Uniform Guidance/Single Audit Compliance

Best Practices for the SEFA: The Driver of the Single Audit!

The Schedule of Expenditures of Federal Awards (SEFA) is a required supplemental schedule to the audited financial statements that determines the applicability and scope of the Single Audit for your organization. Currently, the Single Audit requirement is only triggered when the federal expenditures reported on the SEFA exceed $750,000 or more over the organization’s fiscal year. (Note the Office of Management and Budget (OMB) has proposed the threshold be increased to $1 million). The SEFA serves as the primary view for funding via federal agencies and pass-through entities, serves as a feeder for the electronic accumulation of data for government wide monitoring of awards, and provides a picture of all federal money for which your organization is responsible. The SEFA is the primary responsibility of Management, and as such, we would like to advise you of best practices regarding preparation of the SEFA and some common errors to avoid.

How Should Your Organization Define Expenditures?

Federal expenditures required to be reported on the SEFA are based on a determination when a federal award is considered “expended.” However, the name ‘federal expenditures’ on the schedule can be misinterpreted as it can imply that the SEFA only includes the amounts of costs the organization incurred that are covered by federal funds. However, the definition of expenditures is much more involved than that. Listed below are common federal awards and the basis for the determination for when funds are expended:

  • Grants, cost reimbursement contracts, compacts with Indian tribes, cooperative agreements under the Federal Acquisition Regulations (FAR), and direct appropriations: when the expenditure or expense transactions occur
  • Amounts provided to subrecipients: when the disbursement is made to the subrecipient
  • Loans and loan guarantees: when the loan proceeds are used by the nonfederal entity
  • Donated property: when the property is received
  • Food commodities: when the food commodities are distributed or consumed
  • Interest subsidies: when amounts are disbursed entitling the entity to the subsidy
  • Insurance: when the insurance is in force
  • Endowments: when federally restricted amounts are held
  • Program income: when received or used
  • Loans and loan guarantees (loans), including interest subsidies: the value of new loans made or received during the audit period plus the beginning of the audit period balance of loans from previous years for which the federal government imposes continuing compliance requirements, plus any interest subsidy, cash, or administrative cost allowance received
  • Insurance: The amount expended equals the fair value of the insurance contract at the time of receipt or the assessed value provided by the federal agency.
  • Endowments: The amount expended equals the cumulative balance of federal awards for endowment funds that are federally restricted in each audit period in which the funds are still restricted.
  • Free rent: The amount expended equals the fair value at the time of receipt or the assessed value provided by the federal agency. Free rent is not considered an award expended unless it is received as part of an award to carry out a federal program.

What is your organization required to include in the SEFA?

Auditees are required to include the following information on the SEFA:

For The Schedule Face

  • List of individual federal programs by federal agency
  • Name of the Pass Through Entity (PTE) and the identifying number assigned by the PTE
  • Provide the total federal awards expended for each individual federal program and the Assistance Listing Number (ALN)
  • Total amount of federal awards expended for loan or loan guarantee programs
  • Total amount provided to subrecipients from each federal program

For the Notes to the Schedule

  • Significant accounting policies used to prepare the SEFA
  • Whether or not the auditee elected to use the 10% de minimis cost rate covered in 200.414
  • For loans or loan guarantee programs, the balances outstanding at the end of the audit period

What are Common SEFA Errors to Avoid?

  • Incorrect or missing ALN
  • Names of pass-through entities omitted
  • Missing pass-through contract numbers
  • Missing names of federal agencies
  • Clusters not shown as such
  • Creation of your own clusters
  • Missing Notes to the SEFA
  • Reference to SEFA Notes is missing
  • Non-cash awards missing
  • Improper basis for determining when awards are expended
  • Improper reporting of loans
  • Subtotals missing for ALN, federal agency, cluster or totals

What are Recent Challenges to Accurate SEFA Reporting?

There are several recent challenges that impact the accuracy of SEFA reporting. If your organization is in receipt of Provider Relief Funding (PRF), you will want to make sure the PRF amounts on the SEFA align with report submissions to the PRF Reporting Portal.  This can also be an issue with Education Stabilization Funding and Higher Education Emergency Relief Funds programs as this funding allows institutions to go back to fiscal year 2020 and grab expenditures/lost revenue. Additionally, the Department of Education’s use of one ALN with alpha characters along with the requirement for the identification of Education Stabilization Funding separately on the face of the SEFA and Data Completion Form by the ALN number and alpha character has complicated reporting. An overall challenge is determining when awards exist.

Also, PTE’s are responsible for determining who is a subrecipient as federal awards disbursed to them must go on the SEFA. Subrecipients are required to comply with the Uniform Guidance and federal statutes, regulations, and the terms and conditions. Contractors (defined as doing the work they are hired to do) are not required to be reported on the SEFA. Additionally, beneficiaries are not specifically defined in the Uniform Guidance and do not go on the SEFA. If a determination has not been made regarding the status of a subrecipient, auditees should go back to the PTE. Specifically, the auditee should get something in writing from the PTE, especially if the PTE is changing the designation. If the PTE does not make the designation or tells the auditee to make the designation, you should expect that your auditor will review the analysis of your determination.

If you have any questions regarding preparation of your SEFA, please contact a member of your audit team.


COVID-19 Funding Updates








With many organizations in the process of expending and reporting on their COVID-19 funding, we would like to provide some important updates:

Accounting Methods for Paycheck Protection Program (PPP) Loans:

  • Accounting for PPP Loans as Debt: If you are accounting for PPP loans as debt, you should follow the Financial Accounting Standards Board Statement (FASB) Debt Topic 470 and recognize any amount forgiven as a gain on extinguishment of the debt. Forgiveness is defined as the legal release for derecognition. There will likely be a mismatch of expenses and forgiveness between reporting periods, but matching principle is not mandatory in U.S. Generally Accepted Accounting Principles (GAAP). There are no specific disclosure requirements that would differ from any other debt instrument (disclosure of general information including the amount borrowed, interest rate, repayment terms, maturity and outstanding at year-end).
  • Accounting for PPP Loans as Government Grants: Should you choose to report your PPP loan as a government grant, you should follow FASB 958-605. Note you will not be permitted to apply a probability assessment when determining whether a barrier has been met, and barriers must be substantially met or explicitly waived. There are no specific disclosure requirements that would differ from any other debt instrument or those required under FASB 958-605 (disclosure of general information including the amount borrowed, interest rate, repayment terms, maturity, outstanding at year-end, and intention of forgiveness).
  • PPP on Form 990: As PPP loans are not taxable, you will record the contribution in the year that loan has been forgiven.

Provider Relief Fund and American Rescue Plan Rural Distribution

  • CARES Act Funding for Medicaid and CHIP Providers: Note that CARES Act funding for Medicaid and CHIP providers may be used for the following purposes: Supplies (masks, gowns, and cleaning agents); Equipment (HVAC systems, ventilators, etc.); Information Technology (Telehealth software and hardware, improved internet for remote working or new electronic medical records modules to support patient care); Facilities (temporary expansion and retrofits for improved infection control); Mortgage rent (rent for a clinical setting or medical office building); Insurance (property, malpractice, or other business insurance); Personnel (direct employee expenses for staff such as nurses, contractor payroll administrators, or support personnel); Fringe benefits (employee health insurance, childcare assistance, transportation, temporary housing, overtime pay, hiring bonuses, hazard pay, or recruitment and retention payments to expand or maintain patient/clinic care capacity); Utilities/operations (HVAC services, environmental services for cleaning, or food, and nutrition services)
  • Calculation of lost revenue relates to patient care methods and there are three options: calculate the difference between actual patient care revenues using 2019 as the base calculated quarterly; calculate the difference between the budgeted and actual patient care revenues using 2020 and 2021 budgeted versus actual revenue calculated quarterly; or any reasonable method calculated on a quarterly basis.
  • To avoid double dipping, please be careful to avoid that payroll costs paid with PPP loans or any other federal CARES Act programs must not be also charged to current federal awards, as it would result in the federal government paying for the same expenditures twice.
  • For the presentation of this funding on your non-profit’s financial statements, you will need to follow FASB 958-605 as this is a conditional grant, with the right of return, and the barrier is allowable expenses or lost revenue. Note that outstanding liability is a refundable advance.
  • When reporting Provider Relief Funds, you will need to be aware of the following upcoming deadlines.  (Note that the reporting deadlines for reporting periods 1 and 2 have now passed). The following are the current/upcoming reporting periods: June 30, 2022-through June 29, 2023 fiscal year ends: July 1, 2022-September 30, 2022; December 31, 2022-June 29, 2023 fiscal year ends: January 1, 2023-March 31, 2023; June 30, 2023 fiscal year ends: July 1, 2023-September 30, 2023

Note that if you submitted a request to report late, you will get a notification from HRSA of approval/denial. Failure to report will result in non-compliance. For additional information, refer to the Health Resources and Services Administration website.

Rate Increases for Office of Developmental Programs (ODP):  You should be aware of the following effective dates for the final rates:

-July 1, 2021: Fee schedule rates and department established fees for the majority of services funded through the adult autism waiver

-January 1, 2022: Fee schedule rates for the majority of services funded through the Consolidated, Community Living, and P/FDS Waivers and Base-Funded Program

-March 1, 2022: Fee schedule rates for agency with Choice Financial Management services.

The temporary increases to the Fee Schedule Rates for direct community participation support and transportation trips will remain in effect until six months after the expiration of the federal COVID-19 public health emergency.

ARPA – Recruitment, Retention and COVID-19 Related Staff Expenses: For funding received through the American Rescue Plan Act (ARPA) utilized from April 1, 2021 through March 31, 2022, ODP has stated payments for this initiative are considered vendor payments. The purpose of these payments is to cover COVID-19 related expenses for high staff vacancy and turnover rates.  These expenses include hazard pay, recruitment efforts, sign-on bonuses, retention bonuses or other incentives. Any unused monies must be repaid.

ARPA – Staff Training, Credentialing, and Business Associates Programs for Employment: This type of funding is to be used for training activities as specified in ODP Announcement 22-031 as updated. These funds must be expended by October 31, 2023 and per FAQ’s dated April 4th, 2022, Subsection V#3 payments for this initiative will be considered subrecipient, federal, and subject to a Single Audit. Funding for this program is issued on a reimbursement basis and may be submitted for up to two progress payments.

ARPA – One Time Payment to Provide Funding for Technology that Enhances the Provision of Home and Community Based Services: Funding allocated through this program is used to enhance, expend or strengthen HCBS (Home and Community Based Services) beyond what is available under the Medicaid program. Refer to the list of allowable expenses in ODP Announcement 22-043. These funds are issued on a reimbursement basis, and recipient organizations can request a progress payment. Funds must be spent by October 31, 2023.

If you have any questions regarding these COVID-19 funding programs and their impact on your organization and reporting requirements, please contact a member of your audit team.




Additional Deferment for COVID-19 Economic Injury Disaster Loans








If your non-profit has been the recipient of a COVID Economic Injury Disaster Loan, you may now take an additional deferment of principal and interest payments.  The Small Business Administration made the announcement on March 15th, which will provide additional flexibility to organizations who have experienced  economic challenges due to the pandemic. The extended deferment period is 30 months.  Below are the key parameters regarding deferment:

  1. The determent extension is effective for all COVID-EIDL loans approved in calendar years 2020, 2021, and 2022. Loans now have a total deferment of 30 months from the date of the Note. Interest will continue to accrue on the loans during the deferment.
  2. Borrowers can make partial or full payments during the deferment period but are not required to.
  3. The SBA will not send monthly SBA Form 1201 payment notices; however, the SBA will send regular payment reminders via e-mail.
  4. You can access your account balances and payment due dates (or set up a new account) in the SBA Capital Access Financial System (CAFS).
  5. Deferments can result in balloon payments. The deferment will not stop any established Preauthorized Debit (PAD) or recurring payments on the loan. Borrowers with an SBA established PAD must contact their SBA servicing center to stop recurring payments during the extended deferment period. Borrowers who have set up a PAD through Pay.Gov or any other bill pay service are responsible for terminating recurring payments during the extended deferment period.
  6. After the deferment period ends, borrowers will be required to make regular principal and interest payments beginning 30 months from the date of the Note.

If you have any questions regarding deferment for the EIDL, please contact us.



Employee Retention Credit Update

The Internal Revenue Service (IRS) has issued an update to its March 2021 guidance. This update, Notice 2021-23, amplifies the March guidance with respect to the Employee Retention Credit (ERC) under Section 2301 of the CARES Act which was amended by the Taxpayer Certainty and Disaster Tax Relief Act of 2020, which enhanced rules and extended the credit to June 30, 2021.

With the enactment of the American Rescue Plan, the ERC has now been extended for wages paid after June 30, 2021 through December 31, 2021. IRS guidance on wages paid July 1, 2021 to December 31, 2021 is pending. We encourage you to review the entirety of Notice 2021-23 but below are the key highlights:

Expansion of Eligible Employers

Under the IRS guidance, governmental entities are not eligible for the ERC; however, any governmental entities that are colleges or universities or provide medical or hospital care may now be eligible employers for the first and second calendar quarters of 2021, assuming they satisfy other requirements to be eligible employers.

Decline in Gross Receipts

Additionally, an employer is an eligible employer with respect to any calendar quarter for which its gross receipts for the calendar quarter are less than 80% of its gross receipts for the same calendar quarter in 2019. Therefore, for purposes of the employee retention credit for the first and second calendar quarters of 2021, the determination of whether an employer is an eligible employer based on a decline in gross receipts is made separately for each calendar quarter and is based on an 80% threshold.

Maximum Amount of Employee Retention Credit

For the first and second calendar quarters of 2021, the employee retention credit equals 70% of qualified wages (including allocable qualified health plan expenses) that an eligible employer pays in a calendar quarter. The amount of qualified wages (including allocable qualified health plan expenses) with respect to any employee that may be taken into account is limited to $10,000 for any calendar quarter; thus, the maximum credit for qualified wages (including allocable qualified health plan expenses) paid to an employee is $7,000 for each of the first and second calendar quarters in 2021 (for a total of $14,000).

Qualified Wages

Large eligible employers are eligible employers for which the average number of full-time employees during 2019 was greater than 500. Small eligible employers are eligible employers for which the average number of full-time employees during 2019 was not greater than 500. Notice 2021-20 described the rule that for large eligible employers, qualified wages paid to an employee were not to exceed what the employee would have been paid for working an equivalent duration during the 30 days immediately preceding the commencement of the full or partial suspension of business or the first day of the calendar quarter in which the employer experienced a significant decline in gross receipts. However, this limitation on qualified wages paid during the first and second calendar quarters of 2021 has now been removed.

Employee Eligibility

Notice 2021-20 stated an employee would not be included for purposes of computing the ERC for any period that an employer is allowed a work opportunity credit with respect to that employee. This restriction has now been removed and this does not apply to employee retention credits claimed for the first and second calendar quarters of 2021.

Claiming the Employee Retention Credit

Small eligible employers may elect to receive an advance payment of the ERC in an amount not to exceed 70% of the average quarterly wages paid in calendar year 2019 (the 70% advance rule). The requirement to reduce deposits in anticipation of the credit before requesting an advance continues to apply to 2021 small eligible employers.

If you have any questions regarding the guidance and how it relates to your organization, please contact us.


2021 American Rescue Plan Update – Tax Implications

The highlight of the 2021 American Rescue Plan from an individual perspective are the direct Internal Revenue Service (IRS) payments to taxpayers. Direct payments of $1,400 will be issued to individuals and qualifying dependents along with $2,800 for joint filers. The payments would begin to phase out for individuals with an adjusted gross income (AGI) of $75,000 ($150,000 for couples) and would be zero for AGIs of $80,000 ($160,000 for couples) or more. Heads of households will receive the full amount if they earned up to $112,500, with the payments being cut off completely at $120,000 total head of household income. However, in addition to the direct payments that may impact you personally, there are several changes in tax provisions that will impact your organization’s human resources and payroll policies. Below are the key highlights:Unemployment Benefits

The act makes the first $10,200 in unemployment benefits tax free in 2020 for taxpayers earning less than $150,000 per year.

COBRA Continuation Coverage

The act provides COBRA continuation coverage premium assistance for individuals who are eligible between the date of enactment and Sept. 30, 2021. The act also creates a new Sec. 6432, which allows a COBRA continuation coverage premium assistance credit to taxpayers. This refundable credit applies to premiums and wages paid after April 1, 2021 and through September 30, is allowed against the Sec. 3111(b) Medicare tax, and the IRS may make advance payments to taxpayers of the credit amount.

Under new Sec. 6720C, a penalty is imposed for failure to notify a health plan of cessation of eligibility for the continuation coverage premium assistance. Taxpayers who receive the COBRA continuation coverage premium assistance credit are not also eligible for the Sec. 35 health coverage tax credit. Under new Sec. 139I, continuation coverage premium assistance is not includible in the recipient’s gross income.

Family and Sick Leave Credits

The act codifies the credits for sick and family leave originally enacted by the Families First Coronavirus Response Act (FFCRA), P.L. 116-127, as Secs. 3131 (credit for paid sick leave), 3132 (credit for paid family leave), and 3133 (special rule related to tax on employers). The credits are extended to Sept. 30, 2021. These fully refundable credits against payroll taxes compensate employers for coronavirus-related paid sick leave and family and medical leave. The act increases the limit on the credit for paid family leave to $12,000 and increases the number of days from 50 to 60 a self-employed individual can take into account in calculating the qualified family leave equivalent amount. Paid leave credits will also be allowed for leave that is due to a COVID-19 vaccination. The limitation on the overall number of days taken into account for paid sick leave will reset after March 31, 2021. The credits are expanded to allow 501(c)(1) governmental organizations to take them.

Employee Retention Credit

The act codifies the employee retention credit in new Sec. 3134 and extends it through the end of 2021. The employee retention credit allows eligible employers to claim a credit for paying qualified wages to employees. Under the act, the employee retention credit would be allowed against the Sec. 3111(b) Medicare tax. Please refer to our most recent blog post on the Employee Retention Credit for additional guidance.

Miscellaneous Tax Provisions

-The act changes Sec. 162(m), for years after 2026, to add an organizations five highest-compensated employees (besides the employees already covered by Sec. 162(m)) to the list of individuals subject to the $1 million cap on deductible compensation.

-The act extends the Sec. 461(l) limitation on excess business losses of noncorporate taxpayers for one year, through 2027.

-The act provides that targeted Economic Injury Disaster Loan (EIDL) grants received from the U.S. Small Business Administration (SBA) are not included in gross income and that this exclusion from gross income will not result in a denial of a deduction, reduction of tax attributes, or denial of basis increase.

-The act temporarily delays the designation of multiemployer pension plans as an endangered, critical, or critical and declining status and makes other changes for multiemployer plans in critical or endangered status.

If you have any questions regarding these tax changes, please do not hesitate to contact us.


2021 American Rescue Plan Update – Key Funding Impacts

With the enactment of the 2021 American Rescue Plan, we would like to share with you the key features of the latest stimulus impacting governments and non-profits:

State and Local Governments

$350 billion will be provided to state, counties, cities and tribal governments to help them recover from the financial burden of increased expenditures and lost revenues resulting from the COVID-19 pandemic. State and local government recipients can use these funds for incurred costs by December 31, 2024. Funds are to be distributed in two installments with 50% to be delivered to states within 60 days and the remainder to be distributed no earlier than one year later. States are required to distribute funds to smaller towns within 30 days, and a town cannot receive more than 75% of its budget as of January 27th, 2020.

The following is a breakdown of the specific funding amounts that will be allocated to governments:

  • $65.1 billion for counties
  • $45.6 billion for metropolitan cities
  • $19.5 million for towns with fewer than 50,000 people

In addition, $10 billion has been allocated to a Coronavirus Capital Projects Fund to support COVID-19 work, education, and health monitoring.

Funds can be used by government entities for the following purposes:

  • Aid to households, small businesses, non-profits, and other industries impacted financially by the COVID-19 pandemic
  • Provide premium pay to essential employees or grants to employers. Premium pay cannot exceed $13/hour or $25,000 per worker.
  • Support government services affected by a reduction in revenue from COVID-19
  • Make investments in water, sewer, and broadbrand infrastructure.
  • Funds can be transferred by state and local governments to private non-profit groups, public benefit corporations involved in passenger or cargo transportation, and special purpose units of state or local governments.
  • Funds cannot be used towards pensions or to offset revenue resulting from a tax cut enacted since March 3, 2021.


  • $122.7 billion will be provided to the existing Elementary and Secondary School Emergency Relief Fund (ESEA) to remain available through September 30, 2023. State Education Agencies (SEAs) must distribute at least 90% of funds to Local Education Agencies (LEA) based on their proportional share of ESEA Title I-A funds. SEA’s must use their allocations in the following manner: 5% to address learning loss, 1% for afterschool activities, and 1% for summer learning programs. SEA’s must spend funds within one year of receipt.
  • 20% of funding used by LEA’s must be used to address learning loss with the remaining funds to be used for: repairs of ventilation systems, reduction of class sizes and implementation of social distancing guidelines, the purchase of Personal Protective Equipment (PPE), and the hiring of support staff to care for students’ health and well-being. School districts must create and share plans publicly for returning to in-person instruction within 30 days. LEA’s cannot cut per-pupil spending nor reduce per-pupil staffing for any high-poverty school at a rate more than overall cuts in per-pupil spending and staffing across all schools served by the LEA. Note this requirement is not applicable if an LEA serves less than 1,000 students or operates as a single school, or serves all students in a single grade span in one school or is granted a waiver by the Secretary of Education.
  • With respect to the Individuals with Disabilities Education Act (IDEA), $3.03 billion has been provided with $2.58 billion for grants to states, $200 million for pre-school grants under IDEA, and $250 million for programs for infants and toddlers.
  • $2.75 billion has been provided through the Emergency Assistance to Non-Public Schools Program to provide services or assistance to non-public schools that enroll a significant percentage of low-income students and are most impacted by the COVID-19 pandemic.
  • $800 million to support school participation of children and youth experiencing homelessness including wrap-around services
  • $40 billion through the Higher Education Emergency Relief (HEER) Fund with $36 billion allocated to public and private non-profits to remain available through September 30, 2023. At least 50% of funds must be spent on emergency financial aid grants provided directly to students, with the remaining funds to be used for the replacement of lost revenue, reimbursement for emergency expenses, and more. Funds are to be specifically allocated as follows:
  • 37.5% based on full-time equivalent enrollment of Federal Pell Grant recipients
  • 37.5% based on headcount enrollment of Pell recipients
  • 11.5% based on FTE enrollment of non-Pell recipients
  • 11.5% based on headcount enrollment of non-Pell recipients
  • 1% based on the relative share of FTE enrollment of students who were Federal Pell Grant recipients and who were exclusively enrolled in distance education courses prior to the qualifying emergency.
  • 1% based on the relative share of the total number of students who were Federal Pell grant recipients and who were exclusively enrolled in distance education courses prior to the qualifying emergency.


  • $47.8 billion for testing and tracing activities for COVID-19
  • $7.66 billion for state, local and territorial public health departments to establish, expand and sustain their public health workforce
  • $7.6 billion for community health centers
  • $3 billion for block grant programs under the Substance Abuse and Mental Health Services Administration
  • $200 million to support COVID-19 infection control in skilled nursing facilities and $250 million for “strike teams” to assist skilled nursing facilities; funding will be provided until one year after the end of the public health emergency.

Human Services

  • $39 billion for child care through $15 billion for the Child Care and Development Block Grant (CCDBG) and $24 billion for newly created child care stabilization grants
  • $1 billion for Head Start programs
  • $150 million in additional funds for the Maternal, Infant, and Early Childhood Home Visiting program
  • $1 billion for the Pandemic Emergency Fund, which provides one-time benefits such as cash and vouchers to eligible families with low incomes
  • $1.5 billion for the Community Mental Health Services Block grant for 2021
  • $1.5 billion for the Prevention and Treatment of Substance Abuse Block grants for 2021
  • $420 million for grants to Certified Community Behavioral Health Clinics
  • $450 million for programs under the Family Violence Prevention and Services Act, including $198 million for grants to support survivors of sexual assault
  • $250 million for programs under the Child Abuse Prevention and Treatment Act
  • Permanently increases the total funding for the Child Care Entitlement to States from $2.9 billion to $3.05 billion per year (an increase of $130 million) and temporarily waives state matching funds for 2021 and 2022
  • $1.434 billion for programs under the Older Americans Act, including $750 million for nutrition programs for 2021
  • $4.5 billion for the Low-Income Home Energy Assistance Program
  • $50 million for the Title X Family Planning program

Medicaid/Medicare Policy Funding and Medicaid FMAP (Federal Medical Assistance Percentages) Funding

  • Requires state Medicaid and Children’s Health Insurance Program (CHIP) to cover vaccines and COVID treatment without any cost sharing and extends the period of this policy by a year for one year after the end of the COVID-19 pandemic
  • Allows CMS to waive a Medicare requirement that a ground ambulance service include the transportation to a hospital to receive Medicare payments if they didn’t transport the beneficiary due to COVID-19 related protocols

Increases the federal FMAP by 10 percentage points for state expenditures on home and community-based services (HCBS) for four fiscal quarters

  • Modifies Medicaid allotments for disproportionate share hospitals (DSH) to account for the 6.2 percentage point increase to states’ FMAP. The HHS would have to ensure that the total DSH payments that a state may make in a fiscal year is equal to the total payments it could have made without the FMAP increase during the pandemic.


  • $27.4 billion in emergency rental assistance including $21.55 billion for emergency rental assistance via the Corona Relief Fund (remains available through Sept. 30, 2027, if obligated by Oct. 1, 2022) and $5 billion for emergency housing vouchers (funds available through Sept. 30, 2030), $750 million for tribal housing needs, and $100 million for rural housing. The first 40% of funding for the emergency rental assistance program will be provided within 60 days of enactment.
  • $5 billion to assist people who are homeless with immediate and long-term assistance (emergency housing vouchers). Funds will remain available until September 20, 2030.
  • $9.96 billion for a Homeowner Assistance Fund with $100 million for housing counseling via NeighborWorks America with funding remaining available through Sept. 30, 2022
  • Not more than 15% of funds paid to state and local governments can be used for administrative costs.

Transit Funding

  • $30.5 billion for grants to transit agencies for operating expenses, including payroll and PPE costs
  • $26.1 billion for Urbanized Area Formula Grants to aid transit service in urbanized areas
  • $2.21 billion for urban and rural area grantees that require additional assistance due to the pandemic
  • $1.7 billion for Capital Investment Grants
  • $281 million in operating assistance formula grants for states to support rural transit agencies in areas with fewer than 50,000 people
  • $100 million for intercity bus services to support essential connections in rural areas

If you have any questions about any of these funding programs and the impacts on your organization, please do not hesitate to contact us.