| View this email in your browser. April 18, 2024 What's New Webinar Series on Rural Maternal Health Continues – Tuesday, April 23 at 3:00 pm Eastern. Registration is open for a four-part webinar series presented by the Federal Office of Rural Health Policy (FORHP), in collaboration with the Rural Health Information Hub. The fourth session highlights resources available for obstetric readiness in rural facilities without birth units. Attendees will learn about resources available to be ready and respond to patients' needs. Recordings and transcripts of previous sessions are also available. Rural-Urban Disparities in SUD Screening and Treatment. Researchers assessed disparities in the availability of hospital-based transitional opioid programs for substance use disorder (SUD) in urban and rural settings. They discovered that in urban hospitals 73.2 percent conducted SUD screenings in the inpatient setting, and 78.6 percent did so in the emergency department. By comparison, only 54.5 percent of noncore rural hospitals provided SUD screenings in inpatient settings and 65.5 percent did so in rural emergency departments. The study also revealed a significant disparity in the availability of medications for opioid use disorder and addiction consult services, with rural hospitals having far fewer resources. The Government Accountability Office Issues a New Report on Health Centers. The federal agency that examines how taxpayer dollars are spent reviewed grant funding, revenue, and efforts to meet certain access-to-care requirements for health centers, a key part of the nation's health care system for nearly 60 years. In 2022, about 1,400 health centers operated almost 15,000 service sites and provided care to more than 30 million people in the United States, regardless of their ability to pay. According to the report, this figure includes more than 9 million rural residents and over 1 million people experiencing homelessness. Health centers rely on revenue from a variety of public and private sources, including grants awarded by the Health Resources and Services Administration (HRSA) through its Health Center Program. Among other things, HRSA requires health centers to have locations and hours that are responsive to patient needs, and to have procedures to handle medical emergencies that arise after hours. GAO found that health centers' total revenue rose from about $28.7 billion in 2018 to $42.9 billion in 2022. The largest single source of revenue was Medicaid, accounting for over one-third of total revenue each year, followed by grants, including those provided by HRSA. OMB Seeks More Public Participation in Government Decision-Making – Comment by May 17. To improve public perception and trust in government, the Office of Management and Budget (OMB) is looking for recommendations on ways to improve public participation in a wide range of functions, regulations, policies, and programs across federal agencies. OMB welcomes input from a diverse array of stakeholders in the public, private, advocacy, non-for-profit, and philanthropic sectors, including State, local, Tribal, and territorial governments as they work to develop a government-wide framework for better engagement with the public. For the purposes of this Request for Information, the term "underserved communities" refers to populations as well as geographic communities that have been systematically denied the opportunity to participate fully in aspects of economic, social, and civil life, including those living in rural areas. Ongoing: Requirements for Buprenorphine Prescribing. As 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 are still required to register with the federal Drug Enforcement Agency (DEA) to prescribe controlled medications. On June 27, 2023, the DEA began to require that registration applicants – both new and renewing – 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. Watch this 11-minute video that explains the changes. 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 December 29, 2022 (when Congress eliminated the waiver requirement). Approximately $889,000 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 Learn About Long COVID & Fatiguing Illness – Thursday, May 9 at 3:00 pm Eastern. The Centers for Disease Control and Prevention funds this monthly webinar-style ECHO learning session to rapidly disseminate findings about Post-COVID Conditions (PCC) and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). The series offers 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. CDC's COVIDVaxView Dashboard. The Centers for Disease Control and Prevention (CDC) continues to share weekly COVID-19 vaccination data using a variety of data sources. A new resource, COVIDVaxView Interactive, goes deeper with a look at variations in vaccine confidence by demographics and geography. Home Test to Treat is a new program funded by the National Institutes of Health focused on providing COVID-19 care and treatment for adults who are at greater risk of being affected by COVID-19. Adults who do not currently have COVID-19 or flu may enroll and receive free tests if they are uninsured or are enrolled in Medicare, Medicaid, the Veterans Affairs health care system, or the Indian Health Services. Individuals who are currently positive for COVID-19 can enroll to receive telehealth services for COVID-19 and treatment (if prescribed) at no cost. Enrollees may also be invited to participate in a completely optional research component of the program. Informational flyers are available in English and Spanish. Mobilizing Health Care Workforce via Telehealth. ProviderBridge.org was created through the Coronavirus Aid, Relief, and Economic Security (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 First Nations Development Institute Native Farm to School Training and Technical Assistance – April 30. The national nonprofit has a $500,000 grant from the U.S. Department of Agriculture for a youth-centered food sovereignty project under First Nations Development Institute's Nourishing Native Foods and Health Program. The funding will provide training and technical assistance to program coordinators, school staff, teachers, and community organizers in Native communities that are looking to create or expand farm-to-school programs, enhance education curriculum, and/or engage new supply chain partners for providing nutritious school meals and nutrition education. AHRQ Safety Program for Telemedicine: Improving Antibiotic Use – May 23. The Agency for Healthcare Research and Quality (AHRQ) is recruiting practices for a no-cost program beginning in June 2024 to promote appropriate antibiotic use while maintaining patient satisfaction and reducing potential side effects in patients seen via telemedicine. Practices will receive training and one-on-one coaching to improve in the diagnosis and treatment of infections in the telemedicine environment. CMEs, CEUs, and ABIM MOC points are available. Rural practices and providers are encouraged to apply. (NOTE: this opportunity was previously listed under Approaching Deadlines with a date of June 2024.) Administration for Children and Families – Next Generation Child Support Employment Services Demonstration – June 3. This division of the Department of Health & Human Services modified certain requirements for its program that funds child support services for noncustodial parents. The change is in response to consistent feedback from tribes about the hardship that cost-sharing – that is, the amount of funding a grantee must provide in addition to federal funds – for tribes with existing child support programs and those considering a program. All state and tribal child support programs are eligible for this funding intended to enhance employment services related to child support. CMS Minority Research Grant Program – June 3. The Centers for Medicare & Medicaid Services (CMS) will award up to five grants totaling up to $1,275,000 to support researchers at minority-serving institutions who are investigating or addressing health care disparities affecting all minority populations, including racial and ethnic minority groups, people with disabilities, members of the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community, individuals with limited English proficiency, individuals residing in rural areas, and individuals adversely affected by persistent poverty or inequality. SAMHSA Minority Fellowship Program – June 10. The Substance Abuse and Mental Health Services Administration (SAMHSA) will invest $15.4 million to recruit, train, and support master's and doctoral-level students in behavioral health care professions to address disparities for racial and ethnic minority populations. Eligibility is limited to nationally representative mental health and/or substance use disorder treatment professional organizations within eight professional fields: psychiatry, nursing, social work, psychology, marriage and family therapy, mental health counseling, substance use disorder and addictions counseling, and addiction medicine. Department of Labor Workforce Opportunity for Rural Communities (WORC) for Appalachian, Delta, and Northern Border Regions – June 20. The DOL collaborates with federal Appalachian and Delta Regional Authorities for grants that will support career, training, and support services in high-demand industries that include manufacturing, IT, health care, and energy. Rural Health Research Research in this section is provided by the HRSA/FORHP-supported Rural Health Research Gateway. Sign up to receive alerts when new publications become available. Research in this section is provided by the HRSA/FORHP-supported Rural Health Research Gateway. Sign up to receive alerts when new publications become available. Several journal articles, written by the Rural Health Research Centers, were recently added to Gateway. They include: Policy Updates Send questions to ruralpolicy@hrsa.gov. FTA Seeking Comments on Updates to Rural Areas Formula Grant Programs – Comment by June 3. The Federal Transit Administration (FTA) is seeking input on proposed updates to its Rural Areas Formula Grant Programs Circular, which updates FTA guidance for formula grants under the Formula Grants for Rural Areas, the rural component of the Grants for Buses and Bus Facilities, and the Tribal Transit program. The proposed changes are intended to support recipients so they may successfully implement and administer these programs and are a result of changes in the law since the last updates took place. The Formula Grants for Rural Areas program provides capital, planning, and operating assistance to states to support public transportation in rural areas with populations of less than 50,000, where many residents often rely on public transit to reach their destinations. The program also provides funding for state and national training and technical assistance through the Rural Transportation Assistance Program. Proposed Updates to Medicare Hospital Payment for Fiscal Year 2025 – Comment by June 10. The proposed rule from the Centers for Medicare & Medicaid Services (CMS) seeks public comment on payment updates and policy changes to Medicare's inpatient and long-term care hospital prospective payment system (IPPS). For fiscal year 2025, CMS proposes a 2.6 percent increase to acute care hospitals that successfully participate in the Inpatient Quality Reporting program and are meaningful electronic health record users. They also propose to provide a separate payment to small, independent IPPS hospitals to establish and maintain a buffer stock of essential medicines for use during future shortages; to distribute an additional 200 Medicare-funded residency positions (or "slots") to train physicians as required by statute; to adjust hospital payments when inadequate housing and housing instability is indicated; and to extend certain COVID-19 and influenza data reporting requirements for hospitals and Critical Access Hospitals (CAHs). Additional proposals and requests for information that rural stakeholders may want to provide feedback on include: - A Mandatory CMMI Episode-Based Payment Model – The Centers for Medicare & Medicaid Services Innovation Center (CMMI) is proposing a new, mandatory alternative payment model, Transforming Episode Accountability Model (TEAM). For this model, acute care hospitals in select geographic areas would be accountable for ensuring that Medicare beneficiaries receive coordinated, high-quality care during and after certain surgical procedures: coronary artery bypass graft (CABG), lower extremity joint replacement (LEJR), major bowel procedure, surgical hip/femur fracture treatment (SHFFT), and spinal fusion. TEAM would test whether financial accountability for these episode categories reduces Medicare expenditures while preserving or enhancing the quality of care for Medicare beneficiaries. Additionally, within TEAM, CMS proposes a voluntary Decarbonization and Resilience Initiative to assist hospitals in addressing the effects of hospital carbon emissions on health outcomes, health care costs, and quality of care.
- Modifications to the Criteria for New Residency Programs - Currently, to be considered a "new" residency program, a non-teaching hospital must ensure that the residents, the program director, and the teaching staff are all new. To clarify what is meant by "new", CMS proposes that at least 90 percent of the individual resident trainees must not have previous training in the same specialty as the new program. As small or rural-based programs developing new residencies may have difficulty meeting this threshold, CMS is soliciting comments on what should be considered a "small" program, i.e., 16 or fewer resident positions, and what percentage threshold or other approach regarding new resident trainees should be applied to these programs. Additionally, CMS seeks input on a reasonable threshold for determining the newness for faculty and Program Directors as well as whether there should be different thresholds for small residency programs, which may include rural.
- A Targeted Obstetrical Services Condition of Participation (CoP) for Hospitals, CAHs, and Rural Emergency Hospitals (REHs) - CMS plans to propose baseline health and safety standards for obstetrical services in the calendar year (CY) 2025 Outpatient Prospective Payment System/Ambulatory Surgical Center (ASC) proposed rule, which will be published in a few months. To establish those standards, CMS seeks public comment on what the overarching requirement, scope, and structure for an obstetrical services CoP should be and what types of facilities and care settings should such a CoP apply to (that is, all hospitals, hospitals with/without OB units, hospitals with/without emergency services, CAHs, REHs, or outpatient settings).
CMS Updates to the Low-Income Beneficiaries through Limited Income Newly Eligible Transition Program – Comment by June 11. The Centers for Medicare & Medicaid Services (CMS) seeks public comment on the following information collections: 1) Transitional Coverage and Retroactive Medicare Part D Coverage for Certain Low-Income Beneficiaries through the Limited Income Newly Eligible Transition Program; and 2) Appointment of Representative and Supporting Regulations in 42 CFR 405.910, which says that an individual or entity may appoint a representative to act of their behalf when exercising their rights for claim determinations and appeals. According to a March 2024 brief from analysts at the U.S. Department of Health and Human Services, nearly 8 million Part D enrollee reside in rural areas. In addition to higher rates of illness and disease compared to urban enrollees, rural beneficiaries report greater health care costs-related problems and difficulty accessing affordable prescription drugs. A-Z: All You Need to Know About Making Your RHC a PA Clinical Rotation Site – Friday, April 19 at 1:00 pm Eastern. The National Association of Rural Health Clinics (NARHC) will host a free, FORHP-supported webinar with information on how to establish a Rural Health Clinic as a Physician Assistant/Physician Associate (PA) clinical rotation site. This webinar will feature representatives from universities with PA programs who will share their experiences placing students in rural training sites and provide additional time for Q&A. Advanced registration is required. Learning Events and Technical Assistance Addressing Substance Use in Maternal Health Within Tribal Communities – Thursday, April 18 at 2:00 pm Eastern. Hosted by HRSA, this webinar will examine the impact of substance use in maternal health, share examples of how Tribes and Tribal communities have addressed the issue, and identify HRSA resources and regional contacts. Resource of the Week Strategies to Improve Delivery of Tobacco Cessation Services Through Public Health Insurance. The Centers for Medicare & Medicaid Services highlights state strategies, quality measures, and resources to improve the delivery of tobacco cessation services to Medicaid and Children's Health Insurance Program (CHIP) beneficiaries. It also overviews coverage requirements for the program. Visit CMS' Improving Tobacco Cessation website for additional resources. Approaching Deadlines USDA Rural eConnectivity Program – April 22 DOJ Office of Violence Against Women – Grants to Indian Tribal Governments – April 24 DOJ Office on Violence Against Women – Strengthening Tribal Advocacy Responses Track (START) – April 24 HRSA Medicare Rural Hospital Flexibility Program – Supplement Funding for Rural Emergency Services – April 25 HRSA National Health Service Corps Scholarship Program – April 25 Department of Veterans Affairs Staff Sergeant Fox Suicide Prevention Grants – April 26 DOJ Mentoring for Youth Affected by Opioid and Other Substance Misuse – April 29 SAMHSA Building Communities of Recovery – April 29 USDA Distance Learning and Telemedicine Grants – April 29 Department of Education School-Based Mental Health Services Grant – April 30 First Nations Development Institute Native Farm to School Training and Technical Assistance – April 30 USDA Revolving Funds for Financing Water and Wastewater Projects – May 1 DOJ Adult Treatment Court Site-Based Program – May 2 DOJ Culturally Specific Services for Victims of Sexual Assault – May 2 HRSA Nurse Corps Scholarship Program – May 2 Federal Agencies Seek Input: Effects of Consolidation in Health Care – Comment by May 6 HRSA Opioid-Impacted Family Support Program – May 6 HRSA Rural Communities Opioid Response Program - Impact – May 6 USAging: The John A. Hartford Foundation Business Innovation Award – May 6 HRSA National Health Service Corps: Three Options for Loan Repayment Programs – May 9 NOSORH Purpose-Driven Leadership Institute – May 10 CMS Seeks Input on a New Beneficiary Disenrollment Survey – Comment by May 13 ACF Head Start Expansion, Early Head Start Expansion, and Early Head Start-Child Care Partnership Grants – May 14 ACF Head Start Expansion for Migrant and Seasonal Families – May 14 Department of Education Demonstration Grants for Mental Health Service Professionals in Elementary and Secondary Schools – May 14 IHS American Indians Into Medicine – May 14 Indian Health Service Grants for Native Public Health Resilience – May 14 USDA Farmers Market/Local Food Promotion Program – May 14 USDA Gus Schumacher Nutrition Incentive Program – May 14 Department of Education Mental Health Service Professional Demonstration Grant Program – May 15 HHS Community Level Innovations for Improving Health Outcomes – May 15 OMB Seeks More Public Participation in Government Decision-Making – Comment by May 17 NIH Strategies to Improve Health Outcomes/Advance Health Equity in Rural Populations – May 17 ACF Social and Economic Development Strategies for Native Communities – May 20 ACF Social and Economic Development Strategies for Native Communities in Alaska – May 20 USDA Micro-Grants for Food Security – May 21 USDA Rural eConnectivity Broadband Loan and Grant Program (ReConnect) – May 21 AHRQ Safety Program for Telemedicine: Improving Antibiotic Use – May 23 HRSA Rural Health Research Program – May 23 Medicare Proposes Updates for SNF, IRF, and Hospice Payment Rules – Comment by May 28 Medicare Proposes Updates to Inpatient Psychiatric Facility Payment Policies – Comment by May 28 ONC Seeks Feedback on Federal IT Strategic Plan – Comment by May 28 CMS Request for Information on Medicare Advantage Data – Comment by May 29 HRSA Radiation Exposure Screening and Education Program – May 29 Administration for Children and Families – Next Generation Child Support Employment Services Demonstration – June 3 CMS Minority Research Grant Program – June 3 FTA Seeking Comments on Updates to Rural Areas Formula Grant Programs – Comment by June 3 CISA Seeking Comments on New Covered Cyber Incidents for Covered Entities such as Critical Access Hospitals – Comment by June 4 Proposed Updates to Medicare Hospital Payment for Fiscal Year 2025 – Comment by June 10 NIH Innovations for Healthy Living – Improving Minority Health/Eliminating Health Disparities – June 10 SAMHSA Minority Fellowship Program – June 10 CMS Updates to the Low-Income Beneficiaries through Limited Income Newly Eligible Transition Program – Comment by June 11 IHS Tribal Self-Governance Program Planning Cooperative Agreement – June 12 IHS Tribal Self-Governance Program Negotiation Cooperative Agreement – June 12 Department of Labor Workforce Opportunity for Rural Communities (WORC) for Appalachian, Delta, and Northern Border Regions – June 20 NIH Researching Barriers to Care and Risk of HIV-Associated Comorbidities Among Vulnerable Population Groups – June 28 NIH Notice of Special Interest: Telehealth Strategies for Individuals with HIV and Substance Use Disorders – September 7 EPA Environmental and Climate Justice Community Change Grants – November 21 Ongoing Opportunities HRSA Needs Rural Reviewers for Grant Applications Medicaid and CHIP Renewal and Transition Resources for Partners Extended Public Comment Period for FCC's COVID-19 Telehealth Program National Indian Health Board Vaccination Event Funding – Ongoing while funds last SAMHSA 988 Suicide and Crisis Lifeline Volunteer and Job Opportunities USDA Disaster Repair Grants for Rural Communities USDA Emergency Community Water Assistance Grants 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 Association of American Indian Physicians Tribal Grant Writing Training 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 GSA Federal Surplus Property Available for Public Use GPHC & RWJF: Rapid Cycle Research and Evaluation Grants for Cross-Sector Alignment HRSA/SAMHSA Medications for Opioid Use Disorder Training and Mentoring 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 National Indian Health Board Tribal Environmental Justice Technical Assistance Center National Indian Health Board Tribal Environmental Impact Network Call for Technical Assistance Providers National Indian Health Board Vaccination Event Funding National Indigenous Women's Resource Center Technical Assistance for Domestic Violence Programs Native Americans into Medicine Host Sites for National Environmental Public Health Internship NIH Special Interest Research – Pandemic Impact on Vulnerable Children and Youth – May 2024 NIH Research to Improve Native American Health – October 2024 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 Addressing the Impact of Structural Racism and Discrimination – Various dates until October 2025 NIH Researching Firearm Injury and Mortality Prevention – February 2026 NIH Research to Address Vaccine Hesitancy in Health Disparity Populations – June 2026 NIH Planning Grants for Native American Research Centers for Health (NARCH) – various dates until July 2026 NIH Research to Understand Disparities in Maternal Morbidity and Mortality – Various dates until October 2026 NIH Data Informed, Place-Based Community-Engaged Research to Advance Health Equity – January 2027 NIH/UVA Seeking Rural Individuals to Participate in Weight Loss Study (iREACH) – until 2027 NIH Project Talk Initiative Host Site Applications NOSORH Rural Primary Care Institute 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 Rural Grocery Transition Specialist Program 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 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/NRHA Rural Hospital Technical Assistance 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 Western Region Public Health Training Center – Future Leaders Program WWAMI Area Health Education Center Scholars Program 3RNET Recruitment and Retention Assistance | 
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