Opportunity Information: Apply for PR PRP 14 001
Apply for PR PRP 14 001
- The CMS Consumer Information Insurance Oversight in the health sector is offering a public funding opportunity titled "Grants to States to Support Health Insurance Rate Review and Increase Transparency in the Pricing of Medical Services, Cycle IV" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.511 Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review.
- This funding opportunity was created on May 29, 2014 and posted on May 29, 2014.
- Applicants must submit their applications by Jul 21, 2014 No Explanation. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $40,000,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $5,000,000.00 in funding.
- The number of recipients for this funding is limited to 57 candidate(s).
- Eligible applicants include: State governments.
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Opportunity Summary:
The grant opportunity titled "Grants to States to Support Health Insurance Rate Review and Increase Transparency in the Pricing of Medical Services, Cycle IV" is a discretionary federal grant program created under the Affordable Care Act (ACA). It is administered through CMS Consumer Information and Insurance Oversight and is meant to help state governments strengthen how they review proposed health insurance premium increases and improve public transparency around health care and insurance pricing. In practical terms, the program is designed to give states resources to build or enhance the systems, staff capacity, tools, and processes needed to hold insurers accountable when they seek to raise premiums, while also making cost and pricing information more visible and understandable to consumers and other stakeholders.
This funding stems from the ACA, which combines the Patient Protection and Affordable Care Act (signed March 23, 2010) and the Health Care and Education Reconciliation Act of 2010 (signed March 30, 2010). Collectively, these laws include many provisions aimed at improving affordability, quality, access, and accountability across the health care system. A major feature of the ACA was providing grant funding so states could coordinate with the federal government to implement key parts of health reform, including more robust oversight of insurance markets and clearer disclosure of pricing information that affects what people pay for coverage and medical care.
Cycle IV of this program was posted on May 29, 2014, with an application closing date of July 21, 2014, and an archive date of August 20, 2014. The opportunity anticipated up to 57 awards, reflecting a nationwide scope that could cover states and territories depending on eligibility determinations and submissions. The total estimated funding amount was $40,000,000, with individual awards ranging from an award floor of $719,643 up to an award ceiling of $5,000,000. There was no cost-sharing or matching requirement, meaning states were not required to contribute their own funds as a condition of receiving the award. The program is listed under CFDA number 93.511, described as Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review, and the funding activity category is Health.
Eligibility was limited to state governments, which signals that the program was intended to support state-based regulatory functions such as insurance rate review, oversight infrastructure, and consumer transparency initiatives that are typically housed in state insurance departments or similar state agencies. While the brief synopsis does not spell out specific allowable activities, the title and ACA context indicate the funds were intended to help states improve the effectiveness of premium rate review (for example, better analytical capability, data systems, actuary support, and review procedures) and to expand transparency efforts related to the pricing of medical services, which aligns with the broader ACA goal of enabling consumers and regulators to better understand what drives costs and price changes.
For applicants or interested parties who needed access assistance for the full announcement, the published contact route was the Grants.gov Contact Center, available 24 hours a day, 7 days a week (excluding federal holidays), at 1-800-518-4726 or by email at support@grants.gov.
Frequently Asked Questions (FAQs)
What is the name of this grant opportunity?
The opportunity is titled "Grants to States to Support Health Insurance Rate Review and Increase Transparency in the Pricing of Medical Services, Cycle IV."
What type of grant program is this?
This is a discretionary federal grant program created under the Affordable Care Act (ACA).
Who administers this grant program?
The program is administered through CMS Consumer Information and Insurance Oversight.
What is the main purpose of the program?
The program is intended to help state governments strengthen health insurance premium rate review and increase public transparency around health care and insurance pricing, so proposed premium increases can be reviewed more effectively and pricing information can be more visible and understandable to consumers and stakeholders.
What does "Cycle IV" refer to?
"Cycle IV" refers to this specific round of funding for the grant program, with its own posting date, application closing date, and archived date.
When was Cycle IV posted?
Cycle IV was posted on May 29, 2014.
What was the application closing date for Cycle IV?
The application closing date was July 21, 2014.
When was the opportunity archived?
The archive date was August 20, 2014.
How many awards were anticipated under Cycle IV?
The opportunity anticipated up to 57 awards.
What was the total estimated funding available?
The total estimated funding amount was $40,000,000.
What was the minimum and maximum award size?
Individual awards ranged from an award floor of $719,643 to an award ceiling of $5,000,000.
Was cost-sharing or matching required?
No. There was no cost-sharing or matching requirement, meaning states were not required to contribute their own funds as a condition of receiving an award.
What is the CFDA number for this program?
The program is listed under CFDA number 93.511, described as Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review.
What is the funding activity category?
The funding activity category is Health.
Who was eligible to apply?
Eligibility was limited to state governments.
Does this program support state insurance regulatory functions?
Yes. Based on the synopsis, the program was intended to support state-based regulatory functions such as insurance rate review, oversight infrastructure, and consumer transparency initiatives that are typically housed in state insurance departments or similar state agencies.
What kinds of improvements was the grant designed to support?
The program was designed to give states resources to build or enhance systems, staff capacity, tools, and processes needed to review proposed premium increases and to improve transparency around health care and insurance pricing.
Does the synopsis list specific allowable activities?
No. The brief synopsis does not spell out specific allowable activities, but it indicates the funds were intended to help states improve the effectiveness of premium rate review and expand transparency efforts related to the pricing of medical services.
How does this program connect to the Affordable Care Act (ACA)?
The funding stems from the ACA, which includes the Patient Protection and Affordable Care Act (signed March 23, 2010) and the Health Care and Education Reconciliation Act of 2010 (signed March 30, 2010). These laws include provisions aimed at improving affordability, quality, access, and accountability, including grant funding to support stronger oversight of insurance markets and clearer disclosure of pricing information.
What is the practical goal for consumers and stakeholders?
The program aims to make cost and pricing information more visible and understandable, aligning with ACA goals of helping consumers and regulators better understand what drives costs and price changes.
Where could applicants get help accessing the full announcement?
For access assistance, the published contact route was the Grants.gov Contact Center.
How can the Grants.gov Contact Center be reached?
The Grants.gov Contact Center can be reached at 1-800-518-4726 or by email at support@grants.gov.
When is the Grants.gov Contact Center available?
It is available 24 hours a day, 7 days a week, excluding federal holidays.
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