Opportunity Information: Apply for HRSA 20 093
The National Organizations of State and Local Officials (NOSLO) Program: Health Care Payment and Financing is a Health Resources and Services Administration (HRSA) funding opportunity designed to strengthen how states and localities understand, finance, and improve health care for people who are uninsured, underserved, vulnerable, or otherwise part of special populations that HRSA prioritizes. Issued by the U.S. Department of Health and Human Services (HHS) through HRSA, this discretionary cooperative agreement (Funding Opportunity Number HRSA-20-093; CFDA 93.011) supports one awardee organization that can bring a local, state, and national perspective to health care payment and financing issues. The overall intent is to help state and local authorities preserve and improve public health, build practical capacity to address public health matters (including supporting and enforcing health regulations), and prevent and suppress communicable diseases, with a specific emphasis on the payment and financing structures that shape care delivery in safety-net settings.
A central feature of the program is strengthening the working connection between HRSA and state and local officials through consistent two-way communication and meaningful data and information sharing. The grant aims to ensure HRSA has a clearer, real-time understanding of what state and local stakeholders need, what their priorities are, and how policy choices or operational barriers on the ground affect HRSA-funded programs. In turn, the funded organization is expected to help translate and distribute relevant information back to state and local partners, supporting coordination and shared problem-solving across jurisdictions. This bidirectional approach is meant to improve alignment between federal program goals and state/local realities, ultimately improving how services reach communities that rely on the health care safety net.
Another major focus is capacity-building at the state and local level. In this context, "capacity-building" means practical actions that develop, strengthen, and sustain the competencies, tools, and resources needed to maintain or improve health services for vulnerable and underserved populations over time. Examples of eligible capacity-building activities include providing technical assistance and training, collecting and analyzing data, improving information-sharing practices, developing materials, and carrying out other mutually agreed-upon actions that help state and local organizations function in a comprehensive, responsive, coordinated, and effective way. The idea is not simply to produce reports, but to increase the ability of state and local systems to apply evidence, manage change, and implement improvements in how care is financed and delivered.
The program also emphasizes producing more high-quality, impartial policy analysis and policy-relevant research related to health care payment and financing. This includes work on care coordination, health care financing approaches, health care quality initiatives, innovative care and payment models, and payment reform, particularly as these topics affect uninsured and underserved populations. By supporting analysis that is grounded in state and local experience, HRSA intends for the awardee to help identify what is working, what is not, and what policy or operational changes could improve affordability, access, and outcomes in safety-net care. The expectation is that the funded organization will serve as a credible resource that can elevate evidence and lessons learned across states and localities, helping inform decision-making that advances shared public health goals.
Administratively, this opportunity was posted January 10, 2020, with an original closing date of April 10, 2020. The award ceiling is $1,065,416, and HRSA anticipated making a single award. Eligibility is listed broadly as "Others," with applicants directed to review the specific eligibility clarification in the opportunity materials. Overall, the grant is structured to support one capable national-level organization positioned to convene state and local officials, facilitate information exchange with HRSA, and strengthen the policy and operational foundation for health care payment and financing strategies that support the safety net.Apply for HRSA 20 093
- 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: Health Care Payment 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 Jan 10, 2020.
- Applicants must submit their applications by Apr 10, 2020. (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 $1,065,416.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
What is the NOSLO Program: Health Care Payment and Financing?
The National Organizations of State and Local Officials (NOSLO) Program: Health Care Payment and Financing is a Health Resources and Services Administration (HRSA) funding opportunity intended to strengthen how states and localities understand, finance, and improve health care for people who are uninsured, underserved, vulnerable, or otherwise part of special populations prioritized by HRSA.
Which federal agency is offering this grant?
This opportunity is issued by the U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA).
What is the Funding Opportunity Number (FON) and CFDA number?
The Funding Opportunity Number is HRSA-20-093, and the CFDA number is 93.011.
What type of funding mechanism is this?
This is a discretionary cooperative agreement.
How many awards did HRSA anticipate making?
HRSA anticipated making a single award.
What is the maximum (ceiling) award amount?
The award ceiling is $1,065,416.
When was the opportunity posted, and what was the original closing date?
The opportunity was posted on January 10, 2020, and the original closing date was April 10, 2020.
Who is this program designed to benefit?
The program is designed to improve health care delivery and financing in ways that support people who are uninsured, underserved, vulnerable, or otherwise part of special populations that HRSA prioritizes, particularly in safety-net settings.
What is the overall purpose of the program?
The overall intent is to help state and local authorities preserve and improve public health, build practical capacity to address public health matters (including supporting and enforcing health regulations), and prevent and suppress communicable diseases, with a specific emphasis on payment and financing structures that shape care delivery in safety-net settings.
What is meant by a focus on "health care payment and financing" in this grant?
The grant emphasizes the payment and financing structures that influence how care is delivered, especially within the health care safety net. The work is expected to address how financing approaches, payment models, and reforms affect access, affordability, quality, and outcomes for uninsured and underserved populations.
What is the "central feature" of the program?
A central feature is strengthening the working connection between HRSA and state and local officials through consistent two-way communication and meaningful data and information sharing.
What does "two-way communication" mean in the context of this grant?
It refers to a bidirectional approach where HRSA gains clearer, more real-time insight into state and local needs, priorities, and on-the-ground barriers affecting HRSA-funded programs, while the funded organization helps translate and distribute relevant information back to state and local partners to support coordination and shared problem-solving.
What role is the awardee expected to play between HRSA and state/local stakeholders?
The awardee is expected to facilitate strong connections between HRSA and state/local officials by supporting regular communication, enabling data and information sharing, and helping ensure information flows back to partners in ways that improve coordination and alignment across jurisdictions.
Why is HRSA emphasizing real-time understanding of state and local needs?
The goal is to improve alignment between federal program goals and state/local realities so that policy choices and operational approaches are better informed by what is happening on the ground, ultimately improving how services reach communities relying on the health care safety net.
What does "capacity-building" mean for this program?
In this program, capacity-building means practical actions that develop, strengthen, and sustain the competencies, tools, and resources needed to maintain or improve health services for vulnerable and underserved populations over time.
What are examples of eligible capacity-building activities mentioned in the opportunity?
Examples include providing technical assistance and training, collecting and analyzing data, improving information-sharing practices, developing materials, and carrying out other mutually agreed-upon actions that help state and local organizations function in a comprehensive, responsive, coordinated, and effective way.
Is the program mainly about producing reports?
No. The emphasis is on increasing the ability of state and local systems to apply evidence, manage change, and implement improvements in how care is financed and delivered, rather than simply producing reports.
What kinds of policy analysis and research does the program emphasize?
The program emphasizes high-quality, impartial policy analysis and policy-relevant research related to health care payment and financing, including topics such as care coordination, health care financing approaches, health care quality initiatives, innovative care and payment models, and payment reform, particularly as these issues affect uninsured and underserved populations.
How is state and local experience expected to shape the analysis?
The analysis is intended to be grounded in state and local experience so it can help identify what is working, what is not, and what policy or operational changes could improve affordability, access, and outcomes in safety-net care.
What is meant by "safety-net settings" in this opportunity?
The opportunity references safety-net settings as the environments and systems that provide care to communities that rely on the health care safety net, particularly uninsured and underserved populations, and where payment and financing structures strongly shape care delivery.
What is the expected value of the awardee to states and localities?
The awardee is expected to serve as a credible resource that elevates evidence and lessons learned across states and localities, supports coordination across jurisdictions, and strengthens the policy and operational foundation for health care payment and financing strategies that support the safety net.
What is the expected value of the awardee to HRSA?
The awardee is expected to help HRSA develop a clearer understanding of state and local priorities and barriers affecting HRSA-funded programs, supported by consistent communication and meaningful data and information sharing.
Who is eligible to apply?
Eligibility is listed broadly as "Others," and applicants are directed to review the specific eligibility clarification in the opportunity materials.
What kind of organization is HRSA looking to fund?
The opportunity is structured to support one capable national-level organization positioned to convene state and local officials, facilitate information exchange with HRSA, and strengthen the policy and operational foundation for health care payment and financing strategies that support the safety net.
Does the program focus on coordination across jurisdictions?
Yes. The bidirectional information-sharing approach is intended to support coordination and shared problem-solving across jurisdictions.
How does this program relate to public health responsibilities of states and localities?
The program intent includes helping state and local authorities preserve and improve public health, build practical capacity to address public health matters (including supporting and enforcing health regulations), and prevent and suppress communicable diseases, while emphasizing the payment and financing structures that shape care delivery in safety-net settings.
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