Opportunity Information: Apply for HRSA 14 080

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "National Rural Health Policy and Community Development Program" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.155 Rural Health Research Centers.
  • 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 $1,800,000.00 to eligible and selected applicants.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Eligible applicants include public, private and nonprofit organizations, including faith based and community based organizations, state governments and their agencies such as universities, colleges, research institutions, hospitals, state and local governments or their bona fide agents along with federally recognized Indian Tribal governments, Indian Tribes, and Indian Tribal organizations. Additionally, an eligible applicant is strongly encouraged to be an organization that is national in scope and that has an established long term relationship with each of the following constituencies rural clinical service networks frontier residents rural hospitals and community health systems underserved rural populations rural medical and health care provider educators rural health clinics State Rural Health Associations (SRHA) and State Offices of Rural Health (SORH) and other federal partners that can help analyze the link between health care and economic development in rural communities. The recipient organization is expected to have an existing infrastructure and capacity to work directly or indirectly with a network of national, state based, or community based rural health care recruitment and retention specialists and experts who focus on the link between rural health care delivery and rural economic development.
Apply for HRSA 14 080

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Opportunity Summary:

The National Rural Health Policy and Community Development Program (HRSA-14-080) is a discretionary Health Resources and Services Administration (HRSA) cooperative agreement designed to strengthen rural health systems by combining policy work, technical assistance, and community development support. The program is built around the idea that rural communities need more than isolated projects or short-term fixes; they need coordinated, practical help that connects policy developments to on-the-ground realities in clinics, hospitals, and local health networks. A central emphasis is improving quality of care, sustaining the economic viability of rural providers, expanding access, and addressing workforce challenges like recruitment and retention, especially as the health care environment changes in response to insurance coverage expansion and other national trends.

The scope of work is broad and intentionally flexible so the recipient can respond to emerging needs. Key activities include identifying and promoting national rural health policy issues and promising practices, translating complex or rapidly changing policy developments into clear takeaways for rural providers, researchers, and policymakers, and sharing tools and resources that communities can use to shape local health systems around community needs. The program also prioritizes spreading effective quality improvement approaches in rural settings and ensuring that rural perspectives are represented in national quality forums. Another major theme is convening and connecting people: hosting policy discussions on emerging access issues, supporting rural leadership across hospitals, clinics, and communities, and providing forums where rural medical educators and students can exchange lessons learned related to workforce recruitment and retention.

Collaboration with state-based rural health organizations is a core expectation. The recipient is expected to work closely with State Offices of Rural Health (SORHs) and State Rural Health Associations (SRHAs) to identify pressing rural health challenges, map available programs and resources, and elevate state and local insights into national policy conversations. The opportunity also supports the development of rural health systems through rural health networks and encourages efforts that build linkages across national, state, and community levels to strengthen access to care and support workforce pipelines.

Several targeted focus areas are explicitly included. These include expanding public understanding of the economic impact of the health care sector in rural communities and helping quantify that impact to reinforce health care as a driver of rural development. The program also supports training opportunities and networks for community health workers, including promatora models on the U.S./Mexico Border and in rural areas. Additional responsibilities include providing tailored support and assistance to Section 330(a) health center grantees based on their programmatic needs, improving access to care for rural veterans while supporting veterans interested in health care careers, and promoting agriculture health and safety resources.

This funding is offered as a cooperative agreement, meaning HRSA expects substantial, ongoing involvement from the Office of Rural Health Policy (ORHP) staff in the project. In practice, that typically means the recipient will not operate independently; ORHP will be actively engaged in shaping priorities, refining approaches, and participating in the development and implementation of the work plan activities throughout the project period.

From an administrative standpoint, the opportunity anticipated a single award (ExpectedAwards: 1) with an estimated total funding level of $1,800,000. There was no cost sharing or matching requirement. The funding opportunity was posted February 4, 2014, with a closing date of March 31, 2014, and it was later archived May 30, 2014. Eligible applicants were broad, including public and private entities and nonprofit organizations (including faith-based and community-based organizations), state and local governments and agencies, universities and research institutions, hospitals, and federally recognized Tribal governments and Tribal organizations. The announcement strongly encouraged applicants that are national in scope and already connected to a wide rural health ecosystem, including rural clinical service networks, frontier communities, rural hospitals and community health systems, underserved rural populations, rural educators and training programs, rural health clinics, SORHs, SRHAs, and relevant federal partners working at the intersection of health care delivery and rural economic development. The recipient was also expected to have the infrastructure to work with recruitment and retention experts and others focused on aligning rural health delivery with rural development goals.

Frequently Asked Questions (FAQs)

What is the National Rural Health Policy and Community Development Program (HRSA-14-080)?

HRSA-14-080 is a discretionary HRSA cooperative agreement intended to strengthen rural health systems by combining national rural health policy work, technical assistance, and community development support. It emphasizes coordinated, practical help that links policy developments to day-to-day realities in rural clinics, hospitals, and local health networks.

What is the main purpose of this program?

The program aims to improve quality of care, sustain the economic viability of rural providers, expand access to care, and address rural workforce challenges such as recruitment and retention, particularly as the health care environment changes due to insurance coverage expansion and other national trends.

What kinds of activities does the program support?

The scope is broad and intentionally flexible to respond to emerging needs. Activities described include identifying and promoting national rural health policy issues and promising practices; translating complex or rapidly changing policy developments into clear takeaways for rural providers, researchers, and policymakers; sharing tools and resources communities can use to shape local systems around community needs; and convening stakeholders through policy discussions, leadership support, and learning forums.

How does the program approach rural health policy work?

The program includes identifying and promoting key national rural health policy issues and promising practices, and translating policy developments into practical guidance that rural providers, researchers, and policymakers can use.

Does the program include technical assistance and tools for rural communities?

Yes. The opportunity describes sharing tools and resources that rural communities can use to shape local health systems around community needs, along with technical assistance designed to connect policy developments to on-the-ground implementation.

What is the program's focus on quality improvement in rural settings?

The program prioritizes spreading effective quality improvement approaches in rural settings and ensuring rural perspectives are represented in national quality forums.

What does it mean that the scope of work is "flexible"?

It means the recipient is expected to be able to respond to emerging rural health needs rather than being limited to a narrow set of fixed tasks. The described activities provide key priorities, while allowing adaptation as new issues arise.

Is convening and stakeholder connection part of the work?

Yes. The opportunity explicitly highlights convening and connecting people, including hosting policy discussions on emerging access issues, supporting rural leadership across hospitals, clinics, and communities, and providing forums for rural medical educators and students to exchange lessons related to workforce recruitment and retention.

How important is collaboration with State Offices of Rural Health (SORHs) and State Rural Health Associations (SRHAs)?

Collaboration with SORHs and SRHAs is described as a core expectation. The recipient is expected to work closely with these state-based rural health organizations to identify pressing challenges, map available programs and resources, and elevate state and local insights into national policy conversations.

Does the program support rural health networks and broader rural health system development?

Yes. The opportunity supports development of rural health systems through rural health networks and encourages efforts that build linkages across national, state, and community levels to strengthen access to care and support workforce pipelines.

What targeted focus areas are explicitly included in the opportunity?

The announcement includes several targeted focus areas: expanding public understanding of the economic impact of the health care sector in rural communities (and helping quantify that impact); supporting training opportunities and networks for community health workers (including promatora models on the U.S./Mexico Border and in rural areas); providing tailored support to Section 330(a) health center grantees based on programmatic needs; improving access to care for rural veterans while supporting veterans interested in health care careers; and promoting agriculture health and safety resources.

What does the program say about the economic impact of rural health care?

A stated focus is expanding public understanding of how the health care sector affects rural economies and helping quantify that impact, reinforcing health care as a driver of rural development.

Does the program include community health worker training and networks?

Yes. The opportunity supports training opportunities and networks for community health workers, specifically including promatora models on the U.S./Mexico Border and in rural areas.

What support is included for Section 330(a) health center grantees?

The program includes providing tailored support and assistance to Section 330(a) health center grantees based on their programmatic needs.

How does the program address rural veterans?

It includes improving access to care for rural veterans and supporting veterans who are interested in health care careers.

Does the opportunity mention agriculture-related health and safety?

Yes. Promoting agriculture health and safety resources is listed among the program responsibilities.

What type of funding mechanism is this?

This is a cooperative agreement, which the announcement explains involves substantial, ongoing involvement from HRSA's Office of Rural Health Policy (ORHP) staff during the project.

What does HRSA's "substantial involvement" mean in practice?

Based on the announcement, the recipient is not expected to operate independently. ORHP will be actively engaged in shaping priorities, refining approaches, and participating in development and implementation of work plan activities throughout the project period.

How many awards were expected under this opportunity?

The opportunity anticipated a single award (ExpectedAwards: 1).

What was the estimated total funding level?

The estimated total funding level was $1,800,000.

Was cost sharing or a matching requirement required?

No. The opportunity states there was no cost sharing or matching requirement.

When was the opportunity posted and when did it close?

It was posted on February 4, 2014, with a closing date of March 31, 2014.

Is this opportunity currently open?

No. The announcement indicates it was archived on May 30, 2014.

Who was eligible to apply?

Eligible applicants included public and private entities and nonprofit organizations (including faith-based and community-based organizations), state and local governments and agencies, universities and research institutions, hospitals, and federally recognized Tribal governments and Tribal organizations.

What kinds of applicants were strongly encouraged?

The announcement strongly encouraged applicants that are national in scope and already connected to a wide rural health ecosystem, including rural clinical service networks, frontier communities, rural hospitals and community health systems, underserved rural populations, rural educators and training programs, rural health clinics, SORHs, SRHAs, and relevant federal partners focused on both health care delivery and rural economic development.

What capacity or infrastructure was the recipient expected to have?

The recipient was expected to have the infrastructure to work with recruitment and retention experts and others focused on aligning rural health delivery with rural development goals, and to operate across national, state, and community levels to strengthen rural health systems.

What workforce issues does the program emphasize?

The program emphasizes recruitment and retention challenges in rural areas and supports activities such as leadership development and forums for rural medical educators and students to share lessons learned related to workforce recruitment and retention.

What does the program say about rural representation in national forums?

The program prioritizes ensuring rural perspectives are represented in national quality forums, alongside spreading effective quality improvement approaches in rural settings.

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