November 10, 2022 What's New HRSA Celebrates National Rural Health Day – November 14-18. Click to find details and register for events happening each day of the week: - Monday – Mindfulness-Based Stress Mitigation in the Workplace
- Tuesday – Addressing Intimate Partner Violence and Human Trafficking
- Wednesday – FORHP Grantee Stories
- Thursday – HHS Leadership Panel on official National Rural Health Day
See the Events section below for additional NRHD events held by our partners and stakeholders. NIH Community-Led, Health Equity Structural Intervention Initiative Funding Opportunity – Letters of Intent Due November 18. The National Institutes of Health (NIH) Community Partnerships to Advance Science for Society (ComPASS) Program will make up to 25 awards for a total funding amount of $153 million to community organizations to develop, implement, assess, and disseminate community-led, health equity structural interventions in partnership with a research organization. Applicants are expected to focus on interventions that address fundamental, structural causes of health disparities to advance health equity and improve health outcomes, such as expanding high-speed broadband internet to improve telehealth access in rural communities. Eligible applicants are required to submit a letter of intent (LOI) to CFComPASS@od.nih.gov no later than November 18, 2022 by 11:59 pm/ET. Applicants selected from the LOIs will be invited to submit full applications, which will be due on January 23, 2023. To help prepare a LOI, applicants are encouraged to watch a pre-recorded technical assistance presentation and view slides. Spread the Word About Health Insurance: Rural Week of Action. The Centers for Medicare & Medicaid Services has a collection of tools for helping individuals and families get health insurance during the Marketplace Open Enrollment period, November 1, 2022 through January 15, 2023. Graphics, social media messages, and customizable posters and fact sheets, are available in English, Spanish, Chinese, Korean, and Vietnamese. There are toolkits for specific audiences – e.g., Latino, Black, Asian, and Indigenous – that will be promoted each week until December 3. Next week is the Rural Week of Action. CDC Updates Guidelines for Prescribing Opioids. In their new 2022 Clinical Practice Guideline, the Centers for Disease Control and Prevention (CDC) provides updated evidence and research on the risks and benefits of prescription opioids for acute, subacute, and chronic pain. These include dosing strategies, tapering and discontinuation, comparisons with nonopioid pain treatments, and risk mitigation strategies. At 100 pages long, the guideline goes into some detail about the social, economic, and policy factors contributing to high rates of overdose death in rural areas, indicating that an integral part of effective pain treatment is understanding how social determinants of health influence the care provided to patients and the outcomes they experience. Video, Telephone, and In-Person Buprenorphine Treatment for OUD During the Pandemic. A study of 17,182 patients from the Veterans Health Administration sought to determine if patient characteristics – age, race/ethnicity, comorbidities, housing status – made a difference in the effectiveness of telehealth-delivered buprenorphine for opioid use disorder (OUD). Effectiveness was determined by 90-day retention; three different telehealth modalities were examined, with each patient receiving at least one video visit, at least one telephone visit but no video, or only in-person. The study was conducted from March 23, 2020 to March 22, 2021 when policy shifted to allow greater use of telehealth to deliver a potentially lifesaving medication for OUD. Results showed significantly higher retention for patients using telehealth versus in-person visits, with higher retention observed in those with video visits. But patient characteristics made a difference in the type of telehealth used, and subsequently their retention in treatment. Among patients who received telehealth, those who were older, male, Black, non–service connected, or experiencing homelessness and/or housing instability were less likely to have video visits. Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Them. A new paper from the Kaiser Family Foundation reports on data showing large disparities in maternal and infant health, the factors contributing to these disparities, and recent efforts to reduce them. Despite continued advancements in medical care, maternal and infant mortality rates in the U.S. are far higher than those in similarly large and wealthy countries, and disparities for people of color have only widened over time. The brief identifies women who are Black, American Indian/Alaska Native, and Native Hawaiian and Other Pacific Islander as those suffering consistently high rates of mortality with outcomes that worsened during the pandemic. Differences in health insurance coverage and access to care are known factors driving disparities. Less understood, but getting increased attention are significantly higher rates of mistreatment, such as shouting and scolding, and ignoring or refusing requests for help. Current federal efforts include expanded access to Medicaid coverage during the postpartum period, and a $350 million investment through HRSA's Maternal and Child Health Bureau. Ongoing: HRSA Payment Program for RHC Buprenorphine-Trained Providers. In June 2021, HRSA launched an effort to improve access to substance use disorder treatment by paying for providers who are waivered to prescribe buprenorphine, a medication used to treat opioid use disorder. Rural Health Clinics (RHCs) still have the opportunity to apply for a $3,000 payment on behalf of each provider who trained to obtain the waiver necessary to prescribe buprenorphine after January 1, 2019. Approximately $1.2 million in program funding remains available for RHCs and will be paid on a first-come, first-served basis until funds are exhausted. Send questions to DATA2000WaiverPayments@hrsa.gov. There is ongoing availability of a free online course for waiver eligibility training from the Providers Clinical Support System. COVID-19 Resources *New: Updated Guidance on COVID-19 Booster Shots. On October 12, the Centers for Disease Control and Prevention (CDC) recommended the following bivalent booster shots for children: Pfizer-BioNTech booster for patients ages 5-11; Moderna booster for patients ages 6-17. This recommendation follows FDA's authorization of these products on the same day. This announcement rescinded FDA's authorization of the monovalent Pfizer-BioNTech COVID-19 as a booster dose for ages 5-11; however, the monovalent vaccines will continue to be used for primary vaccination in patients that have never been vaccinated against COVID-19. In September, the U.S. Department of Health & Human Services announced that people with public, private, or no insurance coverage can get COVID-19 vaccines at no cost, for as long as the federal government continues purchasing and distributing them. To find nearby locations for vaccines, masks, testing, and treatment, visit COVID.gov. HHS/DoD National Emergency Tele-Critical Care Network. A joint program of the U.S. Department of Health & Human Services (HHS) and the U.S. Department of Defense (DoD) is available at no cost to hospitals caring for COVID-19 patients. Teams of critical care clinicians - critical care physicians, nurses, respiratory therapists, and other specialized clinical experts – are available to deliver virtual care through telemedicine platforms, such as an app on a mobile device. Hear from participating clinicians, and email to learn more and sign up. Mobilizing Health Care Workforce via Telehealth. ProviderBridge.org was created by the Federation of State Medical Boards through the CARES Act and the FORHP-supported Licensure Portability Grant Program. The site provides up-to-date information on emergency regulation and licensing by state as well as a provider portal to connect volunteer health care professionals to state agencies and health care entities. Online Resource for Licensure of Occupational Therapists, Physical Therapists, Psychologists, and Social Workers. The site provides up-to-date information on emergency regulation and licensing in each state. Rural Health Clinic Vaccine Distribution (RHCVD) Program. Under the program, Medicare-certified RHCs will receive direct COVID-19 vaccines in addition to their normal jurisdictions' weekly allocation. Contact RHCVaxDistribution@hrsa.gov for more information. Webinar recordings explaining RHC vaccine programs are available on the National Association of Rural Health Clinics website. Federal Office of Rural Health Policy Resources for COVID-19. A set of Frequently Asked Questions (FAQs) from our grantees and stakeholders. Reaching Farm Communities for Vaccine Confidence. The AgriSafe Network is a nonprofit organization that provides information and training on injury and disease related to agriculture. Their health professionals and educators created a social media toolkit that aims to provide clear messages about COVID-19 vaccination for agriculture, forestry, and fishing workers. Funding and Opportunities NACCHO Reducing Overdose through Community Approaches (ROCA) Mentorship Program – December 5. The National Association of County and City Health Officials (NACCHO) seeks to make mentorship pairings between local health departments (LHDs) with experience in overdose prevention and LHDs looking to build capacity. The ultimate goal is to establish a network of LHDs across the country serving as a resource for continuous learning and connection. Funding will be up to $150,000 for mentees and up to $125,000 for mentors for a project period that runs from February through July of 2023. SAMHSA Cooperative Agreements for Certified Community Behavioral Health Clinic Planning Grants – December 19. The Substance Abuse and Mental Health Services Administration (SAMHSA) plans 15 awards with total funding of $15 million to help states meet the requirements for SAMHSA's Certified Community Behavioral Health Clinic (CCBHC) program. The planning grants are meant to support states as they develop and implement certification systems for CCBHCs, and establish Prospective Payment Systems for Medicaid reimbursable services. Eligible applicants are State Mental Health Authorities, Single State Agencies, or State Medicaid Agencies. NBCC Minority Fellowship Program for Mental Health Counselors (Masters and Doctoral) – December 31. The National Board for Certified Counselors (NBCC) Foundation provides fellowships for master's and doctoral degree-level counseling students from minority backgrounds. Applicants must commit to teach, administer, research, and/or provide direct mental health services to minority and underserved populations within one year of graduation and for the duration of two years post-graduation. Applicants must demonstrate knowledge of and experience in providing services to one or more of the following: underserved minority communities in rural and urban areas, children and adolescents, geriatric groups, veterans and military families, gender and sexual orientation minorities. The NBCC Foundation also offers a Rural Scholarship, providing financial support for students in an accredited counseling master's program, living in a rural area, and committed to serving rural populations post-graduation. The application deadline for the Rural Scholarship is December 31. Rural Telementoring Training Center Cooperative Agreement – January 9. HRSA is investing $750,000 to assist academic medical centers and other centers of excellence to create or expand technology-enabled collaborative learning and capacity building (telementoring) models to support health care providers in rural areas. The award recipient will provide technical assistance resources that are national in scope, freely accessible, and meet the needs of rural communities and health care providers. ACL Empowering Communities to Address Behavioral Health and Chronic Pain through Chronic Disease Self-Management Education Programs – January 11. The Administration for Community Living (ACL) will make an estimated 10 awards with total funding of $5.9 million for a four-year project. Successful applicants will work to increase the number of older adults participating in chronic disease self-management programs. Applicants must propose programs that engage underserved populations, such as Black, Latino, Indigenous, Native American, Asian American, Pacific Islander, persons of color, religious minorities, LGBTQ+, persons with disabilities, or people living in rural areas. Letters of Intent, encouraged but not required, are due on December 6. HUD Distressed Cities and Persistent Poverty Technical Assistance Program – Ongoing. The U.S. Department of Housing and Urban Development (HUD) puts a focus on local governments in smaller communities with populations under 50,000 residents for assistance with efforts to alleviate poverty. Support may include, but is not limited to: help with remedying adverse financial audit findings, training in grant management, drafting competitive application for funding opportunities, and development of local programs to support small business owners. Policy Updates Send questions to ruralpolicy@hrsa.gov. Person-Centered Innovation – An Update on the Implementation of the CMS Innovation Center's Strategy. This new report from the CMS Innovation Center provides an update on the Innovation Center's progress in the implementation of its new strategy, describes areas of focus for the coming year, and begins the process of measuring progress against the strategy's five objectives. This update includes a discussion of the Community Health Access and Rural Transformation (CHART Model). A companion supplemental document describes the rationale, methods, and limitations for each of the metrics, baselines, and targets described in this report. The supplemental document includes information on rural innovation models and the inclusion of safety-net providers like Rural Health Clinics (RHCs). Learning Events and Technical Assistance *Indicates events in observation of National Rural Health Day. Applying for the Rural Communities Opioid Response Program-Overdose Response – Thursday, November 10 at 1:00 pm ET. No registration is required. FORHP program staff will provide assistance for funding that supports the immediate needs in rural areas related to the drug overdose crisis. The application deadline for the Rural Communities Opioid Response Program – Overdose Response is January 19. White House Rural Partners Call – Thursday, November 10 at 3:00 pm ET. On this week's call, the Office of Public Engagement will be joined by USDA Under Secretary for Rural Development Xochitl Torres-Small, and Economic Development Administration Deputy Assistant Secretary Dennis Alvord, who will provide updates on the Rural Partners Network and the recent expansion into 17 additional communities in four more states and Puerto Rico. HHS Announces National Alliance for Patient/Healthcare Worker Safety – Monday, November 14 at 1:00 pm ET. The U.S. Department of Health & Human Services (HHS) begins a new federal initiative, in partnership with healthcare systems, to improve patient safety. HHS Secretary Xavier Becerra will convene a livestreamed listening session including chief executive officers of the country's largest healthcare systems, board members, organizational patient safety leaders, and patient and family safety advocates. (Registration is at the bottom of the page linked.) Rural Health Research Centers: It's Not Easy Being a Rural Pharmacy – Monday, November 14 at 1:00 pm ET. The HRSA/FORHP-supported Rural Health Research Gateway hosts a one-hour session with recent research on the availability of pharmacy services, payment models, the impact of pharmacy closures, and the creating of new pharmacy deserts. *CMS: Resources for Rural Health – Tuesday, November 15 at 12:00 pm ET. The Centers for Medicare & Medicaid Services (CMS) gives an overview of available rural health resources in this hour-long presentation. County Health Rankings & Roadmaps: Creating Prosperous Rural Communities – Tuesday, November 15 at 3:00 pm ET. The creators of the annual County Health Rankings join with the Aspen Institutes to introduce a new tool to advance rural prosperity. ERS: Rural America at a Glance, 2022 Edition – Wednesday, November 16 at 1:00 pm ET. The Economic Research Service (ERS) at the U.S. Department of Agriculture present the latest findings from its annual report summarizing population trends, employment, poverty, and income in rural areas. *HRSA: Virtual Job Fair for Rural Health Care Facilities – Wednesday, November 16 at 6:00 pm ET. This event hosted by HRSA's Bureau of Health Workforce takes place over 3.5 hours on Wednesday evening and connects health care professionals with representatives from rural health care facilities across the country. *NIH: Improving Rural Health Through Research Dissemination and Implementation – Thursday, November 17 at 12:00 pm ET. The National Institutes of Health (NIH) holds a 90-minute seminar on the intersection of rurality and other factors that impact how research is implemented with rural populations. *NOSORH Collaboration Carpool: Conversations with Mission-Minded Rural Stakeholders – Thursday, November 17 at 2:00 pm ET. The National Organization of State Offices of Rural Health (NOSORH) hosts an hour-long discussion with national regional, and state leaders in broadband, philanthropy, and public health. Resources of the Week The Rural Health Clinic Program at 45 Years. An article in The Rural Monitor looks at the history of this program that now has more than 5,000 clinics across the country. For a more brief overview, the Rural Health Information Hub provides a short video about the challenges and victories of RHCs, from their origins in the Rural Health Clinic Services Act of 1977, and into the present, as they continue to provide an array of vital services to rural communities. The Rural Emergency Preparedness and Response Toolkit. On November 14, the Rural Health Information Hub launches a new resource developed in collaboration with the NORC Walsh Center for Rural Health Analysis with support from HRSA and the CDC. The evidence-based toolkit provides practical guidance for planning for, responding to, and recovering from disasters and emergencies. It also includes guidance and resources for different types of emergencies and considerations for special populations. Federal Policy & Telehealth: What to be Aware of Going Forward. The HRSA-supported Center for Connected Health Policy recorded its October 2022 webinar describing the telehealth policy landscape following the COVID-19 pandemic – including new and ongoing policy flexibilities, Medicare telehealth, and recent research initiatives. Approaching Deadlines HRSA Primary Care Training and Enhancement - Residency Training in Mental and Behavioral Health – November 15 NIH Extramural Loan Repayment Program – November 17 NIH Health Services Research on Minority Health and Health Disparities – November 17 NIH Common Fund: Community-Led Health Equity Structural Intervention Initiative – Letters of Intent November 18 NIH Researching Integrated HIV/AIDS, Addiction, and Primary Care Services – November 18 HRSA Preventive Medicine Residency Program – November 21 NIH HEAL Initiative: Prevention and Management of Chronic Pain in Rural Populations – November 21 Surveying the Experiences of Transgender People – November 21 EPA Brownfield Assessment Grants – November 22 EPA Brownfield Cleanup Grants – November 22 EPA Brownfield Multipurpose Grants – November 22 EPA Brownfield Revolving Loan Fund Grants – November 22 HRSA Rural Health Network Development Program – November 22 SAMHSA Crisis Mapping Suicide Prevention for Veterans - November 30 Commonwealth Fund Fellowship in Minority Health Policy – December 1 Great Plains Center for Agricultural Health Pilot/Feasibility Projects Academic Track – December 1 National Health Service Corp Students to Service Loan Repayment Program – December 1 NACCHO Reducing Overdose through Community Approaches (ROCA) Mentorship Program – December 5 ACL Empowering Communities to Address Behavioral Health and Chronic Pain through Chronic Disease Self-Management Education Programs – Letters of Intent December 6 CMS Wants Your Input on Establishing a National Directory of Health Care Providers and Services – December 6 DOT Assistance for Transportation Projects in Underserved Communities – December 6 Rural Telementoring Training Center Cooperative Agreement – January 9 VA Rapid Retraining Assistance Program – December 11 HRSA Teaching Health Center Planning and Development Program – December 12 ACL Small Business Innovation Research Program – December 16 SAMHSA Cooperative Agreements for Certified Community Behavioral Health Clinic Planning Grants – December 19 CMS Kids Coverage Outreach to American Indian/Alaska Native Children – December 20 NBCC Minority Fellowship Program for Mental Health Counselors (Masters and Doctoral) – December 31 NBCC Foundation Rural Scholarship for Mental Health Counselors – December 31 AmeriCorps State and National Grants – January 4 CDC Grants for Injury Control Research Centers – January 6 Department of Labor Nursing Expansion Grants – January 6 HRSA Rural Health Network Development Planning Program – January 6 USDA Farm to School Grant Program – January 6 ACL Empowering Communities to Address Behavioral Health and Chronic Pain through Chronic Disease Self-Management Education Programs – January 11 HRSA Rural Communities Opioid Response Program – Overdose Response – January 19 HRSA Rural Communities Opioid Response Program – Evaluation – January 27 HRSA Rural Residency Planning and Development Program – January 27 Ongoing Opportunities CDC Monkeypox Vaccine Equity Pilot Program CFPB Rental Assistance Finder Extended Public Comment Period for FCC's COVID-19 Telehealth Program FCC Affordable Connectivity Program for Broadband Service FEMA COVID-19 Funeral Assistance HRSA Payment Program for Buprenorphine-Trained Clinicians – Until Funds Run Out SAMHSA 988 Suicide and Crisis Lifeline Volunteer and Job Opportunities USDA Emergency Rural Health Care Grants (Track One only) – September 2023 or until funds run out ACF Low Income Home Energy Assistance Program ACF Rural Community Development Program for Rural Water Systems AgriSafe Mental Health Training for Agricultural Producers & Families AgriSafe Nurse Scholar Program – March 2023 AHRQ Health Services Research Demonstration and Dissemination Grants – October 2023 AHRQ Research to Improve Patient Transitions through HIT – December 2022 American Heart Association Rural Health Care Outcomes Accelerator American Indian Public Health Resource Center Technical Assistance Appalachian Regional Commission J-1 Visa Waivers for Doctors ASA Rural Access to Anesthesia Care Scholarship Burroughs Wellcome Fund Seed Grants for Climate Change and Health – Quarterly through August 2023 CDC Direct Assistance to State, Tribal, Local, and Territorial Health Agencies CDC Training Pediatric Medical Providers to Recognize ACEs Delta Region Community Health Systems Development Program Delta Doctors J-1 Visa Waiver Program Department of Commerce: Economic Development Assistance Programs Department of Labor Dislocated Worker Grants DRA Technical Assistance for Delta Region Community Health Systems Development EPA Drinking Water State Revolving Fund EPA Water Infrastructure and Innovation Program FEMA/SAMHSA Post-Disaster Crisis Counseling Assistance and Training Program GPHC & RWJF: Rapid Cycle Research and Evaluation Grants for Cross-Sector Alignment HRSA Seeking Nominations for Migrant Health Advisory HRSA Technical Assistance for Look-Alike Initial Designation for the Health Center Program Housing Assistance Council: Housing Loans for Low-Income Rural Communities HUD Distressed Cities and Persistent Poverty Technical Assistance Program HUD Hospital Mortgage Insurance Program IHS Tribal Forensic Healthcare Training IHS/DOD Medical Supplies and Equipment for Tribes (Project TRANSAM) NARHC Certified Rural Health Clinic Professional Course Host Sites for National Environmental Public Health Internship NIH Project Talk Initiative Host Site Applications NIH Research to Improve Native American Health – Various Dates Until September 2023 NIH Practice-Based Research for Primary Care Suicide Prevention – February 2023 NIH Researching Mental Health Practices in Low-Resource Settings – September 2024 NIH Researching Social, Behavioral, and Economic Impact of COVID-19 in Underserved/Vulnerable Populations – September 2024 NIH Researching the Role of Work in Health Disparities – Various Dates Until September 2024 NIH Special Interest Research – Pandemic Impact on Vulnerable Children and Youth – May 2024 Nominations for Federal Advisory Commission on HIV, Viral Hepatitis, and Sexually Transmitted Diseases Oweesta Native CDFI Loan Funds and Technical Assistance Primary Care Development Corporation Community Investment Loans Rural Community Assistance Corporation Community Facility Loans for Western States and Pacific Islands Rural Community Assistance Corporation Environmental Infrastructure Loans for Western States Rural Graduate Medical Education Planning and Development RWJF Investigator-Initiated Research to Build a Culture of Health RWJF Pioneering Ideas Brief Proposals SAMHSA Training to Provide Medication Assisted Treatment SBA Guaranteed Loans for Small Business Southeast Rural Community Assistance Loans Tribal Grant Writing Training Treasury Department Opportunity Zone Economic Development Program United South and Eastern Tribes, Inc Tribal Health Program Support USDA Community Facilities Program USDA Community Food Projects Technical Assistance USDA Drinking Water and Waste Disposal for Rural and Native Alaskan Villages USDA Economic Impact Initiative Grants USDA Emergency Community Water Assistance Grants USDA Healthy Food Financing Initiative Technical Assistance USDA Multifamily Housing Loan Guarantees USDA Intermediary Relending Program USDA Rural Business Development Grants USDA Rural Business Investment Program USDA Rural Energy Savings Program USDA SEARCH – Special Evaluation Assistance for Rural Communities and Households (for Water/Waste Projects) USDA Summer Food Program USDA Technical Assistance for Healthy Food Financing Initiative USDA Telecommunications Infrastructure Loans USDA Funding for Rural Water and Waste Disposal Projects USDA Water and Waste Disposal Grants to Alleviate Health Risks on Tribal Lands and Colonias USDOT Rural Opportunities to Use Transportation for Economic Success (R.O.U.T.E.S) WWAMI Area Health Education Center Scholars Program | 
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