The Department of Health and Human Services (HHS) is the largest grant-making agency in the federal government. HHS’s Departmental Appeals Board (DAB) is responsible for providing dispute resolution services for HHS grants and programs. Grantees can appeal determinations by HHS agencies to the DAB for further review prior to bringing the dispute to court. A significant number of DAB decisions involve appeals of cost disallowances and grant terminations. DAB decisions can be precedential, meaning prior decisions are binding on future decisions. However, many DAB decisions pre-date the creation of the Uniform Guidance, 2 CFR Part 200 (including HHS’s codification at 45 CFR Part 75 which was fully repealed effective October 2025), and correlating HHS regulations at 2 CFR Part 300. As a result, many older DAB decisions interpret the application of a different set of regulations. Though, since the regulations in these decisions are similar to many parts of the current Uniform Guidance, these past DAB decisions offer insight into how the DAB may rule on similar future appeals and provide valuable insight into how to interpret these provisions of the law.  

Over the years, CAPLAW has written extensively about DAB decisions that involve CAAs and/or grants such as CSBG, Head Start, and LIHEAP. The following articles can be used to help better understand the application of the Uniform Guidance to a CAA’s use and administration of federal grants, but should be understood in the context of the time they were written. For up-to-date information about analyzing the Uniform Guidance, please contact CAPLAW for a consultation. 

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Almost on the Same Page: HHS’s Adoption of the Uniform Guidance

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