Opportunity Information: Apply for HRSA 23 123

The Primary Care Training and Enhancement - Language and Disability Access (PCTE-LDA) program is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). It is designed to strengthen primary care training by helping organizations build or improve curricula and hands-on clinical training that prepare future clinicians to deliver high-quality care to people who often face access barriers: individuals with limited English proficiency (LEP) and individuals with physical disabilities and/or intellectual and developmental disabilities (IDD). The core idea is practical workforce preparation that leads to better patient experiences and improved health outcomes in these populations by making primary care more accessible, culturally responsive, and appropriately delivered.

A central requirement of the program is that applicants choose to focus on one or both of two defined focus areas, and clearly state in the application which focus area(s) they are proposing. The first option, Focus Area 1: Language Assistance for Individuals with LEP, supports training that equips medical students, physician assistant (PA) students, and primary care medical residents to provide culturally and linguistically appropriate health information and services. Programs under this track can include medical language immersion experiences and should make use of practical language supports that trainees can realistically carry into clinical practice. HRSA highlights examples such as immersion courses, language applications or software, language tools, and community-based resources. The intent is not just classroom instruction, but real clinical exposure with LEP patients so trainees learn how to communicate effectively, use appropriate language supports, and reduce misunderstandings that can affect diagnosis, treatment adherence, and patient trust.

The second option, Focus Area 2: Care for Individuals with Physical Disabilities and/or IDD, is aimed at building primary care residents (and also PA students and medical students as applicable) into clinicians who can provide culturally competent, accessible, and appropriate care for people with physical disabilities and/or IDD. This includes developing clinical skills and approaches that address the unique needs and barriers these patients may face in typical health care settings. While the opportunity description does not list every topic a curriculum must cover, the emphasis is on competence in real-world care delivery, which generally means improving comfort and capability in communication, accommodations, care planning, and delivering respectful, effective primary care in a way that aligns with patient needs and reduces disparities.

Both focus areas have specific minimum clinical rotation expectations that anchor the training in direct patient care. For residents and PA students, the program requires at least a two-month clinical rotation providing health care services to the relevant population (either individuals with LEP and/or individuals with physical disabilities/IDD, depending on the focus area). For medical students, the minimum required rotation is at least two weeks. These rotation requirements signal that HRSA is prioritizing experiential learning rather than training that is only lecture-based, and they also help ensure trainees meaningfully engage with the communities the program is intended to serve.

In terms of who can apply, eligibility is broad and includes public and state-controlled institutions of higher education, private institutions of higher education, independent school districts, federally recognized Native American tribal governments, other Native American tribal organizations, and nonprofit organizations (including both 501(c)(3) and non-501(c)(3) entities, as long as they are not institutions of higher education when applying under those nonprofit categories). The funding instrument is a grant, and the assistance listing is under CFDA number 93.884, which is associated with HRSA primary care training and enhancement activities. The opportunity number is HRSA-23-123.

From a funding perspective, the award ceiling is listed as $600,000, and HRSA anticipated making 16 awards. The notice was created on May 26, 2023, with an original closing date of July 3, 2023. Overall, PCTE-LDA is structured to help training programs build durable educational and clinical experiences that measurably improve how primary care clinicians serve patients who need language access and/or disability-competent care, with the long-term goal of reducing disparities and improving outcomes.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Primary Care Training and Enhancement-Language and Disability Access (PCTE-LDA)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.884.
  • This funding opportunity was created on May 26, 2023.
  • Applicants must submit their applications by Jul 03, 2023. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $600,000.00 in funding.
  • The number of recipients for this funding is limited to 16 candidate(s).
  • Eligible applicants include: Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education, Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 23 123

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