The Reduction of Issuer Burden Through Technology Grant Program and The Health Insurance Enforcement and Consumer Protections Grant Program

Active

Assistance listing
93.881
Agency
Grant awards
25 $18,452,920 in federal obligations

Program facts

Assistance type
  • Project Grant
Treasury account
  • 75-0511-0-1-551
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) within the Department of Health and Human Services funds state and organizational grants supporting health insurance market reforms and issuer rate-filing infrastructure through CFDA 93.881, with the most recent award issued on July 29, 2021.

The program comprises two distinct funding tracks: the Reduction of Issuer Burden Through Technology Grant, which supports information technology projects that streamline rate and form filing between state insurance regulators and federal systems, and the Health Insurance Enforcement and Consumer Protections Grant, which funds states' planning and implementation of Affordable Care Act market reforms and consumer protection standards under Part A of Title XXVII of the Public Health Service Act. The Health Insurance Enforcement and Consumer Protections track operated under authorization from Section 1003 of the ACA through Fiscal Year 2014, with subsequent grants awarded under Section 2794(c)(2)(B) of the PHS Act for unobligated rate review funds. Awarded grants have funded state-level work on insurance market reforms in Hawaii, New Mexico, and other states, as well as technical projects linking the System for Electronic Rate and Form Filing (SERFF) to federal health insurance oversight systems to reduce burden on insurance issuers filing rate justification data.

CMS has distributed $18.5 million in combined federal dollars across 25 Project Grants. Activity was concentrated early: 23 awards issued in 2016, followed by one in 2018 and one in 2021. Award sizes ranged widely, from approximately $131 thousand to $1.3 million. Representative recent awards include a $236,654 grant in July 2021 supporting SERFF system enhancement to transmit rate filing data to the Health Insurance Oversight System, improving data quality for federal and state regulators; and several 2016 grants to states for planning and implementing insurance market reforms, including $1.2 million to Hawaii and approximately $1.3 million to New Mexico.

No open grant opportunities are currently posted. The source reflects historical funding windows ending in 2014 for initial Health Insurance Enforcement and Consumer Protections funding and Fiscal Year 2023 for the Technology Grant. The most recent award activity dates to July 2021, making the program dormant for over five years as of October 2026.

Objective and description

Objective

The Reduction of Issuer Burden Through Technology Grant will provide funding to the National Association of Insurance Commissioners (NAIC) to build an IT connection between the System for Electronic Rate and Form Filing (SERFF) and the Unified Rate R

Eligibility

Applicant eligibility

The Reduction of Issuer Burden Through Technology Grant: The National Association of Insurance Commissioners (NAIC) The NAIC is uniquely positioned as the only applicant under this funding opportunity to meet the objectives of this funding opportunity as they own, operate, and maintain the State Electronic Rate and Form Filing (SERFF) system and the SERFF system is what is utilized to submit rate filing justification data in 49 states and the District of Columbia. The Health Insurance Enforcement and Consumer Protections Grant: State Grants: State The Health Insurance Enforcement and Consumer Protections grant was open to all states that were currently enforcing the ACA market reforms and also for those states who were not currently enforcing the ACA market reforms to assist with their respective transition to an active enforcement role for all the market reforms and consumer protections under Part A of Title XXVII of the Public Health Service Act.

Beneficiary eligibility

The Reduction of Issuer Burden Through Technology Grant: The National Association of Insurance Commissioners (NAIC) The Health Insurance Enforcement and Consumer Protections Grant: Grants to States' (including the District of Columbia) for planning and/or implementing the market reforms and consumer protections in Part A of title XXVII of the PHS Act.

Credentials and documentation

Applicants should review the CMS Notice of Funding Opportunity 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. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Uses of assistance

The Reduction of Issuer Burden Through Technology Grant: Health Insurance Issuers in 49 states and the District of Columbia are currently submitting duplicate rate filing information through the SERFF and the Health Insurance Oversight System (HIOS). This duplication of effort is an administrative burden for issuers which must ensure that identical information is submitted in both systems and any changes to the submission must be made in both systems. Having one version submitted through one system would alleviate the extent to which CMS and state regulators must coordinate their reviews.

Length and time phasing of assistance

The Reduction of Issuer Burden Through Technology Grant: Grant funding for this Notice of Funding Opportunity will be available through Fiscal Year 2023. CMS will receive and review the application as well as issue the award through GrantSolutions. Grantee will drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards. Duration of grant program: June 18, 2021 - June 17, 2023. See the following for information on how assistance is awarded/released: Awards will be created and released by GrantSolutions. The Health Insurance Enforcement and Consumer Protections Grant: Grant funding for this funding opportunity announcement was initially available through FY 2018. 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. October 31, 2016-October 30, 2018. See the following for information on how assistance is awarded/released: Awards was created and released by GrantSolutions.

How to apply

Application procedure

The Reduction of Issuer Burden Through Technology Grant: 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Grant applications and required forms for this program can be obtained from Grants.gov. CMS requires all applicants to apply electronically through Grantsolutions.gov. The Health Insurance Enforcement and Consumer Protections Grant: 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. 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

The Reduction of Issuer Burden Through Technology Grant: Grant application must be submitted electronically and be received through http://www.grantsolutions.gov by 3:00 pm Eastern Daylight Time on May 10, 2021.

Renewals

The Reduction of Issuer Burden Through Technology Grant: Not Applicable The Health Insurance Enforcement and Consumer Protections Grant: Section 1003 of the ACA provides for funding to be awarded between Fiscal Year 2010 and Fiscal Year 2014. Section 2794(c)(2)(B) of the Public Health Service Act specifies that if there are any appropriated Rate Review Grant funds that are not fully obligated by the end of FY14, such amounts shall remain available to the Secretary for grants to states for planning and implementing the insurance market reforms and consumer protections under Part A of title XXVII of the PHS Act. Refer to funding opportunity announcement for additional information on subsequent grants awarded for premium review authorized under Section 1003 of ACA.

Grant awards

Award Recipient Federal obligations Awarded
Project in support of the transmission of rate filing justification data from serff to hios - this project will enhance… PRPPR210162 National Association Of Insurance Commissioners $236,654
Replacement grant PRPPR190144 District Of Columbia Department Of Insurance, Securities And Banking $292,918
The health insurance enforcement and consumer protections grant program PRPPR170112 New York Department Of Financial Services $1,202,070
Grants to states for planning and implementing the insurance market reforms under part a of title xxvii of the public… PRPPR170111 State Of California Department Of Insurance $825,343
The health insurance enforcement and consumer protections grant program PRPPR170110 Department Of Commerce Minnesota $1,060,932
The health insurance enforcement and consumer protections grant, cycle i PRPPR170109 Kentucky Department Of Insurance $555,077
Grants to states for planning and implementing the insurance market reforms under part a of title xxvii of the public… PRPPR170108 Department Of Consumer & Business Services $472,667
Grants to states for planning and implementing the insurance market reforms under part AOF title xxvii of the public… PRPPR170107 Insurance Administration Maryland $178,276
Grants to states for planning and implementing the insurance market reforms under part a of title xxvii of the public… PRPPR170106 Utah Dept Of Insurance $216,555
Grants to states for planning and implementing the insurance market reforms under part a of title xxvii cycle i PRPPR170105 Insurance Commissioner, Washington State $472,230

Latest 10 of 25 listed here. See the rest on GovTribe.

Top recipients by federal obligations

10 of 25 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2023 -$13,347
FY2022 -$77,520
FY2021 -$4,370,714
FY2020 -$2,505,547
FY2019 -$127,005
FY2017 $25,547,052

Quick answers

What is Assistance Listing 93.881?

Assistance Listing 93.881 is The Reduction of Issuer Burden Through Technology Grant Program and The Health Insurance Enforcement and Consumer Protections Grant Program, a federal grant program run by Centers for Medicare and Medicaid Services (Department of Health and Human Services).

What is the CFDA number for The Reduction of Issuer Burden Through Technology Grant Program and The Health Insurance Enforcement and Consumer Protections Grant Program?

Its CFDA number is 93.881: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.881 awarded?

25 grant awards under 93.881 have obligated $18,452,920 in federal funds to 25 recipients.

Who receives the most funding from 93.881?

The recipients obligated the most under The Reduction of Issuer Burden Through Technology Grant Program and The Health Insurance Enforcement and Consumer Protections Grant Program are Indiana Department Of Insurance ($1,297,729), State Of Illinois ($1,287,453) and Colorado Department Of Regulatory Agencies ($1,249,202).

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