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State Offices of Rural Health Program (SORH)

Grants to USA States to Improve Health
Care Services in Eligible Areas

Agency Type:


Funding Source:

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US Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), Federal Office of Rural Health Policy (FORHP), Hospital State Division

Conf. Date:


Deadline Date:

02/01/21 11:59 PM ET


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Grants to USA states to improve health care services in eligible areas throughout the country. Applicants are advised that required registrations may take up to one month to complete. In addition to improvements to health infrastructure, funding may be used for activities pertaining to recruiting and retaining health professionals to serve in rural areas of the state and provide contracts to public and non-profit private entities to carry out SORH activities. Funding is intended to enhance health care systems in rural areas.

The purpose of the SORH Program is to assist states in strengthening rural health care delivery systems by maintaining a focal point for rural health in each state. The program provides funding for an institutional framework that links small rural communities with state and federal resources to develop long-term solutions to rural health programs.

Authorizing legislation provides that each SORH must conduct the following activities:

  1. Maintain within the state a clearinghouse for collection and disseminating information on:
    • rural health care issues;
    • research findings relating to rural health care; and
    • innovative approaches to the delivery of health care in rural areas;
  2. Coordinate the activities carried out in the state that relate to rural health care, including providing coordination for the purpose of avoiding redundancy in such activities; and
  3. Identify federal and state programs regarding rural health and provide technical assistance to public and non-profit private entities regarding participation in such programs. 

For program objectives, see pp.10-14 of the NOFO in Supporting Documents below. 

GrantWatch ID#:

GrantWatch ID#: 193500

Estimated Total Program Funding:


Number of Grants:

Up to 50 grants.

Estimated Size of Grant:

Up to $230,000 per year, subject to the availability of appropriated funds.

Term of Contract:

The period of performance is July 1, 2021 through June 30, 2026. Funding beyond the first year is subject to the availability of appropriated funds for SORH in subsequent fiscal years, satisfactory recipient performance, and a decision that continued funding is in the best interest of the Federal Government.

Additional Eligibility Criteria:

States with State Offices of Rural Health are eligible to apply. Only one applicant from each state is eligible, based on the designation of the governor.

You cannot use funds under this notice for the following purposes:
• To provide health care (including providing cash payments regarding such care);
• To conduct activities for which federal funds are expended
(i) within the state to provide technical and other non-financial assistance under section 254c(f) of this title;
(ii) under a memorandum of agreement entered into with the State Office of Rural Health under section 254c(h) of this title; or
(iii) under a grant under section 254q–1 of this title;
• To purchase medical equipment, to purchase ambulances, aircraft, or other vehicles, or to purchase major communications equipment;
• To purchase or improve real property; or
• To carry out any activity regarding a certificate of need

Pre-proposal Conference:

HRSA has scheduled the following technical assistance: Webinar/Conference Call

Day and Date: December 8, 2020
Time: 3 - 4 p.m. ET

Call-In Number: 1-888-989-9741
Participant Code: 8962344
Playback Number: 1-888-562-8229
Passcode: 120820

Pre-Application Information:

The due date for applications under this NOFO is February 1, 2021 at 11:59 p.m. ET. HRSA suggests submitting applications to at least 3 calendar days before the deadline to allow for any unforeseen circumstances.

Currently, the registration process requires information in three separate systems:
• Dun and Bradstreet (
• System for Award Management (SAM) (
• (

Registration in all systems, including and, may take up to 1 month to complete.

Multiple applications from an organization are not allowable.

Cost sharing/matching is required for this program. Per Section 338J of the Public Health Services Act (42 U.S.C. 254r), as amended, SORH requires a non-federal funding match of not less (may be more) than $3 for each $1 of federal funds in each year of the period of performance.

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Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

You may request additional information and/or technical assistance regarding business, administrative, or fiscal issues related to this NOFO by contacting:
Kimberly Dews
Grants Management Specialist
Division of Grants Management Operations, OFAM
Health Resources and Services Administration
5600 Fishers Lane, Mailstop 10SWH03
Rockville, MD 20857
Telephone: (301) 443-0655
Fax: (301) 443-0655

You may request additional information regarding the overall program issues and/or technical assistance related to this NOFO by contacting:
Rachel Moscato, MPH
Public Health Analyst
Federal Office of Rural Health Policy
Health Resources and Services Administration
5600 Fishers Lane, Room 17W-25B
Rockville, MD 20857
Telephone: (301) 443-2724
Fax: (301) 443-2803

GRANTS.GOV Applicant Support

CFDA Number:


Funding or Pin Number:


URL for Full Text (RFP):

Geographic Focus:

USA: Alabama;   Alaska;   Arizona;   Arkansas;   California;   Colorado;   Connecticut;   Delaware;   Florida;   Georgia;   Hawaii;   Idaho;   Illinois;   Indiana;   Iowa;   Kansas;   Kentucky;   Louisiana;   Maine;   Maryland;   Massachusetts;   Michigan;   Minnesota;   Mississippi;   Missouri;   Montana;   Nebraska;   Nevada;   New Hampshire;   New Jersey;   New Mexico;   New York City;   New York;   North Carolina;   North Dakota;   Ohio;   Oklahoma;   Oregon;   Pennsylvania;   Rhode Island;   South Carolina;   South Dakota;   Tennessee;   Texas;   Utah;   Vermont;   Virginia;   Washington, DC;   Washington;   West Virginia;   Wisconsin;   Wyoming

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