January 30, 2020 What's New New Federal Poverty Guidelines. The U.S. Department of Health & Human Services released new guidelines used to determine financial eligibility for certain federal programs. Programs using the guidelines include Head Start, the Supplemental Nutrition Assistance Program (SNAP), the National School Lunch Program, the Low-Income Home Energy Assistance Program, and the Children's Health Insurance Program. National Academy of Medicine: Integrating Social Care into the Delivery of Health Care. The report from the National Academies of Sciences, Engineering, and Medicine examines the potential for integrating social services into health care delivery and assesses current efforts. To access a free PDF of the report, create an account with the National Academies Press or download as a guest. CDC Report on Suicide Rates by Industry and Occupation. The Centers for Disease Control and Prevention (CDC) published data finding that suicide among the U.S. working-age population (ages 16-64 years) was increasing during the time period studied. The five major industry groups with suicide rates higher than the study population included 1) Mining, Quarrying, and Oil and Gas Extraction; 2) Construction; 3) Other Services (e.g. automotive repair); 4) Agriculture, Forestry, Fishing, and Hunting; and 5) Transportation and Warehousing. Infant Mortality Rates for Metro and Non-metro Counties, by Race and Hispanic Origin. The Centers for Disease Control and Prevention also released data showing that infant mortality rates for nonmetropolitan counties was lowest for infants of Hispanic mothers, followed by infants of non-Hispanic white mothers. The rate of mortality for infants of non-Hispanic black mothers was more than double the lowest rate in both metropolitan and non-metropolitan counties. Comments Requested: Guidance for Federal Grants and Agreements – March 23. On January 22, the Office of Management and Budget proposed changes to the guidance for grants, cooperative agreements, and other types of Federal financial assistance. The proposed changes are an update to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) located in Title 2 of the Code of Federal Regulations (2 CFR 200). Changes include updates to meet statutory requirements, clarifications to terminology, increases to micro-purchase and simplified acquisition thresholds, and new requirements such as public posting of indirect cost rate agreements to increase transparency. This guidance impacts all recipients of Federal awards so rural organizations that currently manage Federal grants or wish to apply for Federal grants should review the proposed changes. Funding and Opportunities RWJF Change Leadership Programs – February 19 and March 11. The Robert Wood Johnson Foundation (RWJF) is accepting applications for four programs designed to extend a network of leaders working to build a Culture of Health. Eligibility varies for each of the programs – Clinical Scholars, Culture of Health Leaders, Health Policy Research Scholars, and Interdisciplinary Research Leaders. Diversity in geography, culture, socioeconomic background, and practice is sought. HRSA Addiction Management Fellowship – February 25. The Health Resources and Services Administration (HRSA) will make up to 33 awards from an investment of $26.7 million. The program will expand the number of fellows trained as addiction medicine specialists who work in underserved communities. Eligible applicants include U.S.-based sponsoring institutions of accredited addiction medicine or accredited addiction psychiatry fellowship programs, or a consortium consisting of at least one domestic teaching health center and one domestic addiction medicine or addiction psychiatry fellowship program. Indian Health Service Health Professions Scholarship Program – February 28. Individuals who are a member of a federally recognized Indian Tribe or Alaska Native are eligible to apply for financial aid covering tuition, required fees, and other educational and living expenses. Applicants must be enrolled in an appropriately accredited school and pursuing a course of study in a health profession. HRSA Nurse Corps Loan Repayment Program – March 12. The Nurse Corps Loan Repayment Program offers funding to registered nurses, advanced practice registered nurses, and nursing faculty for payment of their qualifying educational loans in exchange for a two-year service commitment at a health care facility with a critical shortage of nurses or an eligible school of nursing in the case of nurse faculty. Additional loan repayment is available for a third year of service. NIMHD Research on Biopsychosocial Factors of Social Connectedness and Isolation – March 17. The National Institute on Minority Health Disparities (NIMHD) is supporting two new funding opportunities, Research on Biopsychosocial Factors of Social Connectedness and Isolation on Health, Wellbeing, Illness, and Recovery, (PAR-19-373 and PAR-19-384), to understand the interrelation between social connectedness and social isolation on health disparity populations and health disparities. Nonprofits and faith-based organizations are eligible to apply. SAMSHA Grants to Implement National Strategy for Suicide Prevention – March 23. The Substance Abuse and Mental Health Services Administration (SAMSHA) supports efforts to prevent suicide among adults age 25 and older. SAMSHA expects to make an equitable distribution of awards in terms of geography (urban, rural, and remote settings) and balance among populations of focus and program size. Approximately five awards will be made, up to $400,000 per year for a five year program; at least one of these awards will be made to a Tribe or Tribal organization. CDC Programs to Support Ending the HIV Epidemic – March 25. The Centers for Disease Control and Prevention (CDC) will make 48 awards from an investment of $109 million to develop and implement programs focused on the 50 jurisdictions most affected by HIV, including seven states where 10 percent or more of new diagnoses in 2016 and 2017 were in rural areas. Eligible applicants are city, county and state governments that can propose unique activities unique to their jurisdiction. HRSA Support for Opioid-Impacted Families – April 13. The Health Resources and Services Administration (HRSA) will make 19 awards with a total investment of $11.5 million to support training for peer support and other paraprofessionals in behavioral health who can help children whose parents are impacted by opioid use and other substance use disorders. Eligible applicants are state-licensed mental health nonprofit and for-profit organizations, including accredited academic institutions. See events section below for a webinar providing application assistance. Policy Updates Visit the FORHP Policy page to see all recent updates and send questions to ruralpolicy@hrsa.gov. No updates this week. Learning Events and Technical Assistance Screening for Alcohol Use with SBIRT – Thursday, January 30 at 1:00 pm ET. Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based practice for early intervention and treatment of people with alcohol use disorder or at risk for developing alcohol use disorder. Experts will share the evidence base for alcohol screening in a clinical environment and some of the strategies they have adopted. Learning About the HIV Care Continuum – Thursday, January 30 at 3:00 pm ET. The HIV Care Continuum was developed in to describe the spectrum of care from initial infection to achievement of viral suppression. In this 90-minute webinar, experts will explain the Continuum of Care, the importance of data, and how to identify gaps in the process. TargetHIV is a resource for tools, training, and guidelines for the Health Resources and Services Administration's HIV/AIDS Bureau, and extends its support for those working at all levels of the U.S. public health system. Application Assistance for Opioid-Impacted Family Support Program – Tuesday, February 4 at 1:00 pm ET. In this 90-minute webinar, the Health Resources and Services Administration (HRSA) will provide assistance to applicants of HRSA Support for Opioid-Impacted Families. Dial in: 877-950-3596; Passcode: 7293849. Cancer Surveillance and Access to Care in Rural America – Tuesday, February 4 at 2:00 pm ET. The HRSA/FORHP-supported Rural Health Research Gateway will host a 60-minute webinar to highlight current research on rural-urban cancer disparities. Indian Health Service (IHS) Pain & Opioid Use Webinar Series – Tuesday, February 4 at 2:00 pm ET. This one-hour webinar will help clinicians create and sustain office-based medication assisted treatment services, providing information on a free-tele-consultation service offering clinician-to-clinician support. NNLM: Access to Food in Rural Communities – Thursday, February 6 at 2:00 pm ET. The National Network of Libraries of Medicine (NNLM) will host a one-hour webinar on an innovative approach to food scarcity in rural areas. Learn about the Fresh Food Collective and the role libraries can play in addressing rural food deserts. Cultural Competence in the Care of HIV Patients – Monday, February 10 at 1:00 pm ET. The National Center for Health in Public Housing hosts this 90-minute webinar to move organizations past cultural stereotypes and biases (e.g., based on race, sexual orientation, gender identity) to offer client-centered services for HIV care. Nurse Licensure Compacts for Practice in Multiple States – Tuesday, February 11 at 3:00 pm ET. The National Council of State Boards of Nursing (NCSBN) is an independent, not-for-profit organization for nursing regulatory affairs. In this 60 minute webinar, NCSBN will provide an overview of the Nurse Licensure Compact, under which nurses can practice in other states without having to obtain additional license. Strategies for Combating Racism in Health Systems – Thursday, February 13 at 3:00 pm ET. The National Institute for Children's Health Quality will hold a one-hour webinar to provide guidance for identifying and addressing racism and racial bias. Resources of the Week Rural Recruitment Reimagined Workshop. Health care partners in southwest Kansas have created a traveling one-day workshop to help hospital administrators understand the factors that motivate clinicians to serve in rural locations. Workshops are tailored to each local audience and a typical session includes tools for attracting providers, a panel discussion of the priorities of millennial providers, an assessment of organizational culture, and a discussion on becoming a part of the community. CLOUD (Curated Library about Opioid Use for Decision-makers). In a partnership that includes the National Governor's Association and the Milbank Memorial Fund, the Center for Evidence-based Policy at Oregon Health & Science University created this searchable library of resources on opioids and the opioid crisis. A search on rural resources includes promising practices for medication-assisted treatment in primary care and a spotlight on Project ECHO, the initiative that connects addiction medicine experts with clinicians in remote areas. Approaching Deadlines ACL Empowering Communities to Reduce Falls and Falls Risk – January 31 NIH Research for the National Plan to End HIV – January 31 USDA Assistance for Renewable Energy Development – January 31 Comments Requested: Proposed Rule - Medicaid Fiscal Accountability – EXTENDED to February 1 DOJ Housing Assistance for Victims of Human Trafficking – February 3 HRSA Nurse Faculty Loan Program – February 3 PCORI Grants for Research Addressing Disparities – Letters of Intent February 4 SAMHSA Grants to Expand Drug Treatment Courts – February 4 AHRQ Research to Improve Patient Transitions through HIT – February 5 DOJ Enhanced Training and Services to End Elder Abuse – February 6 EPA Environmental Justice Collaborative – February 7 NIH Practice-Based Research - Pediatric Mental Health in Primary Care Settings – February 10 DOJ Culturally Specific Services - Sexual Assault and Domestic Violence – February 12 DOJ Grants to Tribal Governments - Special Domestic Violence Criminal Jurisdiction – February 12 DOJ Grants Addressing Violence - Women/Children Underserved Populations – February 12 HRSA Funding for Postdoctoral Training in Dentistry – February 12 SAMSHA Disaster Response Services for Adults – February 12 SAMSHA School-Based Services for Disaster Response – February 12 HRSA Nurse Training for Behavioral Health Integration – February 19 RWJF Change Leadership Programs – February 19 and March 11 AHRQ Research for Improving OUD in Older Adults – February 20 HRSA/FORHP Rural Health Research Program – February 21 NIH Research for Mental Health in Low-Resource Settings – February 24 NRHA Rural Health Awards – February 24 Apply for CMS Direct Contracting Model Options – February 25 DOJ Coordinated Tribal Assistance Solicitation to Address Crime – February 25 HRSA Addiction Medicine Fellowship Program – February 25 Indian Health Service Health Professions Scholarship Program – February 28 DOJ: STOP School Violence Prevention and Mental Health Training Program – March 3 HRSA Scholarships for Disadvantaged Students – March 3 NIH Researching Factors in Lung Cancer Disparities – March 4 Comments Requested: Medicare Advantage Advance Notice for 2021 Plan Year Risk Adjustment – March 6 HRSA Black Lung Clinics Program – March 6 HRSA Black Lung Data and Resource Center – March 6 Nurse Anesthetist Traineeship Program – March 6 SAMSHA Strategic Prevention Framework for Substance Use – March 6 SAMHSA Infrastructure for Family Wellness in AI/AN Communities – March 9 SAMSHA Expansion of Certified Community Behavioral Health Clinics – March 10 HRSA Nurse Corps Loan Repayment Program – March 12 HRSA Rural Health Care Coordination Program – March 12 Nominations for the U.S. Preventive Services Task Force – March 15 USDA Rural Broadband Loan and Grant Program – March 16 CDC Partnerships to Increase Colorectal Cancer Screening – March 17 NIMHD Research on Biopsychosocial Factors of Social Connectedness and Isolation – March 17 Comments Requested: Federal Health IT Strategic Plan – March 18 Comments Requested: Guidance for Federal Grants and Agreements – March 23 Comments Requested: Coordinating Out-of-State Care for Chronically Ill Children – March 23 SAMSHA Grants to Implement National Strategy for Suicide Prevention – March 23 CDC Programs to Support Ending the HIV Epidemic – March 25 HRSA Capacity Development for Ryan White/HIV AIDS Program – March 26 HRSA Ryan White HIV/AIDS – Dental Reimbursement Program – April 3 HRSA Support for Opioid-Impacted Families – April 13 Host Sites for the CDC Public Health Associate Program – April 14 PCORI Grants for Research Addressing Disparities – May 5 NIH: Research for Disparities Among Minority/Underserved Children – Ongoing through May 2020 Guaranteed Loans for Rural Rental Housing – Ongoing through 2021 AHRQ Research to Improve Patient Transitions through HIT – Ongoing through December 2022 Nominations for Federal Advisory Commission on HIV, Viral Hepatitis, and Sexually Transmitted Diseases – Ongoing USDA Emergency Community Water Assistance Grants – Ongoing Community Food Projects Technical Assistance – Ongoing SBA Guaranteed Loans for Small Business – Ongoing Drinking Water State Revolving Fund – Ongoing Seeking Nominations: National Advisory Committee on Migrant Health – Ongoing HUD Hospital Mortgage Insurance Program – Ongoing RWJF Investigator-Initiated Research to Build a Culture of Health – Ongoing Telecommunications Infrastructure Loans – Ongoing Funding for Rural Water and Waste Disposal Projects – Ongoing Drinking Water and Waste Disposal for Rural and Native Alaskan Villages – Ongoing HIT Strategies for Patient-Reported Outcome Measures – Ongoing HIT to Improve Health Care Quality and Outcomes – Ongoing Community Facilities Program – Ongoing Summer Food Service Program – Ongoing | 
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