Year 4 NOA with Carryover.PDF

Department of Health and Human Services

Health Resources and Services Administration

Notice of Award

FAIN# T1246102

Federal Award Date: 12/09/2025

Recipient Information

1. Recipient Name

OREGON HEALTH AUTHORITY

500 Summer St NE # E‐54 Salem, OR 97301‐1064

2. Congressional District of Recipient

3. Payment System Identifier (ID) 1273327978A1

4. Employer Identification Number (EIN) 273327978

5. Data Universal Numbering System (DUNS) 964093350

6. Recipient's Unique Entity Identifier

MCB4BL7NBJ93

7. Project Director or Principal Investigator Jon McElfresh Grant Coordinator Jonathan.p.mcelfresh@oha.oregon.gov (503)385‐3075

8. Authorized Official Shelly Juba Deputy Director of Business Operations SHELLY.C.JUBA@dhsoha.state.or.us (503)551‐2657

Federal Agency Information

9. Awarding Agency Contact Information

Latisha Harris Grants Management Specialist Office of Federal Assistance Management (OFAM) Division of Grants Management Office (DGMO) lnibblett@hrsa.gov

(301) 443‐1582

10. Program Official Contact Information Jesse T Ungard Public Health Analyst Bureau of Health Workforce (BHW) jungard@hrsa.gov

(301) 443‐6249

Federal Award Information

11. Award Number

6 T12HP46102‐04‐02

12. Unique Federal Award Identification Number (FAIN) T1246102

13. Statutory Authority 42 U.S.C. § 256g

14. Federal Award Project Title Grants to States to Support Oral Health Workforce Activities

15. Assistance Listing Number 93.236

16. Assistance Listing Program Title Grants for Dental Public Health Residence Training

17. Award Action Type Administrative

18. Is the Award R&D?

No

Summary Federal Award Financial Information

19. Budget Period Start Date 09/01/2025 ‐ End Date 08/31/2026

20. Total Amount of Federal Funds Obligated by this Action $0.00

20a. Direct Cost Amount

20b. Indirect Cost Amount $35,907.00

21. Authorized Carryover $62,736.00

22. Offset $0.00

23. Total Amount of Federal Funds Obligated this budget period $400,000.00

24. Total Approved Cost Sharing or Matching, where applicable $181,202.00

25. Total Federal and Non‐Federal Approved this Budget Period $643,938.00

26. Project Period Start Date 09/01/2022 ‐ End Date 08/31/2026

27. Total Amount of the Federal Award including Approved

Cost Sharing or Matching this Project Period $2,295,642.00

28. Authorized Treatment of Program Income Cost Sharing or Matching

29. Grants Management Officer – Signature Latisha Harris on 12/09/2025

30. Remarks

Prior Approval Request Tracking Number PA‐00146360. Prior Approval Request Type: Carryover

A printer version document only. The document may contain some accessibility challenges for the screen reader users. To access same information, a fully 508 compliant accessible HTML version is available on the HRSA Electronic Handbooks. If you need more information, please contact HRSA contact center at 877-464-4772, 8 am to 8 pm ET, weekdays.

Bureau of Health Workforce (BHW)

Notice of Award Award Number: 6 T12HP46102‐04‐02 Federal Award Date: 12/09/2025

31. APPROVED BUDGET: (Excludes Direct Assistance)

[ ] Grant Funds Only

[X] Total project costs including grant funds and all other financial participation

a. Salaries and Wages: $138,017.00

b. Fringe Benefits: $81,845.00

c. Total Personnel Costs: $219,862.00

d. Consultant Costs: $0.00

e. Equipment: $0.00

f. Supplies: $0.00

g. Travel: $19,181.00

h. Construction/Alteration and Renovation: $0.00

i. Other: $193,661.00

j. Consortium/Contractual Costs: $175,327.00

k. Trainee Related Expenses: $0.00

l. Trainee Stipends: $0.00

m. Trainee Tuition and Fees: $0.00

n. Trainee Travel: $0.00

o. TOTAL DIRECT COSTS: $608,031.00

p. INDIRECT COSTS (Rate: % of S&W/TADC): $35,907.00

i. Indirect Cost Federal Share: $35,907.00

ii. Indirect Cost Non-Federal Share: $0.00

q. TOTAL APPROVED BUDGET: $643,938.00

i. Less Non‐Federal Share: $181,202.00

ii. Federal Share: $462,736.00

32. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:

a. Authorized Financial Assistance This Period $462,736.00

b. Less Unobligated Balance from Prior Budget Periods

i. Additional Authority $62,736.00

ii. Offset $0.00

c. Unawarded Balance of Current Year's Funds $0.00

d. Less Cumulative Prior Award(s) This Budget Period $400,000.00

e. AMOUNT OF FINANCIAL ASSISTANCE THIS ACTION $0.00

33. RECOMMENDED FUTURE SUPPORT:

(Subject to the availability of funds and satisfactory progress of project)

YEAR TOTAL COSTS

Not applicable

34. APPROVED DIRECT ASSISTANCE BUDGET: (In lieu of cash)

a. Amount of Direct Assistance $0.00

b. Less Unawarded Balance of Current Year's Funds $0.00

c. Less Cumulative Prior Award(s) This Budget Period $0.00

d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00

35. FORMER GRANT NUMBER

36. OBJECT CLASS

41.21

37. BHCMIS#

38. THIS AWARD IS BASED ON THE APPLICATION APPROVED BY HRSA FOR THE PROJECT NAMED IN ITEM 14. FEDERAL AWARD PROJECT TITLE AND IS SUBJECT TO THE

TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE AS:

a. The program authorizing statue and program regulation cited in this Notice of Award; b. Conditions on activities and expenditures of funds in certain other applicable statutory requirements, such as those included in appropriations restrictions applicable to HRSA funds; c. 45 CFR Part 75; d. National Policy Requirements and all other requirements described in the HHS Grants Policy Statement; e. Federal Award Performance Goals; and f. The Terms and Conditions cited in this Notice of Award. In the event there are conflicting or otherwise inconsistent policies applicable to the award, the above order of precedence shall prevail. Recipients indicate acceptance of the award, and terms and conditions by obtaining funds from the payment system.

39. ACCOUNTING CLASSIFICATION CODES

FY‐CAN CFDA

DOCUMENT

NUMBER

AMT. FIN. ASST. AMT. DIR. ASST. SUB PROGRAM CODE SUB ACCOUNT CODE

25 - 372OH17 93.236 22T12HP46102 $0.00 $0.00 N/A 22T12HP46102

NOTICE OF AWARD (Continuation Sheet) Date Issued: 12/9/2025 3:30:48 PM Award Number: 6 T12HP46102-04-02

HRSA Electronic Handbooks (EHBs) Registration Requirements The Project Director of the grant (listed on this NoA) and the Authorizing Official of the grantee organization are required to register (if not already registered) within HRSA's Electronic Handbooks (EHBs). Registration within HRSA EHBs is required only once for each user for each organization they represent. To complete the registration quickly and efficiently we recommend that you note the 10-digit grant number from box 4b of this NoA. After you have completed the initial registration steps (i.e.,created an individual account and associated it with the correct grantee organization record), be sure to add this grant to your portfolio. This registration in HRSA EHBs is required for submission of noncompeting continuation applications. In addition, you can also use HRSA EHBs to perform other activities such as updating addresses, updating email addresses and submitting certain deliverables electronically. Visit https://grants3.hrsa.gov/2010/WebEPSExternal/Interface/common/accesscontrol/login.aspx to use the system. Additional help is available online and/or from the HRSA Call Center at 877-Go4-HRSA/877-464-4772.

Terms and Conditions Failure to comply with the remarks, terms, conditions, or reporting requirements may result in a draw down restriction being placed on your Payment Management System account or denial of future funding.

Grant Specific Term(s)

1.

By applying for or accepting federal funds from HHS, recipients certify compliance with all federal antidiscrimination laws and these requirements and that complying with those laws is a material condition of receiving federal funding streams. Recipients are responsible for ensuring subrecipients, contractors, and partners also comply.

2.

Applicable Regulations – Prior to October 1, 2025, this award is subject to 45 CFR 75 except for eight flexibilities from 2 CFR 200 adopted by HHS on October 1, 2024, in Federal Register Notice 89 FR 80055. After October 1, 2025, this award will be subject to any applicable provisions of 2 CFR 200 and 2 CFR 300.

3.

The Recipient hereby agrees that it will comply with Title VI of the Civil Rights Act of 1964, as amended (codified at 42 U.S.C. 2000d et seq.), and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 80);

Section 504 of the Rehabilitation Act of 1973, as amended (codified at 29 U.S.C. 794), and all requirements imposed by or pursuant to the

Regulation of the Department of Health and Human Services (45 C.F.R. Part 84); Title IX of the Education Amendments of 1972, as amended (codified at 20 U.S.C. § 1681 et seq.), and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 86); The Age Discrimination Act of 1975, as amended (codified at 42 U.S.C. § 6101 et seq.), and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 91); and Section

1557 of the Patient Protection and Affordable Care Act, as amended (codified at 42 U.S.C. § 18116), and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 CFR Part 92).

4.

Any term or condition in this NOA, including those incorporated by reference, that HHS is enjoined by court order from imposing or enforcing shall not apply or be enforced as to any recipient or subrecipient to which that court order applies and while that court order is in effect.

5.

Funding beyond this budget period is contingent upon the availability of appropriated funds for this program, recipient satisfactory performance, program authority, compliance with the Terms and Conditions of the award, and a decision that continued funding is in the best interest of the Federal government.

This award action is based on HRSA’s approval of the recipient’s application and any modifications at the time of this award. Continued support for this award may be subject to other programmatic considerations to the extent permitted by law, including, but not limited to, Administration priorities and court orders.

Should additional federal funds not be available and/or shifting priorities affect the programmatic objectives of this award, the recipient will work with HRSA to revise any workplan tasks and budget in accordance with 45 CFR 75.308 (Revision of budget and program plans).

6.

Prior to October 1, 2025, this award is subject to the termination provisions at 45 CFR 75.372. Starting on October 1, 2025, this award is subject to the termination provisions at 2 CFR 200.340. Pursuant to 2 CFR 200.340, the recipient agrees by accepting this award that continued funding for the award is contingent upon the availability of appropriated funds, recipient satisfactory performance, compliance with the Terms and Conditions of the award, and to the extent authorized by law, a decision by the agency that the award continues to effectuate program goals or agency priorities.

7.

By accepting this award, including the obligation, expenditure, or drawdown of award funds, recipients, whose programs are covered by Title

IX, certify as follows:

• Recipient is compliant with Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. §§ 1681 et seq., including the requirements set forth in Presidential Executive Order 14168 titled Defending Women From Gender Ideology Extremism and Restoring

Biological Truth to the Federal Government, and Title VI of the Civil Rights Act of 1964, 42 U.S.C. §§ 2000d et seq., and Recipient will remain compliant for the duration of the Agreement.

• The above requirements are conditions of payment that go the essence of the Agreement and are therefore material terms of the

Agreement.

• Payments under the Agreement are predicated on compliance with the above requirements, and therefore Recipient is not eligible for

NOTICE OF AWARD (Continuation Sheet) Date Issued: 12/9/2025 3:30:48 PM funding under the Agreement or to retain any funding under the Agreement absent compliance with the above requirements.

• Recipient acknowledges that this certification reflects a change in the government’s position regarding the materiality of the foregoing requirements and therefore any prior payment of similar claims does not reflect the materiality of the foregoing requirements to this

Agreement.

• Recipient acknowledges that a knowing false statement relating to Recipient’s compliance with the above requirements and/or eligibility for the Agreement may subject Recipient to liability under the False Claims Act, 31 U.S.C. § 3729, and/or criminal liability, including under 18

U.S.C. §§ 287 and 1001.

8.

This Notice of Award authorizes the carryover of an unobligated balance in the amount of $62,736.00 from budget period 09/01/2024 to

08/31/2025 into the current budget period. These funds can only be used for the purposes stated in your Prior Approval request.

Please be advised that if the final resolution of the audit determines that the unobligated balance of Federal Funds requested for the carryover is incorrect, HRSA is not obligated to make additional Federal Funds available to cover the shortfall.

All prior terms and conditions remain in effect unless specifically removed.

Contacts

NoA Email Address(es):

Name Role Email

Shelly Juba Authorizing Official shelly.c.juba@dhsoha.state.or.us

Jonathan Mcelfresh Point of Contact jonathan.p.mcelfresh@dhsoha.state.or.us

Jon Mcelfresh Program Director, Employee jonathan.p.mcelfresh@oha.oregon.gov Note: NoA emailed to these address(es)

All submissions in response to conditions and reporting requirements (with the exception of the FFR) must be submitted via EHBs. Submissions for Federal Financial Reports (FFR) must be completed in the Payment Management System (https://pms.psc.gov/).

NOTICE OF AWARD (Continuation Sheet) Date Issued: 12/9/2025 3:30:48 PM https://pms.psc.gov/