Opportunity Information: Apply for HRSA 23 059

The National Organizations of State and Local Officials (NOSLO) Program: State and Local Public Health Systems (Funding Opportunity Number HRSA-23-059) is a discretionary cooperative agreement offered by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). It is designed to fund a single national-level organization that has deep expertise in working with state, territorial, tribal, and local public health officials and the organizations that represent or support them. The central idea is to use a well-positioned national partner to strengthen coordination between HRSA and on-the-ground public health leadership, while helping jurisdictions build practical capacity to improve health outcomes and health care access.

The purpose of the NOSLO program is threefold: first, to help state and local authorities improve public health, health care, and the delivery of health care; second, to build capacity so public health agencies can more effectively address public health issues and support and enforce health-related regulations; and third, to promote health equity as a core strategy for preserving and improving population health. In this opportunity, "capacity-building" is explicitly framed as building, strengthening, and sustaining the competencies and resources needed to deliver better health services to communities that are geographically isolated and/or economically or medically vulnerable.

The program lays out three core objectives that shape what the recipient is expected to do. One objective is to facilitate two-way communication and data or information sharing between HRSA and state, territorial, and/or local officials. Another is to improve HRSA's and partners' understanding of jurisdiction-level needs, priorities, and perspectives so federal efforts align better with realities in the field. The third is to support capacity-building activities at state, territorial, and/or local levels that strengthen the health care safety net and move forward public health goals. In practice, this means the recipient functions as a connector and an enabling hub: listening to jurisdictions, translating needs into actionable insights, and helping implement solutions that can scale.

HRSA emphasizes that the cooperative agreement should identify and implement health care programs that support states in addressing public health system issues in ways that improve access to quality care for medically and economically vulnerable populations. The opportunity places special emphasis on people who are geographically isolated, particularly those in rural areas, along with people with HIV, people with unmet behavioral health needs, and efforts to strengthen the health care workforce. These priorities signal that HRSA wants the funded organization to focus on practical, system-level supports that expand access, reduce gaps, and reinforce the workforce and infrastructure needed to serve high-need communities.

The successful recipient is expected to provide tailored technical assistance to state, territorial, tribal, and local public health officials and organizations. The work is not limited to general guidance; it is meant to be responsive and customized, aligned to HRSA priorities and jurisdiction-specific challenges. Key activity types include facilitating communication and information-sharing between HRSA and governmental public health partners, providing training, supporting data collection and analysis, developing publications or guidance products, and organizing convenings such as learning exchanges focused on priority topics. Collectively, these activities are intended to help jurisdictions operate more responsively, in a more coordinated fashion, and with greater effectiveness.

Two specific program objectives highlight how that support should translate into action. The recipient must engage public health officials and organizations to develop detailed implementation plans for policy initiatives that improve access to quality health care for the highest-need populations, particularly where those populations and initiatives intersect with HRSA-supported programs. Where feasible, HRSA encourages approaches that can be shared across multiple states to produce broader, nationwide impact rather than isolated, one-off solutions. In addition, the recipient must implement technical assistance activities and tools that support innovative solutions to public health system challenges, again with the same population priorities: rural and geographically isolated communities, people with HIV, people facing unmet behavioral health needs, and workforce strengthening.

From an eligibility standpoint, HRSA lists a wide range of eligible applicants, reflecting the national, cross-sector nature of the work. Eligible entities include state, county, and city or township governments; special district governments; independent school districts; federally recognized tribal governments and other tribal organizations; nonprofits with or without 501(c)(3) status (excluding institutions of higher education); for-profit organizations other than small businesses; small businesses; and other entities as further clarified in the opportunity. Even with broad eligibility, the description makes clear HRSA is looking for a national-level organization capable of serving as a technical assistance provider and strategic partner to government public health leadership across jurisdictions.

Administratively, this opportunity was posted June 6, 2023, with an original closing date of July 6, 2023. HRSA anticipated making one award (Expected Awards: 1). The listing shows an award ceiling of 0, which typically indicates the ceiling is not specified in the summary fields and applicants would need to consult the full announcement for detailed budget guidance and expectations. The CFDA/Assistance Listing number associated with the opportunity is 93.011, and the activity category is Health.

Overall, the grant is structured to strengthen the state and local public health system by funding a single national partner that can coordinate communication with HRSA, elevate and clarify on-the-ground needs, and deliver hands-on technical assistance that helps jurisdictions build durable capacity. The intended outcome is a stronger, more connected safety net and public health infrastructure that improves access to quality care and advances health equity, especially for rural and other medically and economically vulnerable populations.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "National Organizations of State and Local Officials: State and Local Public Health Systems" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.011.
  • This funding opportunity was created on Jun 06, 2023.
  • Applicants must submit their applications by Jul 06, 2023. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 23 059

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