Opportunity Information: Apply for HRSA 12 082

  • 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): 93.547 Affordable Care Act National Health Service Corps.
  • This funding opportunity was created on Apr 17, 2012 and posted on Apr 17, 2012.
  • Applicants must submit their applications by Jun 5, 2012. (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 19 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, the Commonwealth of Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, Palau, the Marshall Islands, and the Commonwealth of the Northern Mariana Islands.
Apply for HRSA 12 082

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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) to expand access to primary health care in communities that do not have enough clinicians. The program is rooted in Section 338I(a)(i) of the Public Health Service Act (42 U.S.C. 254q-1(a)(i)), which authorizes the U.S. Department of Health and Human Services to award grants to states and territories. Those grantees then use the funding to help repay the educational loans of qualified health professionals, in exchange for the clinicians committing to provide primary care services in federally designated Health Professional Shortage Areas (HPSAs). In practical terms, the grant is a tool states can use to recruit and keep clinicians by reducing their student debt burden, while directing that workforce to the specific communities with the highest documented shortages.

The need this program addresses is substantial and longstanding. HRSA notes that the SLRP has supported more than 30 states over time, and since the program began in 1987 it has helped recruit roughly 3,500 clinicians to serve in shortage areas. The shortage designations themselves are widespread: as of November 21, 2011, there were 13,745 designated primary care, dental, and mental health HPSAs. The opportunity also ties directly to the Patient Protection and Affordable Care Act (Public Law 111-148), which expanded coverage and increased demand for care, especially in urban, rural, and otherwise vulnerable communities. The underlying policy logic is that if more people have coverage and seek services, then states need more physicians and other primary care practitioners positioned where shortages are most severe, and loan repayment is one of the fastest ways to influence where clinicians choose to practice.

A key feature of SLRP is that it is state-operated but federally guided. To qualify for federal SLRP dollars, a state or territory must run a loan repayment program for primary care providers with terms that are no more favorable than the National Health Service Corps Loan Repayment Program (NHSC LRP) is authorized to provide. That statutory requirement creates a baseline of consistency, preventing states from using federal funds to offer benefits that exceed NHSC-authorized terms. At the same time, HRSA emphasizes that there is still meaningful flexibility for states to design their programs in ways that differ from NHSC LRP, as long as they stay within the required guardrails. In other words, states have room to tailor their SLRP to local workforce realities, priority sites, and specific shortage patterns, while still adhering to federal rules about how the repayment assistance is structured.

This specific funding announcement is identified as HRSA-12-082, titled "Affordable Care Act State Loan Repayment Program (SLRP)," and it falls under the Health funding activity category. The assistance is provided as a grant, and it includes a cost sharing or matching requirement, meaning recipients must contribute non-federal funds as part of the program financing rather than relying solely on the federal award. HRSA anticipated making 19 awards under this announcement, with an estimated total funding amount of $10,000,000. The associated CFDA number listed is 93.547, reflecting its relationship to Affordable Care Act workforce initiatives and the National Health Service Corps framework.

Eligibility is broad across U.S. jurisdictions, reflecting the program's goal of supporting nationwide workforce capacity. Eligible applicants include the 50 states, the District of Columbia, and multiple U.S. territories and freely associated states: the Commonwealth of Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, Palau, the Marshall Islands, and the Commonwealth of the Northern Mariana Islands. The posting date for this opportunity was April 17, 2012, and the application closing date was June 5, 2012, with an archive date of August 4, 2012. HRSA also provided a formal announcement link for full requirements and instructed applicants who have trouble accessing the notice to contact the HRSA Call Center by phone (877-464-4772) or email (CallCenter@HRSA.GOV).

Overall, the SLRP opportunity is best understood as a federal-state partnership designed to reduce clinician shortages by exchanging loan repayment support for service commitments in HPSAs. It aims to strengthen primary care capacity across primary care, dental, and mental health shortage areas, and it became even more relevant in the ACA era due to increased demand for health services. The program balances standardization (through NHSC-aligned limitations) with customization (by allowing states to shape key aspects of their own loan repayment programs), while requiring matching funds to ensure states have financial stake and long-term commitment in building and maintaining their safety-net workforce.

Frequently Asked Questions (FAQs): Affordable Care Act State Loan Repayment Program (SLRP) - HRSA-12-082

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 administered by the Health Resources and Services Administration (HRSA). It is designed to expand access to primary health care by helping states and territories recruit and retain clinicians in communities that lack enough providers.

What problem is this grant meant to address?

The program targets ongoing clinician shortages in federally designated Health Professional Shortage Areas (HPSAs). HRSA has noted that shortage designations are widespread across primary care, dental, and mental health. The SLRP uses loan repayment as a workforce tool to help place clinicians in communities with the highest documented shortages.

How does the SLRP model work in practice?

HRSA awards grants to states and territories. Those grantees then use the funding to help repay educational loans for qualified health professionals. In exchange, clinicians commit to providing primary care services in federally designated HPSAs. This structure is intended to reduce student debt burden while directing clinicians to shortage areas.

Who receives the federal grant funding directly?

The federal grant is awarded to eligible states and territories (not directly to individual clinicians). The state or territorial grantee operates the loan repayment program and uses the funds to support loan repayment for qualified health professionals who agree to serve in HPSAs.

What is the legal authority for the program?

The program is rooted in Section 338I(a)(i) of the Public Health Service Act (42 U.S.C. 254q-1(a)(i)). This authority allows the U.S. Department of Health and Human Services to award grants to states and territories for state-operated loan repayment programs.

How is this program connected to the Affordable Care Act?

The opportunity ties to the Patient Protection and Affordable Care Act (Public Law 111-148), which expanded coverage and increased demand for health services. The SLRP supports workforce capacity to meet that demand, particularly in urban, rural, and other vulnerable communities with documented shortages.

What types of shortage areas are relevant to this opportunity?

The program is focused on federally designated Health Professional Shortage Areas (HPSAs), including primary care, dental, and mental health HPSAs.

What does it mean that SLRP is "state-operated but federally guided"?

States and territories run their own loan repayment programs, but they must follow federal requirements to receive SLRP funds. HRSA describes this as a federal-state partnership: federal rules establish key guardrails, while states retain flexibility to shape program details to fit local workforce needs and shortage patterns.

How does the National Health Service Corps Loan Repayment Program (NHSC LRP) relate to SLRP?

To qualify for federal SLRP dollars, a state or territory must operate a loan repayment program for primary care providers with terms that are no more favorable than what the NHSC Loan Repayment Program is authorized to provide. This creates a baseline of consistency and limits how generous the state terms can be when using federal SLRP funds.

Does the program allow states any flexibility in program design?

Yes. HRSA notes that there is still meaningful flexibility for states to design their programs in ways that differ from the NHSC LRP, as long as they stay within required guardrails, including the requirement that terms be no more favorable than NHSC-authorized terms.

Is there a cost sharing or matching requirement?

Yes. This funding opportunity includes a cost sharing or matching requirement, meaning recipients must contribute non-federal funds as part of the program financing rather than relying only on the federal award.

What is the funding opportunity number and title?

The funding announcement is identified as HRSA-12-082, titled "Affordable Care Act State Loan Repayment Program (SLRP)."

What type of federal assistance is provided?

The assistance is provided as a grant under the Health funding activity category.

How many awards did HRSA anticipate making under this announcement?

HRSA anticipated making 19 awards under this announcement.

What was the estimated total funding amount?

The estimated total funding amount associated with this announcement was $10,000,000.

What is the CFDA number for this opportunity?

The CFDA number listed for this opportunity is 93.547.

Who was eligible to apply?

Eligible applicants included the 50 states, the District of Columbia, and multiple U.S. territories and freely associated states: the Commonwealth of Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, Palau, the Marshall Islands, and the Commonwealth of the Northern Mariana Islands.

What were the key dates for this funding announcement?

The posting date was April 17, 2012. The application closing date was June 5, 2012. The archive date was August 4, 2012.

How does HRSA describe the program's track record or historical context?

HRSA has noted that the SLRP has supported more than 30 states over time. Since the program began in 1987, it has helped recruit roughly 3,500 clinicians to serve in shortage areas.

How large were the shortage designations referenced in the announcement?

HRSA referenced that, as of November 21, 2011, there were 13,745 designated primary care, dental, and mental health HPSAs.

Where are clinicians expected to serve in exchange for loan repayment?

Clinicians supported through state-run SLRP funding are expected to commit to providing primary care services in federally designated Health Professional Shortage Areas (HPSAs).

What should someone do if they cannot access the formal announcement?

HRSA instructed applicants who have trouble accessing the notice to contact the HRSA Call Center by phone at 877-464-4772 or by email at CallCenter@HRSA.GOV.

What is the overall purpose of this grant opportunity?

The SLRP is a federal-state partnership designed to reduce clinician shortages by exchanging loan repayment support for service commitments in HPSAs. It is intended to strengthen primary care capacity across primary care, dental, and mental health shortage areas, and it became especially relevant in the Affordable Care Act era due to increased demand for health services.

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