Thursday, July 27, 2023

FORHP Announcements - July 27

USDA awards Emergency Rural Health Care Grants
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July 27, 2023

What's New

USDA Awards $129 Million in Emergency Rural Health Care Grants.  See which states and rural health projects got funded by the U.S. Department of Agriculture (USDA) Rural Emergency Health program.  This initiative supported 179 new grant recipients that will expand access to health care in 39 states and Puerto Rico.  Part of the American Rescue Plan Act passed by Congress in March 2021, the funding is intended to support rural hospitals and health care clinics, improve facilities, purchase new equipment, and help distribute fresh food to families, senior citizens, veterans, and people with disabilities. 

Partnership for Quality Management (PQM) Seeks Rural Health Experts for Committees – Submit Nominations by July 30.  As previously mentioned in this newsletter, new committees are being formed by Battelle, as contracted by CMS, to make recommendations on health care quality measurement. Rural health experts are sought for all PQM committees (on the nomination form, one can check a box as a "rural health expert"). More information on PQM can be found here: Get Involved | Partnership for Quality Measurement (p4qm.org). Nominations for all committees have a deadline of July 30.

New Medicare Telehealth Trends Dashboard.  Developed by the HHS Office of the Assistant Secretary for Planning & Evaluation (ASPE), the tool provides data on telehealth visits by Medicare beneficiaries from 2019 through 2021. Compares telehealth use by patient characteristics, including urban and rural residence and Health Professional Shortage Area (HPSA), visit specialty, health conditions, and state.  ASPE will hold a one-hour online demonstration of the dashboard  on Thursday, July 27 (TODAY) at 11:00 am ET.

Community Member Perspectives on Adapting the Cascade of Care for Opioid Use Disorder for a Tribal Nation in the United States. Researchers interviewed 20 individuals – clinicians, peer support specialists, cultural practitioners, and others familiar with OUD treatment – in a Minnesota tribal community.  The Cascade of Care model measures the quality of outcomes at each stage of treatment, from diagnosis to long-term maintenance, and was first proposed in 1998 as an approach to care for HIV/AIDS

NSCL Promotes GME Training for Rural Areas.   The National Conference of State Legislatures (NCSL) describes actions taken by states to address physician shortages in rural and underserved areas through graduate medical education (GME).  The article covers statewide collaborations and appropriations, Medicaid payments, and incentives for rural clinical training. 

National Academies: Federal Policy to Advance Racial, Ethnic, and Tribal Health Equity – Thursday, July 27 at 1:00 pm ET.  Over one hour, the National Academies of Sciences, Engineering, and Medicine will release and discuss their report, Federal Policy to Advance Racial, Ethnic, and Tribal Health Equity.  Commissioned by the Office of Minority Health at the U.S. Department of Health & Human Services, the report identifies how past and current federal policies operate in ways that create, maintain, and amplify racial, ethnic, and tribal health inequities.  In its latest Rural America at a Glance, the Economic Research Service at USDA reports Nonmetro Blacks/African Americans had the highest incidence of poverty in 2019 (30.7 percent), while nonmetro American Indians/Alaska Natives had the second highest rate (29.6 percent). The poverty rate for nonmetro Whites in 2019 was less than half as much (13.3 percent) of both of those other groups. Nonmetro Hispanics had the third highest poverty rate of any individual race or ethnicity—21.7 percent.

Ongoing: Updates to Requirements for Buprenorphine PrescribingAs announced by the Substance Abuse and Mental Health Services Administration in January 2023, clinicians no longer need a federal waiver to prescribe buprenorphine for treatment of opioid use disorder.  Clinicians will still be required to register with the federal Drug Enforcement Agency (DEA) to prescribe controlled medications.  Beginning on June 27, the DEA registration will require applicants – both new and renewing – to affirm they have completed a new, one-time, eight-hour training.  Exceptions for the new training requirement are practitioners who are board certified in addiction medicine or addiction psychiatry, and those who graduated from a medical, dental, physician assistant, or advanced practice nursing school in the U.S. within five years of June 27, 2023.  Rural Health Clinics (RHCs) still have the opportunity to apply for a $3,000 payment on behalf of each provider who trained between January 1, 2019 and January 25, 2023 (when Congress eliminated the waiver requirement).  Approximately $900,000 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.


COVID-19 Resources

Learning About Long COVID & Fatiguing Illness  – Thursday, August 10 at 3:00 pm ET.  The Centers for Disease Control and Prevention fund this monthly webinar-style ECHO learning session to rapidly disseminate Post-COVID Conditions (PCC) and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) findings and emerging best practices. The series offers didactic presentations by subject matter experts, examples of emerging best practices and models of care, and a facilitated Q&A. This program is intended primarily for providers who care for patients with PCC and ME/CFS but is open to all healthcare professionals and all Long COVID and ME/CFS patient-lived experience experts interested in learning more about the treatment of Long COVID and ME/CFS.

Provider Relief Fund Reporting Period 5.  The Provider Relief Fund (PRF) Reporting Portal is open from July 1 to September 30, 2023 at 11:59 p.m. ET. Providers who received one or more PRF (General or Targeted) and/or American Rescue Plan Rural payments exceeding $10,000, in the aggregate, from January 1, 2022 to June 30, 2022 must report on their use of funds during Reporting Period 5 to comply with PRF Reporting Requirements. More information and resources can be found on the PRF Reporting webpage.

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 through the CARES Act by the Federation of State Medical Boards and HRSA's Office for the Advancement of Telehealth. 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.


Funding and Opportunities

NACCHO Building Workforce Capacity at Rural/Frontier Health Departments – August 4.  The National Association of County and City Health Officials (NACCHO) will provide training and technical assistance for local health departments that serve rural and frontier jurisdictions to effectively respond to, recover from, and build community resiliency related to the COVID pandemic and future public health emergencies.

PCORI Building Capacity for Patient-Centered Research/Clinical Effectiveness – Letters of Intent September 28.  The Patient-Centered Outcomes Research Institute (PCORI) funds projects that encourage the integration of patients, caregivers, clinicians, and other stakeholders as members of the research process.  Read more about PCORI's many rural-based projects.  Two related opportunities: 1) PCORI Dissemination Initiative provides funding to actively communicate pertinent PCORI-funded research findings; and 2) PCORI Stakeholder Convening Support, that will fund convenings that include patients, researchers, clinicians, purchasers, payers, health system leaders, and other stakeholders.  Applicants for each opportunity are required to submit Letters of Intent by September 28. 

USDA Disaster Repair Grants for Rural Community Facilities – Ongoing while funds last.  The U.S. Department of Agriculture (USDA) provides grants to repair essential community facilities in rural areas that were damaged by Presidentially Declared Disasters in calendar year 2022. An essential community facility is defined as a facility that provides an essential service to the local community for the orderly development of the community. It does not include private, commercial, or business undertakings.


Rural Health Research

Research in this section is provided by the HRSA/FORHP-supported Rural Health Research GatewaySign up to receive alerts when new publications become available. 

Two National-Level Organizations Supporting Rural Postpartum Health Across the United States.  These case studies from the University of Minnesota Rural Health Research Center profile two national organizations doing unique work in the area of rural postpartum health: MomMoodBooster and Pack Health. Both organizations aim to improve postpartum mental health through online content delivery combined with peer coaching support. These may serve as examples to others considering this work.


Policy Updates

Send questions to ruralpolicy@hrsa.gov.

No policy updates this week.


Learning Events and Technical Assistance

National Maternal Mental Health Hotline Informational Webinar for Tribal Communities – Monday, July 31 at 1:00 pm ET.   HRSA's Maternal and Child Health Bureau will share information on its nationwide phone line, launched last year, providing free emotional support and referrals to pregnant and post partum women facing mental health challenges. 

Aspen Institute on Rural Disaster Preparedness – Tuesday, August 1 at 2:00 pm ET.  From 2:00 – 4:00 pm, the policy research organization hosts an event in collaboration with the Housing Assistance Council, the Rural Community Assistance Partnership, Rural LISC (Local Initiatives Support Corporation), the International Economic Development Council, and the Federal Reserve Board. 

AgriSafe: Talking About Ticks and Lyme Disease – Tuesday, August 8 at 1:00 pm ET.  This hour-long webinar hosted by the AgriSafe Network will cover the things you need to know to prevent tick bites when working outdoors, how to remove a tick if bitten, as well as the symptoms that can result from tick bites that may indicate Lyme Disease.

Rural Emergency Hospitals Assistance – Wednesday, August 9 at 1:00 pm ET.  The FORHP-funded Rural Emergency Hospital (REH) Technical Assistance Center (the Rural Health Redesign Center and Mathematica, a partnering policy research organization) will be sharing information about the REH provider type, considerations for converting, and conditions of participation requirements during a one-hour webinar. Attendees will also learn about no-cost technical assistance for hospitals considering a conversion. The REH provider type is designed to address concerns that some rural hospitals would not be able to sustain operations and could be at risk of complete closure.


Approaching Deadlines

DHS Rural Emergency Medical Communications Demonstration Project – July 28

HHS Seeks Input on Smoking Cessation Framework Draft – July 30

Comments Requested: New Partnership for Quality Measurement – Extended to July 30

Partnership for Quality Management (PQM) Seeks Rural Health Experts for Committees – July 30

ACF Alaska Native Tribal Resource Center on Domestic Violence – July 31

GAO Calls for HIT Advisory Nominations – July 31

Hardship Exceptions for Medicare Promoting Interoperability Program – July 31

Nominations for GAO Health Information Technology Advisory Committee – July 31

VA Grants for Transportation of Veterans in Highly Rural Areas – July 31

HHS Center for Indigenous Innovation and Health Equity – August 1

EPA Brownfields Job Training Grants – August 2

CDC Foundation Seeking Community Data for Overdose Prevention – August 4

DOJ Grants to Tribal Domestic Violence and Sexual Assault Coalitions – August 4

NACCHO Building Workforce Capacity at Rural/Frontier Health Departments – August 4

ACL Alzheimer's Disease Programs Initiative – States and Community Grants – August 7

Department of Education Full-Service Community Schools Program – August 8

ACF Culturally Specific Family Violence Prevention – August 11

National Medical Fellowships Health Equity Leaders – August 11

Berkley Rural Public Health Master's Program – August 13

Dept of Transportation Rural and Tribal Assistance Pilot Program – August 14

CMS Seeking Researchers for Health Data Access Program – August 15

Comments Requested: ACL Updates Older Americans Act – August 15

Rural Healthcare Provider Transition Project – August 15

DOT Nationally Significant Freight and Highway Programs – INFRA Grants – August 21

Comments Requested: CMS Updates Policy for End Stage Renal Disease – August 25

USDA Grants for Education and Research at 1890 Land-Grant Institutions – August 30

EPA Community-Based Research to Mitigate Environmental Health Disparities – August 31

USDA Emergency Rural Health Care Grants (Track One only) – September 2023 or until funds run out

Comments Requested: Remedy for 340B Medicare Drug Payment Policy – September 5

NIH Research to Improve Native American Health (AIDS Related) – September 7

NIH Tobacco Control Policies to Promote Health Equity – September 8

Comments Requested:  Proposals to Update Medicare Outpatient Payments and Other Policies – September 11

Comments Requested: Proposals to Update Medicare Clinician Payment and Other Policies  – September 11

NRHA Rural Health Fellows Program – September 14

EPA Solar for All Competition – September 26

PCORI Building Capacity for Patient-Centered Research/Clinical Effectiveness – Letters of Intent September 28

PCORI Dissemination Initiative – Letters of Intent September 28

PCORI Stakeholder Convening Support – Letters of Intent September 28

AHRQ Health Services Research Demonstration and Dissemination Grants – October 1

NIH Assessing Real-World Effectiveness of Telehealth Guided Provider-to-Provider Communication in Rural Communities – October 5

UMMC Caregiver University for Alzheimer's Support – Quarterly deadlines until October 10 

American Psychological Foundation Grant for Rural First Responders Mental Health Interventions – October 15

NIH Pilot Interventions to Integrate Social Care and Medical Care for Diabetes, Digestive, and Kidney Diseases – October 19

NIH Researching Social Networks to Promote Behavior Change – November 3


Ongoing Opportunities

HRSA Needs Rural Reviewers for Grant Applications

Economic Development Administration Public Works/Economic Assistance Program (CARES Act Funding)

Extended Public Comment Period for FCC's COVID-19 Telehealth Program

FCC Affordable Connectivity Program for Broadband Service

SAMHSA 988 Suicide and Crisis Lifeline Volunteer and Job Opportunities

USDA Disaster Repair Grants for Rural Community Facilities – Ongoing while funds last

USDA Water Infrastructure Grants for 2022 Disaster Areas – Ongoing while funds last

ACF Low Income Home Energy Assistance Program

ACF Rural Community Development Program for Rural Water Systems

Addiction Policy Forum: Sites for Anti-Stigma Pilot

AgriSafe Mental Health Training for Agricultural Producers & Families

American Association of Birth Centers (AABC) Foundation - Accreditation Grants

American Heart Association Rural Health Care Outcomes Accelerator

American Indian Public Health Resource Center Technical Assistance

AmeriCorps American Connection Corps for Broadband in Rural Areas

Appalachian Community Fund Technical Assistance Grants

Appalachian Regional Commission J-1 Visa Waivers for Doctors

ASA Rural Access to Anesthesia Care Scholarship

CDC Direct Assistance to State, Tribal, Local, and Territorial Health Agencies

CDC Training Pediatric Medical Providers to Recognize ACEs

CORH Targeted Technical Assistance for Rural Hospitals Program

Delta Region Community Health Systems Development Program

Delta Regional Authority Community Infrastructure Fund

Delta Doctors J-1 Visa Waiver Program

Department of Commerce: Economic Development Assistance Programs

DRA Technical Assistance for Delta Region Community Health Systems Development

EPA Drinking Water State Revolving Fund

EPA Water Infrastructure and Innovation Act 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

National Health Resource Center on Domestic Violence Technical Assistance

Native Americans into  Medicine

Host Sites for National Environmental Public Health Internship

NIH Addressing the Impact of Structural Racism and Discrimination – Various dates until October 2025

NIH Native American Research Centers for Health – Various dates until July 2026

NIH Project Talk Initiative Host Site Applications

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

NIH Researching Barriers to Care for HIV-Associated ComorbiditiesMay 2025

NIH Research to Address Vaccine Hesitancy in Health Disparity Populations – June 2026

Nominations for Federal Advisory Commission on HIV, Viral Hepatitis, and Sexually Transmitted Diseases

NRHA Chief Nursing Officer Certification Program for Rural Hospitals

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

RTT Collaborative: Rural Training Track Directors University

RWJF Investigator-Initiated Research to Build a Culture of Health

RWJF Pioneering Ideas Brief Proposals

SAMHSA Crisis Counseling Assistance and Training Program for Communities Post-Disaster

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 Intermediary Relending Program

USDA Multifamily Housing Loan Guarantees

USDA National School Lunch Afterschool Snack 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 and Loan Guarantees

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)

Veterans Affairs Health Professional Scholarship Program

Veterans Affairs Virtual Living Room - Using Technology to Address the Critical Healthcare Needs of Veterans in Rural Areas

WWAMI Area Health Education Center Scholars Program


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