Funding: Healthcare Facilities

Funds primary healthcare and support services for low-income, uninsured, and underserved populations living with HIV in an outpatient setting in existing geographic service areas. Aims to improve health outcomes for people living with HIV by funding HIV testing, counseling, and diagnostic services; referrals to healthcare and support services, such as mental health and substance use treatment; strategies to treat and prevent immune system deterioration; and more.

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 grants and direct loans to assist rural areas with the development of essential community facilities, including purchasing equipment, paying for related project costs, and purchasing, improving, or constructing essential community facilities. Examples of essential community facilities include healthcare facilities, public facilities, community support services, public safety services, educational services, utility services, and local food systems.

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.

Funds to support new and existing medical and dental residency training programs in community-based, ambulatory patient care settings. Helps address health professional shortages by supporting efforts to encourage and prepare residents to offer high-quality healthcare to rural and underserved communities.

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 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.

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.

Helps underserved communities recruit and retain primary care clinicians at approved practice sites that provide quality, culturally appropriate primary healthcare services in Health Professional Shortage Areas (HPSAs). Supports sites that provide comprehensive primary care and primary care behavioral health services in rural and underserved communities. Clinicians working at an approved site in an eligible National Health Service Corps (NHSC) discipline may be eligible for a NHSC loan repayment or scholarship program.

Funds to assist medical examiner/coroners, forensic pathologists, and medical and legal death investigation systems in efficiently handling the increased need for services resulting from the proliferation of opioids and synthetic drugs. Seeks to provide accelerated and improved forensic science and medical examiner/coroner services by funding expenses related to personnel, training, equipment, infrastructure, and more.

Funds to assist states in improving the quality and efficiency of forensic science and medical examiner/coroner services in order to meet the increased need for forensic investigation due to the proliferation of opioids and synthetic drugs. Offers funding by formula to enhance personnel, training, equipment, infrastructure, and other components of forensic examination.

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.

Offers grant funding to assist health centers with establishing or expanding mental health and substance use disorder (SUD) services at their facilities. Aims to increase access to mental health and SUD treatment, including medications for opioid use disorder (MOUD), with a focus on rural and underserved populations that experience unique barriers to care.

Enhances the work of medical examiners and coroners in the U.S. by providing funds to agencies accredited by the Accreditation Council for Graduated Medical Education (ACGME) to recruit qualified applicants for fellowship programs. Improves medical and legal death investigation services by assisting medical examiner and coroner agencies seeking to achieve or maintain accreditation through an independent accrediting organization.

Works to prepare and encourage physicians to practice healthcare in rural communities. Provides start-up funding for the planning and development of sustainable programs to train residents in rural residency programs in family medicine, internal medicine, public health, preventive medicine, psychiatry, general surgery, and obstetrics and gynecology.

Supports planning activities to assist rural communities in developing integrated healthcare provider networks. Promotes the strengthening of rural healthcare systems by achieving efficiencies, expanding access to care, increasing care coordination, and improving basic healthcare services.

Funds primary healthcare and support services in an outpatient setting for low-income, uninsured, and underserved populations living with HIV in new geographic service areas. Helps provide HIV testing, diagnostic services, referral to healthcare and support services, mental health and substance use disorder treatment, and other services to enable people with HIV to live healthy lives.

Aims to increase the affordability, accessibility, acceptability, and availability of medication-assisted treatment (MAT) by establishing new MAT access points in rural communities. Enhances the capacity to provide MAT treatment services for people in rural areas with or at risk of opioid use disorder (OUD), with focus on underserved populations. Promotes the use of Food and Drug Administration (FDA)-approved medications for the treatment of OUD along with supportive services, including counseling and behavioral therapies. Supports the use MAT to treat alcohol use disorder, if the need exists.

Provides funding to implement community-based outreach programs to enhance the delivery of healthcare to underserved rural populations. Promotes community engagement and collaboration between local healthcare and social service providers to expand services using innovative, evidence-based models, with the goal of improving health outcomes and population health for rural areas at the local or regional level. Offers 2 funding tracks, including the Healthy Rural Hometown Initiative (HRHI), which is designed to reduce rural health disparities related to the 5 leading causes of avoidable death by addressing the underlying factors and social determinants of health that can impact health and wellness.

Provides funding to healthcare providers to offset costs associated with providing connected healthcare services to patients, with an emphasis on connected services for veterans and individuals with low income. Funds may cover up to 85% of the eligible costs of broadband connectivity for patients and providers, certain network equipment, and information services necessary for the delivery of connected care services to patient populations that may otherwise have difficulty accessing care.

Aims to increase the number of primary care physicians capable and willing to provide care to rural and/or underserved communities by funding accredited residency training program improvements in family medicine, general internal medicine, general pediatrics, or combined internal medicine and pediatrics. Works to reduce healthcare expenses, improve care quality, and increase access to healthcare by preparing and encouraging residency graduates to serve in rural and/or underserved areas.