TAGGS logo HHS logo 2013 TAGGS Annual Report: Tracking Accountability in Government Grants System (image contains HHS and TAGGS logo) 2013 TAGGS Annual Report: Tracking Accountability in Government Grants System (image contains HHS and TAGGS logo)

Formula/Block & Entitlement, Discretionary Grants and Cooperative Agreements

In FY 2013 the Department of Health and Human Services administered more grant dollars than all other federal agencies combined. HHS awards formula/block, entitlement, discretionary grant awards and cooperative agreements.

Title 45 CFR Part 74 defines discretionary grants as those that permit the federal government, according to specific authorizing legislation, to exercise judgment, or “discretion” in selecting the applicant/recipient organization, through a competitive grant process.”

Formula/block grants and entitlement programs are those that a federal agency is required by statute to award, subject to availability of an appropriation, if the recipient, usually a state, submits an acceptable state plan or application, and meets the eligibility and compliance requirements of the statutory and regulatory provisions of the grant program.

The Federal Grant and Cooperative Agreement Act of 1977, 31 U.S.C. 6301, defines the cooperative agreement as an alternative assistance instrument to be used in lieu of a grant whenever substantial Federal involvement with the recipient during performance is anticipated. The difference between grants and cooperative agreements is the degree of Federal programmatic involvement rather than the type of administrative requirements imposed. Therefore, information contained in this report that is applicable to grants, also applies to cooperative agreements, unless the award itself provides otherwise.

Medicaid, State Children’s Health Insurance Program (SCHIP), and Temporary Assistance for Needy Families (TANF) are large HHS formula/block and entitlement programs, providing support for health care and human services to millions of Americans.

Medicare, the nation’s largest health insurance program, is a direct payment program and its funding levels are not included in the TAGGS CMS grant totals. Examples of key CMS grant programs include the Medicare State Survey and Certification Group; CMS Research, Demonstrations and Evaluations; Medicare Hospital Insurance; and Medicare Supplementary Medical Insurance. TAGGS does not track direct payments to individuals thus direct payments are not included in in the annual report.

As of September 2013, HHS awarded approximately $345 billion in grants for FY 2013. This included $48 billion in discretionary awards and $297 billion in formula/block and entitlement awards.

CMS, which administers the Medicaid Program, awarded 75% ($257 billion) of the total HHS grant funds. However, these awards only represented about 2% of the total number of grants awarded by HHS.

ACF had the second highest percentage of total HHS grant funds awarded at 14% or $48 billion. This represented about 10% of the total number of grants awarded. NIH, which awarded 7% or $21 billion of the total HHS grant funds, accounted for 67% of the total number of HHS grants.

The following charts show HHS award history and the total grant awards and dollars for each OPDIV for FY 2013.

View text only version of HHS Grant Awards and Award Dollars, 2008-2013

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The two pie charts on this page contrast OPDIVs that spent the largest amount of grant funds in FY 2013 against those OPDIVs awarding the largest number of grant awards. Please note that the grant dollars and number of awards by the remaining grant-making OPDIVs at HHS are not reflected due to the small percentages that they encompass for display.

As illustrated, CMS far exceeded all other OPDIVs in terms of grant dollars spent. In contrast, NIH had the lion’s share of the number of grants awarded in FY 2013, followed by ACF and HRSA.

View text only version of Grant Award Dollars by Agency

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View text only version of Grant Awards By Agency

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Awards by U.S. Location

The map below shows total or discretionary awards and award dollars that HHS agencies granted by state for FY 2013.1. Mouse over a location to view award data. Hide or restore a location within a range of dollars by clicking on the colored boxes in the legend. Mouse over a state to view award data. Hide or restore states within a range of dollars by clicking on the colored boxes in the legend.

View text only version of HHS awards by U.S. Location

1Four of the eight territories that received grants from HHS agencies are shown in the above map. The additional territories will be added in the near future. See Appendix A for detailed award data for all eight territories. Data for all eight territories can be viewed by clicking the link to the text version at the top right of the map.

Treemap

A treemap is a chart resembling the concentric circles of a “tree trunk,” that compares FY 2013 and FY 2012 non-discretionary grant program awards by Grantee Type, Grantee Class and Award activity, and displays grant information in several ways. It shows the number of dollars awarded for a type of grant in a fiscal year, the proportion of dollar awards for the type of grant in the current fiscal year, and how much the award dollar value changed from the previous fiscal year.

Closed-ended entitlement program - A type of non-discretionary grant program where the award amount constitutes an upper limit on the amount of funds the federal government may pay for allowable programmatic activities.

Open-ended entitlement program - A type of non-discretionary grant program where, based on compliance with programmatic requirements, e.g., provision of specified services to eligible beneficiaries, the OPDIV is required to reimburse the recipient (generally a state) for all or a portion of eligible costs and there is no upper limit on the amount of funds the federal government will pay for allowable services and activities (as specified in the governing statute and implementing regulations).

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View text only version of HHS Grants and Awards by CFDA Treemap Help PDF Download Adobe PDF Reader

Treemap

The online version of this Annual Report uses various interactive charts to show these award comparisons. The data contained in these charts are substantial and best viewed in tables online.

A treemap is a chart resembling the concentric circles of a “tree trunk” that compares FY 2013 and FY 2012 non-discretionary grant program awards by Grantee Type, Grantee Class and Award activity, and displays grant information in several ways. It shows the number of dollars awarded for a type of grant in a fiscal year, the proportion of dollar awards for the type of grant in the current fiscal year, and how much the award dollar value changed from the previous fiscal year.

Closed-ended entitlement program - A type of non-discretionary grant program where the award amount constitutes an upper limit on the amount of funds the federal government may pay for allowable programmatic activities.

Open-ended entitlement program - A type of non-discretionary grant program where, based on compliance with programmatic requirements, e.g., provision of specified services to eligible beneficiaries, the OPDIV is required to reimburse the recipient (generally a state) for all or a portion of eligible costs and there is no upper limit on the amount of funds the federal government will pay for allowable services and activities (as specified in the governing statute and implementing regulations).