Opportunity Information: Apply for HIEGE HG 12 001
Apply for HIEGE HG 12 001
- The Office of the National Coordinator in the health sector is offering a public funding opportunity titled "Exemplar Health Information Exchange Governance Entities Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.239 Policy Research and Evaluation Grants.
- This funding opportunity was created on Dec 20, 2012 and posted on Dec 20, 2012.
- Applicants must submit their applications by Feb 4, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $400,000.00 in funding.
- Eligible applicants include: State governments Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education.
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Opportunity Summary:
The Exemplar Health Information Exchange Governance Entities Program is a discretionary federal funding opportunity from the Office of the National Coordinator for Health Information Technology (ONC) designed to strengthen and scale governance for electronic health information exchange (HIE) by building on work that is already happening in the field. Rather than creating a brand-new national accreditation or governance regime, ONC uses this program to partner directly with organizations that already operate as governance or oversight entities for HIE. The core idea is to identify what is working, help mature those approaches into clearer and more scalable "rules of the road," and accelerate secure, interoperable exchange of health data across unaffiliated healthcare organizations while keeping privacy and security front and center, consistent with section 3011(a) of the Public Health Service Act.
A key element of this opportunity is that it is structured as a cooperative agreement, not a traditional grant. That matters because it signals substantial ONC involvement during the project period. Recipients are not simply funded to carry out an independent plan; they are expected to collaborate closely with ONC, share lessons learned, and contribute to a broader national framework of leadership, guidance, engagement, and monitoring around interoperability and exchange. ONC explicitly moved in this direction after considering (and then deciding against) a rulemaking approach that would have established a voluntary accreditation process for HIE governance. Public feedback to an ONC Request for Information pointed out that several organizations were already performing governance functions, and that ONC could achieve more by working with those entities than by launching a separate accreditation program. This FOA reflects that pivot: it emphasizes listening and learning from real-world governance efforts, spotlighting effective practices, and using ONC's convening power and existing authorities to drive consensus and reduce barriers.
The program focuses on helping selected governance entities further develop and adopt policies, interoperability requirements, and business practice criteria that align with national priorities and directly address common interoperability challenges. A major emphasis is reducing the cost and complexity of exchange by creating scalable requirements that can be widely adopted, minimizing the need for one-off, cumbersome legal agreements between organizations, and making exchange more routine and predictable. The expectation is that stronger, clearer governance rules will benefit both consumers and providers by enabling health information to move securely and efficiently between organizations that do not share the same corporate umbrella, which is often where exchange breaks down due to inconsistent policies, technical variability, or uncertainty about acceptable practices.
In practical terms, ONC is looking for governance entities to expand and refine their participation requirements across three connected areas: policy (the "what" and "when" of exchange, including trust and privacy expectations), interoperability requirements (the technical and standards-based "how"), and business practice requirements (the operational and contractual "how we run it day-to-day"). The funded work is intended to support both major models of exchange: directed "push" exchange (sending information to a known recipient) and query-based exchange (searching for and retrieving information as needed). Projects are expected to tackle operational challenges that slow adoption of either model, which can include inconsistent identity matching approaches, varying consent and authorization practices, unclear minimum data sets, uneven security expectations, or gaps in participant onboarding and compliance processes.
Another explicit goal is to surface opportunities to translate successful governance solutions into broader national policy and infrastructure. Awardees are expected to help identify where their policies and requirements could be scaled through national levers such as electronic health record certification criteria, adoption of nationally recognized standards, incorporation into federal policy, or additional governance activities. In other words, ONC is not only funding local or organizational improvements; it is looking for approaches that can inform the national interoperability landscape and reduce friction across the health system.
Administratively, the opportunity is identified as Funding Opportunity Number HIEGE HG 12 001 under CFDA 93.239 (Policy Research and Evaluation Grants). It was posted on December 20, 2012, with an application closing date of February 4, 2013. Awards are expected to range from $200,000 (floor) to $400,000 (ceiling), and there is no cost sharing or matching requirement. Eligible applicants include state governments and nonprofit organizations with 501(c)(3) status (excluding institutions of higher education). The funding activity category is Health, and the program is administered by ONC, with grants management support referenced in the announcement (Bianca Costa listed as the Grants Management Officer contact).
Overall, this FOA is best understood as a targeted investment in the governance layer of interoperability: the shared expectations, policies, technical requirements, and operational practices that make electronic exchange reliable at scale. ONC is using cooperative agreements to work hands-on with established governance entities, elevate proven approaches, and help convert them into consistent, repeatable frameworks that lower costs, strengthen privacy and security, and make health data more seamlessly available across organizational boundaries when and where it is needed.
Exemplar Health Information Exchange Governance Entities Program (ONC) - FAQs
What is the Exemplar Health Information Exchange Governance Entities Program?
It is a discretionary federal funding opportunity from the Office of the National Coordinator for Health Information Technology (ONC) that focuses on strengthening and scaling governance for electronic health information exchange (HIE). The program builds on governance work already happening in the field by partnering with existing HIE governance or oversight entities and helping mature what is working into clearer, more scalable "rules of the road."
What is the main purpose of this funding opportunity?
The purpose is to accelerate secure, interoperable exchange of health data across unaffiliated healthcare organizations by improving the governance layer: shared policies, interoperability requirements, and business practice criteria that reduce friction, cost, and complexity while keeping privacy and security front and center.
Who is administering this program?
The program is administered by ONC (Office of the National Coordinator for Health Information Technology).
Is this a traditional grant?
No. It is structured as a cooperative agreement rather than a traditional grant. This signals substantial ONC involvement during the project period and an expectation of close collaboration between recipients and ONC.
What does ONC involvement mean for awardees under a cooperative agreement?
Awardees are expected to work closely with ONC throughout the project period, share lessons learned, and contribute to broader national leadership, guidance, engagement, and monitoring efforts around interoperability and exchange, rather than carrying out a fully independent plan.
Why did ONC choose this cooperative-agreement approach?
ONC moved toward partnering with existing governance entities after considering (and deciding against) a rulemaking approach that would have established a voluntary accreditation process. Public feedback indicated that several organizations were already performing governance functions and that ONC could achieve more by working with those entities than by launching a separate accreditation program.
Does the program create a new national HIE accreditation or governance regime?
No. The program is explicitly positioned as building on existing governance/oversight entities and scaling effective practices, rather than creating a brand-new national accreditation or governance regime.
What kinds of organizations is ONC looking to partner with?
ONC is looking to partner with organizations that already operate as governance or oversight entities for electronic health information exchange (HIE).
What are the main focus areas for the funded work?
The funded work focuses on expanding and refining participation requirements across three connected areas:
- Policy (the "what" and "when" of exchange, including trust and privacy expectations)
- Interoperability requirements (the technical and standards-based "how")
- Business practice requirements (the operational and contractual day-to-day requirements)
What interoperability problems is this program trying to address?
The program targets common interoperability challenges that increase cost and complexity and slow exchange, especially across unaffiliated organizations. Examples mentioned include inconsistent identity matching approaches, varying consent and authorization practices, unclear minimum data sets, uneven security expectations, and gaps in participant onboarding and compliance processes.
How is the program expected to reduce cost and complexity of exchange?
By helping governance entities develop scalable, widely adoptable requirements that minimize the need for one-off legal agreements and make exchange more routine and predictable through clearer and more consistent governance "rules of the road."
What exchange models does the FOA expect projects to support?
The FOA expects projects to support both major models of exchange:
- Directed "push" exchange (sending information to a known recipient)
- Query-based exchange (searching for and retrieving information as needed)
What types of project activities are contemplated by the FOA?
Projects are expected to further develop and adopt policies, interoperability requirements, and business practice criteria aligned with national priorities. They should also tackle operational challenges that slow adoption of directed and query-based exchange and help mature effective approaches into clearer, scalable governance frameworks.
How does privacy and security factor into the program?
Privacy and security are emphasized throughout as central requirements. The goal is to accelerate exchange while keeping privacy and security "front and center," consistent with section 3011(a) of the Public Health Service Act.
Is the program focused only on local improvements, or does it aim for national impact?
It aims for national impact. Awardees are expected to identify opportunities to translate successful governance solutions into broader national policy and infrastructure, including pathways like certification criteria, adoption of nationally recognized standards, incorporation into federal policy, or additional governance activities.
How does ONC plan to use what it learns from awardees?
ONC intends to listen and learn from real-world governance efforts, spotlight effective practices, and use its convening power and authorities to drive consensus, reduce barriers, and inform broader national interoperability approaches.
What is the Funding Opportunity Number and CFDA listing?
The Funding Opportunity Number is HIEGE HG 12 001. The CFDA listing is 93.239 (Policy Research and Evaluation Grants).
When was the opportunity posted and when did applications close?
It was posted on December 20, 2012, and the application closing date was February 4, 2013.
How much funding is available per award?
Awards are expected to range from $200,000 (floor) to $400,000 (ceiling).
Is there a cost sharing or matching requirement?
No. The FOA states there is no cost sharing or matching requirement.
Who is eligible to apply?
Eligible applicants include:
- State governments
- Nonprofit organizations with 501(c)(3) status (excluding institutions of higher education)
What is the funding activity category?
The funding activity category is Health.
Who is referenced for grants management support in the announcement?
The announcement references a Grants Management Officer contact: Bianca Costa.
What is the overall "big picture" description of what this FOA funds?
It is a targeted investment in the governance layer of interoperability: the shared expectations, policies, technical requirements, and operational practices that make electronic exchange reliable at scale. ONC uses cooperative agreements to work hands-on with established governance entities, elevate proven approaches, and help convert them into consistent, repeatable frameworks that lower costs, strengthen privacy and security, and improve health data exchange across organizational boundaries.
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