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Notice2025-17858

Health Center Program Performance Period Extensions

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Published
September 16, 2025

Issuing agencies

Health and Human Services DepartmentHealth Resources and Services Administration

Abstract

Trillium Health, Inc. currently has a 1-year period of performance (January 1, 2025, through December 31, 2025). As a new awardee in the FY 2025 Service Area Competition (SAC), Trillium was only eligible for a 1-year period of performance. Therefore, Trillium must apply to continue serving the service area through the FY 2026 SAC competition. To avoid a gap in services to its service area from the end of its period of performance until FY 2026 SAC funding is awarded, Trillium will receive a 3-month Extension with Funds to extend the end date of its period of performance from December 31, 2025, to March 31, 2026. Since there will be no SAC competition released for health centers with a period of performance end date of December 31, 2025, this extension will also permit Trillium to compete in the SAC application cycle for health centers that includes awardees who have period of performance end dates of March 31, 2026.

Full Text

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<title>Federal Register, Volume 90 Issue 177 (Tuesday, September 16, 2025)</title>
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[Federal Register Volume 90, Number 177 (Tuesday, September 16, 2025)]
[Notices]
[Pages 44688-44690]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-17858]



[[Page 44688]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Health Center Program Performance Period Extensions

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services.

ACTION: Notice of 3-month extension for Trillum Health, Inc.

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SUMMARY: Trillium Health, Inc. currently has a 1-year period of 
performance (January 1, 2025, through December 31, 2025). As a new 
awardee in the FY 2025 Service Area Competition (SAC), Trillium was 
only eligible for a 1-year period of performance. Therefore, Trillium 
must apply to continue serving the service area through the FY 2026 SAC 
competition. To avoid a gap in services to its service area from the 
end of its period of performance until FY 2026 SAC funding is awarded, 
Trillium will receive a 3-month Extension with Funds to extend the end 
date of its period of performance from December 31, 2025, to March 31, 
2026. Since there will be no SAC competition released for health 
centers with a period of performance end date of December 31, 2025, 
this extension will also permit Trillium to compete in the SAC 
application cycle for health centers that includes awardees who have 
period of performance end dates of March 31, 2026.

FOR FURTHER INFORMATION CONTACT: Erica Clift, Division Director, Office 
of Program and Policy Development, Bureau of Primary Care, HRSA, at 
<a href="/cdn-cgi/l/email-protection#4623252a2f2032062e34352768212930"><span class="__cf_email__" data-cfemail="8eebede2e7e8facee6fcfdefa0e9e1f8">[email&#160;protected]</span></a> and 301-443-0741.

SUPPLEMENTARY INFORMATION: 
    Intended Recipient of the Award: Trillium Health, Inc., which 
serves the Rochester, New York service area. Rochester is a community 
that is vulnerable to a lapse in access to comprehensive primary care 
services.
    Amount of Award: 1 award for $760,000.
    Project Period: January 1, 2025, to March 31, 2026.
    Assistance Listing Number: 93.224.
    Award Instrument: Grant--Non-competing Continuation.
    Authority: Section 330 of the Public Health Service Act, as amended 
(42 U.S.C. 254b, as amended).

                                      Table 1--Recipients and Award Amounts
----------------------------------------------------------------------------------------------------------------
                Grant No.                    Award recipient name             City, State          Award amount
----------------------------------------------------------------------------------------------------------------
H80CS54598..............................  Trillum Health, Inc.......  Rochester, NY.............        $760,000
----------------------------------------------------------------------------------------------------------------

    Justification: HRSA will provide Trillium Health, Inc. with a 3-
month Extension with Funds to ensure continuity of services between 
their current project period end date and when a new award will be made 
for the service area.
    Request for Recipient Response: This action extends the period of 
performance with funds to your Health Center Program (H80CS54598) 
award. Trillium Health, Inc.'s award with a current period of 
performance of January 1, 2025, through December 31, 2025, will be 
extended by 3 months to March 31, 2026. This extension will prevent 
interruptions in access to critical health care services in the 
community. To process this action, Trillium must respond to this 
request for information (RFI) within the specified timeframe by 
providing an SF-424A and Budget Narrative, as detailed below.
    Activities/Requirements: Activities and work funded under this 3-
month extension are within the scope of the current award. All of the 
terms and conditions of the current award apply to activities and work 
supported by this 3-month extension.
    Required Submission Response: Trillium must submit the response to 
the RFI in HRSA's Electronic Handbook. If HRSA does not receive a 
response to the RFI by the deadline, or the response to the RFI is 
incomplete or non-responsive, there may be a delay or lapse in the 
issuance of funding. The response should not exceed 20 pages, single-
spaced, and must include the following information.

1. SF-424A: Budget Information Form

    Upload an SF-424A: BUDGET INFORMATION FORM attachment.
    Section A: Budget Summary: Verify the pre-populated list of Health 
Center Program funding types:

<bullet> Community Health Center (CHC)
<bullet> Migratory and Seasonal Agricultural Workers (MSAW)
<bullet> Homeless Population (HP)
<bullet> Residents of Public Housing (RPH)

    If the funding types are incorrect, make necessary adjustments. In 
the Federal column, provide the funding request for each Health Center 
Program funding type (CHC, MSAW, HP, RPH). The total federal funding 
requested across all Health Center Program funding types must align 
with the amount provided in the request from HRSA.

    Note: This RFI submission may not be used to request changes to 
the total award, funding type(s), or Health Center Program funds 
allocation between funding types. Funding must be requested and will 
be awarded proportionately for all funding types as currently funded 
under the Health Center Program.

    In the Non-Federal column, provide the total non-federal funding 
sources for each type of Health Center Program (CHC, MSAW, HP, RPH).
    Section B: Object Class Categories: Provide the object class 
category breakdown (i.e., line-item budget) for FY 2026 budgeted funds. 
Include federal funding in the first column and non-federal funding in 
the second column. Each line represents a distinct object class 
category that must be addressed in the Budget Narrative. Indirect costs 
may only be claimed with an approved indirect cost rate (see details in 
the Budget Narrative section below).
    Section C: Non-Federal Resources: Provide a breakdown of non-
federal funds by funding source (e.g., state, local) for each type of 
Health Center Program funding (CHC, MSAW, HP, RPH). If you are a state 
agency, leave the State column blank and include state funding in the 
Applicant column.

Salary Rate Limitation

    As required by the current appropriations act, ``[n]one of the 
funds appropriated in this title shall be used to pay the salary of an 
individual, through a grant or other extramural mechanism, at a rate 
over Executive Level II'' (see <a href="https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/25Tables/exec/html/EX.aspx">https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/25Tables/exec/html/EX.aspx</a>). Effective January 2025, the salary rate limitation is 
$225,700. As required by law, salary rate limitations may apply in 
future years and will be updated.

2. Budget Narrative

    Upload a Budget Narrative attachment for the budget period (January 
1, 2025,

[[Page 44689]]

to March 31, 2026) that explains the amounts requested for each line in 
Section B: Object Class Categories of the SF-424A Budget Information 
Form. The budget narrative must itemize both your federal request and 
non-federal resources.
    The Budget Narrative must describe how each line-item will support 
achieving the project objectives. Refer to 45 CFR 75 (2 CFR 200) for 
information on allowable costs (see <a href="https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75#part-75">https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75#part-75</a>). Include detailed 
calculations explaining how each line-item expense within each cost 
category is derived (e.g., number of visits, cost per unit). Include a 
description for each item in the ``other'' category.
    Include the following in the Budget Narrative:
    Personnel Costs: Explain personnel costs and list each staff member 
who will be supported by Health Center Program funds, name (if 
possible), position title, percentage of full-time equivalency, and 
annual salary.
    Reminder: An individual's base salary, per se, is NOT constrained 
by the statutory provision for a salary limitation. The rate limitation 
limits the amount that may be awarded and charged to the HRSA grant. 
Provide an individual's actual base salary if it exceeds the cap. Refer 
to the Sample Budget Narrative on the Budget Period Progress Report 
Technical Assistance web page (see <a href="https://bphc.hrsa.gov/funding/funding-opportunities/budget-period-progress-report-bpr-noncompeting-continuation-ncc">https://bphc.hrsa.gov/funding/funding-opportunities/budget-period-progress-report-bpr-noncompeting-continuation-ncc</a>).
    Fringe Benefits: List the components that make up the fringe 
benefit rate, for example, health insurance, taxes, unemployment 
insurance, life insurance, retirement plans, and tuition reimbursement. 
The fringe benefits should be directly proportional to the personnel 
costs allocated for the project.
    Travel: List travel costs according to local and long-distance 
travel. For local travel, outline the mileage rate, number of miles, 
reason for travel, and staff members/consumers completing the travel. 
The budget should also reflect the travel expenses (e.g., airfare, 
lodging, parking, per diem, etc.) for each person and the trip 
associated with participating in meetings and other proposed training 
or workshops. Name the traveler(s) if possible, describe the purpose of 
the travel, and provide the number of trips involved, the destinations, 
and the number of individuals for whom funds are requested.
    Equipment: List equipment costs and justify the need for the 
equipment to carry out the program's goals. Extensive justification and 
a detailed status of current equipment must be provided when requesting 
funds to purchase items that meet the definition of equipment (a unit 
cost of $10,000 or more and a useful life of 1 or more years).
    Supplies: List the items that will be used to implement the 
proposed project. Separate items into three categories: office supplies 
(e.g., paper, pencils), medical supplies (e.g., syringes, blood tubes, 
gloves), and educational supplies (e.g., brochures, videos). Items must 
be listed separately. Equipment items such as laptops, tablets, and 
desktop computers are classified as a supply if the acquisition cost is 
under the $10,000 per unit cost threshold.
    Contractual/Subawards/Consultant: Provide a clear justification, 
including how you estimated the costs and the specific contract/
subaward deliverables. Attach a summary of contracts with the Budget 
Narrative. Make sure that your organization has an established and 
adequate procurement system with fully developed written procedures for 
awarding and monitoring all contracts/subawards. Recipients must notify 
potential subrecipients that entities receiving subawards must be 
registered in System for Award Management (SAM) and provide the 
recipient with their Unique Entity Identifier number (see 2 CFR part 25 
in <a href="https://www.ecfr.gov/current/title-2/subtitle-A/chapter-I/part-25">https://www.ecfr.gov/current/title-2/subtitle-A/chapter-I/part-25</a>).
    In your budget:
    <bullet> For consultant services, list the total costs for all 
consultant services. Identify each consultant, the services they will 
perform, the total number of days, travel costs, and total estimated 
costs.
    <bullet> For subawards to entities that will help carry out the 
work of the grant, describe how you monitor their work to ensure the 
funds are being properly used.
    <bullet> Note: You should not provide line-item details on proposed 
contracts; rather, provide the basis for your cost estimate for the 
contract.
    Per the Suspension and Debarment rules in the Uniform 
Administrative Requirements, as implemented by HRSA under 2 CFR 
200.214, non-federal entities and contractors are subject to the non-
procurement debarment and suspension regulations implementing Executive 
Orders 12549 and 12689, and 2 CFR parts 180 and 376. These regulations 
restrict awards, subawards, and contracts with certain parties 
debarred, suspended, or otherwise excluded from or ineligible for 
participation in federal assistance programs or activities.
    Other: Include all costs that do not fit into any other category 
and provide an explanation for each cost in this category (e.g., 
Electronic Health Record provider licenses, audit, legal counsel). In 
some cases, rent, utilities, and insurance fall under this category if 
they are not included in an approved indirect cost rate.
    Indirect Costs: Indirect costs are costs you charge across more 
than one project that cannot be easily separated by project.
    To charge indirect costs, you can select one of two methods:
    Method 1--Approved rate. You currently have an indirect cost rate 
approved by your cognizant federal agency. If indirect costs are 
included in the budget, attach a copy of the indirect cost rate 
agreement in the Budget Narrative attachment.
    Method 2--De minimis rate. Per 2 CFR 200.414(f) (see <a href="https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-E/subject-group-ECFRd93f2a98b1f6455/section-200.414">https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-E/subject-group-ECFRd93f2a98b1f6455/section-200.414</a>), if you have never 
received a negotiated indirect cost rate, you may elect to charge a de 
minimis rate. If you choose this method, costs included in the indirect 
cost pool must not be charged as direct costs.
    This rate is 15 percent of modified total direct costs (see 2 CFR 
200.1 in <a href="https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200#p-200.1">https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200#p-200.1</a>(Modified%20Total%20Direct%20Cost%20(MTDC)). You can 
use this rate indefinitely.
    Submission Deadline: Submit the response to this request via HRSA's 
Electronic Handbook no later than 30 days from the receipt of the 
request.
    System for Award Management (SAM): Recipients must continue to 
maintain active SAM registration with current information at all times 
that they have an active federal award, an active application, or an 
active plan under consideration by an agency (unless you are an 
individual or federal agency that is exempted from those requirements 
under 2 CFR 25.110(b) or (c), or you have an exception approved by the 
agency under 2 CFR 25.110(d)). For your SAM registration, you must 
submit a notarized letter appointing the authorized Entity 
Administrator.
    Intergovernmental Review: This funding is subject to the provisions 
of Executive Order 12372, as implemented by 45 CFR part 100.
    Review Criteria and Process: HRSA will conduct a review of the 
submitted response in accordance with HRSA guidelines. HRSA reserves 
the right to request clarification, a resubmission of the budget, 
narrative, and forms, or

[[Page 44690]]

additional information if the submission is not fully responsive to any 
of the requirements or if ineligible activities are proposed. Following 
the review of all applicable information, HRSA reviews and awards 
management officials will determine if special conditions are required, 
and what level of funding is appropriate. Award decisions and funding 
levels are discretionary and are not subject to appeal. Continued 
funding depends on congressional appropriation of funds, satisfactory 
performance, and a decision that continued funding would be in the 
government's best interest.
    As part of HRSA's required review of risk posed by applicants for 
this program, as described in 2 CFR 200.206 (Federal Agency Review of 
Risk Posed by Applicants, see <a href="https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-C/section-200.205">https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-C/section-200.205</a>), HRSA will 
consider additional factors. These factors include, but are not limited 
to, past performance and the results of HRSA's assessment of the 
financial stability of your organization. HRSA reserves the right to 
conduct site visits and/or use the current compliance status to inform 
final funding decisions.
    Award Notice: HRSA anticipates issuing the Notice of Award on or 
near January 31, 2026.

Thomas J. Engels,
Administrator.
[FR Doc. 2025-17858 Filed 9-15-25; 8:45 am]
BILLING CODE 4165-15-P


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