Opportunity Information: Apply for HRSA 11 126
Apply for HRSA 11 126
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Affordable Care Act (ACA) Infrastructure to Expand Access to Care Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.502 Affordable Care Act (ACA) Infrastructure to Expand Access to Care.
- This funding opportunity was created on Sep 27, 2010 and posted on Aug 18, 2010.
- Applicants must submit their applications by Oct 4, 2010. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $100,000,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Institutions of Higher Education shall be affiliated with an academic health center at a public research university in the United States that contains a State s sole public academic medical and dental school. Governor must certify that 1. The new health care facility is critical for the provision of greater access to health care within the State 2. Such facility is essential for the continued financial viability of the State s sole public medical and dental school and its academic health center 3. The request for Federal support represents not more than 40 percent of the total cost of the proposed new facility and 4. The State has established a dedicated funding mechanism to provide all remaining funds necessary to complete the construction or renovation of the propose facility. Institutions of Higher Education shall be affiliated with an academic health center at a public research university in the United States that contains a State s sole public academic medical and dental school. Governor must certify that 1. The new health care facility is critical for the provision of greater access to health care within the State 2. Such facility is essential for the continued financial viability of the State s sole public medical and dental school and its academic health center 3. The request for Federal support represents not more than 40 percent of the total cost of the proposed new facility and 4. The State has established a dedicated funding mechanism to provide all remaining funds necessary to complete the construction or renovation of the propose facility.
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Opportunity Summary:
The Affordable Care Act (ACA) Infrastructure to Expand Access to Care Program (Funding Opportunity Number HRSA 11 126) is a discretionary grant program run by the Health Resources and Services Administration (HRSA) to help finance major health care facility projects that increase access to care. At its core, the program provides federal funding either to cover debt service for eligible facility financing or to pay directly for construction or renovation of a health care facility. The facilities supported under this opportunity are those that deliver research functions, inpatient tertiary care, and/or outpatient clinical services, with the overall intent of expanding a state's health care capacity and improving patient access through strengthened infrastructure.
This opportunity was designed as an ACA-aligned infrastructure investment, meaning it focuses less on short-term service delivery and more on the physical and financial foundation required to serve more patients over time. Rather than funding routine operations, the grant targets the large capital costs that can prevent institutions from building, expanding, or modernizing clinical environments. By supporting debt service or direct build/renovation activity, the program aims to accelerate facility readiness and help ensure that high-impact clinical and academic health care institutions can meet growing demand.
Funding for the program was substantial but limited in reach. HRSA estimated total funding at $100,000,000, with only 1 expected award, indicating a highly competitive process oriented toward a single large-scale project with statewide implications. The funding instrument type is a grant, and the CFDA number associated with the program is 93.502 (Affordable Care Act (ACA) Infrastructure to Expand Access to Care). The program also includes a cost sharing or matching requirement, meaning the federal award was intended to cover only a portion of total project costs and required non-federal resources to complete the full scope of work.
Eligibility was narrow and highly specific, centered on a particular type of public academic health infrastructure. Eligible applicants were institutions of higher education that are affiliated with an academic health center at a public research university in the United States, and that public research university must house the state's sole public academic medical and dental school. In addition to meeting this institutional requirement, the application had to be supported by a formal certification from the state's governor. The governor's certification needed to affirm four key points: first, that the new health care facility is critical to providing greater access to health care within the state; second, that the facility is essential to the continued financial viability of the state's sole public medical and dental school and its academic health center; third, that the federal request represents no more than 40 percent of the total cost of the proposed facility; and fourth, that the state has established a dedicated funding mechanism to provide all remaining funds needed to complete the construction or renovation. Taken together, these requirements show that HRSA intended to fund a project that was both strategically essential and financially secured, with the state committed to covering the majority share and ensuring completion.
The timeline for the opportunity reflects a short application window. The opportunity was posted on August 18, 2010, with an original closing date of September 30, 2010, later extended to October 4, 2010. The opportunity was archived on December 2, 2010. HRSA provided applicant support through its call center for those who had trouble accessing the announcement, with contact available by email (CallCenter@HRSA.GOV) and by phone through the HRSA Call Center.
Overall, this grant opportunity can be understood as a one-time, high-dollar infrastructure investment meant to help a qualifying state academic health center expand or modernize facilities that deliver advanced inpatient and outpatient care and support research. The structure of the program, especially the single expected award and the governor certification and state funding mechanism requirements, signals an emphasis on statewide importance, long-term institutional stability, and readiness to execute a large capital project with a clear plan for full financing beyond the federal share.
FAQs: ACA Infrastructure to Expand Access to Care Program (HRSA 11-126)
What is the ACA Infrastructure to Expand Access to Care Program (HRSA 11-126)?
It is a discretionary grant program run by the Health Resources and Services Administration (HRSA) designed to help finance major health care facility projects that increase access to care. The program focuses on large-scale infrastructure investment rather than routine service delivery or day-to-day operations.
What is the main purpose of this funding opportunity?
The purpose is to expand a state's health care capacity and improve patient access by strengthening physical infrastructure. The program targets major facility projects that enable institutions to serve more patients over time.
What kinds of projects does the program support?
The opportunity supports major health care facility construction or renovation projects, as well as eligible facility financing where federal funds are used to cover debt service. The emphasis is on high-impact capital costs that can delay or prevent facility readiness.
How can grant funds be used under this program?
Funds may be used either (1) to cover debt service for eligible facility financing, or (2) to pay directly for construction or renovation of a health care facility. The program is aimed at major facility costs rather than operational expenses.
What types of facilities are intended to be supported?
The facilities supported are those that deliver research functions, inpatient tertiary care, and/or outpatient clinical services, with the overall intent of increasing access to care through strengthened infrastructure.
Is this program intended to fund routine operations or service delivery?
No. The program is described as an infrastructure investment aligned with the Affordable Care Act (ACA), focusing on the physical and financial foundation needed to serve more patients over time, rather than routine operations.
How much funding was available?
HRSA estimated total program funding at $100,000,000.
How many awards were expected?
Only 1 award was expected, indicating a highly competitive process oriented toward a single large-scale project with statewide implications.
What is the funding instrument type?
The funding instrument type is a grant.
What CFDA number is associated with this program?
The CFDA number listed for this program is 93.502, titled "Affordable Care Act (ACA) Infrastructure to Expand Access to Care)."
Does the program require cost sharing or matching?
Yes. The opportunity includes a cost sharing or matching requirement, meaning the federal award was intended to cover only a portion of total project costs and required non-federal resources to complete the project.
What is the maximum share of total project costs that the federal request could represent?
The governor's certification had to affirm that the federal request represents no more than 40 percent of the total cost of the proposed facility.
Who was eligible to apply?
Eligibility was narrow. Eligible applicants were institutions of higher education that are affiliated with an academic health center at a public research university in the United States, where that public research university houses the state's sole public academic medical and dental school.
Was a governor's certification required as part of the application?
Yes. The application had to be supported by a formal certification from the state's governor.
What did the governor's certification need to confirm?
The certification needed to affirm four points: (1) the new facility is critical to providing greater access to health care within the state; (2) the facility is essential to the continued financial viability of the state's sole public medical and dental school and its academic health center; (3) the federal request is no more than 40 percent of the total cost; and (4) the state has established a dedicated funding mechanism to provide all remaining funds needed to complete construction or renovation.
What does it mean that the state must have a dedicated funding mechanism for the remaining funds?
Based on the stated requirement, the state needed to have an established, dedicated mechanism to provide all non-federal funding necessary to complete the project, ensuring the full scope could be financed beyond the federal share.
When was the opportunity posted?
The opportunity was posted on August 18, 2010.
What was the application deadline?
The original closing date was September 30, 2010, and it was later extended to October 4, 2010.
When was the opportunity archived?
The opportunity was archived on December 2, 2010.
How could applicants get help if they had trouble accessing the announcement?
HRSA provided applicant support through its call center. Applicants could contact the HRSA Call Center by email at CallCenter@HRSA.GOV or by phone through the HRSA Call Center.
What does the program structure suggest about competitiveness and project scale?
The combination of $100,000,000 in estimated funding, only 1 expected award, and the required governor certification and state funding mechanism suggests the competition was aimed at a single, large-scale, statewide-significance infrastructure project with a strong financing plan.
What is the overall intent of this grant opportunity in practical terms?
The overall intent is to help a qualifying state academic health center expand or modernize facilities that provide advanced inpatient and outpatient care and support research, accelerating facility readiness and improving access through long-term infrastructure investment.
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