Long-Term Effects of Disasters on Healthcare Systems in Populations with Health Disparities (R01- Clinical Trial Optional) | PAR 24 109

Opportunity Information: Apply for PAR 24 109

This NIH funding opportunity (PAR-24-109) supports R01 research projects that examine the long-term impacts of natural and/or human-made disasters on healthcare systems that serve populations experiencing health disparities in the United States and its territories. The central emphasis is not just on immediate disaster response, but on what happens to healthcare systems over time after disruptive events, especially in settings where communities already face inequities in access, quality, resources, or health outcomes. The goal is collaborative research that produces practical, generalizable knowledge about how disasters reshape healthcare delivery, capacity, workforce, infrastructure, financing, and patient access in disparity-affected populations, and what factors help systems recover, adapt, or become more resilient.

The NOFO uses the NIH R01 mechanism and is labeled “Clinical Trial Optional,” meaning applicants may propose studies that include clinical trials if appropriate, but a clinical trial is not required. Projects should focus on healthcare systems (broadly understood to include organizations, networks, clinics, hospitals, public health and community-based delivery structures, and supporting services) and how disasters create long-lasting changes in the ability of these systems to provide care. The “long-term effects” framing encourages proposals that look beyond the acute emergency phase to longer recovery timelines, sustained disruptions, and downstream consequences that can persist for months or years. Disasters of interest can include events such as hurricanes, floods, wildfires, extreme heat, pandemics, chemical spills, infrastructure failures, mass displacement, or other human-caused incidents, as long as the research centers on system-level impacts affecting health disparity populations.

Eligible applicants are broad and include many types of U.S.-based organizations and government entities. This includes state, county, city/township, and special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments; tribal organizations (other than federally recognized tribal governments); public housing authorities/Indian housing authorities; nonprofit organizations with or without 501(c)(3) status (other than institutions of higher education); for-profit organizations (other than small businesses); and small businesses. The announcement also explicitly highlights additional eligible applicants such as 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 U.S. territories or possessions. At the same time, it clearly restricts foreign involvement: non-U.S. (foreign) organizations are not eligible to apply, non-U.S. components of U.S. organizations are not eligible, and foreign components (as defined by NIH policy) are not allowed.

Key administrative details provided include that the sponsoring agency is the National Institutes of Health, the funding instrument is a grant, and the activity category is listed under education and health. The opportunity’s original closing date is May 7, 2027, indicating a multi-year application window typical of NIH program announcements. The listed award ceiling is $500,000, which signals an upper limit for the budget level referenced in the source data (applicants would still need to follow the NOFO’s specific budgeting instructions and NIH policy details when preparing a submission). The CFDA/assistance listing numbers associated with this opportunity are 93.307, 93.393, 93.399, and 93.866.

In practical terms, strong proposals under this NOFO would be expected to connect disaster exposure to measurable, longer-run changes in healthcare system functioning for disparity-affected communities, using rigorous methods and partnerships with the systems and communities being studied. Because the call emphasizes collaboration and populations with health disparities, applicants are likely to be most competitive when they demonstrate meaningful engagement with affected communities and care-delivery organizations, a clear plan for capturing system-level outcomes over time, and an approach that can inform future preparedness, mitigation, and resilience strategies in real-world healthcare settings serving underserved populations.

• The National Institutes of Health in the education, health sector is offering a public funding opportunity titled "Long-Term Effects of Disasters on Healthcare Systems in Populations with Health Disparities (R01- Clinical Trial Optional)" and is now available to receive applicants.
• Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.307, 93.393, 93.399, 93.866.
• This funding opportunity was created on 2024-02-21.
• Applicants must submit their applications by 2027-05-07.
• Each selected applicant is eligible to receive up to $500,000.00 in funding.
• 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.

Apply for PAR 24 109

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