Opportunity Information: Apply for HRSA 23 037
The Rural Residency Planning and Development (RRPD) Program is a grant opportunity from the Health Resources and Services Administration (HRSA), within the U.S. Department of Health and Human Services, designed to strengthen health care access in rural communities by helping organizations launch new rural physician residency programs or rural track programs (RTPs). The core idea is to address persistent rural physician shortages by building training pipelines that are rooted in rural practice settings, since physicians are more likely to work long-term in communities similar to where they train. RRPD specifically provides start-up support to get these programs off the ground, with the expectation that, once established and accredited, they will be sustained through stable financing sources such as Medicare, Medicaid, and other public or private funding mechanisms rather than relying indefinitely on grant dollars.
Under this opportunity, a "rural residency" refers to an accredited allopathic or osteopathic residency program where residents spend more than 50 percent of their total residency training time at rural training sites, with an explicit mission of producing physicians who will practice in rural areas. The program also explicitly includes ACGME Rural Track Program designation Types 1 and 2, meaning it is set up to support either a full rural residency structure or a formal rural training track that meets accreditation standards and meaningfully centers training in rural environments. A key emphasis is on Accreditation Council for Graduate Medical Education (ACGME) accreditation, reflecting HRSA's focus on building credible, standardized, and durable training programs that can continue operating after the initial start-up period.
The RRPD Program offers two distinct funding pathways that reflect different workforce and community needs. The General Primary Care and High Need Specialty Pathway supports development of new rural residency training programs in family medicine, internal medicine, preventive medicine, psychiatry, and general surgery. These specialties are commonly in short supply in rural regions and are foundational to maintaining access to comprehensive care, including chronic disease management, behavioral health services, preventive care, and core surgical capacity that can reduce the need for patients to travel long distances.
The second pathway, the Maternal Health and Obstetrics Pathway, focuses on rebuilding and expanding rural maternity and obstetrical services, an area that has faced major access challenges due to unit closures, workforce shortages, and limited on-call coverage in many rural hospitals. This pathway supports either (1) an obstetrics-gynecology rural residency program or RTP, or (2) a family medicine rural residency program or RTP that includes enhanced obstetrical training. For family medicine programs, "enhanced" training is expected to be substantial and practice-ready, including extensive hands-on experience in comprehensive maternity care, dedicated time in labor and delivery, and training in operative obstetrics. Programs must also have faculty with the clinical expertise needed to train family medicine residents to independently provide obstetrical care in rural practice settings, which is essential when rural communities rely on broadly skilled clinicians.
In terms of administrative details, this is a discretionary grant (Funding Opportunity Number HRSA-23-037; CFDA 93.155). The award ceiling is $750,000, and HRSA anticipated making about 15 awards under the notice. Eligible applicants are broad and include multiple levels of government (state, county, city/township, special districts, and independent school districts), federally recognized tribal governments and other tribal organizations, 501(c)(3) nonprofits (other than institutions of higher education), for-profit organizations (other than small businesses), and small businesses, with additional eligibility clarification referenced in the full announcement. The notice was created on October 5, 2022, and the original closing date listed is January 27, 2023.
Overall, RRPD is aimed at helping rural communities and their partner institutions move from the idea stage to a fully functioning, accredited residency or rural training track that can reliably produce rural physicians over time. It targets both broad primary care and high-need specialties, while also carving out a focused lane for maternal health and obstetrics to help rural areas maintain safe, evidence-based pregnancy and delivery care close to home.Apply for HRSA 23 037
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Residency Planning and Development (RRPD) Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.155.
- This funding opportunity was created on Oct 05, 2022.
- Applicants must submit their applications by Jan 27, 2023. (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 $750,000.00 in funding.
- The number of recipients for this funding is limited to 15 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, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
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