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Who can apply: Prior to publishing this NOFO, HRSA published a Federal Register Notice (FRN) detailing the methodology and data sources used to determine eligible hospitals. You can view the FRN at https://www.federalregister.gov/documents/2026/04/29/2026-08300/rural-hospital-provider-assistance-program.You can apply if you: 1) have no more than 50 acute care inpatient beds, 2) have an established wage index value of less than 0.90 as determined by the Secretary of HHS under section 1886(d)(3)(E) of the Social Security Act (42 U.S.C. 1395ww(d)(3)(E)), and 3) are located in a rural area as defined by the Federal Office of Rural Health Policy.

Who can apply:

Academic institutions, non-profit organizations including faith-based organizations, and those eligible for funding under Parts A-D of TItle XXVI of the Public Helath Service (PHS) Act as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009.

Who can apply: The eligible applicants are state governments and accredited schools of medicine.

Who can apply: Other Eligibility Criteria"Domestic" means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

Who can apply: Only domestic organizations are eligible. "Domestic" means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

Who can apply: Only domestic organizations are eligible. "Domestic" means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. Faith-based organizations are eligible.

Who can apply: These types of domestic* organizations may apply: Public institutions of higher education Private institutions of higher education Nonprofits with or without a 501(c)(3) IRS status For-profit organizations, including small businesses State, county, city, township, and special district governments, including the District of Columbia, domestic territories, and the freely associated states Independent school districts Rural Emergency Hospitals Native American tribal governments Native American tribal organizations * Domestic means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. Individuals are not eligible applicants under this NOFO. These types of domestic* organizations may apply: Public institutions of higher education Private institutions of higher education Nonprofits with or without a 501(c)(3) IRS status For-profit organizations, including small businesses State, county, city, township, and special district governments, including the District of Columbia, domestic territories, and the freely associated states Independent school districts Rural Emergency Hospitals Native American tribal governments Native American tribal organizations * Domestic means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. Individuals are not eligible applicants under this NOFO.

Who can apply: These types of domestic* organizations may apply: Public institutions of higher education Private institutions of higher education Non-profits with or without a 501(c)(3) IRS status For-profit organizations, including small businesses State, county, city, township, and special district governments, including the District of Columbia, domestic territories, and freely associated states Independent school districts Native American tribal governments Native American tribal organizations *Domestic means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. Individuals are not eligible applicants under this NOFO.

Who can apply: These types of domestic* organizations may apply: • Public institutions of higher education • Private institutions of higher education • Non-profits with or without a 501(c)(3) IRS status • For-profit organizations, including small businesses • State, county, city, township, and special district governments, including the District of Columbia, domestic territories, and freely associated states • Independent school districts • Native American tribal governments • Native American tribal organizations *“Domestic” means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. Individuals are not eligible applicants under this NOFO.

Who can apply: These types of domestic* organizations may apply: • State governments, including the District of Columbia, domestic territories, and the Freely Associated States unless any such state/territory had an unobligated balance (UOB) of more than five (5) percent of a prior year’s formula funds. * “Domestic” means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, or the Republic of Palau. Individuals are not eligible applicants under this NOFO.