Opportunity Information: Apply for HRSA 22 139

The Teaching Health Center Graduate Medical Education (THCGME) Program is a federal grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to strengthen the primary care workforce by funding residency training that takes place in community-based, outpatient settings. The program focuses on training primary care residents in ambulatory patient care centers that directly serve local communities, with a strong emphasis on building a clinician pipeline for rural and medically underserved areas. The underlying aim is not just to increase the number of residents, but to ensure those residents graduate with practical, community-oriented competencies that prepare them to deliver high-quality care to diverse populations, including patients facing access barriers, socioeconomic challenges, and health disparities.

This opportunity offers two main award pathways. First, expansion awards are intended for existing HRSA-funded THCGME programs that want to increase the number of resident Full-Time Equivalent (FTE) training positions beyond what they already support. Second, new awards may be provided to support new resident FTE positions at new Teaching Health Centers (THCs), as funding allows. A "new" THC in this context means a residency program that has never received THCGME payment from HRSA for that specific residency program in any prior fiscal year. The notice also clarifies that organizations that previously applied under the FY 2022 THCGME funding opportunity announcement (HRSA-22-105) are still eligible to apply here if they meet eligibility requirements, because baseline requirements were adjusted and some applicants may now qualify for funding or for additional resident FTE support. In other words, prior applicants, including those who were not funded under HRSA-22-105, are not excluded and may be competitive under this updated announcement.

A key limitation is how the money can be used. Funds awarded under this notice are restricted to costs associated with resident FTE training itself. The grant is not meant to pay for starting up a residency program from scratch or handling early-stage program development activities. Specifically, THCGME funds may not be used for residency program development expenses such as accreditation-related costs. This makes the grant primarily a training support mechanism, helping cover expenses tied directly to educating and sustaining residents in clinical training positions rather than building the administrative and accreditation infrastructure of a new program.

Administratively, the opportunity is a discretionary grant (not a formula entitlement), listed under CFDA 93.530, and was posted January 31, 2022, with an original application deadline of March 31, 2022. HRSA anticipated making about 30 awards. The listed award ceiling is shown as 0 in the source data, which typically indicates that the maximum award amount is not expressed as a fixed cap in that field and may instead be determined by program policy, resident FTE calculations, available appropriations, and HRSA funding decisions. Eligible applicants include a broad mix of entities involved in health professions training and community-based care delivery, including public and private institutions of higher education, state-controlled institutions of higher education, nonprofit organizations with 501(c)(3) status (other than higher education institutions), and federally recognized Tribal governments and Tribal organizations, along with other entities as specified in the opportunity’s additional eligibility guidance.

Overall, the THCGME Program is aimed at expanding and sustaining hands-on, community-centered primary care residency training in settings where patients actually receive day-to-day care, while deliberately steering training capacity toward communities that have historically struggled to recruit and retain primary care providers. The funding is specifically tied to resident training slots (FTEs), rewarding programs that can train more residents in these community environments and produce clinicians prepared to practice where the need is greatest.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Teaching Health Center Graduate Medical Education (THCGME) Program" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.530.
  • This funding opportunity was created on Jan 31, 2022.
  • Applicants must submit their applications by Mar 31, 2022. (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 30 candidate(s).
  • Eligible applicants include: Public and State controlled institutions of higher education, 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, Private institutions of higher education, Others (see text field entitled Additional Information on Eligibility for clarification).
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