Grants to States for Operation of State Offices of Rural Health

Active

Assistance listing
93.913
Agency
Grant awards
112 $225,776,940 in federal obligations

Program facts

Also known as
The State Offices of Rural Health (SORH) Program
Assistance types
  • Project Grant
  • Cooperative Agreement
  • Block 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 funds State Offices of Rural Health operations through CFDA 93.913, with the most recent grant awards issued on July 1, 2026. The program provides institutional frameworks within each state that link rural communities to state and federal resources, supporting three core functions: maintaining clearinghouses for rural health information, coordinating statewide rural health activities to avoid redundancy, and providing technical assistance to rural providers and communities seeking to access federal and state programs. Recent awards to Iowa, Rhode Island, Louisiana, and other states support workforce recruitment and retention activities, dissemination of rural health data and funding opportunities through newsletters and webinars, coordination with state and national partners, and support for sustainable healthcare delivery models including rural health clinics and community paramedicine programs.

This program has operated continuously since 1991, with 112 total grants awarded over that period and three awards disbursed in the past quarter. Award activity averages roughly one to two grants per year when averaged across recent cycles, though fiscal year 2026 saw three awards. The program is predominantly Project Grants, comprising 98 percent of the award portfolio, with a single Cooperative Agreement and one Block Grant rounding out the mix. Combined federal dollars obligated total $225.8 million across all awards in the portfolio. Recent individual award magnitudes range from approximately $243 thousand to $3.2 million, with five-year project periods typical; Pennsylvania and Oregon received awards exceeding $3 million for the July 2026–June 2031 period.

All 50 states are eligible to apply, with each state able to submit only one application through its governor-designated State Office of Rural Health. Federally recognized tribal governments and national-scope Native American organizations are also eligible for a parallel State Rural Health Coordination and Development component. The most recent grant opportunity, HRSA-26-065, posted January 6, 2026, with applications due July 10, 2026; that cycle has closed. Competing continuation applications may be submitted in future cycles contingent on funding availability. Evaluation criteria include responsiveness to program requirements, development of measurable goals and evaluation plans, coordination with other state health entities, strength of administrative and financial management, budget reasonableness, and likelihood of office continuation after federal support ends.

Objective and description

Objective

The purpose of the State Offices of Rural Health (SORH) grant program is to assist states in strengthening rural health care delivery systems by maintaining a focal point for rural health within each state. The program provides funding for an institu

Description

The purpose of the State Offices of Rural Health (SORH) grant program is to assist states in strengthening rural health care delivery systems by maintaining a focal point for rural health within each state. The program provides funding for an institutional framework that links small rural communities with state and federal resources to help develop long-term solutions to rural health problems. The State Offices of Rural Health Coordination and Development Program (SORHCDP) is a cooperative agreement that builds the capacity of the 50 State Offices of Rural Health and rural stakeholders nationwide to better coordinate and improve rural health services.

Eligibility

Applicant eligibility

All fifty states may apply. Each state may only submit one application. Only current SORH awardees, as designated by the Governor, may apply. SORHCDP: applicant is an organization that is national in scope with experience providing coordination and development to enhance the rural health infrastructure in each of the 50 states; federally recognized tribal Government and Native American Organizations eligible to apply.

Beneficiary eligibility

Underserved populations in rural areas; facilities and services in rural areas.

Uses of assistance

All funds awarded are to be expended solely for carrying out the approved projects. SORH: This is a matching grant program with states to support the establishment and ongoing operation of Offices of Rural Health. While a wide range of activities can be conducted to address unique state needs, each State Office of Rural Health must: (1) Establish an information clearinghouse for collecting and disseminating information, (2) coordinate state and federal rural health programs throughout the state for the purpose of avoiding duplication, and (3) provide technical assistance that will improve participation in state and federal programs.

Use restrictions

All funds awarded are to be expended solely for carrying out the approved projects. SORH: This is a matching grant program with states to support the establishment and ongoing operation of Offices of Rural Health. While a wide range of activities can be conducted to address unique state needs, each State Office of Rural Health must: (1) Establish an information clearinghouse for collecting and disseminating information, (2) coordinate state and federal rural health programs throughout the state for the purpose of avoiding duplication, and (3) provide technical assistance that will improve participation in state and federal programs.

Length and time phasing of assistance

Grant applications should be submitted for up to a 5-year project period. Subject to availability of funds, after initial awards, projects may be renewed non-competitively contingent upon submission and approval of an application, availability of appropriated funds, and awardee's satisfactory performance.

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

SORH grant applications will be evaluated on the basis of the following criteria: (1) The extent to which the application is responsive to the requirements and purposes of the program; (2) the extent to which the applicant has developed measurable goals, objectives, and an evaluation plan for the required, and any discretionary, activities; (3) the extent to which the Office is coordinated with, and has the cooperation of, other health entities and activities within the state; (4) the strength of the applicant's plans for administrative and financial management of the Office; (5) the reasonableness of the budget proposed for the Office; and (6) the likelihood that the Office will be continued after federal grant support is completed. All other criteria are listed in the application guidance for SORH and SORHCDP.

Award procedure

Notification is made in writing by a Notice of Award.

Time to approval or disapproval

6 months.

Renewals

Awardees may request funding beyond an initial project period by submitting a competing continuation application during a regular competing application cycle. All competitive cycles are contingent upon availability of funds for such purposes.

Grant opportunities

Opportunity Status Posted Applications due
State Offices of Rural Health Program HRSA-26-065 Closed
State Offices of Rural Health Program (SORH) HRSA-21-026 Closed
State Offices of Rural Health Grant Program (SORH) HRSA-16-016 Closed

Grant awards

Latest 10 of 112 listed here. See the rest on GovTribe.

Top recipients by federal obligations

10 of 61 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2026 $7,641,870
FY2025 $26,214,897
FY2024 $21,786,887
FY2023 $24,775,107
FY2022 $16,394,303
FY2021 $11,819,679
FY2020 $11,855,430
FY2019 $9,548,231
FY2018 $9,503,890
FY2017 $9,476,904
FY2016 $8,987,532
FY2015 $9,179,411
FY2014 $9,011,885
FY2013 $9,018,313
FY2012 $9,217,347
FY2011 $9,206,910
FY2010 $9,839,910
FY2009 $9,238,868
FY2008 $6,777,556
FY2007 -$571,544
Show all 20

Quick answers

What is Assistance Listing 93.913?

Assistance Listing 93.913 is Grants to States for Operation of State Offices of Rural Health, 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 Operation of State Offices of Rural Health?

Its CFDA number is 93.913: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.913 awarded?

112 grant awards under 93.913 have obligated $225,776,940 in federal funds to 61 recipients.

Who receives the most funding from 93.913?

The recipients obligated the most under Grants to States for Operation of State Offices of Rural Health are National Organization Of State Offices Of Rural Health, Inc. ($19,279,315), The University Of Kentucky Research Foundation ($5,573,777) and The Pennsylvania State University ($5,393,032).

How much did 93.913 obligate in fiscal year 2025?

Grants under 93.913 obligated $26,214,897 in federal funds in fiscal year 2025.

Are there open grant opportunities under 93.913?

No opportunity listed under 93.913 is open now. The latest, State Offices of Rural Health Program, was posted on January 6, 2026.

On GovTribe

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