National Organizations for State and Local Officials

Active

Assistance listing
93.011
Agency
Grant awards
166 $716,442,265 in federal obligations

Program facts

Also known as
NOSLO
Assistance types
  • Project Grant
  • Cooperative Agreement
Treasury account
  • 75-0350-0-1-550
More information

Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.

About this program

The Department of Health and Human Services Health Resources and Services Administration funds technical assistance and capacity-building activities delivered by national nonprofit and membership organizations to state and local health officials, legislators, and policymakers under CFDA 93.011, with the most recent grant award disbursed on September 30, 2024.

Program activity remains consistent and recent. The portfolio spans 166 awards from 2008 through September 2024, with notable concentration in 2021 (150 awards). Award cadence has slowed in recent years—2024 saw one award, 2022 saw eight, and 2020 saw two—but the September 2024 grant demonstrates ongoing funding. The program has been continuously active for more than 16 years.

Funded activities center on technical assistance to state and local officials addressing public health, health care delivery, and capacity-building. Recent awards reflect two distinct tracks. The largest recent awards—issued in 2021 and 2022—funded community-based workforce initiatives to build COVID-19 vaccine confidence and increase vaccination access in underserved communities, ranging from $506 thousand to $54.7 million per award. The most recent award (September 2024) for $2.9 million funded state health services and financing initiatives, including Medicaid policy development and health care access improvement. Historical awards also supported health legislation education, health policy innovation, state governance, and public health systems capacity.

Awards are predominantly Project Grants (98 percent of 162 awards) with a small Cooperative Agreement component (2 percent of four awards). All funding flows through a single federal agency: the Department of Health and Human Services Health Resources and Services Administration, which obligated $716.4 million in combined federal dollars across the program lifetime.

Representative recent awards include $54.7 million to increase COVID-19 vaccinations in underserved communities (November 2021), $35 million for community-based COVID-19 vaccine confidence work (February 2022), and the $2.9 million state health services and financing award noted above.

Eligible applicants are nonprofit service and membership organizations with national scope, broad reach, and established long-term relationships with at least one category of state or local officials, including state health departments, state Medicaid directors, state and territorial legislators, governors, state health officials, and local health officials. The program does not fund lobbying organizations.

Open grant opportunities posted between 2022 and 2023 sought applications for multiple NOSLO tracks. HRSA-24-103 (posted September 26, 2023; due May 23, 2024) solicited a Cooperative Agreement for State Health Services and Financing to support Medicaid policy initiatives improving access to care for vulnerable populations, with emphasis on maternal health disparities, rural access, and behavioral health. Earlier 2023 opportunities (due July 6, 2023) addressed State Health Legislative Education, Health Policy Innovation, State and Local Public Health Systems, and State Governance. A 2021 opportunity (HRSA-22-120, posted November 10, 2021; due December 10, 2021) sought Cooperative Agreements for community-based workforce initiatives to build COVID-19 vaccine confidence.

Objective and description

Objective

The purpose of the HRSA National Organizations of State and Local Officials (NOSLO) cooperative agreement is to assist state and local authorities in: a) improving public health, health care, and health care delivery, b) building capacity to address

Description

State Health Services and Financing 1) Engage multiple states and their State Medicaid Directors and other health care payment officials to develop detailed implementation plans for policy initiatives that will improve access to quality health care for their highest-need populations that intersect with HRSA programs and HRSA settings of care. Where feasible, these initiatives can be shared across multiple states to achieve a nationwide impact. 2) Implement technical assistance activities and tools on health care financing policies, models, and data strategies that will benefit State Medicaid Directors, State Medicaid programs, and HRSA grantees to improve access to quality health care for high need communities by leveraging both HRSA programs and State Medicaid programs. Health Policy Innovation. 1) The award recipient will engage multiple states and their state policy officials and organizations relevant to HRSA programs to develop detailed implementation plans for policy initiatives that will improve access to quality health care for their highest-need populations. Where feasible, these initiatives will reach multiple states to achieve a nationwide impact. 2) The award recipient will implement capacity building activities on health policies, state models, and effective strategies that will improve access to quality health care to address the following: behavioral health workforce development, access to mental health and substance abuse disorder services, health care needs of homeless and public housing populations, and other vulnerable people. State Health Legislation 1) The award recipient will engage multiple states and their state and territorial legislators and legislative officials to develop detailed implementation plans for policy initiatives that will improve access to quality health care for their highest-need populations. Where feasible, these initiatives will reach multiple states to achieve a nationwide impact. 2) The award recipient will implement capacity-building activities on health care policies, state models, and promising practices that will improve access to quality health care to address the following: maternal health disparities, health care workforce development, access to mental health and substance abuse disorder services, oral health services for children and adults, access to telehealth services, and other emerging public health priorities. State and Local Public Health Systems 1) The award recipient will engage states and their state, territorial, tribal, and local public health officials and organizations to develop detailed implementation plans for policy initiatives that will improve access to quality health care for their highest-need populations. Where feasible, these initiatives will reach multiple states to achieve a nationwide impact. 2) The award recipient will implement capacity building activities on effective health care policies and programs that will improve access to quality health care to address the following: behavioral health workforce development, health care needs of people who are medically and economically vulnerable, geographically isolated people in rural areas, people with HIV, people with unmet behavioral health needs, and other vulnerable people. State Governance 1) The award recipient will engage state and territorial governors and their policy advisors to develop detailed implementation plans for policy initiatives that will improve access to quality health care for their highest-need populations. Where feasible, these initiatives will reach multiple states to achieve a nationwide impact. 2) The award recipient will implement capacity building activities on innovative solutions to public health challenges and best practices that will improve access to quality health care to address youth mental health in school-based settings, maternal mental health, health ca

Eligibility

Applicant eligibility

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. Applicants must be national in scope with a broad reach, and have established long-term relationships with at least one of the following groups: • State Departments of Public Health • State/Territorial/Tribal Health Officials • Local Health Officials • State/Territorial Legislators • State/Territorial Legislative Officials • Behavioral Health Officials • Governors • State Children's Health Insurance Program (CHIP) Directors • State Medicaid Directors

Beneficiary eligibility

Eligible beneficiaries include: Federal; Interstate; Intrastate; State; Local; Public nonprofit institution/organization; Other public institution/organization; Non-Governmental -General; Minority group; Specialized group (e.g., health professionals, students, veterans); Small business (less than 500 employees); Private nonprofit institution/organization; Quasi-public nonprofit institution/organization; Anyone/general public; Native American Organizations; Health professional; Black; American Indian; Spanish origin; Asian; Other non-white; Migrant; U.S. citizen; Refugee/Alien; Veteran/Service; Person/Reservist (including dependents); Women; Disabled (ie., Deaf, Blind, Physically Disabled).

Uses of assistance

This program will support national organizations that represent the following groups: State/Territorial Health Department Officials, Local County and City Health Department Officials, State Medicaid Directors, and State Legislatures to address cross-cutting, publiclycfunded health program integration and health access issues identified by the states and local governments and entities. Specifically, under the NOSLO program, each award recipient will be responsible for carrying out activities tailored to its own constituency's needs (i.e., its target audience). The NOSLO cooperative agreements are multi-faceted and include opportunities for policy information exchange and collaboration, as well as for providing training and technical assistance to state and local governments and their political subdivisions, health centers, other HRSA grantees, and other health care entities to address the needs of the underserved and targeted populations.

Use restrictions

No specific use restriction mentioned

Length and time phasing of assistance

Consult the Notice of Funding Opportunity for the period of support.

How to apply

Criteria for selecting proposals

Review Criteria are outlined in the Notice of Funding Opportunity.

Award procedure

A Notice of Award, signed by the Grants Management Officer, is sent via e-mail to the applicant's Authorized Organization Representative.

Time to approval or disapproval

Review Criteria are outlined in the Notice of Funding Opportunity.

Grant opportunities

Opportunity Status Posted Applications due
National Organizations of State and Local Officials (NOSLO): State Health Services and Financing HRSA-24-103 Closed
National Organizations of State and Local Officials: State Health Services and Financing HRSA-23-133 Closed
National Organizations of State and Local Officials: State Health Legislative Education HRSA-23-058 Closed
National Organizations of State and Local Officials: Health Policy Innovation HRSA-23-057 Closed
National Organizations of State and Local Officials: State and Local Public Health Systems HRSA-23-059 Closed
National Organizations of State and Local Officials: State Governance HRSA-23-088 Closed
Community-Based Workforce to Build COVID-19 Vaccine Confidence HRSA-22-120 Closed
Local Community-Based Workforce to Increase COVID-19 Vaccine Access HRSA-21-140 Closed
Community-Based Workforce for COVID-19 Vaccine Outreach HRSA-21-136 Closed
National Organizations of State and Local Officials: Health Care Payment and Financing HRSA-20-093 Closed
National Organizations of State and Local Officials: Health Legislation and Governance HRSA-20-092 Closed
National Organizations of State and Local Officials: Public Health Capacity HRSA-20-084 Closed
National Organizations for State and Local Officials (NOSLO) HRSA-17-075 Closed
Show all 13

Grant awards

Latest 10 of 166 listed here. See the rest on GovTribe.

Top recipients by federal obligations

10 of 155 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2025 -$6,164,662
FY2024 $4,683,438
FY2023 -$1,132,196
FY2022 $442,213,199
FY2021 $247,969,897
FY2020 $3,238,024
FY2019 $3,485,295
FY2018 $3,049,563
FY2017 $3,425,000
FY2016 $2,987,144
FY2015 $2,210,037
FY2014 $2,254,745
FY2013 $860,000
FY2012 $1,295,000
FY2011 $1,400,000
Show all 15

Quick answers

What is Assistance Listing 93.011?

Assistance Listing 93.011 is National Organizations for State and Local Officials, a federal grant program run by Health Resources and Services Administration (Department of Health and Human Services).

What is the CFDA number for National Organizations for State and Local Officials?

Its CFDA number is 93.011: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.011 awarded?

166 grant awards under 93.011 have obligated $716,442,265 in federal funds to 155 recipients.

Who receives the most funding from 93.011?

The recipients obligated the most under National Organizations for State and Local Officials are Community Health Center Association Of Mississippi ($43,788,000), Association Of Asian / Pacific Community Health Organizations ($38,486,333) and Treasure Coast Health Council, Inc. ($37,472,124).

How much did 93.011 obligate in fiscal year 2025?

Grants under 93.011 obligated -$6,164,662 in federal funds in fiscal year 2025.

Are there open grant opportunities under 93.011?

No opportunity listed under 93.011 is open now. The latest, National Organizations of State and Local Officials (NOSLO): State Health Services and Financing, was posted on September 26, 2023.

On GovTribe

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