Grants to States for Loan Repayment

Active

Assistance listing
93.165
Agency
Grant awards
295 $335,718,918 in federal obligations

Program facts

Also known as
State Loan Repayment Program (SLRP)
Assistance type
  • Project Grant
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 is making grants to states and territories to operate educational loan repayment programs for primary care providers working in Health Professional Shortage Areas, with the most recent awards issued July 1, 2026, under CFDA 93.165.

The program funds state-administered loan repayment assistance to health professionals—including physicians, dentists, nurse practitioners, physician assistants, mental health providers, pharmacists, registered nurses, and allied health disciplines—in exchange for service commitments of typically two years in federally designated HPSAs. Eligible recipients include the 50 states, District of Columbia, Guam, Puerto Rico, Northern Mariana Islands, U.S. Virgin Islands, American Samoa, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. Award recipients establish three-way contracts among the state, the health professional, and the practice site.

The program is predominantly Project Grants (97% of 286 awards), with a smaller block grant component. Funding is concentrated within HHS HRSA's Bureau of Health Professionals, which obligated $300 million across 139 awards, and the parent HHS HRSA entity, which obligated $35.7 million across 156 awards. Combined federal dollars obligated total $335.7 million; combined federal and non-federal obligations reach $339.8 million.

Recent grant awards show typical initial repayment magnitudes ranging from under $200 thousand to $2.3 million per award over three-year project periods. Representative recent awards include New Mexico Higher Education Department ($400 thousand per budget period to support approximately 32 health care providers annually statewide in primary care and mental health), Rhode Island Department of Health ($4.2 million over four years), and North Carolina Office of Rural Health ($5.4 million over four years focused on behavioral and mental health providers). Alaska's SHARP program received $10 million, representing the program's largest recent award.

A new NOFO (HRSA-26-015) was posted August 1, 2024, with application due January 12, 2026. The solicitation targets states, tribal governments, and territories for four-year project periods. The prior round (HRSA-22-048) closed April 8, 2022, and funded 46 awards in 2026. Grant opportunities have been posted consistently; the program shows strong recent activity with 46 awards issued in 2026 alone, representing a substantial increase from historical baseline levels of 6–8 annually prior to 2022.

Objective and description

Objective

To increase the availability of primary health care clinicians in Health Professional Shortage Areas (HPSAs) by assisting States in operating programs for the repayment of educational loans of health professionals in return for their practice in HPSA

Description

To increase the availability of primary health care clinicians in Health Professional Shortage Areas (HPSAs) by assisting States in operating programs for the repayment of educational loans of health professionals in return for their practice in HPSAs.

Eligibility

Applicant eligibility

Eligible entities include the 50 States, the District of Columbia, Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, the U.S. Virgin Islands, American Samoa, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

Beneficiary eligibility

Applicants for State programs must have completed a course of study required to practice independently without supervision as one of the following health care professionals: Doctor of Allopathic Medicine or Osteopathic Medicine, General Practice Dentist (D.D.S. or D.M.D.), Pediatric Dentist, Primary Care Certified Nurse Practitioner, Certified Nurse-Midwife, Primary Care Registered Nurse, Pharmacist, Primary Care Physician Assistant, Registered Clinical Dental Hygienist, Dental Therapist, Health Service Psychologist (formerly Clinical or Counseling Psychologist (Ph.D. or equivalent), Licensed Clinical Social Worker (master's or doctoral degree in social work), Psychiatric Nurse Specialist, Substance Abuse Counselor, Mental Health Counselor, Licensed Professional Counselor (master's or doctoral degree with a major study in counseling), Marriage and Family Therapist (master's or doctoral degree with a major study in marriage and family therapy),Registered Nurse, Pharmacist, and Registered Dietician/Nutritionist. The primary care specialties approvable for physicians are: family medicine (and osteopathic general practice), internal medicine, including geriatricians, pediatrics, obstetrics/gynecology, and general psychiatry. General practitioners (physicians who have not completed residency training programs) are not eligible for funding under the SLRP. The primary care specialties approval for registered nurses, nurse practitioners and physician assistants are: adult, family, pediatrics, psychiatry/mental health, geriatrics, or women's health. Participants must provide full-time clinical service for a minimum of two years in a public or non-profit entity located in a federally designated HPSA. Refer to the NHSC SLRP Notice of Funding Opportunity for specific requirements.

Uses of assistance

Funds under this grant must only be used to repay the qualifying educational loans of health professionals who have entered into a SLRP contract with the States.

Use restrictions

Funds under this grant must only be used to repay the qualifying educational loans of health professionals who have entered into a SLRP contract with the States.

Length and time phasing of assistance

This funding opportunity provides support for a 3-year project period. States are asked to commit the full amount of funding for their loan repayment awards to practitioners in the current fiscal year to avoid out-year commitments for additional Federal funds.

How to apply

Criteria for selecting proposals

Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by non-Federal expert consultant(s) for technical merit recommendations. Applications will be reviewed and evaluated against the following criteria: (1) Purpose and Need; (2) Response to Program Purpose; (3) Impact; (4) Organizational Information, Resources and Capabilities; and (5) Support Requested. See the most recent Notice of Funding Opportunity for detailed selection criteria.

Award procedure

Notification is made in writing by Notice of Award

Time to approval or disapproval

Approximately 120 to 180 days after receipt of application.

Renewals

Depending on Agency priorities and availability of funding, during the final budget year of the approved project period competing continuation applications may be solicited from interested applicants.

Grant opportunities

Opportunity Status Posted Applications due
State Loan Repayment Program (State LRP) HRSA-26-015 Closed
State Loan Repayment Program (SLRP) HRSA-22-048 Closed
State Loan Repayment Program (SLRP) HRSA-18-011 Closed

Grant awards

Latest 10 of 295 listed here. See the rest on GovTribe.

Top recipients by federal obligations

10 of 67 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2026 $38,378,206
FY2025 -$4,000,355
FY2024 -$5,777,603
FY2023 $84,530,323
FY2022 $113,159,259
FY2021 $18,252,179
FY2013 -$1,223,526
FY2012 -$552,650
FY2011 $6,929,470
FY2010 $8,356,550
FY2009 $9,028,763
FY2008 -$1,577,580
FY2007 $5,112,428
FY2005 $3,208,662
FY2003 $6,844,197
FY2002 $14,462,740
FY2001 $7,210,253
Show all 17

Quick answers

What is Assistance Listing 93.165?

Assistance Listing 93.165 is Grants to States for Loan Repayment, a federal grant program run by Health Resources and Services Administration (Department of Health and Human Services).

What is the CFDA number for Grants to States for Loan Repayment?

Its CFDA number is 93.165: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.165 awarded?

295 grant awards under 93.165 have obligated $335,718,918 in federal funds to 67 recipients.

Who receives the most funding from 93.165?

The recipients obligated the most under Grants to States for Loan Repayment are State Of Alaska Department Of Health ($15,380,517), Pennsylvania Department Of Health ($11,944,405) and Michigan Department Of Health And Human Services ($11,347,649).

How much did 93.165 obligate in fiscal year 2025?

Grants under 93.165 obligated -$4,000,355 in federal funds in fiscal year 2025.

Are there open grant opportunities under 93.165?

No opportunity listed under 93.165 is open now. The latest, State Loan Repayment Program (State LRP), was posted on August 1, 2024.

On GovTribe

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