HRSA-25-082_rev1.pdf

Health Systems Bureau

Notice of Funding Opportunity

Application due April 18, 2025

Living Organ Donation Reimbursement Program (LODRP) Opportunity number: HRSA-25-082

Contents Before you begin 3

Step 1: Review the Opportunity 4

Basic information 5

Eligibility 6

Program description 8

Award information 10

Step 2: Get Ready to Apply 14

Get registered 15

Find the application package 15

Application writing help 15

Step 3: Prepare Your Application 17

Application contents and format 18

Step 4: Learn About Review and Award 24

Application review 25

Selection process 28

Award notices 29

Step 5: Submit Your Application 30

Application submission and deadlines 31

Application checklist 33

Step 6: Learn What Happens After Award 34

Post-award requirements and administration 35

Contacts and Support 39

Contents 2

Before you begin If you believe you are a good candidate for this funding opportunity, secure your SAM.gov and Grants.gov registrations now. If you are already registered, make sure your registrations are active and up-to-date.

SAM.gov registration (this can take several weeks)

You must have an active account with SAM.gov. This includes having a Unique Entity Identifier (UEI).

See Step 2: Get Ready to Apply

Grants.gov registration (this can take several days)

You must have an active Grants.gov registration. Doing so requires a Login.gov registration as well.

See Step 2: Get Ready to Apply

Apply by the application due date

Applications are due by 11:59 p.m. Eastern Time on April 18, 2025.

To help you find what you need, this NOFO uses internal links. In Adobe Reader, you can go back to where you were by pressing Alt + Left Arrow (Windows) or Command + Left Arrow (Mac) on your keyboard.

Before you begin 3 https://sam.gov/ https://grants.gov/

Jump to a step

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1:

Review the Opportunity

In this step

Basic information 5

Eligibility 6

Program description 8

Award information 10

Basic information Health Resources and Services Administration (HRSA)

Health Systems Bureau

Division of Transplantation

Financial assistance for living organ donors.

Have questions?

Go to Contacts and Support.

Key facts

Opportunity name:

Living Organ Donation Reimbursement Program

(LODRP)

Opportunity number:

HRSA-25-082

Federal Assistance Listing:

93.134

Statutory authority:

42 U.S.C. § 274f (Section 377 of the Public Health Service (PHS) Act, as amended).

Key dates

NOFO issue date:

January 23, 2025

Informational call:

To be announced.

Application deadline:

April 18, 2025

Expected award date:

August 1, 2025

Expected start date:

September 1, 2025

Summary The purpose of this program is to reduce financial disincentives to living organ donation by providing means-tested reimbursement of lost wages, transportation, meals, and dependent care (child care and elder care) expenses and other qualified expenses to living organ donors.

Funding details Application type: New and Competing Continuation

Expected total available FY2025 funding: $7.5 million

Expected number and type of awards: 1 cooperative agreement

Funding range per award: Up to $7.5 million per year

We plan to fund one award in three 12-month budget periods, for a total 3-year period of performance from September 1, 2025, to August 31, 2028, based on the availability of funds.

The program and awards depend on the appropriation of funds and are subject to change based on the availability and amount of appropriations.

Step 1: Review the Opportunity 5

Eligibility Who can apply Types of eligible organizations In addition to transplant centers and qualified organ procurement organizations (OPOs), under 42 U.S.C. 273 (Section 371 of the Public Health Service Act), these types of domestic organizations may apply:

• Public institutions of higher education

• Private institutions of higher education

• Nonprofits having a 501(c)(3) IRS status

• Nonprofits with an IRS status other than 501(c)(3)

• For-profit organizations

• Small businesses

• State, County, city, township, and special district governments, including the District of Columbia, domestic territories, and the Freely Associated States

• Independent school districts

• Native American tribal governments

• Native American tribal organizations

* “Domestic” means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, or the Republic of Palau.

Individuals are not eligible applicants under this NOFO.

Other eligibility criteria You can apply for this cooperative agreement and the Public Education for the Living Organ Donation Reimbursement Program funding opportunity (HRSA-25-083).

See Selection Process.

Completeness and responsiveness criteria We will review your application to make sure it meets these basic requirements to move forward in the competition.

We will not consider an application that:

• Is from an organization that does not meet all eligibility criteria.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 6 https://grants.gov/search-results-detail/355748

• Requests funding above the award ceiling shown in the funding range.

• Is submitted after the deadline.

Application limits You may not submit more than one application. If you submit more than one application, we will only accept the last on-time submission.

Cost sharing This program has no cost-sharing requirement. If you choose to share in the costs of the project, we will not consider it during merit review. We will hold you accountable for any funds you add, including through reporting.

Step 1: Review the Opportunity 7

Program description Purpose The purpose of this program is to help reduce financial barriers for people who want to donate an organ. The program offers means-tested reimbursements for lost wages, transportation, lodging, meals, and dependent care (child care and elder care) expenses and other approved expenses, in accordance with established program eligibility guidelines.

Goal The goal of this program is to increase access to living organ donor transplants for patients on the national organ transplant waiting list.

Objectives The program objectives are to:

• Provide reimbursement of qualified expenses to eligible living organ donors effectively and efficiently, in accordance with established program eligibility guidelines.

• Make informed recommendations to HRSA for how to improve program eligibility guidance and policies using data collected through the program and feedback from stakeholders.

• Make program services more equitable and accessible by sharing information about the program with key groups, including people from medically underserved communities. Your primary collaborator for this objective will be the award recipient for the Public Education for the Living Organ Donation Reimbursement Program (PE-LODRP; HRSA-25-083).

Program priorities This program aligns with:

• HRSA’s mission to improve health outcomes and achieve health equity through access to quality services, a skilled health workforce, and innovative, high-value programs.

• HRSA’s priorities to take actionable steps to achieve health equity and improve public health (Goal 1) and improve access to quality health services (Goal 2).

In addition, the program aims to address disparities in living organ transplantation by reducing financial barriers for people who want to donate an organ, but who are

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 8 https://www.federalregister.gov/documents/2020/09/22/2020-20805/reimbursement-of-travel-and-subsistence-expenses-toward-living-organ-donation-program-eligibility https://www.federalregister.gov/documents/2020/09/22/2020-20805/reimbursement-of-travel-and-subsistence-expenses-toward-living-organ-donation-program-eligibility https://www.federalregister.gov/documents/2020/09/22/2020-20805/reimbursement-of-travel-and-subsistence-expenses-toward-living-organ-donation-program-eligibility https://www.federalregister.gov/documents/2020/09/22/2020-20805/reimbursement-of-travel-and-subsistence-expenses-toward-living-organ-donation-program-eligibility unable to pay for the non-medical expenses associated with organ donation, with an emphasis on people from medically underserved communities.

Background There remains a critical shortage of organs to meet the needs of individuals with end-stage organ failure who can benefit from an organ transplant. As of March 2024, there were approximately 89,000 patients on the organ transplant wait list waiting for a kidney and 9,800 patients waiting for a liver. Kidneys and livers combined represent approximately 96 percent of the organ needs among patients on the organ transplant wait list.

People can donate a kidney, part of their liver, and certain other organs while alive. In 2023, nearly 7,000 people donated an organ while alive, including nearly 6,300 living kidney donors and 660 living liver donors.

HRSA’s Living Organ Donation Reimbursement Program (LODRP) provides financial assistance to people who wish to be living organ donors, but who might otherwise not be able to donate due to financial hardship. The program reimburses qualified expenses related to eligible living donors’ medical evaluations, surgeries, and follow-up visits, including travel, lost wages, child and elder care, and other expenses, as outlined in its eligibility guidelines.

From October 2007 to August 2024, the program (currently operated by the National Living Donor Assistance Center) received more than 18,000 applications for reimbursement by prospective living donors, approving nearly 89 percent of them.

During this timeframe, NLDAC facilitated over 10,000 living organ donations. In 2023, the median household income for prospective living donor applicants to LODRP was approximately $66,000, which is 18 percent below the national median income level of $80,600.

If awarded this opportunity, you will work closely with HRSA to continue to reimburse qualified expenses for eligible living donors and to expand access to program resources. You will also collaborate with the award recipient for Public Education for the Living Organ Donation Reimbursement Program (PE-LODRP; HRSA-25-083) to increase awareness of the program’s services, particularly among medically underserved communities.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 9 https://www.organdonor.gov/learn/organ-donation-statistics/detailed-description#fig1 https://www.organdonor.gov/learn/organ-donation-statistics/detailed-description#fig1 https://www.organdonor.gov/learn/organ-donation-statistics/detailed-description#fig1 https://optn.transplant.hrsa.gov/data/view-data-reports/national-data/ https://www.hrsa.gov/about/news/press-releases/new-rule-expands-scope-living-organ-donation https://www.federalregister.gov/documents/2020/09/22/2020-20805/reimbursement-of-travel-and-subsistence-expenses-toward-living-organ-donation-program-eligibility https://www.livingdonorassistance.org/default.aspx https://www.livingdonorassistance.org/default.aspx https://grants.gov/search-results-detail/355748

Award information Cooperative agreement terms Our responsibilities Aside from monitoring and technical assistance, we also get involved in these ways:

• Review and provide input on policies and procedures for your project.

• Collaborate on the development and implementation of tools and instruments for data collection to evaluate the program, collecting data, and coordinating with the award recipient on information collection request packages.

• Develop performance measures and monitor the extent to which the cooperative agreement recipient is meeting program goals.

• Review, provide feedback, and approve your programs’ topics for articles, presentations, and other resources prior to their development, as well as review and approve the products prior to their publication and dissemination, to ensure they align with HRSA and stakeholder priorities.

• Participate in major program planning meetings.

• Assist with the establishment of partnerships or collaborations, including with other federal agencies or programs within HRSA that may be necessary to carry out program objectives.

• Facilitate clear and ongoing communication and collaboration between the recipient of this award and the PE-LODRP (HRSA-25-083) cooperative agreement recipient.

Your responsibilities You must follow all relevant laws and policies. Your other responsibilities will include:

• Reimbursement:

◦ Develop and maintain the tools, staffing, and workflow necessary for providing timely and accurate reimbursement to eligible living donors for qualified expenses.

◦ Implement the reimbursement for other incidental, non-medical expenses not currently covered by the program, should they later be authorized.

◦ Comply with program eligibility guidelines, program authorizing statute, and NOFO requirements for the reimbursement of donor applications.

Step 1: Review the Opportunity 10

◦ Provide preference to living donors who would be most likely unable to afford the expenses associated with the donation process.

◦ Ensure activities carried out under the cooperative agreement have a national reach.

• Collaboration:

◦ Maintain ongoing and regular communication with the award recipient of the PE-LODRP (HRSA-25-083) to align your activities and support their outreach and educational efforts.

◦ Establish and maintain collaborative relationships with the organ donation and transplantation community (such as transplant centers, dialysis centers, prospective living organ donors, transplant candidates, and organizations working on behalf of individuals in need of a transplant), particularly stakeholders from or serving medically underserved communities to:

▪ Leverage existing resources and initiatives.

▪ Get input on the program.

▪ Avoid duplication of effort.

• Program and performance management:

◦ Work with HRSA to establish policies and procedures governing the operation of the program.

◦ Participate in regular monitoring and planning calls with the HRSA project officer.

◦ Respond to HRSA and public requests, questions, and other communications regarding activities under this cooperative agreement in a timely and appropriate manner.

◦ Collect and report data and information on program activities and outcomes to HRSA. See Reporting for more details.

◦ Use data collected to make recommendations to HRSA regarding the effectiveness of program guidelines and policies.

◦ Use data collected to develop and implement continuous program improvements, particularly around access to services by medically underserved communities.

◦ Maintain the confidentiality of personal information collected and stored under this program.

◦ Ensure the accessibility to information developed under this program, following Section 508 of the Rehabilitation Act of 1973.

▪ All content meets plain language requirements.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 11 https://www.plainlanguage.gov/

▪ Any website developed to support the program is compliant with Section 508 of the Rehabilitation Act of 1973.

▪ Translate resources into Spanish and other relevant languages, as applicable.

• Program continuity:

◦ Help ensure a smooth handoff and transition if you do not receive this award in the next grant cycle by:

▪ Establishing a process for transferring all program data to HRSA to ensure program continuity.

▪ Providing HRSA with products developed under the cooperative agreement, including, but not limited to, program data, information, processes and procedures, and reports, as required by 45 CFR § 75.322(d) during and beyond the period of performance.

Funding policies and limitations Policies

• We will only make awards if this program receives funding. If Congress appropriates funds for this purpose, we will move forward with the review and award process.

• Support beyond the first budget year will depend on:

◦ Appropriation of funds.

◦ Satisfactory progress in meeting the project’s objectives.

◦ A decision that continued funding is in the government’s best interest.

General limitations

• For guidance on some types of costs we do not allow or restrict, see Budget in

Section 3.1.4 of the Application Guide. You can also see 45 CFR part 75, General Provisions for Selected Items of Cost.

• You cannot earn profit from the federal award. See 45 CFR 75.400(g).

• Congress’s current appropriations act includes a salary limitation, which applies to this program. As of January 2025, the salary rate limitation is $225,700. We will update this limitation in future years.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 12 https://www.section508.gov/manage/laws-and-policies/ https://www.section508.gov/manage/laws-and-policies/ https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf https://www.ecfr.gov/current/title-45/part-75/subject-group-ECFR5d90ba314caea08 https://www.ecfr.gov/current/title-45/part-75/subject-group-ECFR5d90ba314caea08 https://www.ecfr.gov/current/title-45/part-75#p-75.216(b)

Program-specific limitations Funds under this program cannot be used for:

• Reimbursement of blood, marrow, or tissue donation expenses.

• Reimbursement to transplant programs for helping their patients with applying for reimbursement through this program.

• Reimbursement to living organ donors if reimbursement or payment for qualified expenses was provided or can reasonably be expected to be provided:

◦ By the recipient of the organ.

◦ Under a state or federal program or an insurance policy.

◦ By an entity that provides health services on a prepaid basis.

See Manage Your Grant for other information on costs and financial management.

Indirect costs Indirect costs are those incurred for a common or joint purpose across more than one project and that cannot be easily separated by project.

There are two methods to calculate indirect costs:

• Method 1 — Approved rate. You currently have an indirect cost rate approved by your cognizant federal agency at the time of award.

• Method 2 — De minimis rate. Per 2 CFR 200.414(f), if you have never received a negotiated indirect cost rate, you may elect to charge a de minimis rate. If you choose this method, costs included in the indirect cost pool must not be charged as direct costs. This rate is 15% of modified total direct costs (MTDC). See 2 CFR

200.1 for the definition of MTDC. You can use this rate indefinitely.

Program income Program income is money earned as a result of your award-supported project activities. Program income must be added to the total project costs. Find more about program income at 45 CFR 75.307(e)(2).

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 13 https://www.hrsa.gov/grants/manage-your-grant https://www.ecfr.gov/current/title-2/section-200.414 https://www.ecfr.gov/current/title-2/part-200#p-200.1(Modified%20Total%20Direct%20Cost%20(MTDC)) https://www.ecfr.gov/current/title-2/part-200#p-200.1(Modified%20Total%20Direct%20Cost%20(MTDC)) https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75/subpart-D/subject-group-ECFR911e5e1a30bfbcb/section-75.307

Step 2:

Get Ready to Apply

In this step

Get registered 15

Find the application package 15

Application writing help 15

Get registered SAM.gov You must have an active account with SAM.gov to apply. This includes having a Unique Entity Identifier (UEI). SAM.gov registration can take several weeks. Begin that process today.

To register, go to SAM.gov Entity Registration and select Get Started. From the same page, you can also select the Entity Registration Checklist to find out what you’ll need to register.

When you register or update your SAM.gov registration, you must agree to the financial assistance general certifications and representations. You must agree to those for grants specifically, as opposed to contracts, because the two sets of agreements are different. You will have to maintain your registration throughout the life of any award.

Grants.gov You must also have an active account with Grants.gov. You can see step-by-step instructions at the Grants.gov Quick Start Guide for Applicants.

Find the application package The application package has all the forms you need to apply. You can find it online. Go to Grants Search at Grants.gov and search for opportunity number HRSA-25-082.

After you select the opportunity, we recommend that you select the Subscribe button to get updates.

Application writing help Visit HHS Tips for Preparing Grant Proposals.

Visit HRSA’s How to Prepare Your Application page for more guidance.

See Apply for a Grant for other help and resources.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 2: Get Ready to Apply 15 https://sam.gov/content/entity-registration https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://grants.gov/applicants/applicant-registration http://www.grants.gov/quick-start-guide/applicants https://www.grants.gov/search-grants https://www.hhs.gov/grants-contracts/grants/get-ready-for-grants-management/tips-for-preparing-grant-proposals/index.html https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application https://www.hrsa.gov/grants/apply-for-a-grant

Join the webinar Information regarding the technical assistance webinar for applicants will be posted to Grants.gov.

Have questions? Go to Contacts and Support.

Step 2: Get Ready to Apply 16

Step 3:

Prepare Your Application

In this step

Application contents and format 18

Application contents and format Applications include five main components. This section includes guidance on each.

Application page limit: 40 pages

Submit your information in English and express whole number budget figures using U.S. dollars.

Make sure you include each of these:

Components Submission format Included in the page limit?

Project abstract Use the Project Abstract Summary form. No

Project narrative Use the Project Narrative Attachment form. Yes

Budget narrative Use the Budget Narrative Attachment form. Yes

Attachments Insert each in the Other Attachments form. Yes, unless otherwise marked.

Other required forms Upload using each required form. Only what you attach in these forms counts toward the page limit.

Required format You must format your narratives and attachments using our required formats for fonts, size, margins, and so on.

See the formatting guidelines in Section 3.2 of the Application Guide.

Project abstract Complete the information in the Project Abstract Summary form. Include a short, one-page description of your proposed project. Include the needs you plan to address, the proposed services, and the population groups you plan to serve.

If you receive this award, this abstract will be made publicly available and therefore should read as a standalone document without references to other parts of your application.

For more information, see Section 3.1.2 of the Application Guide.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 18 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf

Project narrative In this section, you will describe all aspects of your project. Project activities must comply with the non-discrimination requirements.

Use the section headers and the order listed.

Introduction See merit review criterion 1: Need

Briefly describe the purpose of your project, including why this specific proposal can most effectively meet the goal and objectives of this government program.

Need See merit review criterion 1: Need

• Outline the needs of the organ donation and transplantation community, particularly the needs of prospective living organ donors and recipients.

• Discuss disparities in access to program services within the target population and how you plan to overcome them through this project.

• Use and cite recent demographic data from appropriate sources (such as federal, state, or local data) whenever possible.

Approach See merit review criterion 2: Response

Tell us how you’ll address your stated needs and the approaches you will use to implement each cooperative agreement term, as outlined in the Cooperative Agreement Terms.

High-level work plan See merit review criteria 2: Response and 4: Impact

• Provide a proposed work plan for your activities, as described in Attachment 1.

• You can simply state “See Attachment 1” in this section, rather than providing two copies of the work plan with your application.

Resolving challenges See merit review criterion 2: Response

Discuss challenges that you are likely to encounter in implementing your work plan.

Explain approaches that you’ll use to resolve them.

Step 3: Prepare Your Application 19

Performance reporting and evaluation See merit review criteria 3: Evaluation measures, 4: Impact, and 5: Resources and capabilities

Outcomes

Describe the expected outcomes (desired results) of the funded activities.

Performance measurement and reporting

Upon receipt of the award, you will work with HRSA to develop a set of performance measures that will be used to track your progress towards meeting the program objectives.

• Describe how you will collect, and report required performance data accurately and on time to HRSA (for example, staffing, workflow, coordination with HRSA).

• Describe how you will manage and securely store data.

• Describe how you will monitor and analyze performance data to support continuous quality improvement.

See Reporting for more information.

Organizational information See merit review criterion 5: Resources and capabilities

• Briefly describe the mission, structure, and scope of your organization and current activities. Explain how they support your ability to carry out this national program.

• Describe your previous or current experience with providing financial assistance to people in need, including medically underserved communities. Include relevant staff members, the type of financial assistance you provided, and the number of individuals served.

• Describe any existing or planned collaborative relationships within the organ donation and transplantation community (such as transplant centers, dialysis centers, prospective living organ donors, transplant candidates, and organizations working on behalf of individuals in need of a transplant) and how you will leverage them to implement the project.

◦ Provide copies of any formal or informal agreements (like a Memoranda of Understanding or Letters of Commitment) in Attachment 4.

• Describe your organization’s ability to remain flexible and adapt to changing priorities, guidelines, and organ donation and transplantation needs.

• Discuss how you’ll follow the approved plan, account for federal funds, and record all costs to avoid audit findings.

Step 3: Prepare Your Application 20

• Include a project organization chart in Attachment 5.

• Describe your key staff’s experience, skills, and knowledge in Attachments 2:

Staffing plan and job descriptions and Attachment 3: Biographical sketches.

Budget and budget narrative See merit review criterion 6: Support Requested

The budget should follow the instructions in Section 3.1.4 Budget of the Application Guide and any specific instructions listed in this section. Your budget should show a well-organized plan.

HHS now uses the definitions for equipment and supply in 2 CFR 200.1. The new definitions change the threshold for equipment to the lesser of the recipient’s capitalization level or $10,000 and the threshold for supplies to below that amount.

The total project or program costs are all allowable (direct and indirect) costs incurred for the HRSA award activity or project. This includes costs charged to the award and non-federal funds used to satisfy a matching or cost-sharing requirement (which may include maintenance of effort, if applicable).

The budget narrative supports the information you provide in Standard Form 424-A.

See other required forms. The merit review committee reviews both.

The budget narrative includes added detail and justifies the costs you ask for.

As you develop your budget, consider:

• If the costs are reasonable and consistent with your project’s purpose and activities.

• Restrictions on spending funds. See Funding policies and limitations.

• You cannot charge an indirect cost rate on the funds set aside for reimbursement to living donors.

To create your budget narrative, see detailed instructions in Section 3.1.5 of the Application Guide.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 21 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf https://www.ecfr.gov/current/title-2/part-200#p-200.1(Equipment) https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200#p-200.1(Supply)

Attachments Place your attachments in this order in the Attachments form.

Attachment 1: Work plan Counts toward page limit. Attach the project’s work plan. Make sure it includes everything required in the Project narrative section and covers all 3 years of the project.

At a minimum, your work plan should include the following:

• Specific steps you will use to carry out each of the activities you proposed in the Approach section of the Project Narrative.

• The responsible staff members and organizations who will carry out each step.

• The timeline for completing each step. We recommend you be as specific as possible, rather than using phrases like “ongoing” or “year 1.”

Attachment 2: Staffing plan and job descriptions Counts toward page limit. See Section 3.1.7 of the Application Guide.

Include a staffing plan that has the following information for each key staff reflected in your workplan, regardless of whether their salary will be paid for by the award:

• Position title.

• Name, title, and affiliation of staff member.

• Full-time equivalent (FTE) dedicated to the project.

• Roles, responsibilities, and qualifications required for this project.

At a minimum, your staffing plan should include a project director with sufficient FTE dedicated to the project (0.50 FTE is recommended) and a person responsible for collecting and reporting data to HRSA (this can also be the Project Director).

If you have not yet hired a person for a particular position, write “to be hired” instead of their name and provide a timeline for filling the role.

Attachment 3: Biographical sketches Does not count toward the page limit. Include biographical sketches for people who will hold the key positions you describe in Attachment 2, including all people who are listed in your work plan.

Do not include personally identifiable information, such as Social Security numbers.

Biographical sketches should not exceed one page per staff member unless that staff member assumes more than one role on the grant.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 22 https://grants.gov/learn-grants/grant-terminology#p

If you include someone you have not formally hired yet, provide a letter of commitment from that person with the biographical sketch.

Attachment 4: Agreements with other entities Counts toward page limit. Provide any documents that describe working relationships between your organization and others you refer to in the proposal. Documents that confirm actual or pending contracts or agreements should clearly describe the roles of subrecipients and contractors and any deliverable. Make sure you sign and date any letters of agreement.

Attachment 5: Project organizational chart Counts toward page limit. Provide a one-page diagram that shows the full project’s organizational structure.

Attachment 6: Indirect Cost Rate Agreement (if applicable) Does not count toward page limit. If it applies, include here a copy of your Indirect Cost Rate Agreement.

Other required forms You will need to complete some other forms. Upload the listed forms at Grants.gov. You can find them in the NOFO application package or review them and any available instructions at Grants.gov Forms.

Forms Submission Requirement

Application for Federal Assistance (SF-424) With application.

Budget Information for Non-Construction Programs (SF-424A)

With application.

Disclosure of Lobbying Activities (SF-LLL) If applicable, with the application or before the award.

Project/Performance Site Location(s) With application.

Grants.gov Lobbying Form With application.

Key Contacts With application.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 23 https://www.grants.gov/forms

Step 4:

Learn About Review and Award

In this step

Application review 25

Selection process 28

Award notices 29

Application review Initial review We review each application to make sure it meets basic requirements. We will not consider an application that:

• Is from an organization that does not meet all eligibility criteria.

• Requests funding above the award ceiling shown in the funding range.

• Is submitted after the deadline.

Also, we will not review any pages over the page limit.

Merit review A panel reviews all applications that pass the initial review. The members use the following criteria.

Criterion Total number of points = 100

1. Need 10 points

2. Response 30 points

3. Evaluation measures 10 points

4. Impact 15 points

5. Resources and capabilities 25 points

6. Support requested 10 points

Criterion 1: Need (10 points) See Project Narrative Introduction and Need sections.

The panel will review your application for:

• How well the application addresses the barriers to living organ donation and the needs of prospective living organ donors and recipients.

• How well the application addresses the need for equity in access to organ transplantation, particularly with regards to living organ transplants.

Step 4: Learn About Review and Award 25

Criterion 2: Response (30 points) See Project Narrative Approach, High-level work plan, and Resolving challenges sections.

The panel will review your application for:

Approach (10 points)

• How well the proposed system (such as mechanisms, tools, staffing) will provide accurate and timely reimbursement of living donor expenses.

• The strength and diversity (such as type, location, communities served) of the applicant’s proposed or existing partnerships with living organ donation and transplantation stakeholders.

Work plan (15 points)

• The comprehensiveness and feasibility of the proposed work plan.

• How well the proposed activities described will address the problem and meet project objectives.

Resolving challenges (5 points)

• How well the application identifies potential challenges to program implementation and proposes adequate solutions for addressing them.

Criterion 3: Evaluation measures (10 points) See Project Narrative Performance reporting and evaluation section.

The panel will review your application for:

• How strong and effective the proposed method is to monitor project results, including proposed resources/tools, staffing, and workflow.

• The extent to which the staff proposed have the experience and capability to support data collection and reporting activities.

Criterion 4: Impact (15 points) See Project Narrative High-level work plan (as Attachment 1) and Performance reporting and evaluation sections.

The panel will review your application for:

• How strong of a public health impact the proposed project is likely to have among prospective living organ transplant donors and recipients.

• How effective the proposed project will likely be in increasing access to LODRP resources, particularly among medically underserved communities.

Step 4: Learn About Review and Award 26

• The strength of the application’s proposed methods for disseminating information, results, and impact to various target audiences.

Criterion 5: Resources and capabilities (25 points) See Project Narrative Organizational information and Performance reporting and evaluation sections.

The panel will review your application for:

Organizational information (15 points)

• How well the application demonstrates the organization’s ability to provide overall financial and programmatic management for this award, including properly accounting for the federal funds and documenting all costs.

• The strength of the process proposed to process reimbursement requests quickly and accurately.

• The strength of the process proposed to incorporate new LODRP guidelines, priorities, and procedures, should they arise.

Program performance and evaluation (10)

• The extent to which project staff have the training, experience, and dedicated time (for example, FTE) to coordinate, implement, and monitor project activities.

• The strength of the proposed approach to continuously use program data and outcomes to make quality improvements.

Criterion 6: Support requested (10 points) See Budget and budget narrative section.

The panel will review your application for:

• How reasonable the proposed budget is for each year of the period of performance.

• The extent to which costs, as outlined in the budget and required resources sections, align with the project’s scope, and maximize program impact.

Risk review Before making an award, we review the risk that you will not manage federal funds in prudent ways. We need to make sure you’ve handled any past federal awards well and demonstrated sound business practices. We:

• Review any applicable past performance.

• Review audit reports and findings.

• Analyze the budget.

Step 4: Learn About Review and Award 27

• Assess your management systems.

• Ensure you continue to be eligible.

• Make sure you comply with any public policies.

We may ask you to submit additional information.

As part of this review, we use SAM.gov Entity Information Responsibility / Qualification to check your history for all awards likely to be more than $250,000 over the period of performance. You can comment on your organization’s information in SAM.gov. We’ll consider your comments before making a decision about your level of risk.

If we find a significant risk, we may choose not to fund your application or to place specific conditions on the award.

For more details, see 45 CFR 75.205.

Selection process When making funding decisions, we consider:

• Merit review results. These are key in making decisions but are not the only factor.

• The amount of available funds.

• Assessed risk.

• The larger portfolio of HRSA-funded projects, including the diversity of project types and geographic distribution.

We may:

• Fund out of rank order.

• Fund applications at a lower amount than requested.

• Decide not to allow a recipient to subaward if they may not be able to monitor and manage subrecipients properly.

• Choose to fund no applications under this NOFO.

Special considerations You can apply for this cooperative agreement and for HRSA’s Public Education for Living Organ Donation Reimbursement Program funding opportunity (LODRP; HRSA-25-083).

However, this program includes a special consideration based on HRSA’s aim to expand the number of organizations supporting this important program by selecting different organizations under each of the two separate funding opportunities (HRSA-25-082 and HRSA-25-083). This will depend on factors such as the quality and number of applications received.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 4: Learn About Review and Award 28 https://sam.gov/content/entity-information https://www.ecfr.gov/current/title-45/section-75.205

Award notices We issue Notices of Award (NOA) on or around the start date listed in the NOFO. See Section 4 of the Application Guide for more information.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 4: Learn About Review and Award 29

Step 5:

Submit Your Application

In this step

Application submission and deadlines 31

Application checklist 33

Application submission and deadlines See Find the Application Package to make sure you have everything you need.

Make sure you are current with SAM.gov and UEI requirements. When you register or update your SAM.gov registration, you must agree to the financial assistance general certifications and representations, and specifically with regard to grants.

Make sure that your SAM.gov registration is accurate for both contracts and grants, as these registrations differ. See Get registered.

You will have to maintain your registration throughout the life of any award.

Deadlines Application You must submit your application by April 18, 2025, at 11:59 p.m. ET.

Grants.gov creates a date and time record when it receives the application.

Submission method Grants.gov You must submit your application through Grants.gov. See Get registered.

For instructions on how to submit in Grants.gov, see the Quick Start Guide for Applicants. Make sure that your application passes the Grants.gov validation checks, or we may not get it. Do not encrypt, zip, or password protect any files.

Have questions? Go to Contacts and Support if you need help.

Other submissions Intergovernmental review If your state has a process, you will need to submit application information for intergovernmental review under Executive Order 12372. Under this order, states may design their own processes for obtaining, reviewing, and commenting on some applications. Some states have this process, and others do not.

To find out your state’s approach, see the list of state single points of contact. If you find a contact on the list for your state, contact them as soon as you can to learn their

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 5: Submit Your Application 31 https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs http://www.grants.gov/quick-start-guide/applicants http://www.grants.gov/quick-start-guide/applicants https://www.archives.gov/federal-register/codification/executive-order/12372.html https://www.whitehouse.gov/wp-content/uploads/2023/06/SPOC-list-as-of-2023.pdf process. If you do not find a contact for your state, you do not need to do anything further.

This requirement never applies to American Indian and Alaska Native tribes or tribal organizations.

Step 5: Submit Your Application 32

Application checklist Make sure that you have everything you need to apply:

Component How to Upload Included in page limit?

Project abstract Use the Project Abstract Summary Form. No

Project narrative Use the Project Narrative Attachment form.

Yes

Budget narrative Use the Budget Narrative Attachment form.

Yes

Attachments Insert each in a single Other Attachments form.

Work plan Yes

Staffing plan and job descriptions Yes

Biographical sketches No

Agreements with other entities Yes

Project organizational chart Yes

Indirect cost rate agreement (if applicable)

No

Other required forms * Upload using each required form.

Application for Federal Assistance

(SF-424)

No

Budget Information for Non-Construction Programs (SF-424A)

No

Disclosure of Lobbying Activities (SF-LLL) No

Project/Performance Site Location(s) No

Grants.gov Lobbying Form No

Key Contacts No

* Only what you attach in these forms counts against the page limit. The form itself does not count.

Step 5: Submit Your Application 33

Step 6:

Learn What Happens After Award

In this step

Post-award requirements and administration 35

Post-award requirements and administration Administrative and national policy requirements There are important rules you need to know if you get an award. You must follow:

• All terms and conditions in the Notice of Award (NOA).

• The rules listed in 45 CFR 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards, or any superseding regulations. Effective October 1, 2024, HHS adopted the following superseding provisions:

◦ 2 CFR 200.1, Definitions, Modified Total Direct Cost.

◦ 2 CFR 200.1, Definitions, Equipment.

◦ 2 CFR 200.1, Definitions, Supply.

◦ 2 CFR 200.313(e), Equipment, Disposition.

◦ 2 CFR 200.314(a), Supplies.

◦ 2 CFR 200.320, Methods of procurement to be followed.

◦ 2 CFR 200.333, Fixed amount subawards.

◦ 2 CFR 200.344, Closeout.

◦ 2 CFR 200.414(f), Indirect (F&A) costs.

◦ 2 CFR 200.501, Audit requirements.

• The termination provisions in 45 CFR 75.372.

• The HHS Grants Policy Statement (GPS). This document is incorporated by reference in your NOA. If there are any exceptions to the GPS, they’ll be listed in your NOA.

• All federal statutes and regulations relevant to federal financial assistance, including those highlighted in the HHS Administrative and National Policy Requirements.

• See the requirements for performance management in 2 CFR 200.301.

• Follow How to Acknowledge Federal Funding pertaining to the acknowledgment and disclaimer on all products produced by HRSA award funds.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 6: Learn What Happens After Award 35 https://www.ecfr.gov/current/title-45/part-75 https://www.ecfr.gov/current/title-2/part-200#p-200.1(Modified%20Total%20Direct%20Cost%20(MTDC)) https://www.ecfr.gov/current/title-2/part-200#p-200.1(Equipment) https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200#200.1 https://www.ecfr.gov/current/title-2/part-200#p-200.313(e) https://www.ecfr.gov/current/title-2/part-200#p-200.314(a) https://www.ecfr.gov/current/title-2/section-200.320 https://www.ecfr.gov/current/title-2/section-200.333 https://www.ecfr.gov/current/title-2/section-200.344 https://www.ecfr.gov/current/title-2/part-200#p-200.414(f) https://www.ecfr.gov/current/title-2/section-200.501 https://www.ecfr.gov/current/title-45/section-75.372 https://www.hhs.gov/sites/default/files/hhs-grants-policy-statement-october-2024.pdf https://www.hhs.gov/sites/default/files/hhs-administrative-national-policy-requirements.pdf https://www.hhs.gov/sites/default/files/hhs-administrative-national-policy-requirements.pdf https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-D/section-200.301 https://www.hrsa.gov/grants/manage-your-grant/acknowledge-hrsa-funding

Health information technology interoperability If you receive an award, you must agree that where your activities involve implementing, acquiring, or upgrading health IT, you, and all your subrecipients will:

• Meet the standards and specifications in 45 CFR part 170, subpart B, if those standards support the activity.

• If the activities relate to activities of eligible clinicians in ambulatory settings or hospitals under Sections 4101, 4102, and 4201 of the HITECH Act, that you will use only health IT certified by the Office of the National Coordinator for Health Information Technology (ONC) Health IT Certification Program.

If standards and implementation specifications in 45 CFR part 170, subpart B cannot support the activity, we encourage you to use health IT that meets non-proprietary standards and specifications of consensus-based standards development organizations. This may include standards identified in the ONC Interoperability Standards Advisory.

Non-discrimination and assurance If you receive an award, you must follow all applicable nondiscrimination laws. You agree to this when you register in SAM.gov. You must also submit an Assurance of Compliance (HHS-690). To learn more, see the Laws and Regulations Enforced by the HHS Office for Civil Rights.

Contact the HHS Office for Civil Rights for more information about obligations and prohibitions under federal civil rights laws or call 1-800-368-1019 or TDD 1-800-537-7697.

The HRSA Office of Civil Rights, Diversity, and Inclusion (OCRDI) offers technical assistance, individual consultations, trainings, and plain language materials to supplement OCR guidance. Visit OCRDI’s website to learn more about how federal civil rights laws and accessibility requirements apply to your programs or contact OCRDI directly at HRSACivilRights@hrsa.gov.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 6: Learn What Happens After Award 36 https://www.ecfr.gov/current/title-45/part-170/subpart-B https://www.healthit.gov/topic/certification-ehrs/certification-health-it-1 https://www.healthit.gov/topic/certification-ehrs/certification-health-it-1 https://www.ecfr.gov/current/title-45/part-170/subpart-B https://www.healthit.gov/isa/ https://www.healthit.gov/isa/ https://www.hhs.gov/sites/default/files/form-hhs690.pdf https://www.hhs.gov/civil-rights/for-providers/laws-regulations-guidance/laws/index.html https://www.hhs.gov/civil-rights/for-providers/laws-regulations-guidance/laws/index.html https://www.hhs.gov/ocr/about-us/contact-us/index.html https://www.hrsa.gov/about/organization/bureaus/ocrdi#recipients mailto:HRSACivilRights@hrsa.gov

Executive order on worker organizing and empowerment Executive Order on Worker Organizing and Empowerment (E.O. 14025) encourages worker organizing and collective bargaining and promotes equality of bargaining power between employers and employees.

You can support these goals by developing policies and practices that you could use to promote worker power.

Cybersecurity You must create a cybersecurity plan if your project involves both of the following conditions:

• You have ongoing access to HHS information or technology systems.

• You handle personal identifiable information (PII) or personal health information (PHI) from HHS.

You must base the plan based on the NIST Cybersecurity Framework. Your plan should include the following steps:

Identify:

• List all assets and accounts with access to HHS systems or PII/PHI.

Protect:

• Limit access to only those who need it for award activities.

• Ensure all staff complete annual cybersecurity and privacy training. Free training is available at 405(d): Knowledge on Demand (hhs.gov).

• Use multi-factor authentication for all users accessing HHS systems.

• Regularly backup and test…