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"Grants to States for Health Insurance Premium Review-Cycle I" Office of Consumer Information and Insurance Oversight (OCIIO)

Department of Health and Human Services

 
Synopsis
       


The synopsis for this grant opportunity is detailed below, following this paragraph. This synopsis contains all of the updates to this document that have been posted as of 06/07/2010 . If updates have been made to the opportunity synopsis, update information is provided below the synopsis.

If you would like to receive notifications of changes to the grant opportunity click send me change notification emails . The only thing you need to provide for this service is your email address. No other information is requested.

Any inconsistency between the original printed document and the disk or electronic document shall be resolved by giving precedence to the printed document.

Description of Modification

As a result of the technological challenges with the Grants.gov website the Office of Consumer Information and Insurance Oversight (OCIIO) will accept an electronic copy of the applications from state applicants through the July 7th, deadline. Please send all the required application materials to Gladys Bohler at Gladys.Bohler@hhs.gov and Jacqueline Roche at Jacqueline.Roche@hhs.gov. If states have already obtained a case number from Grants.gov, please also provide this case number when submitting your application directly to the OCIIO. All applicants will receive confirmation from the OCIIO that their application was received within one business day. PLEASE NOTE : "The Project Performance Site Location Component Form is a Mandatory Form in the SF424 Family Package and it is required for this FOA submission."

Document Type: Modification to Previous  Grants Notice
Funding Opportunity Number: RFA-FD-10-999
Opportunity Category: Discretionary
Posted Date: Jun 07, 2010
Creation Date: Jul 01, 2010
Original Closing Date for Applications: Jul 07, 2010   
Current Closing Date for Applications: Jul 07, 2010   
Archive Date:
Funding Instrument Type: Grant
Category of Funding Activity: Education
Health
Income Security and Social Services
Other (see text field entitled "Explanation of Other Category of Funding Activity" for clarification)
Category Explanation: PATIENT PROTECTION AND AFFORDABLE CARE
Expected Number of Awards: 51
Estimated Total Program Funding: $51,000,000
Award Ceiling: $1,000,000
Award Floor: $1,000,000
CFDA Number(s): 93.511  --  Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review
Cost Sharing or Matching Requirement: No

Eligible Applicants

State governments
 

Additional Information on Eligibility:

ALL 51 STATES INCLUDING THE DISTRICT OF COLUMBIA

Agency Name

CMS-Consumer Information & Insurance Oversight

Description

On March 23, 2010, the President signed into law the Patient Protection and Affordable Care Act of 2010 (PPACA). On March 30th, 2010, the Health Care and Education Reconciliation Act of 2010 was also signed into law. The two laws are collectively referred to as the Affordable Care Act. The Affordable Care Act includes a wide variety of provisions designed to promote a high quality, high value, health care system. These include significant grant funding to assist States in working with the Federal Government to implement comprehensive health reform.One of the first grant programs to be launched is established under Section 2794 of the Public Health Service Act (PPACA Section 1003) entitled, “Ensuring That Consumers Get Value for Their Dollars”. Section 2794, together with several other provisions that take effect this year, are designed to help make private health insurance more accessible and affordable and increase the transparency of the health insurance system by providing new oversight of health insurance companies. Section 1003 of the Affordable Care Act requires the Secretary of the Department of Health and Human Services (HHS), in conjunction with the States, to establish a process for the annual review of health insurance premiums to protect consumers from unreasonable, unjustified and/or excessive rate increases. This requirement takes effect beginning with the 2010 plan year. Key components of this oversight require insurers to report certain health insurance rate information to both the Secretary and the States in which they operate, including:1. All increases in rates for health insurance over the prior year that meet the established unreasonable threshold (currently under development);2. Justifications for unreasonable increases in rates prior to their implementation.The Secretary will ensure public disclosure of this information and insurers will be required to prominently post the information on their respective Internet websites.Section 2794 also provides for a program of grants to states to help them improve the health insurance rate review and reporting process. Congress has appropriated $250 million for this grant program for the federal fiscal years (FFYs) of 2010-2014. HHS is authorized to award this money during multiple award cycles to eligible States beginning in FFY 2010. Federal regulatory guidance is currently under development to establish the statutorily mandated process of annual rate review for health insurance. This will include factors to be used in determining whether or not a proposed rate increase is “unreasonable” and the criteria for evaluating if an unreasonable rate is “excessive or unjustified.” These regulations also will establish criteria for future grant awards to support States’ development and implementation of the review process.HHS has requested state input through a Request for Information (RFI) in the Federal Register (FR Doc. 2010-8600 Filed 4-12-10) and is working with state insurance commissioners through the National Association of Insurance Commissioners (NAIC). All States are eligible for the first rate review grants (Cycle I), which is being made prior to the release of the Federal regulatory guidance. In order to receive a grant, an applicant must propose a prospective plan to use grant funds to develop or enhance the state process for health insurance rate review in FFYs 2010 and 2011, including a plan for disclosing rates to the public and the Secretary.All successful Cycle I grant awardees will receive $1 million awards. The release of the second grant cycle (Cycle II) solicitation will occur after the release of the Federal regulatory rate review guidance in the fourth quarter of calendar year 2010 and grant awards will be made prior to January 1, 2011. Grant awardees will be required to implement the rate review requirements detailed in regulatory guidance.

Link to Additional Information

Office of Consumer Information and Insurance Oversight "Full Announcement for FOA"

If you have difficulty accessing the full announcement electronically, please contact:

Milton Pitts
Grant Specialist
Phone 301-827-7162 Milton.Pitts@fda.hhs.gov

Synopsis Modification History

The following files represent the modifications to this synopsis with the changes noted within the documents. The list of files is arranged from newest to oldest with the newest file representing the current synopsis. Changed sections from the previous document are shown in a light grey background.

File Name Date
Modification #4 Jul 01, 2010
Modification #3 Jun 10, 2010
Modification #2 Jun 10, 2010
Modification #1 Jun 09, 2010
Original Synopsis Jun 07, 2010