 1003 of the ACA provides for funding to be awarded between Fiscal Year 2010 and Fiscal Year 2014. Section 2794(c)(2)(B) of the Public Health Service Act specifies that if there are any appropriated Rate Review Grant funds that are not fully obligated by the end of Fiscal Year 2014, such amounts shall remain available to the Secretary for grants to states for planning and implementing the insurance market reforms and consumer protections under Part A of title XXVII of the PHS Act. Refer to the Funding Opportunity Announcement for additional information on subsequent grants authorized and awarded 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. 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 through Fiscal Year 2020. See the following for information on how assistance is awarded/released: Awards will be created and released by GrantSolutions. Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards. Duration of grant program: June 6, 2018 ? June 5, 2020. Method of awarding/releasing assistance: quarterly. Method of awarding/releasing assistance: quarterly.

Post Assistance Requirements

Reports

Quarterly, Annual, and Final programmatic reports are required in the Funding Opportunity Announcement.

Federal Financial Reports (FFR) 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 https://pms.psc.gov/grant_recipients/ffrinformation.html for additional information.

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.

Required Semi-Annual and Final Progress Reports.

Grantees must provide HHS with information such as, but not limited to, project status, implementation activities initiated, accomplishments, barriers, and lessons learned in order to ensure that funds are used for authorized purposes.

Such performance includes submission of the state?s progress toward the milestones identified in its Work Plan.

HHS reserves the right to restrict funds for activities related to unmet milestones.

Recipients must submit annual expenditures information through submission of a Federal Financial Report (FFR).

All recipients are required to report on expenditures at least annually.

Performance monitoring is not applicable.

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.

Required Semi-Annual and Final Progress Reports.

Grantees must provide HHS with information such as, but not limited to, project status, implementation activities initiated, accomplishments, barriers, and lessons learned in order to ensure that funds are used for authorized purposes.

Such performance includes submission of the state?s progress toward the milestones identified in its Work Plan.

HHS reserves the right to restrict funds for activities related to unmet milestones.

Recipients must submit annual expenditures information through submission of a Federal Financial Report (FFR).

All recipients are required to report on expenditures at least annually.

Performance monitoring is not applicable.

Audits

In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.

Records

Grantees are required to maintain grant accounting records for 3 years after the date they submit the final 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

75-0112-0-1-551.

Obigations

(Cooperative Agreements) FY 17 Not Available; FY 18 est $8,000,000; and FY 19 Estimate Not Available

Range and Average of Financial Assistance

Grantees will receive a minimum of $156,000 as a baseline award amount.

Regulations, Guidelines, and Literature

This program is subject to 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards implemented by HHS regulation 45 CFR Part 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards.

Information Contacts

Regional or Local Office

None. N/A.

Headquarters Office

Jim Taing 200 Independence Avenue, SW, Hubert H. Humphrey Building, Washington, District of Columbia 20201 Email: james.taing@cms.hhs.gov Phone: 301-492-4182

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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Edited by: Michael Saunders

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