Opportunity Information: Apply for EP HIT 09 001

  • The Office of the Assistant Secretary for Health in the recovery act sector is offering a public funding opportunity titled "American Recovery and Reinvestment Act of 2009, State Grants to Promote Health Information Technology Planning and Implementation Projects" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.719 ARRA State Grants to Promote Health Information Technology.
  • This funding opportunity was created on Aug 21, 2009 and posted on Aug 20, 2009.
  • Applicants must submit their applications by Oct 16, 2009 Full Application due date. Letter of intent is due September 11, 2009 via e mail to StateHIEgrants@hhs.gov. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $564,000,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $40,000,000.00 in funding.
  • The number of recipients for this funding is limited to 50 candidate(s).
  • Eligible applicants include: State governments.
Apply for EP HIT 09 001

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Opportunity Summary:

The American Recovery and Reinvestment Act of 2009 State Grants to Promote Health Information Technology Planning and Implementation Projects (Funding Opportunity Number EP HIT 09 001) is a discretionary federal grant program run by the Office of the Assistant Secretary for Health to speed up and strengthen health information exchange (HIE) across the United States. The central aim is to help states put in place the practical, secure, and scalable exchange of electronic health information so that data can move appropriately across the health care system, ultimately improving both the quality of care and how efficiently care is delivered. The program is structured to support ongoing improvement rather than a one-time build, with the expectation that HIE capabilities expand over time until they can serve all health care providers in a state or participating region.

Funding is provided through cooperative agreements, which generally means the federal government expects to have an active role during the project period rather than simply issuing funds and stepping back. Recipients are expected to use the four year performance period to develop and mature the full set of building blocks needed for durable HIE: governance structures, policies and rules for data sharing, technical services and infrastructure, business and operational capabilities, and long-term financing approaches that can keep exchange services running beyond initial grant funding. In practice, this points to a statewide strategy that covers not only technology, but also trust frameworks, privacy and security practices, participation models, and sustainable operations that can support broad provider adoption. The opportunity is also explicitly positioned as an extension of existing regional and state HIE work, with an emphasis on moving toward nationwide interoperability rather than isolated or incompatible state systems.

The initiative made a total of 564,000,000 available, with an expected 50 awards, reflecting an intent to reach every state and territory. Award sizes were set with a floor of 4,000,000 and a ceiling of 40,000,000, indicating that awards could vary substantially based on factors such as state size, readiness, and scope of planned implementation. A cost sharing or matching requirement applies, so applicants needed to plan for contributing non-federal resources in addition to the federal award.

Eligibility is limited to state governments, including U.S. territories, or qualified nonprofit State Designated Entities (SDEs) officially designated by the state to carry out the work. The program limits awards to no more than one per state, which encourages states to consolidate planning and avoid duplicative efforts. At the same time, states were allowed to enter into multi-state arrangements, supporting collaboration where regional exchange needs cross state lines or where shared services could reduce costs and improve interoperability.

Key dates for the original announcement included a posted date of Aug 20, 2009, with a letter of intent due Sept 11, 2009 submitted by email to StateHIEgrants@hhs.gov, and a full application due Oct 16, 2009. The CFDA listing for the program is 93.719 (ARRA State Grants to Promote Health Information Technology). Applicants needing help accessing the full announcement were directed to the Grants.gov Contact Center at 1 800 518 4726 (Monday through Friday, 7:00 a.m. to 9:00 p.m. Eastern) or support@grants.gov.

FAQs: ARRA State Grants to Promote Health Information Technology Planning and Implementation Projects (EP HIT 09 001)

What is this grant opportunity?

This is a discretionary federal grant program under the American Recovery and Reinvestment Act of 2009 (ARRA), titled "State Grants to Promote Health Information Technology Planning and Implementation Projects." The Funding Opportunity Number is EP HIT 09 001.

What is the main purpose of the program?

The central goal is to speed up and strengthen health information exchange (HIE) across the United States by helping states enable practical, secure, and scalable exchange of electronic health information. The program is intended to improve quality of care and increase efficiency by allowing health data to move appropriately across the health care system.

Who runs this grant program?

The program is run by the Office of the Assistant Secretary for Health.

What is Health Information Exchange (HIE) in the context of this program?

In this opportunity, HIE refers to the secure and appropriate exchange of electronic health information across the health care system, with the intent that exchange capabilities mature over time and ultimately support all providers in a state or participating region.

Is this program focused on a one-time technology build?

No. The program is structured to support ongoing improvement rather than a one-time build. It anticipates that HIE capabilities will expand over time until they can serve all health care providers in a state or participating region.

What type of funding mechanism is used?

Funding is provided through cooperative agreements. This generally means the federal government is expected to have an active role during the project period, rather than simply issuing funds without ongoing involvement.

How long is the performance period?

The performance period is four years.

What kinds of activities or "building blocks" are applicants expected to develop during the project?

Recipients are expected to use the four-year performance period to develop and mature the building blocks needed for durable HIE, including:

  • Governance structures
  • Policies and rules for data sharing
  • Technical services and infrastructure
  • Business and operational capabilities
  • Long-term financing approaches to sustain exchange services beyond the grant

Does the program address privacy, security, and trust?

Yes. The opportunity points to a statewide strategy that includes not only technology, but also trust frameworks, privacy and security practices, participation models, and sustainable operations to support broad provider adoption.

How does this program relate to existing state or regional HIE efforts?

The opportunity is explicitly positioned as an extension of existing regional and state HIE work. It emphasizes progress toward nationwide interoperability rather than creating isolated or incompatible state systems.

How much total funding was available under this opportunity?

The initiative made a total of $564,000,000 available.

How many awards were expected?

Approximately 50 awards were expected, reflecting an intent to reach every state and territory.

What was the minimum and maximum award size?

Award sizes had a floor of $4,000,000 and a ceiling of $40,000,000. Awards could vary substantially depending on factors such as state size, readiness, and the scope of planned implementation.

Is there a cost sharing or matching requirement?

Yes. A cost sharing or matching requirement applies, meaning applicants needed to plan to contribute non-federal resources in addition to the federal award.

Who is eligible to apply?

Eligibility is limited to state governments (including U.S. territories) or qualified nonprofit State Designated Entities (SDEs) that are officially designated by the state to carry out the work.

What is a State Designated Entity (SDE) for this program?

An SDE is a qualified nonprofit entity that has been officially designated by a state to carry out the HIE planning and implementation work under this opportunity.

Can more than one award be made per state?

No. The program limits awards to no more than one per state, encouraging states to consolidate planning and avoid duplicative efforts.

Are multi-state arrangements allowed?

Yes. States were allowed to enter into multi-state arrangements, supporting collaboration when exchange needs cross state lines or when shared services could reduce costs and improve interoperability.

What were the key dates for the original announcement?

  • Posted date: Aug 20, 2009
  • Letter of intent due: Sept 11, 2009
  • Full application due: Oct 16, 2009

How was the letter of intent submitted?

The letter of intent was submitted by email to StateHIEgrants@hhs.gov.

What is the CFDA number for this program?

The CFDA listing is 93.719 (ARRA State Grants to Promote Health Information Technology).

Where could applicants get help accessing the full announcement?

Applicants needing help accessing the full announcement were directed to the Grants.gov Contact Center:

  • Phone: 1 800 518 4726
  • Hours: Monday through Friday, 7:00 a.m. to 9:00 p.m. Eastern
  • Email: support@grants.gov

What is the overall expected outcome for states that receive an award?

The expected outcome is that states develop and mature durable, secure, and scalable HIE capabilities over time, supported by governance, policies, technical infrastructure, operations, and sustainable financing, with the longer-term aim of broad provider participation and nationwide interoperability.

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