The Health Insurance Enforcement and Consumer Protections Grant Program | PR PRP 17 001

Opportunity Information: Apply for PR PRP 17 001

The Health Insurance Enforcement and Consumer Protections Grant Program is a discretionary grant opportunity from the Centers for Medicare and Medicaid Services (CMS), specifically through the Consumer Information and Insurance Oversight area. It is designed to help state governments carry out and strengthen enforcement of federal health insurance market reforms and consumer protections established under Part A of Title XXVII of the Public Health Service (PHS) Act. These reforms include provisions that were relatively new at the time and became effective for plan years beginning in 2014, which meant states needed practical resources to update their oversight systems and align their insurance regulatory frameworks with federal requirements.

The core purpose of the program is to provide states with funding to support implementation, planning, and operational readiness around these federal standards. In practice, this means helping states review and update their laws, regulations, policies, and administrative procedures so they match what federal law requires. The program also emphasizes states being able to effectively oversee and enforce these market reforms as they apply to health insurance issuers, which generally involves improving compliance monitoring, strengthening enforcement processes, training staff, refining consumer complaint and resolution pathways, and ensuring regulators have the capacity and tools to identify and address violations.

This opportunity is aimed solely at state governments as eligible applicants, reflecting the role states play as primary regulators of health insurance markets in many contexts. The funding instrument is a grant, and the activity category is health, with CFDA number 93.881. CMS anticipated making awards across all states and relevant jurisdictions, with an expected 51 awards, which typically corresponds to the 50 states plus the District of Columbia. The opportunity was published with a creation date of June 15, 2016, and an original application closing date of August 15, 2016. The listed award ceiling is 0, which usually indicates that a fixed maximum per award was not specified in the summary record and would instead be detailed in the full funding announcement or determined through the application and review process.

Overall, the program is essentially a capacity-building and enforcement support mechanism. It recognizes that federal market reforms and consumer protections are only as effective as the systems that administer, monitor, and enforce them. By funding state-level implementation work, CMS aimed to promote consistent compliance across insurance markets, strengthen consumer protections in day-to-day practice, and ensure state oversight operations were aligned with the federal framework governing health insurance issuers under Title XXVII Part A of the PHS Act.

• The CMS-Consumer Information Insurance Oversight in the health sector is offering a public funding opportunity titled "The Health Insurance Enforcement and Consumer Protections Grant Program" and is now available to receive applicants.
• Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.881.
• This funding opportunity was created on 2016-06-15.
• Applicants must submit their applications by 2016-08-15. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
• The number of recipients for this funding is limited to 51 candidate(s).
• Eligible applicants include: State governments.

Apply for PR PRP 17 001

[Watch] Creating a grant proposal using the step-by-step wizard inside the applicant portal: