chart - Ropes & Gray

Ropes & Gray LLPARRA FundingCategoryOffice of NationalCoordinator forHealth InformationTechnologyProgram NameHITFunding Details Released to Date→ Requires establishment of HITPolicy Committee to make policyrecommendations to the NationalCoordinator regarding standards andimplementation for the electronic healthinformation networkAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesHHS N/A N/AImplementation Steps Taken to Date→ HHS sought nominations for both the HITPolicy and HIT Standards Committees to besubmitted by March 16, 2009.→ GAO appointed 13 individuals to HITPolicy Committee.→ The Policy Committee held its first publicmeeting on May 11, 2009.→ HHS announced on May 8, 2009 themembers of the HIT Policy Committee.[cont.] HHS→ The Policy Committee held its secondpublic meeting on June 16, 2009.→ The Meaningful Use workgroup presentedon June 16th its preliminary recommendationson the definition of "meaningful use" for 2011,2013, and 2015. Their ultimate goal for HIT isto make significant improvements in populationhealth. Their achievable vision for 2015involves preventing chronic diseases, reducingmedical errors, health disparities, and hospitalreadmissions, as well as ensuring patients andhealth departments have real time access tohealth information.Designates Deadline PassedImportant References● ProgramWebsite:● HHS NoticeSeekingNominations:● GAOAppointees toHIT PolicyCommittee:● Notice ofPublic Meeting:● PolicyCommitteeMembers:● Notice ofPublic Meeting:● MeaningfulUse WorkgroupPresentation:● Meaningful UseWorkgroup'sRecommendations:http://healthit.hhs.gov/portal/server.pt?open=512&objID=1269&parentname=CommunityPage&parentid=26&mode=2&in_hi_userid=11113&cached=truehttp://edocket.access.gpo.gov/2009/pdf/E9-5391.pdfhttp://www.gao.gov/press/health_it_committee2009apr03.pdfhttp://edocket.access.gpo.gov/2009/pdf/E9-10643.pdfhttp://healthit.hhs.gov/portal/server.pt?open=512&objID=1269&parentname=CommunityPage&parentid=1&mode=2&in_hi_userid=10741&cached=truehttp://edocket.access.gpo.gov/2009/pdf/E9-13077.pdfhttp://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_873878_0_0_18/June%2016%202009%20MU%20Final_508.ppthttp://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_11113_872720_0_0_18/Meaningful%20Use%20Preamble.pdfUpdated as of October 30, 2009 Page 7

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesOffice of NationalCoordinator forHealth InformationTechnologyHIT [cont.] HHS● MeaningfulUse Matrix:http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_11113_872719_0_0_18/Meaningful%20Use%20Matrix.pdf→ The Certification/Adoption workgrouppresented to the Policy Committee at the June16th meeting.→ The Information Exchange workgrouppresented to the Policy Committee at the June16th meeting its progress to date including theneed to ensure the data is moved to the pointof care.→ The Policy Committee announced on June16, 2009 it is soliciting comments on itspreliminary definition of "meaningful use."Comments were due by June 26, 2009. HHSexpects to issue proposed rules in late 2009.● Certification/AdoptionWorkgroupPresentation:● InformationExchangeWorkgroupPresentation:● FederalRegisterSolicitation:http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_873876_0_0_18/Cert-Adoption%20WG_6-16-09_508.ppthttp://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_873877_0_0_18/HIE_wg_6_16_FINAL_508.ppt#267,3,HIE WorkgroupProgress Reporthttp://edocket.access.gpo.gov/2009/pdf/E9-14379.pdf→ The Certification/Adoption workgroup helda meeting on July 14th and 15th to discusseHR certification.→ The Policy Committee held its third publicmeeting on July 16, 2009 discussing publiccomments submitting regarding the draftdefinition of "meaningful use" and suggestedchanges to the definition and matrix.●Presentationsavailable in zipfile:● July 16thMeeting Agenda:http://healthit.hhs.gov/portal/server.pt?open=512&objID=1269&parentname=CommunityPage&parentid=2&mode=2&in_hi_userid=10741&cached=truehttp://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_876931_0_0_18/Agenda_final.pdfUpdated as of October 30, 2009 Page 8

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to Date→ The Policy Committee held its fourth publicmeeting on August 14, 2009 discussingmodifications to the meaningful use definition.Various workgroups presentedrecommendations.Designates Deadline PassedImportant References● MeaningfulUse Matrix:http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_888532_0_0_18/FINAL%20MU%20RECOMMENDATIONS%20TABLE.pdf→ The Policy Committee held its fifth publicmeeting on September 18, 2009 discussingprivacy and security policy and issues; patientchoice and control; use, disclosures, andsecondary uses; and models for data storage.→ The Policy Committee held its sixth publicmeeting on October 20, 2009 discussingbusiness issues related to the electronicexhange of laboratory data, and regulatory andpolicy issues.→ The Policy Committee held its next publicmeeting on October 27-28, 2009 focusing onspecific groups: physician specialists,smaller providers, and underserved andMedicaid providers.● MeetingSummary:http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_11673_907441_0_0_18/HITPolicySummary091809.pdf→ The Policy Committee will hold its nextpublic meetings on and December 15th,January 13, and February 17th.Updated as of October 30, 2009 Page 9

Ropes & Gray LLPARRA FundingCategoryOffice of NationalCoordinator forHealth InformationTechnologyProgram NameHITFunding Details Released to Date→ Requires establishment of HITStandards CommitteeAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateHHS/CMS N/A N/A→ HHS announced on May 8, 2009 themembers of the HIT Standards Committee.→ The Standards Committee held its firstpublic meeting on May 15, 2009.Designates Deadline PassedImportant References● StandardsCommitteeWebsite andMembers:● Notice ofPublic Meeting:http://healthit.hhs.gov/portal/server.pt?open=512&objID=1271&parentname=CommunityPage&parentid=2&mode=2&in_hi_userid=10741&cached=truehttp://edocket.access.gpo.gov/2009/pdf/E9-10643.pdf→ HIT Standards Committee announced onMay 26, 2009 the creation of threesubcommittees to assess policyrecommendations developed by the HIT PolicyCommittee related to clinical quality, clinicaloperations, and private and security. Thisnotice also provides a schedule for theassessment of HIT Policy CommitteeRecommendations.→ The Standards Committee held its secondpublic meeting on June 23, 2009. Thepreliminary definition of "meaningful use" wasdiscussed and three workgroups presented tothe group.→ The Standards Committee held its thirdpublic meeting on July 21, 2009. Thepreliminary definition of "meaningful use" wasdiscussed and three workgroups presented tothe group. One workgroup recommended theuse of adoption year timeframe. For example,the 2011 measures apply to the first adoptionyear, even if it occurs in 2013.● Notice ofSchedule:● Vision forMeaningful Use:● MeaningfulUse WorkgroupPresentation:http://edocket.access.gpo.gov/2009/pdf/E9-12175.pdfhttp://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_873898_0_0_18/MU_overview_6-23-09_508.ppthttp://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_877149_0_0_18/3%20-%20Glaser_MU%20SC%207-09.ppt→ The Standards Committee held its fourthpublic meeting on August 20, 2009. Theclinical quality workgroup presented its 2011specific measure recommendations for"meaningful use". The clinical operations andprivacy and security workgroups alsopresented their recommendations.http://healthit.hhs.gov/portal/server.pt/gateway/PTAR● Clinical Quality GS_0_10741_880Workgroup 489_0_0_18/2011Recommendations %20Measure%20:Recommendations_Clinical%20Quality%20Workgroup_08202009.pdfUpdated as of October 30, 2009 Page 10

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to Date→ This grid provides categories of measureswith the different codes→ The Standards Committee held its fifthpublic meeting on September 15, 2009. TheCommittee approved the quality measure gridrecommended during the last meeting.Designates Deadline PassedImportant References● Meaningful UseMeasure DataElements Grid:● MeetingSummary:http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_880493_0_0_18/MU%20Grid%20Data%20Element%20Standards_08202009.pdfhttp://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_898640_0_0_18/HITstandards_summary_091509-1.pdf→ On September 15, 2009, the StandardsCommittee published their recommendations ofhttp://edocket.acc● Federal Registerquality performance measures and data typesess.gpo.gov/2009Notice:/pdf/E9-22062.pdfrequired that were presented at the August20th meeting and sought public comment.→ The Standards Committee held its nextpublic meetings on October 14th, and the newImplementation Workgroup held a meeting onOctober 29, 2009, which is tasked withbringing real world experience to theCommittee's recommendations.→ The Standards Committee will hold its nextmeetings on November 19th and December18th.Updated as of October 30, 2009 Page 11

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesMedicare andMedicaid IncentivePayments forAdoption of HITTechnologyHIT● Creates Medicaid & Medicare incentivepayments for meaningful eHR usersHHS/CMS $17,000,000,000Hospitals,Physicians,Some ManageCare Orgs.● MeaningfulUse Website:http://healthit.hhs.gov/portal/server.pt?open=512&objID=1325&parentname=CommunityPage&parentid=1&mode=2● HHS must issue regulations regardingmeaningful use of eHR by December 31, 2009.● National Committee on Vital & HealthStatistics held a hearing on April 28th and29th discussing "meaningful use."● MeetingAgenda andTranscripts:http://www.ncvhs.hhs.gov/090428ag.htm● HHS announced on May 15, 2009 itsimplementation plan. HHS will definemeaningful eHR user by December 31, 2009.CMS will issue regulations for public commenton the definition and on Medicare and Medicaidpayment policies. Medicare payments willbegin no earlier than October 2010.● The plan states Medicaid payments will startno sooner than January 2011 to assureconsistency with Medicare. The plan expressesconcern with ensuring that state Medicaidsystems have capacity to pay and track thesepayments, and details the steps states musttake before the payments can begin.● HHSImplementationPlan:http://www.hhs.gov/recovery/reports/plans/hit_implementation.pdf$1,045,000,000● According to the plan, 90% of the $1 billionallotted for administration of the payments fromFY 2009-2019 will go to non-Federal entitiesthrough the government contracting process.● HHS announced on June 16, 2009 thebeginning process to define "Meaningful Use."A press call was held on this day to answerquestions about HHS's process.● HHS PressRelease:http://www.hhs.gov/news/press/2009pres/06/20090616a.htmlUpdated as of October 30, 2009 Page 12

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesMedicare andMedicaid IncentivePayments forAdoption of HITTechnologyHIT[cont.]● CMS announced on June 16, 2009 detailsregarding incentive payments. CMS states thatMedicare hospital payments will start no soonerthan October 2010 and Medicaid hospitalpayments will start no sooner than January2011.● CMS PressRelease:http://www.cms.hhs.gov/apps/media/press/factsheet.asp?Counter=3466&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=6&intPage=&showAll=&pYear=&year=&desc=&cboOrder=date● AHRQ announced on June 30, 2009 theintention to request that OMB approve aproposed study designed to help buildknowledge on how e-prescribing featuresrequired under MIPPA are actually beingimplemented by physicians and pharmacies in12 study locations in order to provideinformation to help promote adoption andeffective use of e-prescribing.● On September 11, 2009, CMS published inthe Federal Register a request for the StateMedicaid HIT plan and Templates for EHRincentive payments in order that Statesimplement the program and start drawing downthe Federal financial participation.● FederalRegister Notice:● FederalRegister Notice:http://edocket.access.gpo.gov/2009/pdf/E9-15089.pdfhttp://edocket.access.gpo.gov/2009/pdf/E9-21956.pdfUpdated as of October 30, 2009 Page 13

Ropes & Gray LLPARRA FundingCategoryHealthcareResearch andQualityProgram NameComparativeEffectivenessResearch(CER)Funding Details Released to Date● $400 million to HHS to accelerate thedevelopment and dissemination ofcomparative effectiveness researchAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesHHS $400,000,000 TBA TBAImplementation Steps Taken to DateDesignates Deadline PassedImportant References● ARRA TextRegarding CER:http://www.hhs.gov/recovery/programs/cer/recoveryacttext.html● HHS announced on May 15, 2009 itsimplementation plan. HHS will submit itsoperating plan to Congress no later than July30, 2009. HHS contracted with IOM for $1.5million to produce a report to Congress no laterthan June 30, 2009 recommending priorities forCER.● FCC published its report to Congress onJune 30, 2009 which outlines 4 types of CERactivities: research, human and scientificcapital, CER data infrastructure, anddissemination and translation of CER. Theyalso outline 3 themes that can cut acrossactivities including: conditions, patientpopulations, and type of interventions.● HHS published on September 10, 2009, areview of a report submitted to Congress by theNational Quality Forum (NQF) regarding qualityhealth performance measurements. In itsreview, HHS acknowledges that NQF willidentify key gags in the evidence base forcomparative effectiveness research that will beshared wit the CER program.● ProgramWebsite:● HHSImplementationPlan:● Report toCongress:● FederalRegister Notice:http://www.hhs.gov/recovery/programs/cer/index.htmlhttp://www.hhs.gov/recovery/reports/plans/os_cer_plan.pdfhttp://www.hhs.gov/recovery/programs/cer/cerannualrpt.pdfhttp://edocket.access.gpo.gov/2009/pdf/E9-21783.pdfUpdated as of October 30, 2009 Page 14

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesHealthcareResearch andQualityComparativeEffectivenessResearch● $400 million to NIH to conductcomparative effectiveness researchHHS/NIH $400,000,000 Grants Varies● NIH has released grant opportunities foractive NIH funded research projects and newresearch projects. Comparative effectivenessresearch funding may be available throughthese research grant opportunities. Other grantopportunities may still be announced.● HHS announced on May 15, 2009 itsimplementation plan. NIH will submit itsoperating plan to Congress no later than July30, 2009. NIH plans to support approvedprojects that were not funded in FY 2008, newresearch projects, and supplement currentresearch activities, and to make initial awardsno later then September 2009.● HHSImplementationPlan:http://www.hhs.gov/recovery/reports/plans/nih_cer_plan.pdfGrantsActive NIHsupportedResearchgrants→ Competitive Revisions Grants areavailable to fund expansion of or the scope ofcurrent active NIH-supported research grants.Money designated from ARRA for comparativeeffectiveness research may be available tosupport grants. Applications were due byApril, 21, 2009. Funding will be issued bySeptember 30, 2010 in response to this noticeor reissuance of this notice.● GrantAnnouncement:http://grants.nih.gov/grants/guide/notice-files/NOT-OD-09-058.htmlGrantsActive NIHsupportedResearchgrants→ Administrative Supplements Grants areavailable to help accelerate the tempo of activeNIH research. Money designated from ARRAfor comparative effectiveness research may beavailable to support these supplements.Applications deadlines vary by institute.Funding will be issued by September 30, 2010in response to this notice or reissuance of thisnotice.● GrantAnnouncement:● InstitutesDetails &Deadlines:http://grants.nih.gov/grants/guide/notice-files/NOT-OD-09-056.htmlhttp://grants.nih.gov/recovery/ic_supp.htmlUpdated as of October 30, 2009 Page 15

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesHealthcareResearch andQualityComparativeEffectivenessResearch[cont.] HHS/NIH [$400,000,000] GrantsActive NIHResearchGrants,ResearchProgram andCenterGrants, &CooperativeAgreements→ Administrative Supplements ProvidingSummer Research Experiences forStudents & Science Educators are availableto active NIH research investigators toencourage students to pursue research careersand provide educators NIH researchexperience. Money designated from ARRA forcomparative effectiveness research may beavailable to support these supplements.Applications must be submitted directly to theinstitutes and deadlines vary by institute.Funding will be issued by September 30, 2010in response to this notice or reissuance of thisnotice.● GrantAnnouncement:http://grants.nih.gov/grants/guide/notice-files/NOT-OD-09-060.html● InstitutesDetails &Deadlines:http://grants.nih.gov/recovery/ic_supp.htmlGrantsPublic &Private IHE's,State & LocalGovernments,Non-profits,SpecialDistrictGovernments,Indian Tribes→ Challenge Grants are available to supportnovel research in 15 different challenge areas.Each challenge area identified specific topicsfor research. Applications were due by April27, 2009.● ProgramWebsite:http://grants.nih.gov/grants/funding/challenge_award/● ChallengeAreas withTopicsDescribed:http://grants.nih.gov/grants/funding/challenge_award/High_Priority_Topics.pdf#topic_01● GrantAnnouncement:http://grants.nih.gov/grants/guide/rfa-files/RFA-OD-09-003.htmlUpdated as of October 30, 2009 Page 16

Ropes & Gray LLPARRA FundingCategoryHealthcareResearch andQualityProgram NameComparativeEffectivenessResearchFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to Date● $300 million to AHRQ to build on itsexisting Effective Health Care program HHS/AHRQ $300,000,000 TBA TBA ● ProgramWebsite:Designates Deadline PassedImportant References● ProgramWebsite:http://www.ahrq.gov/fund/cefarra.htmhttp://effectivehealthcare.ahrq.gov/● HHS announced on May 15, 2009 itsimplementation plan. AHRQ will submit itsoperating plan to Congress no later than July30, 2009. AHRQ may use funds to expand itsEffective Health Care Program and isconsidering other award mechanisms includinggrants, contracts, and cooperative agreements.No construction or renovation will be funded.● HHSImplementationPlan:http://www.hhs.gov/recovery/reports/plans/ahrq_cer_plan.pdf● HHS announced on August 19, 2009, itsintention to publish new grant and fundingopportunities for comparative effectivenessresearch (CER) starting in Fall 2009, withfunding commencing in Spring 2010. They planto focus initially on 14 priority conditionsestablished by HHS under Section 1013 of theMedicare Prescription Drug, Improvement, andModernization Act of 2003.● FederalRegister Notice:http://edocket.access.gpo.gov/2009/pdf/E9-19758.pdf→ $100 million to Clinical and HealthOutcomes Initiative in ComparativeEffectiveness Grants$100,000,000 GrantsStates, IndianTribes, localgovts, andpublic or nonprofitprivateinstitutions→ AHRQ allocated on September 25, 2009grant funding to help fund new large researchprojects to help generate new knowledge tohelp inform decision making in priority areas ofclinical care. Priority areas are listed in section103 of the Medicare Modernization Act, whichincludes, cancer, obesity, diabetes, pregnancy,and substance abuse. AHRQ anticipatesmaking 10 awards which may not exceed $10million over the project period, that can be up to3 years. Applications are due by December16, 2009.● GrantAnnouncement:http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-10-003.htmlUpdated as of October 30, 2009 Page 17

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesHealthcareResearch andQualityComparativeEffectivenessResearch→ $29.5 million to InnovativeAdaptation and Dissemination of AHRQComparative Effectiveness ResearchProducts Demonstration Projects$29,500,000Demonstration ProjectsStates, IndianTribes, localgovts, andpublic or nonprofitprivateinstitutions→ AHRQ allocated on September 25, 2009,demonstration funding to help extend theimpact of CER reviews and summary guides inorder to help bridge the gap between researchand clinical practice by translating anddisseminating clinical findings for patients,clinicians, and policy makers. AHRQanticipates making 20 to 25 awards which maynot exceed $1.5 million each over the projectperiod, that can be up to 3 years. Applicationsare due by December 16, 2009.● GrantAnnouncement:http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-10-004.html#SectionIII1AFederalCoordinatingCouncil forComparativeEffectivenessResearchComparativeEffectivenessResearch● Creates the Federal CoordinatingCouncil of 15 members to foster coordinationof comparative effectiveness researchconductedHHS N/A N/A N/A ● HHS announced the members of the Council.● Council held a public listening hearing onApril 14, 2009.● CouncilMembers:● April 14thListeningSession:http://www.hhs.gov/recovery/programs/os/cerbios.htmlhttp://nmr.rampard.com/fcc/20090414/frame/index.html● Council held its second public meeting onMay 13, 2009 and its third meeting on June 10,2009 in Washington, D.C.● May 13thListeningSession:http://nmr.rampard.com/fcc/20090513/default.html● HHS has released its draft definition of CERand prioritization criteria. HHS solicitedfeedback on its draft definition by June 10,2009.● June 10thListeningSession:Working DraftDefinition ofCER:http://www.hhs.gov/recovery/programs/cer/summary_june10.htmlhttp://www.hhs.gov/recovery/programs/cer/draftdefinition.htmlUpdated as of October 30, 2009 Page 18

Ropes & Gray LLPARRA FundingCategoryHealthResources andServicesProgram NameCommunity HealthCenter GrantsFunding Details Released to Date● $500 million provided to HRSA for grantsto Section 330 granteesAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismHHS/HRSA $500,000,000 GrantsEligibleEntitiesCommunityHealthCentersImplementation Steps Taken to Date● HHS announced on May 15, 2009 itsimplementation plan. The IDS and NewAccess Point grant programs will be used bynew and existing CHCs to expand services.Reporting will occur on a quarterly basisproviding information regarding new jobscreated and numbers of new and uninsuredpatients served. Outcomes will be reported ona quarterly basis by grantees tofederalreporting.gov. Grantees first reportswere due July 10, 2009.Designates Deadline PassedImportant References● ProgramWebsite:● HHSImplementationPlan:http://www.hhs.gov/recovery/hrsa/healthcentergrants.htmlhttp://www.hhs.gov/recovery/reports/plans/healthcentersservices.pdf→ $338 million to IncreasedDemand for Service (IDS) Grants hasbeen released to Section 330 granteesto expand services$338,000,000FormulaGrantsCommunityHealthCenters→ HHS allocated on March 27, 2009 IDSgrant funding to Section 330 grantees. Projectperiod is from March 27, 2009 through March26, 2011.● Section 330Health CenterGrantees:http://www.hhs.gov/recovery/programs/hrsa/index.html→ $155 million to New Access PointGrants in funds have been released toestablish 126 new community healthcenters$155,000,000 GrantsCommunityHealthCenters→ HHS allocated on March 2, 2009 grantfunding for 126 new community health centers.Project period is from March 2, 2009 throughFebruary 28, 2011.● GrantAllocations byState:http://transparency.cit.nih.gov/RecoveryGrants/grant.cfm?grant=napUpdated as of October 30, 2009 Page 19

Ropes & Gray LLPARRA FundingCategoryHealthResources andServicesProgram NameCommunity HealthCenters CapitalFundingFunding Details Released to Date● $1.5 billion provided to HRSA for theconstruction, renovation, equipment, andacquisition of HIT systems for communityhealth centersAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismHHS/HRSA $1,500,000,000 GrantsEligibleEntitiesCommunityHealthCentersImplementation Steps Taken to Date● HHS announced on May 15, 2009 itsimplementation plan regarding the programsbelow.Designates Deadline PassedImportant References● ProgramWebsite:● ProgramWebsite:● HHSImplementationPlan:http://bphc.hrsa.gov/recovery/http://www.hhs.gov/recovery/hrsa/healthcentergrants.htmlhttp://www.hhs.gov/recovery/reports/plans/healthcenterscapital.pdf→ $515 million in funds for theFacility Investment (FI) Grants toexisting Section330 grantees$515,000,000 GrantsCommunityHealthCenters→ According to the plan, FI grants will fundmajor facility investments includingconstruction, repair, renovation, and equipmentpurchases for an estimated 100 health centers.The project period will be FY 2010 to FY 2011.→ HRSA released guidance on June 23,2009. HRSA anticipates making awardsstarting November 1, 2009 through October31, 2011. These awards must be for at least$750,000 but not exceed $12 million.Applications were due by August 6, 2009.● HRSAGuidance:http://bphc.hrsa.gov/recovery/FacilityInvestmentProgramGuidance.pdf→ $125 million in funds for HITSystem/Networks Grants$125,000,000 Grants TBA→ HIT System/ Network grants will supporteHR and HIT systems for health centers.Guidance and applications will be released inFY 2009. The project period will be FY 2009-FY 2010.Updated as of October 30, 2009 Page 20

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesHealthResources andServicesCommunityHealth CentersCapital Funding→ $850 million in funds for theCapital Improvement Program (CIP)have been released to address pressingcapital improvement needs in healthcenters such as construction, repair,renovation, and equipment purchases,including health information technologysystems$850,000,000 GrantsCommunityHealth Centers,Migrant HealthCenters, HealthCare for theHomeless→ HRSA has announced the CIP Programgrant opportunity to Section 330 grantees.Applications were due by June 2, 2009.Technical assistance calls were conductedMay 5 through May 11, 2009. Replays ofthese calls along with presentation slides willbe posted on the website.● HRSAGuidance:http://bphc.hrsa.gov/recovery/capitalimprovementguidance.pdf→ According to the plan, CIP grants will fundcapital improvements to an estimated 1130health centers Awards will be made July 1,2009. Project period is from July 1, 2009 toJune 30, 2011.● HRSA announced on June 25, 2009 that it isrequesting extension of the approval of the eHRreadiness checklist portion of the CIPapplication where applicants must showreadiness for electronic health records if theypropose to use funds for eHR relatedpurchases.● On June 29, 2009, First Lady Obamaannounced the release of $851 million for theCIP program to provide funding to over 1,500health centers; 600 centers will purchase newequipment or health information technology(HIT) systems, and nearly 400 health centerswill adopt and expand the use of electronichealth records.● FederalRegister Notice:●Press Release:● StateAllocations:http://edocket.access.gpo.gov/2009/pdf/E9-14978.pdfhttp://www.whitehouse.gov/the_press_office/First-Lady-Michelle-Obama-Announces-Release-of-851-Million-from-Recovery-Act-to-Upgrade-and-Expand-Community-Health-Centers/http://transparency.cit.nih.gov/RecoveryGrants/grant.cfm?grant=HRSA_CIPUpdated as of October 30, 2009 Page 21

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to Date● On September 29, 2009, HHS announced theaward of $22.6 million in electronic healthrecord implementation initiative grants tosupport implementation of electronic healthrecords in health clinics. HHS also awarded2.6 million in HIT Innovation Initiative grantsand $2.5 million in EHR Quality ImprovementGrants.Designates Deadline PassedImportant References●Press Release: http://www.hhs.gov/news/press/2009pres/09/20090929a.html● HERImplementationInitiative GrantAnnouncement:https://grants.hrsa.gov/webExternal/FundingOppDetails.asp?FundingCycleId=E8F96E8D-AAEC-4E00-B60E-A3A29271EAE8&ViewMode=EU&GoBack=&PrintMode=&OnlineAvailabilityFlag=&pageNumber=&version=&NC=&Popup=Updated as of October 30, 2009 Page 22

Ropes & Gray LLPARRA FundingCategoryHeathResources andServicesProgram NameHealthProfessionWorkforceShortagesFunding Details Released to Date● $500 million to address health professionsworkforce shortagesAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAHHS/HRSA $500,000,000FundingMechanismLoans /GrantsEligibleEntitiesTBAImplementation Steps Taken to Date● HRSA must submit a report to Congress withdetails on actual obligations and expendituresfor these funds no later than November 1,2009 and every six months thereafter as longas funding is still available.Designates Deadline PassedImportant ReferencesProgramWebsite:http://bhpr.hrsa.gov/recovery/→ $200 million to HRSA for otherHealth Professions Programs$200,000,000→ HHS announced on May 15, 2009 itsimplementation plan clarifying that these funds($200 million) will support health professionsstudent and training programs as well as a loanrepayment program for health professionalsserving in underserved areas. Program detailswill be announced once a spending plan isfinalized. Funds should be awarded bySeptember 1, 2009.● HHSImplementationPlan:http://www.hhs.gov/recovery/reports/plans/healthprofessionstraining.pdf→ HHS announced on July 28, 2009 thatthese funds will be used to support grants,loans, loan repayments, and scholarships toexpand training of health care professionalsincluding $50 million in grants to healthprofessions training programs. These fundswill be awarded competitively over the nextseveral months.● PressRelease:http://www.hhs.gov/news/press/2009pres/07/20090728c.html▪ $19.3 million for Scholarships forDisadvantaged StudentsHealthProfessionsInstitutionsGrants▪ HHS announced on September 11, 2009mthe release of funds to health professionalschools and training programs to providestudents scholarships, giving preference tostudents with financial need. Nurmerousawards were given for FY 2009 and anadditional $20 million will be released in 2010.● ProgramWebsite:http://www.bhpr.hrsa.gov/grants/student.htmUpdated as of October 30, 2009 Page 23

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant References▪ $4.9 million to Centers ofExcellenceHealthProfessionsInstitutionsGrants▪ HHS announced on September 11, 2009,the release of funds to health professionalschools to establish or expand programs forunderrepresented minority students thatimprove recruitment of these students, thestudent's academic performance, or researchon minority health issues. Two awards weregiven to the Morehouse School of Medicineand the Albert Einstein School of Medicine. Noadditional funding is available.● ProgramWebsite:http://www.bhpr.hrsa.gov/grants/diversity.htm▪ $3 million to Public HealthTraineeshipsinstitutionswith PublicHealthProgramsGrants▪ HHS announced on September 11, 2009,the release of funds to public health schoolsand other programs that provide graduate orspecialized training in public health to supporttraineeships that pay tuition, fees, and livingexpenses for students in biostatistics,epidemiology, environmental health, toxicology,nutrition, or maternal and child health. Awardshave been made to 29 institutions and noadditional funding is available.● ProgramFAQs:http://www.bhpr.hrsa.gov/recovery/pht/phtqa.pdf▪ $2.6 million for NursingWorkforce DiversityGrants▪ HHS announced on September 11, 2009,the release of funds for projects that increasenursing education opportunities fordisadvantaged individuals, through studentscholarships, stipends, and retention activities.Awards have been made to 3 institutions andno additional funding is available.● ProgramFAQs:http://www.bhpr.hrsa.gov/recovery/nwd/nwdqa.pdfUpdated as of October 30, 2009 Page 24

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant References▪ $2.5 million for Health CareersOpportunitiesHealthProfessionsInstitutionsGrants▪ HHS announced on September 11, 2009,the release of funds to schools and other healthprofessional training programs to supportprograms that help disadvantaged individualsattend the health professional trainingprograms. Awardees were chosen from 2008grant applicants. Two awards were given toOregon Health Career Center and YakimaValley Farm Workers clinic. No additionalfunding is available.● ProgramWebsite:http://www.bhpr.hrsa.gov/grants/diversity.htm▪ $0.8 million for Dental PublicHealth Residency Training▪ HHS announced on September 11, 2009,the release of funds to support planning,operation, development, and participation indental public health residency programs.Awardees were chosen from 2008 grantapplicants. Three awards were given and noadditional funding is available.● ProgramFAQs:http://www.bhpr.hrsa.gov/recovery/dph/dphqa.pdf→ $300 million to the NationalHealth Service Corps (NHSC)$300,000,000→ HHS announced on May 15, 2009 itsimplementation plan.● HHSImplementationPlan:http://www.hhs.gov/recovery/reports/plans/nhsc.pdfUpdated as of October 30, 2009 Page 25

Ropes & Gray LLPARRA FundingCategoryHeathResources andServicesProgram NameHealthProfessionWorkforceShortagesFunding Details Released to Date▪ $196 million NHSC LoanRepayment ProgramAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRA$196,000,000FundingMechanismDirectPaymentEligibleEntitiesImplementation Steps Taken to Date▪ HHS announced on June 5, 2009 thatapplications are now being accepted.Applications will be accepted continuously untilfunds are expended or until September 30,2010, whichever comes first.Designates Deadline PassedImportant References● ProgramWebsite:● ApplicationInformationBulletin:http://nhsc.hrsa.gov/loanrepayment/http://nhsc.hrsa.gov/loanrepayment/nhsclrpaib.pdf● HHS PressRelease:http://www.hhs.gov/news/press/2009pres/06/20090605a.html▪ Recruitment of Sites: HHS announced onMay 28, 2009 a 16-month funding cycle (June2009 until September 30, 2010) to acceptapplications for loan repayment awards until allfunds are expended. Entities eligible to receiveassignments of Corps members participating inthe loan repayment program must have aHPSA designation, not deny requested healthcare services to individuals because of theirinability to pay, have an agreement with thestate Medicaid agency, and have adetermination by the Secretary to have a needand demand for health manpower in the area.To receive priority assignment, interestedentities must submit an application due byMarch 26, 2010.● FederalRegister Notice:● Site/CommunitiesApplications:http://edocket.access.gpo.gov/2009/pdf/E9-12531.pdfhttp://nhsc.hrsa.gov/communities/apply.htmDirectPaymentUpdated as of October 30, 2009 Page 26▪ HHS announced on July 30, 2009, $6million is available to assist state primary careoffices (PCO). These PCOs are responsiblefor reviewing applications for sites to haveassigned NHSC health care workers. GivenARRA has increased NHSC workers, PCOsworkload will also increase. This funding willhelp PCOs meet this increased demand.Applications were due by August 15, 2009.● GrantAnnouncement:https://grants.hrsa.gov/webexternal/FundingOppDetails.asp?FundingCycleId=22939CF0-7952-40FD-AFC3-DBF352507A69&ViewMode=EU&GoBack=&PrintMode=&OnlineAvailabilityFlag=True&pageNumber=1

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant References▪ HHS announced on August 12, 2009 therelease of $13.4 million for loan repayments tonurses. $8.1 million awarded competitivelyunder the Nurse Education Loan RepaymentProgram (NELRP) will help 100 nurses paytheir nursing school debts. This money will pay60% of the nurse's loan balance in exchangefor 2 years of service at facilities with criticalnursing shortages. The rest, $5.3 million isavailable under the Nurse Faculty LoanProgram (NFLP) which will provide funding tonursing schools to support training of 500nursing students pursuing advanced degreeswho plan to become nurse faculty aftercompleting their degrees. After graduation, theloan recipients may cancel 85% of the loanbalance in exchange for 4 years of service as aprofessor at a nursing school.http://www.hhs.gov/news/press/2009pres/08/20090812a.html▪ HHS announced on September 30, 2009,that 45 awards were made totaling 1.8 millionto help recruit new NHSC clinicians.● Press Release:http://www.hhs.gov/news/press/2009pres/09/20090930c.htmlUpdated as of October 30, 2009 Page 27

Ropes & Gray LLPARRA FundingCategoryHeathResources andServicesProgram NameHealthProfessionWorkforceShortagesFunding Details Released to Date▪ $24 million NHSC ScholarshipProgram▪ $20 million NHSC State LoanRepayment Program which givesmoney to states to operate theirown loan repayment programAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRA$24,000,000FundingMechanismDirectPaymentEligibleEntitiesPrimaryHealth CareStudents$20,000,000 Grants States$10,000,000Implementation Steps Taken to Date▪ Applications for the Scholarship programwere open March 5, 2009 and were due April6 2009. Awards will be awarded starting in theSummer 2009.▪ According to the implementation plan,Applications were due Spring 2009 and grantswill be awarded in Summer 2009. Eligibilityrequirements and benefits vary by state fortheir loan repayment programs to healthprofessionals. Contact individual states fordetails.▪ HRSA announced on July 8, 2009 a newgrant opportunity for the State LoanRepayment Program. Applications were dueon August 7, 2009. They will make 16 awards.Grants will be for a 2-year period starting onSeptember 30, 2009 through September 29,2011. Program guidance has been publishedwhich is available through the grantannouncement.▪ HHS announced on September 30, 2009that 18 awards were made totaling 5.8 millionDesignates Deadline PassedImportant References● ProgramWebsite:● ProgramWebsite:● GrantAnnouncement:● Grantees:http://nhsc.hrsa.gov/applications/scholarship/http://nhsc.bhpr.hrsa.gov/join_us/slrp.asphttps://grants.hrsa.gov/webexternal/FundingOppDetails.asp?FundingCycleId=AF3E8365-7B5A-45BC-8748-90D2528349F1&ViewMode=EU&GoBack=&PrintMode=&OnlineAvailabilityFlag=True&pageNumber=1http://granteefind.hrsa.gov/searchbyprogram.aspx?select=H56&index=59&year=Updated as of October 30, 2009 Page 28

Ropes & Gray LLPARRA FundingCategoryPrevention &Wellness FundProgram NameImmunizationGrantsFunding Details Released to Date● $300 million provided to the CDC to helpsupport immunization programsAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismHHS/CDC $300,000,000 GrantsEligibleEntitiesStates &TerritoriesImplementation Steps Taken to DateDesignates Deadline PassedImportant References● ProgramWebsite:● ProgramWebsite:http://www.hhs.gov/recovery/programs/cdc/immunizationgrant.htmlhttp://www.cdc.gov/partners/Archive/EconomicStimulus/● HHS announced on May 15, 2009 itsimplementation plan. Funds will supportcompetitive grant supplements for innovativeprojects for school vaccination programs, anational communication campaign on vaccines,and a vaccine purchasing program.● HHSImplementationPlan:http://www.hhs.gov/recovery/reports/plans/section317imunization_cdc.pdf→ $200 million has been allocated tostates to purchase vaccinesHHS/CDC $200,000,000 GrantsExistingSection 317Grantees● CDC announced on June 23, 2009 that aclosed meeting will be held on July 28, 2009 toreview, discuss, and evaluate the ARRAsection 317 Immunization program.→ CDC has allocated $200 million in grantfunding to states allocated to Section 317grantees for purchasing vaccines.● FederalRegister Notice:● Section 317GrantAllocations:http://edocket.access.gpo.gov/2009/pdf/E9-14659.pdfhttp://transparency.cit.nih.gov/RecoveryGrants/grant.cfm?grant=vaccines→ $50 million will be allocated toprovide support programs operations ofimmunization programs.HHS/CDC $50,000,000GrantSupplementStates &Territories→ CDC will award these funds to supportoperations of immunization programs.→ $18 million will be awarded ingrants for innovative initiatives forimproving reimbursement andvaccination in schools and thecommunityHHS/CDC $18,000,000CompetitiveGrantSupplementCurrentSection 317Grantees→ CDC has not yet announced these grantopportunities, but plans to provide $5 million forFY 2009. Grants will fund projects to developinnovative approaches to deliver more vaccinesto selected target groups focusing on: schoolbasedvaccination administration, adultimmunization, and demonstration ofappropriate mechanisms to bill private healthinsurance companies for immunizationservices.Updated as of October 30, 2009 Page 29

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesPrevention &Wellness FundImmunizationGrants→ $9 million will be awarded for aNational Communication Campaign andProvider EducationHHS/CDC $9,000,000 TBA TBA→ CDC has not yet announced this fundingopportunity, but plans to award funds bySeptember 1, 2009. CDC plans to allocatefunds to increase public awareness of vaccinepreventablediseases 2) enhance knowledgeamong providers about CDC’s immunizationrecommendations, and 3) engage Americanpublic on questions related to U.S.immunization policy.→ $21 million will be allocated tostrengthen the evidence base ofvaccine knowledge$21,000,000 TBA TBA→ CDC has not yet announced these grantopportunities, but plans to award grants bySeptember 1, 2009. This funding will supporttime-limited assessments of vaccinepreventabledisease burden trends and vaccineeffectiveness, filling selected gaps in currentvaccination coverage assessment capability,upgrading the current vaccine registries,improving systems for monitoring vaccinesafety, and conducting short term trainingcourses for state health laboratories.→ $1.5 million will be allocated formanagement and oversight$1,500,000 TBA TBAUpdated as of October 30, 2009 Page 30

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesPrevention &Wellness FundClinical andCommunity-BasedPrevention &WellnessPrograms● $650 million is provided to carry outevidence-based clinical and communitybasedprevention and wellness strategies toreduce chronic disease prevalence ratesHHS/CDC $650,000,000● According to Acting CDC Director, Dr.Besser, during a Congressional hearing held onMarch 31, 2009, HHS is developing aninvestment strategy to develop and implementcommunity approaches with targeted evidencebasedinterventions that address knowndeterminants of chronic diseases.● Dr. Besser'sWrittenTestimony:http://energycommerce.house.gov/Press_111/20090331/testimony_besser.pdf→ $450 million for theCommunity Initiative to supportcommunity approaches to chronicdisease prevention and controlincluding $373 million in communitygrants and $76 million forcommunity support and evaluation$450,000,000 GrantsLocal & StateHealthDepartments● HHS announced on May 15, 2009 itsimplementation plan. HHS is currentlydeveloping another plan to specify the kinds ofactivities that will be funded. Guidance shouldbe made available before October 10, 2009.● HHS announced on September 17, 2009, thenew Communities Putting Prevention toWork Initiative to help reduce factors andprevent chronic disease and promote wellness.There are four different areas: CommunityInitiative, States and Territories Policy andEnvironmental Change Initiative, State ChronicDisease Self Management Initiative, and aNational Prevention Media and NationalOrganizations Initiative.● On September 28, 2009, CDC proposed anew Performance Progress Report be collectedfor al CDC grants and cooperative agreementsfunded under ARRA.→ CDC has made $373 million available ingrants to fund 30 to 40 awards to healthdepartments to implement population -basedstrategies to reduce obesity and tobacco use,increase physical activity, and improvenutrition. Letters of intent were due by October30, 2009 and applications are due byDecember 1, 2009.● HHSImplementationPlan:● ProgramWebsite:http://www.hhs.gov/recovery/reports/plans/communities_prevention.pdfhttp://www.cdc.gov/nccdphp/recovery/● FederalRegister Notice: http://edocket.access.gpo.gov/2009/pdf/E9-23311.pdf● ProgramWebsite:● GrantAnnouncement:http://www.cdc.gov/nccdphp/recovery/community.htmhttp://www.grants.gov/search/search.do;jsessionid=bLQtKp7TN6vdXp42zsxLBDWs6C7RrV3dqfyJLDGhFvPrV7G8Td7z!-1163459943?oppId=49571&mode=VIEWUpdated as of October 30, 2009 Page 31

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant References→ $120 million for the State andTerritories Policy andEnvironmental Change Initiativeto support States and Territories inpromoting wellness and preventingchronic disease through state-widepolicy and environmental change forchronic disease prevention and toincrease tobacco cessation$120,000,000 GrantsStates andTerritories→ CDC has made $120 million availablethrough three components: 1) Statewide Policyand Environmental Change ($45 million) 2)Competitive Special Policy and EnvironmentalChange ($30 million) and 3) TobaccoCessation through Quitlines and Media (44.5million). Grant applications are due byNovember 24, 2009.● ProgramWebsite:http://www.cdc.gov/nccdphp/recovery/state.htm● GrantAnnouncement:http://www.grants.gov/search/search.do;jsessionid=vp2LKC6DnHlFvpky8Y3ZWy7ctxR7Dz6JJwlLWN6h89MqhphNfjkG!1685747439?oppId=49671&mode=VIEW→ $32.5 million for the StateChronic Disease SelfManagement Initiative to supportstate chronic disease selfmanagement programs, with theAdministration on Aging and theCDC will disseminate evidencebased prevention programstargeted for the elderly to publichealth and aging networks at thestate and community levels→ $40 million to establish theNational Prevention Media Initiativeand a National OrganizationsInitiative to foster effectiveprevention and wellness marketingcampaigns$32,500,000$40,000,000Updated as of October 30, 2009 Page 32

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesPrevention &Wellness FundHealthcareAssociatedInfection (HAI)ReductionStrategy Grants● $50 million is provided by ARRA to thestates to help implement healthcareassociated infection (HAI) reductionstrategiesHHS/CDC $50,000,000 Grants States● HHS announced on May 15, 2009 itsimplementation plan providing funding detailsand dates for two programs.ProgramWebsite:● HHSImplementationPlan:http://www.cdc.gov/hai/recoveryact/http://www.hhs.gov/recovery/reports/plans/cdc_cms_hai.pdf● HHS released in June its Action Plan toPrevent Healthcare-Associated Infections.● CDC Acting Director, Dr. Besser stated at aCongressional hearing on April 2, 2009 thefollowing initiatives will be supported by thesefunds: 1) creation of state HAI preventioncollaboratives to implement HHSrecommendations and use CDC’s NationalHealth Safety Net to measure outcomes; 2)strengthen states’ ability to assess where HAIsoccur and to evaluate the impact of hospitalbasedintervention practices in non-hospitalsettings; and 3) build a public health workforcein state health departments to lead statewideinitiatives.● HHS ActionPlan:● Dr. Besser'sWrittenTestimony:http://www.hhs.gov/ophs/initiatives/hai/draft-hai-plan-01062009.pdfhttp://appropriations.house.gov/Witness_testimony/LHHS/Richard_Besser_04_01_09.pdf→ $40 million in state grants willbe allocated to support state andlocal efforts to reduce HAIsHHS/CDC $40,000,000CompetitiveGrantsStates HealthDepartments→ According to the implementation plan, theCDC was to issue guidance in May 2009, butthis guidance has not been issued to date.Competitive grant awards will be made to statehealth departments though two existingprograms: Epidemiology and LaboratoryCapacity for Infection Disease (ELC) andEmerging Infection Programs (EIP). Awardsfor both programs will be made in July 2009.State HAI plans are due by January 1, 2010.Updated as of October 30, 2009 Page 33

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesPrevention &Wellness FundHealthcareAssociatedInfection (HAI)ReductionStrategy Grants[cont.] HHS/CDC [$40,000,000]→ HHS announced on July 30th that ARRAfunds are being released to 12 states in orderto survey ambulatory surgical centers bySeptember 30, 2009. Additionally $9 millionwill become available in October 2009 to allstates to make additionally inspections atambulatory surgical centers using a new CMSsurvey process.● PressRelease:http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=3479&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=1%2C+2%2C+3%2C+4%2C+5&intPage=&showAll=&pYear=&year=&desc=&cboOrder=date→ $10 million in grants to statesto improve the process andincrease the frequency ofinspections for ambulatory surgicalcentersHHS/CMS $10,000,000 Grants States→ State letters of intent for the ELC programwere due by May 22, 2009. State grantapplications for the ELC and EIP programswere due by June 26, 2009. Anticipatedawards will be made by August 30, 2009 andState HAI plans are due to HHS by January 1,2010.→ According to implementation plan, CMSwill select a first group of participating states inJune 2009 and start implementation in July2009. All remaining will start in November2009.→ GAO published a report in February 2009discussing the need to obtain more data oninfection risks in ambulatory surgical centers.● GAO Report:http://www.gao.gov/new.items/d09213.pdfUpdated as of October 30, 2009 Page 34

Ropes & Gray LLPARRA FundingCategoryOffice of theDirectorProgram NameNIH ScientificResearchFunding Details Released to Date● $7.4 billion is provided to the NIH tosupport research→ $200 million for Challenge Grantsfor FYs 2009-2010 to fund 200 or moregrants to support novel research within15 different challenge areasAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismHHS/NIH $8,200,000,000 Grants$200,000,000EligibleEntitiesSee GrantOpportunityPublic &Private IHE's,State & LocalGovernments,Non-profits,SpecialDistrictGovernments,Indian TribesImplementation Steps Taken to Date● HHS has announced multiple grantopportunities available for FY 2009 & FY 2010,but more grant opportunities are expected to beannounced.● HHS announced on May 15, 2009 itsimplementation plan providing fundingallocations within NIH. NIH has publishedmany of the funding opportunities. NIH plans toaward Challenge Grants and the GrandOpportunities grants in August and September2009.→ NIH has announced the Challenge GrantProgram with 15 different challenge areas.Each challenge area has specific challengetopics for research. Applications were due byApril 27, 2009.Designates Deadline PassedImportant References● ProgramWebsite:● GrantAnnouncements:● HHSImplementationPlan:● ProgramWebsite:http://www.nih.gov/about/director/02252009statement_arra.htmhttp://grants.nih.gov/recovery/http://www.hhs.gov/recovery/reports/plans/scientific_research.pdfhttp://grants.nih.gov/grants/funding/challenge_award/● ChallengeAreas withTopicsDescribed:http://grants.nih.gov/grants/funding/challenge_award/High_Priority_Topics.pdf#topic_01● GrantAnnouncement:http://grants.nih.gov/grants/guide/rfa-files/RFA-OD-09-003.htmlUpdated as of October 30, 2009 Page 35

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesOffice of theDirectorNIH ScientificResearch→ $200 million to support GrandOpportunities Grant Program tosupport research and researchinfrastructure projects that will greatlyaccelerate clinical researchHHS/NIH $200,000,000Public &Private IHE's,State & LocalGovernments,Non-profits,SpecialDistrictGovernments,Indian Tribes→ NIH has announced the GrandOpportunities Grant Program to fundprojects greater than $500,000. Each Institutehas listed areas of scientific research priority.Applications were due by May 29, 2009.● GrantAnnouncement:http://grants.nih.gov/grants/guide/rfa-files/RFA-OD-09-004.html● InstitutesPriorities:http://grants.nih.gov/recovery/ic_go.html→ $57 million to support autismresearch$57,000,000 GrantsPublic andPrivate IHE's,Non-profitsFor-profitOrganizations→ NIH has announced 4 grant opportunitiesfor autism research grants. Applications weredue by May 12, 2009.● 4 GrantAnnouncementslisted under http://grants.nih.gHeterogeneity in ov/recovery/Autism SpectrumDisorders:→ $13.5 million to support healthdisparities researchPublic andPrivate IHE's,Non-profitsOrganizations(only 1 grantopp.)→ NIH has announced 3 grant opportunitiesregarding health disparities. These grants willsupport community participation in healthdisparities intervention research, establishExploratory Centers of Excellence of theNational Center on Minority Health and HealthDisparities (NCMHD), and support qualified predoctoralstudents to pursue research careers inany area relevant to the research mission ofNCMHD. Applications were due by June 30,2009.●3 GrantAnnouncementslisted underHealthDisparities:http://grants.nih.gov/recovery/Updated as of October 30, 2009 Page 36

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesOffice of theDirectorNIH ScientificResearch→ $5 million to support SmallBusiness Catalyst Awards forAccelerating Innovative Research tosupport small business entrepreneurs ininnovative research and developmentthat has commercial potential.$5,000,000 OtherSmallBusinessConcerns→ NIH has announced this grant program tofund projects up to $200,000 in total costs forone year. NIH anticipates funding 20-25awards in FY 2010. Applications were due bySeptember 1, 2009.● GrantAnnouncement:http://grants.nih.gov/grants/guide/rfa-files/RFA-OD-09-009.html→ $20 million to support Protectionof Human Health by Immunology andVaccines program to create humanimmunology profiling research groups$20,000,000CooperativeAgreementsPublic andPrivate IHE's,Non-profits For-ProfitOrganizationsStates & LocalGovernments→ NIH has announced the Protection ofHuman Health by Immunology and VaccineProgram to fund projects up to $1.5 million foryear one. NIH anticipates funding 6 to 10awards in FY 2010. Applications were due byOctober 15, 2009.● GrantAnnouncement:http://grants.nih.gov/grants/guide/rfa-files/RFA-AI-09-040.html#SectionIII1A→ $1 billion to allow NIH researchersto expand scope of their currentresearch and accelerate the tempo oftheir researchNIH $1,000,000,000 GrantsActive NIHResearchInvestigators● NIH has announced the availability of fundswith three grant announcements available toactive NIH research investigators. The $1 billionwill be obligated by September 30, 2010 inresponse to these 3 notices or reissuance ofthis notices.→ Competitive Revisions Grants areavailable to fund expansion of the scope ofcurrent active NIH-supported research. Moneydesignated from ARRA for comparativeeffectiveness research may be available tosupport these grant revisions. Applicationswere due by April, 21, 2009.● GrantAnnouncement:http://grants.nih.gov/grants/guide/notice-files/NOT-OD-09-058.html→ Administrative Supplements Grants areavailable to help accelerate the tempo of activeNIH research. Money designated from ARRAfor comparative effectiveness research may beavailable to support these grant supplements.Application deadlines vary byinstitute/center.● GrantAnnouncement:http://grants.nih.gov/grants/guide/notice-files/NOT-OD-09-056.html● InstitutesDetails &Deadlines:http://grants.nih.gov/recovery/ic_supp.htmlUpdated as of October 30, 2009 Page 37

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesOffice of theDirectorNIH ScientificResearch[cont.] HHS/NIH [$1,000,000,000] Grants→ Administrative Supplements ProvidingSummer Research Experiences forStudents & Science Educators are availableto active NIH research investigators toencourage students to pursue research careersand provide educators NIH researchexperience. Money designated from ARRA forcomparative effectiveness research may beavailable to support these grant supplements.Applications must be submitted directly to theInstitutes and deadlines vary byinstitute/center.● GrantAnnouncement:http://grants.nih.gov/grants/guide/notice-files/NOT-OD-09-060.html● InstitutesDetails &Deadlines:● ProgramWebsite:http://grants.nih.gov/recovery/ic_supp.htmlhttp://www.ncrr.nih.gov/the_american_recovery_and_reinvestment_act/administrative_supplements_and_competitive_revision_applications/administrative_supplements/applicant_help.aspUpdated as of October 30, 2009 Page 38

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesOffice of theDirectorNIH ScientificResearch→ $35 million to support BiomedicalResearch, Development, and Growthto Spur Acceleration of NewTechnologies Pilot Program to helpaddress the funding gap betweenpromising research and developmentand transitioning to the market forproducts and services.$35,000,000 OtherProfitOrganizations& IndividualResearchersat Institutions→ NIH has announced this pilot program tofund projects up to $1 million in total costs peryear over three years. NIH anticipates fundingat least 10 awards in FY 2010. Applicationsare due by September 1, 2009.● GrantAnnouncement:http://grants.nih.gov/grants/guide/rfa-files/RFA-OD-09-008.html→ Academic ResearchEnhancement Grant Program tostimulate scientific research atundergraduate and graduate educationinstitutions that don't participateextensively in NIH programsDepends onquality, costs,and duration ofapplicationsreceivedGrantsPublic andPrivate IHE's,Public orPrivateInstitutionsdefined asHealthProfessionalSchools/Colleges→ NIH announced the Academic ResearchEnhancement Grant Program to support newbiomedical, behavioral, or clinical researchprojects. Grant applications were due bySeptember 24, 2009.● GrantAnnouncement:http://grants.nih.gov/grants/guide/rfa-files/RFA-OD-09-007.html→ $100 million allocated to theSupporting New Faculty Recruitmentto Enhance Research Resourcesthrough Biomedical Research CoreCenters Grant Program to supporthiring and recruiting new faculty anddeveloping research projectsHHS/NIH $100,000,000 GrantsPublic andPrivate IHE's,Non-profits,TribalInstitutions,AfricanAmerican &TriballyControlledColleges, etc.→ NIH has announced this grant opportunityto support the hiring of new faculty to developresearch projects at biomedical core centers.Grant applications were due by May 29, 2009.● GrantAnnouncement:http://grants.nih.gov/grants/guide/rfa-files/RFA-OD-09-005.html→ $30 million allocated to theCommunity Infrastructure grantsprogram to help develop infrastructureto facilitate collaboration betweenacademic health centers andcommunity organizations for scientificresearchHHS/NIH $30,000,000 GrantsPublic andPrivate IHE's,Non-profits,State & localgovts, forprofitorganizations→ NIH has announced this grant opportunityto support collaborations between academichealth centers and communities including thecenter's schools and departments. Letters ofIntent are due by November12, 2009 and thegrant applications are due by December 11,2009. NIH fund 30 or more awards, with eachaward not exceeding $1 million.● GrantAnnouncement:http://grants.nih.gov/grants/guide/rfa-files/RFA-OD-09-010.htmlUpdated as of October 30, 2009 Page 39

Ropes & Gray LLPARRA FundingCategoryNational Centerfor ResearchResourcesProgram NameSharedInstrumentationand CapitalResearchEquipmentFunding Details Released to Date● $300 million is provided to Section 481Agrantees and recipients to fund the sharing ofinstruments and other capital researchequipmentAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismHHS/NIH $300,000,000 GrantsEligibleEntitiesNIHSupportedInvestigatorsImplementation Steps Taken to Date● NIH has announced two grant opportunitiesfor NIH supported investigators.● HHS announced on May 15, 2009 itsimplementation plan indicating that itanticipates making awards for the two grantprograms no earlier than September 2009.About $50 million will be obligated in FY 2009with the remaining $250 million to be obligatedin FY 2010.Designates Deadline PassedImportant References● HHSImplementationPlan:http://www.hhs.gov/recovery/reports/plans/sharedinstrumentationgrants.pdf→ $43 million allocated to theShared Instrument Grant Program$43,000,000Public andNon-profitinstitutions→ NIH announced the Shared InstrumentGrant Program to fund purchases or upgradesof shared equipment. Applications were due byMarch 23, 2009.● GrantAnnouncement:http://grants.nih.gov/grants/guide/pa-files/PAR-09-028.html→ $160 million allocated to the High-End Instrument Grant Program$160,000,000Public,Private, andNon-profitInstitutions→ NIH announced the High-End InstrumentGrant Program to fund purchases of a majorpiece of equipment that costs at least$600,000. Applications were due by May 6,2009.● GrantAnnouncement:http://grants.nih.gov/grants/guide/pa-files/PAR-09-118.htmlUpdated as of October 30, 2009 Page 40

Ropes & Gray LLPARRA FundingCategoryNational Centerfor ResearchResourcesProgram NameNon-FederalResearchFacilitiesRenovation &ConstructionGrants andContractsFunding Details Released to Date● $1 billion available to construct, renovate,or repair, existing non-federal researchfacilitiesAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAHHS/NIH $1,000,000,000FundingMechanismGrants/ContractsEligibleEntitiesNon-FederalResearchFacilitiesImplementation Steps Taken to Date● HHS announced on May 15, 2009 itsimplementation plan providing funding detailsand deadlines for the two grant programs.Designates Deadline PassedImportant References● ProgramWebsite:● HHSImplementationPlan:http://www.ncrr.nih.gov/the_american_recovery_and_reinvestment_act/construction_programs/http://www.hhs.gov/recovery/reports/plans/nihextramuralconstruction.pdf→ Core Facility, Renovation,Repair, and Improvement GrantProgram (G20) announcedSee GrantOpportunity→ NIH has announced grants available forrenovation and repair of extramural corefacilities supporting biomedical research.Applications are due by September 17, 2009.The total project period may not exceed 5years. Awards will start in March 2010.● GrantAnnouncement:http://grants.nih.gov/grants/guide/rfa-files/RFA-RR-09-007.html→ Extramural Research FacilitiesImprovement Grant Program (C06)announcedSee GrantOpportunity→ NIH has announced grants available forrenovation and repair of biomedical orbehavioral facilities supporting biomedicalresearch. Applications deadlines vary; May 6,2009 (projects between $2M and $5M); June17, 2009 (projects between $10M and $15M),and July 17, 2009 (projects between $5M and$10M). The total project period may notexceed 5 years. Grants will be awarded at theearliest in December 2009.● FrequentlyAskedQuestions:● GrantAnnouncement:● FrequentlyAskedQuestions:http://www.ncrr.nih.gov/the_american_recovery_and_reinvestment_act/construction_programs/g20_Q&A.asphttp://grants.nih.gov/grants/guide/rfa-files/RFA-RR-09-008.htmlhttp://www.ncrr.nih.gov/the_american_recovery_and_reinvestment_act/construction_programs/c06_Q&A.aspUpdated as of October 30, 2009 Page 41

Ropes & Gray LLPARRA FundingCategoryCommunityDevelopmentFundProgram NameCommunityDevelopmentBlock GrantProgram(CDBG)Funding Details Released to Date● $980 million allocated in CDBG formulagrants to localities and counties to carry out awide range of development activities,including the construction of public facilitiesAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAHUD $1,000,000,000FundingMechanismFormulaGrantsEligibleEntitiesStates & LocalGovernmentsthat receivedCDBG Fundingin FY 2008Implementation Steps Taken to Date● HUD has allocated funding by localities andcounties. States must submit amendments totheir annual action plan by June 2009 to drawdown new ARRA funds.Designates Deadline PassedImportant References● GrantAllocations:● ProgramWebsites:http://www.hud.gov/recovery/cdbg.xlshttp://portal.hud.gov/portal/page?_pageid=153,7973215&_dad=portal&_schema=PORTAL● HUD issued guidance on the program in lateMay 2009. States must have submittedamended action plans by June 29, 2009 whileother eligible grantees must have submittedamended action plans by June 5, 2009.● HUDGuidance:http://www.hud.gov/recovery/cdbg-rnotice.pdf● HUD announced on May 22, 2009 thatrecipients will need to submit quarterly reportsto the agency.● HUD is publishing grantees' reports statingactivities proposed for assistance with CDBGfunds by state.● FederalRegister Notice:● Program Plan:● ProposedActivitieshttp://www.setonresourcecenter.com/register/2009/may/22/E9-12048.pdfhttp://portal.hud.gov/pls/portal/docs/PAGE/RECOVERY/PLANS/COMMUNITY%20DEVELOPMENT%20BLOCK%20GRANT%20(CDBG)%20ENTITLEMENT%20GRANTS.PDFhttp://portal.hud.gov/portal/page?_pageid=153,8039950&_dad=portal&_schema=PORTALUpdated as of October 30, 2009 Page 42

Ropes & Gray LLPARRA FundingCategoryCommunityDevelopmentFundProgram NameIndianCommunityDevelopmentBlock GrantProgram(ICDBG)Funding Details Released to Date● $10 million for the Indian CommunityDevelopment Block Grant ProgramAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAHUD $10,000,000FundingMechanismCompetitiveGrantsEligibleEntitiesIndian Tribesthat ReceivedICDBG Grantsin FY 2008Implementation Steps Taken to Date● HUD has set aside $10 million for the IndianCommunity Development Block GrantProgram.Designates Deadline PassedImportant References● ProgramWebsite:http://www.hud.gov/offices/pih/ih/recovery.cfm● HUD published the Notice of Funding for thisprogram. Applications are now being acceptedand were due by July 7, 2009.● Notice ofFunding:http://www.hud.gov/offices/pih/ih/recovery/icdbgnofa.pdf● HUD published guidance on May 22, 2009.Funding is available for rehabilitation andconstruction projects for public facilities.ProgramGuidance:http://www.hud.gov/offices/pih/ih/recovery/icdbgprogguid.pdfUpdated as of October 30, 2009 Page 43

Ropes & Gray LLPARRA FundingCategoryEnergyEfficiency andRenewableEnergyProgram NameEnergyEfficiency andConservationBlock Grants(EECBG)Funding Details Released to Date● $2.7 billion in formula EECBG grantfunding to states and localities to supportcommunity-wide energy efficiency renewableenergy programs and technologies for publicand non-public infrastructure projectsAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyDept. ofEnergyTotal FederalFunds Availablethrough ARRA$2,800,000,000FundingMechanismFormulaGrantsEligibleEntitiesStates & LocalGovernmentsImplementation Steps Taken to Date● Dept. of Energy has allocated funds throughformula grants. Applications were due byAugust 10, 2009.Designates Deadline PassedImportant References● ProgramWebsite:http://www.eecbg.energy.gov/● To Date DOE, has awarded 206 EECB grantstotaling $111 million.● Formula GrantAllocations:http://www.eecbg.energy.gov/grantalloc.html● Formula GrantAnnouncement:http://www.eecbg.energy.gov/downloads/DE_FOA_0000013_Amendment_000003.pdf● FormulasUsed for GrantAllocations:http://www.eecbg.energy.gov/Downloads/EECBG%20Federal%20Register%20Notice%2004.15.09.pdfEnergyEfficiency andRenewableEnergyEnergyEfficiency andConservationBlock Grants(EECBG)● $455 million in competitive EECBG grantfundingDept. ofEnergy$400,000,000CompetitiveGrantsState & LocalGovts, IndianTribes● On October 19, 2009, Department of Energyannounced the availability of funds for EECBGcompetitive grants in two topic areas: RetrofitRamp Up Program, and the General InnovationFund (for those local governments not eligiblefor formula grants). Applications are due byDecember 14, 2009.● CompetitiveGrantAnnouncement:http://www.eecbg.energy.gov/Downloads/EECBGCompetitiveFOA148MON.pdfUpdated as of October 30, 2009 Page 44

Ropes & Gray LLPARRA FundingCategoryTraining &EmploymentServicesProgram NameWorkerTraining inHigh GrowthIndustrySectorsFunding Details Released to Date● $250 million provided by ARRA to givepriority in funding to projects that prepareworkers for careers in healthcareAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyDept. ofLaborTotal FederalFunds Availablethrough ARRA$250,000,000FundingMechanismCompetitiveGrantsEligibleEntitiesTBAImplementation Steps Taken to Date● Department of Labor issued guidance onMarch 18, 2009.Designates Deadline PassedImportant References● ProgramWebsite:● Dept. of LaborGuidance:http://www.dol.gov/recovery/implement.htmhttp://wdr.doleta.gov/directives/attach/TEN/ten2008/TEN30-08acc.pdf$220,000,000● Department of Labor issued a grantannouncement on July 21, 2009 releasing$220 million to fund projects including $125million allotted for healthcare industry projects.Public EntitiesApplications were due by October 5, 2009.& Private Non-Projects must include strategic partnershipsProfit Entitieswith one entity from each of the followingsectors: public workforce investment system,public or private employers, and the educationand training community.● FederalRegister Notice:● GrantAnnouncement:http://edocket.access.gpo.gov/2009/pdf/E9-17416.pdfhttp://www.doleta.gov/grants/pdf/SGA-DFA-PY-09-01.pdfUpdated as of October 30, 2009 Page 45

Ropes & Gray LLPARRA FundingCategoryState FiscalStabilizationFundProgram NameState FiscalStabilizationFundFunding Details Released to Date● $32.6 billion in funding available for theState Fiscal Stabilization fund through its 2components: the Education Stabilization Fundand the Government Services Fund.→ $26.6 billion is available throughthe Education Stabilization Fund→ $6 billion is available through theGovernment Services FundAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyDept. ofEducationTotal FederalFunds Availablethrough ARRA$53,600,000,000$26,600,000,000$6,000,000,000FundingMechanismFormulaGrantsEligibleEntitiesStatesImplementation Steps Taken to DateDepartment of Education has allocated thesefunds to states.● Dept. of Education issued guidance March18, 2009 for this program.● Dept. of Education issued further guidance onMay 11, 2009 clarifying which funds may beused for construction and renovation.→ Education Stabilization Fund moniesmay be used by public institutions of highereducation for modernization, renovation, orrepair of facilities used for instruction, researchor student housing, but may not be used fornew construction. Applications were due byJuly 1, 2009.→ Government Services Fund monies maybe used for renovation of repair of institutionsof higher education as well as newconstruction. Applications were due by July 1,2009.Designates Deadline PassedImportant References● StateAllocations:● Dept. ofEducationGuidance:● Dept. ofEducationGuidance:● ProgramWebsite:http://www.ed.gov/about/overview/budget/statetables/09stbyprogram.pdfhttp://www.ed.gov/programs/statestabilization/guidance.pdfhttp://www.ed.gov/programs/statestabilization/guidance-mod-05112009.pdfhttp://www.ed.gov/programs/statestabilization/applicant.htmlUpdated as of October 30, 2009 Page 46

Ropes & Gray LLPARRA FundingCategoryBuild AmericaBondsProgram NameBuild AmericaBondsFunding Details Released to Date● State & local governments can issue BuildAmerica Bonds to fund needed capitalinfrastructure projects for public facilitiesincluding construction of governmenthospitals. There are two subsidy optionsavailable: bond holders receive tax credits oninterest payments ("Tax Credit") or bondissuers receive a federal tax credit in anamount equal to 35% of the interestpayments owed on the bonds ("DirectPayment")American Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyDept. ofTreasuryTotal FederalFunds Availablethrough ARRAFundingMechanismTaxableBondsEligibleEntitiesState & LocalGovernmentsImplementation Steps Taken to Date● IRS issued guidance regarding this programon April 2, 2009.Designates Deadline PassedImportant References● IRS Guidance:http://www.irs.ustreas.gov/pub/irsdrop/n-09-26.pdf● IRS Form:http://www.irs.ustreas.gov/pub/irspdf/f8038cp.pdfHighwayInfrastructureInvestmentHighwayInfrastructureInvestment● $26.6 billion in funds have been allocatedto statesDept. ofTransp.$27,500,000,000 States● Department of Transportation has alreadyallocated these funds to states.● StateAllocations:http://www.fhwa.dot.gov/legsregs/directives/notices/n4510705t2.htmEconomicDevelopmentAssistance(EDA) ProgramsEDA AmericanRecoveryProgram● $150 million in funding provided by ARRAfor public works investments to supportconstruction or renovation of essential publicinfrastructure and facilities necessary tocreate private sector jobsDept. ofCommerce/EDA$150,000,000Grants orCooperativeAgreementsStates, LocalGovernments,Institutions ofHigherEducation, &Public orPrivate Nonprofits● These funds are for transportationenhancements including restoration, repair,construction, other purposes under eligibleunder 23 U.S.C. § 133(b), passenger andfreight rail transportation, and port infrastructureprojects eligible for assistance. Fiber opticupgrades and installation would be eligible too.● EDA announced on March 10, 2009availability of funding. Applications werebeing accepted on an ongoing basis untilJune 30, 2010. Funding provided is tosupport construction or renovation of essentialpublic infrastructure which may not exceed 50%of the total cost of the projects.● ProgramWebsite:● ProgramWebsite:http://www.fhwa.dot.gov/economicrecovery/index.htmhttp://www.eda.gov/InvestmentsGrants/FFON.xml● FundingOpportunityAnnouncement:http://www.eda.gov/PDF/FY09%20ARRA%20FFO%20-%20FINAL.pdfUpdated as of October 30, 2009 Page 47

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesBroadbandTechnologyOpportunitiesProgram (BTOP)BroadbandTechnologyOpportunitiesProgram(BTOP)● $4.7 billion is provided by ARRA toNational Telecommunications and InformationAdministration (NTIA) for the general purposeof accelerating deployment and adoption ofbroadband services in rural areasDept. ofCommerce/NTIA$4,700,000,000 TBA TBA● USDA, FCC, and Department of Commerceheld a kickoff meeting on March 10, 2009.● PublicMeetingsAgendas &Transcripts:http://www.ntia.doc.gov/broadbandgrants/meetings.html● ARRA also allows NTIA to transfer funds tothe Federal Communication Commission(FCC) for the purpose of creating a nationalbroadband plan. Funds must be awarded bySeptember 30, 2010● NTIA launched its website for broadbandopportunities.● NITABroadbandWebsite:http://www.ntia.doc.gov/broadbandgrants/→ ARRA provides $250 million toNTIA to fund innovative broadbandprograms to encourage sustainableadoption of broadband serviceDept. ofCommerce/NTIA$250,000,000CompetitiveGrants● USDA and NTIA held six joint publicmeetings and solicited public comment. Thepublic comment period closed on April 13,2009.● PublicComments:http://www.ntia.doc.gov/broadbandgrants/comments.cfm→ ARRA provides $350 million toimplement the Broadband DataImprovement Act (Pub. L. No. 110-385)and to develop and maintain abroadband inventory mapDept. ofCommerce/NTIA$350,000,000 TBA TBA● Mark Seifert of NTIA testified on April 2,2009 before the Subcommittee onCommunications, Technology, and the Internetof the U.S. House Committee on Energy andCommerce regarding broadband programsunder ARRA. Seifert testified that one of thegoals of the program is to ensure that hospitals,among other facilities, have high-speed access.● Seifert'sWrittenTestimony:http://www.ntia.doc.gov/congress/2009/NTIA_Seifert_Testimony_20090402.pdf● Seifert also testified during the hearing thatNTIA is working with the FCC, as well as RuralUtilities Service (RUS), to coordinatebroadband programs. The agency is workingwith RUS to create a common application formto allow entities to file grant applications withboth the USDA and the Department ofCommerce.Updated as of October 30, 2009 Page 48

Ropes & Gray LLPARRA FundingCategoryProgram NameFunding Details Released to DateAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAFundingMechanismEligibleEntitiesImplementation Steps Taken to DateDesignates Deadline PassedImportant ReferencesBroadbandTechnologyOpportunitiesProgram (BTOP)BroadbandTechnologyOpportunitiesProgram(BTOP)[cont.]Dept. ofCommerce/NTIA[$350,000,000] TBA TBA● Seifert announced during his testimony thatthe USDA plans to publish a Notice of FundsAvailability in the next couple of months that willprovide details regarding the applicationprocess. It is anticipated that there will be 3waves of awards, the first in early Fall 2009and the last to begin accepting applications inthe Spring 2010.● FCC released a report on May 22, 2009regarding rural broadband strategy.● FCCBroadbandReport:http://hraunfoss.fcc.gov/edocs_public/attachmatch/DOC-291012A1.pdf● BTOP- Grants$1,600,000,000State, LocalGovernment,Non-profits,and ProfitCorporations● NTIA published a notice in the FederalRegister on July 9, 2009 adopting categoricalexclusions for certain projects undertaken byBTOP from requiring completion of a NEPAEnvironmental questionnaire. There is a publiccomment period regarding these exclusionswhich closes on August 10, 2009.Applications were due by August, 14, 2009.● FederalRegister Notice:http://edocket.access.gpo.gov/2009/pdf/E9-16151.pdf● NTIA published a notice in the FederalRegister on July 16, 2009 stating that thecomment period for above requirements for theBTOP program are not due until August 31,2009.● GrantAnnouncement:● FederalRegister Notice:http://www07.grants.gov/search/search.do;jsessionid=R2TQK5LQgkDhkYtHSWkWFT63kBY6PT6q1P28vyMpGmFT4yPC3rM6!-723925807?oppId=48279&mode=VIEWhttp://edocket.access.gpo.gov/2009/pdf/E9-16904.pdfUpdated as of October 30, 2009 Page 49

Ropes & Gray LLPARRA FundingCategoryDistanceLearning,Telemedicine,and BroadbandProgramProgram NameDistanceLearning,Telemedicine,andBroadbandProgramFunding Details Released to Date● RUS will support the expansion ofbroadband service in rural areas by providingdirect loans and grants to fund projects thatwill support economic development and jobcreation beyond the immediate constructionand operations of the broadband facilitiesAmerican Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyUSDA/RuralUtilitiesService(RUS)Total FederalFunds Availablethrough ARRA$2,500,000,000FundingMechanismLoans &GrantsEligibleEntitiesTBAImplementation Steps Taken to Date● USDA and NTIA held six joint publicmeetings and solicited public comment. Thepublic comment period closed on April 13,2009.Designates Deadline PassedImportant References● ProgramWebsite:http://www.rurdev.usda.gov/recovery.html● These funds will be implemented in concertwith the FCC.● RUS and NTIA will take the public commentsinto account and plans to publish a Notice ofFunding Availability in the Federal Register thatwill include detailed information on the amountand type of funding available.● USDA ARRAWebsite:http://www.rurdev.usda.gov/arra/recoveryprogram.htm● FCC and USDA launched a websitedescribing broadband opportunities.● FCCBroadband http://wireless.fcc.gov/outreach/indeOpportunities forx.htm?job=broadbRural America and_homeWebsite:● RUS plans to offer competitive grants andloans to support the expansion of broadbandservice in rural areas. A series of workshopsare being held across the country in July 2009to provide information to prospective applicants.● ProgramDetails:http://www.rurdev.usda.gov/arra/ARRABroadbandInvestmentProgram6-11-09.pdf● USDA reiterated on July 23rd that it plans tooffer direct broadband loans and grants whichwill be offered by future Notices in the FederalRegister.Federal RegisterNoticehttp://edocket.access.gpo.gov/2009/pdf/E9-17512.pdfUpdated as of October 30, 2009 Page 50

Ropes & Gray LLPARRA FundingCategoryRuralCommunityFacilitiesProgramProgram NameRuralCommunityFacilitiesProgramFunding Details Released to Date● ARRA provides additional funds to anexisting program that provides direct loansand grants to rural communities to developessential community facilities (those for publicuse) for health care, public safety, and publicservices for facility acquisition, construction,renovation, or purchase of equipment andfurnishings.American Recovery and Reinvestment Act (ARRA) Stimulus Funding ImplementationDepartment/Sub agencyTotal FederalFunds Availablethrough ARRAUSDA $130,000,000FundingMechanismLoans &GrantsEligibleEntitiesUnits of LocalGovernments,Non-profits,and IndianTribesImplementation Steps Taken to Date● Applications are available through the USDARural Development field offices. Deadlinesvary by state.● Department of Agriculture announced onJuly 23, 2009 that funding is available for thisprogram, including $568 million allocated tostates and $61 million for grants. Again,applications are available through the RuralDevelopment field offices.Designates Deadline PassedImportant References● ProgramWebsite:● USDA RuralDevelopmentField Offices:● FederalRegister Notice:http://www.rurdev.usda.gov/rhs/cf/cp.htmhttp://www.rurdev.usda.gov/recd_map.htmlhttp://edocket.access.gpo.gov/2009/pdf/E9-17512.pdfUpdated as of October 30, 2009 Page 51