Opportunity Information: Apply for HRSA 11 149

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Affordable Care Act (ACA) Teaching Health Center (THC) Graduate Medical Education (GME) Payment Program" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.530 Affordable Care Act Teaching Health Center Graduate Medical Education Payments Program.
  • This funding opportunity was created on Nov 29, 2010 and posted on Nov 29, 2010.
  • Applicants must submit their applications by Dec 30, 2010. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $230,000,000.00 to eligible and selected applicants.
  • The number of recipients for this funding is limited to 10 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Qualified teaching health centers that are listed as sponsoring institutions by the revelevant accrediting body for expansion of existing, or establishment of new approved, graduate medical residency training programs.
Apply for HRSA 11 149

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Opportunity Summary:

The Affordable Care Act (ACA) Teaching Health Center (THC) Graduate Medical Education (GME) Payment Program is a federal grant opportunity administered by the Health Resources and Services Administration (HRSA) to expand medical residency training in community-based, ambulatory primary care settings. The core purpose is to strengthen the primary care workforce by funding residency programs that train physicians in places like community health centers and other outpatient sites where patients routinely receive frontline care. Instead of focusing training dollars primarily on hospital-based residency models, this program is structured to support “teaching health centers” that function as real-world community training environments, helping residents gain experience with underserved populations, preventive care, chronic disease management, and integrated community health services.

Funding under this program is intended to offset the costs of expanding existing residency programs or establishing new, approved residency programs located in community-based primary care settings. The program specifically provides payments for both direct and indirect graduate medical education expenses. Direct expenses generally refer to costs that are clearly tied to training residents, such as resident salaries and benefits, supervising faculty time, and administrative support required to operate an accredited residency program. Indirect expenses typically recognize the broader operational and clinical costs that arise when an organization trains residents, such as added staffing needs, reduced productivity compared to non-teaching clinical settings, additional patient care coordination demands, and other overhead associated with maintaining a teaching environment. In other words, the program is designed to support not just the resident positions themselves, but also the real institutional infrastructure needed to run a sustainable training program in an outpatient community setting.

Eligibility is limited to qualified teaching health centers that are listed as sponsoring institutions by the relevant accrediting body. This matters because HRSA is using accreditation status as the main indicator that a program has the formal authority, governance, and educational capacity to sponsor a residency program. The opportunity is focused on organizations that are either growing an already approved residency program or creating a new residency program that will be approved, with the common requirement that the training is primary care-oriented and community-based. The funding announcement lists the applicant type broadly as “Others,” but the eligibility language clarifies that applicants must meet the teaching health center sponsorship and accreditation-related requirements described above.

Administratively, this opportunity was offered as a discretionary grant with no cost-sharing or matching requirement, meaning applicants were not required to contribute a specified percentage of non-federal funds as a condition of receiving the award. The funding opportunity number is HRSA-11-149, and the CFDA number associated with the program is 93.530 (Affordable Care Act Teaching Health Center Graduate Medical Education Payments Program). HRSA anticipated making around 10 awards, with an estimated total funding level of $230,000,000. The announcement was originally posted on November 29, 2010, with a closing date of December 30, 2010, and it was later archived on February 28, 2011.

For reference and official documentation, the announcement points to HRSA’s grants page for full details, and HRSA’s call center is provided as the support contact for applicants who have difficulty accessing the materials online. The overall intent is straightforward: use federal GME payments to build and expand community-based residency training capacity, especially in outpatient primary care settings, so more clinicians are trained in the environments where many high-need patients receive care.

Frequently Asked Questions (FAQs)

What is the ACA Teaching Health Center (THC) Graduate Medical Education (GME) Payment Program?

The ACA Teaching Health Center (THC) GME Payment Program is a federal grant opportunity administered by the Health Resources and Services Administration (HRSA). Its purpose is to expand medical residency training in community-based, ambulatory primary care settings, such as community health centers and other outpatient sites.

What is the main goal of this funding opportunity?

The core goal is to strengthen the primary care workforce by supporting residency programs that train physicians in real-world community settings where patients receive frontline care. The program emphasizes training in underserved communities, preventive care, chronic disease management, and integrated community health services.

What kinds of training settings does the program prioritize?

The program prioritizes community-based, outpatient primary care training environments rather than hospital-based residency training models. It is designed to support "teaching health centers" that operate as ambulatory community training sites.

What can the funding be used for?

Funding is intended to offset the costs of expanding existing residency programs or establishing new, approved residency programs located in community-based primary care settings. The program provides payments for both direct and indirect graduate medical education expenses.

What are "direct" GME expenses under this program?

Direct expenses generally include costs clearly tied to training residents, such as resident salaries and benefits, supervising faculty time, and the administrative support required to operate an accredited residency program.

What are "indirect" GME expenses under this program?

Indirect expenses recognize broader operational and clinical costs that arise when an organization trains residents. Examples noted include added staffing needs, reduced productivity compared to non-teaching clinical settings, additional patient care coordination demands, and other overhead associated with maintaining a teaching environment.

Does the program fund only resident positions, or also program infrastructure?

The program is designed to support both the resident positions and the institutional infrastructure needed to run a sustainable training program in an outpatient community setting, including costs captured under both direct and indirect GME expense categories.

Who is eligible to apply?

Eligibility is limited to qualified teaching health centers that are listed as sponsoring institutions by the relevant accrediting body. HRSA uses accreditation status as the main indicator that an organization has the authority, governance, and educational capacity to sponsor a residency program.

What does it mean to be "listed as a sponsoring institution" by an accrediting body?

Based on the announcement description, this means the applicant must have recognized accreditation-related status showing it is the sponsoring institution for a residency program. This sponsorship status is central to eligibility.

Can an organization apply if it is starting a new residency program?

Yes. The opportunity is focused on organizations that are either growing an already approved residency program or creating a new residency program that will be approved, with the common requirement that the training is primary care-oriented and community-based.

Is the program limited to primary care residency training?

Yes. The opportunity description emphasizes that supported programs must be primary care-oriented and community-based, with training conducted in ambulatory primary care settings.

Is cost sharing or matching required?

No. The opportunity was offered as a discretionary grant with no cost-sharing or matching requirement, meaning applicants were not required to contribute a specified percentage of non-federal funds as a condition of receiving an award.

What agency administers this grant?

The program is administered by the Health Resources and Services Administration (HRSA).

What is the funding opportunity number?

The funding opportunity number is HRSA-11-149.

What is the CFDA number associated with this program?

The CFDA number is 93.530, identified as the Affordable Care Act Teaching Health Center Graduate Medical Education Payments Program.

How many awards were anticipated?

HRSA anticipated making around 10 awards.

What was the estimated total funding level?

The estimated total funding level was $230,000,000.

When was the announcement posted and when did it close?

The announcement was originally posted on November 29, 2010, and the closing date was December 30, 2010.

When was the opportunity archived?

The opportunity was later archived on February 28, 2011.

Where can applicants find official program documentation?

The announcement points to HRSA's grants page for full details and official documentation.

Who can applicants contact for help accessing materials?

HRSA's call center is provided as the support contact for applicants who have difficulty accessing the materials online.

Why does this program emphasize community-based residency training?

The intent is to build and expand community-based residency training capacity in outpatient primary care settings so more clinicians are trained in the environments where many high-need patients receive care, rather than concentrating training resources primarily in hospital-based models.

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