Grants to USA nonprofit organizations, public bodies, and Tribes for Coronavirus (COVID-19) relief in rural communities. Funding is intended to address immediate financial needs related to the pandemic as well as to address long-term access to health care services. Facilities and projects must be located in – and primarily serve – rural areas.
This program is designed to help broaden access to COVID-19 testing and vaccines, rural healthcare services, and food assistance through food banks and food distribution facilities. This program offers two tracks of funding:Track One: Recovery Grants provide immediate relief to address the economic conditions arising from the COVID-19 emergency. Grant funds must be used in relation to the COVID-19 pandemic and to support immediate health care needs, to help prepare for a future pandemic event, or to increase access to quality health care services and improve community health outcomes. 
Funds must be used to:Increase capacity for vaccine distributionProvide medical supplies and equipment to increase medical surge capacityReimburse for health care-related lost revenue used to maintain capacity during the coronavirus pandemicIncrease telehealth capabilities, including underlying healthcare information systemsConstruct temporary or permanent structures to provide health care servicesSupport staffing needs for testing or vaccine administrationSupport facilities, equipment, and operating expenses associated with food banks and food distribution facilities.For Eligible Uses of Funds, see https://www.rd.usda.gov/sites/default/files/rd-erhc-trackoneapplicationguide-final508.pdf#page=5.Track Two: Impact Grants advance ideas and solutions to solve regional rural health care problems to support the long-term sustainability of rural health care. Long-term sustainability is defined as “improved health outcomes, improved access to quality health care, and creating and maintaining sustainable economic development for small communities.” Grant funds must be used in relation to the COVID-19 pandemic. 
Track Two: Impact Grant applicants must establish a network or group of entities that consist of health care provider organizations, economic development entities, federally-recognized Tribes or institutions of higher learning (which may include academic health and research institutes).Applicants may request assistance for one or more purposes below for expenses incurred the award period:Establish or scale a regional partnership or consortium of community leaders and health care partners to plan, implement, and evaluate a model(s) to support solving regional health care problems and promote the long-term sustainability of rural health care.Establish or scale an evidence-based model and disseminate lessons learned for possible replication in other small communities and regions.Identify a health-related problem within the applicant’s region, develop and implement a method and solution to overcome the problem, and conduct a program evaluation to examine health related outcomes, long-term sustainability, and replicabilityEstablish a methodology to calculate summary impact measures or an estimated return on investment for the grant funds requestedCover the cost of technical assistance to assist with one or more aspects of project implementation, project evaluation, data sharing, and reporting requirementsCover indirect costs in an amount up to a federally-negotiated indirect cost rateUSDA encourages applicants to consider projects in the following high need areas: developing health care services that offer a blend of behavioral care with other medical services, encouraging rural residents to seek care at their nearest hospitals, supporting health care as an anchor institution in small communities, and expanding access to telehealth, electronic health data sharing, workforce development, transportation, paramedicine, obstetrics, behavioral health, farmworker health care, and cooperative home care.For Eligible Uses of Funds, see https://www.rd.usda.gov/sites/default/files/rd-erhc-tracktwoapplicationguide-final508.pdf#page=5.Grant funds are limited to an applicable percentage of eligible project costs (up to 75 percent) based on population and the median household income of the population served.

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