Category Archives: Funding
February 14, 2018
New Federal Poverty Guidelines. The HHS Office of the Assistant Secretary for Planning and Evaluation (ASPE) recently published the 2018 federal poverty guidelines to be used in determining eligibility in income-based federal programs, including several that may affect the health and welfare of rural communities such as the Low-Income Home Energy Assistance Program (LIHEAP), the Supplemental Nutrition Assistance Program (SNAP), the Children’s Health Insurance Program (CHIP), and Medicare subsidized prescription drug coverage. The Guidelines went into effect on January 13, 2018.
Grants to Support Health Insurance Markets in States – February 26. Through this grant program, CMS will provide funding to States for planning and implementing health insurance market reforms and consumer protections. State Offices of Rural Health and other rural advocates may be interested in the recommended areas of focus for the grant, which include development of tools to identify discriminatory practices and investigation of ways to improve access to coverage in underserved areas. Applications are due on Thursday, April 5th, but a mandatory letter of intent to apply is due on Monday, February 26th.
Tribal-Researcher Capacity Building Grants – April 23. The U.S. Department of Justice will make up to five awards of approximately $100,000 each to build capacity for research and evaluation projects on criminal justice in Indian Country and Alaska Native Villages. Award recipients will be expected to submit a final research project that can help inform criminal justice partnerships with Tribal communities in the future.
February 2, 2018
NEMJ: The Challenging Quest to Improve Rural Health Care. The New England Journal of Medicine has a new article (subscription required) in its current edition that reviews the history of federal policy for rural health and examines current challenges that include widening disparities in life expectancy, sustainability of rural hospitals, tackling the opioid epidemic and the shortage of rural health workforce.
Teen Attitudes Toward Alcohol and Drug Use. Last week was National Drug and Alcohol Facts Week, an annual observance promoted by the National Institute on Drug Abuse (NIDA) to foster a science-based understanding among teenagers of drugs, alcohol and addiction. Since 1975, a NIDA-funded survey called Monitoring the Future has asked teens aged 12 to 17 about their attitude and behavior toward substance use. The most recent survey showed that opioid misuse is at historic lows for teens but that vaping and marijuana use are more popular. The findings on teen opioid use is similar to an October report from the Centers for Disease Control and Prevention that showed a decline in past-month drug use among teenagers in rural areas.
January 18, 2018
Two New Policy Briefs from the National Advisory Committee. The National Advisory Committee on Rural Health & Human Services is a citizens’ panel of nationally-recognized rural health experts that provides recommendations on rural issues to the Secretary of the Department of Health and Human Services twice each year. The latest policy briefs were written by the committee after a meeting last fall in Boise, Idaho, where the group focused on the impact of suicide in rural America and enhancing the Rural Health Clinics program to adapt to a value-focused health care environment. Also, a new website for the rural health advisory committee provides a look back more than two decades into the past with recommendations for health policy issues such as provider payment reform, workforce development, and telehealth implementation. Beginning in 2003, the committee expanded its focus to include human services and started addressing such issues as homelessness, intimate partner violence and social determinants of health.
CDC Updates Numbers on Opioid Overdose. The Centers for Disease Control and Prevention (CDC) collected mortality data from the National Vital Statistics System and found that there were more than 63,600 drug overdose deaths in the United States in 2016. The age-adjusted rate of death was 21 percent higher than it was just one year before. The highest rates of death were among adults aged 35-44, the age range that also had the greatest percentage increase in overdose death rate, 29 percent higher than in 2015. Last year, the CDC determined that the drug overdose rate in rural areas is higher than in urban areas.
2020 Census Expected to be a Challenge for Rural Areas. Rural areas and particularly minority populations that live in them are typically considered Hard to Count (HTC) for Census data collection every decade. But researchers at the University of New Hampshire Carsey School of Public Policy predict that the 2020 Census will present an even greater challenge for the population count that’s used to determine federal spending, community planning for schools and hospitals and site selection for new business, among other uses for the data. Seventy-nine percent of HTC counties are in rural areas, where counts are typically conducted via mail and door-to-door canvasing. Plans for the 2020 Census call for a majority of residents to receive communication that will urge a response via the internet, for which broadband access adds a special challenge for rural areas.
November 9, 2017
The Latest on Rural Health from the CDC. In the latest edition of its Morbidity and Mortality Weekly Report (MMWR) Rural Health Series, researchers at the Centers for Disease Control and Prevention (CDC) examined differences in occupational exposure to vapor-gas, dust, and fumes between a cohort of rural and urban adults in Iowa. While previous studies have focused exclusively on agricultural workers, this study assessed airborne occupational exposures in other types of jobs in rural settings as well. COPD is one of the leading causes of death, and the American Thoracic Society estimates that 15% of COPD cases can be attributed to occupational exposures. The findings of this report, which show that rural workers – including those who have never farmed – are more likely than urban workers to have high occupational exposures, allow for further exploration of interventions needed to reduce respiratory conditions related to work.
New Medicare Diabetes Prevention Program. Earlier this year, the Centers for Disease Control and Prevention (CDC) reported that 62% of rural counties do not have a Diabetes Self-Management Education program. For 2018, the Medicare Physician Fee Schedule is expanding the Medicare Diabetes Prevention Program (MDPP), an evidence-based lifestyle change curriculum shown to prevent type 2 diabetes among beneficiaries with prediabetes. Organizations in health care and community settings can implement the CDC-recognized Diabetes Prevention Program and, after enrolling as a MDPP supplier, may receive Medicare reimbursement for their services beginning April 1, 2018. The National Institutes of Health explains the importance of screening for prediabetes and provides resources and referrals to support patients in this effort.
Help NIH Understand Rural Pregnancy. The National Institutes of Health (NIH) PregSource research project aims to improve national maternity care by getting first-hand accounts of the physical and emotional aspects of pregnancy, labor, delivery, and early parenthood. NIH plans to identify specific challenges facing subgroups of women, such as women with disabilities or those living in rural areas. Women have no hospital obstetric services in as many as 45% of rural counties, and recent research shows the losses continue. More information may help researchers and policymakers better address this access problem. Rural health care providers may also consider implementing model programs to improve their prenatal and obstetric care. Providers and researchers may also be interested in the HRSA Maternal and Child Health Bureau challenge competition offering $375,000 in prizes to innovators who develop low-cost technologies to improve prenatal care in remote and medically underserved areas.
NIH Health Disparities Research Centers. The National Institutes of Health (NIH) announced five-year funding for 12 centers of excellence focused on research, training, and community engagement to reduce health disparities. Each of these specialized centers will emphasize at least one of several populations facing social disadvantages, including marginalized racial and ethnic groups, people from less privileged socioeconomic situations, and residents of underserved rural communities. The two centers focusing on rural populations are the Arkansas Center for Health Disparities at the University of Arkansas for Medical Sciences, focused on chronic disease risk factors, and the new Transdisciplinary Research, Equity, and Engagement Center for Advancing Behavioral Health at the University of New Mexico, focused on behavioral health.
October 19, 2017
Students to Service Application Deadline Extended
It’s not too late!
Complete and submit your application before the extended deadline of October 26, 2017 at 7:30 p.m. ET
The National Health Service Corps (NHSC) Students to Service Loan Repayment Program (S2S LRP) provides up to $120,000 to medical (MD and DO) or dental (DDS or DMD) students in their final year of school. In return, you will provide primary health care full time for at least 3 years at an approved NHSC site in a Health Professional Shortage Area of greatest need.
NHSC S2S Program Application Webinar Recording
If you have questions or would like additional assistance, please contact the Customer Care Center at 1-800-221-9393, Monday – Friday between 8:00 a.m. to 8:00 p.m. ET (except federal holidays).
National Health Service Corps Students to Service Loan Repayment Program
October 10, 2017
The Missouri Foundation for Health’s MoCAP program is an effort to provide technical assistance and consultation to organizations applying for grant funding—federal and nationally competed private funding. The MoCAP FAQ page provides an overview of the program and its intent.
Your organization may be interested in these funding opportunities. Or please forward it to a potentially interested colleague.
Title: Rural Health Care Services Outreach Program
Application Deadline: December 6, 2017
Award Amount: $200,000
Estimated Number of Awards: 25
Matching Requirement: N/A
Letter of Intent: N/A
Program Scope/Description: The program is designed to promote rural health care services through the enhancement and integration of healthcare delivery within rural communities. Projects will focus on increasing access, developing adaptive strategies within a rapidly changing environment, and enrichment of community health. Key areas of concern include: mental illness, childhood obesity, and substance abuse.
Eligibility: The applicant organization must be a rural nonprofit or rural public entity representing a consortium/network of three or more healthcare providers. Additionally, the organization must be located in a non-metropolitan county or within a rural census tract of a metropolitan county.
Previously Funded Organizations: Northeast Missouri Health Council, Inc., Ozarks Medical Center, and Washington County Memorial Hospital
Link to Full Program Announcement: https://www.grants.gov/web/grants/view-opportunity.html?oppId=295218
After reviewing the links, consider:
- Is your organization ready to apply for federal funding? (The process is complicated.)
- Do you have an existing program or a developed concept for a new activity that would fit within the guidelines?
If your answer to both questions is yes, consider asking MFH for MoCAP assistance with this or other funding applications that would secure new funds for Missouri (federal or private). Send an email to email@example.com. Include all your contact information and ideally a draft concept paper or project outline in your correspondence.