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Affordable Care Act (ACA) Personal Responsibility Education Program

PREP

Number: 93.092

Agency: Department of Health and Human
Services
Office: Administration for Children and
Families

Program Information

Program
Number/Title (010):

93.092

Popular Name (020):

PREP

Federal
Agency (030):

Administration
for Children and Families, Department of Health and Human Services

Authorization (040):

The
Patient Protection and Affordable Care Act, Title II Role Of Public
Programs, Subtitle L, Maternal and Child Health Services , Title V,
Section 2953, Public Law 111-148, 42 U.S.C 713(c)(1).

Objectives (050):

The purpose
of this program is to educate adolescents and young adults on both
abstinence and contraception for the prevention of pregnancy and sexually
transmitted infections, including HIV/AIDS. The Affordable Care Act was
established and provided funding for this program through FY 2014.

Types of Assistance (060):

Formula Grants; Project Grants

Uses and Use Restrictions (070):

To
carry out personal responsibility education programs designed to educate
adolescents on both abstinence and contraception for the prevention of
pregnancy and sexually transmitted infections, including HIV/AIDS. The
State program component must fund teen pregnancy prevention and personal
responsibility education programs that have been proven on the basis of
rigorous scientific research to change behavior, which means delaying
sexual activity, increasing condom or contraceptive use for sexually
active youth, or reducing pregnancy among youth. State programs must teach
“adulthood preparation” subjects including healthy relationships,
adolescent development, financial literacy, parent-child communication,
educational and career success, and healthy life skills. Applicants for
innovative program funding should describe the research base for proposed
projects, such as the rationale for substantial modifications to
evidence-based models and/or developmental research that suggests an
innovative model is likely to be effective with a vulnerable or
underserved population. The list of evidence-based models developed by the
HHS Office of the Assistant Secretary for Planning and Evaluation (ASPE)
is published on the OAH website at
http://www.hhs.gov/ash/oah/prevention/research/programs/index.html.
Additionally, the innovative practices component must implement programs
to target “high-risk, vulnerable, and culturally under-represented youth
populations. Such programs must be either significant modifications of the
above list of evidence-based models or are based upon other promising
approaches with a strong research basis. All programs must agree to
participate in a rigorous Federal evaluation of their project Innovative
programs must conduct their own rigorous, independent evaluations unless
they are selected for the Federal evaluation. From the $75,000,000
appropriation, $10,000,000 (13.3%) is designated for demonstrations of
innovative teen pregnancy prevention and personal responsibility education
programs; $3,250,000 (5% of the appropriation after the $10,000,000 is
removed) is set aside for Tribes and Tribal organizations; $6,500,000 (10%
of the appropriation after the $10,000,000 is removed) is designated for
program support and evaluation. The remaining $55,250,000 (73.7% of the
appropriation) is for States to implement evidence-based demonstration
projects and is allotted by formula. However, beginning in 2012, funds
from States that have not applied for FY10 or FY11 funding may be
distributed on a discretionary basis to community-based organizations
within those States.

Eligibility Requirements (080)

Applicant Eligibility (081):

Funds are allotted to 59 States and Territories to enable
them to carry out personal responsibility education programs. Eligible
applicants include the 50 United States, the District of Columbia, Puerto
Rico, Virgin Islands, Guam, American Samoa, Northern Mariana Islands,
Micronesia, the Republic of the Marshall Islands, and the Republic of
Palau. If any States or Territories do not apply for funding in FY 2010 or
2011, they will no longer be eligible to apply for this program and their
allotments will be made available to community-based organizations for the
same State or territory.

Funds ($10,000,000) shall be reserved to
award grants to entities to implement innovative youth pregnancy
prevention strategies and target services to high-risk, vulnerable, and
culturally under-represented youth populations.

Funds shall be
reserved for grants to Indian tribes and tribal
organizations.

Funds shall be reserved for program support that may
be provided directly or through a competitive award process. Program
support includes research, training and technical assistance, providing
consultation and resources on a broad array of teen pregnancy prevention
strategies, and developing materials to support grant activities. Funds
shall also be reserved to evaluate programs and activities.

Beneficiary Eligibility (082):

Personal responsibility education programs shall provide
services to adolescents and young adults. Applicants are encouraged to
serve youth populations that are the most high-risk or vulnerable for
pregnancies or otherwise have special circumstances, including youth in
and aging of out foster care, homeless youth, youth with HIV/AIDS,
pregnant youth who are under 21 years of age, mothers who are under 21
years of age, and youth residing in areas with high birth rates for youth.
Applicants must include the most recent pregnancy data for the State for
youth ages 10 to 14 and youth ages 15-19, and the most recent birth rates
among the same age groups, and trends in those rates for the most recently
preceding 5-year period for which data are available.

Credentials/Documentation (083):

A signed
letter from the authorized representative must accompany each application;
it should include documentation establishing the authorized
representative’s authority to apply for and administer the Personal
Responsibility Education grant program funds on behalf of the State or
Territory.

For other funding available under this CFDA number,
non-profit organizations applying for funding are required to submit proof
of their non-profit status. OMB Circular No. A-87 applies to this program.

Application and Award Process (090)

Preapplication Coordination (091):

Preapplication
coordination is not applicable. Environmental impact information is not
required for this program. This program is excluded from coverage under
E.O. 12372.

Application Procedures (092):

OMB
Circular No. A-102 applies to this program. OMB Circular No. A-110 applies
to this program. The PREP program includes formula and competitive grant
awards to a range of entities. The OMB circulars that are relevant vary
according to the funding opportunity and the kind of organization that
will be implementing the grant award.

Award Procedure (093):

For FY
2010 and FY 2011 funds allotted to States and Territories (States), the
Administration for Children and Families (ACF) will advise States and
Territories of the funding opportunity through a Federal Register notice
and/or by a Funding Opportunity Announcement (FOA). Applications were
rated “Approved,” “Approved with Conditions,” or “Approval Pending” by
Program administrators. Applicants that received an “Approved” rating
received grant awards and did not need to send further information. States
that submitted applications that were “Approved with Conditions" received
grant awards with descriptions of weaknesses and subsequent conditions
that were to be met in order to receive “Approved” status. The States were
given a set period to send to a response to ACF that addressed the
conditions. States that submitted applications that were rated “Approval
Pending” received a list of weaknesses cited by the reviewer and
directions for submitting an amended application that addressed the
weaknesses. States and Territories that were awarded FY 2010 and/or FY
2011 funds are to submit a letter of intent in order to receive awards in
FY 2012, FY 2013 and FY 2014.

A FOA has been published to award
funds to community based organizations in the States and Territories that
did not receive FY 2010 and FY 2011 PREP funding. Applications will be
reviewed by an Objective Review Committee which will apply the criteria
given in the Funding Opportunity Announcement (FOA) in order to derive
priority scores. The review will include both expert peer reviewers and
Federal staff who will review each application that met the responsiveness
and screening criteria. The awards to the eligibile applicants are
expected to be made by September 30, 2012.

For funds reserved for
innovative strategy grants, applications were reviewed on a nationwide
basis and in competition with other submitted applications. Eligible
applications were reviewed by an Objective Review Committee which applied
the criteria given in the Funding Opportunity Annoucement (FOA) in order
to derive priority scores. The review included both expert peer reviewers
and Federal staff who reviewed each application that met the
responsiveness and screening criteria. Additionally, the review results
formed the basis for development of the programmatic terms and conditions
of the cooperative agreement. Applications were provided to the Director
of the Office of Adolescent Health and the Commissioner for the
Administration on Children, Youth and Families (ACYF) in order by score
and rank determined by the review panel. Final award decisions were made
collaboratively by the Director of OAH and the Commissioner of ACYF. In
making the award decision, the Director and the Commissioner took into
account the score and rank order given by the Objective Review Committee,
and other considerations given in the FOA.

Funds reserved for
grants to Indian tribes and tribal organizations were made in a manner
determined by the Secretary, in consultation with Indian tribes and tribal
organizations, to be appropriate. In FY 2011, a funding opportunity
announcement was issued for the award of the grants. Sixteen applicants
were awarded Tribal PREP funding through the discretionary grant review
process.

Deadlines
(094):

Not
Applicable.

Range of
Approval/Disapproval Time (095):

From 90 to
120 days. Consult the FOA or contact the headquarters office, as
appropriate, for application deadlines.

Appeals
(096):

Not Applicable.

Renewals
(097):

From 90 to 120
days.

Assistance Consideration (100)

Formula
and Matching Requirements (101):

Statutory
Formula: Title V.
Matching Requirements: Cost sharing or matching of
non-Federal funds is not required. However, funded programs should build
on but not duplicate or replace current Federal programs as well as state,
local or community programs, and programs should coordinate with existing
programs and resources in the community.
This program has MOE
requirements, see funding agency for further details. This program has an
MOE requirement for states and local entities to require that expenditure
of non-federal funds for activities, programs or initiatives allowed in
this program be no less than such expenditures in FY 09. The intent is to
supplement and not supplant the funds expended in FY 09.

Length and Time Phasing of Assistance (102):

Funds
allotted to States and Territories for a fiscal year shall remain
available for expenditure by the State through the end of the second
succeeding fiscal year. If a State or territory does not submit an
application for fiscal year 2010 or 2011, they will no longer be eligible
to submit an application to receive funds from the amounts allotted to the
State for each of fiscal years 2010 through 2014. Those funds shall be
used for awarding three year grants to local organizations and entities
for the same purpose and in the same geographic region.

Additional
information about the availability of funding will be provided in the
funding opportunity announcement. Method of awarding/releasing assistance:
quarterly.

Post Assistance Requirements (110)

Reports
(111):

Each award
recipient will report annual progress. Grantees must submit all required
reports in a timely manner and in recommended format (to be provided). The
grantees shall submit an annual Financial Status Report (FSR). An FSR is
due no later than 90 days after the end of the applicable 12 month period
and failure to submit these in a timely manner could affect future
funding. The report is an accounting of expenditures under the project
that year. There will be data collection, performance measurement, and
reporting (e.g., ”monitoring” requirements) for the State and Innovative
Practice grantees, as the Secretary determines. However, Federal oversight
of the Tribal component may be subject to the outcomes of the Tribal
Consultation. The recipient shall submit an annual SF-425 Financial Status
Report due no later than 90 days after the end of the applicable 12 month
period. The report is an accounting of expenditures under the project that
year. More specific information on this reporting requirement will be
included in the Notice of Grant Award. No performance monitoring is
required.

Audits
(112):

In accordance
with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003),
"Audits of States, Local Governments, and Non-Profit Organizations,"
nonfederal entities that expend financial assistance of $500,000 or more
in Federal awards will have a single or a program-specific audit conducted
for that year. Nonfederal entities that expend less than $500,000 a year
in Federal awards are exempt from Federal audit requirements for that
year, except as noted in Circular No. A-133. Grantees must comply with the
relevant sections of the Code of Federal Regulations and OMB circulars to
perform required audits.

Records
(113):

All financial
records are to be maintained for 3 years after termination of the project
or until audit is completed, whichever occurs first.

Financial Information (120)

Account Identification (121):

75-1512-0-1-506.

Obligations (122):

(Salaries)
FY 11 $71,929,000; FY 12 est $99,678,423; and FY 13 est $75,000,000

Range and Average of Financial Assistance (123):

Each
State or Territory shall be allotted at least $250,000 or an amount
determined by a formula using the number of individuals who have attained
age 10 but not attained age 20 in the State or Territory to the total
number of such individuals in the entire U.S. based on the most recent
Census data, whichever is greater. Applicants for which Census data are
not available will be eligible for the minimum allocation of $250,000. The
range for State PREP awards to 59 states and territories is $250,000 to
$5,400,000. The range for the awards to 13 PREP Innovative Strategies
grantees is $400,000 to $933,907. The range for the awards to 16 Tribal
PREP grantes is $100,000 to $400,000. The range and average of financial
assistance for the Competiive PREP grants and program activities is
described in the Funding Opportunity Announcement. The average projected
award amount in the Competitive PREP FOA is $575,000 per budget period
based on an expected number of 30 awards. The FOA describes annual award
floors and ceilings in each of the 10 eligible jurisdictions..

Program Accomplishments (130):

Fiscal Year 2011: State PREP Awards: $44,073,273; PREP
Innovative Strategies: $9,348,437; Tribal PREP Awards: $6,500,000. Fiscal
Year 2012: State PREP Awards: $43,933,959; PREP Innovative Strategies:
$9,348,437; Competitive PREP Awards: Estimated: $18,652,000: Tribal PREP
Awards: Estimated: $3,250,000. Fiscal Year 2013: State PREP Awards:
Estimated: $44,000,000; PREP Innovative Strategies: Estimated: $9,348,437;
Competitive PREP Awards: Estimated $18,600,000; Tribal PREP Awards:
Estimated $3,250,000.

Regulations, Guidelines, and Literature (140):

No
regulations have been developed at this time. Governing authorities shall
be the legislative language and the terms and conditions of the
cooperative agreement awards as described in the Request for Application.

Information Contacts (150)

Regional or Local Office (151) :

None.

Headquarters Office (152):

Marc D.
Clark 1250 Maryland Ave, SW, 8th Floor, Washington, District of Columbia
20024 Email: [email-masked] Phone:
202-205-8496 Fax: 202-205-9535

Website
Address (153):

http://www.acf.hhs.gov/programs/fysb/content/programs/top.htm

Related Programs (160):

93.010 Community-Based Abstinence Education (CBAE) ; 93.235
Abstinence Education Program

Examples of Funded Projects (170):

Not
Applicable.

Criteria for Selecting Proposals (180):

Funded State programs must replicate evidence-based,
effective programs or strategies that substantially incorporate elements
of effective programs that have been proven on the basis of rigorous
scientific research to change behavior, which means delaying sexual
activity, increasing condom or contraceptive use for sexually active
youth, or reducing pregnancy among youth. The programs must include
activities to educate youth who are sexually active regarding responsible
sexual behavior with respect to both abstinence and the use of
contraception. Such activities should teach “adulthood preparation”
subjects including healthy relationships, adolescent development,
financial literacy, parent-child communication, educational and career
success, and healthy life skills. The programs must: be medically-accurate
and complete; include activities to educate youth who are sexually active
regarding responsible sexual behavior with respect to both abstinence and
the use of contraception; place substantial emphasis on both abstinence
and contraception for the prevention of pregnancy among youth and sexually
transmitted infections; and must provide age-appropriate information and
activities. The information and activities carried out under the program
must be provided in the cultural context that is most appropriate for
individuals in the particular population group to which they are
directed.

REQUIREMENTS OF INNOVATIVE STRATEGIES PROJECTS: Proposals
were funded based on how effectively they can develop, replicate, refine,
and test innovative strategies for preventing teenage pregnancy. Programs
must be medically accurate, age appropriate, and target services to
identified vulnerable and at-risk populations. Funded projects are
expected to generate lessons learned so others can benefit from these
strategies and innovative approaches and increase the capacity of
communities to develop, implement, and evaluate interventions for
dissemination and replication by others. Funded projects must show that
the proposed intervention is: (a) based on some preliminary evidence of
effectiveness; (b) a significant adaptation of an evidence-based program;
or (c) is a new and innovative approach to teenage pregnancy prevention
with a sound basis in research.

REQUIREMENTS OF TRIBAL REQUIREMENTS
OF TRIBAL PROJECTS: Criteria for Tribal projects were developed as the
Secretary, in consultation with Indian Tribes and Tribal Organizations,
deemed appropriate. Tribal PREP funding is directed toward the development
of culturally appropriate comprehensive teen pregnancy prevention programs
that incorporate medically accurate approaches replicating effective
programs or elements of programs that have been demonstrated to change
behavior. Tribal PREP focuses on the same fundamental requirements as the
State PREP projects-the education of youth on both abstinence and
contraception and on other adulthood preparation subjects with the goal of
preventing teen pregancy and sexally transmitted infections (STIs)
including HIV/AIDS. Funds support PREP efforts that are dedicated to the
development of comprehensive, high quality interventions and services that
rely on the best available research evidence to inform and guide practice.
Since there are few studies of teen pregnancy prevention programs
targeting youth in Tribal communities adaptation and innovation are
important. Further, programs that currently serve Native youth have not
been rigorously evaluated and may not offer strong models for replication.
Tibes and tribal organizations are encouraged, therefore, to adapt
evidence-based (EB) models (or elements of EB models) that address the
unique cultural needs of their communities. Adaptation must retain core
elements of proven effective programs.

REQUIREMENTS OF COMPETITIVE
PREP PROJECTS: Competitive PREP funds support projects that educate youth
between the ages of 10 and 19, and pregnant and parenting youth, under age
21, on abstinence and contraception for teen prevention of pregnancy and
sexually trasmitted infections (STIs), including HIV/AIDS. Applicants must
also provide programming on at least three of six adulthood preparation
subjects that will be discussed in the published funding opportunity
announcement. Further PREP funding is directed toward the development of
comprehensive, teen pregnancy prevention programs that incorporate
medically accurate approaches, while replicating evidence-based programs
or elements of programs that have been demonstrated to change behavior.
FYSB Competitive PREP funding supports efforts that are dedicated to the
development of comprehensive culturally appropriate interventions and
services that rely on the best available research to inform and guide
practice.

Contact Information

Website:

http://www.acf.hhs.gov/programs/fysb/content/programs/top.htm

Regional or Local Office:

None.

Headquarters Office:

Marc D.
Clark 1250 Maryland Ave, SW, 8th Floor, Washington, District of Columbia
20024 Email: [email-masked] Phone:
202-205-8496 Fax: 202-205-9535

General Information

Assistance Types:

A -
FORMULA GRANTS/A - Formula Grants
B - PROJECT GRANTS/B - Project Grants

Applicant Eligibilty:

13-State/ 40-Health/Medical;72-Youth Development
14-State
(includes District of Columbia, public institutions of higher education
and hospitals)/ 40-Health/Medical;72-Youth Development
15-Local
(includes State-designated lndian Tribes, excludes institutions of higher
education and hospitals/ 40-Health/Medical;72-Youth
Development
20-Public nonprofit institution/organization (includes
institutions of higher education and hospitals)/
40-Health/Medical;72-Youth Development
21-Other public
institution/organization/ 40-Health/Medical;72-Youth
Development
22-Federally Recognized lndian Tribal Governments/
40-Health/Medical;72-Youth Development
23-U.S. Territories and
possessions (includes institutions of higher education and hospitals)/
40-Health/Medical;72-Youth Development
30-Non-Government - General/
40-Health/Medical;72-Youth Development
34-Small business (less than 500
employees)/ 40-Health/Medical;72-Youth Development
35-Profit
organization/ 40-Health/Medical;72-Youth Development
36-Private
nonprofit institution/organization (includes institutions of higher
education and hospitals)/ 40-Health/Medical;72-Youth
Development
37-Quasi-public nonprofit institution/organization/
40-Health/Medical;72-Youth Development
38-Other private
institutions/organizations/ 40-Health/Medical;72-Youth
Development
40-Native American Organizations (includes lndian groups,
cooperatives, corporations, partnerships, associations)/
40-Health/Medical;72-Youth Development

Beneficiary Eligibilty:

31 - Individual/Family, 79 - Child (6-15), 80 - Youth
(16-21), 96 - Education (0-8), 97 - Education (9-12)

History

2010: Personal Responsibility Education Program

2011: Affordable Care Act (ACA) Personal
Responsibility Education
Program

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