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Grants to USA EMS Agencies Serving Rural
Regions for Professional Education Activities

Rural Emergency Medical Services (EMS) Training Grant

Agency Type:


Funding Source:

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U.S. Department of Health and Human Services (HHS) - Substance Abuse and Mental Health Services Administration (SAMHSA)

Deadline Date:

02/14/22 11:59 PM ET


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Grants to USA nonprofit and governmental EMS agencies in rural regions for professional education courses and training. Applicants are advised that required registrations may take up to six weeks to complete. Funding is intended to support the recruitment and development of rural EMS personnel.

The purpose of this program is to recruit and train EMS personnel in rural areas with a particular focus on addressing mental and substance use disorders. SAMHSA recognizes the great need for emergency services in rural areas and the critical role EMS personnel serve across the country.

This grant addresses the needs in rural communities. For the purposes of this announcement, Rural is defined as:

  • A nonmetropolitan statistical area;
  • An area designated as a rural area by any law or regulation of a State; or
  • A rural census tract of a metropolitan statistical area (Rural Urban Commuting Areas (RUCAs): rban-commutingarea-codes.aspx)

Required Activities:

  • Train EMS personnel as appropriate to maintain licenses and certifications relevant to serve in an EMS agency;
  • Conduct courses that qualify graduates to serve in an EMS agency;
  • Fund specific training to meet federal or state licensing or certification requirement;
  • Ensure EMS personnel are trained on mental and substance use disorders and care for people with such disorders in emergency situations. This training can be provided via SAMHSA’s Technology Transfer Centers;
  • Acquire emergency medical services equipment (medical equipment purchase requires approval by SAMHSA); and
  • Purchase of the opioid overdose antidote Naloxone and train EMS personnel on the use in emergency opioid overdose situations.

In these activities, EMS:

  • Are resources used by a public or private nonprofit licensed entity to deliver medical care outside of a medical facility under emergency conditions that occur as a result of the condition of the patient; and
  • Include services delivered (either on a compensated or volunteer basis) by an EMS provider or other provider that is licensed or certified by the State involved as an emergency medical technician, a paramedic, or an equivalent professional (as determined by the State).

 Allowable activities may include:

  • Recruit and train EMS personnel, which may include volunteer personnel;
  • Develop new ways to educate emergency health care providers through the use of technology-enhanced educational methods;
  • Acquire personal protective equipment for emergency medical services personnel as required by the Occupational Safety and Health Administration;
  • Purchase, distribution, and training on the use of fentanyl test strips; and
  • Provide or fund training for Motivational Interviewing.

Funds can be used to acquire emergency medical services equipment or personal protective equipment for medical services personnel required by the Occupational Safety and Health Administration. However, the primary purpose of this grant is to provide training. 

GrantWatch ID#:

GrantWatch ID#: 188124

Estimated Total Program Funding:


Number of Grants:


Estimated Size of Grant:

Anticipated Award Amount: Up to $200,000 per year per award

Term of Contract:

Length of Project: Up to one year
Anticipated Project Start Date: 08/31/2022

Project implementation is expected to begin by the fourth month of the grant.

Additional Eligibility Criteria:

Eligibility is statutorily limited to rural emergency medical service agencies operated by a local or tribal government (fire-based and non-fire based) and non-profit emergency medical service agencies.

The funding restrictions for this project are as follows:
- No more than 20 percent of the grant award for the budget period may be used for data collection, performance measurement, and performance assessment expenses.
- The indirect cost rate may not exceed 8 percent of the proposed budget. Even if an organization has an established indirect cost rate, under training grants, SAMHSA reimburses indirect costs at a fixed rate of 8 percent of
modified total direct costs, exclusive of tuition and fees, expenditures for equipment, and sub-awards and contracts in excess of $25,000. (45 CFR Part 75.414)

Pre-Application Information:

Application Deadline: Applications are due by February 14, 2022.

Intergovernmental Review (E.O. 12372): Applicants must comply with E.O. 12372 if their state(s) participate(s). Review process recommendations from the State Single Point of Contact (SPOC) are due no later than 60 days after application deadline.

Public Health System Impact Statement (PHSIS)/Single State Agency Coordination: Applicants must send the PHSIS to appropriate state and local health agencies by the administrative deadline. Comments from the Single State Agency are due no later than 60 days after the application deadline.

All applicants must register with NIH’s eRA Commons in order to submit an application. This process takes up to six weeks. If you believe you are interested in applying for this opportunity, you must start the registration process immediately. Do not wait to start this process.

Applicants also must register with the System for Award Management (SAM) and (see Appendix A for all registration requirements).

Application Forms and Resources:

Applying for a new SAMHSA Grant:

View this opportunity on

Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

Program Issues
Humberto Carvalho
Office of Intergovernmental and External Affairs - OIEA
Substance Abuse and Mental Health Services Administration
(240) 276-2974

Grants Management and Budget Issues
Office of Financial Resources, Division of Grants Management
Substance Abuse and Mental Health Services Administration
(240) 276-1400

CFDA Number:


Funding or Pin Number:

NOFO Number TI-22-001

URL for Full Text (RFP):

Geographic Focus:

USA: Alabama;   Alaska;   Arizona;   Arkansas;   California;   Colorado;   Connecticut;   Delaware;   Florida;   Georgia;   Hawaii;   Idaho;   Illinois;   Indiana;   Iowa;   Kansas;   Kentucky;   Louisiana;   Maine;   Maryland;   Massachusetts;   Michigan;   Minnesota;   Mississippi;   Missouri;   Montana;   Nebraska;   Nevada;   New Hampshire;   New Jersey;   New Mexico;   New York City;   New York;   North Carolina;   North Dakota;   Ohio;   Oklahoma;   Oregon;   Pennsylvania;   Rhode Island;   South Carolina;   South Dakota;   Tennessee;   Texas;   Utah;   Vermont;   Virginia;   Washington, DC;   Washington;   West Virginia;   Wisconsin;   Wyoming

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