Opportunity Information: Apply for RFA NR 23 004
The Bridge-to-Care Initiative is an NIH R01 grant opportunity (RFA-NR-23-004) focused on rethinking health care delivery so patients are not treated as if their health exists separately from their social and community realities. The central idea is that lasting improvements in health, reductions in disparities, and meaningful progress toward health equity require clinical care systems to actively connect with community services and resources. Rather than funding descriptive studies alone, this opportunity is aimed at intervention research that tests practical, real-world approaches for linking health care settings with community-based supports to address unmet social needs and harmful social conditions that contribute to poor health outcomes.
This funding announcement specifically calls for clinical trial-required intervention studies, meaning applicants should be prepared to implement and rigorously evaluate an intervention, not simply observe or assess needs. The interventions are expected to be built through genuine partnerships between health care organizations (such as hospitals, clinics, health systems, or primary care practices) and community organizations (such as social service providers, local nonprofits, housing or food support entities, and other community-based groups). The research emphasis is on strategies that identify and respond to social needs at the individual or family level (for example, needs related to food insecurity, housing instability, transportation barriers, utility insecurity, interpersonal safety, or access to benefits) and/or on adverse social conditions at the community level (for example, resource scarcity, systemic barriers, or local conditions that shape health risks and access to care). A key expectation is that the work will be designed with and for populations that experience a disproportionate burden of illness and premature death, keeping health disparities and equity outcomes at the center of the study.
From an eligibility standpoint, the opportunity is broadly open across many sectors, reflecting the program's emphasis on clinical-community collaboration. Eligible applicants include state, county, and local governments; special district governments; independent school districts; public housing authorities and Indian housing authorities; public and state-controlled institutions of higher education; private institutions of higher education; nonprofit organizations (both 501(c)(3) and non-501(c)(3)); for-profit organizations (other than small businesses); and small businesses. Federally recognized Native American tribal governments are eligible, along with Native American tribal organizations that are not federally recognized. The announcement also highlights additional eligible applicant types that are particularly relevant to equity-centered work, including Alaska Native and Native Hawaiian Serving Institutions, Asian American Native American Pacific Islander Serving Institutions (AANAPISIs), Hispanic-serving Institutions, Historically Black Colleges and Universities (HBCUs), Tribally Controlled Colleges and Universities (TCCUs), faith-based or community-based organizations, regional organizations, eligible federal agencies, Indian/Native American Tribal Governments that are not federally recognized, and applicants from U.S. territories or possessions.
There are important restrictions regarding non-U.S. participation. Non-domestic (non-U.S.) entities and non-domestic foreign institutions are not eligible to apply as the primary applicant organization, and non-domestic components of U.S. organizations are also not eligible to apply. However, foreign components are allowed as defined in the NIH Grants Policy Statement, which generally means a U.S.-based applicant may include certain foreign elements in the project if they are justified, allowable under NIH rules, and appropriately described in the application.
Administratively, this is a discretionary grant mechanism under the NIH, categorized within Education and Health funding activities, associated with CFDA number 93.361. The posting indicates an original closing date of May 1, 2023, and while an award ceiling and expected number of awards are not specified in the provided data, applicants typically would be expected to consult the full NIH funding announcement and related NIH policies for budget parameters, allowable costs, and review criteria. Overall, the opportunity is designed for teams that can combine clinical research rigor with community partnership infrastructure to test scalable, equity-driven models that bridge health care and social care in ways that measurably improve outcomes for populations facing persistent health disparities.Apply for RFA NR 23 004
- The National Institutes of Health in the education, health sector is offering a public funding opportunity titled "Clinical-Community Linkages to Address Social Needs and Social Conditions to Advance Health Equity among Populations Experiencing Health Disparities: The Bridge-to-Care Initiative (R01 Clinical Trial Required)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.361.
- This funding opportunity was created on 2023-02-27.
- Applicants must submit their applications by 2023-05-01. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, 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, For-profit organizations other than small businesses, Small businesses, Others.
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Bridge-to-Care Initiative (NIH R01, RFA-NR-23-004) - FAQs
What is the Bridge-to-Care Initiative?
The Bridge-to-Care Initiative is an NIH R01 grant opportunity (RFA-NR-23-004) focused on redesigning health care delivery so it is not separated from patients' social and community realities. The core goal is to improve health outcomes, reduce disparities, and advance health equity by actively connecting clinical care systems with community services and resources.
What types of projects is this opportunity trying to fund?
This opportunity is aimed at intervention research that tests practical, real-world approaches for linking health care settings with community-based supports. It is not aimed at funding descriptive or observational work alone.
Are clinical trials required under this funding announcement?
Yes. The announcement specifically calls for clinical trial-required intervention studies. Applicants should be prepared to implement an intervention and rigorously evaluate it, rather than only observing, describing, or assessing needs.
What is the main problem this funding opportunity is trying to address?
It targets the gap between clinical care and the social conditions that shape health. The premise is that durable improvements in health and equity require care systems to connect patients to community services and address unmet social needs and harmful social conditions that contribute to poor health outcomes.
What kinds of partnerships are expected?
Interventions are expected to be built through genuine partnerships between health care organizations (such as hospitals, clinics, health systems, or primary care practices) and community organizations (such as social service providers, local nonprofits, housing or food support entities, and other community-based groups).
What settings can be involved on the health care side?
Examples named in the opportunity include hospitals, clinics, health systems, and primary care practices. More broadly, the health care partner is expected to be part of clinical care delivery and positioned to connect patients to community-based supports.
What kinds of community organizations can be involved?
Examples include social service providers, local nonprofits, housing support entities, food support entities, and other community-based organizations. The emphasis is on partners able to help address social needs and conditions that affect health.
What social needs can an intervention focus on?
The funding description highlights individual- or family-level social needs such as food insecurity, housing instability, transportation barriers, utility insecurity, interpersonal safety, and access to benefits.
Can interventions address community-level social conditions, not just individual needs?
Yes. In addition to individual or family needs, the opportunity also emphasizes adverse social conditions at the community level, such as resource scarcity, systemic barriers, or local conditions that shape health risks and access to care.
Who should benefit from the proposed interventions?
A key expectation is that the work will be designed with and for populations that experience a disproportionate burden of illness and premature death, with health disparities and equity outcomes kept at the center of the study.
Is this grant appropriate for projects focused only on assessing needs or describing disparities?
Based on the provided description, the emphasis is on intervention research with required clinical trials. Projects limited to descriptive studies alone are not the intended focus of this opportunity.
Who is eligible to apply?
Eligibility is broad and includes: state, county, and local governments; special district governments; independent school districts; public housing authorities and Indian housing authorities; public and state-controlled institutions of higher education; private institutions of higher education; nonprofit organizations (501(c)(3) and non-501(c)(3)); for-profit organizations (other than small businesses); and small businesses.
Are tribal governments and tribal organizations eligible?
Yes. Federally recognized Native American tribal governments are eligible, and Native American tribal organizations that are not federally recognized are also eligible.
Are organizations focused on serving specific populations highlighted as eligible?
Yes. The opportunity highlights additional eligible applicant types particularly relevant to equity-centered work, including Alaska Native and Native Hawaiian Serving Institutions, AANAPISIs, Hispanic-serving Institutions, HBCUs, TCCUs, and faith-based or community-based organizations.
Are U.S. territories or possessions eligible to apply?
Yes. Applicants from U.S. territories or possessions are included among the highlighted eligible applicant types.
Can a non-U.S. organization apply as the primary applicant?
No. Non-domestic (non-U.S.) entities and non-domestic foreign institutions are not eligible to apply as the primary applicant organization.
Can a non-U.S. component of a U.S. organization apply?
No. Non-domestic components of U.S. organizations are also not eligible to apply.
Are any foreign elements allowed in a project if the applicant is U.S.-based?
Yes. Foreign components are allowed as defined in the NIH Grants Policy Statement. In general terms, a U.S.-based applicant may include certain foreign elements if they are justified, allowable under NIH rules, and appropriately described in the application.
What grant mechanism is being used?
This is an NIH R01 grant opportunity under the Bridge-to-Care Initiative (RFA-NR-23-004).
What type of funding activity is this categorized under?
It is described as a discretionary grant mechanism under NIH, categorized within Education and Health funding activities.
What is the CFDA number associated with this opportunity?
The opportunity is associated with CFDA number 93.361.
What was the closing date listed in the posting?
The posting indicates an original closing date of May 1, 2023.
Is the award ceiling or expected number of awards provided?
No. The provided information does not specify an award ceiling or the expected number of awards.
Where should applicants look for budget parameters, allowable costs, and review criteria?
The provided information indicates that applicants typically should consult the full NIH funding announcement and related NIH policies for budget parameters, allowable costs, and review criteria.
What is the overall theme or intended impact of the initiative?
The opportunity is designed for teams that combine clinical research rigor with community partnership infrastructure to test scalable, equity-driven models that bridge health care and social care and measurably improve outcomes for populations facing persistent health disparities.
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