Opportunity Information: Apply for HRSA 23 133

The National Organizations of State and Local Officials (NOSLO) Program: State Health Services and Financing (Funding Opportunity Number HRSA-23-133) is a discretionary HRSA grant designed to support one national-level organization that can provide high-quality, hands-on technical assistance to State Medicaid Directors and other state health care payment officials. The overarching aim is to help states strengthen public health and health care delivery systems, build practical capacity to address public health issues (including the ability to support and enforce health-related regulations), and advance health equity. In practice, this program is meant to tighten the working connection between HRSA and state, territorial, and local decision-makers so that financing and delivery policies better serve people who are medically, economically, and geographically vulnerable.

At the core of the opportunity is the idea of "capacity-building," meaning the concrete work of developing and sustaining the skills, tools, relationships, and resources needed to improve health services delivery, especially for communities that are rural, isolated, underserved, or otherwise at higher risk of poor access and outcomes. The funded organization is expected to function as a national technical assistance hub that helps states align Medicaid policy and purchasing approaches with HRSA-supported services and safety-net priorities. This includes helping states leverage HRSA programs and collaborate more effectively with Medicaid through initiatives, payment and delivery models, and better use of data and analytics.

The program is especially focused on improving access to quality care for populations and issues that HRSA has identified as high priority. These include maternal health disparities, health needs in rural and geographically isolated communities, the health care needs of people transitioning out of the criminal justice system, individuals with HIV, people with unmet behavioral health needs (including youth mental health and substance use), and health care workforce challenges. Rather than funding direct clinical services, the grant is structured to support states through policy- and financing-oriented assistance that can shift systems, expand coverage and access pathways, and improve coordination across agencies and programs.

HRSA lays out three main objectives for the NOSLO program. First, it seeks to facilitate steady, structured communication and data or information-sharing between HRSA and state, territorial, and local officials. Second, it aims to improve HRSA's and partners' understanding of state and local needs, priorities, and on-the-ground perspectives, so federal support is more responsive to what states are actually facing. Third, it supports capacity-building activities that strengthen the health care safety net and move broader public health goals forward, with an explicit emphasis on equity and on populations that experience barriers to care.

The successful applicant will be expected to deliver tailored technical assistance to state Medicaid leadership and other payment officials through a mix of ongoing communication support and more formalized learning and product development. Examples of the supported activities include training and technical assistance on financing policies and payment models, support with data collection, data sharing, and data analysis, development of publications and practical tools, and convenings such as learning exchanges on priority topics. The intent is to help officials operate in a more coordinated, informed, and effective way, and to accelerate adoption of workable approaches that improve access and outcomes.

Two specific program objectives highlight what HRSA wants to see from the funded organization. One is engaging multiple states to develop detailed implementation plans for policy initiatives that expand access and quality for high-need populations, particularly where those initiatives intersect with HRSA programs; where practical, HRSA wants approaches that can be replicated across states to create broader national impact. The second is implementing technical assistance activities and tools focused on health care financing policies, models, and data strategies that address the priority areas named in the notice, including maternal health, behavioral health and substance use services, workforce, reentry populations, HIV, and other vulnerable groups.

From an administrative standpoint, this is a grant (Funding Instrument Type: Grant) under CFDA 93.011, offered by the U.S. Department of Health and Human Services, Health Resources and Services Administration. HRSA anticipated making one award, with an award ceiling of $500,000. Eligibility is broad and includes various government entities (state, county, city/township, special districts, and independent school districts), federally recognized tribal governments and other tribal organizations, nonprofits with or without 501(c)(3) status (excluding institutions of higher education), for-profit organizations other than small businesses, small businesses, and other entities as allowed by the additional eligibility guidance in the full notice. The opportunity was posted June 6, 2023, with an original application deadline of July 6, 2023.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "National Organizations of State and Local Officials: State Health Services and Financing" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.011.
  • This funding opportunity was created on Jun 06, 2023.
  • Applicants must submit their applications by Jul 06, 2023. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $500,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 23 133

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