National Organizations of State and Local Officials


The purpose of the NOSLO cooperative agreement is to improve health, promote a skilled healthcare workforce, and achieve health equity for communities by: (1) strengthening the organizational capacities of state and local health departments, Primary Care Organizations (PCOs), State Offices of Rural Health (SORHs), small rural hospitals and clinics, State Medicaid agencies, and legislatures through information exchanges and participation in learning communities that support quality improvement and innovative public and private sector initiatives; (2) developing technical assistance materials and training activities that benefit HRSA grantees such as health centers, state maternal child health programs, health professions training programs, state and local Ryan White grantees,and public health agencies/entities providing services to underserved communities; and (3) engaging national organizations, representing state and local officials, to provide training and technical assistance to promote primary care and public health integration initiatives for their constituencies.

The NOSLO program has the following goals: (1) address a broad range of cross-cutting matters that affect state and local governments, such as implementation of the Affordable Care Act (ACA), through policy and data and environmental analyses associated with emerging health reform issues; (2) improve public health programs at the national, state, and local levels by partnering with state and local government entities and programs that contribute to population health and health policy development; (3) strengthen the organizational capacities of state and local health agencies, Medicaid agencies, and health care entities to collaborate and implement innovative initiatives which improve health and achieve health equity; (4) leverage key strategic interests at the state and local level, including safety net provider workforce development, health information technology and exchange, health equity, and safety net funding programs, such as Medicare and Medicaid; (5) promote the integration of primary care and public health activities and examine key issues that affect health care delivery in underserved urban and rural communities; and (6) incorporate into practice the indicators of primary care and public health system integration, such as establishing multi-stakeholder coalitions that align with national, regional and local health and human services initiatives.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration
Type(s) of Assistance Offered
Cooperative Agreements
Program Accomplishments
Not Applicable.
Sections 311(a) of the Public Health Service (PHS) Act, as amended.
Who is eligible to apply/benefit from this assistance?
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. The applicants must have effective organizational infrastructures and capacities (i.e., systems, leadership, resources) to carry out the proposed activities.
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 funding opportunity announcement 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.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is required. 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 Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Applicants should review the individual HRSA funding opportunity announcement 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 Procedure
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.
Approval/Disapproval Decision Time
From 90 to 120 days.
Not Applicable.
Not Applicable.
How are proposals selected?
Review Criteria are outlined in the funding opportunity announcement.
How may assistance be used?
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. 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 health centers, public health agencies, and other health care entities to address the needs of the underserved and targeted populations. Specifically, under the NOSLO program, each awardee will be responsible for carrying out activities tailored to its own constituency’s needs (i.e., its target audience). The cooperative agreements will also address program priorities for the U.S. Department of Health and Human Services, such as the implementation of health reform activities at the state and local level, including addressing the implications of health reform provisions to achieve improved outcomes for beneficiaries and better services and value for state Medicaid programs.
What are the requirements after being awarded this opportunity?
Refer to the funding opportunity announcement 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 awardee 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 awardee must 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. L. 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 awardees, 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 funding opportunity announcement 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.
Other Assistance Considerations
Formula and Matching Requirements
Statutory Formula:
This program has no matching requirements.
MOE requirements are not applicable to this program.
Length and Time Phasing of Assistance
Consult the funding opportunity announcement 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.
Who do I contact about this opportunity?
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.
Website Address
No Data Available
Financial Information
Account Identification
(Cooperative Agreements) FY 14 $2,219,745; FY 15 est $2,400,000; and FY 16 est $2,400,000
Range and Average of Financial Assistance
Range of financial assistance in FY 2014: from $350,000 to 600,000. Up to four (4) awards are expected to be made.
Regulations, Guidelines and Literature
Not Applicable.
Examples of Funded Projects
Not Applicable.


Related Federal Grants

Federal Grants Resources