HRSA Extends Small Health Care Provider Quality and Delta States Network Programs

Notice

Notice of Funded Extension for the Small Health Care Provider Quality Improvement and Delta States Network Development Programs

A Notice by the Health Resources and Services Administration on 04/09/2026

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• Public Inspection Published Document: 2026-06802 (91 FR 17975) Document Headings ###### Department of Health and Human Services

Health Resources and Services Administration

AGENCY:

Health Resources and Services Administration (HRSA), Department of Health and Human Services (HHS).

ACTION:

Notice of funded extension.

SUMMARY:

HRSA provides grants through two programs seeking a 1-year funded extension: The Small Health Care Provider Quality Improvement Program (Quality) provides support to rural primary care providers for the planning and implementation of quality improvement activities that improve the quality and delivery of rural health care services. This funded extension extends Quality's 21 award recipients from cohort fiscal year 2022, HRSA-22-093, for a one-time 1-year period (August 1, 2026, to July 31, 2027). The current cohort was funded for a 4-year project period (August 1, 2022, to July 31, 2026). The statutory authority for this program allows for funding up to 5 years. The Delta States Network Development Program (Delta States) funds organizations located in the eight Delta states through planning, implementation, and development of integrated health care networks. This funded extension extends Delta State's 12 award recipients from cohort fiscal year 2023, HRSA-23-031, for a one-time 1-year period (August 1, 2026, to July 31, 2027). The current cohort was funded for a 3-year project period (August 1, 2023, to July 31, 2026). The statutory authority for this program allows for funding up to 5 years.

FOR FURTHER INFORMATION CONTACT:

Katherine Lloyd, Deputy Director, Community-Based Division, Federal Office of Rural Health Policy, Health Resources and Services Administration, at klloyd@hrsa.gov and (301) 443-2933.

SUPPLEMENTARY INFORMATION:

Intended Recipients of the Award: 33 (21 Small Health Care Provider Quality Improvement Program awards and 12 Delta States Network Development Program awards).

Amount of Non-Competitive Award: $15,928,583 ($3,987,189 for Small Health Care Provider Quality Improvement Program and $11,941,394 for Delta States Network Development Program).

Project Period: August 1, 2026, to July 31, 2027 (both programs).

Assistance Listing Number: 93.912 (both programs).

Award Instrument: Grant (both programs).

Authority: Section 330A, Public Health Services Act, (42 U.S.C. 254c(g)) for Small Health Care Provider Quality Improvement Program and Section 330A(f), Public Health Services Act, (42 U.S.C. 254c(f)) for Delta States Network Development Program.

| Grant No. | Award recipient name | City, state | Award
amount |
| --- | --- | --- | --- |
| G20RH46015 | Cascade Medical Center Hospital District | Cascade, ID | $10,000 |
| G20RH47061 | Dublin City Schools | Dublin, GA | 200,000 |
| G20RH46016 | El Centro Family Health | Espanola, NM | 200,000 |
| G20RH47062 | El Dorado County Community Health Center | Placerville, CA | 200,000 |
| G20RH46017 | Five Rivers Medical Center, Inc | Pocahontas, AR | 200,000 |
| G20RH47063 | Holzer Health System | Gallipolis, OH | 199,732 |
| G20RH47064 | Innis Community Health Center, Inc | Batchelor, LA | 200,000 |
| G20RH46023 | Klickitat County Public Hospital District #2 | White Salmon, WA | 200,000 |
| G20RH47065 | Logan-Mingo Area Mental Health, Inc | Logan, WV | 200,000 |
| G20RH46018 | Mainline Health Systems, Inc | Dermott, AR | 200,000 |
| G20RH46019 | Margaretville Memorial Hospital | Margaretville, NY | 199,967 |
| G20RH46020 | Mendocino Coast Clinics, Inc | Fort Bragg, CA | 200,000 |
| G20RH46021 | Mountain Valleys Health Centers | Bieber, CA | 200,000 |
| G20RH46022 | Neighborhood Health Center, Inc | Richmond, IN | 200,000 |
| G20RH46024 | County of Sheridan | Hoxie, KS | 200,000 |
| G20RH46025 | Teche Action Board, Inc | Franklin, LA | 197,732 |
| G20RH46026 | ThedaCare Medical Center—Waupaca, Inc | Waupaca, WI | 200,000 |
| G20RH46027 | Tri-County Health Network | Telluride, CO | 200,000 |
| G20RH47066 | UPMC Kane | Kane, PA | 200,000 |
| G20RH46028 | Westchester-Ellenville Hospital, Inc | Ellenville, NY | 200,000 |
| G20RH46029 | White River Health System, Inc | Batesville, AR | 177,758 |

| Grant No. | Award recipient name | City, state | Award
amount |
| --- | --- | --- | --- |
| D60RH49280 | Arcare | Augusta, AR | $1,132,080 |
| D60RH49281 | Arkansas Rural Health Partnership | Lake Village, AR | 1,075,476 |
| D60RH49282 | Baptist Health Deaconess Madisonville, Inc | Madisonville, KY | 1,132,080 |
| D60RH49283 | Big Springs Medical Association, Inc | Ellington, MO | 905,664 |
| D60RH49284 | Delta Health Alliance, Inc | Stoneville, MS | 1,018,872 |
| D60RH49285 | The Health Enrichment Network | Oakdale, LA | 962,268 |
| D60RH49286 | Hospital Service District 1 A | Delhi, LA | 1,188,684 |
| D60RH49287 | Jefferson Comprehensive Health Center, Inc | Fayette, MS | 1,071,440 |
| D60RH49288 | Methodist Le Bonheur Community Outreach | Memphis, TN | 1,018,872 |
| D60RH49289 | Rural Alabama Prevention Center | Eutaw, AL | 962,268 |
| D60RH49290 | Southern Illinois University | Carbondale, IL | 851,046 |
| D60RH49291 | The Mississippi County Health Department | Charleston, MO | 622,644 |
Justification:

Small Health Care Provider Quality Improvement Program

This funding provided a one-time 1-year extension of funding to 21 Small Health Care Provider Quality Improvement Program awardees with a budget period of August 1, 2026, through July 31, 2027. This extension will allow these awardees to build on past and ongoing projects supported by HRSA to promote quality improvement and the delivery of cost-effective, coordinated health care services in rural primary care settings. Project activities that will be extended during the 1-year budget period include expanded capacity for essential health care services and increased financial sustainability for services that increase care coordination, enhance chronic disease management, and improve overall health outcomes for rural patients.

Delta States Network Development Program

This funding provided a one-time 1-year extension of funding to 12 Delta States Network Development Program awardees with a budget period of August 1, 2026, through July 31, 2027. This extension will allow these awardees to build on past and ongoing projects supported by HRSA to (1) achieve efficiencies; (2) expand access to, coordinate, and improve the quality of basic health care services and associated health outcomes in rural areas within the eight rural Mississippi Delta Region states (Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee); and (3) strengthen the rural health care system as a whole. Project activities that will be extended during the 1-year budget period include innovative strategies that address delivery of preventative and clinical health services for individuals with, or at risk of, developing chronic diseases that disproportionally affect the rural Mississippi Delta communities. Awardees will continue to collaborate with network partners in the planning, delivery, and evaluation of health care services to implement sustainable health care programs that improve population health, health outcomes, and demonstrate value to the local rural communities.

Thomas J. Engels,

Administrator.

[FR Doc. 2026-06802 Filed 4-8-26; 8:45 am]

BILLING CODE 4165-15-P

Published Document: 2026-06802 (91 FR 17975)