Opportunity Information: Apply for PR PRP 21 001
The State Flexibility to Stabilize the Market Cycle II Grant Program is a federal discretionary grant opportunity from the U.S. Department of Health and Human Services (HHS), administered through the Centers for Medicare and Medicaid Services (CMS) Consumer Information and Insurance Oversight group. Its purpose is to strengthen state oversight of the private health insurance market by giving states funding to implement and plan for key federal market reforms and consumer protections required under Part A of Title XXVII of the Public Health Service (PHS) Act. In practical terms, the program is meant to help states bring their laws, regulations, and administrative procedures into alignment with federal standards and to improve how effectively they regulate health insurers operating in their markets.
A central theme of the grant is flexibility paired with accountability. CMS is offering resources so states can take a more active and capable role in enforcing and operationalizing federal requirements, while also pursuing innovative approaches that support a set of pre-selected market reforms and consumer protections under the PHS Act. The emphasis is not simply on compliance for its own sake, but on building state capacity to run a stable, well-regulated private insurance market where consumer protections are meaningful in day-to-day operations. That can include updating regulatory frameworks, improving operational processes, strengthening enforcement tools, and planning for effective implementation of reforms that affect how insurers design and administer coverage.
The opportunity is open only to state governments, reflecting the program's goal of reinforcing the primary role states play as insurance regulators. CMS anticipated making awards broadly across the country, with an expected 51 awards, which typically corresponds to the 50 states plus the District of Columbia or additional eligible jurisdictions as defined by the program. The total funding is structured with an award ceiling of $23,700,000, indicating the maximum amount available per award under this opportunity, depending on CMS decisions and each applicant's proposed scope of work.
From a funding mechanics standpoint, this is a grant (not a contract), categorized under the health funding activity area and linked to CFDA number 93.413. The funding opportunity number is PR PRP 21 001. The notice was created on November 6, 2020, with an original application deadline of January 20, 2021 at 3:00 PM Eastern Time. While the specific reforms and protections are referenced as "pre-selected" under Part A of Title XXVII of the PHS Act, the overall framing makes clear that funds are intended for state-level implementation and planning activities that directly support federal market reform requirements and consumer-focused protections in the private health insurance market.
Overall, the grant is designed as a capacity-building and market-stabilization tool. By funding state efforts to modernize and align regulatory systems with federal standards, CMS aims to promote more consistent enforcement of consumer protections, reduce regulatory gaps, and improve the functioning and stability of private health insurance markets across states, while still allowing states room to tailor implementation strategies to their own market conditions and regulatory structures.Apply for PR PRP 21 001
- The Department of Health and Human Services, CMS-Consumer Information Insurance Oversight in the health sector is offering a public funding opportunity titled "Grants to Support States in Providing Added Flexibility to Strengthen the Private Health Insurance Market through Implementation of Market Reforms under Part A of Title XXVII of the Public Health Service Act," and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.413.
- This funding opportunity was created on Nov 06, 2020.
- Applicants must submit their applications by Jan 20, 2021 300 PM Eastern U.S. Time. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $23,700,000.00 in funding.
- The number of recipients for this funding is limited to 51 candidate(s).
- Eligible applicants include: State governments.
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Frequently Asked Questions (FAQs)
What is the State Flexibility to Stabilize the Market Cycle II Grant Program?
The State Flexibility to Stabilize the Market Cycle II Grant Program is a federal discretionary grant opportunity from the U.S. Department of Health and Human Services (HHS). It is administered through the Centers for Medicare and Medicaid Services (CMS), specifically the Consumer Information and Insurance Oversight group. The program provides funding to help states strengthen oversight of the private health insurance market by supporting implementation and planning for key federal market reforms and consumer protections required under Part A of Title XXVII of the Public Health Service (PHS) Act.
What is the main purpose of this grant program?
The main purpose is to build and strengthen state capacity to oversee and regulate the private health insurance market. In practical terms, the grant supports state efforts to align state laws, regulations, and administrative procedures with federal standards, and to improve how effectively states enforce federal market reforms and consumer protections in day-to-day insurance regulation.
Who is the federal sponsor and administering agency for this opportunity?
The federal sponsor is the U.S. Department of Health and Human Services (HHS). The program is administered by the Centers for Medicare and Medicaid Services (CMS) through the Consumer Information and Insurance Oversight group.
What kinds of activities is the funding intended to support?
Based on the opportunity description, funds are intended for state-level implementation and planning activities that directly support federal market reform requirements and consumer protections under Part A of Title XXVII of the PHS Act. This can include work to update regulatory frameworks, improve operational processes, strengthen enforcement tools, and plan for effective implementation of reforms affecting how insurers design and administer coverage.
What does "flexibility paired with accountability" mean in this program?
The program emphasizes that states have room to tailor implementation strategies to their own market conditions and regulatory structures, while still being accountable for supporting and operationalizing federal requirements. The grant is framed as enabling states to play a more active role in enforcing and implementing federal consumer protections and market reforms, not merely meeting compliance requirements on paper.
Which federal legal framework is referenced in the program?
The program is tied to Part A of Title XXVII of the Public Health Service (PHS) Act, which includes federal market reforms and consumer protections applicable to private health insurance markets.
Are the reforms and consumer protections selected by applicants?
The opportunity description indicates that the reforms and protections are "pre-selected" under Part A of Title XXVII of the PHS Act. The grant funding is aimed at supporting state implementation and planning activities related to those specified federal reforms and protections.
Who is eligible to apply for this grant?
This opportunity is open only to state governments. The eligibility restriction reflects the program's intent to reinforce the primary role states play as insurance regulators.
How many awards were expected to be made?
CMS anticipated making awards broadly across the country, with an expected 51 awards. This typically corresponds to the 50 states plus the District of Columbia, or other eligible jurisdictions as defined by the program.
What is the maximum (ceiling) award amount?
The total funding is structured with an award ceiling of $23,700,000. This indicates the maximum amount available per award under this opportunity, depending on CMS decisions and each applicant's proposed scope of work.
Is this funding a grant or a contract?
This opportunity is a grant, not a contract. It is described as a federal discretionary grant program.
What is the funding activity area for this opportunity?
The opportunity is categorized under the health funding activity area.
What is the CFDA number associated with this program?
The CFDA number associated with this grant opportunity is 93.413.
What is the funding opportunity number?
The funding opportunity number is PR PRP 21 001.
When was the notice created?
The notice was created on November 6, 2020.
What was the application deadline listed in the notice?
The original application deadline was January 20, 2021 at 3:00 PM Eastern Time.
What overall outcomes is CMS trying to achieve through this grant?
The grant is designed as a capacity-building and market-stabilization tool. By funding state efforts to modernize and align regulatory systems with federal standards, CMS aims to promote more consistent enforcement of consumer protections, reduce regulatory gaps, and improve the functioning and stability of private health insurance markets across states.
How does this program relate to state regulation of private health insurers?
The program is intended to strengthen state oversight of private health insurers by improving the ability of states to enforce and operationalize federal market reforms and consumer protections. It supports states in bringing their regulatory approaches and administrative procedures into alignment with federal standards and improving day-to-day regulatory effectiveness.
Does the program focus only on compliance, or also on operational improvements?
The description emphasizes that the focus is not simply on compliance for its own sake. It highlights building meaningful state capacity so consumer protections and reforms work in practice, including operational improvements such as updated processes, stronger enforcement tools, and effective implementation planning.
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