Opportunity Information: Apply for NAP AX 15 004
Apply for NAP AX 15 004
- The Office of the National Coordinator in the other (see text field entitled explanation of other category of funding activity for clarification) sector is offering a public funding opportunity titled "Interoperability Roadmap Call to Action Alleviating and Removing Barriers to Interoperable Exchange of Data for Health Within States" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.830 Interoperability Roadmap Public/Private Partnership.
- This funding opportunity was created on Jun 22, 2015 and posted on Jun 22, 2015.
- Applicants must submit their applications by Aug 24, 2015 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 $325,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $325,000.00 in funding.
- 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).
- This is a non competitive funding opportunity and is restricted to the organization designated below. Organizations not designated as such are not eligible to apply for this opportunity, and therefore should not submit an application. Applications submitted by organizations not designated below will not be considered. Designated Organization National Governors Association
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Opportunity Summary:
This grant opportunity, titled "Interoperability Roadmap Call to Action: Alleviating and Removing Barriers to Interoperable Exchange of Data for Health Within States" (Funding Opportunity Number NAP AX 15 004), was issued by the Office of the National Coordinator for Health Information Technology (ONC) as a discretionary cooperative agreement. Its central aim was to create one or more structured venues where high-level state health policy leaders could engage directly with subject-matter experts on privacy, security, and related policy issues that affect the exchange of health data. The focus is not on building new technology systems, but on convening the right decision-makers and experts to work through policy obstacles that slow down or prevent interoperable health information exchange within and across state lines.
A key driver behind the opportunity is the problem of fragmented, state-by-state privacy requirements that can make health data sharing complicated, inconsistent, and expensive. Even when federal rules like HIPAA set a baseline, states may have additional or different laws governing sensitive data types, consent requirements, or redisclosure limitations. ONC framed these differences as a real and perceived barrier to interoperability, because organizations trying to exchange data across jurisdictions often face legal uncertainty, workflow friction, or risk concerns that cause them to limit sharing even when sharing could be allowed. The grant therefore emphasizes helping state leaders understand how their own state policies may unintentionally block modern data exchange, and what practical steps states can take to reduce those barriers without sacrificing patient privacy.
The opportunity was also designed to complement, rather than duplicate, other federal efforts, specifically the support ONC was already providing to the Centers for Medicare and Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMMI) State Innovation Model (SIM) program. In other words, while SIM states were already receiving certain kinds of technical assistance and policy support, this project carved out a dedicated space for a more targeted discussion: how disparate state privacy laws and consent approaches impede interoperable exchange of health information, and what state-level policy options exist to address that problem. Importantly, ONC intended the venue to include state policymakers broadly, including those from SIM states, but with a sharper emphasis on privacy-law variation as the barrier to solve.
ONC described two main purposes for funding this work. First, it sought to ensure state policy leaders develop a clearer understanding of where barriers to interoperability exist that are within a state’s authority to change. That includes both actual legal barriers and the kinds of misunderstandings or overly cautious interpretations that can become de facto barriers. This part of the project also ties to the idea of modernization: ONC highlighted the goal of enabling states to take advantage of technological advances so that documenting patient consent choices required by state law could become as straightforward and user-friendly as common online services. The implication is that better policy alignment and clearer consent frameworks can support more scalable, electronic ways to capture, manage, and honor patient preferences across settings.
Second, ONC wanted to create a channel for state leaders to compare experiences and elevate issues they encounter that stem from federal statutes, regulations, or federal policy. While the grant is oriented toward state-level action, ONC recognized that some impediments perceived by states may originate at the federal level or at the intersection of federal and state requirements. By collecting and sharing these observations in a structured forum, the project could help identify where federal clarification, guidance, or policy refinement might be needed to support nationwide interoperability.
From a funding and administrative standpoint, the opportunity was relatively small and tightly scoped: estimated total funding of $325,000, with an award ceiling and floor both set at $325,000, and an expected number of awards of one. There was no cost-sharing or matching requirement. The activity was categorized under CFDA 93.830 (Interoperability Roadmap Public/Private Partnership). The posting date and creation date were June 22, 2015, with an original and final closing date of August 24, 2015, and an archive date of September 23, 2015.
Eligibility was highly restricted. This was explicitly a non-competitive funding opportunity limited to a single designated organization: the National Governors Association. Applications from any other organizations were not eligible and were not to be considered. That restriction aligns with the project’s emphasis on engaging governors’ offices and senior state policymakers, since the National Governors Association is positioned to convene state leadership, facilitate cross-state dialogue, and translate complex policy discussions into actionable options for state governments.
In practical terms, the grant can be understood as convening and policy problem-solving support aimed at reducing friction in health data exchange caused by inconsistent privacy and consent rules. Rather than producing a one-size-fits-all legal solution, the intent is to bring together state decision-makers and experts to clarify where changes can happen at the state level, share workable approaches among states, and surface federal-level issues that states repeatedly run into. The overall outcome ONC was pushing toward is more consistent, confident, and scalable exchange of health information that protects privacy while allowing data to move when it is needed for care, public health, and health system improvement.
Frequently Asked Questions (FAQs)
What is the title of this grant opportunity?
The opportunity is titled "Interoperability Roadmap Call to Action: Alleviating and Removing Barriers to Interoperable Exchange of Data for Health Within States."
What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is NAP AX 15 004.
Which federal office issued this opportunity?
It was issued by the Office of the National Coordinator for Health Information Technology (ONC).
What type of funding mechanism is this?
This was a discretionary cooperative agreement.
What is the central aim of the project?
The aim was to create one or more structured venues where high-level state health policy leaders could engage directly with subject-matter experts on privacy, security, and related policy issues that affect the exchange of health data.
Is this grant intended to build or deploy new technology systems?
No. The focus is not on building new technology systems. It is focused on convening the right decision-makers and experts to work through policy obstacles that slow down or prevent interoperable health information exchange within and across state lines.
What problem is ONC trying to address through this funding?
ONC is trying to address barriers to interoperable health data exchange caused by fragmented, state-by-state privacy requirements and related consent and redisclosure approaches. These differences can create legal uncertainty, workflow friction, inconsistent practices, and higher costs for organizations exchanging data across jurisdictions.
Why do state privacy laws matter if HIPAA already exists?
HIPAA establishes a federal baseline, but states may have additional or different rules (for example, around sensitive data types, consent requirements, or redisclosure limitations). Those variations can complicate exchange across state lines and may lead organizations to limit sharing due to uncertainty or perceived risk.
Does the opportunity focus only on "actual" legal barriers?
No. It also focuses on misunderstandings, inconsistent interpretations, or overly cautious practices that function as de facto barriers even when exchange could be allowed.
What are the two main purposes ONC described for funding this work?
First, to help state policy leaders better understand barriers to interoperability that are within a state's authority to change, including both real and perceived barriers. Second, to create a channel for state leaders to compare experiences and elevate issues that stem from federal statutes, regulations, or federal policy.
How does this opportunity relate to patient consent?
ONC highlighted modernization goals, including enabling states to take advantage of technological advances so that documenting patient consent choices required by state law could become more straightforward and user-friendly (similar in ease to common online services). The emphasis is on policy alignment and clearer consent frameworks that support scalable electronic methods for capturing and honoring patient preferences.
Is the project designed to produce a single national legal solution?
No. The intent is not a one-size-fits-all legal solution. Instead, it is to convene state leaders and experts to clarify where state-level changes can occur, share workable approaches among states, and surface recurring federal-level issues.
How does this opportunity complement other federal initiatives?
It was designed to complement (not duplicate) ONC support already being provided to the CMS Center for Medicare and Medicaid Innovation (CMMI) State Innovation Model (SIM) program. This project carved out a more targeted discussion focused specifically on how variation in state privacy laws and consent approaches can impede interoperable health information exchange and what policy options states have to address it.
Are SIM states excluded from participating in the venue or discussions?
No. ONC intended the venue to include state policymakers broadly, including those from SIM states, while maintaining a sharper emphasis on privacy-law variation as the barrier to address.
What kinds of issues were expected to be discussed in the structured venues?
Issues related to privacy, security, consent, redisclosure, and other policy topics that affect the exchange of health data within and across states, especially where differing state requirements create uncertainty or friction for interoperability.
What role do federal statutes or regulations play in this project?
While the grant is oriented toward state-level action, ONC recognized that some barriers perceived by states may originate at the federal level or arise at the intersection of federal and state requirements. The project was intended to surface these issues so they could be elevated for potential federal clarification, guidance, or policy refinement.
What was the total amount of funding available?
The estimated total funding was $325,000.
What were the award floor and award ceiling?
Both the award floor and the award ceiling were set at $325,000.
How many awards were expected?
One award was expected.
Was there any cost-sharing or match requirement?
No. There was no cost-sharing or matching requirement.
What is the CFDA number and program name associated with this opportunity?
The opportunity was categorized under CFDA 93.830, "Interoperability Roadmap Public/Private Partnership."
When was the opportunity posted and when did it close?
The posting date and creation date were June 22, 2015. The original and final closing date was August 24, 2015.
When was the opportunity archived?
The archive date was September 23, 2015.
Who was eligible to apply for this grant?
Eligibility was highly restricted. This was a non-competitive opportunity limited to a single designated organization: the National Governors Association.
Could any other organization apply or be considered?
No. Applications from any other organizations were not eligible and were not to be considered.
Why was eligibility limited to the National Governors Association?
The restriction aligns with the project emphasis on engaging governors' offices and senior state policymakers. The National Governors Association is positioned to convene state leadership, facilitate cross-state dialogue, and translate complex policy discussions into actionable options for state governments.
What overall outcomes was ONC pushing toward?
The overall outcome was more consistent, confident, and scalable exchange of health information that protects privacy while allowing data to move when needed for care, public health, and health system improvement.
Does the grant focus on data exchange within states, across state lines, or both?
Both. It targets barriers to interoperable exchange of health data within states and across state lines, particularly where cross-jurisdiction differences drive uncertainty or friction.
What is meant by "structured venues" in this context?
Based on the description, "structured venues" refers to organized forums or convenings where state policy leaders and subject-matter experts can directly engage on specific privacy, security, and policy barriers to interoperable health data exchange.
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