Offers funding to support technical assistance and training for rural businesses that have fewer than 50 new workers and generate a gross revenue less than $1,000,000. Funds can also be used on projects to support and benefit rural businesses as specified in the grant application. Supports the expansion of rural businesses through economic development, planning, and other related activities.

Funds telecommunication projects that support distance learning and telemedicine services to increase access to education, training, and healthcare resources for students, teachers, medical professionals, and residents in rural areas. Emphasizes telecommunication projects that address substance use disorders (SUDs), including opioid misuse.

Provides funding to address immediate and short-term needs for substance use disorder (SUD) services in rural communities. Aims to establish or expand SUD prevention, harm reduction, treatment, and recovery services, with the goal of reducing and preventing overdoses in rural areas.

Provides funding to support community-based partnerships and collaborations aimed at promoting access to healthcare for under-resourced and underserved children and their families in rural and underserved areas through the implementation and evaluation of new or enhanced evidence-informed, evidence-based community-based projects that deliver preventive clinical and public health services to the target population. Program focus areas include increasing behavioral health screenings and referrals for children.

Offers funds and resources to enhance the capacity of statewide mental health family-controlled organizations that support, train, and mentor family members/primary caregivers who are raising children, youth, and young adults with serious emotional disturbance (SED) and/or co-occurring disorders (COD). Assists primary caregivers to build skills to participate in policy and planning within child-serving systems and effectively advocate for their child's and family's needs through training, mentorship, and other supports.

Provides funds to help and support law enforcement, correctional officers, probation and parole, and sheriff's departments partnering with mental health, substance use, and community service professionals and agencies to promote public safety and ensure appropriate responses are provided to individuals in crisis with behavioral health, conditions, intellectual disabilities, developmental disabilities, physical disabilities, and/or traumatic brain injuries. Funds activities focused on planning, developing, enhancing, and evaluating a Collaborative Crisis Response and Intervention Training (CRIT) program.

Aims to reduce the development and progression of substance use disorder (SUD) by improving local capacity to deliver community-based SUD prevention and mental health services. Promotes building strategic partnerships among key stakeholders to expand prevention infrastructure and implement strategies to identify and address the primary prevention concerns in the community, including the use of opioids, methamphetamine, and other substances. Provides evidence-based services to prevent SUD and support the mental health and well-being of youth and adults, especially those from underserved communities.

Offers grants and zero-interest loans to local utility organizations who provide funding options for local businesses. Supports economic development in rural areas by funding projects designed to create or preserve job opportunities.

Offers a discount on telecommunication expenses and network equipment for healthcare facilities to increase connectivity and access to broadband in rural areas to provide and improve healthcare.

Provides funding to support the planning, development, and design of transportation infrastructure projects in rural and tribal communities that will qualify for federal funding and financing programs for additional development phase activities or construction.

Offers grant funding to enhance behavioral health workforce capacity within the Northern Border Regional Commission's service area. Utilizes a network-based approach to provide training and job placement for behavioral health professionals in rural communities.

Offers grant funds to create new youth-focused, peer-driven behavioral healthcare support programs and provide career pathway opportunities in rural communities. Seeks to establish local networks to develop and implement behavioral health programming for rural youth.

Awards grants for the deployment of broadband in rural communities where private sector internet service providers are unable to develop the infrastructure to provide broadband service due to economic and cost challenges. Supports internet services to foster economic development and employment, and improve educational and healthcare opportunities in eligible areas.

Awards formula funding through a governor-appointed State or Territory Service Commission to single state programs that engage AmeriCorps members to build capacity, expand services, and help communities address their needs through service and volunteer activities. Focuses service projects on six areas: disaster services, economic opportunity, education, veterans and military families, environmental stewardship, and healthy futures. Includes service projects related to substance misuse. Supports evidence-based or evidence-informed interventions, practices, and program models.

Provides loans to eligible lenders who re-lend the funds to economically distressed rural areas with high or persistent poverty for the construction or improvement of essential community infrastructure, such as hospitals, medical and dental clinics, childcare centers, street improvements, and public safety services. Offers technical assistance and financial expertise to help high or persistent poverty areas gain access to capital, improve community facilities and services, and enhance the quality of life for rural residents.

Offers discounts to help schools and libraries with costs towards eligible data transmission services, internet access, internal connections, managed internal broadband services, and basic maintenance of internal connections.

Supports the planning and implementation of economic development and revitalization projects in areas facing economic disruption and hardship, including rural and American Indian and Alaska Native tribal communities. Helps communities attract investment, create and retain new businesses and jobs, provide job training and education opportunities for dislocated workers, and enhance technology and infrastructure.

Provides economically distressed areas, including rural and tribal communities, with resources to address their individual economic needs with the goal of creating and retaining jobs, developing workforce, advancing innovation, and increasing private investments. Supports strategies that build regional assets and provide local and regional capacity building and economic development.

Provides funding to assist states and tribes with supporting, maintaining, and expanding upon current public transit services in rural communities to enhance access to healthcare, education, and employment opportunities. States may either carry out public transit projects directly or grant funds to subrecipients to meet local transportation needs.

Supports local self-help housing construction projects in rural areas. Funds organizations that will recruit, supervise, and provide technical assistance to groups of individuals and families with low-income to enable them to construct their own homes. Aims to make homeownership possible for people living in substandard housing or who otherwise would not qualify as homeowners.

Supports regional economic development plans for rural areas by giving funding priority to multi-jurisdictional projects implemented through USDA Rural Development programs. Projects are intended to build community prosperity by using community assets, identifying resources, convening partners, and leveraging federal, state, local or private funding.

Aims to improve rural communications and economic development by providing loans and technical assistance to build, improve, and further develop telecommunication services in rural communities.

Supports projects to address the crisis of substance and opioid use in Appalachian counties through programs that help people in recovery obtain and maintain employment. Promotes the development of recovery ecosystems that support individuals as they transition from substance use disorder (SUD) treatment programs into recovery and seek to enter or re-enter the workforce. Brings together multiple sectors, including recovery communities, peer support, healthcare, human services, law enforcement, and others, to deliver job training, skill development, and comprehensive support services that enable individuals to find stable employment and sustain their recovery from SUD.

Provides funding to support rural health outreach programs to strengthen the delivery of healthcare services to include new and enhanced services for rural and underserved populations. Promotes community engagement and collaboration through a consortium of providers to expand services using innovative, evidence-based models, with the goal of improving health outcomes and population health for rural areas.

Assists schools and other eligible entities with developing, establishing, and maintaining farm to school programs. Supports a wide range of training, planning, implementation, and operational activities in order to increase student access to local food in schools. Facilitates collaboration between schools, local agricultural producers, and other community partners and promotes educational opportunities related to nutrition and local food systems.

Offers a 1-year initiative for rural justice, public safety practitioners, and other community stakeholders seeking to engage in strategic planning to address issues related to substance use and misuse in their communities. Assists participants in developing cross-sector networks and creating solutions to better respond to and serve justice-involved individuals with substance use or co-occurring disorders. Reaching Rural is an initiative of the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) funded by the Bureau of Justice Assistance.

Funds technology-based economic development initiatives that promote job growth, innovation, economic opportunity, global competitiveness, and the development of future industry-leading companies in regions across the U.S. Aims to help startups and companies access investment capital, grow their companies, empower entrepreneurs, and commercialize new technology. Projects are intended to benefit underserved populations and communities, including rural areas.

Provides funding to public and Indian housing authorities to hire service coordinators to promote self-sufficiency for public housing residents. Service coordinators identify needs and barriers at the community and individual level and connect residents to training and support services to help them gain economic and housing stability. Works with local partners to assist residents in achieving outcomes in the areas of education; professional development; financial empowerment; and health and wellness, including mental health and substance use issues. Offers supports to help elderly and disabled residents age in place and/or live independently for as long as possible.

Provides funding to establish new health centers that offer comprehensive primary healthcare services to underserved communities, including rural, migrant, and homeless populations and public housing residents. Aims to increase the number of individuals who receive primary healthcare services, including dental care and mental health and substance use disorder (SUD) services. Supports health centers operating on a permanent, full-time basis that address issues of healthcare accessibility and affordability in areas with shortages of health services and for underserved populations.

Provides local jails with the opportunity to participate in a 9-month planning initiative to develop a comprehensive continuum of care that will increase access to opioid use disorder (OUD) treatment for individuals while in custody and in the community post-release. Seeks to reduce recidivism and the risk of overdose for the target population by increasing their engagement in evidence-based OUD treatment services. Offers a range of options for expanding access to OUD treatment to meet the needs of local jurisdictions, especially those in rural and tribal communities. This opportunity is an initiative of the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) funded by the Bureau of Justice Assistance.

Offers financial assistance to eligible entities to receive or deliver broadband technical assistance and training. Supports activities that promote broadband expansion in rural areas, including project planning and community engagement, financial sustainability, environmental compliance, construction and engineering planning, accessing federal resources, and data collection and reporting.

Offers grants to rural or rural-serving organizations to evaluate, develop, and expand technology-enabled collaborative learning and capacity building models, with the goal of improving workforce retention and increasing access to healthcare, especially specialty care, in rural, frontier, and tribal areas and other underserved communities. Aims to support healthcare providers through distance health education models focused on chronic diseases, infectious diseases, mental health, substance use disorders (SUDs), prenatal and maternal health, pediatric care, pain management, palliative care, and other specialty care.

Provides funding to intermediary organizations that offer financial and technical assistance to recipients to help meet the needs of their communities in eligible rural areas. Recipients use funds for projects related to housing, community facilities, or community and economic development projects in rural communities.

Assists with the recruitment and retention of pediatric medical subspecialty care, pediatric surgical specialty care, and behavioral healthcare professionals serving Health Professional Shortage Areas (HPSAs) and Medically Underserved Areas/Populations (MUAs/Ps). New and current clinical staff working in eligible disciplines at an approved facility are eligible to receive loan repayment assistance through the Pediatric Specialty Loan Repayment Program. Helps communities meet pediatric workforce needs and increases access to child and adolescent behavioral healthcare, including mental health and substance use disorder (SUD) prevention and treatment services.

Awards funding for pilot projects to establish portable clinical care teams that provide healthcare outside for underserved populations experiencing unsheltered homelessness. Promotes syndemic approaches that successfully integrate behavioral health and HIV treatment and prevention, including low barrier substance use disorder (SUD) treatment; HIV and viral hepatitis testing and treatment; HIV prevention including condom, Pre-Exposure Prophylaxis (PrEP) and Post-Exposure Prophylaxis (PEP) distribution; mental healthcare; and harm reduction services.

Provides technical assistance and training to community facilities programs to help rural areas meet their needs for community facilities, including schools, hospitals, public facilities, community support services, public safety services, and other essential facilities. Supports communities in identifying and planning for community facility needs, accessing sources of funding, and improving the operation and financial management of facilities.

Assists communities with the recruitment and retention of qualified substance use disorder (SUD) professionals who provide direct treatment or recovery support at facilities located in Mental Health Professional Shortage Areas (HPSAs) or in counties with a drug overdose death rate that is higher than the national average. New and current clinical staff working in eligible disciplines at a STAR LRP-approved facility are eligible to receive loan repayment assistance through the STAR Loan Repayment Program, which is open to a wider range of SUD clinicians and paraprofessionals compared to other HRSA loan repayment programs.

Provides loans and grants to help expand broadband access to rural communities without sufficient high-speed internet connectivity. Aims to increase private sector investment to support the construction or improvement of critical broadband infrastructure to deliver internet access to a wide range of rural sites and facilities, including residential homes, community healthcare and public safety facilities, schools, libraries, business and industry, agricultural operations, and other sites.

Increases communities' access to locally and regionally produced food and agricultural products by developing, coordinating, and expanding direct producer-to-consumer operations and activities, such as domestic farmer's markets, roadside stands, community-supported agriculture (CSA) programs, agritourism activities, online sales, or other market opportunities. Builds organizational capacity and provides outreach, training, and technical assistance in order to help producers achieve a greater impact on local and regional food systems.

Develops, coordinates, and expands local and regional food business enterprises that function as intermediaries for indirect producer-to-consumer marketing with the goal of making local and regional agricultural products more available and accessible to communities. Supports both planning and implementation activities to establish, improve, or expand local or regional food businesses. Assists businesses through feasibility studies, market research, training, and technical assistance to strengthen food system infrastructure and increase sales of locally and regionally produced agricultural products.

Promotes partnerships able to connect and utilize public and private resources to strengthen regional food systems. Supports partnerships to improve viability and resilience of the local or regional food economy.

Supports new and existing training programs for paraprofessionals in behavioral health fields in order to improve services for families whose parents are impacted by opioid use disorder (OUD) or other substance use disorders (SUD). Seeks to increase the number of paraprofessionals in behavioral health working in high-need and high-demand areas to reduce the risk of mental health disorders and SUD among children.

Supports efforts to improve access to integrated and coordinated treatment and recovery services for substance use disorder (SUD), including opioid use disorder (OUD), in rural areas to address the SUD/OUD crisis in rural areas and promote long-term, sustained recovery.

Funds community-based efforts to implement and assess new assisted outpatient treatment (AOT) programs that permit individuals to remain in their community while receiving treatment, leading to better life outcomes. Identifies evidence-based practices to decrease the frequency and duration of psychiatric hospitalization, homelessness, incarcerations, and interactions with the criminal justice system for individuals with a serious mental illness (SMI). Works to address substance use issues for individuals with SMI to improve their overall physical and social health.

Awards grants to reestablish or maintain strong multi-sector community coalitions that work to prevent and reduce substance use among youth age 18 or younger. Addresses local environmental factors related to youth substance use by implementing a wide-range of evidence-based and practice-based prevention strategies.

Supports local efforts to prevent and reduce substance use among youth age 18 or younger by establishing and maintaining new multi-sector community coalitions. Utilizes a wide-range of evidence-based prevention strategies to address local environmental factors related to substance use among youth and promote positive, sustainable, community-level change.

Provides funding for training and resources to first responders and members of other key community sectors at the state, tribal, and local levels on carrying and administering naloxone and other Food and Drug Administration approved drugs or devices for emergency reversal of known or suspected opioid overdose. Works to establish processes and protocols for referral to appropriate treatment recovery, harm reduction, and other psychosocial support services, and provide safety education around fentanyl, synthetic opioids, and other drug trends associated with overdoses.

Provides substance use disorder (SUD) education to health profession students early in their academic careers, with the goal of increasing the number of professionals trained to identify, assess, intervene, and treat addiction; support recovery; and address stigma. Supports health profession programs in integrating SUD content into academic curricula and promotes the integration of behavioral and physical healthcare systems using a multidisciplinary team approach. Gives preference to programs that place students in SUD programs serving rural and underserved areas.

Offers funding to states, local and tribal governments, and community-based organizations to implement and expand services to meet the needs of incarcerated individuals and their minor children to prevent violent crime and reduce recidivism. Focuses on programs to reduce recidivism and support responsible parenting that lead to healthy child development, resiliency, and improved interactions among incarcerated parents and their minor children, family, and community members.

Supports the implementation of the Screening, Brief Intervention, and Referral to Treatment (SBIRT) public health model in primary care, community health settings, and schools, with the goal of increasing screening for underage drinking, opioid use, and other substance use among children, adolescents, and adults. Assists with integrating SBIRT into routine healthcare and other encounters and enhancing system-level approaches to reduce alcohol and substance use and its negative health impacts among individuals with substance use disorder (SUD) and those at risk for SUD.

Offers funding to recruit and train emergency medical services (EMS) personnel in rural areas with a primary focus on addressing substance use disorders (SUDs) and co-occurring mental health conditions (COD). Supports training on trauma-informed, recovery-based SUD/COD emergency care for rural residents, including the use of naloxone for the reversal of opioid overdose, and helps EMS staff meet federal or state licensing or certification requirements.

Offers funding to increase employment and income among families in public housing through locally based programs that promote work readiness, linkages to employers, job placement, educational advancement, technology skills, and financial literacy for public housing residents. Provides support services, such as childcare, transportation, legal aid, and other services, to remove barriers to work. Makes a financial incentive available to participants in order to offset rent increases due to a higher household earned income. Aims to encourage and support employment, decrease poverty, and enhance self-sufficiency, economic and housing security for public housing residents.

Offers funding to state and local health departments to work with HIV clinical providers in developing approaches that utilize culturally competent community health worker (CHW) services to conduct outreach and re-engage people with HIV in care who are living in rural areas. Services include connecting individuals to mental health and substance use disorder (SUD) services, and other supports necessary to help participants enter, re-engage, and remain in HIV care and treatment.

Provides funding to organizations to engage AmeriCorps members to build public health capacity in local communities by serving in state, local, tribal, and territorial public health departments. Aims to meet local public health needs and advance equitable outcomes for underserved communities. Activities may include mental health education and awareness, social service navigation, and crisis response for opioids, suicide, and mental health.

Provides peer recovery support services to individuals with or in recovery from substance use disorder (SUD) or co-occurring substance use and mental disorders (COD). Promotes long-term recovery supports, in coordination with clinical SUD treatment, that are led by peers in recovery who reflect the communities they serve. Increases access to recovery support services through training and support for current and new peer recovery specialists and supervisors, especially those from historically underserved communities.

Provides funding for local health departments, special district health departments, and territorial governments to implement data-based surveillance and prevention strategies to reduce overdose morbidity and mortality in communities. Emphasizes activities focused on opioids and stimulants. Seeks to address health inequities and increase access to care for populations at high-risk for overdose, including rural communities and tribal populations.

Expands access to social detoxification services for American Indian and Alaska Native (AI/NA) populations impacted by alcohol use disorder (AUD) or substance use disorder (SUD) in McKinley County, New Mexico. Supports programs that include the 3 critical components of community-based social detoxification: evaluation, stabilization, and fostering patient readiness for and entry into treatment. PARD is an initiative of the IHS Alcohol and Substance Abuse Branch (ASAB).

Funds treatment, recovery, case management, and harm reduction services and programs in residential treatment facilities for pregnant and postpartum women with substance use disorder (SUD) to support and sustain recovery. Aims to reduce infant and maternal mortality; improve family dynamics through access to treatment; and increase access to evidence-based SUD residential services.

Provides funding for the creation of employment and training programs in high demand rural healthcare occupations, including behavioral and mental healthcare. Seeks to address rural health workforce shortages by increasing the number of individuals training in occupations that directly impact the care of rural populations. Assists unemployed, underemployed, and incumbent workers to transition into sustainable health careers that qualify as middle or high-skilled occupations under the H-1B visa program. Focuses on training for veterans, military spouses, transitioning service members, women, people of color, ex-offenders, people with disabilities, and other underrepresented rural populations.

Provides funding to establish 4 regional networks that connect individuals in farming, ranching, and other agricultural occupations to stress assistance programs. Strengthens coping skills and helps improve the quality of life for farmers, ranchers, and their families through programs that provide professional behavioral health counseling, outreach, information, resources, and referrals.

Expands and enhances existing 12-month nurse practitioner (NP) residency programs with the goal of increasing the number of new, qualified primary care or behavioral health NPs prepared to work in integrated, community-based settings, especially in rural or underserved areas.

Provides loans and loan guarantees to build, improve, or acquire the facilities and equipment necessary to deliver services at the broadband lending speed to eligible rural areas. Supports projects that improve rural economies and the quality of life in rural communities. Seeks to fund projects related to technological innovation, e-connectivity, and the rural workforce.

Provides funding for employment training, career services, and supportive services to women directly or indirectly impacted by the opioid crisis. Addresses barriers to work facing women and helps them gain the skills and support to become employed. Seeks to develop multi-disciplinary partnerships among service providers and other key stakeholders with experience serving women workers in order to meet the unique needs of women in communities most affected by opioid use.

Funds for demonstration projects to support statewide adoption of the Overdose Detection Mapping Application Program (ODMAP) mobile tool. ODMAP helps states quickly track and analyze fatal and nonfatal opioid overdoses and the administration of naloxone by first responders. Works to establish coalitions in local communities to use ODMAP data to inform public health and safety interventions for specific geographic areas or populations at high risk for overdose.