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Affordable Care Act (ACA) Advanced Nursing Education Expansion Initiative

Number: 93.513
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration

Program Information 

Program Number/Title (010):
93.513 Affordable Care Act (ACA) Advanced Nursing Education Expansion Initiative
Federal Agency (030):
Health Resources and Services Administration, Department of Health and Human Services
Authorization (040):
Section 811 of the Public Health Service Act (42 U.S.C. 296j), as amended by the Affordable Care Act, Public Law 111-148.
Objectives (050):
The purpose of the Advanced Nursing Education Expansion (ANEE) Initiative is to 1) increase the number of students enrolled full time in accredited primary care Nurse Practitioner and Nurse Midwifery programs, and 2) accelerate the graduation of part time student in such programs by encouraging full time enrollment.
Types of Assistance (060):
Project Grants
Uses and Use Restrictions (070):
The grantee is responsible for the disbursement of grant funds to eligible students. Stipend grant funds may be used as follows:

1) ANEE grant funds are used to support stipends awarded under the terms of the Notice of Award.
2) Stipends for students cannot exceed $22,000 per year.
3) Full tuition and fees, reasonable living expenses and other educational costs are allowable costs.
4) Trainee travel (including daily commuting costs) is not an allowable expense.
5) Indirect Costs (Facilities and Administrative - F&A Costs) are applicable to the ANEE Program.

Restricted Uses: Indirect costs that are allowed for administrative costs incurred as a result of the project, are limited to 8 percent of direct costs. Student support through stipends, tuition, and fees is not eligible for support.
Eligibility Requirements (080)
Applicant Eligibility (081):
Eligible applicants are collegiate schools of nursing, academic health centers, and other private or public entities accredited by a national nursing accrediting agency recognized by the Secretary of the U.S. Department of Education that offers and has students enrolled in primary care nurse practitioner programs and/or a nurse-midwifery program. The nurse midwifery program must be accredited by the Accreditation Commission on Midwifery Education. Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible.
Beneficiary Eligibility (082):
Project participants (students) must be U.S. Citizens, non-citizen nationals, or foreign nationals who possess visas permitting permanent residence in the United States. Individuals on temporary student visas are not eligible.
Credentials/Documentation (083):
Applicants should review the individual HRSA funding opportunity announcement issued under this CFDA program for any required proof or accreditation which must be submitted prior to or simultaneous with submission of an application package. This program is excluded from coverage under 2 CFR 200, Subpart E - Cost Principles.
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):
This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards.
Award Procedure (093):
All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.

Notification is made in writing (electronic) by a Notice of Award.
Deadlines (094):
Contact the headquarters or regional office, as appropriate, for application deadlines.
Range of Approval/Disapproval Time (095):
From 90 to 120 days.
Appeals (096):
Not Applicable.
Renewals (097):
Not Applicable.
Assistance Consideration (100)
Formula and Matching Requirements (101):
This program has no statutory formula.
This program has no matching requirements.
This program does not have MOE requirements.
Length and Time Phasing of Assistance (102):
The project period is for up to five years and the total five year budget period is awarded in the first year of support. See the following for information on how assistance is awarded/released: Grantees draw down funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Post Assistance Requirements (110)
Reports (111):
Program reports are required. The awardee will be required to submit semi-annual performance and annual progress reports as well as status-federal financial reports (see below for general information on each required report). The awardee will be required to submit performance and progress reports as well as status-federal financial reports (see the program announcement and notice of award for details for each required report). The awardee must submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System within 30 days of the end of each calendar quarter. A Federal Financial Report (SF-425) according to the following schedule: A final report is due within 90 days after the project period ends. If applicable, the awardee must submit a Tangible Personal Property Report (SF-428) and any related forms within 90 days after the project period ends. New awards (“Type 1”) issued under this funding opportunity announcement are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub. L. 109–282), as amended by section 6202 of Public Law 110–252, and implemented by 2 CFR Part 170. Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient’s and subrecipient’s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (FFATA details are available online at Competing continuation awardees, etc. may be subject to this requirement and will be so notified in the Notice of Award. Cash reports are not applicable. Progress reports are not applicable. Expenditure reports are not applicable. Performance monitoring is not applicable.
Audits (112):
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.
Records (113):
Grantees are required to maintain grant accounting records three years after the date they submit the Federal Financial Report (FFR). If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the three 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 three year period, whichever is later.
Financial Information (120)
Obligations (122):
(Project Grants) FY 14 Not Available; FY 15 est $0; and FY 16 Estimate Not Available - All funds were awarded in FY10 with a five year budget and project period.
Range and Average of Financial Assistance (123):
Up to $22,000 per full-time student for each year of the two-year program enrollment per student.

FY 2010 range: $704,000 to $1,425,600: average: $1,194,009 (award amounts are for 5 years of funding per grantee).
Program Accomplishments (130):
Not Applicable.
Regulations, Guidelines, and Literature (140):
This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable.

HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at
Information Contacts (150)
Regional or Local Office (151) :
See Regional Agency Offices.
Headquarters Office (152):
Lisa Vandemark Division of Nursing and Public Health, Bureau of Health Workforce 5600 Fishers Lane, Room 9-89, Rockville, Maryland 20857 Phone: (301) 443-5688
Website Address (153):
Examples of Funded Projects (170):
Not Applicable.
Criteria for Selecting Proposals (180):
Competing applications are reviewed by non-Federal expert consultant(s) for technical merit recommendations. Approval of an application will be based on analysis of the factors set forth in the application. See the section on Application Review in the funding opportunity announcement. In making awards of grants under this Section, preference will be given to any qualified applicant with a project that will substantially benefit rural or underserved populations, or help meet public health nursing needs in State or local health departments.