Centers for Disease Control and Prevention Did Not Meet Program Expansion Supplement Requirements for Awarding One Affordable Care Act Grant

From our sample of 31 Affordable Care Act grants, CDC awarded 30 grants in accordance with the terms and conditions of the funding opportunity announcements and with applicable grant administration requirements for awarding grants. However, CDC awarded one grant that was not in accordance with certain applicable administrative requirements.

CDC did not meet these administrative requirements because communication was inadequate among the offices responsible for grant administration. As a result, CDC could not ensure that its use of ACA-related funding for one grant, totaling $500,000, was most advantageous to the goals of the ACA program.