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Executive Summary

Photo of HHS staff talking at a table.

Photo Courtesy of CDC Connects, James Gathany, Photographer

Our Year

Improving transparency within federal programs and standardization of grants data were two major activities that impacted multiple business communities across the Federal Government in 2014. The Digital Accountability and Transparency Act of 2014 or the DATA Act was signed into law on May 9, 2014 and is designed to foster greater transparency of financial information through the use of government-wide financial data standards and publically available financial data. In August 2014, HHS established within the Office of the Assistant Secretary for Financial Resources (ASFR) the DATA Act Program Management Office (DATA Act PMO) to support implementation of the DATA Act with three primary objectives: to design a cohesive and coordinated strategy which leverages intellectual and financial resources and reduces the risk of duplicative efforts; to ensure engagement and support of Operating Divisions (OPDIVs) and Staff Divisions (STAFFDIVs) stakeholders; and, to position HHS to guide its own DATA Act future while serving as a leader in the government-wide arena.  (The DATA Act PMO is organizationally located in the Office of Grants and Acquisition Policy and Accountability, within ASFR.)

HHS is committed to standardizing data elements for the federal grants life cycle, and in 2014, participated in several external and internal workgroups to establish a set of approved data elements that will have the same meaning across the grants administration lifecycle – from pre-award activities through to post award reporting, for use by all federal grant making agencies.

Now in its third year of production, the interactive Annual Report provides the public an open and transparent view of how HHS tracks and accounts for grant spending through the use of interactive maps and graphs. The online format allows greater accessibility of data to the public and provides viewers with tools to customize and display information, and download graphs and data digitally.

Grant Highlights for FY 2014

  • HHS awarded approximately 75,379 grants.
  • 88% of HHS’ grant funds were allocated to entitlement (block, closed-ended and open-ended) grants.
  • Universities and colleges represented 34 of the top 50 HHS discretionary grant recipients.
  • The six states receiving the most HHS grant funds were California, Florida, New York, Ohio, Pennsylvania, and Texas.
  • The Centers for Medicare and Medicaid (CMS) awarded over 77% of all HHS grant dollars.
  • The National Institutes of Health (NIH) awarded nearly 66% of all HHS grants.

Funding Highlights for CY 2014

New HHS grants increase, improve learning opportunities for young children - HHS’ Administration for Children and Families (ACF) announced preliminary winners for its Early Head Start-Child Care Partnerships grants to improve the quality of existing child care programs and expand access to high-quality care for infants and toddlers. Thus far, 234 preliminarily selected grant applicants in 49 states, Washington D.C., Puerto Rico and the Northern Mariana Islands will receive over $435 million in funding to help offer care and services to ensure that infants and toddlers have access to Early Head Start services in their communities.

Grants to prevent chronic diseases - The Centers for Disease Control and Prevention (CDC) announced nearly $212 million in grant awards to all 50 states and the District of Columbia, to support programs aimed at preventing chronic diseases such as heart disease, stroke and diabetes. Funded in part by the Affordable Care Act, the awards will strengthen state and local programs aimed at fighting these chronic diseases, which are the leading causes of death and disability in the United States, while helping to lower our nation’s health care costs. A total of 193 awards are being made to states, cities, counties, tribes, tribal organizations, national and community organizations, with a special focus on populations hardest hit by chronic diseases.

Grants to improve mental health services for young people - Health Resources and Services Administration (HRSA) and Substance Abuse and Mental Health Services Administration (SAMHSA) announced today $99 million to train new mental health providers, help teachers and others recognize mental health issues in youth and connect them to help, and increase access to mental health services for young people. These funds were included in the President and Vice President’s Now Is the Time plan to reduce gun violence by keeping guns out of dangerous hands, increasing access to mental health services, and making schools safer. The list of award winners can be found on HRSA's and SAMHSA's websites.

HHS awards $65 million in Healthy Start grants to reduce infant mortality - Health Resources and Services Administration (HRSA) and Substance Abuse and Mental Health Services Administration (SAMHSA) released $65 million in grants to help 87 organizations in 33 states reduce high infant mortality rates and other health problems related to pregnancy and mothers’ health. Healthy Start is targeted to the needs of vulnerable mothers and infants in areas of the country with disproportionately high rates of infant mortality. Twenty-two of these awardees serve rural communities, four will serve the United States-Mexico border, and three programs will serve a predominately Native American population. In addition, twenty-two organizations will be using these funds to create Healthy Start programs for the first time. The Healthy Start program is managed by HHS’ Health Resources and Services Administration.

HHS awards more than $106 million to support state home visiting programs - Health Resources and Services Administration (HRSA) and Substance Abuse and Mental Health Services (SAMHSA) and Administration for Children and Families (ACF) announced $106.7 million in FY 2014 grant awards to 46 states, the District of Columbia, and five jurisdictions as part of the Maternal, Infant, and Early Childhood Home Visiting Program (Home Visiting Program) established by the Affordable Care Act. These funds will allow states to continue and expand voluntary, evidence-based home visiting services to women during pregnancy and to parents with young children up to age five. HRSA administers the Home Visiting Program in partnership with the Administration for Children and Families to provide states with the resources they need to expand home visiting programs and early childhood systems.

HHS grants bolster health care and public health disaster preparedness - The Centers for Disease Control and Prevention (CDC) and the Assistant Secretary for Preparedness and Response (ASPR) has awarded more than $840 million to continue improving emergency preparedness of state and local public health and health care systems. These systems are vital to protecting health and saving lives during a disaster. The grant funds are distributed through two federal preparedness programs – the Hospital Preparedness Program (HPP) and the Public Health Emergency Preparedness (PHEP) programs. These programs represent critical sources of funding and support for the nation’s health care and public health systems. The programs provide resources needed to ensure that local communities can respond effectively to infectious disease outbreaks, natural disasters, or chemical, biological, or radiological nuclear events. Administered by ASPR, HPP funding supports building sustainable community health care coalitions that collaborate on emergency planning and, during disasters share resources and partner to meet the health and medical needs of their community. Administered by CDC, PHEP funding is used to advance public health preparedness and response capabilities at the state and local level.

2014 Grant Awards and Award Dollars

Total Grant Awards by HHS Agencies
OPDIV Awards % Awards Dollars
(Millions)
% Dollars
ACF 7,297 9.68 $49,583.31 12.33
ACL 2,114 2.80 $1,668.28 0.41
AHRQ 491 0.65 $174.17 0.04
CDC 3,564 4.73 $5,128.12 1.28
CMS/CCIIO 1,398 1.85 $309,944.24 77.08
FDA 470 0.62 $126.52 0.03
HRSA 6,260 8.30 $7,607.87 1.89
IHS 882 1.17 $2,418.04 0.60
NIH 49,726 65.97 $21,817.71 5.43
SAMHSA 2,479 3.29 $3,232.76 0.80
OS/ASPE 3 0.00 $2.90 0.00
OS/ASPR 90 0.12 $11.57 0.00
OS/OASH 593 0.79 $413.96 0.10
OS/OGA 8 0.01 $0.18 0.00
OS/ONC 4 0.01 $0.15 0.00
Total 75,379 100.00 $402,130.28 100.00

Note: ATSDR awards do not appear separately in the above table; they are grouped under CDC. HHS OPDIVs and STAFFDIVs that do not issue grants are omitted from the table.

Tracking Accountability in Government Grants System (TAGGS)

The Tracking Accountability in Government Grants System (TAGGS) is a robust reporting tool developed by the Department of Health and Human Services' (HHS) Office of Grants and Acquisition Policy and Accountability (OGAPA) in 1995. The TAGGS database is a central repository for grants awarded by the HHS Operating Divisions (OPDIVs), and the Office of the Secretary Staff Divisions (STAFFDIVs). In addition to award data that is submitted twice a week by the OPDIVs, TAGGS also receives recipients’ demographic information, payment data from the Payment Management System (PMS), and the grant program description information from the Catalog of Federal Domestic Assistance (CFDA) website.

HHS remains committed to increasing transparency of Federal funds and showing the public where and how their money is spent. HHS staff, congressional offices, other executive agencies, potential and current grant recipients, and other interested parties access the TAGGS public website (taggs.hhs.gov) for a variety of informational purposes. Commonly searched data fields include: Congressional District, program name, recipient name, recipient location, awarding OPDIV, transaction amount and fiscal year.

The annual report data reflects award transactions made during FY 2014, and may not exactly correspond to the HHS FY 2014 budget and accounting records based on the following assumptions:

  1. Award data may include de-obligations of prior years in addition to current year funds;
  2. Costs of personnel in lieu of cash are recorded as personnel costs in accounting records; and
  3. Joint agency programs are only recorded if they originated at HHS.

The dollar amounts and percentages reflected in this report may also differ from the totals shown in each OPDIV’s Budget Request due to rounding and other minor adjustments.

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