Assists small communities by providing funding to construct new housing or to replace unused space in existing commercial buildings with affordable housing units as part of an ongoing Main Street revitalization project. Supports the redevelopment of central business districts or Main Street areas in order to strengthen local economies. Allows communities to increase the amount of affordable housing available to residents while preserving the historic, traditional character of their Main Street area.

Funds programs to address high rates of infant death by improving health outcomes before, during, and after pregnancy and reducing well-documented racial/ethnic differences in rates of infant death and adverse perinatal outcomes. Supports the provision of direct and enabling services, including screening and referrals, case management, care coordination, health and parenting education, and linkages to clinical care, to enrolled program participants.

Offers a 1-year initiative for rural justice, public safety practitioners, and other community stakeholders seeking to engage in strategic planning to address issues related to substance use and misuse in their communities. Assists participants in developing cross-sector networks and creating solutions to better respond to and serve justice-involved individuals with substance use or co-occurring disorders. Reaching Rural is an initiative of the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) funded by the Bureau of Justice Assistance.

Provides funding to public and Indian housing authorities to hire service coordinators to promote self-sufficiency for public housing residents. Service coordinators identify needs and barriers at the community and individual level and connect residents to training and support services to help them gain economic and housing stability. Works with local partners to assist residents in achieving outcomes in the areas of education; professional development; financial empowerment; and health and wellness, including mental health and substance use issues. Offers supports to help elderly and disabled residents age in place and/or live independently for as long as possible.

Offers grants and zero-interest loans to local utility organizations who provide funding options for local businesses. Supports economic development in rural areas by funding projects designed to create or preserve job opportunities.

Provides competitive funding to organizations that engage AmeriCorps members to build capacity, expand services, and help communities address their needs through service and volunteer activities. Supports evidence-based or evidence-informed interventions, practices, and program models.

Provides funding to organizations to engage AmeriCorps members to build public health capacity in local communities by serving in state, local, tribal, and territorial public health departments. Aims to meet local public health needs and advance equitable outcomes for underserved communities. Activities may include mental health education and awareness, social service navigation, and crisis response for COVID-19, opioids, suicide, and mental health.

Offers funding to state and local health departments to work with HIV clinical providers in developing approaches that utilize culturally competent community health worker (CHW) services to conduct outreach and re-engage people with HIV in care who are living in rural areas. Services include connecting individuals to mental health and substance use disorder (SUD) services, and other supports necessary to help participants enter, re-engage, and remain in HIV care and treatment.

Assists schools and other eligible entities with developing, establishing, and maintaining farm to school programs. Supports a wide range of training, planning, implementation, and operational activities in order to increase student access to local food in schools. Facilitates collaboration between schools, local agricultural producers, and other community partners and promotes educational opportunities related to nutrition and local food systems.

Provides funds to organizations to engage and manage individuals aged 55 and older to serve as experienced tutors and mentors to children and youth with special or exceptional needs, or children who would benefit from the one-on-one attention. Volunteers serve in various settings, including schools, Head Start programs, hospitals, drug treatment centers, correctional institutions, and childcare centers.

Provides funds to organizations to engage and manage individuals aged 55 and older to provide companionship and support to other adults in need of extra assistance to remain at home or in the community for as long as possible. Volunteers service time usually takes place in the homes of their clients.

Enhances the functioning of the U.S. judicial system by improving the quality of justice in state courts. Provides funding to state courts, national organizations, and other eligible organizations to address common issues and challenges faced by state courts, with a focus on SJI priority investment areas, including court responses to opioids, other dangerous drugs, and behavioral health issues. Offers the following 5 types of funding to eligible applicants on a quarterly basis: project grants, technical assistance grants, curriculum adaptation and training grants, strategic initiative grants, and education support program grants.

Offers organizations the opportunity to engage and sponsor AmeriCorps VISTA service members to help develop or expand community anti-poverty projects. AmeriCorps VISTA members commit to 1-year of full-time, volunteer service, helping to build capacity and sustainability in programs to address poverty and other issues identified by the community. Requires sponsors to operate and direct the project, recruit and supervise AmeriCorps VISTA members, and complete the necessary administrative support activities to meet the project goals. VISTA's fiscal year 2024 focus areas include economic opportunity, education, Healthy Futures, veterans and military families, and environmental stewardship. VISTA FY 2024 priority population include rural communities, native nations and tribal communities, and those experiencing deep poverty, specifically in Puerto Rico and states in the Midwest, Southeast, South Central, or West AmeriCorps regions.

Aims to reduce the development and progression of substance use disorder (SUD) by improving local capacity to deliver community-based SUD prevention and mental health services. Promotes building strategic partnerships among key stakeholders to expand prevention infrastructure and implement strategies to identify and address the primary prevention concerns in the community, including the use of opioids, methamphetamine, and heroin. Provides evidence-based services to prevent SUD and support the mental health and well-being of youth and adults, especially those from underserved communities.

Offers a discount on telecommunication expenses and network equipment for healthcare facilities to increase connectivity and access to broadband in rural areas to provide and improve healthcare.

Awards formula funding through a governor-appointed State or Territory Service Commission to organizations that engage AmeriCorps members to build capacity, expand services, and help communities address their needs through service and volunteer activities. Focuses service projects on six areas: disaster services, economic opportunity, education, veterans and military families, environmental stewardship, and healthy futures. Includes service projects related to substance misuse. Supports evidence-based or evidence-informed interventions, practices, and program models.

Provides loans to eligible lenders who re-lend the funds to economically distressed rural areas with high or persistent poverty for the construction or improvement of essential community infrastructure, such as hospitals, medical and dental clinics, childcare centers, street improvements, and public safety services. Offers technical assistance and financial expertise to help high or persistent poverty areas gain access to capital, improve community facilities and services, and enhance the quality of life for rural residents.

Offers discounts to help schools and libraries with costs towards eligible data transmission services, internet access, internal connections, managed internal broadband services, and basic maintenance of internal connections.

Supports the planning and implementation of economic development and revitalization projects in areas facing economic disruption and hardship, including rural and American Indian and Alaska Native tribal communities. Helps communities attract investment, create and retain new businesses and jobs, provide job training and education opportunities for dislocated workers, and enhance technology and infrastructure.

Provides economically distressed areas, including rural and tribal communities, with resources to address their individual economic needs with the goal of creating and retaining jobs, developing workforce, advancing innovation, and increasing private investments. Supports strategies that build regional assets and provide local and regional capacity building and economic development.

Provides funding to assist states and tribes with supporting, maintaining, and expanding upon current public transit services in rural communities to enhance access to healthcare, education, and employment opportunities. States may either carry out public transit projects directly or grant funds to subrecipients to meet local transportation needs.

Supports local self-help housing construction projects in rural areas. Funds organizations that will recruit, supervise, and provide technical assistance to groups of individuals and families with low-income to enable them to construct their own homes. Aims to make homeownership possible for people living in substandard housing or who otherwise would not qualify as homeowners.

Supports regional economic development plans for rural areas by giving funding priority to multi-jurisdictional projects implemented through USDA Rural Development programs. Projects are intended to build community prosperity by using community assets, identifying resources, convening partners, and leveraging federal, state, local or private funding.

Aims to improve rural communications and economic development by providing loans and technical assistance to build, improve, and further develop telecommunication services in rural communities.

Supports the expansion and improvement of water and waste treatment facilities in financially distressed rural communities. Helps communities provide clean reliable drinking water systems, sanitary sewage disposal, sanitary solid waste disposal, and storm water drainage to rural households and businesses. Works to keep user costs for rural residents at a reasonable level.

Supports research projects that implement innovative strategies to reduce opioid, stimulant, and/or poly-drug overdose in high-risk communities. Promotes the use of evidence-based practices in new or existing programs and emphasizes the evaluation of new and promising approaches. Establishes partnerships between public safety and public health agencies to address harms related to opioid, stimulant, and poly-substance use and overdose.

Provides formula grant funding to local governments to enhance the functioning of the criminal justice system, with a focus on efforts to address violent crime and serious offenders. Funds may be used for additional personnel, equipment, supplies, contractual support, training, technical assistance, and information systems to support activities that will help prevent, control, or reduce crime; enforce the criminal law; and strengthen the courts, corrections, probation, and parole authorities. Supports drug treatment, enforcement, prevention, and education programs.

Offers funding to increase employment and income among families in public housing through locally based programs that promote work readiness, linkages to employers, job placement, educational advancement, technology skills, and financial literacy for public housing residents. Provides support services, such as childcare, transportation, legal aid, and other services, to remove barriers to work. Makes a financial incentive available to participants in order to offset rent increases due to a higher household earned income. Aims to encourage and support employment, decrease poverty, and enhance self-sufficiency, economic and housing security for public housing residents.

Funds technology-based economic development initiatives that promote job growth, innovation, economic opportunity, global competitiveness, and the development of future industry-leading companies in regions across the U.S. Aims to help startups and companies access investment capital, grow their companies, empower entrepreneurs, and commercialize new technology. Projects are intended to benefit underserved populations and communities, including rural areas.

Awards funding for pilot projects to establish portable clinical care teams that provide healthcare outside for racial and ethnic medically underserved people experiencing unsheltered homelessness. Promotes syndemic approaches that successfully integrate behavioral health and HIV treatment and prevention, including substance use disorder (SUD) treatment; mental healthcare; HIV and viral hepatitis testing and treatment; HIV prevention; and harm reduction services. Aims to reduce stigma and remove barriers to care through the direct delivery of services to the target population on the street or in encampments.

Assists communities with the recruitment and retention of qualified substance use disorder (SUD) professionals who provide direct treatment or recovery support at facilities located in Mental Health Professional Shortage Areas (HPSAs) or in counties with a drug overdose death rate that is higher than the national average. New and current clinical staff working in eligible disciplines at a STAR LRP-approved facility are eligible to receive loan repayment assistance through the STAR Loan Repayment Program, which is open to a wider range of SUD clinicians and paraprofessionals compared to other HRSA loan repayment programs.

Provides funding to intermediary organizations that offer financial and technical assistance to recipients to help meet the needs of their communities in eligible rural areas. Recipients use funds for projects related to housing, community facilities, or community and economic development projects in rural communities.

Awards grants for the deployment of broadband in rural communities where private sector internet service providers are unable to develop the infrastructure to provide broadband service due to economic and cost challenges. Support internet services to foster economic development and employment, and improve educational and healthcare opportunities in eligible areas.

Provides technical assistance and training to community facilities programs to help rural areas meet their needs for community facilities, including schools, hospitals, public facilities, community support services, public safety services, and other essential facilities. Supports communities in identifying and planning for community facility needs, accessing sources of funding, and improving the operation and financial management of facilities.

Supports workforce development activities in rural areas throughout the Appalachian, Lower Mississippi Delta (Delta), and Northern Border regions. Provides funds for career training, and support services to prepare dislocated workers, new entrants to the workforce, and incumbent workers, including workers affected by substance use disorder (SUD), for good jobs in high-demand occupations in these regions. Ensures that efforts align with existing economic growth strategies in order to increase employment opportunities and foster long-term regional economic prosperity.

Grants funds to help jurisdictions establish new family treatment courts or enhance existing family treatment courts operations. Offers substance use treatment and recovery services to parents with substance use disorder (SUD) or co-occurring mental health disorders (COD). Aims to reunify families and protect children by providing support services to meet the needs of families involved with the child welfare system due to abuse and neglect and issues related to opioid, stimulant, and other substance misuse.

Strengthens the relationship between recovery organizations, their statewide networks of recovery stakeholders, and healthcare systems to improve recovery services for individuals with substance use disorder (SUD). Aims to promote and integrate recovery organizations and peer recovery support services (PRSS) across coordinated state and local networks through increased collaboration, training, and participation in multilevel planning, policy, and program development activities.

Provides peer recovery support services to individuals with or in recovery from substance use disorder (SUD) or co-occurring substance use and mental disorders (COD). Promotes long-term recovery supports, in coordination with clinical SUD treatment, that are led by peers in recovery who reflect the communities they serve. Increases access to recovery support services through training and support for current and new peer recovery specialists and supervisors, especially those from historically underserved communities.

Offers funding to states, local and tribal governments, and community-based organizations to promote and expand services in detention and correctional faculties to meet the needs of incarcerated individuals and their minor children, and to provides services to children of incarcerated parents. Focuses on supporting activities that foster positive family engagement, and programs to reduce the likelihood of antisocial behaviors and future involvement in the juvenile justice system in children with incarcerated parents.

Funds to assist medical examiner/coroners, forensic pathologists, and medical and legal death investigation systems efficiently handle the increased need for services resulting from the proliferation of opioids and synthetic drugs. Seeks to provide accelerated and improved forensic science and medical examiner/coroner services by funding expenses related to personnel, training, equipment, infrastructure, and more.

Provides funding to states, local and tribal governments, and community-based organizations to provide comprehensive reentry and transitional services for moderate to high-risk youth before, during, and after release from a juvenile residential facility. Supports prerelease and postrelease program services that provide screening and assessment of youth needs, such as mental health, substance misuse, housing status, and risk of reoffending; provide case management services; and identify and coordinate appropriate community-based program services. Aims to increase public safety, reduce recidivism, and improve outcomes for youth through the successful reintegration of participants into their communities.

Focuses on increasing access to and involvement with care and services for individuals from racial and ethnic minority populations with substance use disorder (SUD) and/or co-occurring substance use and mental disorders (COD) who are HIV positive or at risk for HIV. Helps connect these individuals to SUD/COD treatments, HIV care and treatment, HIV/AIDS and Hepatitis C (HCV) testing and vaccinations, as well as recovery and community support services to help retain clients in care with the overall goal of reducing health disparities among the target populations.

Provides funding to support prevention, intervention, diversion, treatment, and recovery programs and services to benefit children, youth, and families impacted by opioids and other substance use disorders. Assists communities in developing a coordinated response to address opioids and substance misuse, overdose, and public safety through collaboration with law enforcement, courts, organizations that address substance use, child welfare agencies and other community stakeholders.

Provides funding for training and resources to first responders and members of other key community sectors at the state, tribal, and local levels on carrying and administering drugs or devices approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency reversal of known or suspected opioid overdose. Works to establish processes and protocols for referral to appropriate treatment and recovery support services, and for safety around fentanyl, carfentanil, and synthetic opioids.

Grants funds to assist jurisdictions with starting a juvenile drug treatment court (JDTC) or enhancing the operations of an existing JDTC. Seeks to reduce recidivism and substance misuse through court supervision and increased access to treatment, recovery, and other trauma-informed services for youth with substance use disorder (SUD) or co-occurring mental health disorders (CODs), including youth with a history of trauma.

Provides funding for local health departments, special district health departments, and territorial governments to implement data-based surveillance and prevention strategies to reduce overdose morbidity and mortality in communities. Emphasized activities focused on opioids and stimulants. Seeks to address health inequities and increase access to care for populations at high-risk for overdose, including rural communities and tribal populations.

Provides comprehensive, coordinated, evidence-based services for individuals, youth, and families currently experiencing or at risk of homelessness who are diagnosed with serious mental illness (SMI), serious emotional disturbance (SED), and/or a co-occurring disorder (COD). Aims to engage and connect the target population to behavioral health treatment, case management, and recovery support services and help them secure sustainable permanent housing. Assists participants in identifying and obtaining resources for health insurance that help individuals maintain their treatment, recovery, and housing status.

Increases communities' access to locally and regionally produced food and agricultural products by developing, coordinating, and expanding direct producer-to-consumer operations and activities, such as domestic farmer's markets, roadside stands, community-supported agriculture (CSA) programs, agritourism activities, online sales, or other market opportunities. Builds organizational capacity and provides outreach, training, and technical assistance in order to help producers achieve a greater impact on local and regional food systems.

Provides funds to help and support law enforcement partnering with mental health, substance use disorder (SUD), and community service agencies to promote public safety and ensure appropriate responses for individuals in crisis with behavioral health, conditions, intellectual disabilities, developmental disabilities, or physical disabilities. Funds activities focused on planning, developing, implementing, enhancing, and evaluating a Collaborative Crisis Response and Intervention Training (CRIT) program.

Makes federal funding available through 2 initiatives to rural school districts that may have difficulty receiving awards through competitive grants due to a lack of resources. Each initiative supports student achievement and provides not only basic school programs, such as enhancing curriculum or instruction in schools, but also a range of student support and enrichment activities and services, which may include substance use education and prevention programs.

Provides funds to support the planning, implementation, and enhancement of adult substance use treatment courts for local, state, and federally recognized tribal governments. Funds activities centered on preventing overdoses, increasing access to treatment and recovery services, and decreasing recidivism.

Provides funding to eligible entities to establish, expand and/or enhance existing community-based nurse practitioner (NP) residency and fellowship training programs to increase the number of advanced practice registered nurses (APRNs) prepared to provide primary care in community-based settings for rural, urban, and tribal underserved populations. Supports efforts to integrate behavioral and maternal health into primary care through the training of qualified NPs in these fields.

Awards grants to reestablish or maintain strong multi-sector community coalitions that work to prevent and reduce substance use among youth age 18 or younger. Addresses local environmental factors related to youth substance use by implementing a wide-range of evidence-based and practice-based prevention strategies.

Supports local efforts to prevent and reduce substance use among youth age 18 or younger by establishing and maintaining new multi-sector community coalitions. Utilizes a wide-range of evidence-based prevention strategies to address local environmental factors related to substance use among youth and promote positive, sustainable, community-level change.

Enhances the work of medical examiners and coroners in the U.S. by providing funds to agencies accredited by the Accreditation Council for Graduated Medical Education (ACGME) to recruit qualified applicants for fellowship programs. Improves medical and legal death investigation services by assisting medical examiner and coroner agencies seeking to achieve or maintain accreditation through an independent accrediting organization.

Provides funds to support planning, implementation, and enhancement of veteran treatment courts by offering grants and technical assistance to states, state and local courts, local governments, and federally recognized tribal governments. Funds activities centered on preventing overdoses, increasing access to treatment and recovery services, and decreasing recidivism for veterans with substance use disorders in the criminal justice system.

Funding to support the training and graduation of advanced practice registered nursing (APRN) students and trainees in the areas of primary care, mental health, substance use, and maternal healthcare, with preference given to programs that train students to practice in underserved and rural communities.

Develops, coordinates, and expands local and regional food business enterprises that function as intermediaries for indirect producer-to-consumer marketing with the goal of making local and regional agricultural products more available and accessible to communities. Supports both planning and implementation activities to establish, improve, or expand local or regional food businesses. Assists businesses through feasibility studies, market research, training, and technical assistance to strengthen food system infrastructure and increase sales of locally and regionally produced agricultural products.

Expands access to social detoxification services for American Indian and Alaska Native (AI/NA) populations impacted by alcohol use disorder (AUD) or substance use disorder (SUD) in McKinley County, New Mexico. Supports programs that include the 3 critical components of community-based social detoxification: evaluation, stabilization, and fostering patient readiness for and entry into treatment. PARD is an initiative of the IHS Alcohol and Substance Abuse Branch (ASAB).

Strengthens the ability of corrections systems and community-based service providers to support individuals with substances use disorders (SUD), including parents of minor children and pregnant/postpartum women, during the pre-release phase of incarceration and continued through reentry into the community. Works to establish, expand, or improve SUD treatment and recovery programs to increase access to evidence-based, culturally relevant services, including medication-assisted treatment, reduce recidivism, promote long-term recovery, and decrease overdose among the target population.

Funds treatment, recovery, case management, and harm reduction services and programs in residential treatment facilities for pregnant and postpartum women with substance use disorder (SUD) to support and sustain recovery. Aims to reduce infant and maternal mortality; improve family dynamics through access to treatment; and increase access to evidence-based SUD residential services.

Supports efforts to decrease opioid, stimulant, and other substance misuse and overdose deaths by offering financial and technical assistance to state, local, and tribal government entities. Helps provide treatment and recovery services for individuals involved with the criminal justice system resulting from substance misuse and their families. Seeks to enhance public safety and support underserved and rural populations through prevention and harm reduction activities and diversion programs.

Offers funds and technical assistance to states, local governments, and federally recognized Indian tribes to plan, implement, or expand comprehensive collaboration programs to improve outcomes for people with mental health disorders or co-occurring mental illness and substance use disorders who are involved with the justice system. Aims to develop collaborations across the criminal justice system that will provide healthcare, treatment, social services, and other supports to enhance public safety and public health, and reduce recidivism among the target population.

Provides funding to state, local, and tribal governments to contract with organizations to provide clinical services, permanent supportive housing, and other reentry supports for individuals leaving incarceration, with a specific focus on the needs of individuals with mental health, substance use, or co-occurring disorders. Aims to increase public safety and lower recidivism rates by helping formerly incarcerated individuals successfully rejoin society. Services funded through this opportunity must be performance-based or outcome-based, making payment dependent upon reaching agreed upon goals.

Offers funding and technical assistance to probation and parole agencies to build capacity and increase the effectiveness of community supervision programs. Promotes best and evidence-based probation/parole practices, with the goal of increasing success rates for individuals under supervision, reducing recidivism, helping to lower crime, and enhancing community safety. Assists in the development, implementation, and testing of innovative strategies and facilitates collaboration between agencies and officials working in areas related to community supervision.

Supports projects to address the crisis of substance and opioid use in Appalachian counties through programs that help people in recovery obtain and maintain employment. Promotes the development of recovery ecosystems that support individuals as they transition from substance use disorder (SUD) treatment programs into recovery and seek to enter or re-enter the workforce. Brings together multiple sectors, including recovery communities, peer support, healthcare, human services, law enforcement, and others, to deliver job training, skill development, and comprehensive support services that enable individuals to find stable employment and sustain their recovery from SUD.

Funds economic revitalization projects in the Appalachian region focused on building businesses, workforce ecosystems, infrastructure, culture and tourism, and leadership capacity to meet Appalachian Regional Commission's strategic investment goals. Gives priority to investments for building a competitive workforce, fostering entrepreneurial activities, developing industry clusters, and broadband initiatives.

Aims to increase access to medications for opioid use disorder (MOUD) along with comprehensive opioid use disorder (OUD) psychosocial and recovery support services (RSS) for individuals with OUD seeking MOUD. Provides funds to states, nonprofits, American Indian and Alaska Native tribes, and tribal organizations to support MOUD programs and related program activities.

Provides funds to expand access to treatment, recovery, and reentry services for sentenced adults in the criminal justice system with a substance use disorder (SUD) and possible co-occurring mental illness. Seeks to reduce substance use and involvement with the criminal just by helping individuals successfully reintegrate into the community upon release from prisons, jails, or detention centers.

Provides funds to expand substance use disorder (SUD) treatment and recovery support services in existing drug courts that use the problem solving court model, including adult treatment drug courts (ATDCs), family treatment drug courts (FTDCs), or adult tribal healing to wellness courts (ATHWCs). Seeks to break the cycle of criminal behavior, alcohol and drug use, and incarceration by providing effective and comprehensive SUD treatment services to individuals with SUD involved with the justice system.

Promotes partnerships able to connect and utilize public and private resources to strengthen regional food systems. Supports partnerships to improve viability and resilience of the local or regional food economy.

Offers funding to support technical assistance and training for rural businesses that have fewer than 50 new workers and generate a gross revenue less than $1,000,000. Funds can also be used on projects to support and benefit rural businesses as specified in the grant application. Supports the expansion of rural businesses through economic development, planning, and other related activities.

Offers funding, based on a formula, to eligible institutions that then distribute funds to full-time nurse anesthetist trainees to help cover required education costs and living expenses. Seeks to increase the number of certified registered nurse anesthetists (CRNAs) practicing in rural, urban, and tribal underserved areas.

Provides funds for telecommunication projects that support distance learning and telemedicine services to increase access to education, training, and healthcare resources for students, teachers, medical professionals, and rural residents. Emphasizes telecommunication projects that help rural communities foster economic and community development. Works to reduce substance use disorder (SUD), including opioid misuse, in high-risk rural communities through prevention, treatment, and recovery programs and services.

Provides funding to address immediate responses to the opioid crisis in rural areas by improving access to, capacity for, and sustainability of prevention, treatment, and recovery services for substance use disorder (SUD).

Provides loans and grants to help expand broadband access to rural communities without sufficient high-speed internet connectivity. Aims to increase private sector investment to support the construction or improvement of critical broadband infrastructure to deliver internet access to a wide range of rural sites and facilities, including residential homes, community healthcare and public safety facilities, schools, libraries, business and industry, agricultural operations, and other sites.

Helps local governments and their community partners respond to trauma and stress related to civil unrest, community violence, and/or collective trauma within the past 24 months. Provides violence prevention and youth engagement programs along with trauma-informed behavioral health services to at-risk youth and families impacted by community disruption and violence. Develops coalitions of local government agencies, community organizations, and residents to deliver resources and services and bring about positive community change and healing.

Provides funding to support community-based partnerships and collaborations aimed at promoting access to healthcare for under-resourced and underserved children and their families in rural and underserved areas through the implementation and evaluation of new or improved evidence-informed, evidence-based strategies, or innovative community-based projects and models of care. Includes substance use services for children and adolescents at risk for substance use disorders (SUD).

Aims to increase the affordability, accessibility, acceptability, and availability of medication-assisted treatment (MAT) by establishing new MAT access points in rural communities. Enhances the capacity to provide MAT treatment services for people in rural areas with or at risk of opioid use disorder (OUD), with focus on underserved populations. Promotes the use of Food and Drug Administration (FDA)-approved medications for the treatment of OUD along with supportive services, including counseling and behavioral therapies. Supports the use MAT to treat alcohol use disorder, if the need exists.

Offers funding and technical assistance to state and local corrections agencies to build their capacity to implement and expand services and support for individuals re-entering the community after incarceration or those on probation or parole. Promotes reentry and supervision success through programs designed to identify and meet individual needs of the target population and the use of technology to track outcomes and inform decision making.

Provides funding for local, regional, or state-level organizations to develop advanced nursing education programs to train eligible nurses as sexual assault nurse examiners (SANEs). Coordinates all aspects of the education process, from recruitment, didactic and clinical training, and monitoring experiential learning hours up to certification completion and the retention of SANEs in the workforce. Seeks to increase the number of practicing SANEs, especially among rural and underserved populations, with the goals of better physical and mental healthcare for survivors, better evidence collection, and higher prosecution rates.

Serves adolescents, aged 12-18, and transitional youth, aged 16-25, with substance use disorder (SUD) and/or co-occurring substance use and mental disorders (COD) by expanding access to evidence-based early intervention, treatment, and recovery support services. Involves family members/primary caregivers in the treatment and recovery process, and focuses on reducing health disparities among underserved female and racial/ethnic minority populations.

Provides funding for the creation of employment and training programs in high demand rural healthcare occupations, including behavioral and mental healthcare. Seeks to address rural health workforce shortages by increasing the number of individuals training in occupations that directly impact the care of rural populations. Assists unemployed, underemployed, and incumbent workers to transition into sustainable health careers that qualify as middle or high-skilled occupations under the H-1B visa program. Focuses on training for veterans, military spouses, transitioning service members, women, people of color, ex-offenders, people with disabilities, and other underrepresented rural populations.

Offers funding to support public transit agencies with developing and implementing demonstration projects that address community transportation challenges related to the COVID-19 crisis. Seeks innovative solutions to help transit agencies operate more efficiently and improve mobility for transit users impacted by the COVID-19 public health emergency. Focuses on creating efficiencies in the following areas: cleaning and disinfecting vehicles, facilities, equipment; measures to mitigate exposure to the virus; contactless payments and other mobility innovations; and efforts to build public confidence in transit services.

Provides funds to organizations to engage and manage individuals aged 55 and older for service projects implementing evidence-based programs and models to strengthen communities. Focuses on capacity building in 6 focus areas: disaster services, economic opportunity, education, environmental stewardship, healthy futures, and veterans and military families. Prioritizes funding for 9 topics, including access to care for opioid abuse. Seeks to prevent or reduce prescription drug and opioid abuse through health education and increasing healthcare access. Offers seniors a variety of service activities and flexible work commitments, ranging from a few hours to a maximum of forty hours per week.

Offers grant funding to assist rural healthcare providers in the planning and development of integrated health networks to provide quality HIV care and treatment in rural communities. Helps providers meet unaddressed community health needs related to HIV in areas such as early diagnosis, comprehensive care, support services, and innovative service delivery models. Focuses planning efforts in seven states identified by the federal Ending the HIV Epidemic initiative as having disproportionate rural rates of HIV diagnosis. Seeks to improve health outcomes for people with HIV and reduce new HIV infections by expanding access to HIV testing, prevention, treatment, and support services; increasing the use of health information technology and telemedicine; and promoting service coordination and quality across the continuum of HIV care.

Provides funding to establish 4 regional networks that connect individuals in farming, ranching, and other agricultural occupations to stress assistance programs. Strengthens coping skills and helps improve the quality of life for farmers, ranchers, and their families through programs that provide professional behavioral health counseling, outreach, information, resources, and referrals.

Expands and enhances existing 12-month nurse practitioner (NP) residency programs with the goal of increasing the number of new, qualified primary care or behavioral health NPs prepared to work in integrated, community-based settings, especially in rural or underserved areas.

Provides funding, technical assistance, and training to support direct services for children and youth who are crime victims and have been impacted the current crisis of addiction and substance use, including the use of opioids, methamphetamines, other substance misuse, and polysubstance use. Supports services for children and youth ages 0-18 and includes direct service activities such as information about and referral to trauma-informed victim services, personal advocacy, medical services, on-scene emotional support at drug/crime related incidents, and follow-up care, including counseling, support groups, and other types of mental health treatment.

Offers funding to states, territories, local governments, and federally recognized Indian tribal governments to increase public safety by supporting cross-system collaboration to improve responses and outcomes for youth with mental illness (MI) or co-occurring mental illness and substance abuse (CMISA) who come into contact with the juvenile justice system.

Supports the implementation of comprehensive and integrated HIV surveillance and prevention programs that seek to prevent new infections; improve health outcomes for people living with HIV; and reduce related health disparities. Aims to support efforts working to end the HIV epidemic in America by leveraging powerful data, tools and resources to reduce new HIV infections by 75% in 5 years.

Funds community-based efforts to implement and assess new assisted outpatient treatment (AOT) programs that permit individuals to maintain their current living arrangements while receiving treatment, leading to better life outcomes. Identifies evidence-based practices to decrease the frequency and duration of psychiatric hospitalization, homelessness, incarcerations, and interactions with the criminal justice system for individuals with a serious mental illness (SMI). Works to address substance use issues for individuals with SMI to improve their overall physical and social health.

Provides loans and loan guarantees to build, improve, or acquire the facilities and equipment necessary to deliver services at the broadband lending speed to eligible rural areas. Supports projects that improve rural economies and the quality of life in rural communities. Seeks to fund projects related to technological innovation, e-connectivity, and the rural workforce.

Provides funding for employment training, career services, and supportive services to women directly or indirectly impacted by the opioid crisis. Addresses barriers to work facing women and helps them gain the skills and support to become employed. Seeks to develop multi-disciplinary partnerships among service providers and other key stakeholders with experience serving women workers in order to meet the unique needs of women in communities most affected by opioid use.

Funds for rural communities to prevent and reduce opioid overdose deaths among individuals who come into contact with law enforcement or are involved with the criminal justice system in high-risk rural communities and regions. Strengthens activities related to strategic planning, cross-sector collaboration, data collection, opioid prescribing, overdose prevention, linkage to opioid use disorder (OUD) treatment, and peer recovery support services.

Funds for demonstration projects to support statewide adoption of the Overdose Detection Mapping Application Program (ODMAP) mobile tool. ODMAP helps states quickly track and analyze fatal and nonfatal opioid overdoses and the administration of naloxone by first responders. Works to establish coalitions in local communities to use ODMAP data to inform public health and safety interventions for specific geographic areas or populations at high risk for overdose.

Supports communities and law enforcement in developing and implementing evidence-based suppression strategies outlined in the Office of Juvenile Justice and Delinquency Prevention (OJJDP) Comprehensive Gang Model that target youth who are currently at risk of being involved with gangs. Works to promote public safety by reducing gang violence and victimization experienced by youth and decreasing risk factors associated with juvenile delinquency, such as substance abuse.

Funds telecommunication projects that support distance learning and telemedicine services to increase access to education, training, and healthcare resources for students, teachers, medical professionals, and rural residents. Emphasizes telecommunication projects that address the opioid crisis to increase local capacity in opioid use prevention, treatment, and recovery by funding activities such as harm reduction strategies, overdose prevention, medication-assisted treatment (MAT), and peer recovery services.

Provides funding to establish new health centers that offer comprehensive primary healthcare services to underserved communities, including rural, migrant, and homeless populations and public housing residents. Aims to increase the number of individuals who receive primary healthcare services, improve patients' overall health status, and reduce health disparities in vulnerable communities. Supports health centers operating on a permanent, full-time basis that address issues of healthcare accessibility and affordability in areas with shortages of health services.

Provides funds to increase the capacity of law enforcement agencies to reduce violence, gang-related crime, and delinquency and victimization by youth, specifically transitional-aged minors. Supports evidence-based prevention, intervention, enforcement, and trauma response strategies to foster public safety and help youth heal from violent experiences. Provides funding and technical assistance to communities to develop and implement effective strategies that address transnational criminal organizations (TCOs) and decrease gang involvement for unaccompanied alien children (UAC).

Funds to establish 3 demonstration projects to implement evidence-based 2-generational strategies addressing issues facing rural at-risk children, prenatal to age 3, and their parents, such as adverse childhood experiences (ACEs), maternal depression, mental health disorders, substance use disorder (SUD), opioid use, and related neonatal abstinence syndrome (NAS). Offers technical assistance, training, and support to demonstration sites to coordinate programs and services that support healthy childhood development and increase family economic opportunity.

Funds enhancements to infrastructure and treatment services for mental health and substance use disorders (SUDs) to increase communities' capacity to offer sufficient, comprehensive care to individuals, families, veterans, and youth experiencing homelessness. Aims to provide permanent housing and other crucial services to those who have SUDs, serious mental illness (SMI), serious emotional disturbance (SED), or co-occurring mental and substance use disorders (CODs).