Opportunity Information: Apply for HRSA 21 108
The EMSC State Partnership Rural Expansion Program (HRSA-21-108) is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), under CFDA 93.127. It offers supplemental funding to support a time-limited demonstration project designed to strengthen emergency medical services for children (EMSC) in rural, remote, and/or tribal communities during the COVID-19 pandemic. The central aim is to improve access to age-appropriate, high-quality pediatric emergency care by addressing known readiness gaps across both prehospital EMS systems and hospital emergency departments (EDs) in areas that often face workforce shortages, long transport times, limited pediatric specialty access, and fewer resources for pediatric-focused training and quality improvement.
The supplemental funds are intended to build on and advance the existing priorities and performance measures of the EMSC State Partnership Program rather than creating an entirely separate effort. Applicants are expected to target practical, measurable improvements that help pediatric patients receive the right care at the right time, from the moment 911 is called through EMS assessment and transport and into ED evaluation and treatment. The program emphasizes readiness, coordination, and systems improvement, recognizing that pediatric emergencies are relatively infrequent in many rural settings, which can make maintaining pediatric competencies, equipment, protocols, and quality processes more difficult without dedicated structure and support.
Applicants may choose one or both of the program objectives tied to established HRSA EMSC performance measures. Objective 1 focuses on increasing the number of hospitals in rural, remote, and/or tribal communities that achieve recognition through a state, regional, or territorial pediatric medical recognition program, aligning with HRSA performance measure EMSC 04. In practical terms, this objective supports work that helps hospitals meet pediatric readiness standards, such as having appropriate pediatric policies and procedures, ensuring necessary pediatric equipment and medications are available, strengthening training and competencies for pediatric emergencies, and using continuous quality improvement practices that include pediatric-specific metrics.
Objective 2 targets the prehospital side of the system by increasing the number of pediatric emergency care coordinators (PECCs) in rural, remote, and/or tribal EMS agencies, aligning with HRSA performance measure EMSC 02. PECC roles are typically used to create consistent leadership and accountability for pediatric readiness within EMS agencies, including pediatric-focused training, equipment checks, protocol updates, data review, and coordination with receiving hospitals and regional partners. By expanding PECC coverage in rural and remote EMS agencies, the program aims to reduce variation in pediatric care capabilities and improve the reliability of pediatric assessment, stabilization, and transport decisions across large geographic areas.
Beyond these core objectives, HRSA encourages applicants to incorporate strategies that respond to state-identified needs made more urgent or more visible by the COVID-19 pandemic. The notice highlights several priority areas that applicants can integrate into their projects: pediatric behavioral and mental health needs (including crisis response and safe ED management), trauma-informed care approaches, recognition and management of multisystem inflammatory syndrome in children (MIS-C), culturally responsive care (especially important in tribal and diverse rural communities), and the identification and response to child abuse and neglect. These focus areas reflect real-world pressures rural systems have faced during the pandemic, including increased mental health presentations, disrupted social supports, and evolving clinical demands.
Key administrative details in the notice include an anticipated five awards and an original application closing date of June 25, 2021, with the funding instrument listed as a grant. The eligible applicant category is listed broadly as "Others," with clarification referenced in the opportunitys eligibility section. Overall, the opportunity is structured to help state and local EMSC partners rapidly strengthen pediatric emergency readiness where it is often most fragile, using targeted supplemental support to improve pediatric recognition in hospitals, expand pediatric leadership capacity in EMS, and address pandemic-related pediatric care challenges through measurable system improvements.Apply for HRSA 21 108
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "EMSC State Partnership Rural Expansion Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.127.
- This funding opportunity was created on Apr 22, 2021.
- Applicants must submit their applications by Jun 25, 2021. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 5 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
What is the EMSC State Partnership Rural Expansion Program (HRSA-21-108)?
The EMSC State Partnership Rural Expansion Program (HRSA-21-108) is a discretionary grant opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), under CFDA 93.127. It provides supplemental funding for a time-limited demonstration project to strengthen Emergency Medical Services for Children (EMSC) in rural, remote, and/or tribal communities during the COVID-19 pandemic.
What is the main purpose of this supplemental funding?
The main purpose is to improve access to age-appropriate, high-quality pediatric emergency care by addressing known pediatric readiness gaps in both prehospital EMS systems and hospital emergency departments (EDs) in rural, remote, and/or tribal areas.
Why does the program focus specifically on rural, remote, and tribal communities?
The opportunity emphasizes these communities because they often face workforce shortages, long transport times, limited access to pediatric specialists, and fewer resources for pediatric-focused training and quality improvement. Pediatric emergencies may also be relatively infrequent in these settings, which can make it harder to maintain pediatric competencies, equipment readiness, protocols, and continuous quality improvement without dedicated support.
Is this funding meant to create a brand-new program separate from existing EMSC work?
No. The supplemental funds are intended to build on and advance the existing priorities and performance measures of the EMSC State Partnership Program, rather than creating a separate effort.
What parts of the emergency care system can the project address?
The project is designed to support measurable improvements across the full pediatric emergency care continuum, from the moment 911 is called, through EMS assessment and transport, and into ED evaluation and treatment. The emphasis is on readiness, coordination, and systems improvement.
What are the program objectives applicants can choose from?
Applicants may choose one or both objectives tied to established HRSA EMSC performance measures:
- Objective 1: Increase the number of hospitals in rural, remote, and/or tribal communities that achieve recognition through a state, regional, or territorial pediatric medical recognition program (aligned with HRSA performance measure EMSC 04).
- Objective 2: Increase the number of Pediatric Emergency Care Coordinators (PECCs) in rural, remote, and/or tribal EMS agencies (aligned with HRSA performance measure EMSC 02).
What does Objective 1 (EMSC 04) support for hospitals?
Objective 1 supports efforts that help hospitals meet pediatric readiness standards and achieve pediatric medical recognition. Examples of supported readiness improvements include pediatric-appropriate policies and procedures, availability of necessary pediatric equipment and medications, strengthened training and competencies for pediatric emergencies, and continuous quality improvement practices that include pediatric-specific metrics.
What does it mean for a hospital to achieve pediatric medical recognition under this opportunity?
In this notice, pediatric medical recognition refers to recognition through a state, regional, or territorial pediatric medical recognition program. The intent is to help hospitals in rural, remote, and/or tribal communities meet pediatric readiness expectations reflected in those recognition programs.
What is a Pediatric Emergency Care Coordinator (PECC)?
A PECC is a role typically used within an EMS agency to provide consistent leadership and accountability for pediatric readiness. Responsibilities commonly include supporting pediatric-focused training, conducting equipment checks, updating protocols, reviewing data, and coordinating with receiving hospitals and regional partners.
What does Objective 2 (EMSC 02) aim to improve in EMS agencies?
Objective 2 aims to increase the number of PECCs in rural, remote, and/or tribal EMS agencies to strengthen pediatric readiness leadership. By expanding PECC coverage, the program aims to reduce variation in pediatric care capabilities and improve the reliability of pediatric assessment, stabilization, and transport decisions across large geographic areas.
Do applicants have to choose both objectives?
No. Applicants may choose one objective or both objectives, based on their planned approach and how they intend to advance the related HRSA EMSC performance measures.
What kinds of improvements is HRSA looking for?
The notice emphasizes practical, measurable improvements that help pediatric patients receive the right care at the right time. The focus is on addressing known readiness gaps and improving coordination and systems performance across EMS and ED settings.
How does the opportunity relate to the COVID-19 pandemic?
The supplemental funding is specifically framed as supporting a time-limited demonstration project to strengthen pediatric emergency readiness in rural, remote, and/or tribal communities during the COVID-19 pandemic. HRSA also encourages applicants to incorporate strategies responding to state-identified needs that became more urgent or more visible during the pandemic.
What priority areas does HRSA encourage applicants to incorporate?
Beyond the core objectives, HRSA highlights several priority areas that applicants can integrate into their projects:
- Pediatric behavioral and mental health needs (including crisis response and safe ED management)
- Trauma-informed care approaches
- Recognition and management of multisystem inflammatory syndrome in children (MIS-C)
- Culturally responsive care (especially important in tribal and diverse rural communities)
- Identification and response to child abuse and neglect
Are those priority areas required components of the project?
The notice states that HRSA encourages applicants to incorporate these strategies. They are presented as priority areas that can be integrated, in addition to the chosen objective(s).
What makes pediatric readiness difficult in rural settings, according to the notice?
The notice points to factors such as infrequent pediatric emergencies, workforce shortages, long transport times, limited pediatric specialty access, and fewer resources for pediatric-focused training and quality improvement. These conditions can make it harder to sustain pediatric competencies, equipment and medication readiness, protocols, and quality improvement processes.
How many awards were anticipated under this opportunity?
The notice indicates an anticipated five awards.
What is the application closing date listed in the notice?
The original application closing date listed is June 25, 2021.
What type of funding instrument is used for this opportunity?
The funding instrument is listed as a grant.
Which federal agency administers this grant opportunity?
This opportunity is administered by the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA).
What is the CFDA number associated with this opportunity?
The notice lists CFDA 93.127.
Who is eligible to apply?
The eligible applicant category is listed broadly as "Others," with additional clarification referenced in the opportunity's eligibility section.
What is meant by a "time-limited demonstration project" in this context?
In this notice, the project is described as time-limited and structured as a demonstration effort. The intent is to use supplemental funding to rapidly strengthen pediatric emergency readiness in targeted rural, remote, and/or tribal settings through measurable systems improvements aligned to EMSC performance measures.
What outcomes is the program trying to improve across the system?
The program aims to strengthen readiness and coordination so pediatric patients receive appropriate care across the entire emergency response pathway, including consistent pediatric assessment and stabilization, reliable transport decision-making, and improved ED readiness and management.
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