On June 7, 2010, CMS announced the availability of $51 million in Affordable Care Act Health Insurance Premium Review Grants, the first round of grants under a new $250 million ACA grant program intended to strengthen insurance rate review processes. To be eligible for a $1 million first round grant, a state must submit a plan for how it will use grant funds to develop or enhance its process of reviewing and approving, disapproving, or modifying health insurance premium requests.