Grants to States for Loan Repayment

State Loan Repayment Program (SLRP)
CFDA 93.165 Active Grant

Program Funding

Annual program obligations reported to SAM.gov.

Latest annual funding (estimated)
$20M FY2026
$20M
FY26*
* estimated

Funded Projects

Examples of what this program has supported.

FY2025 Since its inception in 1972, the National Health Service Corps (NHSC) has worked to support qualified health care providers dedicated to working in underserved communities in urban, rural, and tribal areas. Across the nation, NHSC clinicians serve patients in HPSAs – communities with limited access to health care. As of September 30, 2025 there were 8,207 primary care HPSAs, 7,254 dental HPSAs, and 6,604 mental health HPSAs. The NHSC seeks clinicians who demonstrate a commitment to serve the Nation’s medically underserved populations at NHSC-approved sites located in HPSAs. NHSC-approved sites provide care to individuals regardless of ability to pay; currently, there are over 22,650 NHSC-approved sites. Eligible sites include Federally Qualified Health Centers (FQHC) and FQHC Look-Alikes, American Indian and Native Alaska health clinics, rural health clinics, critical access hospitals, rural emergency hospitals and hospitals managed or owned by the Indian Health Service (IHS), school-based clinics, mobile units, free clinics, community mental health centers, state or local health departments, community outpatient facilities, federal facilities such as the Bureau of Prisons, U.S. Immigration and Customs Enforcement, IHS, and private practices. In particular, the NHSC has partnered closely with HRSA-supported FQHCs to help meet their staffing needs. Over 60 percent of NHSC clinicians serve in Health Centers around the nation, and 15 percent of clinical staff at FQHCs are NHSC clinicians. The NHSC also places clinicians in other community-based systems of care that serve underserved populations, targeting HPSAs of greatest need. As of September 30, 2025 there are more than 18,500 primary care medical, dental, and mental and behavioral health practitioners providing service nationwide.

Program Objective

To increase the availability of primary health care clinicians in Health Professional Shortage Areas (HPSAs) by assisting States in operating programs for the repayment of educational loans of health professionals in return for their practice in HPSAs.

Eligibility

Eligible Applicants

  • State
  • Federally Recognized Tribal Government
  • U.S. Territory Government

Eligible entities include the 50 States, the District of Columbia, Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, the U.S. Virgin Islands, American Samoa, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

Beneficiaries

  • Health Professional
  • Veteran (including dependents)
  • Graduate and Professional Higher Education

Applicants for State programs must have completed a course of study required to practice independently without supervision as one of the following health care professionals: Doctor of Allopathic Medicine or Osteopathic Medicine, General Practice Dentist (D.D.S. or D.M.D.), Pediatric Dentist, Primary Care Certified Nurse Practitioner, Certified Nurse-Midwife, Primary Care Registered Nurse, Pharmacist, Primary Care Physician Assistant, Registered Clinical Dental Hygienist, Dental Therapist, Health Service Psychologist (formerly Clinical or Counseling Psychologist (Ph.D. or equivalent), Licensed Clinical Social Worker (master’s or doctoral degree in social work), Psychiatric Nurse Specialist, Substance Abuse Counselor, Mental Health Counselor, Licensed Professional Counselor (master’s or doctoral degree with a major study in counseling), Marriage and Family Therapist (master’s or doctoral degree with a major study in marriage and family therapy),Registered Nurse, Pharmacist, and Registered Dietician/Nutritionist. The primary care specialties approvable for physicians are: family medicine (and osteopathic general practice), internal medicine, including geriatricians, pediatrics, obstetrics/gynecology, and general psychiatry. General practitioners (physicians who have not completed residency training programs) are not eligible for funding under the SLRP. The primary care specialties approval for registered nurses, nurse practitioners and physician assistants are: adult, family, pediatrics, psychiatry/mental health, geriatrics, or women’s health. Participants must provide full-time clinical service for a minimum of two years in a public or non-profit entity located in a federally designated HPSA. Refer to the NHSC SLRP Notice of Funding Opportunity for specific requirements.

How to Apply

Award Procedure

Notification is made in writing by Notice of Award

Decision Timeline

  • Approval: From 120 to 180 days

Approximately 120 to 180 days after receipt of application.

Program details & compliance

Description

To increase the availability of primary health care clinicians in Health Professional Shortage Areas (HPSAs) by assisting States in operating programs for the repayment of educational loans of health professionals in return for their practice in HPSAs.

Mission Categories

Primary: General Health and Medical

Other categories:
Health EducationDental EducationNursing Education

Use of Funds

Allowed Uses

Funds under this grant must only be used to repay the qualifying educational loans of health professionals who have entered into a SLRP contract with the States.

Required Documentation

B - Project Grants. Applicants should review the individual HRSA Notice of Funding Opportunity (NOFO) announcement issued under this assistance listing 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.

Matching Requirements

Statute includes the requirements for all states to demonstrate a cost match ($1 for $1 for federal and state match) for requested funding and will no longer be capable of dedicating grant funding to administrative activities.

Reporting & Compliance

Records Retention
3 years

Applicable 2 CFR 200 Subparts

  • Subpart B — General Provisions
  • Subpart C — Pre-Federal Award Requirements
  • Subpart D — Post-Federal Award Requirements
  • Subpart E — Cost Principles
  • Subpart F — Audit Requirements

Contacts

Opeoluwa Daramola
(301) 443-1882
Quality Assurance Branch, Division of National Health Service Corps, Bureau of Health Workforce, Health Resources and Services Administration, Department of Health and Human Services, Rockville, MD 20857
Data from SAM.gov Federal Assistance Listings. Source published: 2026-01-05. Spec v2.0. Last synced: 2026-05-30 02:35:37.