National Forum for State and Territorial Chief Executives

The National Forum cooperative agreement aligns state and federal efforts by providing opportunities for state and territorial decision-makers to collaborate on the development and implementation of innovative strategies and best practices related to health workforce issues, health systems, and access
to healthcare.

The purpose of the National Forum is to convene high level decision makers representing state/territorial governors, their policy advisors, and state, federal, health and human services providers, as well as private sector interests around issues of importance to state and territorial governments.

As such, HRSA?s support of the National Forum program will assist governors and key policy staff to develop and implement innovative solutions to challenges facing the health care safety net at the state and national level.

This will further HRSA?s goals for enhancing service to the safety net population and supporting sustainability of programs.

The three core functions of the Cooperative Agreement are: 1) facilitate collaboration among states, territories, federal partners and other key stakeholders to achieve common goals; 2) encourage integration of public health practice, primary care delivery systems and public health infrastructures; and 3) disseminate best practices and lessons learned to other states, territories and key stakeholders through various formats and mechanisms.

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.

Website Address

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
Association Of State And Territorial Health Officials, The $ 3,486,480   2011-09-012023-08-31
National Association Of County And City Health Officials $ 866,154   2011-09-012022-08-31
$ 0   
$ 0   
$ 0   
$ 0   
$ 0   
$ 0   
$ 0   
$ 0   

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

This cooperative agreement will provide assistance to the National Forum to carry out initiatives that support states? and territories? efforts that align with the purpose of the National Forum.

The cooperative agreement also leverages limited HHS and HRSA resources to support cohesiveness with regional and national health and human services initiatives.

Program expectations: The National Forum program will assist governors and key policy staff to develop and implement innovative solutions to governance and policy development in their jurisdictions.

As such, the award recipient will be expected to facilitate partnerships across the state to include local government entities, stakeholders in various regions and across health care systems and health professional disciplines.

The National Forum shall include initiatives where success is measurable and significant, the results are reproducible, the efforts are sustainable, and the approach cost effective.

The full amount will be used to cover the activities described in the Notice of Funding Opportunity.

The full amount will be used to cover the activities described in the funding opportunity announcement.

Eligibility Requirements

Applicant Eligibility

Nonprofit, bi-partisan or nonpartisan organization that represents governors and their staff of a broad cross section of states, the Commonwealths of the Northern Mariana Islands and Puerto Rico, and the U.S.

flag territories of American Samoa, Guam, the U.S.

Virgin Islands are eligible to apply.

Beneficiary Eligibility

See eligible beneficiaries listed above.


Applicants should review the individual HRSA funding opportunity announcement issued under this CFDA program for any required proof or certifications 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.

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

This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. HRSA requires all applicants to apply electronically through

Award Procedures

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 by a Notice of Award.


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


Section 311(a) of the Public Health Service Act, as amended.

Range of Approval/Disapproval Time

From 90 to 120 days.


Not Applicable.


Funding beyond the first year is dependent on the availability of appropriated funds for the National Forum in subsequent fiscal years, awardee satisfactory performance, and a decision that continued funding is in the best interest of the Federal government.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program. This program has no matching requirements. MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

The project period is for up to three years. See the following for information on how assistance is awarded/released: Awardees draw down funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards. Electronic Federal Financial Report (FFR) Cash Transaction Reports must be submitted electronically via the Payment Management System within 30 days of the end of each calendar quarter. Failure to submit the report may result in the inability to access award funds. Go to for additional information.

Post Assistance Requirements


Refer to the HRSA Notice of Funding Opportunity for additional information.

The award recipient 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.


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.

The award recipient must submit a progress report to HRSA on an annual/quarterly basis.

For multi-year awards: Submission and HRSA approval of the Progress Report(s) triggers the budget period renewal and release of subsequent year funds.

The progress report typically has two parts.

The first part demonstrates grantee progress on program-specific goals.

The second part collects core performance measurement data including performance measurement data to measure the progress and impact of the project.

An annual Federal Financial Report is required.

The report is an accounting of expenditures under the project that year.

More specific information will be included in the Notice of Award.

Refer to the HRSA funding opportunity announcement for the roles and responsibilities of the Federal government and the recipient.


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.


Awardees are required to maintain grant accounting records 3 years after the date they submit the Federal Financial Report. 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 $563,000; FY 17 est $600,000; and FY 18 est $600,000

Range and Average of Financial Assistance

Approximately $600,000 is expected to be available annually to fund one (1) recipient. There will be a New and Competing Continuation funding opportunity in FY 18 for a 3-year project period (FY18-FY20).

Regulations, Guidelines, and Literature

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.

Information Contacts

Regional or Local Office


Headquarters Office

Lynnette S. Araki, 5600 Fishers Lane, Rockville, Maryland 20857 Email: Phone: (301) 443-6204. Fax: (301) 443-2286.

Criteria for Selecting Proposals

Review Criteria are outlined in Section V of the HRSA Notice of Funding Opportunity.

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