Area Health Education Centers

The Area Health Education Center (AHEC) Program enhances access to high quality, culturally competent health care through academic-community partnerships.

The goal of the AHEC Program is three fold: (1) to prepare a diverse, culturally-competent primary care workforce representative of the communities
served; (2) to improve health workforce distribution through the nation, particularly among rural and underserved areas and population; and (3) to develop and maintain a healthcare workforce that is prepared to deliver high quality care in a transforming health care delivery system with emphasis on rural and underserved areas and communities.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
Idaho State University $ 432,750   2022-09-012027-08-31
University Of Illinois $ 5,961,890   2014-05-012027-08-31
University Of Alabama At Birmingham $ 3,224,305   2014-05-012027-08-31
University Of North Dakota $ 1,152,850   2014-05-012027-08-31
The University Of South Dakota $ 2,152,850   2014-05-012027-08-31
Wayne State University $ 3,224,305   2014-05-012027-08-31
Louisiana State University $ 1,152,850   2007-09-012027-08-31
University Of Maryland $ 1,729,275   2002-09-302027-08-31
Trustees Of Indiana University $ 4,755,650   2011-09-012027-08-31
University Of Alaska Anchorage $ 3,458,550   2011-09-012027-08-31

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Funds shall be used to recruit individuals from underrepresented, disadvantaged, or rural backgrounds into the health professions; establish and maintain community-based placements or preceptorships with an emphasis on primary care; conduct interdisciplinary/interprofessional training involving an array of health professionals; deliver or facilitate continuing education; propose and implement outcomes measurement and evaluation strategies.

Not less than 75 percent of the total amount provided to an Area Health Education Centers (AHEC) program under subsection 751(a) (2) shall be allocated to the AHEC centers participating in the program.

The aggregate amount of awards to schools in the state for the fiscal year under Point of Service Maintenance and Enhancement AHEC authority shall be not less than $103,000 annually per AHEC center, including program office funds.

If amounts appropriated to carry out Section 751 are not sufficient to comply with the amount stated in the preceding sentence, the Secretary may reduce the per center amount as necessary.

Restricted Uses: Indirect costs under training awards to organizations other than State, local or American Indian tribal governments will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment.

Student support through stipends, tuition, and fees is not eligible for support.

Eligibility Requirements

Applicant Eligibility

Entities eligible to apply for AHEC Infrastructure Development awards under 751(a)(1) are public or nonprofit private accredited schools of allopathic medicine and osteopathic medicine and incorporated consortia made up of such schools, or the parent institutions of such schools.

In states and territories in which no AHEC program is in operation, an accredited school of nursing is an eligible applicant. An entity eligible to apply for AHEC Point of Service Maintenance and Enhancement awards under section 751 (a) (2) means an entity has received funds under this section (751), is operating an area health education center program, including an area health education center or centers, and has a center or centers that are no longer eligible to receive financial assistance under subsection (a)(1).

Eligible entities are accredited public or nonprofit schools of allopathic medicine or osteopathic medicine, the parent institution on behalf of such schools, and accredited schools of nursing, which have received funds under section 751 to operate an AHEC program.

Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible.

Beneficiary Eligibility

Beneficiaries include a full range of trainees: high school students from underrepresented minority populations or from disadvantaged or rural backgrounds, health professions students, faculty, and practitioners.


Applicants should review the individual HRSA Notice of Funding Opportunity issued under this CFDA program for any required proof or certifications which must be submitted with an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is eligible for coverage under E.O.

12372, 'Intergovernmental Review of Federal Programs.' An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through All eligible, 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 by a Notice of Award.

Award Procedures

Notification is made in writing (electronic) by a Notice of Award. When making final funding decisions regarding Section 751 awards, consideration will be given to the ?Sense of the Congress that there be an area health education center program in each state.?.


Contact the headquarters or regional office, as appropriate, for application deadlines.


Title VII, Sec. 751 of the Public Health Service Act (42 U.S.C. 294a).

Range of Approval/Disapproval Time

Approximately 120 to 180 days after receipt of applications.


Not Applicable.


Depending on Agency priorities and availability of funding, during the final budget year of the approved project period competing continuation applications may be solicited from interested applicants.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program. Matching Requirements: Percent: 50%. Matching Requirements: Percent: 50%. With respect to the costs of operating a program through a grant under section 751, to be eligible for assistance under section 751, an entity shall make available (directly or through contributions from state, county, municipal governments or the private sector) recurring nonfederal contributions in cash or in kind toward such costs in an amount that is equal to not less than 50 percent of such costs. Thus, the matching ratio for AHEC awards is 1:1 (federal funds to non-federal contributions). At least 25 percent of the total required non-Federal contributions shall be in cash. This program has MOE requirements, see funding agency for further details. The recipient must agree to maintain non-federal funding for grant activities at a level which is not less than expenditures for such activities during the fiscal year prior to receiving the award.

Length and Time Phasing of Assistance

This funding opportunity provides support for a five year project period. See the following for information on how assistance is awarded/released: Recipients drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Post Assistance Requirements


Both program and financial reports are required.

The recipient will be required to submit annual performance and progress reports.

Cash reports are not applicable.

A Federal Financial Report (SF-425) is required according to the schedule in HRSA?s Application Guide.

A final report is due within 90 days after the project period ends.

If applicable, the recipient 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 notice of funding opportunity are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub.


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 (The FFATA details are available online at

Competing continuation recipients may be subject to this requirement and will be so notified in the Notice of Award.

Expenditure reports are not applicable.

Performance monitoring is not applicable.


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.


Recipients are required to maintain grant accounting records 3 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 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.

Financial Information

Account Identification



(Cooperative Agreements) FY 16 $28,338,943; FY 17 est $28,400,000; and FY 18 est $0

Range and Average of Financial Assistance

FY 2015 actual $103,550-$1,868,176; Average Award: $$544,641 FY 2016 actual $105,438-$1,265,256 ; Average Award: $542,928. FY 2017 Est. $206,000-$2,437,500; Average Award: $579,590.

Regulations, Guidelines, and Literature

All administrative and audit requirements and the cost principles that govern Federal monies associated with this activity will be subject to the Uniform Guidance 2 CFR 200 as codified by HHS at 45 CFR 75. HRSA awards are also 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

Regional or Local Office


Headquarters Office

Aleisha Langhorne, Project Officer, Health Careers Pipeline Branch, Division of Health Careers and Financial Support, Bureau of Health Workforce, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Parklawn Building, Rockville , Maryland 20857 Email: Phone: (301) 443-6950

Criteria for Selecting Proposals

Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by nonfederal reviewers for technical merit recommendations. Applications will be reviewed and evaluated against the following criteria: (1) Purpose and Need; (2) Response to Program Purpose; (3) Impact; (4) Organizational Information, Resources and Capabilities; and (5) Support Requested. See the most recent Notice of Funding Opportunity for detailed review criteria.

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