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Affordable Care Act (ACA) Personal Responsibility Education Program

PREP
Number: 93.092
Agency: Department of Health and Human Services
Office: Administration for Children and Families

Program Information 

Program Number/Title (010):
93.092 Affordable Care Act (ACA) Personal Responsibility Education Program
Federal Agency (030):
Administration for Children and Families, Department of Health and Human Services
Authorization (040):
The Patient Protection and Affordable Care Act, Title II Role Of Public Programs, Subtitle L, Maternal and Child Health Services , Title V, Section 2953, Public Law 111-148, 42 U.S.C 713(c)(1).
Objectives (050):
The purpose of this program is to educate adolescents and young adults on both abstinence and contraception for the prevention of pregnancy and sexually transmitted infections, including HIV/AIDS. The Affordable Care Act was established and provided funding for this program through FY 2014.
Types of Assistance (060):
Formula Grants; Project Grants
Uses and Use Restrictions (070):
To carry out personal responsibility education programs designed to educate adolescents on both abstinence and contraception for the prevention of pregnancy and sexually transmitted infections, including HIV/AIDS. The State program component must fund teen pregnancy prevention and personal responsibility education programs that have been proven on the basis of rigorous scientific research, to change behavior, which means delaying sexual activity, increasing condom or contraceptive use for sexually active youth, or reducing pregnancy among youth. State programs must teach “adulthood preparation” subjects including healthy relationships, adolescent development, financial literacy, parent-child communication, educational and career success, and healthy life skills. Applicants for innovative program funding should describe the research base for proposed projects, such as the rationale for substantial modifications to evidence-based models and/or developmental research that suggests an innovative model is likely to be effective with a vulnerable or underserved population. The list of evidence-based models developed by the HHS Office of the Assistant Secretary for Planning and Evaluation (ASPE). Additionally, the innovative practices component must implement programs to target “high-risk, vulnerable, and culturally under-represented youth populations. Such programs must be either significant modifications of the above list of evidence-based models or are based upon other promising approaches with a strong research basis. All programs must agree to participate in a rigorous Federal evaluation of their project. Innovative programs must conduct their own rigorous, independent evaluations unless they are selected for the Federal evaluation. From the $75,000,000 appropriation, $10,000,000 (13.3%) is designated for PREIS, which are demonstration grants for innovative teen pregnancy prevention and personal responsibility education programs (PREIS); $3,250,000 (5% of the appropriation after the $10,000,000 is removed) is set aside for Tribes and Tribal organizations; $6,500,000 (10% of the appropriation after the $10,000,000 is removed) is designated for program support and evaluation. The remaining $55,250,000 (73.7% of the appropriation) is for States to implement evidence-based demonstration projects and is allotted by formula. However, beginning in 2012, funds from States that did not apply for FY10 or FY11 funding was distributed on a discretionary basis to community-based organizations within those States.
Eligibility Requirements (080)
Applicant Eligibility (081):
There is $55,250,000 appropriated annually to fund 59 States and Territories to enable them to carry out personal responsibility education programs. Eligible applicants include the 50 United States, the District of Columbia, Puerto Rico, Virgin Islands, Guam, American Samoa, Northern Mariana Islands, Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

If any States or Territories did not apply for funding in FY 2010 or 2011, they are no longer eligible to apply for this program and their allotments were made available as Competitive PREP grants to community-based organizations for the same State or territory. The annual award for Competitive PREP is $18,856,405.

Funds ($10,000,000) shall be reserved to award PREIS grants to entities to implement innovative youth pregnancy prevention strategies and target services to high-risk, vulnerable, and culturally under-represented youth populations.
Funds ($3,250,000) shall be reserved for Tribal PREP grants to Indian tribes and tribal organizations.
Funds ($6,500,000) shall be reserved for program support that may be provided directly or through a competitive award process. Program support includes research, training and technical assistance, providing consultation and resources on a broad array of teen pregnancy prevention strategies, and developing materials to support grant activities. Funds shall also be reserved to evaluate programs and activities.
Beneficiary Eligibility (082):
Personal responsibility education programs shall provide services to adolescents and young adults. Applicants are encouraged to serve youth populations that are the most high-risk or vulnerable for pregnancies or otherwise have special circumstances, including youth in and aging of out foster care, homeless youth, youth with HIV/AIDS, pregnant youth who are under 21 years of age, mothers who are under 21 years of age, and youth residing in areas with high birth rates for youth. Applicants must include the most recent pregnancy data for the State for youth ages 10 to 14 and youth ages 15-19, and the most recent birth rates among the same age groups, and trends in those rates for the most recently preceding 5-year period for which data are available.
Credentials/Documentation (083):
A signed letter from the authorized representative must accompany each application; it should include documentation establishing the authorized representative’s authority to apply for and administer the Personal Responsibility Education grant program funds on behalf of the State or Territory.

For other funding available under this CFDA number, non-profit organizations applying for funding are required to submit proof of their non-profit status. OMB Circular No. A-87 applies to this program.
Application and Award Process (090)
Preapplication Coordination (091):
Preapplication coordination is not applicable. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
Application Procedures (092):
OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. The PREP program includes formula and competitive grant awards to a range of entities. The OMB circulars that are relevant vary according to the funding opportunity and the kind of organization that will be implementing the grant award.
Award Procedure (093):
For FY 2010 and FY 2011 funds allotted to States and Territories (States), the Administration for Children and Families (ACF) advised States and Territories of the funding opportunity through a Federal Register notice and/or by a Funding Opportunity Announcement (FOA). Applications were rated “Approved,” “Approved with Conditions,” or “Approval Pending” by Program administrators. Applicants that received an “Approved” rating received grant awards and did not need to send further information. States that submitted applications that were “Approved with Conditions" received grant awards with descriptions of weaknesses and subsequent conditions that were to be met in order to receive “Approved” status. The States were given a set period to send to a response to ACF that addressed the identified weaknesses. States that submitted applications that were rated “Approval Pending” received a list of weaknesses cited by the reviewer and directions for submitting an amended application that addressed the weaknesses. States and Territories that were awarded FY 2010 and/or FY 2011 funds were to submit a letter of intent in order to receive awards in FY 2012, FY 2013 and FY 2014. There are 48 State PREP grantees.

A FOA was published to award funds to community based organizations in the States and Territories that did not receive FY 2010 and FY 2011 PREP funding. Applications were reviewed by an Objective Review Committee which applied the criteria given in the Funding Opportunity Announcement (FOA) in order to derive priority scores. The review panels consisted of expert peer reviewers who reviewed each application that met the responsiveness and screening criteria. Federal staff provided oversight to the review process. Thirty-seven applicants were awarded Competitive PREP funding in FY2012.

For funds reserved for PREP Innovative Strategy (PREIS) grants, applications were reviewed on a nationwide basis and in competition with other submitted applications. Eligible applications were reviewed by an Objective Review Committee which applied the criteria given in the Funding Opportunity Annoucement (FOA) in order to derive priority scores. The applications were reviewed by expert peer reviewers who reviewed each application that met the responsiveness and screening criteria. Federal staff provided administrative oversight to the grant review process. The review results formed the basis for development of the programmatic terms and conditions of the cooperative agreement. Funding decision recommendations were provided to the Director of the Office of Adolescent Health and the Commissioner for the Administration on Children, Youth and Families (ACYF) in order by score and rank determined by the review panel. Final award decisions were made collaboratively by the Director of OAH and the Commissioner of ACYF. In making the award decision, the Director and the Commissioner took into account the score and rank order given by the Objective Review Committee, and other considerations given in the FOA. Thirteen applicants were awarded cooperative agreements in FY2010 and one grantee relinquished funding in FY2012. There are 12 funded PREIS projects.

Funds reserved for grants to Indian tribes and tribal organizations were made available in a manner determined by the Secretary, in consultation with Indian tribes and tribal organizations, to be appropriate. In FY 2011, a funding opportunity announcement was issued for the award of the grants. Sixteen applicants were awarded Tribal PREP funding through the discretionary grant review process.
Deadlines (094):
Not Applicable.
Range of Approval/Disapproval Time (095):
From 90 to 120 days. Consult the FOA or contact the headquarters office, as appropriate, for application deadlines.
Appeals (096):
Not Applicable.
Renewals (097):
From 90 to 120 days.
Assistance Consideration (100)
Formula and Matching Requirements (101):
Statutory Formula: Title V.
Matching Requirements: Cost sharing or matching of non-Federal funds is not required. However, funded programs should build on but not duplicate or replace current Federal programs as well as state, local or community programs, and programs should coordinate with existing programs and resources in the community.
This program has MOE requirements, see funding agency for further details. This program has an MOE (Maintenance of Effort) requirement for states and local entities to require that expenditure of non-federal funds for activities, programs or initiatives allowed in this program be no less than such expenditures in FY 09. The intent is to supplement and not supplant the funds expended in FY 09 or the year prior to new awards.
Length and Time Phasing of Assistance (102):
Funds allotted to States and Territories for a fiscal year shall remain available for expenditure by the State through the end of the second succeeding fiscal year. If a State or territory did not submit an application for fiscal year 2010 or 2011, they are no longer be eligible to submit an application to receive funds from the amounts allotted to the State for each of fiscal years 2010 through 2014.

Those funds were used for awarding three year discretionary grants to local organizations and entities for the same purpose and in the same geographic regions in FY2012. The Competitive PREP funding is available over a 36 month project period. Annual funding is to be expended within 12 months of award.

The PREIS grantees were awarded funding through cooperative agreements over a five year project period. The annual funding is to be expended at the end of each 12 month budget period.

Tribal PREP grantees are discretionary awards with a four year project period. Annual awards are to be expended at the end of each 12 month budget period.

Additional information about the availability of funding is provided in the funding opportunity announcements. See the following for information on how assistance is awarded/released: Periodic draw downs are based upon need and project progress.
Post Assistance Requirements (110)
Reports (111):
Each award recipient will submit semi-annual performance progress, fiscal and performance measure data. Grantees must submit all required reports in a timely manner and in the recommended format provided. The grantees shall submit an annual Financial Status Report (FSR). An FSR is due no later than 90 days after the end of the applicable 12 month period and failure to submit these in a timely manner could affect future funding. The report is an accounting of expenditures for each budget year of the project. There is a requirment for performance measurement data collection and performance progress reporting (e.g., ”monitoring” requirements) for the State PREP, PREIS, Tribal PREP and Competitive PREP grantees. Tribal consults were conducted prior to the finalization of the Tribal PREP funding opportunity announcement, to include discussion on the reporting requirements. The recipient shall submit an annual Financial Status Report (SF-425) due no later than 90 days after the end of the applicable 12 month period. The report is an accounting of expenditures for each year of the project. More specific information on this reporting requirement was included in the Notice of Grant Award. No performance monitoring is required.
Audits (112):
In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. Grantees must comply with the relevant sections of the Code of Federal Regulations and OMB circulars to perform required audits.
Records (113):
All financial records are to be maintained for three years after termination of the project or until the audit is completed, whichever occurs first.
Financial Information (120)
Obligations (122):
(Salaries) FY 12 $84,068,474; FY 13 est $83,945,873; and FY 14 est $69,600,000 - The authorization for PREP mandates an annual appropriation of $75,000,000. Due to sequestration, the FY2013 budget was reduced by 5.1% and the FY2014 budget was reduced by 7.2%.
Range and Average of Financial Assistance (123):
Each State or Territory shall be allotted at least $250,000 or an amount determined by a formula using the number of individuals who have attained age 10 but not attained age 19 in the State or Territory to the total number of such individuals in the entire U.S. based on the most recent Census data, whichever is greater. Applicants for which Census data are not available will be eligible for the minimum allocation of $250,000. The range for State PREP awards to 59 states and territories is $250,000 to $6,455,009. The range for the awards to 12 PREP Innovative Strategies grantees is $400,000 to $933,907. The range for the awards to 16 Tribal PREP grantes is $138,000 to $325,425. The range for the awards to the 37 Competitive PREP grantees is $200,000 to $900,000.
Program Accomplishments (130):
Fiscal Year 2013: No Current Data Available Fiscal Year 2014: State PREP Awards: Estimated $40,507,555; PREP Innovative Strategies: Estimated $9,001,600; Competitive PREP Awards: Estimated $10,764,445; Tribal PREP Awards: Estimated $3,001,600 (FY2014 awards were reduced due to 7.2% sequestration.). Fiscal Year 2015: No Current Data Available
Regulations, Guidelines, and Literature (140):
No regulations have been developed at this time. Governing authorities shall be the legislative language and the terms and conditions of the cooperative agreement awards as described in the Request for Application.
Information Contacts (150)
Regional or Local Office (151) :
None.
Headquarters Office (152):
Marc D. Clark 1250 Maryland Ave, SW, 8th Floor, Washington, District of Columbia 20024 Email: marc.clark@acf.hhs.gov Phone: 202-205-8496 Fax: 202-205-9535
Website Address (153):
http://www.acf.hhs.gov/programs/fysb/content/programs/top.htm
Examples of Funded Projects (170):
Not Applicable.
Criteria for Selecting Proposals (180):
Funded State programs must replicate evidence-based, effective programs or strategies that substantially incorporate elements of effective programs that have been proven on the basis of rigorous scientific research to change behavior, which means delaying sexual activity, increasing condom or contraceptive use for sexually active youth, or reducing pregnancy among youth. The programs must include activities to educate youth who are sexually active regarding responsible sexual behavior with respect to both abstinence and the use of contraception. Such activities should teach “adulthood preparation” subjects including healthy relationships, adolescent development, financial literacy, parent-child communication, educational and career success, and healthy life skills. The programs must: be medically-accurate and complete; include activities to educate youth who are sexually active regarding responsible sexual behavior with respect to both abstinence and the use of contraception; place substantial emphasis on both abstinence and contraception for the prevention of pregnancy among youth and sexually transmitted infections; and must provide age-appropriate information and activities. The information and activities carried out under the program must be provided in the cultural context that is most appropriate for individuals in the particular population group to which they are directed.

REQUIREMENTS OF INNOVATIVE STRATEGIES PROJECTS: Proposals were funded based on how effectively they can develop, replicate, refine, and test innovative strategies for preventing teenage pregnancy. Programs must be medically accurate, age appropriate, and target services to identified vulnerable and at-risk populations. Funded projects are expected to generate lessons learned so others can benefit from these strategies and innovative approaches and increase the capacity of communities to develop, implement, and evaluate interventions for dissemination and replication by others. Funded projects must show that the proposed intervention is: (a) based on some preliminary evidence of effectiveness; (b) a significant adaptation of an evidence-based program; or (c) is a new and innovative approach to teenage pregnancy prevention with a sound basis in research.

REQUIREMENTS OF TRIBAL PROJECTS: Criteria for Tribal projects were developed by the Secretary, in consultation with Indian Tribes and Tribal Organizations, that were deemed appropriate. Tribal PREP funding is directed toward the development of culturally appropriate comprehensive teen pregnancy prevention programs that incorporate medically accurate approaches replicating effective programs or elements of programs that have been demonstrated to change behavior. Tribal PREP focuses on the same fundamental requirements as the State PREP projects-the education of youth on both abstinence and contraception and on other adulthood preparation subjects with the goal of preventing teen pregancy and sexally transmitted infections (STIs) including HIV/AIDS. Funds support PREP efforts that are dedicated to the development of comprehensive, high quality interventions and services that rely on the best available research evidence to inform and guide practice. Since there are few studies of teen pregnancy prevention programs targeting youth in Tribal communities, adaptation and innovation are important. Further, programs that currently serve Native youth have not been rigorously evaluated and may not offer strong models for replication. Tribes and tribal organizations are encouraged, therefore, to adapt evidence-based (EB) models (or elements of EB models) that address the unique cultural needs of their communities. Adaptation must retain core elements of proven effective programs.

REQUIREMENTS OF COMPETITIVE PREP PROJECTS: Competitive PREP funds support projects that educate youth between the ages of 10 and 19, and pregnant and parenting youth, under age 21, on abstinence and contraception for teen prevention of pregnancy and sexually transmitted infections (STIs), including HIV/AIDS. Applicants must also provide programming on at least three of six adulthood preparation subjects that are discussed in the published funding opportunity announcement. Further PREP funding is directed toward the development of comprehensive, teen pregnancy prevention programs that incorporate medically accurate approaches, while replicating evidence-based programs or elements of programs that have been demonstrated to change behavior. FYSB Competitive PREP funding supports efforts that are dedicated to the development of comprehensive, culturally appropriate interventions and services that rely on the best available research to inform and guide practice.