Opportunity Information: Apply for HRSA 19 047
The Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation Program (HRSA 19-047) is a federal grant opportunity from the U.S. Department of Health and Human Services (HHS), administered by the Health Resources and Services Administration (HRSA). Offered as a discretionary cooperative agreement under CFDA 93.134, the FY 2019 competition was designed to support a single awardee that would operate a national reimbursement program helping living organ donors afford the practical, non-medical costs of donating an organ in the United States. The application window opened November 16, 2018, and closed February 15, 2019.
At its core, the program focuses on reimbursing travel and subsistence expenses for living organ donors, and it also allows reimbursement for up to two relatives or other individuals who accompany the donor. The travel supported is tied directly to the donation process, including trips for the donor evaluation, the actual organ donation procedure, and follow-up visit(s) after donation. While the authorizing law gives HHS the ability to expand allowable reimbursements to certain other incidental non-medical expenses through regulation, this specific funding notice makes clear that, for this cycle, the award is authorized to reimburse travel and subsistence expenses only. Even so, applicants were expected to explain how they would implement reimbursement for additional incidental expenses (for example, lost wages) if HHS later authorized those categories through regulation, meaning proposals needed to show operational readiness and a scalable approach rather than a travel-only plan with no capacity to expand.
The opportunity draws a firm boundary around what it will not pay for. Funds cannot be used to reimburse expenses related to blood, marrow, or tissue donation. In other words, the scope is living organ donation and the associated eligible travel and subsistence costs, not other forms of donation that might involve similar logistics.
A major compliance feature of the program is that it is intended to be payer-of-last-resort for these qualified expenses. The award recipient is prohibited from using grant funds to reimburse a living donor when those same qualified expenses were already paid, or can reasonably be expected to be paid, by another source. The notice lists the key disallowed payment sources: reimbursement or payment by the organ recipient, coverage under a state or federal program or an insurance policy, or payment by an entity that provides health services on a prepaid basis. Practically, that means the program must have clear eligibility screening and documentation processes to avoid duplicate payment, and must be able to determine when other coverage exists or is likely to exist.
Equity and financial need are explicitly built into the program requirements. The authorizing statute requires the award recipient to provide preference to living donors who would be most likely unable to afford the allowable, qualified expenses associated with donation. That preference shapes how the reimbursement program is expected to prioritize applicants, structure its intake and verification steps, and communicate with transplant centers and donors so that limited funds are directed toward people for whom out-of-pocket travel and lodging costs could be a real barrier to donation.
Administratively, the grant is structured as a cooperative agreement, which typically means HRSA expects substantial involvement in program oversight compared to a standard grant. Although the public summary data lists an award ceiling of 0 (often a placeholder in extracted listings rather than a statement that no funds are available), the opportunity clearly anticipates one funded recipient to run the reimbursement effort nationally. Eligibility is summarized as "Others (see text)" in the listing, suggesting HRSA limited eligibility to certain organization types described in the full announcement, but the essential point for applicants is that the selected organization would be responsible for building and administering the end-to-end reimbursement system, including donor and companion eligibility checks, expense verification, payment processing, prevention of duplicate reimbursement, and prioritization rules focused on donors with the greatest financial need.Apply for HRSA 19 047
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.134.
- This funding opportunity was created on Nov 16, 2018.
- Applicants must submit their applications by Feb 15, 2019. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
What is the Reimbursement of Travel and Subsistence Expenses toward Living Organ Donation Program (HRSA 19-047)?
HRSA 19-047 is a federal grant opportunity from the U.S. Department of Health and Human Services (HHS), administered by the Health Resources and Services Administration (HRSA). It is a discretionary cooperative agreement (CFDA 93.134) intended to support a single national program that reimburses certain non-medical, practical costs for living organ donors in the United States.
Which federal agency administers this opportunity?
The opportunity is offered by HHS and administered by HRSA (the Health Resources and Services Administration).
What type of award is this?
This opportunity is structured as a cooperative agreement. In general, cooperative agreements involve substantial federal involvement in oversight and program operations compared to a standard grant.
What was the application window for the FY 2019 competition?
The application window opened on November 16, 2018, and closed on February 15, 2019.
How many awards were anticipated?
The FY 2019 competition was designed to support a single awardee that would operate the reimbursement program nationally.
What is the purpose of the funded program?
The purpose is to operate a national reimbursement program that helps living organ donors afford qualified, practical, non-medical costs related to donation by reimbursing travel and subsistence expenses tied to the donation process.
What specific expenses are authorized for reimbursement in this funding cycle?
For this cycle, the notice specifies that the award is authorized to reimburse travel and subsistence expenses only, as they relate to living organ donation.
What does "travel and subsistence" mean in this context?
Based on the information provided, "travel and subsistence" refers to practical, non-medical costs associated with travel for the donation process, including trips for evaluation, the donation procedure, and follow-up visit(s) after donation, along with subsistence costs connected to that travel.
Which donation-related trips can be covered?
Reimbursable travel is tied directly to the donation process, including travel for the donor evaluation, the actual organ donation procedure, and follow-up visit(s) after donation.
Can the program reimburse expenses for someone accompanying the donor?
Yes. The program allows reimbursement for up to two relatives or other individuals who accompany the donor, as described in the opportunity summary.
Does the program cover non-medical incidental expenses beyond travel and subsistence (such as lost wages)?
In this specific funding notice, the award is authorized to reimburse travel and subsistence expenses only. However, the authorizing law gives HHS the ability to expand allowable reimbursements to certain other incidental non-medical expenses through regulation, and applicants were expected to describe how they would implement reimbursement for additional incidental expenses (for example, lost wages) if HHS later authorized those categories.
Why did applicants need to address possible future incidental expenses if they were not currently reimbursable?
The notice indicates proposals needed to demonstrate operational readiness and a scalable approach. In other words, even though the current cycle is travel-and-subsistence-only, applicants were expected to explain how the program could expand to cover additional incidental categories if HHS later authorized them through regulation.
Are blood, marrow, or tissue donation expenses eligible for reimbursement?
No. The opportunity states that funds cannot be used to reimburse expenses related to blood, marrow, or tissue donation. The scope is limited to living organ donation and associated eligible travel and subsistence costs.
Is this program intended to be a payer of last resort?
Yes. A major compliance requirement is that the program is intended to be payer-of-last-resort for qualified expenses.
What does "payer of last resort" mean for reimbursement decisions?
It means the award recipient is prohibited from using grant funds to reimburse a living donor when the same qualified expenses were already paid, or can reasonably be expected to be paid, by another source. The program must avoid duplicate payment by screening for other coverage and documenting eligibility.
What other payment sources would make an expense ineligible for reimbursement under this grant?
The notice lists disallowed sources for the same qualified expenses, including: payment or reimbursement by the organ recipient; coverage under a state or federal program or an insurance policy; or payment by an entity that provides health services on a prepaid basis.
What operational capabilities would the awardee need to administer this program?
The selected organization would be responsible for building and administering an end-to-end reimbursement system. Based on the summary, that includes donor and companion eligibility checks, expense verification, payment processing, prevention of duplicate reimbursement (payer-of-last-resort compliance), and prioritization rules that focus on donors with the greatest financial need.
How does the program incorporate equity or financial need?
The authorizing statute requires the award recipient to provide preference to living donors who would be most likely unable to afford the allowable, qualified expenses associated with donation. This preference is meant to shape program intake, verification, prioritization, and communications so limited funds go to donors for whom out-of-pocket travel and lodging costs could be a significant barrier.
How might "preference" for donors with the greatest financial need affect program administration?
Based on the opportunity description, it would influence how the program prioritizes applicants, structures intake and verification steps, and communicates with transplant centers and donors, with the goal of directing limited funds toward those least able to pay qualified travel and subsistence costs.
What is the CFDA number associated with this opportunity?
The opportunity is listed under CFDA 93.134.
Who was eligible to apply for this opportunity?
The public listing summarizes eligibility as "Others (see text)," indicating eligibility was limited to certain organization types described in the full announcement. The key point from the provided information is that the applicant needed to be able to operate a national reimbursement program with the required controls and processes.
Why does the listing show an award ceiling of 0?
The public summary data lists an award ceiling of 0, which is described as something that can occur as a placeholder in extracted listings rather than a definitive statement that no funds are available. The opportunity itself still anticipated one funded recipient to run the national program.
Is this a national program or limited to certain states?
It was designed to support a single awardee operating a national reimbursement program in the United States for living organ donors.
What are the main compliance risks the awardee must manage?
Based on the description, major compliance concerns include ensuring the program only reimburses eligible travel and subsistence expenses for living organ donation; excluding blood, marrow, and tissue donation expenses; enforcing payer-of-last-resort rules to prevent duplicate reimbursement; and implementing preference policies that prioritize donors with the greatest financial need.
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