Opportunity Information: Apply for HRSA 14 033

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Affordable Care Act State Loan Repayment Program (SLRP)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.165 Grants to States for Loan Repayment Program.
  • This funding opportunity was created on Feb 27, 2014 and posted on Feb 25, 2014.
  • Applicants must submit their applications by Apr 29, 2014 N/A. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $10,000,000.00 to eligible and selected applicants.
  • The number of recipients for this funding is limited to 45 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Entities eligible to apply for this grant program include the 50 States, the District of Columbia, Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, the Virgin Islands, American Samoa, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. Current SLRP Grantees with project periods ending on or before August 31, 2014 are eligible to apply under this announcement. In order to be eligible, States must demonstrate that the program operated with the grant funds will be administered directly by a State agency. States must also agree that the grant funds will be used to pay all or part of the principal, interest, and related expenses of qualifying educational loans of health professionals, in return for their provision of primary health care services in Federally designated HPSAs. The contract between the State and the health professional must contain a breach provision and other terms that are not more favorable than the most favorable terms that the Secretary is authorized to offer to participants in the National Health Service Corps (NHSC) Loan Repayment Program (LRP) (42 U.S.C. 254l 1).
Apply for HRSA 14 033

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Opportunity Summary:

The Affordable Care Act State Loan Repayment Program (SLRP) is a discretionary grant opportunity run by the Health Resources and Services Administration (HRSA) that provides funding to states and U.S. territories to help them operate their own educational loan repayment programs. The central idea is straightforward: federal grant dollars support state-managed loan repayment assistance for primary care clinicians, and in exchange those clinicians commit to providing primary care services in federally designated Health Professional Shortage Areas (HPSAs) within the state or territory. The program is designed to strengthen the health workforce and improve access to care by encouraging clinicians to practice in communities that have documented shortages.

SLRP is explicitly focused on recruitment and retention in underserved areas, including both rural and urban settings. HRSA ties this to broader Department of Health and Human Services (HHS) workforce goals, emphasizing that getting the right providers into the right geographic areas increases access to primary health care for underserved populations. HPSAs are the key targeting mechanism for the program and can be designated based on shortages in primary medical care, dental health, and mental health. Those designations can apply to different types of need, including geographic areas, specific populations, and certain facilities. By using HPSA designations, the program aims to direct resources where provider shortages are formally identified and most acute.

A notable feature of SLRP is that, within statutory and regulatory limits, grantees have flexibility to tailor their programs to local workforce needs. States and territories can select which provider disciplines to prioritize and which HPSA sites to emphasize, allowing them to respond to their own shortages across primary medical, dental, and mental health services. Even with that flexibility, the structure is anchored in a service-for-loan-repayment model: grant funds are used to pay all or part of the principal, interest, and related expenses on qualifying educational loans for health professionals who agree to serve in HPSAs under contract with the state.

Eligibility is limited to public entities: the 50 states, the District of Columbia, and specified U.S. territories and freely associated states/territories, including Guam, Puerto Rico, the Northern Mariana Islands, the U.S. Virgin Islands, American Samoa, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. The announcement also specifies that current SLRP grantees with project periods ending on or before August 31, 2014 are eligible to apply under this particular competition. An important administrative condition is that the SLRP supported by the grant must be administered directly by a state agency, not outsourced or run indirectly, and the state must commit to using the funds for qualifying loan repayment tied to HPSA service.

The program includes participant protection and accountability requirements through the contract structure. The contract between the state and the health professional must include a breach provision, and the overall terms cannot be more favorable to the participant than the most favorable terms the Secretary is authorized to offer under the National Health Service Corps (NHSC) Loan Repayment Program. In practical terms, this aligns SLRP service obligations and enforcement expectations with the established federal benchmark used in NHSC loan repayment, helping ensure consistency and discouraging overly lenient state contracts that could weaken the service commitment.

From a funding and administrative standpoint, the opportunity is identified as HRSA-14-033 under CFDA 93.165 (Grants to States for Loan Repayment Program). The total estimated funding listed is $10,000,000, with an expected 45 awards. The listing indicates a cost sharing or matching requirement, meaning applicants should expect to contribute non-federal resources as part of operating the program. The posting date is February 25, 2014, with an original and current closing date of April 29, 2014, and an archive date of June 28, 2014. The award ceiling and floor are both listed as $0 in the provided record, which typically signals that award amounts may be determined through program-specific formulas, allocations, or other guidance in the full announcement rather than fixed minimums or maximums in the summary line item.

For applicants or interested parties who need help accessing the full announcement, HRSA provided support through the HRSA Grants Application Center in Gaithersburg, Maryland, and the HRSA Call Center (877-464-4772) as well as the email CallCenter@HRSA.GOV.

Frequently Asked Questions (FAQs): Affordable Care Act State Loan Repayment Program (SLRP)

What is the Affordable Care Act State Loan Repayment Program (SLRP)?

The Affordable Care Act State Loan Repayment Program (SLRP) is a discretionary grant opportunity run by the Health Resources and Services Administration (HRSA). It provides federal funding to states and U.S. territories so they can operate their own educational loan repayment programs for primary care clinicians.

What is the main purpose of SLRP?

The program is designed to strengthen the health workforce and improve access to care by recruiting and retaining clinicians in underserved communities. It does this by offering loan repayment to clinicians who commit to providing primary care services in federally designated Health Professional Shortage Areas (HPSAs) within the state or territory.

How does the SLRP model work?

SLRP follows a service-for-loan-repayment structure. Federal grant dollars go to eligible states and territories, which then provide loan repayment assistance to health professionals. In exchange, those professionals agree under contract to serve in HPSAs in the state or territory.

What types of areas does SLRP target?

SLRP targets underserved areas in both rural and urban settings. The program specifically focuses on locations and settings identified as having documented provider shortages.

What are HPSAs, and why do they matter for SLRP?

Health Professional Shortage Areas (HPSAs) are the key targeting mechanism for SLRP. They are federally designated areas (or populations/facilities) where shortages of health professionals have been formally identified. SLRP service commitments must be tied to providing care in these designated shortage areas.

What kinds of HPSA designations are relevant to this program?

HPSAs can be designated based on shortages in primary medical care, dental health, and mental health. Designations can apply to geographic areas, specific populations, or certain facilities.

Which clinician disciplines can be supported through SLRP?

The program allows states and territories, within statutory and regulatory limits, to tailor their SLRP to local workforce needs. This includes selecting which provider disciplines to prioritize across primary medical, dental, and mental health services.

How much flexibility do states and territories have in designing their SLRP program?

Grantees have flexibility (within statutory and regulatory limits) to tailor their programs to local workforce shortages. They may choose which provider disciplines to emphasize and which HPSA sites to prioritize, while still maintaining the core requirement that loan repayment is tied to service in HPSAs under contract.

What can SLRP grant funds be used for?

Grant funds are used to pay all or part of the principal, interest, and related expenses on qualifying educational loans for health professionals who agree to serve in HPSAs under contract with the state or territory.

Who is eligible to apply for this SLRP grant opportunity?

Eligibility is limited to public entities: the 50 states, the District of Columbia, and specified U.S. territories and freely associated states/territories. The eligible jurisdictions listed include Guam, Puerto Rico, the Northern Mariana Islands, the U.S. Virgin Islands, American Samoa, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

Are current SLRP grantees eligible to apply under this competition?

Yes. The announcement specifies that current SLRP grantees with project periods ending on or before August 31, 2014 are eligible to apply under this particular competition.

Can a state or territory outsource administration of the SLRP program?

No. A stated administrative condition is that the SLRP supported by the grant must be administered directly by a state agency. It cannot be outsourced or run indirectly.

How are clinicians held accountable for their service commitment?

Accountability is built into the required contract structure between the state (or territory) and the health professional. The contract must include a breach provision.

Are there limits on how favorable state contract terms can be for participants?

Yes. The overall contract terms cannot be more favorable to the participant than the most favorable terms the Secretary is authorized to offer under the National Health Service Corps (NHSC) Loan Repayment Program. This aligns SLRP expectations with the NHSC benchmark for service obligations and enforcement.

What is the funding opportunity number and CFDA number for this program?

The opportunity is identified as HRSA-14-033 under CFDA 93.165 (Grants to States for Loan Repayment Program).

How much total funding is estimated for this opportunity, and how many awards are expected?

The total estimated funding is $10,000,000, and the opportunity anticipates approximately 45 awards.

Is there a cost sharing or matching requirement?

Yes. The listing indicates a cost sharing or matching requirement, meaning applicants should expect to contribute non-federal resources as part of operating the program.

What are the key dates for this opportunity?

The posting date is February 25, 2014. The original and current closing date is April 29, 2014. The archive date is June 28, 2014.

What does it mean that the award ceiling and award floor are listed as $0?

In the provided record, both the award ceiling and floor are listed as $0. This typically indicates that individual award amounts may be determined through program-specific formulas, allocations, or guidance provided in the full announcement rather than being presented as fixed minimums or maximums in the summary.

Where can applicants get help accessing the full announcement or application support?

HRSA provided support through the HRSA Grants Application Center in Gaithersburg, Maryland, and the HRSA Call Center at 877-464-4772. Email support is available at CallCenter@HRSA.GOV.

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