Rural Community Toolbox: Funding & Resources for Rural Communities to Address Substance Misuse

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This funding record is inactive. Please see the program website or contact the program sponsor to determine if this program is currently accepting applications or will open again in the future.

Health Center Program New Access Points (NAP)

Link

https://bphc.hrsa.gov/funding/funding-opportunities/new-access-points

Additional Links

Notice of Funding Opportunity (Grants.gov)

Deadline

Application Deadline: Aug 30, 2024

Sponsor

Bureau of Primary Health Care (BPHC)

Purpose

Awards funding to establish new health centers to expand access to quality primary healthcare services in medically underserved communities. Provides support for new healthcare service delivery sites for the provision of comprehensive, affordable, and patient-centered primary healthcare services, including dental care and mental health and substance use disorder (SUD) services. Includes enabling services that remove barriers to care and connect patients to community resources to address social determinants of health in high-need geographic areas and underserved populations.

Projects must comply with Health Center Program Compliance requirements established in section 330 of the Public Health Service (PHS) Act and further detailed in the program Health Center Program Compliance Manual.

Applicants may propose projects that serve 4 different population types. Program requirements for each population type include:

Community Health Centers (CHCs) – PHS Act section 330(e):

  • Provide a plan that ensures the availability and accessibility of required primary healthcare services to underserved populations in the service area

Migrant Health Centers (MHCs) – PHS Act section 330(g):

  • Provide a plan that ensures the availability and accessibility of required primary healthcare services to migratory and seasonal agricultural workers and their families in the service area
  • Provide work-related health services such as injury prevention and screening for parasitic infections

Healthcare for the Homeless Centers (HCHs) – PHS Act section 330(h):

  • Provide a plan that ensures the availability and accessibility of required primary healthcare services to individuals:
    • Who lack housing, without regard to whether the individual is a member of a family
    • Whose primary residence during the night is a supervised public or private facility that provides temporary living accommodations
    • Who reside in transitional housing
    • Who reside in permanent supportive housing or other housing programs targeted to homeless populations
    • Who are children and youth at risk of homelessness, homeless veterans, and veterans at risk of homelessness
  • Provide SUD services

Public Housing Primary Care Centers (PHPCs) – PHS Act section 330(i):

  • Provide a plan that ensures the availability and accessibility of required primary healthcare services to residents of public housing and individuals living in areas immediately accessible to public housing that:
    • Includes low-income housing and mixed finance projects developed, owned, or assisted by a public housing agency
    • Excludes housing units with no public housing agency support other than Section 8 vouchers
  • Consult with residents served by the proposed project regarding the planning and administration of the program

Proposals must support at least 1 full-time, permanent service delivery site that provides primary healthcare services as its main purpose. All funded projects must begin operation within 120 days of the award notice with all necessary staff and providers in place. Programs must propose to serve a projected number of patients in 2026. Funding may be ended or reduced if programs do not meet these service goals.

Amount of Funding

Award ceiling: $650,000 per year

Up to $250,000 of the $650,000 may be requested in year 1 of the grant for 1-time minor capital costs for equipment and/or minor alteration or renovation projects.

Project period: 1 year
Estimated number of awards: 77
Estimated total program funding: $50,000,000

The following amounts are expected to be available for each health center type:

  • $40,750,000 for Community Health Center applicants
  • $4,300,000 for Migrant Health Center applicants
  • $4,350,000 for Healthcare for the Homeless Center applicants
  • $600,000 for Public Housing Primary Care Center applicants

Who Can Apply

Private nonprofit entities and public agencies, including tribal and urban Indian organizations, are eligible to apply.

Eligible applicants must:

  • Provide all required health services to medically underserved populations, as defined in section 330 of the PHS Act
  • Propose at least 1 service delivery site that provides primary medical care as its main purpose and is open for at least 40 hours per week
  • Make services accessible to the entire underserved population in the service area
  • Have a valid street address in an area with unmet need for health services

In addition to these requirements, new applicants must propose to serve a defined geographic area that is federally-designated, in whole or in part, as a Medically Underserved Area or Medically Underserved Population (MUA/MUP).

Public housing primary care (PHPC) applicants must demonstrate that they have consulted with the public housing residents while planning the new site and will ensure ongoing consultation with the residents.

Public housing primary care (PHPC) and Healthcare for the Homeless (HCH) applicants must use the funding to supplement, and not supplant, the expenditures of the health center and the value of in-kind contributions for the delivery of services to these populations.

For additional eligibility details and requirements, review the program guidance.

There are 3 funding priorities for this opportunity:

  1. High-need areas: for applicants proposing 1 full-time fixed delivery site located in a high-need area, defined as a zip code with an unmet need score (UNS) of 75 or greater and an unserved low-income population of at least 1,500; a Health Center Program penetration of the low-income population of 5% or less; or that has no current health center service delivery sites
  2. Sparsely populated areas: for applicants proposing 1 fixed or mobile delivery site operating for at least 20 hours per week that is located in a zip code designated as a Level 3 and 4 frontier and remote (FAR) area that has both a low population size and high geographic remoteness
  3. Health Center Program look-alikes: for applicants that have been designated by HRSA as a look-alike before October 1, 2023 and that meet certain performance conditions and/or are proposing at least 1 new full-time service delivery site

Geographic Coverage

Nationwide

What This Program Funds

Buildings and Facilities • Capacity Building • Equipment • New Program • Operating Costs and Staffing

Application Process

Application instructions, requirements, and other information can be found in the funding announcement.

Applicants must complete a 2-phase application process:

  • Phase 1: Applications must be submitted and validated through grants.gov by August 15, 2024
  • Phase 2: Applicants must submit supplemental information through HRSA Electronic Handbooks (EHBs) by October 2, 2024

Applicant technical assistance webpage

Contact

For programmatic or technical questions:
Allison Arnone and Menna Girma
301-549-4300
BPHC contact form

For grants management or budget questions:
Patrick Johnson
301-443-0157
pjohnson3@hrsa.gov

Brian Feldman
301-443-3190
bfeldman@hrsa.gov

Topics This Program Addresses

Community Planning and Coalition Building • Healthcare Facilities • Mental Health • Substance Use Disorder