Health Education and Training Centers

To provide assistance for establishing, maintaining, and operating Health Education and Training Centers (HETCs) that: (1)address the persistent and severe unmet health care needs in States along the border between the United States and Mexico and in the State of Florida, and in other urban and rural
areas with populations with serious unmet health care needs; (2) establish an advisory board comprised of health service providers, educators and consumers from the service area; (3) conduct training and education programs for health professions students these areas; (4) conduct training in health education services, including training to prepare community health workers; and (5) support health professionals (including nursing) practicing in the area through educational and other services.

Applicants shall collaborate with 2 or more disciplines, e.g., medicine, dentistry, nursing, advanced practice nursing, physicians assistant, mental health, public health, pharmacy, physical therapist, social work, allied health, community health worker; enter into contracts and agreements with entities with expertise in providing public health and health education services to the public; and coordinate activities and programs with similar activities and programs carried out in the target communities and minority, disadvantaged, and/or underserved populations.
Examples of Funded Projects

Grants cover planning and implementation strategies on statewide, regional and local levels, including training programs serving Hispanics and other minority/underserved populations in Florida and United States-Mexico border areas, and in other underserved, rural and inner-city communities.

Trainees include physicians, nurses, allied health personnel, public health personnel, community health workers and others.

Descriptions of funded programs are available at .

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Office - Louis D.

Coccodrilli, M.P.H., Chief, or Susan Goodman, D.D.S., Dental Officer, AHEC Branch, Division of State, Community and Public Health, Bureau of Health Professions, Health Resources and Services Administration, Parklawn Building, Room 9-05, 5600 Fishers Lane, Rockville, MD 20857.

Telephone: (301) 443-6950.
Website Address

Program Accomplishments


Uses and Use Restrictions

Grants are to assist in meeting costs of the program which cannot be met from other sources.

Not less than 75 percent of the total funds provided to a school or schools of allopathic medicine or osteopathic medicine or nursing will be expended in the development and operation of the health education and training center in the service area of such program; to the maximum extent feasible, the schools of medicine or nursing will obtain from nongovernmental sources the amount of the total operating funds for such program which are not provided by the Secretary; no grant or contract shall provide funds solely for the planning or development of a health education and training center program for a period in excess of 2 years; not more than 10 percent of the annual budget of each program may be utilized for the renovation and equipping of clinical teaching sites; and no grant or contract shall provide funds to be used outside the United States, except as the Secretary may prescribe for travel and communications purposes related to the conduct of a border health education and training center.

Eligibility Requirements

Applicant Eligibility

Accredited schools of allopathic or osteopathic medicine, or the parent institution on behalf of such schools, or a consortium of such schools.

In States in which no area health education centers program is in operation, an accredited school of nursing is also an eligible applicant.

Beneficiary Eligibility

Same as applicant eligibility above.


Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.

Aplication and Award Process

Preapplication Coordination

This program is excluded from coverage under E.O.


Application Procedures

Applications are generally solicited by a program announcement in the HRSA Preview. Applications and required forms for this program can be obtained from the HRSA Application Center, The Legin Group, Inc. 910 Clopper Road, Suite 155 South, Gaithersburg, MD 20878 Telephone: (877) 477-2123, Email: or by visiting . Application information may also be found by visiting . All qualified applications will be forwarded to an objective review committee which will make funding recommendations to the Associate Administrator for the Bureau of Health Professions. The Associate Administrator has the authority to make final selections for awards.

Award Procedures

Notification is made in writing by a Notice of Grant Award issued from the Headquarters Office.

Deadlines .


Public Health Service Act, Title VII, Part C, Section 752, 42 U.S.C. 294b, as amended; Health Professions Education Partnerships Act of 1998, Public Law 105-392.

Range of Approval/Disapproval Time

From 3 to 4 months after receipt of applications.




Competing continuation applications may be submitted during the final budget period of the approved project.

Assistance Considerations

Formula and Matching Requirements

Fifty percent of the appropriated funds each year must be made available for approved applications for border HETCs. The amount allocated for each approved application for a border HETC shall be determined in accordance with a formula which is based on data relative to: (1) The low-income population, in 233 counties and the 67 counties of Florida; (2) the percent change in population of those counties; (3) need for primary care physicians; and (4) infant mortality rate for each county.

Length and Time Phasing of Assistance

The first project period will be up to 3 years to allow for the development of the health education and training centers. However, no Federal funds will be used solely for the planning or development of a program period after the first project period which will be a maximum of 3 years.

Post Assistance Requirements


A Uniform Progress Report(UPR) and a Comprehensive Performance Management System (CPMS) report must be submitted annually and can be submitted electronically.

The grantee report web site is .

A Financial Status Report must be submitted within 90 days after the end of each budget period.

A final progress report and Financial Status Report must be submitted within 90 ddays after the end of the budget period.


In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.


Grantees are required to maintain grant accounting records for a minimum of 3 years after the end of a grant period. If any litigation, claim, negotiation, audit or other action involving the record has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later. More detailed information regarding retention requirements are provided in Title 45, CFR, Parts 74 and 92.

Financial Information

Account Identification



(Grants) FY 07 $0; FY 08 est $0; and FY 09 est not reported.

Range and Average of Financial Assistance

FY 05, Border HETCs: $100,000 to $556,010; $355,462. Non-Border HETCs: $239,508 to $326,615; $296,069.

Regulations, Guidelines, and Literature

This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations.

Information Contacts

Regional or Local Office

Louis D. Coccodrilli, M.P.H., Chief, or Susan Goodman, D.D.S., Dental Officer, AHEC Branch, Division of State, Community and Public Health, Bureau of Health Professions, Health Resources and Services Administration, Parklawn Building, Room 9-05, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-6950.

Headquarters Office

Grants Management Office: Rick Goodman, Director, Division of Grants Management Operations, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 11A-16. Health Services Branch: (301) 443-2385; Research and Training Branch: (301) 443-3099; Government and Special Focus Branch: (301) 443-3288.

Criteria for Selecting Proposals

Competing applications are initially reviewed by nonfederal consultants whose recommendations are considered by the Secretary. The Secretary will approve projects which best promote the purposes of the HETC Program, section 752(a) of the PHS Act, as amended. In the determining the funding of applications, consideration is given to: (1) NEED How the program will fill or address the identified workforce gaps; the description of the present project, describing the persistent and unmet health care needs that the project is addressing along the border between the United States and Mexico, in the state of Florida, or in other urban and rural areas with population with serious unmet health care needs; how the educational program will improve the capacity of the health workforce; how the proposal will effect the state's, border or region's health education and training efforts; the extent to which the program identifies specific professions proposed to be trained; evidence of an enrollee/program trainee pool, which may include underrepresented minorities/disadvantaged; how the program addresses the health disparities of the population in the service area(s); and how the project identifies the counties composing the geographical area; (2) RESPONSE Specifies measurable outcome objectives which are attainable within the stated time frame; the degree to which the number of trainees estimated to be trained by discipline is reasonable; a description of the proposed training locations and sites; the extent to which the sites are in medically underserved areas; the potential of the applicant to demonstrate flexibility to respond to emerging issues and/or needs relevant to the communities and populations served; the proposal clearly describes and outlines the activities to carry out each objective within the stated time frame; the degree to which the applicant describes a comprehensive coordinated multidisciplinary approach to training of health professionals; and provides letters describing established and proposed linkages and collaborative efforts from individuals, partners, or other entities; (3) EVALUATIVE MEASURES Strength of the applicant's plans for evaluation of the program including identified project outcomes; describes the methods and techniques that will be used to measure the outcomes of each objective; specifies what data will be collected, the method for collection and the manner in which data will be analyzed and reported; describes the responsibilities of key personnel and the amount of time and effort required to perform the evaluation activities; provides a realistic and attainable timeline; and potential effectiveness as evidenced by the outcomes objectives and activities in relationship to the needs of the professions or populations to be trained; (4) IMPACT A plan for dissemination of information and results of the project; the potential of the applicant to meet the proposed goals and objectives; the number of students proposed to be trained; the number of health care providers proposed to be trained; the number of community health workers proposed to be trained; and Data reported distribution, diversity and quality; (5) RESOURCES/CAPABILITIES Bio-sketches of key personnel; key personnel's capacity to conduct the stated program activities; coherent and reasonable Staffing Plan for the program's stated objectives; A demonstrated ability to coordinate complex programs; location of facilities for the proposed activities is reasonable and appears to be adequate to support the needs of the objectives; the extent of institutional support letters of support from host institution(s) are included; and the coordination and partnering necessary for community involvement and positive trainee experiences; and (6) SUPPORT REQUESTED The reasonableness of the proposed budget in relation to the objectives, the complexity of the activities, and the anticipated results; effective use of fundsandresources to carry out the project; potential of proposed HETC program and participating center(s) to continue on a self sustaining basis; a reasonable budget aligned with the objectives and the scope of the project; and specific information that describes the extent and means by which the project plans to become self-sufficient including other sources of income, the nature of income, future funding initiatives and strategies.

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