Grant Details

Hospital Preparedness Program (HPP) Cooperative Agreement

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    Funder Type

    Federal Government

    IT Classification

    B - Readily funds technology as part of an award


    Centers for Disease Control and Prevention (CDC)


    The U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Preparedness and Response (ASPR) leads the country in preparing for, responding to, and recovering from the adverse health effects of emergencies and disasters. ASPR's programs improve the nation's ability to withstand adversity, strengthen health and emergency response systems, and enhance national health security. ASPR's Hospital Preparedness Program (HPP) is the only source of federal funding specifically for health care delivery system readiness. HPP aims to improve patient outcomes, minimize the need for federal and supplemental state resources during emergencies, and enable rapid recovery from catastrophic events through the development of health care coalitions (HCCs). HCCs incentivize and support diverse and often competitive health care organizations with differing priorities and objectives to work together to save lives during disasters and emergencies that exceed the day-to-day capacity and capability of individual health care and emergency response systems. ASPR recognizes that there is shared authority and accountability for the health care delivery system's readiness that rests with private organizations, government agencies, and states'/jurisdictions' Emergency Support Function 8 (ESF-8) – Public Health and Medical Services lead agencies. HCCs serve an important communication and coordination role within their jurisdictions, given the many public and private entities that must come together to ensure health care delivery system readiness. 

    To describe what health care delivery system partners, including HCCs, health care organizations, and emergency medical services (EMS), must do to effectively prepare for and respond to emergencies ASPR developed the 2017-2022 Health Care Preparedness and Response Capabilities ( These capabilities illustrate the range of health care preparedness and response activities that, if conducted, represent the ideal state of readiness in the United States. Individual health care organizations, HCCs, jurisdictions, and other stakeholders that develop the capabilities outlined in the 2017-2022 Health Care Preparedness and Response Capabilities document will help patients receive the care they need at the right place, at the right time, and with the right resources during emergencies; decrease deaths, injuries, and illnesses resulting from emergencies; and promote health care delivery system resilience in the aftermath of emergencies.

    The goals of the four health care preparedness and response capabilities are as follows:

    • Capability 1: Foundation for Health Care and Medical Readiness: The community's health care organizations and other stakeholders – coordinated through a sustainable HCC – have strong relationships, identify hazards and risks, and prioritize and address gaps through planning, training, exercising, and managing resources.
    • Capability 2: Health Care and Medical Response Coordination: Health care organizations, the HCC, their jurisdiction(s), and the state's/jurisdiction's ESF-8 lead agency plan and collaborate to share and analyze information, manage and share resources, and coordinate strategies to deliver medical care to all populations during emergencies and planned events.
    • Capability 3: Continuity of Health Care Service Delivery: Health care organizations, with support from the HCC and the state's/jurisdiction's ESF-8 lead agency, provide uninterrupted, optimal medical care to all populations in the face of damaged or disabled health care infrastructure. Health care workers are well-trained, well-educated, and well-equipped to care for patients during emergencies. Simultaneous response and recovery operations result in a return to normal or, ideally, improved operations.
    • Capability 4: Medical Surge: Health care organizations deliver timely and efficient care to their patients even when the demand for health care services exceeds available supply. The HCC, in collaboration with the state's/jurisdiction's ESF-8 lead agency, coordinates information and available resources for its members to maintain conventional surge response. When an emergency overwhelms the HCC's collective resources, the HCC supports the health care delivery system's transition to contingency and crisis surge response and promotes a timely return to conventional standards of care as soon as possible.

    ASPR recognizes that the entirety of the 2017-2022 Health Care Preparedness and Response Capabilities will not be achieved solely with the funding provided to HPP recipients and sub-recipients (including HCCs and health care organizations) through the HPP cooperative agreement. This FOA describes ASPR's expectations and priorities and lists performance measures for assessing HPP recipients' and sub-recipients' progress toward building the capabilities. Overall, the goal of the HPP cooperative agreement is to build acute care medical surge capacity through the maintenance and growth of strong HCCs. 


    History of Funding

    Approximately $605,632,500 was available in funding for FY18.

    Additional Information

    Option for Flexibility for Remote and Isolated Frontier Communities

    For the FY 2019-2023 project period, HPP recognizes the unique challenges and needs of hospitals located in remote and isolated frontier communities. To improve the effectiveness of HPP funding and to reduce the burden on recipients and sub-recipients, ASPR worked with the Health Resources and Services Administration (HRSA) Office of Rural Health Policy to categorize these hospitals and offer modified objectives, activities, and funding requirements. To be eligible for classification as an isolated frontier hospital”, hospitals must meet the following criteria:

    • Be located in a geographic region within the U.S. that is classified by the U.S. Department of Agriculture Economic Research Service as both Frontier and Remote Area (FAR) ( level 4 and
    • Be greater than 60 miles from the next nearest hospital. It is the responsibility of the recipient to determine if a hospital located in a FAR level 4 locale is greater than 60 miles from the next nearest hospital. 

    ASPR will consider requests for facility classification as an isolated frontier hospital” on a case-by-case basis. Each recipient must submit requests for classification during the application process (in in the format of a letter to the HPP Director. HPP will not accept post-award classification requests. The letter should contain the full legal name of the identified hospital, its current physical address, the name and distance (in miles) to the next nearest hospital, and a justification explaining how this classification will improve the readiness of both the facility and HCC. Each recipient should include an accompanying letter of support from the current HCC, which must indicate the HCC understands the impact of this classification and supports the request to modify the existing activities and funding strategies for the identified hospital(s). Additional letters of support from the jurisdiction's hospital association will further strengthen requests for classification.


    Virginia Simmons

    Virginia Simmons
    1600 Clifton Road
    Atlanta, GA 30329-4027

  • Eligibility Details

    Eligible applicants for this funding opportunity are states, a consortium of states, or eligible political subdivisions that prepare and submit a sufficient application compliant with the statutory and administrative requirements described in this document. For the purposes of this announcement, the term state” may include a state, territory, or freely associated state. States pass through funding to hospitals and health care providers.

    Deadline Details

    States must typically apply in May each year. Hospitals and providers typically receive pass-through funding the last quarter of the federal fiscal year (July-September). Note that 2020 CARES Act funding was passed directly to states and is being made available to healthcare providers.

    Award Details

    Up to $231,500,000 is available in total funding for FY19-23. The department intends to award 62 proposals, ranging from $256,518 to $23,274,780 each. Project periods will extend up to five years. Cost sharing/matching of 10% is required.  The CDC has made nearly $160 million in additional HPP funds available to awardees through the CARES Act in 2020.

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