Opportunity Information: Apply for HRSA 21 106

The Rural Northern Border Region Planning Program is a federal grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), focused on helping rural communities in the Northern Border Regional Commission (NBRC) service area strengthen how they understand and plan for local health needs. Rather than funding direct clinical services, the program is designed to support structured planning work that helps underserved rural areas identify their most pressing health issues, evaluate barriers and gaps in the local health system, and develop practical strategies that can guide future rural health efforts across the northern border region. The overall intent is to leave communities better prepared to address health care needs in a targeted, coordinated, and evidence-informed way.

Funded projects are expected to concentrate on planning activities that clarify key rural health challenges and translate those findings into actionable rural health plans. That can include activities such as collecting and analyzing local data, conducting community health assessments, mapping resources and service gaps, engaging stakeholders (for example, hospitals, clinics, public health agencies, EMS, behavioral health providers, social service organizations, and community members), and facilitating strategic planning sessions that produce concrete priorities and implementation-ready next steps. The announcement highlights several common rural priorities that applicants may address, including access to care issues (such as distance, transportation, limited service availability, and care coordination challenges), health care workforce constraints (recruitment, retention, training pipelines, and burnout), and planning support for small rural hospitals that need to improve financial stability and operational performance. A key expectation is that applicants will build on existing policy and academic reports, so the work does not duplicate what is already known and instead strengthens, localizes, and extends prior research into community-specific planning products.

The grant supports an 18-month period of planning. HRSA specifically frames "planning activities" as work that prepares a community to provide direct services later, meaning the deliverables should position communities to compete for implementation funding, launch programs, or make operational changes after the planning period ends. In practice, that often means producing items such as a regional or community rural health plan, a prioritized set of interventions with timelines and responsible parties, a workforce or access-to-care strategy, partnership agreements or governance structures for collaboration, and clear documentation of needs, assets, and recommended actions. The program is discretionary and uses a grant funding instrument.

In terms of funding scale and competition, the opportunity lists an award ceiling of $190,000 and anticipates making about four awards. The funding activity category is Health, and the CFDA number associated with the program is 93.912. The opportunity number is HRSA-21-106, created May 11, 2021, with an original application closing date of June 14, 2021.

Eligibility is broad and includes many types of public, private, and community-based organizations that might be positioned to lead regional planning. Eligible applicants include county, city, township, and special district governments; independent school districts; public and state-controlled institutions of higher education as well as private institutions of higher education; federally recognized tribal governments and other tribal organizations; public housing authorities and Indian housing authorities; nonprofit organizations with or without 501(c)(3) status (excluding higher education institutions in those nonprofit categories); for-profit organizations other than small businesses; small businesses; and other entities as further clarified in the full eligibility section of the notice. This wide eligibility reflects the reality that rural health planning often depends on cross-sector leadership and collaboration, not just traditional health care institutions.

Taken together, the Rural Northern Border Region Planning Program is essentially a capacity-building and strategy-development grant for the NBRC rural footprint. It is meant to help rural leaders define their most urgent health problems, align partners around shared priorities, and produce credible plans grounded in existing evidence so communities are better prepared to pursue and implement solutions that improve access, strengthen the workforce, and support the stability of rural health systems.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Northern Border Region Planning Program" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.912.
  • This funding opportunity was created on May 11, 2021.
  • Applicants must submit their applications by Jun 14, 2021. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $190,000.00 in funding.
  • The number of recipients for this funding is limited to 4 candidate(s).
  • Eligible applicants include: County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, 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, Private 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 21 106

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Frequently Asked Questions (FAQs): Rural Northern Border Region Planning Program

What is the Rural Northern Border Region Planning Program?

The Rural Northern Border Region Planning Program is a federal grant opportunity from the U.S. Department of Health and Human Services (HHS), administered by the Health Resources and Services Administration (HRSA). It funds structured planning work to help rural communities in the Northern Border Regional Commission (NBRC) service area better understand local health needs and develop practical, evidence-informed rural health plans.

What is the primary purpose of this grant?

The program is designed to strengthen local capacity for rural health planning. Funded projects are expected to identify pressing community health issues, analyze barriers and gaps in local health systems, engage partners, and translate findings into actionable strategies that guide future rural health efforts across the northern border region.

Does this program pay for direct clinical services?

No. The opportunity is focused on planning activities rather than funding direct clinical services. HRSA frames the work as preparation that positions communities to provide direct services later through future implementation funding, program launches, or operational changes after the planning period ends.

What types of activities are considered "planning activities" under this program?

Planning activities can include collecting and analyzing local data, conducting community health assessments, mapping resources and service gaps, engaging stakeholders, and facilitating strategic planning sessions that produce concrete priorities and implementation-ready next steps.

Who should be involved as stakeholders in the planning process?

The notice highlights stakeholder engagement and provides examples such as hospitals, clinics, public health agencies, EMS, behavioral health providers, social service organizations, and community members. The intent is cross-sector collaboration so the resulting plan reflects local realities and shared priorities.

What rural health topics or priorities can applicants focus on?

The announcement notes several common rural priorities applicants may address, including access to care issues (distance, transportation, limited service availability, and care coordination challenges), health care workforce constraints (recruitment, retention, training pipelines, and burnout), and planning support for small rural hospitals seeking improved financial stability and operational performance.

Is the program limited to a single issue area, or can it cover multiple rural health challenges?

The opportunity describes a planning approach that clarifies key rural health challenges and turns them into actionable plans. It also lists multiple example priority areas, indicating the planning work may address different needs as identified locally through data, assessment, and stakeholder input.

What kinds of deliverables are expected from funded projects?

Expected outputs are planning products that prepare communities for later implementation. Examples described include a regional or community rural health plan, a prioritized set of interventions with timelines and responsible parties, workforce or access-to-care strategies, partnership agreements or governance structures for collaboration, and documentation of needs, assets, and recommended actions.

How long is the planning period funded by this grant?

The grant supports an 18-month period of planning.

How much funding is available per award?

The opportunity lists an award ceiling of $190,000.

How many awards does HRSA expect to make?

The opportunity anticipates making about four awards.

What is the geographic focus of the program?

The program focuses on rural communities in the Northern Border Regional Commission (NBRC) service area and is intended to strengthen rural health planning across the northern border region.

What does HRSA mean by planning that "builds on existing policy and academic reports"?

A key expectation is that applicants use and build on existing policy and academic reports so the project does not duplicate what is already known. The emphasis is on strengthening, localizing, and extending prior research into community-specific planning products and strategies.

What funding mechanism is used for this opportunity?

The program is discretionary and uses a grant funding instrument.

What is the funding activity category?

The funding activity category is Health.

What is the CFDA number for this program?

The CFDA number associated with the program is 93.912.

What is the opportunity number for this grant?

The opportunity number is HRSA-21-106.

When was this opportunity created, and what was the original closing date?

The opportunity was created May 11, 2021, with an original application closing date of June 14, 2021.

Who is eligible to apply?

Eligibility includes a broad range of entities, such as county, city, township, and special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized tribal governments and other tribal organizations; public housing authorities and Indian housing authorities; nonprofit organizations with or without 501(c)(3) status (excluding higher education institutions in those nonprofit categories); for-profit organizations other than small businesses; small businesses; and other entities as further clarified in the full eligibility section of the notice.

Why is eligibility so broad for this planning program?

The notice explains that rural health planning often depends on cross-sector leadership and collaboration, not only traditional health care institutions. The wide eligibility is intended to reflect that reality and enable different types of local and regional organizations to lead coordinated planning.

What is the overall outcome HRSA is aiming for with this program?

The program aims to leave communities better prepared to address health care needs in a targeted, coordinated, and evidence-informed way. In practical terms, it is intended to help rural leaders define urgent health problems, align partners around shared priorities, and produce credible, actionable plans that can support future implementation efforts.

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