Grants to States for Operation of Offices of Rural Health

To improve health care in rural areas through the establishment of State Offices of Rural Health.

Examples of Funded Projects

This program establishes State Offices of Rural Health in each State.

A few of the projects in State Offices of Rural Health include: 1) Providing technical assistance to rural communities seeking to develop or improve primary health care; 2) training community leaders and providers of health services so that they may better respond to the needs of their rural clientele; and 3) taking lead roles in drafting, obtaining, and implementing the rural physician loan repayment program to increase the likelihood of recruiting physicians to remote rural area.

In general, these projects tend to address problems and issues unique to their particular State, therefore, projects cover a broad range of activities.

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 - Program Contacts: Keith Midberry, Program Coordinator, State Office of Rural Health Grant Program, Office of Rural Health Policy, Health Resources and Services Administration, Public Health Service, Parklawn Building, Room 9A-55, 5600 Fishers Lane, Rockville, MD 20857.

Telephone: (301) 443-2669; E-mail:
Website Address

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
Public Health, Massachusetts Dept Of $ 388,986   1993-08-012021-06-30
Health & Human Services, North Carolina Department Of $ 297,050   1991-08-012021-06-30
South Carolina Office Of Rural Health $ 409,270   1991-08-012021-06-30
Health, Hawaii Department Of $ 409,075   1991-08-012021-06-30
Health, Ohio Department Of $ 408,332   1991-08-012021-06-30
Health, New Jersey Department Of $ 409,270   1993-08-012021-06-30
Health Care Services, California Department Of $ 407,520   2011-07-032021-06-30
Health And Environment, Kansas Department Of $ 179,270   1991-08-012021-06-30
Health, Rhode Island Department Of $ 409,270   1993-08-012021-06-30
Public Health, Alabama Department Of $ 409,270   1991-08-012021-06-30

Program Accomplishments

In FY 07, 50 non-competing continuation grants were awarded. For FY 08, it is estimated that 50 competing continuation grants will be awarded.

Uses and Use Restrictions

This is a matching grant program with States to support the establishment and ongoing operation of Offices of Rural Health.

While a wide range of activities can be conducted to address unique State needs, each State Office of Rural Health must (1) Establish an information clearinghouse, (2) coordinate State and Federal rural health programs throughout the State, (3) provide technical assistance that will improve participation in State and Federal programs, and (4) work to improve availability of health professionals in rural areas.

Eligibility Requirements

Applicant Eligibility

All fifty States may apply.

Each State can only submit one application.

Beneficiary Eligibility

Underserved populations in rural areas; facilities and services in rural areas.


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 eligible for coverage under E.O.

12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office of the official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedures

Grant applications and required forms for this program can be obtained from Please visit the Web site at to both find and apply for all Federal grant opportunities. All qualified applications will be forwarded to an objective review committee which will make funding recommendations to the Associate Administrator for the Office of Rural Health. The Associate Administrator has the authority to make final selections for awards.

Award Procedures

Applications are reviewed by Federal and non-Federal experts in rural health care services development, coordination, and delivery. Applications are evaluated for merit. Final decisions are made by the Associate Administrator, Office of Rural Health Policy.

Deadlines .


Public Health Service Act, Section 338J; 42 U.S.C. 254r, as amended, Public Law 101-597.

Range of Approval/Disapproval Time

From 2 to 3 months.




Grantees may request funding beyond an initial project per