HRSA-26-107 Final.pdf

Notice of Funding Opportunity

Application due 07/06/2026

Office of Special Activities

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

Opportunity number: HRSA-26-107

Table of Contents Before You Begin

Step 1: Review the Opportunity

Basic information

Funding details

Eligibility

Project 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): Construction

HRSA-26-107

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 Summary This is a non-competitive NOFO for Community Project Funding / Congressionally Directed Spending (CPF/CDS) Facilities and/or Equipment (“Construction”) project funding. Congress appropriated funding for construction and related projects in the Consolidated Appropriations Act, 2026 (P.L. 119-75). Congress specified the recipient, funding amount, and purpose of each project. This funding opportunity explains how the recipients may apply to receive CPF/CDS Construction project funding.

This is a non-competitive federal grant administered by the Health Resources and Services Administration (HRSA) to fund construction, renovation, and equipment purchases at health care and other facilities. The purpose is to improve community access to quality health care by investing in the physical infrastructure and equipment that health organizations need to deliver services effectively. Funding was appropriated by Congress under the Consolidated 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 be used for one of three project types, consistent with the purpose Congress identified for your award:

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

• Construction/Renovation - Building a new facility, expanding an existing structure, or renovating/modernizing an existing space, including installation of fixed equipment such as HVAC systems, generators, plumbing, and electrical upgrades.

• Design-Only - Covering planning and design costs (architectural drawings, site plans) as the first phase of a larger future construction project.

• Moveable Equipment - Purchasing portable, non-fixed equipment with a useful life of more than one year, such as medical devices, mobile vans, or backup power supplies.

Have questions? Go to Contacts and Support.

Key facts

Opportunity name:

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

Opportunity number:

HRSA-26-107

Announcement version:

initial

Federal assistance listing:

93.493

Statutory authority:

Consolidated Appropriations Act, 2026 (P.L. 119-75)

Key dates

NOFO issue date:

06/04/2026

Informational webinar:

See Join the webinar

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:

Non-Competitive

Funding range per award:

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

Period of performance 3 years from 09/01/2026 to 08/31/2029.

Eligibility Eligible Applicants You can apply if Congress identified your organization to receive specific funding amounts for specific construction related projects under the Consolidated Appropriations Act, 2026 (P.L. 119-75).

Other eligibility criteria

• You must submit an application to receive an award. Your application must contain the items required in the NOFO and summarized in the application checklist.

• We do not allow grant transfers, replacement grants or successors-in-interest. Only the eligible applicants may be a grant recipient .

Completeness and responsiveness criteria Incomplete applications or those that miss the deadline may result in a delayed award until we receive all necessary 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 award has no cost sharing requirement.

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.

Project description Project types Funding is for three types of projects:

o Construction projects with or without equipment/renovation.

o “Design-Only” (i.e., planning portion of a construction project).

o Moveable Equipment only.

Purpose This notice announces the opportunity to apply for Community Project Funding/Congressionally Directed Spending (CPF/CDS) Facilities and/or Equipment (“Construction”) project funding.

This is a non-competitive announcement and will be managed by 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 by Congress under the Consolidated Appropriations Act, 2026 (P.L. 119-75). CPF/CDS Construction grants operate on a drawdown basis, wherein funds will be disbursed as costs are incurred. Please note that these grants do not operate on a reimbursement basis.

Construction projects with or without equipment These types of projects include:

• Construction of a new facility – creates a new building structure.

• Construction/Expansion (C/E) of an existing facility – adds square footage to an existing facility.

• Alteration/Renovation (A/R) of an existing facility – renovations and modifications to an existing facility without adding square footage.

Examples include:

• Construction of a new standalone service delivery site.

• Modernizing facility interior.

• Fixed equipment requiring building alteration, such as heating, ventilation, and air conditioning (HVAC) unit, dental chairs, and fixed generators.

Design-only (planning portion of a construction project) These types of projects:

• Funds are limited to allowable design and planning related costs for an overall construction project.

Examples include:

• Proposed site plan.

Moveable equipment only Under this type of project, funds are limited to loose moveable equipment not affixed to the physical building structure and with a useful life of more than one year.

Examples include:

• Purchase of new portable medical equipment.

• Purchase of a mobile van.

• WIFI routers.

• Backup power supplies that are portable (electrical wiring not required).

Definitions Community Project Funding/Congressionally Directed Spending (CPF/CDS) – Language in an authorization act or appropriations act that requires HRSA to make awards to named recipients for a particular project or activity.

Construction – Erecting a building, structure, or facility. This includes installing fixed equipment, site preparation, landscaping, associated roads, parking, environmental mitigation, and utilities, that provides space not previously available. It includes freestanding structures, additional wings or floors, enclosed courtyards or entryways, and any other means to provide usable space that did not previously exist (excluding temporary facilities).

Fixed equipment – Items that requires modification of the facility for its satisfactory installation or removal and is included in the construction contract. Examples include HVAC Units, duct work, generators, fume hoods, sinks, fixed shelving, built-in sterilizers, built-in refrigerators, and drinking fountains.

Moveable equipment – Tangible personal property or moveable equipment that are non-expendable equipment items, with a useful life of more than one year that can be readily shifted from place to place without requiring a change in the utilities or structural characteristics of the facility. Please review the CPF/CDS website for examples of moveable equipment.

Modernization – Altering, repairing, remodeling, or renovation of a building. This includes the initial equipment and improvements to the building's site, which, when completed, will render the building suitable for use by the project.

Allowable and unallowable costs by cost classification listed on SF-424C.

Costs associated with moveable equipment-only project types would only have costs associated with line item 1 (Administrative and legal expenses) and/or line item 10 (Equipment) only.

In addition, the following uses of award funds are unallowable:

1. Operating costs (e.g., funding direct services, clinical full-time equivalents, costs for staff not directly related to the implementation of the proposed project within the project scope of work), rent, mortgage payments, and refinanced credit facilities.

2. Costs related to Electronic Health/Medical Records (EHRs/EMRs), ongoing operations, and maintenance.

3. Creation of shell space for future use.

4. Costs for staff not directly related to the implementation of the proposed project.

Due to the complex issues involved with construction projects, recipients may request reimbursement of eligible pre-award costs. Incurred costs include expenditures (services rendered/received), as well as obligations. Pre-award costs incurred more than 90 -days prior to the enactment of the Consolidated Appropriations Act, 2026 (P.L. 119-75) (enacted February 3, 2026) are not eligible for reimbursement. Recipients may request reimbursement of pre-award costs incurred 90 or fewer days prior to enactment.

Method to request HRSA prior approval for pre-award costs:

Submit pre-award costs to HRSA after receiving the award: An organization may submit a pre-award prior approval request in the HRSA Electronic Handbooks, once the award has been made.

NOTE: To ensure compliance with NEPA/NHPA requirements, physical construction activities funded by a CPF/CDS award cannot start before HRSA approval is granted. Pre-construction activities, such as the purchase of moveable equipment, completion of architectural and engineering plans, licensing and permitting requirements, State Historic Preservation https://www.hrsa.gov/grants/manage-your-grant/training/community-project-funding-congressionally-directed

Office/Tribal Historic Preservation Office (SHPO/THPO) consultation, and preparation of the Environmental Assessment (EA) or related testing and surveys, are typically allowed for pre-award cost requests. HRSA approval is not guaranteed, and recipients incur pre-award costs at their own risk.

Requests for pre-award costs must include the following information:

• Cover letter explaining the nature of the request. The letter needs to be signed by an authorized official of the recipient institution.

• Short Budget Narrative for pre-award costs. Please ensure the budget shows:

o Date the pre-award cost(s) were incurred.

o Clear description of each cost to determine whether reasonable, allocable, and allowable.

• SF-424C (reflecting the pre-award costs)

Leasehold improvements We allow leasehold improvements under this funding. However, we must assess the lease terms and agreements to determine if the lease term is long enough for the full value of the award-supported improvements to benefit the award activity.

We will consider the purpose and duration of the award, expected life of the facility, and use of the facility for award-supported purposes. To support this assessment, you must submit a Landlord Letter of Consent signed by the lessor in Attachment 3.

Agreement requirements Leasehold agreements must meet the following requirements:

• The lease agreement must provide the applicant with reasonable control. Reasonable control means that the applicant can implement the project and realize the benefits of the project without unnecessary demands, such as unreasonably restrictive access and limited control, at the site.

• Funds may not be used to pay lease costs.

• Funds for a leased property cannot address needs that are the responsibility of the lessor under the lease terms.

• If funds address improvements that impact lease terms, such as double paned windows, you must have written evidence of negotiated offset in the rent.

All other improvements that comply with the requirements in this NOFO are allowable.

Alteration/renovation projects For alteration/renovation projects proposed in leased facilities, after award you must provide evidence that the lease includes the following language, whether as a provision of a new lease or an amendment to an existing lease, agreed to by both the recipient and the lessor:

• Recipient agrees not to sublease, assign, or otherwise transfer the leased property, or use the property for any non-award-related purpose without the prior written approval from HRSA. This requirement applies at any time during the term of the lease, whether or not award support has ended.

• Lessor will inform HRSA of any default by the recipient under the lease.

https://am.grantsolutions.gov/foa/#_Attachment_3:_Property

• HRSA shall have 60 days from the date of receipt of the lessor’s notice of default in which to attempt to eliminate the default, and that the lessor will delay exercising remedies until the end of the 60-day period.

• HRSA may intervene to ensure that the default is eliminated by the recipient, or another recipient named by HRSA.

• Lessor shall accept payment of money or performance of any other obligation by the HRSA’s designee, for the recipient, as if made by the recipient.

• If the recipient defaults, HRSA will terminate the award, or the recipient will vacate the leasehold before the end of the lease term. HRSA shall have the right to designate a replacement for the recipient for the balance of the lease term, subject to approval by the lessor, which will not be withheld except for good reason.

• Lessor will file a NFI against the property title in the local jurisdiction before the project begins (if the proposed net project cost, less moveable equipment, is $1,000,000 or greater).

Federal interest in real property The federal government retains a federal interest in real property constructed, acquired, or improved with federal funds.

Under 2 CFR 200.1, in connection with the acquisition or improvement of real property, equipment, or supplies under a Federal award, the federal interest is based on: the percentage of Federal participation in the total cost of the real property, equipment, or supplies; and the current fair market value of the property, improvements, or both, to the extent the costs of acquiring or improving the property were included as project costs.

Notices of Federal Interest You will agree to filing a Notice of Federal Interest (NFI) in your attachments, if applicable.

• For alteration/renovation projects totaling an allowable project cost (federal and nonfederal) of $1,000,000 or greater (excluding moveable equipment), you are required to file an NFI against the property title.

• For construction projects, regardless of award amount, you are required to file an NFI.

• For moveable equipment-only projects, you are not required to file an NFI.

The NFI requires prior written approval from HRSA for the property owner to mortgage, sell, transfer, or use the property for a purpose inconsistent with the award.

Prior to construction (or alteration/renovation described above), a notarized NFI must be filed against the property deed in the appropriate public records office of the jurisdiction in which the property is located and once filed, a copy must be provided to the appropriate HRSA Grants Management Specialist.

Procurement You may acquire a variety of commercially available goods or services in connection with an award-supported project.

You can use your own procurement procedures that reflect applicable state and local laws and regulations if those procedures conform to the applicable U.S. Department of Health and Human Services (HHS) regulations and the HHS Grants Policy Statement.

Environmental requirements If awarded, you must adhere to the National Environmental Policy Act of 1969 and the National Historic Preservation Act, as applicable. See the environmental policies section of the HHS Administrative and National Policy Requirements.

Except for moveable equipment only projects, you will submit an Environmental Information Document (EID checklist) as part of your attachments to this application. Additionally, you must submit any required documentation to HRSA as a condition of the Notice of Award (NOA).

Until we lift the condition, you may only use funds for pre-construction activities, such as:

• Purchases of moveable equipment.

• Completing architectural and engineering plans.

• Licensing and permitting requirements.

• State Historic Preservation Office or Tribal Historic Preservation Office consultation.

• Preparing the Environmental Assessment (EA) or related testing and surveys.

HRSA must approve and lift this condition through a NOA before you can use funds for:

• Initiating any physical site preparation.

• Demolition.

• Alteration and renovation.

• Construction.

Construction-related costs incurred prior to the approval and lifting of the award condition are at the recipient organization’s risk.

Accessible design requirements Certain standards and regulations require that facilities designed, built, altered, or leased with federal funds accessible to, and usable by, the physically handicapped. They include:

• The Architectural Barriers Act of 1968 (ABA), as amended

• The Federal Property Management Regulations 101-19.6 (41 CFR 101-19.6).

• Uniform Federal Accessibility Standards issued by the General Services Administration

(41 CFR 101- 19.6, Appendix C).

Additionally, the Americans with Disabilities Act (ADA), includes accessibility standards, called the 2010 Standards for Accessible Design (2010 Standards). These establish minimum criteria for accessibility in design and construction.

You can find more information about ABA and ADA requirements at U.S. Access Board, Buildings and Sites.

Moveable equipment requirements Appropriate products and standards mitigate many of the negative effects on human health and the environment. The goal is to reduce rapid obsolescence, low recycling rate, high energy consumption, the potential to contain hazardous materials, and liability from improper disposal.

We encourage the use of EPEAT - Silver Rated products. When EPEAT-registered products are not available, give priority to the following environmental features:

• Energy Star features.

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://am.grantsolutions.gov/foa/#_Attachment_1:_Environmental https://am.grantsolutions.gov/foa/#_Attachment_1:_Environmental https://www.access-board.gov/buildings.html http://www.epeat.net/ https://www.energystar.gov/

• Computer Power Management – Enable CPUs to go into power save mode after an appropriate time.

• Monitor Power Management – Enable monitors to go into power save mode after an appropriate time.

• Establishing a 4-year or higher replacement cycle (refresh rate) for desktop computers and laptops.

• Establishment of default setting to double-sided printing for printers and print driver software.

• Recycled content, reduced packaging.

• Reduced toxic constituents in the product and in the manufacturing process.

• Designed for recycle or reuse including upgradeability considerations.

• Vendor provided take-back service.

Vendor demonstration of corporate environmental responsibility.

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

• Under 2 CFR 200.302, you must document use of funds separately and distinctly from other federal awards.

General limitations

• For guidance on some types of costs we do not allow or restrict, see 2 CFR 200.420, or any superseding regulation, Considerations for selected Items of cost. See also allowable and unallowable costs in the Allowable and unallowable costs section.

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

• None of the funds made available in this Act may be used in violation of The Domestic preferences for procurements in 2 CFR 200.322.

• The following are unallowable costs:

o Operating costs such as funding direct services, clinical full-time equivalents, costs for staff not related to implementing the project’s scope of work, rent, mortgage payments, and refinanced credit facilities.

o Creation of shell space for future use.

o Costs for staff not related to the implementation of the proposed project.

o Costs related to ongoing operations, and maintenance of Electronic Health

Records(EHRs).

Pre-award costs This grant is not intended to reimburse recipients for all costs incurred prior to award.

https://www.ecfr.gov/current/title-2/part-200 https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200#200.302 https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75/subpart-D/subject-group-ECFR911e5e1a30bfbcb/section-75.302 https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200#200.420 https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200#200.420 https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200#200.400 https://www.ecfr.gov/current/title-2/section-200.322

Recipients may request pre-award costs, either in the application budget or through a prior approval request in the Electronic Handbooks after award.

Pre-award costs can only include expenses incurred up to 90 days prior to the enactment of the appropriations act that funds these awards.

Approval is not guaranteed, and recipients incur pre-award costs at their own risk.

Indirect costs Indirect costs are not chargeable to CPF/CDS Construction awards.

Program income Program income is not applicable to CPF/CDS Construction awards.

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-26-107.

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.

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

See Apply for a Grant for other help and resources.

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.

Step 3: Build Your Application There are two types of forms in Grants.gov.

• Some of 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.

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

Component How to upload ◻ Project narrative Use the Project Narrative Attachment form.

◻ Budget narrative Use the Budget Narrative Attachment form.

Attachments Insert each in the Attachments Form in this order.

◻ 1. Environmental Information Document (EID checklist)

◻ 2. Floor plans, schematic drawings, and site plans ◻ 3. Property information ◻ 4-15. Other relevant documents (optional) Other required forms Upload using each required form.

◻ Application for Federal Assistance (SF-424) ◻ Project Abstract Summary Form ◻ Budget Information for Construction Programs

(SF-424C)

◻ Disclosure of Lobbying Activities (SF-LLL), optional

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

https://www.hrsa.gov/grants/apply-for-a-grant

Application page limit: The page range for your application is 16-30 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.

Project narrative In this section, you will describe all aspects of your project.

We suggest a page range of three to seven pages.

If you are applying for multiple projects, provide separate sections for each within your project narrative.

Use the section headers and the order listed.

Project description Construction projects

Provide a detailed description for the project that includes the:

• Physical address of the project location. Indicate if the property is leased or owned.

• Specific scope of activities and how it aligns with what the CPF/CDS funding was provided for, as applicable, such as:

o Creation of a new stand-alone structure or expansion of an existing structure to increase the total square footage.

o Improvement or reconfiguration of the interior arrangements of an existing facility.

o Purchases of moveable or affixed equipment items.

o Installation of permanently affixed equipment.

o Modifications or repairs to the building exterior, including windows.

o HVAC modifications, including the installation of climate control and duct work.

o Electrical upgrades.

o Plumbing work.

• Project activities in terms of dimensions, square footage, total ground disturbance, as applicable.

• Proposed method of construction, such as design/build, construction management at risk, by the applicant’s own forces, or whether a third-party construction manager will be used.

Note: Final reports for construction projects with or without equipment must include “before”, “during”, and “after” photos of the completed project.

Design-only projects Provide a detailed description for the project that includes the:

• Physical address of the project location.

• Specific scope of activities and how it aligns with what the CPF/CDS funding was provided for, as applicable, such as designs for:

o Creation of a new stand-alone structure.

o Expansion of an existing structure to increase the total square footage.

o Improvement and/or reconfiguration of the interior arrangements of an existing facility.

Moveable equipment-only projects Provide a detailed description for the project that includes the:

• Physical address of the project location.

• Equipment list.

• Specific scope of activities and how it aligns with what the CPF/CDS funding was provided for, as applicable.

Note: Moveable equipment-only projects entail loose, moveable equipment not affixed to the physical building structure, and with a useful life of more than one year. (Any equipment that requires installation is classified as construction, not equipment).

All projects This section must describe all aspects of the proposed project. Make it brief and clear.

Provide the following information in the following order. Please use the section headers. This ensures reviewers can understand your proposed project.

The project narrative provides a comprehensive description of all aspects of the proposed project.

• If there are multiple projects within a single award, please provide a detailed description of the planned activities for each project. (Please note that each single award is limited to no more than 5 projects and should be labeled as “Project 1: project name and address”, “Project 2: project name and address”, etc.).

• If CPF/CDS funding is being used for a portion of an overall construction project, please describe 1) the full project scope of work, which includes all connected construction activities; and 2) a delineation of which part of the scope of work that the CPF/CDS funds will be used for. Please be specific about the parts of your project that will be supported with CPF/CDS funds. This will allow HRSA to assess more accurately what may be needed to meet federal environmental/historic preservation requirements.

• For projects that are being funded by other grants, including other HRSA-funded grants, please delineate these additional grants (based on information known about receipt of these other grant(s) at the time of application submission.) Include name of agency/organization each grant is being provided from, as well as whether it is State, Federal, or Other. In the case of other HRSA grant(s) please provide the award number(s). For example, for projects previously supported with FY 2022, FY 2023 or FY 2024 CPF/CDS funding, please provide the grant number CE1HSXXXXX or

CE2HSXXXXX.

• Please note that the following uses of funds are unallowable under this NOFO:

1. Operating costs (e.g., funding direct services, clinical full-time equivalents, costs for staff not directly related to the implementation of the proposed project within the project scope of work), rent, mortgage payments, and refinanced credit facilities.

2. Costs related to Electronic Health/Medical Records (EHRs/EMRs), ongoing operations, and maintenance.

3. Creation of shell space for future use.

4. Costs for staff not directly related to the implementation of the proposed project.

Due to the complex issues involved with construction projects, recipients may request reimbursement of eligible pre-award costs. Incurred costs include expenditures (services rendered/received), as well as obligations. Pre-award costs incurred more than 90-days prior to the enactment of the Consolidated Appropriations Act, 2026 (P.L. 119-75) (enacted February 3, 2026) are not eligible for reimbursement. Recipients may request reimbursement of pre-award costs incurred 90 or fewer days prior to enactment.

Timeline

Provide a timeline with your project’s activities or steps. For each, provide a start and finish date (2-digit MONTH/4-digit YEAR format, e.g., 05/2026), and responsible staff. Include all relevant activities listed under each type of project below.

Example

Task Start date End date Responsible staff

Construction projects (with or without equipment) Include:

• Planning.

• Design.

• Obtaining required permits and/or variances.

• Meeting federal environmental and historic preservation requirements.

• Solicitation of bids and awarding of contracts.

• Alteration/renovation or construction period.

• Expected project completion date.

Design-only projects

Include:

• Planning.

• Design.

• Obtaining required permits and/or variances.

• Meeting federal environmental and historic preservation requirements.

• Solicitation of bids and awarding of contracts.

• Receipt of 100 percent completed drawing set.

Moveable equipment only project Include:

• Planning.

• Purchase.

• Deployment for use.

Moveable equipment list 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.

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. Moveable 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.

• 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.

Budget and budget narrative For your budget, use the Budget Information for Construction Programs (SF-424C) form. You can find the form instructions in Grants.gov.

HHS now uses the definitions for equipment in 2 CFR 200.1. The new definitions change the threshold for equipment to the lesser of your capitalization level or $10,000. You will need to track this and report it at grant closeout.

For your budget narrative, we suggest a page range of one to three pages.

Costs associated with moveable equipment-only project types only have costs associated with line item 1 (administrative and legal expenses) and/or line item 10 (equipment) only.

The budget narrative supports the information you provide in the SF-424C. Using the categories in the SF-424C, you will break down the costs, justify the expenses, and provide your calculations. Additionally:

• If you have more than one project in your application, you must create a budget narrative for each one.

• If you plan to use CPF/CDS funding for a portion of an overall project, please include for each line item:

o The full project costs, which includes all connected construction activities.

o Format the budget narrative so that all columns fit on an 8.5 x 11" page when printed.

http://www.epeat.net/ http://www.epeat.net/ http://www.energystar.gov/ https://grants.gov/forms/forms-repository/sf-424-family https://www.ecfr.gov/current/title-2/part-200#p-200.1(Equipment)

You can find examples under Sample Budget Justifications on the Community Project Funding/Congressionally Directed Spending website.

As you develop your budget, consider:

• If your budget shows a well-organized plan.

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

• The restrictions on spending funds. See funding policies and limitations.

• You should only include allowable costs (direct).

ALLOWABLE UNALLOWABLE

Line 1 - Administrative and Legal Expenses

• Administrative and legal expenses that do not exceed 10% of the total project costs (line 16c, SF-424C).

• Staff salaries and consultant fees related to administering the project's technical aspects.

• Costs for evaluation of the environmental and historic preservation effects of the proposed project, including:

o Obtaining public input.

o Producing needed studies, analysis, and resultant reports.

o Compliance with other environmental and historic preservation laws.

• Costs of title insurance, physical destruction insurance, builder's risk insurance, and liability insurance.

• Bid advertising.

• Staff salaries and consultant fees not related to administering the technical aspects of the project.

• Bonus payments to construction contractors.

• Costs of groundbreaking and dedication ceremonies and items such as plaques.

• Fundraising expenses.

• Damage judgment suit.

• Consultant fees not related to actual construction.

• Costs related to other sources of project financing.

• General operations and maintenance.

Line 2 - Land, Structures, Right-of-Way, Appraisals, etc.

• Filing fees for recording the NFI. • Land or the cost of purchasing a building, including title search, closing costs, etc.

Line 3 - Relocation Expenses and Payments

• Relocation payments to displaced persons, business concerns, and nonprofit organizations for moving expenses and replacement housing.

• Relocation advisory assistance and the net amounts for replacement (last resort) housing (must comply with the Uniform Relocation

• The cost of permanently relocating the building.

• The cost of moving existing furniture back into renovated or newly constructed spaces.

https://www.hrsa.gov/grants/manage-your-grant/training/community-project-funding-congressionally-directed https://www.hrsa.gov/grants/manage-your-grant/training/community-project-funding-congressionally-directed

Assistance and Real Property Acquisition Policies Act of 1970 and 49 CFR part 24).

• Costs to lease a temporary space while the main space is being constructed, altered, renovated, or repaired.

Line 4 - Architectural and Engineering Fees

• Fees associated with architectural and engineering professional services such as preparing bid documents and inspections during the project.

• Associated expenses for preparing specifications and reproduction of design documents.

• Architectural and engineering fees for work that is not within the scope of the approved project.

• Elaborate designs or projects that are above the known local costs for comparable buildings.

• Costs of abandoned designs that will not be used for the project.

Line 5 - Other Architectural and Engineering Fees

• Other architectural and engineering services such as surveys, tests, and borings.

• Preliminary expenses associated with the award.

• Sustainable design services, such as LEED, including commissioning.

• Costs associated with the preparation of the EA and SHPO/THPO consultation.

• Project and construction management fees.

• Costs of abandoned designs that will not be used in the project.

• Costs for work not related to the project.

• Costs for preparing grant applications.

Line 6 - Project Inspection Fees

• Clerk-of-the-works, inspection fees, structural certification, etc., to be provided by architectural engineering firm or your staff.

• Fees not related to the project.

Line 7 - Site Work

• Site clearance, grading, land improvement costs, including reasonable costs for landscaping to stabilize the site, sidewalks, drives, and parking areas located on the site and essential for the use and operation of the project.

• Fees not related to the project.

• Landscaping outside of vegetation needed for site stabilization or building permit requirements.

• Sanitary sewer, storm sewer, and portable water connections, if existing municipal utilities are contiguous to the site.

• Sidewalks, drives, and parking areas located on the site and essential for the use and operation of the project.

• Reasonable landscaping costs for seeding and sodding required for soil/slope stabilization and/or landscaping required by the building permit.

• Alterations at entrances and adjacent sidewalks as required for ADA compliance.

• Resurfacing of existing parking areas located onsite and essential for the use and operation of an approved project.

Line 8 - Demolition and Removal

• Costs of demolition or removal of structures or improvements (reduce costs by the amount of expected proceeds from the sale of salvage).

• Costs not related to the project.

• Demolition and removal of debris that will not result in a usable structure.

• Hazardous materials remediation or abatement.

Line 9 - Construction

• Costs of acquisition and installation of fixed equipment necessary for the functioning of the facility.

• Costs of constructing new buildings to be used for the project, including costs of materials and labor within the local range of comparable buildings.

• Construction costs for modernization, remodeling, and alteration of existing buildings which will be used for the project.

• Costs of connecting to existing central utility distribution systems contiguous to the site.

• Abandoned projects.

• Relocation of utilities that are off site and off-site improvements.

• Prorated cost of existing central utility plant and distribution systems which serve the proposed facility.

• Interior and exterior decorating fees and costs such as purchase of artwork, sculpture, etc.

• Elaborate or extravagant materials that are above

• Special features for seismic code requirements.

• Costs of eliminating architectural barriers to the handicapped.

• Bid guarantees and performance and payment bonds.

• Costs of pollution-control equipment for the facility's boilers, incinerators, wastewater treatment, etc.

• Costs for remodeling and alteration of existing buildings that will be used for the project.

• Windows, HVAC, generators, and other building envelope items.

• Installation of equipment items.

the known local costs for comparable buildings.

• Bonus payments to contractors.

Line 10 - Equipment

• Equipment that is pertinent to the project.

• The cost to train individuals to operate the equipment, if included in the purchase contract.

• Sales tax, federal excise taxes, and other taxes (unless exempt) and shipping costs on equipment and other related expenses.

• Service contract costs if included in the purchase contract.

• Software and site licenses.

• Donated equipment.

• Luxury furniture.

• Fixed equipment permanently attached to the building (list under line 9).

• Equipment that does not meet the moveable equipment definition.

Line 11 - Miscellaneous

• Itemized items that do not easily fit into the cost classifications above or cannot be categorized as directly related to the project (generally no more than 10% of total project costs, SF-424C, line 16c).

• The cost of alternate bid work up to the amount of the original bid submitted.

• Additional expense resulting from the rejection of an alternate bid at the start of construction and later reinstating the bid at an increased cost due to escalation.

• Costs or charges associated with routine maintenance or operation of the facility.

• Expendable office, medical, and laboratory supplies.

Line 12 – Subtotal

Enter the sum of Lines 1 through 11

Line 13 - Contingencies

• Contingency limited to 5% of the total of lines 7c, 8c, and 9c (reduced to 2% after the contract is awarded).

Does not include moveable equipment costs.

• Contingency costs above the allowable percentage.

Line 14 - Subtotal

Enter the sum of Lines 12 and 13

Line 15 – Project (program income)

Leave blank/ Not applicable to this funding

Line 16 – Total Project Costs

Enter the amount in Line 14

Line 17 Enter the portion of this award that is allocated to the project (Note: Round to the nearest whole dollar amount.)

Attachments See Section 3.2.6 of the Application Guide.

Place your attachments in this order in the Attachments Form.

We suggest a page range of 12 – 20 pages for all attachments together.

Attachment 1: Environmental Information Document (EID Checklist)

Required for all projects except those for purchase of moveable equipment only.

Provide a completed EID Checklist for the project, which includes attaching a Flood Insurance Rate Map to the checklist.

In the case that the CPF/CDS funding is being used for a portion of an overall construction project, please include information depicting the full project scope of work which includes all connected construction activities and sites.

NOTE: Projects with fixed equipment (see definition) require the completion of the EID checklist.

Attachment 2: Floor plans, schematic drawings, and site plans

Required for all projects except those for purchase of moveable equipment only.

Provide a floor plan drawn to scale for the proposed project. Floor plans must:

• Include rough dimensions and room labels for major project components.

• Clearly identify the proposed project components.

https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=25 https://www.hrsa.gov/sites/default/files/hrsa/grants/manage/environmental-info-doc.pdf

• Distinguish improved space from unaffected space.

Where the project or a related component of the work will require activities outside of a building, provide a site plan that:

• Shows the general layout and location of the existing site conditions.

• Clearly diagrams the location of the project and indicate the uses and structures proposed for the parcel of land.

• As applicable, includes locations and details on any proposed work or connected activity.

Where a project includes only interior renovation of an existing facility, provide a site plan or key plan showing:

• The space(s) to be renovated and the functional relationship within the building.

• Clearly labeled major project components and include rough dimensions.

In the case that the CPF/CDS funding is being used for a portion of an overall construction project, please include schematics depicting:

• The full project scope of work which includes all connected construction activities

• A delineation of which part of the scope of work for which the CPF/CDS funds will be used.

Attachment 3: Property information

Required for all projects except those for purchase of moveable equipment only (in which no building / site manipulations are being performed for said equipment.)

Provide a copy of the title, deed, or lease for the project. Applicants proposing a project on a leased property must provide a Landlord Letter of Consent. Please refer to the CPF/CDS Website for a sample Landlord Letter of Consent.

Attachment 4: 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.

Budget Information for Construction Programs

(SF-424C)

With application.

https://www.hrsa.gov/grants/manage-your-grant/training/community-project-funding-congressionally-directed https://www.hrsa.gov/sites/default/files/hrsa/grants/manage/landlord-letter-consent.pdf https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application https://grants.gov/forms/forms-repository/sf-424-family

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