D.C. Mun. Regs. tit. 29, r. 29-411
In accordance with 42 CFR 122.405, when the proposed uses of federal funds would involve the development, expansion, or support of health resources in the District and another health service area in the Washington Metropolitan area, if the grant is to be administered from the District, the SHPDA shall coordinate the reviews by all of the health systems agencies involved, except as provided in § 411.2.
With the agreement of the delegated agency, SHPDA may delegate coordinating responsibility to the agency in whose health service area a major portion of the funds shall be used, or the SHPDA may be delegated the review authority by the other agencies involved.
If some of the agencies involved approve the proposed use and some disapprove, the decision of each health systems agency shall apply to the use of funds in its respective health service area, as specified in 42 CFR 122.405.
The SHPDA is responsible for reviewing proposed uses of federal funds to the large number of national organizations headquartered within the District, even if the funds are to be used elsewhere, if the grants are to be administered in the District. Where a proposed use of federal funds involves the development, expansion, or support of health resources in areas outside the Washington D.C. area, contact shall be made with the appropriate health systems agency or state health planning and development agency for the delegation of the coordination of the review to the appropriate agency, in accordance with 42 CFR 122.405.
D.C. Mun. Regs. tit. 29, r. 29-411