The Reduction of Issuer Burden Through Technology Grant Program and The Health Insurance Enforcement and Consumer Protections Grant Program
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 Review (URR) module in the Health Insurance and Oversight System (HIOS) to increase the efficiency of federal processes and reduce the administrative burden imposed on health insurance issuers and state regulators at Departments of Insurance. The Health Insurance Enforcement and Consumer Protections grants was awarded in 2016 and provided a funding source to assist states in implementing and planning several of the federal market reforms and consumer protections under Part A of Title XXVII of the Public Health Service Act (PHS Act). The Health Insurance Enforcement and Consumer Protections grants provided states with the opportunity to ensure their laws, regulations, and procedures are in line with federal requirements and that states are able to effectively oversee and enforce the PHS Acts title XXVII Part A provisions with respect to health insurance issuers.
General information about this opportunity
Last Known Status
Active
Program Number
93.881
Federal Agency/Office
Centers For Medicare and Medicaid Services, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Not applicable.
Authorization
Patient Protection and Affordable Care Act (PPACA), Section 1003
Who is eligible to apply/benefit from this assistance?
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/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.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. 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.
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.
Approval/Disapproval Decision Time
From 30 to 60 days.
Appeals
Not applicable.
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.
How are proposals selected?
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.
How may assistance be used?
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.
What are the requirements after being awarded this opportunity?
Reporting
Not applicable.
Auditing
Not applicable.
Records
Grantees are required to maintain grant accounting records 3 years after the date they submit the final Federal Financial Report. If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.
Matching requirements are not applicable to this assistance listing.
MOE requirements are not applicable to this assistance listing.
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. Awards will be created and released by GrantSolutions.
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Jim Taing
200 Independence Avenue
Washington, DC 20201 US
james.taing@cms.hhs.gov
Phone: 301-492-4182
Website Address
https://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Market-Reforms/Health_Insurance_Enforcement_and_Consumer_Protections-Grants-.html
Financial Information
Account Identification
75-0511-0-1-551
Obligations
(Project Grants) FY 22$0.00; FY 23 est $0.00; FY 24 Estimate Not Available FY 21$250,000.00; FY 19 FY 20 -
Range and Average of Financial Assistance
The NAIC will receive $250,000 as an award. Grantees from the Health Insurance Enforcement and Consumer Protections received a minimum of $476,998 as a baseline award amount.
Regulations, Guidelines and Literature
This program is subject to 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards implemented by HHS regulation 45 CFR Part 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards.
Examples of Funded Projects
Not applicable.