HT9425-26-MHSRP NOFO GG_V2.pdf

NOTICE OF FUNDING OPPORTUNITY

for the

Department of Defense (DoD)

Defense Health Agency (DHA)

Military Health System Research Program (MHSRP)

Announcement Type: Initial Announcement

Funding Opportunity Number: HT9425-26-MHSRP

Assistance Listing Number: 12.007 – Military Health System Research

SUBMISSION AND REVIEW DATES AND TIMES

• LOI Submission Deadline: 5:00 p.m. Eastern Time (ET) 9 July 2025

• Invitation to Submit an Application Deadline: 5:00 p.m. ET, 1 August 2025

• Application Submission Deadline: 5:00 p.m. ET, 17 October 2025

• Scientific and Programmatic Review: February 2026

Issued: June 2025

Table of Contents A. Program Description…

• MHS Description…

• MHSRP Priority Topic Areas

• Clinical Priority Areas

B. Eligibility Information…

• Eligible Applicants…

• Number of Submissions…

• Other Information…

C. Federal Award Information… D. Application and Submission Information…

• Submitting an Application

• Full Application and Submission Information

• Submission Dates and Times

• Funding Restrictions

• Other Submission Requirements

E. Application Review Information

• Proposal Evaluation Criteria and Selection Information

• Scientific Technical Review

• Programmatic Review

• Rejection Criteria

F. Federal Award Information…

• Federal Award Notices

• Administrative and National Policy Requirements

• Reporting…

G. Federal Award Agency Contacts H. Other Information I. Appendix: Statement of Substantial Involvement

A. Program Description

The Military Health System Research Program (MHSRP) provides research grants on topic areas directed by the Office of the Assistant Secretary of Defense for Health Affairs (OASD (HA)) and the Leadership of the Defense Health Agency (DHA). The intent of MHSRP is to improve the efficiency of healthcare delivery within Military Health System (MHS) and accelerate its mission to become a learning health system and to mature as an integrated health system focused on Ready Reliable Care that will improve outcomes for patients, staff, and the enterprise.

The MHSRP funds innovative and groundbreaking research that examines factors that affect the military health enterprise in terms of economics/cost, quality, outcomes, variation, policies, and the impact to service member readiness. The goal is to identify and characterize factors that influence the efficiency and effectiveness of MHS care delivery, whether at the military treatment facilities, within the healthcare networks, and/or in the private sector. It is imperative that knowledge gained from this research will support evidence-based DoD policy and decision-making at the strategic and front-line levels. This Notice of Funding Opportunity (NOFO) seeks rigorous collaborative health system research that has the potential to innovate military and civilian health care. This NOFO is intended to solicit Intramural and Extramural Military Health System Research aligned with DHA priority research areas.

MHS Description:

The MHS is one of America’s largest and most complex health care systems that provides universal access to 9.6 million beneficiaries eligible for care, which include Service members (Active and Reserve) and their families, retirees, and their families (https://www.tricare.mil/Plans/Eligibility).

The MHS currently operates 475 hospitals and clinics, and 248 dental clinics located on military installations around the world. These facilities are subject to the same requirements for accreditation as other United States (US) hospitals with demands to improve quality, safety, costs, and outcomes, including the additional requirement to improve military medical readiness for 1.3 million active-duty Service members (ADSM). The National Defense Authorization Act for Fiscal Year (FY) 2017, Section 702, required the consolidation of all Services’ Military Treatment Facilities (MTFs) under the DHA, and Section 726 required the establishment of a program to ensure implementation of best healthcare practices, reduction in variation, and improvement of outcomes.

The MHS is managed by the TRICARE® health care program, which provides comprehensive coverage to all DoD beneficiaries. The TRICARE health care program brings together 51 inpatient hospitals and medical centers (37 in the US), 424 ambulatory care and occupational health clinics (373 in the US), 248 dental clinics (204 in US), and 251 veterinary facilities (206 in US). TRICARE works with its network and non-network TRICARE-authorized civilian health care professionals, institutions, pharmacies, and suppliers (often referred to as “purchased care”) to provide access to the full array of high-quality health care services while maintaining the capability to support military operations.

Data on the 9.6 million beneficiaries and the TRICARE health plan is captured in the Military Data Repository and is available through the Military Health System (MHS) Information Platform (MIP).

https://www.tricare.mil/Plans/Eligibility

TRICARE has several different plans, including TRICARE Prime, TRICARE Select, and TRICARE for Life (TFL). TRICARE Prime benefits are comparable to the health maintenance organization offered in many areas. TRICARE Prime’s point-of-service option permits enrollees to obtain care from TRICARE authorized providers other than the assigned Primary Care Manager (PCM) without a referral, but with deductibles and cost shares significantly higher than those under TRICARE Prime. TRICARE Select is a fee-for-service plan available within the US through any TRICARE authorized provider, where patient costs vary based upon sponsor’s military status. TFL is the Medicare wraparound coverage for TRICARE-eligible beneficiaries who have both Medicare Parts A and B as their primary health care coverage. In most instances, Medicare pays first, then TRICARE pays second for TRICARE covered services. Most TRICARE health plans meet the requirements for minimum essential coverage under the Affordable Care Act.

To access the current Annual Evaluation of the TRICARE Program see:

https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Health-Care- Program-Evaluation/Annual-Evaluation-of-the-TRICARE-Program.

MHSRP Priority Topic Areas:

The MHSRP seeks research that will evaluate healthcare delivery in terms of cost, quality, outcome, variation, impact of policy, and the influence on health readiness using various clinical programs and disease groups. Research must produce results which will impact the organization, policy, delivery of care, and the financial cost of healthcare.

Research results MUST enhance the efficiency and effectiveness of the MHS to be considered for funding by addressing at least one or more of the MHSRP Priority Topic Area(s) and in one clinical priority area.

MHSRP Priority Areas:

a. Economics and Cost – are factors that greatly influence the capabilities of a health system.

Research on the factors that shape and effect the MHS cost, drive demand and utilization in either TRICARE direct or private care systems affecting efficiency, effectiveness, value, and behavior in the production and utilization health care. Examples: impact of technologies, including MHS Genesis, on care delivery and cost, workforce, recruitment, and retention of medical personnel

b. Quality – serves as a metric of system performance. Research that examines quality determines the degree to which healthcare delivery for individuals and populations are safe, effective, patient-centered, timely, efficient, and equitable with the likelihood of improved health. Examples: research that measures standardization of clinical practice through clinical practice guidelines, evidence-based practices, process interventions on the health of the population/sub-population, evaluation of the impact of the Patient Safety Program on the quality and safety of care based upon survey and clinical outcome data.

https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Health-Care-Program-Evaluation/Annual-Evaluation-of-the-TRICARE-Program https://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Health-Care-Program-Evaluation/Annual-Evaluation-of-the-TRICARE-Program

c. Outcomes – of care research identifies and measures the system level factors which impact a population of patients and improves health outcomes. Health outcomes research incorporates aspects of cost, quality of life, and other measurement indicators to predict what is important to patients and patient experience at the enterprise, geographic network level, or sub-population levels in both the direct and private care systems. Examples include: assessing the impact of Clinical Decision Support Tools (CDSTs) for prediction and early intervention; and identifying sex-based differences in diagnosis and treatment of musculoskeletal injuries or mental health outcomes across the ADSM lifecycle, particularly in comparison to standards developed primarily using data from male populations.

d. Variation - studies examine the factors that influence unwarranted differences in quality, utilization, cost, or outcomes within the MHS and the implications to the enterprise as a system of system, considering both the direct and private care systems. Examples:

variations in surgical outcomes comparing MDR data and American College of Surgeons NSQIP Participant Use Data File from CY2016 to CY 2023; differences in treatment utilization (i.e., preventative tests) across geographic areas and the impact to outcomes.

e. Health Readiness - burden of disease associated with the health and risk factors that affect

ADSM ability to deploy. Examples: analyzing the implications of Military Health System (MHS) disease burden on staffing, network utilization, direct and private care costs; and assessing the impact of obesity and disease prevention programs on military readiness, considering screening costs, healthcare utilization, and health outcomes.

f. Health System - research related to the impact of changes in policy, structure, or funding of the healthcare system. This includes the impact of policy and system change to healthcare cost, quality, utilization, health outcomes, manpower/staffing, or health care readiness in the direct and private care systems. Examples: measurement of the impact of policy changes to the TRICARE benefit structure on utilization and cost; increased partnerships with civilian and Veterans Affairs health care systems; system level factors that result in a shift in prescriptions being filled at retail pharmacies, TRICARE mail order pharmacies, or at MTFs; manpower and staffing models to include physicians, nurses, and allied health professionals; impact of the implementation of digital transformation and technologies, to include the impact of the single standardized EHR, MHS Genesis; and the administrative impact of burnout and organizational culture.

Clinical Priority Areas:

It is highly encouraged proposals emphasize one of the listed Clinical Priority Areas:

a. Women Health Examples:

i. Impact of chronic pelvic pain to readiness

ii. Access and utilization of women’s health specialty care

iii. Variation of preventative care (colonoscopies, lipid screening, pneumonia/shingles vaccination, etc.)

iv. Severe maternal morbidity/mortality outcomes by demographics

b. Specialty Care

Example: Nutritional Care in garrison and deployed setting to combat obesity

c. Surgical Services Example: Evaluation of practice guidelines for the reduction of surgical morbidity and comparison to outcomes of the general US population

d. Telehealth

Example: Telehealth post-covid in terms of utilization, cost, quality, and variation

e. Pharmacy Example: Impact of policy changes, and the utilization of retail pharmacy, TRICARE mail order pharmacy (TMOP), and MTF pharmacy

*The above list provides examples within each Clinical Priority Area. Please note: this is not an exhaustive list and applications are welcome outside of the examples provided.

Proposals must address one or more of the MHSRP priority topic areas and one of the clinical priority areas listed. All research should consider including in their analysis an examination of the system variables listed below:

a. Manpower and staffing models should include:

a. Physicians, nurses, allied health professionals and administrative support

b. Impact of major transformational change resulting from EHR (i.e., Genesis)

c. Difference between care delivered in the direct vs. private care system

B. Eligibility Information

Eligible Applicants:

LOIs and Full Proposals for this funding opportunity may be submitted by investigators, uniformed or civilian staff who work for DoD or non-DoD organizations, as defined below.

a. Extramural Organization: An eligible non-DoD organization. Examples of extramural organizations include academic institutions, nonprofit organizations, and other federal government organizations (other than DoD).

• Federally Funded Research and Development Centers (FFRDCs) are not eligible to directly receive awards under this NOFO. However, teaming arrangements between

FFRDCs and eligible organizations are allowed if permitted under the sponsoring agreement between the federal government and the specific FFRDC.

• Government agencies within the US: Local, state, and non-DoD federal government agencies are eligible to the extent that proposals do not overlap with their fully funded internal programs. Such agencies are required to explain how their proposals do not overlap with their internal programs.

b. Intramural DoD Organization: A facility or group of facilities owned, leased, or otherwise used by the Office of the Secretary of Defense, the Military Departments, the Defense Agencies, and all other organizational entities within the DoD; to include DoD laboratories, DoD MTFs, and/or DoD activities embedded within a civilian medical center. Proposals may not overlap with their fully funded internal programs.

Number of Submissions:

An eligible applicant (Principal Investigator) may submit up to two (2) LOIs for consideration, but only one (1) LOI may be selected. Multiple awards to an extramural and/or intramural organization are possible under this announcement.

a. For applicants with dual appointments with a Federal Agency and a university, please clearly identify the "single" organization or affiliation which will have legal authority over funds resulting from the award.

b. It is recommended that extramural organizations partner with DoD partners to improve understanding of the context of the research.

c. Full proposals from a DoD intramural applicant must include a succession plan that discusses the transfer of the research in the event the applicant deploys or has a change of duty station. Additionally, a letter of support from their commanding officer is required. In the event of such a change please notify the Grants Officer as soon as possible.

Other Information:

a. There is no cost sharing or match requirement.

b. All partnerships or contract agreements, including funds management, are the responsibility of the applicant’s organization and should be in place prior to receiving the award of funds.

c. Grants or cooperative agreements will be awarded to organizations, not to individuals.

d. This funding opportunity is a multi-step process.

• LOIs will be subject to a general review to determine if the research intent aligns with DHA’s priority research area and objectives.

• If selected, the applicant will be invited to submit a full proposal for a technical merit review, which includes both scientific and programmatic reviews.

• Resubmission of the LOI or failure to submit a full proposal by the proposal deadline will result in immediate dismissal from further review.

e. The Federal Assistance Certifications Report (completed as part of the SAM registration) is a required attestation that the entity will abide by the requirements of the U.S. laws and regulations; therefore, as applicable, you are still required to submit any documentation, including the SF LLL Disclosure of Lobbying Activities (if applicable), and informing DoD of unpaid delinquent tax liability or a felony conviction under any Federal law. If applicable, the SF LLL should be submitted with the SF 424 form. See Section F. Federal Award Information for additional information.

• DoD required certifications: By checking “I agree” in block 17 of the SF 424 (see below) and signing the application as the authorizing official, you are certifying that your institution will be in compliance with these additional requirements:

i. Institutions of higher education must certify compliance with 10 U.S.C 983, Institutions Of Higher Education That Prevent ROTC Access Or Military Recruiting On Campus: Denial Of Grants And Contracts From Department Of Defense, Department Of Education, And Certain Other Departments And Agencies, and 32 C.F.R. 216 Military Recruiting And Reserve Officer Training Corps Program Access To Institutions Of Higher Education.

ii. Recipient will not require any of its employees, contractors, or sub-recipients seeking to report fraud, waste, or abuse to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting those employees, contractors, sub-recipients from lawfully reporting that waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information.

C. Federal Award Information

The following information applies to awards issued under this announcement:

a. The anticipated number of awards for this program in FY26 will vary, available funds are anticipated to be $10,000,000, with the number of awards being determined based on the availability of funds. Both intramural and extramural agreements will be made.

All funding decisions are final.

i. Full proposals will only be accepted from eligible applicants who submitted an LOI and received an invitation to submit a full proposal.

ii. The DHA reserves the right to fund all, some, or none of the proposals submitted, and may elect to fund only part of any or all proposals.

Funding may occur incrementally or completely.

This funding opportunity will result in grants or cooperative agreements, using delegated authority provided by United States Code, Title 10, Section 4001 (10 USC 4001). General guidance and procedures for proposal submission are described at www.grants.gov. If the government will have substantial involvement in the project as outlined in Appendix K of this notice, a cooperative agreement will be awarded.

http://www.grants.gov/

D. Application and Submission Information

Submitting an Application:

DoD will only accept proposals submitted through Grants.gov on or before the date specified.

Read the instructions below about registering to apply for DoD funds. Applicants should read the registration instructions carefully and prepare the information requested before beginning the registration process. Reviewing and assembling the required information before beginning the registration process will alleviate last-minute searches for required information.

Organizations must have a Unique Entity Identifier (UEI) Number, active System for Award Management (SAM) registration, and Grants.gov account to apply for grants. If individual applicants are eligible to apply for this funding opportunity, then you may begin with step 3, Create a Grants.gov Account, listed below.

Creating a Grants.gov account can be completed online in minutes, but UEI and SAM registrations may take several weeks. Therefore, an organization's registration should be done in sufficient time to ensure it does not impact the entity's ability to meet required application submission deadlines. Note: Failure to allow enough time for the systems to complete the registration is not considered a valid explanation for why grants.gov did not accept the proposals.

Complete organization instructions can be found on Grants.gov at:

https://www.grants.gov/web/grants/applicants/organization-registration.html

1) Register with SAM: The applicant organization must be registered as an entity in SAM

(https://www.sam.gov/content/home) and receive confirmation of an “Active” status before submitting an application through Grants.gov. As published in the Federal Register, July 10, 2019, (https://www.federalregister.gov/documents/2019/07/10/2019-14665/unique-entity-id-standard-for-awards-management), the UEI for awards management generated through SAM will be used instead of the Data Universal Numbering System (DUNS) number as of April 2022. All federal awards including, but not limited to, contracts, grants, and cooperative agreements will use the UEI. USAMRDC will transition to use of the UEI beginning with FY22 announcements and utilize the latest SF424, which includes the UEI.

The DUNS will no longer be accepted. Applicant organizations will not go to a third-party website to obtain an identifier. During the transition, your SAM registration will automatically be assigned a new UEI displayed in SAM. (For more information, visit the General Services Administration: https://www.gsa.gov/about-us/organization/federal-acquisition-service/office-of-systems-management/integrated-award-environment-iae/iae-information-kit/unique-entity-identifier-update.) Current SAM.gov registrants are assigned their UEI and can view it within SAM.gov.

2) Create a Grants.gov Account: The next step is to register an account with Grants.gov.

Follow the on-screen instructions or refer to the detailed instructions at https://www.grants.gov/applicants/applicant-registration

3) Add a Profile to a Grants.gov Account: A profile in Grants.gov corresponds to a single applicant organization the user represents (i.e., an applicant) or an individual https://www.grants.gov/web/grants/applicants/organization-registration.html https://www.grants.gov/applicants/applicant-registration applicant. If you work for or consult with multiple organizations and have a profile for each, you may log in to one Grants.gov account to access all your grant applications. To add an organizational profile to your Grants.gov account, enter the UEI Number for the organization in the UEI field while adding a profile. For more detailed instructions about creating a profile on Grants.gov, refer to: https://www.grants.gov/applicants/applicant-registration/add-profile

4) EBiz POC Authorized Profile Roles: After you register with Grants.gov and create an Organization Applicant Profile, the organization applicant's request for Grants.gov roles and access are sent to the EBiz POC. The EBiz POC will then log in to Grants.gov and authorize the appropriate roles, which may include the Authorized Organization Representative (AOR) role, thereby giving you permission to complete and submit applications on behalf of the organization. You will be able to submit your application online any time after you have been assigned the AOR role. For more detailed instructions about creating a profile on Grants.gov, refer to:

https://www.grants.gov/applicants/applicant-registration/ebiz-poc-authorizes-profile-roles

5) Track Role Status: To track your role request, refer to:

https://www.grants.gov/applicants/applicant-registration/track-profile-role-status

Electronic Signature: When applications are submitted through Grants.gov, the name of the organization applicant with the AOR role that submitted the application is inserted into the signature line of the application, serving as the electronic signature. The EBiz POC must authorize people who are able to make legally binding commitments on behalf of the organization as a user with the AOR role; this step is often missed, and it is crucial for valid and timely submissions.

Letter of Intent (LOI):

a. An LOI is the first step in the proposal process. An LOI provides an opportunity to assess if there is a match between the intended research and the program priorities. Please write a concise and persuasive document regarding how the research will identify, solve, or add to the knowledge base.

b. The MHSRP will review all LOIs submitted. Applicants whose LOI aligns with the stated program priority areas as demonstrated by clearly stated objectives, aims, and appropriate methods will then be invited to submit full proposals for consideration of an award.

LOI(s) are to be submitted to: dha.ncr.j-9.mbx.hsr@health.mil.

c. LOI Content Requirement:

(Format – Calibri 11 point, one-inch margins LOI and all supporting documentation to be submitted as a single PDF labelled {PI Last Name} _FY26_MHSRP_ (Institution)

1) General Information Required (1 Page)

i. Project title to be used throughout the grant process https://www.grants.gov/applicants/applicant-registration/add-profile https://www.grants.gov/applicants/applicant-registration/ebiz-poc-authorizes-profile-roles https://www.grants.gov/web/grants/applicants/registration/track-role-status.html https://www.grants.gov/web/grants/applicants/registration/track-role-status.html https://www.grants.gov/web/grants/applicants/registration/track-role-status.html mailto:dha.ncr.j-9.mbx.hsr@health.mil

ii. Contact information:

1. Principal Investigator (PI), including organization

2. DoD affiliation, if any,

3. A succession plan for military personnel associated with the research.

A succession plan states what will occur in the event the PI deploys or has a permanent change of duty station.

iii. Performing organization (i.e., site at which the PI will perform the proposed work) and the submitting organization (i.e., organization submitting the LOI(s) on behalf of the PI).

1. Provide a brief description of the primary institution and facility where the research is expected to be performed.

2. Provide the organization’s resource manager/comptroller or equivalent Business Official and Authorized Organizational Representative (AOR) responsible for program administration. (If awarded, this person will be identified in Block 5 of the SF-424 form.)

2) Collaborators and Key Personnel (1 page) – Research Team Description

i. Briefly explain how the team’s expertise is appropriate and complementary for achieving the research goals. Include information on name, organization, and role of all collaborators and key personnel associated with the LOI proposal (including co-investigators, mentors, collaborators, consultants, and sub-awardees, if applicable).

ii. Briefly describe the role of the PI, co-PIs (if applicable), key personnel, sub-awards (if applicable), and consultants (if applicable) on the research team, the expertise each brings to the proposed research, demonstrating that their background and expertise is appropriate.

3) Project Narrative (five-page limit) The LOI page limit applies to text and non-text elements (e.g., figures, tables, graphs, photographs, diagrams, chemical structures, and drawings) used to briefly describe the project. Inclusion of URLs in the narrative that provide additional information confer an unfair competitive advantage and, thus, are prohibited and will result in rejection of the LOI. The LOI Narrative should include the following:

i. MHSRP Priority Topic Area(s): Identify the FY 2026 DHA MHSRP Priority Topic Area(s) that the proposed research addresses.

ii. Alignment with Clinical Priority Areas: Explain how the proposed research is relevant to the identified MHSRP and clinical priority areas and supports the MHS.

iii. Opening paragraph: A standalone statement that clearly states the objective of the research.

iv. Research Plan: Briefly explain the issue being addressed, why it was chosen, and who it will impact. Include:

1. Background/Rationale: Briefly present the ideas and reasoning behind the proposed research. Include relevant military and civilian literature citations, preliminary and/or pilot data, and/or other evidence that led to the development of the proposed research. Any preliminary data should be from the PI and member(s) of the collaborating team.

2. Hypothesis, Specific Aims, and Objectives: Clearly state the proposed research hypothesis and/or objectives and the specific aims/tasks. Aims are statements of intent (i.e., what the research hopes to achieve). Objectives are statements that define measurable outcomes (i.e., the steps that will be taken to achieve the desired outcome).

3. Theoretical Rationale, Scientific Methods, and Design: Briefly describe the research approach with information on proposed methods and analysis/evaluation strategies. Describe anticipated outcomes of how this study will enhance knowledge in designated priority areas, as well as expected outcomes. Include a description of study population for studies involving human subjects, include a description of the size and characteristics of the subject population. Include all data sources that require data sharing agreements.

v. Military Relevance and Impact: Describe, if successful, how the proposed study will promote and advance the MHS’ maturation as an integrated health system focused on Ready Reliable Care. Describe how the proposed study will directly or indirectly benefit military Service members and other beneficiaries, as well as how the knowledge can be utilized across the MHS.

vi. Timeline and Estimated Total Budget: Provide the estimated total budget and a timeline to achieve the research plan.

4) Supporting Documentation

i. References Cited (one-page limit): List the references cited (including URLs if available) in the LOI narrative using a standard reference format that includes the full citation (i.e., author[s], year published, title of reference, source of reference, volume, chapter, page numbers, and publisher, as appropriate).

ii. List Abbreviations, Acronyms, and Symbols: Provide a list of abbreviations, acronyms, and symbols used.

iii. Personnel Biographical Sketches (five-page limit per individual) for PI and Co-PI only: The NIH Biographical Sketch (non-fellowship) may be used. Biographical Sketches should be used to demonstrate background and expertise through education, positions, publications, and previous work accomplished. Bold or highlight publications relevant to the proposed project. (https://grants.nih.gov/grants/forms/biosketch.htm).

Full Application and Submission Information:

All full proposals must be submitted through the website: https://www.grants.gov. Proposals will not be accepted by mail or in person. Uninvited proposals will not be reviewed or considered for an award.

https://grants.nih.gov/grants/forms/biosketch.htm https://www.grants.gov/

For this funding opportunity, each proposal submission must include the complete proposal package requirements established at https://www.grants.gov. The completed proposal package shall be submitted by the AOR. (Format – Calibri 11 point, one-inch margins LOI and all supporting documentation)

1) The proposal package includes the following mandatory components:

i. SF-424 Research and Related (R&R) Application for Federal Assistance

Form

a. Block 17 – Complete Certification. Select the “I agree” box to provide the required certifications and assurances. By checking “I Agree” on the SF424 (R&R) block 17 you agree to abide by the following statement:

“By signing this application, I certify (1) to the statements contained in the list of certifications and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 18, Section 1001).”

By checking “I Agree” of the SF424 (R&R) block 17 you abide by the following statement: ‘By signing this application, I certify the proposing entity is in compliance with Section 223(a) of the William M. (Mac) Thornberry National Defense Authorization Act for Fiscal Year 2021 which requires that: (a) the PI and other key personnel certify that the current and pending support provided on the proposal is current, accurate, and complete; (B) agree to update such disclosure at the request of the agency prior to the award of support and at any subsequent time the agency determines appropriate during the terms of the award; (c) the PI and other key personnel have been made award of the requirements under Section 223(a)(1) of this Act.”

ii. R&R Other Project Information Form

a. Project Abstract – A description of the research, research intent and potential impact written in plain, non-technical language, that can be used with non-researchers. 2-Page limit. Upload file as “Abstract-technical.pdf” Can be combined as one document.

b. Project Narrative – Detailed methodology description – 12-page limit. Upload file as “ProjectNarrative.pdf”. Project Narrative should include:

a. Background

b. Purpose/Objective

c. Aims

d. Methodological Approach

e. Potential Impact of Research

f. Implementation Plan for Research Outcomes

iii. Bibliography & Reference Cites

a. Upload file as “BibRef.pdf”

iv. Project/Performance Site Location

a. Upload file as “FacilitySupport.pdf”

v. R&R Personal Data Form

a. R&R Senior/Key Personnel Profile (Expanded) Form - PI(s) and Key Personnel Biographical Sketches (five-page limit per individual):

a. Upload file as “Biosketch_LastName.pdf.”

b. The NIH Biographical Sketch (non-fellowship) should be used. Biographical Sketches should be used to demonstrate background and expertise through education, positions, publications, and previous work accomplished.

c. Bold or highlight publications relevant to the proposed project. (https://grants.nih.gov/grants/forms/biosketch.htm)

d. Consistent with National Security Presidential Memoranda-33, individuals are required to disclose grants and contracts associated with participation in programs sponsored by foreign governments, instrumentalities, or entities, including foreign government-sponsored talent recruitment programs. Further, if individuals receive direct or indirect support that is funded by a foreign government-sponsored talent recruitment program, even where the support is provided through an intermediary and does not require membership in the foreign government-sponsored talent recruitment program, that support must be disclosed.

Individuals must also report other foreign government sponsored or affiliated activity. In accordance with 42 USC 19232, the Malign Foreign Talent Recruitment Program Prohibition Statute, individuals are prohibited from being a party in a malign foreign talent recruitment program.

e. Positions and Appointments: List all positions and scientific appointments, both domestic and foreign (including affiliations with foreign entities or governments), held by the PI and all senior/key personnel. This includes titled academic, professional, or institutional appointments, independent of whether remuneration is received and/or whether the position/appointment is full time, part time, or voluntary (including adjunct, visiting, or honorary). Selection to a foreign “talents” or similar-type program must be reported.

• Resources: Report all other support including resources made available to a researcher in support of and/or related to all of their research endeavors, regardless of monetary value. This includes but is not limited to foreign financial support, research or laboratory personnel, lab space, scientific materials such as high-value materials that are not freely available (biologics, https://grants.nih.gov/grants/forms/biosketch.htm chemical, model systems, technology, etc.), or other foreign or domestic research support.

• Other Projects and Activities: Report all current projects and activities that involve the PI and all senior/key personnel, even if the support received is only in-kind (e.g., office/laboratory space, equipment, supplies, employees). This includes resource and/or financial support from all foreign and domestic entities, including but not limited to, gifts provided with terms or conditions, financial support for laboratory personnel, and participation of student and visiting researchers supported by other sources of funding. Information must be provided for all current support for ongoing projects, whether such support is provided through the applicant organization, through another domestic or foreign organization, or is directly provided to an individual who supports the senior/key personnel’s research efforts.

b. R&R Senior/Key Personnel Current & Pending Support

a. Upload file as “Support_LastName.pdf” to the appropriate field

c. Conflict of Interest Statements

a. Upload file as “COI_LastName.pdf”

vi. R&R Attachments

a. R&R Multi-Year Budget Form – for years one and two, applications should reflect the actual needs of the proposed project.

a. R&R Sub-Award Budget Attachment Form (if applicable)

b. See General Application Instructions for more information about each form. All forms can be found on https://www.grants.gov.

b. Statement of Work

i. Upload as Attachment with file name “SOW.pdf.”

c. Data and Research Resource-Sharing Plan:

a. Upload as Attachment 4 with file name “Sharing.pdf.”

d. Data Management

a. Upload as Attachment 6 with file name “DataManage.pdf”.

e. Letter of Organizational Financial Support for Military Partners:

a. Resource from Manager/Comptroller or appropriate financial officer (If Applicable)

b. Upload as Attachment 7 with file name

“MilFinancialSupport.pdf”.

f. Letter of Organizational Command Support for Military Partners:

a. MTF, Installation Commander or equivalent Commanders/Directors (If Applicable)

b. Upload as Attachment 8 with file name “MilCommandSupport.pdf”.

vii. Other Notices:

Each applicant (unless the applicant is an individual or federal awarding agency that is excepted from those requirements under 2 codes of federal regulation (CFR) §25.110(b) or (c), or has an exception approved by the federal awarding agency under 2 CFR §25.110(d)) is required to:

a. Be registered in the System for Award Management (SAM) before submitting an application.

b. Provide a valid unique entity identifier (UEI) in its application; and

c. Continue to always maintain an active SAM registration with current information during which it has an active federal award or an application or plan under consideration by a federal awarding agency.

An award will not be made to an applicant until the applicant has complied with all applicable UEI and SAM requirements and, if an applicant has not fully complied with the requirements by the time DHA is ready to make award, the DHA Grants Officer may determine that the applicant is not qualified to receive a federal award and use that determination as a basis to make an award to another applicant.

Submission Dates and Times:

• LOI Submissions: All LOIs must be submitted by the applicant through the DHA MHSRP mailbox (dha.ncr.j-9.mbx.hsr@health.mil) by date listed on Cover Page. PIs and organizations identified in the LOI must be the same as those intended for the subsequent proposal submission. Any changes after submission of the LOI requires contacting the DHA J-9 Technical Representative through the DHA MHSRP mailbox (dha.ncr.j- 9.mbx.hsr@health.mil). A change in PI or organization after submission of the LOI will be allowed only at the discretion of the Technical Representative. When emailing the MHSRP mailbox, please request a read receipt.

• Proposal Submissions

1. All full proposal submissions must be submitted to https://www.grants.gov by date listed on the cover page. The system will generate a receipt of proposal email.

2. There will be no grace periods. Applicants must be familiar with requirements from https://www.grants.gov, including the need for an active SAM registration and an UEI as a Data Universal Numbering System (DUNS) has been phased out.

3. LOIs/Proposals Rejections. Failure to meet the requirements of this PA will result in an immediate rejection. Additional reasons for rejection include:

mailto:dha.ncr.j-9.mbx.hsr@health.mil mailto:dha.ncr.j-9.mbx.hsr@health.mil mailto:dha.ncr.j-9.mbx.hsr@health.mil

a) Inclusion of URLs, except for links in References Cited and Publication and/or Patent Abstract section.

b) Page size is 8.5 inches x 11.0 inches. (Approximately 21.59 cm x 27.94 cm.) and or formatting is not followed – Calibri 11 point, one-inch margins all the way around. Sections exceeding the specified page limits will have any pages after the limit removed before review.

c) PI does not meet the eligibility criteria.

Funding Restrictions:

• The maximum period of performance is three (3) years

• The anticipated total costs (direct and indirect) should be budgeted for the entire period of performance. Indirect costs are to be budgeted in accordance with the organization’s negotiated rate. No award will be made exceeding the stated total costs or using an indirect rate exceeding the organization’s negotiated rate.

• All direct and indirect costs of any sub-award (sub-grant or sub-contract) must be included in the total costs of the primary award.

• The applicant may request the entire maximum funding amount for a project that may have a period of performance less than the maximum three (3) years.

• Regardless of the period of performance or number of collaborators proposed, the applicant may not exceed the maximum allowable total costs.

• Unallowable Costs:

a. Laboratory Costs (reagents, animals, etc.)

b. Database Development Costs

Other Submission Requirements:

• Funding to intramural organizations for selected proposals will be dependent on relationships between the Defense Health Agency and the DoD laboratory. Specific agreements between the funding and receiving organization may be required for funding to be transferred. Final transfer of funds is contingent upon appropriate safety and administrative approvals as well as approved agreements and funding mechanisms.

Intramural applicants and collaborators are reminded to coordinate receipt and commitment of funds through their respective resource managers.

1) Intramural applicants must provide a detailed Federal Agency Financial Plan after the budget justification information in the Detailed Budget and Justification Form.

Proposals must provide a plan delineating how all RDT&E funds will be obligated.

The plan must include the funding mechanism(s) and contractual arrangements that will be used to carry over funds between fiscal years, if applicable.** Note: MHSRP awardees will receive FY26 funding which will expire for obligation September 30th, 2027. The intramural organization must plan accordingly to execute all received funds before they expire.

2) Applicants must provide Letters of Organizational Support from the following:

a) Resource Manager/Comptroller: Provide a letter of support from the applicant institution’s Resource Manager/Comptroller Office (or appropriate financial point of contact) assuring that the institution will be able to accept these funds, if awarded. If funds are to be sent to multiple sites, include a letter from each site. Proposal letters of support must include mechanism of funding transfer to each institution.

b) Commander(s): Provide a letter (or letters) of support from appropriate MTF, Installation Commander, or equivalent Commanders/Directors to ensure access to the facility, research population, and other necessary resources. The Commander should be aware of all submissions and should confirm that the proposed work is both feasible from a technical perspective and relevant from a programmatic and Command perspective.

3) For the MHSRP, funding is only awarded to the prime institution. If the prime is an extramural organization (academia/non-profit), and the intramural lab/organization plans to be a sub-awardee, the prime awardee must be able to fully manage and execute the funding and distribute funds to the sub awardees. The prime and sub awardees must ensure that appropriate approvals are obtained from their respective organization’s resource management and legal teams.

a) Direct transfer of funds from the recipient to a federal agency is not allowed except under very limited circumstances.

• Foreign Collaboration Justification:

1) Applications that propose consultant, subaward, consortium, or contractual arrangements with foreign organizations or collaborators employed by foreign organizations/governments are required to demonstrate how one or more of the following conditions have been met:

a) The foreign organization or individual(s) employed by foreign organizations/governments contributes unique expertise, organizational capability, facilities, data resources, and/or access to a geographic location or population not generally available to investigators based in the U.S. (or which would require significant effort or time to duplicate) or would potentially significantly advance the health sciences in the United States.

b) The foreign organization, individuals(s) employed by foreign organizations/governments, or project offers significant unique health research opportunities to advance U.S. Military medicine and benefit Service Members, Veterans and their Families.

• Timely Receipt Requirements and Proof of Timely Submission:

1) The AOR who submitted the application will receive an acknowledgement of receipt and a tracking number (GRANTXXXXXXXX) from Grants.gov with the successful transmission of their application. This AOR will also receive the official date/time stamp and Grants.gov tracking number in an email serving as proof of their timely submission.

2) When DoD successfully retrieves the application from Grants.gov, and acknowledges the download of submissions, Grants.gov will provide an electronic acknowledgment of receipt of the application to the email address of the AOR who submitted the application. Again, proof of timely submission shall be the official date and time that Grants.gov receives your application.

3) Applicants using slow internet, such as dial-up connections, should be aware that transmission can take some time before Grants.gov receives your application.

Again, Grants.gov will provide either an error or a successfully received transmission in the form of an email sent the AOR attempting to submit the application. The Grants.gov Support Center reports that some applicants end the transmission because they think that nothing is occurring during the transmission process. Please be patient and give the system time to process the application.

4) Application Withdrawal: An applicant may withdraw an application at any time before award by written notice or by email. Notice of withdrawal shall be sent to the Grants Officer identified in this announcement. Withdrawals are effective upon receipt of notice by the Grants Officer.

E. Application Review Information

Proposal Evaluation Criteria and Selection Information:

All full proposals will be evaluated using a two-tier review process. The first tier is a peer review of proposals against established criteria for determining technical merit. The second tier is a programmatic review that makes recommendations for funding to the DHA R&E MHSRP and the OASD(HA), based on (a) scientific and technical merit and (b) the relevance to the mission of the HA/DHA and the MHS Quadruple Aim. The highest-ranked proposals from the first tier of review may not automatically be recommended for funding depending on the second tier, programmatic review.

All review processes are conducted confidentially to maintain the integrity of the merit-based selection process. Personnel at the applicant or collaborating organizations are prohibited from contacting persons involved in the review process to gain evaluation information or to influence the evaluation process. Violations of these prohibitions will result in rejection of the organization’s proposal. Violations by applicants that compromise the confidentiality of the review process or are otherwise improper may also result in suspension or debarment from federal awards.

Scientific Technical Review:

d. General:

1) To determine scientific and technical merit, the evaluators will assess and grade/evaluate Full Proposals according to the criteria below, but the government reserves the right to reconsider based on programmatic needs.

2) To be considered for funding, proposals must address one or more of the MHSRP priority topic areas AND one of the clinical priority areas, listed above in the Program Description.

3) Proposals will be scored and ranked based on how well each proposal addresses the priority areas and the requested elements along with the strength of the science listed in the Application and Submission section above.

4) Highly ranked, well-justified projects that address all the requested proposal elements will receive higher ranking scores.

e. Review Criteria. To determine technical merit, all applications will be evaluated according to the following scored criteria, which are listed in decreasing order of importance:

1) Research Objectives

a. Research aims

i. How well the hypothesis or objectives, specific aims, research strategy, methods, and analyses are developed and support successful completion of the project aims.

ii. To what extent the proposed research project is feasible and relevant to the MHS as described.

iii. How well the application acknowledges potential problems and addresses alternative approaches.

iv. How well the study is designed to achieve the research objectives.

2) Theoretical Rationale

a. How well the study details the variables to be considered, how they are conceptionally defined and related, and how they will be tested.

3) Narrative: Scientific Design and Methods

a. Impact/Outcomes

i. To what degree the successful outcomes of the proposed research will make towards advancing Health System Research

ii. To what degree successful research outcomes emanating from the proposed research will clearly demonstrate next step actions for the MHS

iii. To what degree successful research outcomes will impact at least one of the MHSRP and clinical focus areas.

b. Background/Rationale

i. How well the study reflects the needs and issues of the MHS and previous studies.

c. Personnel/PI Biographical(s)

i. To what extent the background and experience of the PI, Partnering PI (if applicable), and other key…