Opportunity Information: Apply for HRSA 23 126
The grant opportunity "A Status Neutral Approach to Improve HIV Prevention and Health Outcomes for Racial and Ethnic Minorities - Implementation Sites" (HRSA-23-126) is a discretionary, three-year cooperative agreement offered by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA). It is designed to help four Ryan White HIV/AIDS Program (RWHAP) Part A jurisdictions build and put into practice a "status neutral" framework that improves HIV prevention access and downstream health outcomes for racial and ethnic minority groups that are often underserved by traditional prevention systems. The program is centered on practical implementation in real-world service settings, with each funded jurisdiction acting as an implementation site that tests and refines approaches that can later be shared more broadly.
At its core, the project is meant to close persistent gaps in HIV prevention for specific priority subpopulations within racial and ethnic minority communities, including Black women; Black, Latino, and American Indian/Alaska Native gay, bisexual, and other men who have sex with men; transgender people; and people who use substances. The focus is not only on whether someone is HIV-positive or HIV-negative, but on whether they can quickly access the services they need to stay healthy. That is the main idea behind a status neutral approach: someone should be able to enter the system through a single, welcoming pathway and then be connected to appropriate services based on need, without being pushed into separate tracks that can unintentionally reinforce stigma or create administrative barriers.
A key feature of this funding is how it repurposes an existing, familiar RWHAP service model for prevention work. The project emphasizes the "prevention pathway" by taking the established RWHAP non-medical case management (NMCM) model and applying it to people who test HIV-negative but are at substantial risk of acquiring HIV. In the RWHAP context, NMCM is a client-centered set of activities that helps people gain and keep access to needed medical and support services. That can include coordination and navigation related to health care, social services, community supports, legal needs, financial support, employment or vocational services, and other practical needs that frequently determine whether someone can actually follow through with prevention care. NMCM can also include helping clients connect to other public or private benefit programs they qualify for. Under this grant, that same kind of structured, relationship-based support is used to reduce drop-off after HIV testing and to make prevention tools and related health services easier to start and maintain.
The status neutral framework being developed and implemented through these four sites is described as aiming for three connected outcomes. First, it creates "one door" to services so that prevention and treatment are not treated as two separate worlds; instead, people can move seamlessly to what they need next, whether that is HIV prevention support after a negative test or immediate linkage to HIV medical care after a positive test. Second, it aims to reduce institutionalized HIV stigma by integrating prevention and care functions rather than maintaining separate systems that can deepen the divide between people living with HIV and people seeking prevention services. Third, it prioritizes making routine status knowledge and early connection to care easier by expanding access not only to HIV testing and linkage, but also to testing for other conditions that commonly intersect with HIV risk and health outcomes, such as sexually transmitted infections (STIs) and hepatitis C virus (HCV). The notice also highlights that a status neutral approach naturally pushes programs toward whole-person assessment, meaning services can be tailored to each individual situation, which in practice tends to improve engagement and follow-through.
The overall project is structured around two coordinated components: the four implementation sites funded under this opportunity, and a separate Evaluation and Technical Assistance Provider (ETAP) funded under a different announcement (HRSA-23-127). The ETAP is intended to function as a centralized support and learning partner for the four jurisdictions. It will provide technical assistance that can include planning support, coordination help, service mapping, and infrastructure development or enhancement so that each site can build a workable status neutral framework within its local system. At the same time, the ETAP is responsible for evaluating the outcomes of the strategies the sites implement at their provider organizations, and then turning lessons learned into usable technical assistance products and resources. Those resources are expected to be shared for broader dissemination to HRSA- and CDC-funded recipients, so that what works in these four jurisdictions can inform HIV prevention and care integration efforts elsewhere.
From an administrative standpoint, HRSA expected to make four awards, with an award ceiling of $500,000, using a cooperative agreement mechanism. The cooperative agreement structure generally signals that HRSA anticipates substantial involvement in the project beyond standard grant monitoring, often through collaboration on strategy, milestones, and learning activities. The opportunity is tied to CFDA number 93.899 and falls under the health funding activity category. The posting lists eligibility under an "Others" category with clarification in the full eligibility section, but the program description makes clear the intended applicants are RWHAP Part A recipients interested in building and implementing this model in their jurisdictions. The opportunity was created April 12, 2023, with an original closing date of June 12, 2023.Apply for HRSA 23 126
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "A Status Neutral Approach to Improve HIV Prevention and Health Outcomes for Racial and Ethnic Minorities – Implementation Sites" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.899.
- This funding opportunity was created on Apr 12, 2023.
- Applicants must submit their applications by Jun 12, 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 $500,000.00 in funding.
- The number of recipients for this funding is limited to 4 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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