Development and Coordination of Rural Health Services
Active
- Assistance listing
- 93.223
- Agency
-
Health Resources and Services Administration
Department of Health and Human Services
- Grant awards
- 4 $20,126,336 in federal obligations
Program facts
- Also known as
- National Rural Health Information Clearinghouse Program
- Assistance types
-
- Cooperative Agreement
- 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 (HRSA) funds the Development and Coordination of Rural Health Services program (CFDA 93.223) to maintain and expand a national clearinghouse for information on rural health, with an opportunity currently open under solicitation HRSA-25-009 with a due date of December 9, 2024.
The program funds the operation and maintenance of rural health information clearinghouses and related technical assistance infrastructure. Recent awards have supported a rural telementoring training center, rural policy analysis work, frontier community integration project support, and a core rural assistance center serving as a gateway to rural health information. The program emphasizes collaboration with the Office of Rural Health Policy to identify emerging issues, develop and distribute information resources to stakeholders, and gather and organize rural health information from multiple sources for public access via phone and web.
Assistance is predominantly Project Grants (75% of awards) with a smaller share of Cooperative Agreements (25%). All funding flows through HRSA. The program has disbursed $20.1 million in combined federal dollars obligated across four grants since 2005, though award cadence is sparse—one award every three to five years historically. The most recent award was in September 2020. Recent awards have ranged from approximately $290 thousand to $1.1 million, though a foundational 2005 cooperative agreement obligated $17.8 million.
Domestic public, private, and nonprofit entities are eligible, including faith-based and community-based organizations, tribes, and tribal organizations. Awards are made annually for project periods of up to five years. Recipients must maintain grant accounting records for three years after submitting the Federal Financial Report; entities expending $1 million or more in federal awards in a year are subject to single or program-specific audit requirements under 2 CFR 200, Subpart F.
The currently open opportunity (HRSA-25-009, posted July 12, 2024, due December 9, 2024) is structured as a Cooperative Agreement and accepts applications from for-profit organizations, small businesses, nonprofits, higher education institutions, state and local governments, and tribal entities. This represents active program engagement after a gap in solicitations since 2019.
Objective and description
- Objective
The purpose of this program is to serve as a national clearinghouse for information on rural health to support access to health care and improve population health in rural communities.
- Description
The purpose of this program is to serve as a national clearinghouse for information on rural health to support access to health care and improve population health in rural communities.
Eligibility
- Applicant eligibility
Eligible applicants include domestic public, private and nonprofit entities. Domestic faith-based and community-based organizations, tribes, and tribal organizations are eligible to apply.
- Beneficiary eligibility
The National Rural Health Information Clearinghouse is a gateway to information on rural health and social services for residents in rural areas of the United States and for all others interested in these issues.
- Uses of assistance
All funds awarded are to be expended solely for carrying out the approved activities in accordance with the intent of the cooperative agreement as stipulated in the notice of award.
- Use restrictions
All funds awarded are to be expended solely for carrying out the approved activities in accordance with the intent of the cooperative agreement as stipulated in the notice of award.
- Length and time phasing of assistance
Awards are made annually for a project period of up to 5 years.
How to apply
- Preapplication coordination
An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.
- Criteria for selecting proposals
Applications will be reviewed and rated on the applicant's ability to address the following areas to: (1) develop and maintain a rural health information clearinghouse; (2) track emerging and ongoing rural health issues and identify ways to solicit and distribute information for key stakeholders concerned about rural health care; (3) work collaboratively with FORHP to prioritize key issues and develop information resources to share with callers and web users; (4) gather, organize, and index information from a wide range of sources that deal with aspects of rural health care; and (5) experience in working with the full range of key rural interest groups, along with knowledge of rural health and of the key individuals and organizations involved in ensuring availability of health care in rural areas.
- Award procedure
Notification is made in writing by a Notice of Award.
- Time to approval or disapproval
Up to 6 months.
Grant opportunities
| Opportunity | Status | Posted | Applications due |
|---|---|---|---|
| National Rural Health Information Clearinghouse Program | Closed | ||
| National Rural Health Information Clearinghouse Program | Closed | ||
| Rural Assistance Center for ORHP Cooperative Agreement | Closed |
Grant awards
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | University Of North Dakota | $17,780,398 | 88% |
| 2 | The University Of Texas Health Science Center At San Antonio | $1,637,677 | 8% |
| 3 | The University Of Iowa | $418,122 | 2% |
| 4 | Montana Health Research And Education Foundation | $290,140 | 1% |
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | -$1 |
| FY2025 | -$564,720 |
| FY2024 | $6,098,401 |
| FY2023 | $6,242,407 |
| FY2022 | $10,137,329 |
| FY2021 | $5,074,253 |
| FY2020 | $3,000,000 |
| FY2019 | $2,500,000 |
| FY2018 | $2,500,000 |
| FY2017 | $2,099,886 |
| FY2016 | $2,040,934 |
| FY2015 | $2,100,000 |
| FY2014 | $1,593,618 |
| FY2013 | $1,600,441 |
| FY2012 | $1,508,445 |
| FY2011 | $1,455,378 |
| FY2010 | $1,324,762 |
| FY2009 | $775,948 |
| FY2008 | $831,000 |
Show all 19
Quick answers
What is Assistance Listing 93.223?
Assistance Listing 93.223 is Development and Coordination of Rural Health Services, a federal grant program run by Health Resources and Services Administration (Department of Health and Human Services).
What is the CFDA number for Development and Coordination of Rural Health Services?
Its CFDA number is 93.223: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.223 awarded?
4 grant awards under 93.223 have obligated $20,126,336 in federal funds to 4 recipients.
Who receives the most funding from 93.223?
The recipients obligated the most under Development and Coordination of Rural Health Services are University Of North Dakota ($17,780,398), The University Of Texas Health Science Center At San Antonio ($1,637,677) and The University Of Iowa ($418,122).
How much did 93.223 obligate in fiscal year 2025?
Grants under 93.223 obligated -$564,720 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.223?
No opportunity listed under 93.223 is open now. The latest, National Rural Health Information Clearinghouse Program, was posted on July 12, 2024.
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