National Organizations of State and Local Officials

The purpose of the HRSA NOSLO cooperative is to support technical assistance, promotion of best practices and innovative solutions to emerging and ongoing national health priorities such as communicable disease prevention and suppression, childhood obesity, substance use disorders and/or mental health.

Award recipients preserve and improve public health by:
(1) strengthening the organizational capacities of state and local health departments, state Primary Care Offices (PCOs), state Offices of Rural Health (SORHs), small rural hospitals and clinics, state and local Ryan White HIV/AIDS Program (RWHAP) entities, state Medicaid agencies, and state legislatures through information exchanges and learning communities that support quality improvement and innovative public and private sector initiatives;
(2) developing technical assistance materials and training activities that can be used by states, local governments, and their political subdivisions to benefit HRSA award recipients such as health centers, state maternal and child health programs, health professions training programs, state and local RWHAP entities, and state and local public health agencies/entities providing services to underserved communities; and
(3) engaging national organizations representing state and local officials to provide education, training and technical assistance to promote integration of primary care, behavioral health, and public health initiatives for their constituencies.

By promoting collaboration and partnership among major stakeholder organizations representing state and local public health officials and other HRSA award recipients, this cooperative agreement helps develop and promote public and private sector strategies to improve access to quality services and help to build a skilled health workforce, key tenets of HRSA?s mission and in support of the Secretary?s key principles of service and sustainability.

Program Expectations: The NOSLO award recipients will carry out initiatives which:
? advise states and their political subdivisions in the prevention and suppression of communicable diseases to carry out public health activities, including establishing and maintaining adequate public health services to protect and improve population health;
? focus on health promotion and prevention of disease, illness, and psychosocial problems through quality improvement activities at the state, local, and practice levels using mechanisms such as resource sharing, data collection and analysis of outcome measures and documentation of benefits across sites;
? support the organizational capacity for state primary care offices/associations, health centers, and other HRSA award recipients to address the education and training needs of the core safety net provider workforce, including coordination efforts associated with emergency preparedness and response;
? help states and local government entities to address the needs of uninsured, underserved and special needs populations in states and local areas, including improving access to quality care;
? create useful, effective forms of collaboration with partners, within and beyond the health sector, to facilitate opportunities for program development and implementation of initiatives that support vulnerable and underserved populations;
? promote workforce development in state and local public health agencies; and
? increase collaborative efforts with federal/state supported resources with a shared goal to improve the capacity and efficiency of the public health and health care systems by leveraging resources to avoid duplication of efforts.

Core Functions: The NOSLO program will address three core functions related to the program purpose and expectations: (1) training and technical assistance (T/TA) in program management and operational support; (2) policy, program development/analysis and information exchange; and (3) collaboration, coordination and promoting partnerships.

Applicants must outline specific activities under each required core function targeted to strengthening the organizational capacities of state and local health departments, their political subdivisions, and HRSA award recipients.

The projects will also address program priorities for the U.S.

Department of Health and Human Services, such as the implementation of the Healthy People 2030, and the evolving health care landscape at the national, state and local levels.

This includes projects that can assist states and local governments to achieve improved health outcomes for underserved populations and better services and value for state programs.

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.

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
National Minority Health Association $ 11,162,086   2021-06-012023-08-31
National Conference Of State Legislatures $ 1,621,215   2020-09-012023-08-31
Center For Health Policy Development $ 1,767,677   2020-09-012023-08-31
National Governors Association Center For Best Practices $ 1,617,371   2008-04-012023-08-31
Association Of State And Territorial Health Officials, The $ 3,486,480   2011-09-012023-08-31
Association Of Asian/pacific Community Health Organizations $ 9,516,475   2021-06-012023-05-31
University Of Kentucky Research Foundation, The $ 3,380,780   2021-06-012022-11-30
University Of Maryland $ 7,787,892   2021-06-012022-11-30
University Of Arkansas System $ 9,892,799   2022-02-012022-10-31
Eyes Nj A Nj Nonprofit Corporation $ 6,339,919   2022-02-012022-10-31

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

This program will support national organizations that represent the following groups: State/Territorial Health Department Officials, Local County and City Health Department Officials, State Medicaid Directors, and State Legislatures to address cross-cutting, publicly-funded health program integration and health access issues identified by the states and local governments and entities.

Specifically, under the NOSLO program, each award recipient will be responsible for carrying out activities tailored to its own constituency?s needs (i.e., its target audience).

The NOSLO cooperative agreements are multi-faceted and include opportunities for policy information exchange and collaboration, as well as for providing training and technical assistance to state and local governments and their political subdivisions, health centers, other HRSA grantees, and other health care entities to address the needs of the underserved and targeted populations.

Eligibility Requirements

Applicant Eligibility

Eligible applicants include nonprofit service and/or membership organizations that can provide training and technical assistance on a national level to strengthen the infrastructure capacities of states and local government entities.

Beneficiary Eligibility

Eligible beneficiaries include the following entities: Federal; Interstate; Intrastate; State; Local; Public nonprofit institution/organization; Other public institution/organization; Non-Governmental ?General; Minority group; Specialized group (e.g., health professionals, students, veterans); Small business (less than 500 employees); Private nonprofit institution/organization; Quasi-public nonprofit institution/organization; Anyone/general public; Native American Organizations; Health professional; Black; American Indian; Spanish origin; Asian; Other non-white; Migrant; U.S. citizen; Refugee/Alien; Veteran/Service; Person/Reservist (including dependents); Women; Disabled (ie., Deaf, Blind, Physically Disabled).


Applicants should review the individual HRSA notice of funding opportunity 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. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is eligible for coverage under E.O.

12372, 'Intergovernmental Review of Federal Programs.' An applicant should consult the office or 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

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Applicants should review the individual HRSA Notice of Funding Opportunity 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. HRSA requires all applicants to apply electronically through

Award Procedures

A Notice of Award, signed by the Grants Management Officer, is sent via e-mail to the applicant's Authorized Organization Representative.


Contact the headquarters or regional office, as appropriate, for application deadlines.


Sections 311(a) of the Public Health Service (PHS) Act, as amended.

Range of Approval/Disapproval Time

From 90 to 120 days.


Not Applicable.


Not Applicable.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula. This program has no matching requirements. MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

Consult the Notice of Funding Opportunity for the period of support. See the following for information on how assistance is awarded/released: Grantee drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Post Assistance Requirements


Refer to the Notice of Funding Opportunity for additional information.

Cash reports are not applicable.

The awardee will be required to submit performance and progress reports as well as status-federal financial reports (see the program announcement and notice of award for details for each required report).

The award recipient must submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System within 30 days of the end of each calendar quarter.

A Federal Financial Report (SF-425) according to the following schedule:

A final report is due within 90 days after the project period ends.

If applicable, the award recipient submit a Tangible Personal Property Report (SF-428) and any related forms within 90 days after the project period ends.

New awards (?Type 1?) issued under this funding opportunity announcement are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub.


109?282), as amended by section 6202 of Public Law 110?252, and implemented by 2 CFR Part 170.

Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient?s and subrecipient?s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (FFATA details are available online at

Competing continuation award recipient, etc.

may be subject to this requirement and will be so notified in the Notice of Award.

Expenditure reports are not applicable.

Performance monitoring is not applicable.


In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. Refer to the Notice of Funding Opportunity for information.


Grantees are required to maintain accounting records 3 years after the date they submit the FFR. If any litigation, claim, negotiation, audit or other action involving the award 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.

Financial Information

Account Identification



(Cooperative Agreements) FY 16 $2,604,216; FY 17 est $3,500,000; and FY 18 est $3,128,575

Range and Average of Financial Assistance

In FY 2017, approximately $3,500,000 is expected to fund four (4) recipients. Applicants can request funding for a ceiling amount of up to $875,000 total costs (includes both direct and indirect/facilities and administrative costs).

Regulations, Guidelines, and Literature

Not Applicable.

Information Contacts

Regional or Local Office


Headquarters Office

Lynnette S. Araki, 5600 Fishers Lane, Parklawn Room 10C-03, Rockville, Maryland 20857 Email: Phone: (301) 443-6204 Fax: (301) 443-2286.

Criteria for Selecting Proposals

Review Criteria are outlined in the Notice of Funding Opportunity.

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