Affordable Care Act (ACA) Advanced Nursing Education Expansion Initiative

The purpose of the Advanced Nursing Education Expansion (ANEE) Initiative was 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.

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.

Office - See Regional Agency Offices.

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
University Of Texas Health Science Center Of San Antonio $ 1,424,667   2010-09-302016-09-29
Regents Of The University Of Michigan $ 1,320,075   2010-09-302016-09-29
Georgia State University Research Foundation, Inc. $ 831,562   2010-09-302016-09-29
College Of St. Scholastica, Inc. $ 1,330,560   2010-09-302016-09-29
University Of Oklahoma $ 803,001   2010-09-302016-09-29
Medical University Of South Carolina The $ 1,425,600   2010-09-302015-09-29
Daemen College $ 1,425,600   2010-09-302015-09-29
University Of Miami $ 704,000   2010-09-302015-09-29
Rutgers, The State University Of New Jersey $ 807,840   2010-09-302015-09-29
Pennsylvania State University, The $ 1,335,840   2010-09-302015-09-29

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

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 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 eligible for support. Personnel, staffing, consultant cost, equipment, travel and subcontracts are prohibited under this grant award.

Furthermore, funding may not be used for fringe benefits.

Eligibility Requirements

Applicant Eligibility

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

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. Students must be enrolled full-time in a primary care nurse practitioners and/or nurse-midwifery program during the project period.


Applicants should review the individual HRSA Notice of Funding Opportunity issued under this CFDA program for any required proof or accreditation which must be submitted with an application package. Recipients must include an accreditation documentation letter from a national nursing accrediting agency with their 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 excluded from coverage under E.O.


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 of award is made in writing (electronic) by a Notice of Award.


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


Section 811 of the Public Health Service Act (42 U.S.C. 296j), as amended by the Affordable Care Act, Public Law 111-148.

Range of Approval/Disapproval Time

Approximately 120 - 180 days after receipt of applications.


Not Applicable.


Not Applicable.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program. Matching requirements are not applicable to this program. 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 5-year project, with funding for the entire five year budget period awarded in the first year of support. See the following for information on how assistance is awarded/released: Recipients 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


Both program and financial reports are required.

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

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 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

Account Identification



(Project Grants) FY 16 $0; FY 17 est $0; and FY 18 est $0 - All funds were awarded in FY10 with a five year budget and project period.

Range and Average of Financial Assistance

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).

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

See Regional Agency Offices.

Headquarters Office

Kristen Hansen 5600 Fishers Lane, Room 11N100, , Rockville , Maryland 20857 Email: Phone: 301-443-2796

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 non-Federal expert consultant(s) for technical merit recommendations. See the most recent Notice of Funding Opportunity for detailed selection criteria.

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