Opportunity Information: Apply for HRSA 14 049

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.917 HIV Care Formula Grants.
  • This funding opportunity was created on Oct 11, 2013 and posted on Oct 10, 2013.
  • Applicants must submit their applications by Nov 25, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $75,000,000.00 to eligible and selected applicants.
  • The number of recipients for this funding is limited to 59 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification) State governments.
  • States that reported an ADAP waiting list and/or cost containment measures to HRSA since calendar year 2011 are eligible to apply for Limited New Competitive ADAP ERF Awards. All 50 States, the District of Columbia, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands are eligible to apply for funding if they meet the above requirement
Apply for HRSA 14 049

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Opportunity Summary:

The AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF) opportunity (HRSA-14-049) is a discretionary grant competition run by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), through its HIV/AIDS Bureau (HAB) and the Division of State HIV/AIDS Programs. It sits under the Ryan White HIV/AIDS Program Part B and is designed as an emergency funding tool that allows the Secretary to direct resources to help control disease epidemics. In practical terms, this funding is aimed at strengthening state and territorial ADAP programs when they are under acute strain, especially when people are being placed on ADAP waiting lists or when aggressive cost containment is needed to keep the program viable and prevent waiting lists from forming.

The core purpose of these limited new competing ADAP ERF awards is to provide additional resources to States and Territories that can clearly demonstrate they need extra funding to prevent, reduce, or eliminate ADAP waiting lists, or to implement cost cutting and cost saving steps that stabilize the program. HRSA emphasizes that awards are not automatic; applicants are expected to make a convincing case for need and to show that they have already taken meaningful steps to improve the cost effectiveness of ADAP operations in line with HRSA policies and recommendations. Applications are reviewed and scored by an external Objective Review Committee (ORC) using criteria published in the funding opportunity announcement, and the competition gives priority to proposals that address waiting lists.

A key program rule drives how awarded funds must be used, depending on a jurisdiction's situation. If a State or Territory has an ADAP waiting list that was reported to HRSA, then all funding awarded under this announcement must be used specifically to remove clients from that waiting list. If a State did not report a waiting list, then the funds must be used to address cost cutting measures and/or to support implementation of cost saving measures during the project period to prevent a waiting list from developing. The announcement provides examples of cost cutting pressures the funding can help address, such as situations where a state has reduced ADAP eligibility below 300 percent of the Federal Poverty Level (FPL) and/or reduced the formulary, including antiretroviral drugs and medications used to treat opportunistic infections or HIV/AIDS complications. In other words, the funding is tightly tied to either directly clearing a backlog of clients waiting for medication assistance or shoring up program financing so access does not collapse into a waiting list.

Eligibility is limited to government entities running ADAP at the State or Territory level. Specifically, States that have reported an ADAP waiting list and/or cost containment measures to HRSA at any point since calendar year 2011 are eligible to apply for these limited new competitive awards. The eligible jurisdictions include all 50 States, the District of Columbia, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands, as long as they meet the reporting-related eligibility requirement. There is no cost sharing or matching requirement listed for this opportunity, which means applicants are not required to contribute non-federal funds as a condition of award.

From a funding and administrative standpoint, the opportunity was posted on October 10, 2013 (created October 11, 2013), with an application closing date of November 25, 2013, and an archive date of January 24, 2014. HRSA anticipated up to 59 awards and listed an estimated total funding amount of $75,000,000. The CFDA number associated with this opportunity is 93.917 (HIV Care Formula Grants). The listing shows an award ceiling and floor of 0, which typically indicates that specific per-award amounts were not pre-set in the summary and would instead be determined based on need, availability of funds, and application scores.

For applicants needing help accessing the full announcement or navigating submission issues, HRSA directed inquiries to the HRSA Grants Application Center in Gaithersburg, Maryland, and to the HRSA Call Center (877-464-4772) or CallCenter@HRSA.GOV.

Frequently Asked Questions (FAQs): ADAP Emergency Relief Funds (ERF) - HRSA-14-049

What is the ADAP Emergency Relief Funds (ERF) opportunity (HRSA-14-049)?

The AIDS Drug Assistance Program (ADAP) Emergency Relief Funds (ERF) opportunity (HRSA-14-049) is a discretionary grant competition run by the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), through HRSA's HIV/AIDS Bureau (HAB) and the Division of State HIV/AIDS Programs.

What program does this funding fall under?

This opportunity sits under the Ryan White HIV/AIDS Program Part B and is intended to strengthen State and Territorial ADAP programs during periods of acute strain.

What is the main purpose of ADAP ERF awards?

The core purpose of these limited new competing awards is to provide additional resources to States and Territories that can demonstrate a need for extra funding to prevent, reduce, or eliminate ADAP waiting lists, or to implement cost cutting and cost saving steps that stabilize the ADAP program.

Is this funding intended to respond to emergencies?

Yes. The ERF mechanism is described as an emergency funding tool that allows the Secretary to direct resources to help control disease epidemics. Practically, the funds are targeted to situations where ADAP programs are under acute strain (for example, when waiting lists exist or when aggressive cost containment is required to keep the program viable).

Are awards automatic for eligible jurisdictions?

No. HRSA emphasizes that awards are not automatic. Applicants are expected to make a convincing case for need and show that they have already taken meaningful steps to improve the cost effectiveness of ADAP operations in line with HRSA policies and recommendations.

How are applications reviewed and selected?

Applications are reviewed and scored by an external Objective Review Committee (ORC) using criteria published in the funding opportunity announcement.

Does the competition prioritize any particular type of proposal?

Yes. The competition gives priority to proposals that address ADAP waiting lists.

How must awarded funds be used if a State or Territory has an ADAP waiting list?

If a State or Territory has an ADAP waiting list that was reported to HRSA, then all funding awarded under this announcement must be used specifically to remove clients from that waiting list.

How must awarded funds be used if a State or Territory did not report an ADAP waiting list?

If a State did not report a waiting list, then funds must be used to address cost cutting measures and/or to support implementation of cost saving measures during the project period to prevent a waiting list from developing.

What kinds of program pressures can these funds help address?

The announcement provides examples of cost cutting pressures this funding can help address, including situations where a State has reduced ADAP eligibility below 300 percent of the Federal Poverty Level (FPL) and/or reduced the formulary (including antiretroviral drugs and medications used to treat opportunistic infections or HIV/AIDS complications).

Who is eligible to apply for this opportunity?

Eligibility is limited to government entities running ADAP at the State or Territory level.

What specific eligibility condition is tied to reporting to HRSA?

States that have reported an ADAP waiting list and/or cost containment measures to HRSA at any point since calendar year 2011 are eligible to apply for these limited new competitive awards.

Which jurisdictions are included as potentially eligible?

The eligible jurisdictions include all 50 States, the District of Columbia, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands, as long as they meet the reporting-related eligibility requirement.

Is there a cost sharing or matching requirement?

No cost sharing or matching requirement is listed for this opportunity, meaning applicants are not required to contribute non-federal funds as a condition of award.

When was this funding opportunity posted and when was the application due?

The opportunity was posted on October 10, 2013 (created October 11, 2013). The application closing date was November 25, 2013.

When was this opportunity archived?

The archive date listed for this opportunity is January 24, 2014.

How many awards did HRSA anticipate making?

HRSA anticipated up to 59 awards.

What was the estimated total funding amount?

The estimated total program funding amount listed is $75,000,000.

What is the CFDA number associated with this opportunity?

The CFDA number associated with this opportunity is 93.917 (HIV Care Formula Grants).

Were minimum or maximum award amounts specified in the summary?

The listing shows an award ceiling and floor of 0, which typically indicates that specific per-award amounts were not pre-set in the summary and would be determined based on need, availability of funds, and application scores.

What HRSA offices are associated with administering this opportunity?

This competition is run by HRSA through the HIV/AIDS Bureau (HAB) and the Division of State HIV/AIDS Programs.

Where can applicants get help with accessing the announcement or submission issues?

HRSA directed inquiries to the HRSA Grants Application Center in Gaithersburg, Maryland, and to the HRSA Call Center at (877) 464-4772 or by email at CallCenter@HRSA.GOV.

What is the practical goal of tying funds to waiting lists or cost saving measures?

The practical goal is to ensure funds are tightly directed either to removing clients from a reported ADAP waiting list or to stabilizing program financing through cost cutting and cost saving steps so that access does not deteriorate into a waiting list.

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