Native Hawaiian Health Care Systems

To raise the health status of Native Hawaiians living in Hawaii to the highest possible level through the provision of comprehensive health promotion and disease prevention services, as well as primary health services, and to provide existing Native Hawaiian health care programs with all resources necessary

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to effectuate this policy.

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.

Contact headquarters with questions.

Relevant Nonprofit Program Categories

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
Ho-ola Lahui Hawaii Inc $ 5,921,017   1991-09-302021-07-31
Na Pu'uwai $ 4,909,516   1991-09-302021-07-31
Papa Ola Lokahi Inc $ 3,405,689   1990-07-012021-07-31
Hui Malama Ola Na 'oiwi $ 5,627,167   1991-09-302021-07-31
Hui No Ke Ola Pono, Inc. $ 6,448,535   1991-09-302021-07-31
Ke Ola Mamo $ 6,083,955   1991-09-302021-07-31
Ho-ola Lahui Hawaii Inc $ 26,424,259   1991-09-302021-07-31
Ke Ola Mamo $ 27,149,379   1991-09-302021-07-31
Na Pu'uwai $ 19,251,070   1991-09-302021-07-31
Hui No Ke Ola Pono, Inc. $ 31,726,668   1991-09-302021-07-31

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Required Native Hawaiian Health Care Systems services under this program include outreach, health promotion, disease prevention, and primary health care services.

These services will integrate traditional health concepts with western medicine so that existing barriers to health care can be removed.

It is anticipated that the various components will be integrated into one comprehensive system of care and that the existing health resources of the community will be used to the greatest extent possible.

Required Papa Ola Lokahi activities include coordination and updating of a comprehensive Native Hawaiian health care plan, providing training, technical assistance, and coordination for Native Hawaiian health care sites/practitioners statewide, serving as a clearinghouse, and conducting disease prevalence research.

Eligibility Requirements

Applicant Eligibility

Eligible entities include Papa Ola Lokahi and the Native Hawaiian Health Care Systems (Systems).

The Systems: (1) organized under the laws of the State of Hawaii; (2) provide or arranges for health care services through practitioners licensed by the State of Hawaii, where licensure requirements are applicable; (3) are public or nonprofit private entities; (4) involve Native Hawaiian health practitioners significantly in the planning, management, monitoring, and evaluation of health care services; (5) are recognized by Papa Ola Lokahi (a consortium of Hawaiian and Native Hawaiian organizations) for the purpose of planning, conducting, or administering programs or portions of programs, authorized by this act for the benefit of Native Hawaiians; and (6) are certified by Papa Ola Lokahi as having the qualifications and the capacity to provide the services and meet the requirements of this Act for the benefit of Native Hawaiians.

Beneficiary Eligibility

Hawaiian natives will benefit.


Applicants should review the applicable HRSA notice of funding opportunity 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. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is required.

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. Grant applications and required forms for this program can be obtained from Please visit the Web site at to both find and apply for Federal grant opportunities under this CFDA number. Applicants are required to apply electronically through

Award Procedures

Notification is made in writing by a Notice of Award.


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


Native Hawaiian Health Care Improvement Act (42 USC 11701 11714), as amended by P.L. 111-148, Section 10221.

Range of Approval/Disapproval Time

From 90 days to up to 6 months.


Not Applicable.


Awards to support projects beyond the first budget year within the three-year project period will be contingent upon Congressional appropriation, compliance with applicable statutory and regulatory requirements, demonstrated organizational capacity to accomplish the project's goals, satisfactory performance, and a determination that continued funding would be in the best interest of the federal government.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula. Matching Requirements: This program has no statutory formula. Matching Requirements: Grants may not be awarded to a Native Hawaiian Health Care System unless the entity agrees that it will make available, directly or through donations to the entity, nonfederal matching funds in an amount not less than $1 for every $5 of Federal funds provided. Nonfederal contributions may be in cash or in kind, fairly evaluated, including plant, equipment, or services. Amounts provided by Federal government or services assisted or subsidized to any significant extent by the Federal Government may not be included in determining the amount of such nonfederal contributions. Federal sources may be used as matching funds if received as fees, payments, or reimbursements for the provision of specific services, such as patient care reimbursements received under Medicare or Medicaid. The match requirements may be waived if the Secretary determines, in consultation with Papa Ola Lokahi, that it is not feasible for the entity to comply with the requirement. Grant funds may not be used to pay for (1) inpatient services; (2) cash payments to intended recipients of health services; or (3) purchasing or improving real property (other than minor remodeling of existing improvements to real property) or major medical equipment. The entity may not expend more than 10 percent of amounts received under the grant for administering the grant. Other requirements and limitations are set forth in the Native Hawaiian Health Care Improvement Act (42 USC 11701 - 11714) There is no matching requirement for Papa Ola Lokah. MOE requirements are not applicable to this program. MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

Awards are made annually. After awards are issued, funds are released in accordance with HHS payment procedures, which may be through an Electronic Transfer System or a Monthly Cash Request System. Awardees draw down funds, as necessary, from the Payment Management System (PMS). See the following for information on how assistance is awarded/released: PMS is the centralized web based payment system for HHS awards.

Post Assistance Requirements


Annual progress and data reports are required.

The awardee will be required to submit 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) is due 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 notice of 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.

No expenditure reports are required.

Performance Monitoring includes review of annual progress and data reports and may include periodic site visits.


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.


Grantees 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



(Project Grants) FY 16 $12,339,016; FY 17 est $12,967,553; and FY 18 est $12,967,553

Range and Average of Financial Assistance

$1,108,201 to $2,674,268; average $2,161,259.

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. 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

Regional or Local Office

See Regional Agency Offices. Contact headquarters with questions.

Headquarters Office

Bureau of Primary Health Care, Health Resources and Services Administration, 5600 Fishers Lane, Room 16N16, Rockville, Maryland 20857 Email: Phone: (301) 594-4300

Criteria for Selecting Proposals

Applications are not subject to independent objective review procedures. They are, however, reviewed by HRSA grants management officials (business and financial review) and program staff (technical review and analysis of performance measures) to determine if the applicant: (1) performed satisfactorily; (2) is in compliance with statutory/regulatory requirements; and (3) proposed appropriate goals and activities with allowable and reasonable costs. The following review criteria will be used by federal staff to assess the merits of each application: need, project performance, project plans, resources/capabilities, evaluative measures, and support requested.

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