HRSA-26-106 Final.pdf

Notice of Funding Opportunity

Application due 07/06/2026

Office of Special Activities

Community Project Funding/Congressionally Directed Spending (CPF/CDS): Non- Construction Projects

Opportunity number: HRSA-26-106

Table of Contents Before You Begin

Step 1: Review the Opportunity

Basic information

Funding details

Eligibility

Program description

Award information

Step 2: Get Ready to Apply

Get registered

Find the application package

Application writing help

Step 3: Build Your Application

Application checklist

Application contents and format

Step 4: Understand Review, Selection, and Award

Application review

Selection process

Award notices

Step 5: Submit Your Application

Application submission and deadlines

Other submissions

Step 6: Learn What Happens After Award

Post-award requirements and administration

Reporting

Contacts and Support

Agency contacts

Help with systems

Before You Begin Health Resources and Services Administration

Office of Federal Assistance and Acquisition Management (OFAAM)

Office of Special Activities

Community Project Funding/Congressionally Directed Spending (CPF/CDS): Non-Construction Projects

HRSA-26-106

All activities proposed in your application and budget narrative must align with applicable law, including but not limited to statutes, executive orders, federal regulations and applicable judicial holdings. Accordingly, discretionary awards shall not be used to fund, promote, encourage, subsidize, or facilitate: racial preferences or other forms of racial discrimination by the recipient, including activities where race or intentional proxies for race will be used as a selection criterion for employment or program participation; denial by the recipient of the sex binary in humans, or the belief that sex is a chosen or mutable characteristic; illegal immigration; or any other initiatives that compromise public safety. If an application does not align, the application will not receive funding to the extent permitted by law and applicable court orders.

Step 1: Review the Opportunity

Basic information Tagline: N/A

Summary HRSA Community Project Funding / Congressionally Directed Spending (CPF/CDS) Non- Construction Projects

These are non-competitive federal grants administered by the Health Resources and Services Administration (HRSA) for health-related activities that do not involve construction or major renovation. The purpose is to provide funding to organizations identified by Congress to support such organizations in delivering services, training, and technology improvements as further directed by Congress. Funding was appropriated by Congress under theConsolidated Appropriations Act, 2026 (P.L. 119-75) for award to specific organizations in specific amounts and for specific purposes. This funding opportunity is not competitive and thus is not open to the general public.

Eligibility is limited to organizations specifically identified by Congress in the Consolidated Appropriations Act, 2026. HRSA has notified each eligible recipient of their designated funding amount and project purpose. No cost-sharing or matching funds are required.

Funds must support health-related, non-construction activities, which may include:

• Services & Training - Carrying out activities, workforce training, or other projects aligned with the Congressional directive outlined in the Consolidated Appropriations Act, 2026.

https://www.congress.gov/bill/119th-congress/house-bill/7148 https://www.congress.gov/bill/119th-congress/house-bill/7148 https://www.congress.gov/bill/119th-congress/house-bill/7148 https://www.congress.gov/bill/119th-congress/house-bill/7148 https://www.congress.gov/bill/119th-congress/house-bill/7148

• Information Technology - Acquiring or upgrading health IT systems.

• Movable Equipment - Purchasing portable equipment with a useful life of more than one year and a unit cost of $10,000 or more (e.g., medical devices, IT systems), provided it is not fixed or permanently attached to a building.

Funds may not be used for construction, building expansions, major renovations, fixed equipment, or installation of prefabricated units as further defined in this funding opportunity.

Have questions? Go to Contacts and Support.

Key facts

Opportunity name:

Community Project Funding/Congressionally Directed Spending (CPF/CDS): Non-Construction Projects

Opportunity number:

HRSA-26-106

Announcement version:

initial

Federal assistance listing:

93.493

Key dates

NOFO issue date:

06/04/2026

Informational webinar:

See the Join the webinar section

Application deadline:

07/06/2026

Expected award date is by:

09/01/2026

Expected start date:

09/01/2026

See other submissions for other time frames that may apply to this NOFO.

Funding details Application Types:

New Funding range per award:

Applicants may not request more or less than the designated amount of one-time funding identified in the Further Consolidated Appropriations Act, 2026 (P.L. 119-75).

We plan to fund awards fully in Year 1 for use of over period of performance from 09/01/2026 to 08/31/2027.

Eligibility Eligible entities: Those organizations identified by Congress to receive specific amounts of funding for specific projects under the Consolidated Appropriations Act, 2026 (P.L. 119-75).

Individuals are not eligible applicants under this NOFO.

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.

• Is submitted after the deadline.

• Incomplete applications or those that miss the deadline may result in a delayed award until we receive all necessary application components.

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. Recipients agree that once committed, cost sharing amounts are enforceable and subject to reporting and auditing requirements under 2 CFR 200.

Post-award requirements

Before you apply, make sure you understand the requirements that come with an award.

See Step 6: Learn What Happens After Award for information on regulations that apply, reporting, and more.

Program description Purpose This notice announces the opportunity to apply for funding under the Community Project Funding/Congressionally Directed Spending (CPF/CDS): Non-Construction Projects.

This is a non-competitive announcement that will be managed by the HRSA’s Office of Federal Assistance and Acquisition Management (OFAAM). This document provides guidance on how to submit an application to receive CPF/CDS funding. General information is provided about the projects, including funding amounts, limitations, administrative and national policy requirements, and other important information.

Funding is limited to the named organizations and for the purposes identified in the Consolidated Appropriations Act, 2026 (P.L. 119-75). This program operates on a drawdown basis, wherein funds will be disbursed as costs are incurred. Please note that this is not a reimbursement program.

Funding Opportunity Goals

• Fund CPF/CDS projects that support health-related activities, including training and information technology. Electronic Health/Medical Records (EHRs/EMRs) and telehealth projects are allowable. These projects do not include construction or major alteration/renovation (A/R), as these terms are defined below.

Background Congress appropriated funding in the Consolidated Appropriations Act, 2026 (P.L. 119-75) for CPF/CDS projects that support health-related activities, including training and information technology. Electronic Health/Medical Records (EHRs/EMRs) and telehealth projects are allowable.

All applicants of CPF/CDS must submit an application in order for the funds to be awarded. Your application must contain the items listed in this Project Guidance. Incomplete applications may result in a delayed award until all necessary components are received.

To further assist you, OFAAM will be hosting a Technical Assistance Webinar.

For purposes of this NOFO, the following definitions apply:

Community Project Funding/Congressionally Directed Spending – language in an authorization act or appropriations act that requires HRSA to make an award(s) to a named recipient(s) for a particular project or activity.

Moveable equipment – tangible personal property or moveable equipment (including information technology systems) having a useful life of more than one year and a per-unit acquisition cost which equals or exceeds the lesser of the capitalization level established by the non-Federal federal entity for financial statement purposes, or $10,000. Please review the CPF/CDS website for examples of moveable equipment.

Non-construction grant – funds awarded for projects that do not include construction or major alteration/renovation (A/R).

Project costs – total allowable costs incurred under a federal award and all required cost-sharing and voluntary committed cost-sharing, including third-party contributions.

Program requirements and expectations Applicants notified to apply for funding under CPF/CDS: Non-Construction Project (HRSA-26-

106) must apply under this program announcement number. Applying under the wrong program announcement number will delay the process and may require a re-submission under the correct announcement.

Statutory authority Consolidated Appropriations Act, 2026 (P.L. 119-75) https://www.congress.gov/bill/119th-congress/house-bill/7148 https://www.congress.gov/bill/119th-congress/house-bill/7148 https://www.congress.gov/bill/119th-congress/house-bill/7148 https://www.hrsa.gov/grants/manage-your-grant/training/community-project-funding-congressionally-directed

Award information Funding policies and limitations Changes in HHS regulations As of October 1, 2025, HHS has adopted 2 CFR Part 200, with some modifications included in 2 CFR Part 300. These regulations replace those in 45 CFR Part 75.

Policies

• To make an award, funding must be available and allocated for this program and purpose, at which point we will move forward with the review and award process.

• Have clear policies and good financial practices to avoid spending HRSA funds on unallowable activities. Like other award rules, we may audit your policies, procedures, and controls.

General limitations

• For guidance on some types of costs we do not allow or restrict, see o 2 CFR Part 200 Subpart E - General Provisions for Selected Items of Cost.

o Allowable and Unallowable Costs and Activities in the HHS Grants Policy

Statement.

o All costs must be reasonable, necessary, allocable to the award, and adequately documented (2 CFR 200.403).

o You cannot earn profit from the federal award. See 2 CFR § 200.400(g).

Current appropriations law includes a salary limit of $228,000 as of January 2026 that applies to this project. You may pay salaries at a higher rate if the rate beyond the salary rate limit (Executive Level II) is paid with non-HHS funds. For help calculating salaries under this limit, read more about “salary rate limitation” in the Application Guide.

Indirect costs Indirect costs are costs you charge across more than one project that cannot be easily separated by project. For example, this could include utilities for a building that supports multiple projects.

To incur indirect costs, you can select one of two methods:

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 do not have a current 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 up to 15% of modified total direct costs (MTDC). See 2 CFR § 200.1 for the definition of MTDC. You can use this rate indefinitely for all your federal awards or until you choose to receive a negotiated rate.

Training grants only:

As of October 1, 2025, 2 CFR 300.414 indirect costs for training awards cannot exceed 8% of modified total direct costs. To calculate the (MTDC), we exclude from the direct cost base:

https://www.ecfr.gov/current/title-2/part-200 https://www.ecfr.gov/current/title-2/part-200/subject-group-ECFRed1f39f9b3d4e72 https://www.ecfr.gov/current/title-2/part-200/subject-group-ECFRed1f39f9b3d4e72 https://www.hhs.gov/grants-contracts/grants/grants-policies-regulations/index.html https://www.hhs.gov/grants-contracts/grants/grants-policies-regulations/index.html https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-E/subject-group-ECFRea20080eff2ea53/section-200.404 https://www.ecfr.gov/current/title-2/section-200.405 https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-E/subject-group-ECFRea20080eff2ea53/section-200.403 https://www.ecfr.gov/current/title-2/part-200#p-200.400(g) 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))

• Direct cost amounts for equipment, tuition, fees, and participant support costs.

• Subawards and subcontracts exceeding $50,000.

For modified total direct costs, we use the definition at 2 CFR 200.1.

Consider your indirect costs when developing your budget.

Program income Program income is money earned as a result of your award-supported project activities. You must use any program income you generate from awarded funds for approved project-related activities. Find more about program income at 2 CFR 200.307.

Step 2: Get Ready to Apply

Get registered SAM.gov You must have an active account with SAM.gov to apply. 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 for the information you will need to register.

• You must agree to the financial assistance general certifications and representations specifically. Those for contracts are different.

When you register, you will also receive your required Unique Entity Identifier (UEI).

Once you register:

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

• If your organization has multiple UEIs, use the one associated with your physical location.

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 and How to Apply for Grants.

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-26-106.

After you select the opportunity, we recommend that you click 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.

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/section-200.307 https://sam.gov/content/entity-registration https://www.hhs.gov/sites/default/files/financial-assistance-general-certification-representations.pdf https://grants.gov/applicants/applicant-registration http://www.grants.gov/quick-start-guide/applicants https://www.grants.gov/applicants/grant-applications/how-to-apply-for-grants https://www.grants.gov/search-grants 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

FAQs will be posted on our TA webpage after the webinar.

Join the webinar Webinar information will be posted to the Related Documents tab on Grants.gov. We recommend you “Subscribe” to the NOFO on Grants.gov to receive updates when documents are posted.

Have questions? Go to Contacts and Support.

Have questions? Go to Contacts and Support.

Step 3: Build Your Application

Application checklist There are two types of forms in Grants.gov.

• Some forms allow you to upload components of your application to the form. These include components like your project narrative, budget and budget narrative, and attachments, as applicable.

• Other forms are more typical, fill-in-the-blank forms.

Make sure that you have everything you need to apply.

Narratives

Component Grants.gov form Included in page limit*?

◻ Project narrative

Use the Project Narrative Attachment form.

Project Narrative Attachment form. 1-3

◻ Budget narrative

Use the Budget Narrative Attachment form.

Budget Narrative Attachment form. 1-3

Attachments Insert each in the Attachments Form in this order.

Component

◻ 1. Work plan ◻ 2. Staffing plan and job descriptions ◻ 3. Biographical sketches ◻ 4. Agreements with other entities (if applicable) ◻ 5. Project organizational chart ◻ 6. Equipment list (if applicable) ◻ 7. Other relevant documents (if applicable)

Other required forms Upload using each required form in Grants.gov.

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

Project Abstract Summary Form With application.

Grants.gov Lobbying Form With application.

Disclosure of Lobbying Activities (SF-LLL), optional With application.

Project/Performance Site Location(s) With application.

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

Key Contacts With application.

*Only what you attach in these forms counts toward the page limit. The forms themselves do not count.

Application contents and format This section includes guidance on each component found in the application checklist.

Application page limit: 7-15 pages

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

Required format Required format for project summary, project narrative, budget narrative, and attachments.

Font: A readable font like Arial, Courier, CG Times, or Times New Roman

File format: We only accept the following document formats:

• .PDF - Adobe Portable Document Format

• .DOC/.DOCX - Microsoft Word

• .RTF - Rich Text Format o .TXT - Text

• .WPD - Word Perfect Document

• .XLS/.XLSX - Microsoft Excel

• .VSD - Microsoft Visio

Size: 12-point font Footnotes, charts, graphics, and budget tables may be 10-point or higher.

Ink color: Black

Spacing: Single-spaced, including all text and tables

Alignment: Left

Headings: Bold all headings and align left.

Size: 8.5 x 11 (Make sure the print area is set and allows printing to 8.5 x 11.)

Margins: 1-inch on all sides

Footer: On each page as the footer, include your organization’s name and page numbers. If a competing continuation or competing supplement, also include your 10-digit award number.

Page numbering:

• Do not number the standard OMB-approved forms.

• Number each attachment page sequentially (that is, 1, 2, 3).

• Reset the numbering for each attachment.

• Treat each attachment as a separate section.

File names: You can find guidance for naming your files in the Application Guide.

Project narrative Provide a clear and concise description of the proposed project. Explain what the project is about, what activities will be carried out, and why the project is being undertaken. Clearly state the main goal or purpose of the project. Ensure the description is brief, direct, and easy to understand.

See the reporting section for more information.

Attachments Place your attachments in this order in the Attachments Form. See application checklist to determine if they count toward the page limit.

Unless the instructions below require it, do not submit organizational brochures or other promotional materials (for example, slides, films, clips).

Attachment 1: Work Plan Describe the activities or steps required to complete the project in 12 months. Use a timeline, in a MONTH/YEAR format, that includes each activity and identifies responsible staff. Please refer to the CPF/CDS website for a work plan sample and/or template.

Attachment 2: Staffing plan and job descriptions Include a staffing plan that shows the staff positions that will support the project, and key information about each. Justify your staffing choices, including their education and experience.

Explain your reasons for the amount of time you request for each staff position.

For each key staff member, attach a one-page job description. It must include their role, responsibilities, and qualifications.

Attachment 3: Biographical sketches Include biographical sketches for people who will hold the key positions you describe in Attachment 2.

Each biographical sketch should be no more than two pages. Do not include non-public, personally identifiable information. If you include someone you have not hired yet, provide a letter of commitment from that person along with the biographical sketch.

Attachment 4: Agreements with other entities If applicable, provide any documents that describe working relationships between your organization and others you mention in your project narrative. If you include documents that confirm actual or pending contracts or agreements, the documents should clearly describe the https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=26 https://www.hrsa.gov/grants/manage-your-grant/training/community-project-funding-congressionally-directed https://grants.gov/learn-grants/grant-terminology#p roles of subrecipients and contractors and any deliverables. It is not necessary to include the entire contents of lengthy agreements, so long as the portions you include describe the working relationship between you and the other organization. Make sure letters of agreement are signed and dated.

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

Attachment 6: Equipment list, if applicable If you propose using award funds for moveable equipment, provide a list of all moveable equipment you plan to purchase. The list must be consistent with your Budget Narrative. Provide a brief description of how the equipment will be used for the project. Grant Agreements under this authority cannot be used for non-moveable or fixed equipment.

Moveable equipment is defined as non-expendable equipment with a useful life of more than one year, a per-unit cost of $10,000 or more, and that can be readily shifted from place-to-place without requiring a change in the utilities or structural characteristics of the facility. Equipment purchased with CPF/CDS funds must be maintained, tracked, and disposed of. There is no supplies category on the SF-424C. Items less than $10,000 in unit cost should be listed as equipment. In your list, include the following information for each item:

Item description Unit price Quantity Total Price

Examples of moveable equipment include:

• Ultrasound machines.

• Portable scanners/x-ray equipment/generators.

• Exam tables.

• Vehicles.

• Furniture.

• Computers.

When selecting moveable equipment, you should have a preference for:

• Recycled content. Non-hazardous substances.

• Non-ozone depleting substances.

• Energy and water efficiency.

• Consideration of final disposal (disposed of in a manner that is safe, protective of the environment, and compliant with all applicable regulations), unless there are conflicting health, safety, and performance considerations.

We encourage you to employ the standards established by either the Electronic Product Environmental Assessment Tool (EPEAT) or ENERGY STAR®, where practicable, when procuring moveable equipment. Following these standards will mitigate the negative effects on human health and the environment.

Attachment 6: Other Relevant Documents Other required forms

You will need to complete some other forms. Upload the following 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.

Project Abstract Summary Form With application.

Grants.gov Lobbying Form With application.

Disclosure of Lobbying Activities (SF- LLL), optional With application.

Project/Performance Site Location(s) With application.

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

Key Contacts With application.

Form instructions The application guide has detailed instructions for:

• The Application for Federal Assistance (SF-424).

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

Project abstract summary form instructions Use the standard Office of Management and Budget (OMB)-approved Project Abstract Summary Form that you’ll find in the workspace application package. Do not upload the abstract as an attachment or it may count toward the page limit. For information you must include in the Project Abstract Summary Form, see Section 4.1.ix of the Application Guide.

Important: Public information

When filling out your SF-424 form, pay attention to Box 15: Descriptive Title of Applicant’s Project.

We share what you put there with USAspending. This is where the public goes to learn how the federal government spends their money.

Instead of just a title, insert a short description of your project and what it will do.

See instructions and examples.

Step 4: Understand Review, Selection, and Award

Application review Initial review We will review your application to make sure that it meets eligibility criteria, and the requirements in this NOFO. If your application does not meet eligibility criteria, it will not be funded. If your application does not meet other criteria, it could delay your award.

https://grants.gov/forms/forms-repository/sf-424-family https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=8 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=13 https://www.usaspending.gov/ https://www.hhs.gov/sites/default/files/hhs-writing-award-descriptions.pdf

Risk review Before making an award, we review your award history to assess risk. We need to ensure all prior awards were managed well and demonstrated sound business practices. We:

• Review any applicable past performance.

• Review audit reports and findings.

• Analyze the budget.

• 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 2 CFR 200.206.

Selection process When making funding decisions, we consider:

• The amount of available funds.

• Assessed risk.

You cannot appeal a denial, or the amount of funds awarded.

Award notices We issue Notices of Award (NOA) on or around the start date listed in the NOFO. See “how we make awards” in the Application Guide for more information.

By drawing down funds, you accept the terms and conditions of the award.

Step 5: Submit Your Application

Application submission and deadlines Your organization’s authorized official must certify your application. See the section on finding the application package to make sure you have everything you need.

Application deadline You must submit your application by 07/06/2026, at 11:59 p.m. ET.

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

If you need a deadline extension, see “requesting a waiver” in the Application Guide.

https://sam.gov/content/entity-information https://www.ecfr.gov/current/title-2/section-200.206 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=32 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=7

Submission method Grants.gov You must submit your application through Grants.gov. You may do so using Grants.gov Workspace. This is the preferred method. For alternative online methods, see Applicant System-to-System.

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.

If Grants.gov rejects your application due to errors, you must correct and resubmit before the deadline.

If you want to know more about correcting errors or tracking your application, you can refer to the Application Guide.

Have questions? Go to Contacts and Support.

Other submissions Intergovernmental review This NOFO is not subject to Executive Order 12372, Intergovernmental Review of Federal Programs. No action is needed.

Step 6: Learn What Happens After Award

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). We incorporate this NOFO by reference.

• The regulations at 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, modifications at 2 CFR Part 300, and any superseding regulations.

• The HHS Grants Policy Statement. Your NOA will reference this document. 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 HHS Administrative and National Policy Requirements.

• The requirements for performance management in 2 CFR 200.301.

• All anti-discrimination laws: By applying for or accepting federal funds from HHS, you certify compliance with all federal antidiscrimination laws and these requirements.

Complying with those laws is a material condition of receiving federal funding streams.

You are responsible for ensuring subrecipients, contractors, and partners also comply.

Sub-Award Requirements If you (CDS grant award recipient) receive an award and you implement your approved project by sub-awarding all or part of your award, you must follow the terms and conditions in the NOA.

You’ll also be responsible for how the project, program, or activity performs; how you and others spend award funds; and all other duties.

https://www.grants.gov/system-to-system/applicant-system-to-system/ https://www.grants.gov/system-to-system/applicant-system-to-system/ http://www.grants.gov/quick-start-guide/applicants https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=42 https://www.archives.gov/federal-register/codification/executive-order/12372.html https://www.ecfr.gov/current/title-2/part-200 https://www.ecfr.gov/current/title-2/subtitle-B/chapter-III/part-300 https://www.ecfr.gov/current/title-2/subtitle-B/chapter-III/part-300 https://www.hhs.gov/grants-contracts/grants/grants-policies-regulations/index.html https://www.hhs.gov/grants-contracts/grants/grants-policies-regulations/index.html https://www.ecfr.gov/current/title-2/section-200.301

In general, subrecipients must comply with the award requirements (including public policy requirements) that apply to you. You must make sure your subrecipients comply with these requirements. 2 CFR § 200.101 Applicability gives details.

Required Alignment with HRSA Mission and Strategic Priorities Recipients must use funds awarded under this NOFO to implement program goals or agency priorities in accordance with the HRSA vision, mission, core values, and strategic priorities, where authorized by law.

In administering programs under this and all funding announcements, HRSA prioritizes:

• Evidence-based healthcare: Funding activities supported by rigorous scientific evidence, particularly for programs serving children and adolescents, where HRSA is committed to approaches that reflect the highest standards of clinical care and child safety.

• Biological and physiological integrity: Recognizing the relevance of biological sex to health outcomes, HRSA encourages applicants to account for sex-based health factors in program design, data collection, and service delivery where scientifically appropriate.

HRSA will implement these priorities consistent with applicable laws, regulations, court orders, and all required administrative procedures. Applicants are encouraged to describe how their proposed programs align with these priorities in their project narratives.

Funded activities must advance HRSA’s vision of protecting and improving the health and well-being of Americans. The particular focus is on those who are medically vulnerable or live in areas with limited access to care. HRSA’s duty is to serve wisely, effectively, and with measurable results that justify every taxpayer dollar invested.

Consistent with HRSA’s priorities, in carrying out any project funded under this NOFO, the recipient must adhere to the following principles, where they are consistent with the authority and scope of the award and its activities:

• Gold standard science: Design and deliver services using gold standard evidence-based and evidence-informed approaches, establish measurable performance goals, and use data to monitor outcomes and drive continuous improvement.

• Program integrity and fiscal stewardship: Recipients must:

o Administer funds in accordance with all applicable federal statutes, regulations, and award conditions.

o Maintain strong internal controls.

o Prevent waste, fraud, and abuse.

• Partnership and local leadership: Coordinate with state, tribal, territorial, local, and community partners, as appropriate, and tailor services to meet community-identified needs while respecting local decision-making authority.

Recipients must manage any project awarded under this NOFO in accordance with the following objectives in programs authorized to advance them:

Make America Healthy Again (MAHA): HRSA prioritizes the health and well-being of all Americans by supporting common-sense, evidence-based health policies that promote:

https://www.hrsa.gov/about/priorities

• Personal responsibility.

• Strong families and communities.

• Proper nutrition.

• The prevention and management of chronic disease, while ensuring access to high-quality, affordable physical and mental health care.

Child protections, biological integrity, parental rights, and lawful use of funds: HRSA prioritizes safeguarding children’s health and safety by:

• Not supporting medical interventions for gender dysphoria in minors that lack a strong evidence base.

• Applying sex-based definitions grounded in biological reality.

• Supporting parental authority, transparency, and choice in education, including school-based health centers that respect parental rights and religious upbringing.

• Ensuring taxpayer funds are not used to promote or support elective abortions, consistent with federal law and the Hyde Amendment.

Advancing evidence-based, merit-driven, and ethically grounded health care: HRSA will prioritize unbiased, transparent science; merit-based workforce opportunities; and programs that demonstrate measurable outcomes, while deprioritizing organizations with:

• Conflicts of interest.

• “Harm reduction” models.

• Housing-first approaches.

• Activities that facilitate illegal drug use or unsafe medical practices.

Promoting public safety, lawful use of federal funds, and national health priorities: To the extent permitted by law, HRSA will align funding with administration priorities by:

• Supporting ending the HIV epidemic through authorized, evidence-based care.

• Reserving benefits for eligible individuals.

• Discouraging illegal immigration and unsafe community practices.

• Prioritizing recipients that enforce public safety, address serious mental illness and substance use through treatment and recovery, and reduce homelessness responsibly.

To the extent allowable by law, under awards, HRSA will give priority to states and municipalities for programs to:

• Enforce prohibitions on open illicit drug use.

• Enforce prohibitions on urban camping and loitering.

• Enforce prohibitions on urban squatting.

• Enforce, and where necessary, adopt, standards that address individuals who are a danger to themselves or others and suffer from serious mental illness or substance use disorder, or who are living on the streets and cannot care for themselves. The approach must be through assisted outpatient treatment or by moving them into treatment centers or other appropriate facilities through civil commitment or other available means, to the maximum extent permitted by law.

HRSA will implement these priorities consistent with applicable laws, regulations, court orders, and any required procedures.

The recipient must demonstrate ongoing compliance with these priorities, in all programs that are authorized to advance them, through program design, implementation, reporting, and evaluation.

Failure to meaningfully align funded activities with the applicable requirements may result in corrective action, additional reporting requirements, or other actions consistent with federal grant regulations at 2 CFR Part 200 and the terms and conditions of this award. This includes termination under 2 CFR § 200.340(a)(4) if an award no longer effectuates the program goals or agency priorities.

Cybersecurity

• If awarded, you must develop plans and procedures, modeled after the NIST

Cybersecurity framework, to protect HHS systems and data. See details here.

HIT

Successful applicants under this NOFO agree that:

Where award funding involves: Recipients and subrecipients are required to:

Implementing, acquiring, or upgrading health IT for activities funded by any entity

Use health IT that meets standards and implementation specifications adopted in 45 CFR 170, Subpart B, if such standards and implementation specifications can support the activity.

Visit to 45 CFR 170, Subpart B learn more.

Implementing, acquiring, or upgrading health IT for activities by eligible clinicians in ambulatory settings, or hospitals, eligible under Sections 4101, 4102, and 4201 of the HITECH Act

Use health IT certified under the ONC Health IT Certification Program if certified technology can support the activity.

Visit https://www.healthit.gov/topic/certification-ehrs/certification-health-it to learn more.

If standards and implementation specifications adopted in 45 CFR part 170, Subpart B cannot support the activity, recipients and subrecipients are encouraged to use health IT that meets non-proprietary standards and implementation specifications developed by consensus-based standards development organizations. This may include standards identified in the ONC Interoperability Standards Advisory, available at https://www.healthit.gov/isp/.

Reporting If you are funded, you will have to follow the reporting requirements in “reporting” section of the Application Guide. The NOA will provide specific details.

You must also follow these program-specific reporting requirements:

• Progress report(s) semi-annually https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200 https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-D/subject-group-ECFR86b76dde0e1e9dc/section-200.340#p-200.340(a)(4) https://www.nist.gov/cyberframework https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-D/part-170/subpart-B https://www.healthit.gov/topic/certification-ehrs/certification-health-it https://www.healthit.gov/topic/certification-ehrs/certification-health-it https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-D/part-170/subpart-B https://www.healthit.gov/isp/ https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=34

• Final report

• Semi Annual Progress Report (SAPR). The SAPR should include a project status update, as well as a description of project objectives and accomplishments every six months.

• Final Report. The Final Report should include a project overview, as well as a description of project objectives and accomplishments. This report is due 120 days after the period of performance ends. Further information will be provided upon receipt of award.

• Federal Financial Report (FFR). The Federal Financial Report (SF-425) is required.

The report is an accounting of expenditures under the project that year. Financial reports must be submitted electronically. Visit Reporting Requirements| HRSA. More specific information will be included in the NOA.

• Integrity and Performance Reporting (if applicable). The NOA will contain a provision for integrity and performance reporting in SAM.gov Entity Information Responsibility / Qualification (formerly named FAPIIS).

Contacts and Support

Agency contacts Program and eligibility Maritere Mulero Hernández

Project Officer CDS Program, Office of Financial Assistance and Acquisition Management (OFAAM) Health Resources and Services Administration

Attn:

Community Project Funding/Congressionally Directed Spending (CPF/CDS): Non-Construction Projects Health Resources and Services Administration CDSProgram2026@hrsa.gov

Financial and budget Hazel N. Booker

Grants Management Specialist Division of Grants Management Operations Office of Financial Assistance and Acquisition Management (OFAAM) Health Resources and Services Administration CDSProgram2026@hrsa.gov

HRSA contact center Open Monday – Friday, 7 a.m. – 8 p.m. ET, except for federal holidays.

Call: 877-464-4772 / 877-Go4-HRSA

TTY: 877-897-9910

Electronic Handbooks Contact Center https://www.hrsa.gov/grants/manage-your-grant/reporting-requirements https://sam.gov/content/fapiis https://community.hrsa.gov/EHBsCommunity/s/

Help with systems Grants.gov Grants.gov provides 24/7 support. You can call 800-518-4726, search the Grants.gov Knowledge Base, or email Grants.gov for support. Hold on to your ticket number.

SAM.gov If you need help, you can call 866-606-8220 or live chat with the Federal Service Desk.

Helpful websites

• Application Guide

• HRSA Grants page

• HHS Tips for Preparing Grant Proposals

• Frequently Asked Questions

• Applicant Training

Footnotes https://gditshared.servicenowservices.com/hhs_grants?pt=Grants https://gditshared.servicenowservices.com/hhs_grants?pt=Grants mailto:support@grants.gov https://www.fsd.gov/gsafsd_sp https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=1 https://www.hrsa.gov/grants https://www.hhs.gov/grants-contracts/grants/get-ready-for-grants-management/tips-for-preparing-grant-proposals/index.html https://grants.gov/applicants/applicant-faqs https://grants.gov/applicants/applicant-training

Reporting