Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review
Active
- Assistance listing
- 93.511
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Grant awards
- 135 $193,086,342 in federal obligations
Program facts
- Also known as
- Premium Review Grants
- Assistance type
-
- Project Grant
- Eligible applicants
-
- State
- Government - General
- Treasury account
-
- 75-0112-0-1-551
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Centers for Medicare and Medicaid Services (CMS) funded health insurance premium review and pricing transparency programs for states and territories under CFDA 93.511 most recently in October 2014, with the program now dormant for over a decade.
This program supported states in reviewing and approving health insurance premium increases, providing data to HHS on premium patterns, and establishing or enhancing data centers to compile and publish medical service fee schedule information. Funded activities ranged from state-level rate review operations across multiple cycles to specialized initiatives such as Maine's data center enhancements and Oregon's rate review phases. The program was authorized through Section 1003 of the Affordable Care Act with funding available between Fiscal Years 2010 and 2014, though subsequent grants extended performance periods into 2018 and 2019.
All 135 awards issued under this program were structured as Project Grants. CMS was the sole funding agency, obligating $193.1 million in combined federal dollars across the portfolio. Award magnitudes varied considerably, ranging from $0 (Hawaii awards that did not draw funds) to approximately $5.1 million (a Cycle III award to one state recipient in October 2013). Typical awards in the Cycle III and IV rate review funding rounds fell between $1 million and $3.5 million. The program issued 46 awards in 2010 and 36 in 2011, then tapered to 4 awards in 2012 before ramping to 22 in 2013 and 27 in 2014.
The most recent grant awards were made in October 2014 for Cycle IV rate review initiatives across multiple states, with individual awards ranging from $544 thousand to $2.9 million. Earlier Cycle III awards from October 2013 included larger allocations, such as a $5.1 million award and a $4.3 million award for state rate review and pricing transparency work.
No grant opportunities are currently open under this Assistance Listing. The program's authorization window has expired, and no recent funding notices or solicitations are in the source material.
Objective and description
- Objective
A program to assist States in a) in reviewing and, if appropriate under State law, approving premium increases for health insurance coverage; b) in providing information and certain data requirements to the HHS Secretary on premium increase patterns, and c) establishing and enhancing data centers that will compile and publish fee schedule information. Refer to funding opportunity announcement for additional information.
Eligibility
- Applicant eligibility
Grants to States' (including the District of Columbia) and Territories for premium review. and Data Centers enhancing pricing transparency. Applicants should review the CMS funding opportunity announcement documents for further eligibility requirements.
- Beneficiary eligibility
Grants to States' (including the District of Columbia) and Territories for premium review. and Data Centers.
- Credentials and documentation
Applicants should review the CMS funding opportunity announcement documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.
- Uses of assistance
Grant funds are to be used as outlined in Section 1003 of the Affordable Care Act (ACA). Grant funds that are not fully obligated under this, or subsequent grant programs authorized under Section 1003 of the ACA, by FY 2014 can remain available to the Secretary for grants to States for planning and implementing the insurance reforms and consumer protections outlined in Section 1003 of the ACA.
- Length and time phasing of assistance
Grant funding for this funding opportunity announcement will be available for the remainder of Fiscal Year 2013. through Fiscal Year 2015. See the following for information on how assistance is awarded/released: Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
How to apply
- Application procedure
Grant applications and required forms for this program can be obtained from Grants.gov. CMS requires all applicants to apply electronically through Grants. gov.
- Criteria for selecting proposals
Approval of an application will be based on an analysis of the factors set forth in Section V--Application Review in the funding opportunity announcement.
- Award procedure
All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the CMS program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing by a Notice of Grant Award.
- Deadlines
A Letter of Intent is mandatory and must be submitted by 4:00 pm Eastern Daylight Time on June 17, 2013. All grant applications must be submitted electronically and be received through http://www.grants.gov by 4:00 pm Eastern Daylight Time on August 1, 2013
- Renewals
Section 1003 of the ACA provides for funding to be awarded between Fiscal Year 2010 and Fiscal Year 2014. Refer to funding opportunity announcement for additional information on subsequent grants awarded for premium review authorized under Section 1003 of ACA.
Grant awards
Latest 10 of 135 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Arkansas Insurance Department | $9,145,902 | 5% |
| 2 | Rhode Island Department Of Business Regulation | $8,607,445 | 4% |
| 3 | Colorado Department Of Regulatory Agencies | $8,554,198 | 4% |
| 4 | Insurance Department, New Hampshire | $8,194,008 | 4% |
| 5 | State Of California Department Of Insurance | $7,871,040 | 4% |
| 6 | Department Of Consumer & Business Services | $7,727,449 | 4% |
| 7 | Department Of Licensing And Regulatory Affairs | $6,951,716 | 4% |
| 8 | State Of Wisconsin Commissioner Of Insurance | $6,027,676 | 3% |
| 9 | Indiana Department Of Insurance | $5,988,626 | 3% |
| 10 | Consumer Affairs & Business Regulation Massachusetts Office Of | $5,847,207 | 3% |
10 of 66 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2019 | -$16,445,694 |
| FY2018 | -$5,573,623 |
| FY2017 | -$5,004,567 |
| FY2016 | -$5,220,969 |
| FY2015 | -$16,394,818 |
| FY2014 | $22,282,052 |
| FY2013 | $59,297,280 |
| FY2012 | $3,028,390 |
| FY2011 | $111,118,291 |
| FY2010 | $46,000,000 |
Quick answers
What is Assistance Listing 93.511?
Assistance Listing 93.511 is Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review, a federal grant program run by Centers for Medicare and Medicaid Services (Department of Health and Human Services).
What is the CFDA number for Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review?
Its CFDA number is 93.511: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.511 awarded?
135 grant awards under 93.511 have obligated $193,086,342 in federal funds to 66 recipients.
Who receives the most funding from 93.511?
The recipients obligated the most under Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review are Arkansas Insurance Department ($9,145,902), Rhode Island Department Of Business Regulation ($8,607,445) and Colorado Department Of Regulatory Agencies ($8,554,198).
On GovTribe
See this program's full record
- Every grant award and opportunity under it
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