Assistance program
State Planning and Establishment Grants for the Affordable Care Act (ACA)’s Exchanges
-$82.9 Million committed in FY2018–FY2024
- Agency
- Centers for Medicare and Medicaid Services, Health and Human Services, Department of
- Assistance
- Cooperative Agreements
- CFDA number
- 93.525
- What it does
- The purpose of this funding opportunity is to modernize or update any system, program, or technology that is necessary for implementation of Sections 9661 and 9663 of the ARPA, which make changes to the premium assistance amounts available to certain taxpayers in Plan Years (PY) 2021 and 2022 who enroll in a qualified health plan through an Exchange. Eligible applicants may also request funding to make other system or program changes that would ensure an Exchange is compliant with all applicable federal requirements.
- Who benefits
- Projects will benefit States and Territories or entities authorized by the State or Territory that operate Exchanges in States or Territories
- Who applies
- This is a Limited Competition Notice of Funding Opportunity (NOFO) that is open only to eligible applicants. Eligible applicants are American Health Benefits Exchanges (referred to as State-based Exchanges or SBEs) in operation for PY 2021 or expected to be in operation for PY 2022.
- Authorized by
- The American Rescue Plan Act (ARPA) of 2021 (P.L. 117-2)
- Program site
- http://www.cciio.cms.gov ↗
Committed by fiscal year
Top recipients
By dollars committed.
How to read these numbers
- Committed through this program
Money committed under this assistance listing (its CFDA program), counted in the year each action happened.
- How it's paid
Most programs pay out one way — a grant, or a direct payment to individuals; the flow bar only appears when a program genuinely mixes types.
- Some recipients aren't itemized
For entitlement programs like Social Security and Medicare, the government reports one aggregate instead of naming tens of millions of people, so the recipient roster isn't part of the public record.
- Awards, counted once
An award count is the number of distinct awards with at least one action that year — each counted once, however many times it was amended.
- The colored bars
Every bar on this page splits by how the money moves:
Direct payments
