Opportunity Information: Apply for HRSA 14 094
Apply for HRSA 14 094
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "National Organizations for State and Local Officials (NOSLO)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.011 National Organizations of State and Local Officials.
- This funding opportunity was created on Feb 4, 2014 and posted on Feb 4, 2014.
- Applicants must submit their applications by Mar 31, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $2,000,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 4 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligible applicants include nonprofit service and/or membership organizations that can provide training and technical assistance on a national level to strengthen the infrastructure capacities of states and local government entities.
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Opportunity Summary:
The National Organizations for State and Local Officials (NOSLO) opportunity is a Health Resources and Services Administration (HRSA) cooperative agreement designed to help states and localities strengthen the systems that support care for underserved populations. At its core, NOSLO is about improving population health outcomes, building a skilled healthcare workforce, and advancing health equity by boosting the capacity of key state and local entities that shape publicly funded health programs and safety net services. The program focuses on strengthening state and local health departments and their subdivisions, Primary Care Organizations (PCOs), State Offices of Rural Health (SORHs), small rural hospitals and clinics, State Medicaid agencies, and state legislatures, largely by creating structured ways to share information, participate in learning communities, and adopt quality improvement and innovative approaches that can be used across jurisdictions.
A central feature of NOSLO is that it funds national organizations that represent major state and local official constituencies, specifically organizations aligned with state/territorial health officials, local county and city health officials, state Medicaid directors, and state legislatures. Each funded organization is expected to tailor its work to the needs of its own membership and target audience, while still advancing shared national goals such as improving access to care, reducing disparities, and supporting safety net providers. In practice, this means awardees are positioned as national-level hubs that can translate emerging federal and state policy issues into practical assistance for decision-makers and implementers at the ground level.
NOSLO lays out a broad set of program goals that reflect cross-cutting challenges states and local governments face. These include helping jurisdictions respond to major health reform issues such as Affordable Care Act (ACA) implementation, using policy analysis, data analysis, and environmental scans to inform decisions as reforms evolve. The program also emphasizes improving public health programs by partnering with government entities that influence population health and health policy, strengthening the ability of agencies and payers (including Medicaid) to collaborate on innovative initiatives, and leveraging strategic interests such as workforce development, health information technology and health information exchange, health equity initiatives, and sustainable financing mechanisms like Medicare and Medicaid. Another key objective is strengthening the integration of primary care and public health, especially in underserved urban and rural communities, and promoting real-world adoption of integration indicators, like building multi-stakeholder coalitions that align local efforts with national and regional health and human services priorities.
The notice is explicit about what awardees are expected to do with the funding, and those expectations are heavily oriented toward implementation support rather than just research or convening. Awardees are expected to help states and local entities address the needs of uninsured, underserved, and special needs populations, including concrete efforts to reduce health disparities and improve access to quality care. They are also expected to support health promotion and disease prevention through quality improvement activities at state, local, and practice levels. This includes practical mechanisms like resource sharing, collecting and analyzing data for outcome measurement, and documenting benefits across multiple sites so that successful approaches can be replicated. Collaboration is another major requirement: awardees should create useful partnerships both within and beyond the health sector to support policy development and effective implementation, and they should help expand safety net capacity by building partnerships that sustain community care teams and by standardizing care coordination practices. Workforce development is repeatedly highlighted, including strengthening the capacity of state and local public health agencies and supporting the training needs of the core safety net workforce tied to HRSA-funded programs.
Structurally, NOSLO requires work across three core functions. First is training and technical assistance (T/TA) focused on program management and operational support, meaning awardees should produce and deliver practical training, tools, and guidance that state and local agencies and partners can use. Second is policy and program development support, which includes policy analysis, program analysis, and information exchange so that members can respond to emerging issues with better evidence and shared learning. Third is collaboration and partnership promotion, requiring awardees to convene, coordinate, and facilitate multi-entity efforts that reduce duplication, leverage resources, and improve efficiency across public health and healthcare systems. Applicants are expected to propose specific activities under each of these functions and show how those activities will strengthen organizational capacity and translate into measurable improvements in health and equity.
The program is also designed to benefit a wide set of HRSA grantees and safety net entities indirectly, by equipping state and local systems with better tools and stronger coordination. The opportunity highlights that awardees should develop technical assistance materials and training that states and political subdivisions can use in ways that support HRSA grantees such as health centers, state maternal and child health programs, health professions training programs, Ryan White HIV/AIDS Program grantees, and state and local public health entities serving underserved communities. In addition, the program underscores alignment with U.S. Department of Health and Human Services priorities, especially supporting ACA-related implementation work at state and local levels and identifying how ACA provisions can improve outcomes for beneficiaries and increase value in state Medicaid programs.
From an administrative standpoint, this is a discretionary HRSA funding opportunity (Funding Opportunity Number HRSA-14-094; CFDA 93.011) using a cooperative agreement mechanism, which generally indicates substantial federal involvement and collaboration during project execution. The opportunity anticipated four awards with an estimated total funding level of $2,000,000, and it did not require cost sharing or matching. Eligible applicants were nonprofit service and/or membership organizations capable of delivering national-level training and technical assistance to strengthen infrastructure capacity across state and local government entities. The announcement originally opened in early February 2014 with a closing date at the end of March 2014 and was later archived, but the described model and expectations provide a clear picture of what HRSA sought to fund: national membership organizations that can connect policy, practice, and performance improvement to strengthen the safety net and advance equity in underserved communities through scalable, measurable, and sustainable approaches.
Frequently Asked Questions (FAQs) - National Organizations for State and Local Officials (NOSLO) - HRSA Cooperative Agreement
What is the NOSLO grant opportunity?
NOSLO (National Organizations for State and Local Officials) is a Health Resources and Services Administration (HRSA) cooperative agreement that funds national membership organizations to help states and localities strengthen systems that support care for underserved populations. The program is designed to improve population health outcomes, build a skilled healthcare workforce, and advance health equity by boosting the capacity of key state and local entities involved in publicly funded health programs and safety net services.
What does NOSLO aim to improve?
NOSLO is focused on strengthening the systems behind care delivery and public health efforts, with emphasis on:
- Improving population health outcomes
- Building and strengthening the healthcare and public health workforce
- Advancing health equity and reducing disparities
- Improving access to quality care for underserved, uninsured, and special needs populations
- Increasing the capacity and coordination of safety net services
Who is this funding intended to support?
The funding is intended to support national organizations that represent major state and local official constituencies. These organizations serve as national-level hubs that translate policy and program issues into practical support for state and local decision-makers and implementers. While awardees are national organizations, the work is meant to strengthen systems used by states, localities, and safety net providers serving underserved communities.
Which types of national organizations are specifically highlighted?
The opportunity specifically describes national organizations aligned with major constituencies such as:
- State and territorial health officials
- Local county and city health officials
- State Medicaid directors
- State legislatures
Each funded organization is expected to tailor its work to the needs of its own membership and target audience while also advancing shared national goals.
What state and local entities are emphasized as beneficiaries of the work?
NOSLO emphasizes strengthening the capacity of key state and local entities that shape publicly funded health programs and safety net services, including:
- State and local health departments and their subdivisions
- Primary Care Organizations (PCOs)
- State Offices of Rural Health (SORHs)
- Small rural hospitals and clinics
- State Medicaid agencies
- State legislatures
Is NOSLO primarily a research program?
No. The notice emphasizes implementation support rather than research alone. Awardees are expected to provide practical training and technical assistance, support policy and program development, and actively promote collaboration and partnerships that lead to measurable improvements in health outcomes and equity.
What are the main expectations of awardees?
The opportunity is explicit that awardees should deliver practical, usable support. Expectations include helping state and local entities:
- Address needs of uninsured, underserved, and special needs populations
- Reduce health disparities and improve access to quality care
- Support health promotion and disease prevention through quality improvement
- Share resources and provide tools that can be adopted across jurisdictions
- Collect and analyze data for outcome measurement
- Document benefits across multiple sites so successful approaches can be replicated
- Build partnerships within and beyond the health sector to support policy and implementation
- Expand safety net capacity (including sustaining community care teams and standardizing care coordination)
- Support workforce development tied to HRSA-funded programs and safety net services
What are the three core functions required under NOSLO?
NOSLO requires work across three core functions, and applicants are expected to propose specific activities under each:
- Training and Technical Assistance (T/TA): Practical training, tools, and operational guidance focused on program management and implementation support for state and local agencies and partners.
- Policy and Program Development Support: Policy analysis, program analysis, environmental scans, data analysis, and information exchange so members can respond to emerging issues with better evidence and shared learning.
- Collaboration and Partnership Promotion: Convening, coordinating, and facilitating multi-entity efforts that reduce duplication, leverage resources, and improve efficiency across public health and healthcare systems.
How does NOSLO encourage cross-jurisdiction learning?
The program describes structured ways to share information, participate in learning communities, and adopt quality improvement and innovative approaches that can be used across jurisdictions. Awardees serve as hubs for information exchange and practical assistance so states and localities can learn from each other and replicate successful strategies.
How does NOSLO relate to health reform and the Affordable Care Act (ACA)?
NOSLO includes helping jurisdictions respond to major health reform issues such as ACA implementation. The program highlights activities like policy analysis, data analysis, and environmental scans to inform decisions as reforms evolve, and it underscores identifying how ACA provisions can improve outcomes for beneficiaries and increase value in state Medicaid programs.
Does NOSLO focus on Medicaid?
Yes, Medicaid-related collaboration and sustainable financing are part of the emphasis. The opportunity highlights strengthening the ability of agencies and payers (including Medicaid) to collaborate on innovative initiatives and leveraging sustainable financing mechanisms like Medicare and Medicaid.
What does NOSLO say about health equity and disparities?
Health equity is a central theme. Awardees are expected to carry out concrete efforts to reduce health disparities, improve access to quality care, and strengthen systems that support underserved communities in both urban and rural settings.
What is meant by integrating primary care and public health in NOSLO?
NOSLO emphasizes strengthening the integration of primary care and public health, especially in underserved urban and rural communities. The opportunity also points to real-world adoption of integration indicators, such as building multi-stakeholder coalitions that align local efforts with national and regional health and human services priorities.
What kinds of activities are included under quality improvement?
The notice ties quality improvement to actionable, practice- and system-level efforts, including:
- Health promotion and disease prevention supported by quality improvement activities
- Resource sharing and dissemination of tools and guidance
- Collecting and analyzing data for outcome measurement
- Documenting benefits across multiple sites to support replication
How important are partnerships and collaboration in NOSLO?
Collaboration is described as a major requirement. Awardees are expected to create partnerships within and beyond the health sector, convene multi-entity efforts, reduce duplication, leverage resources, and improve efficiency across public health and healthcare systems. They are also expected to help expand safety net capacity by building partnerships that sustain community care teams and standardize care coordination practices.
Does NOSLO address workforce development?
Yes. Workforce development is repeatedly highlighted. The opportunity emphasizes strengthening the capacity of state and local public health agencies and supporting the training needs of the core safety net workforce tied to HRSA-funded programs.
How does NOSLO support HRSA grantees?
NOSLO is designed to benefit HRSA grantees indirectly by equipping state and local systems with better tools and stronger coordination. The opportunity highlights that awardees should develop technical assistance materials and training that support HRSA grantees such as:
- Health centers
- State maternal and child health programs
- Health professions training programs
- Ryan White HIV/AIDS Program grantees
- State and local public health entities serving underserved communities
What type of funding mechanism is used for NOSLO?
NOSLO uses a cooperative agreement mechanism. The notice indicates this generally involves substantial federal involvement and collaboration during project execution.
What is the Funding Opportunity Number (FON) and CFDA number listed?
The opportunity lists Funding Opportunity Number HRSA-14-094 and CFDA 93.011.
How many awards and how much funding were anticipated?
The announcement anticipated four awards with an estimated total funding level of $2,000,000.
Was cost sharing or matching required?
No. The notice states there was no cost sharing or matching requirement.
Who was eligible to apply based on the description provided?
Eligible applicants were nonprofit service and/or membership organizations capable of delivering national-level training and technical assistance to strengthen infrastructure capacity across state and local government entities.
When did the opportunity open and close?
The announcement originally opened in early February 2014 with a closing date at the end of March 2014.
Is this opportunity still open?
No. The opportunity was later archived. The description still provides a clear model of what HRSA sought to fund through NOSLO, but the notice itself is not active.
What kind of outcomes is NOSLO trying to achieve?
The opportunity emphasizes measurable improvements in health and equity, supported by capacity building, quality improvement, and replication of successful approaches across multiple sites and jurisdictions.
How are awardees expected to tailor their work?
Each funded national organization is expected to tailor its activities to the needs of its membership and target audience while advancing shared national goals such as improving access to care, reducing disparities, and supporting safety net providers.
What role do learning communities and information exchange play in NOSLO?
They are described as key mechanisms for spreading practical solutions. The program emphasizes structured ways to share information, participate in learning communities, and exchange analysis and lessons learned so that states and localities can adopt quality improvement and innovative approaches more quickly and consistently.
What does NOSLO say about health information technology and sustainable financing?
The opportunity highlights leveraging strategic interests such as workforce development, health information technology and health information exchange, health equity initiatives, and sustainable financing mechanisms like Medicare and Medicaid as part of strengthening systems and supporting innovative initiatives.
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