Opportunity Information: Apply for RFA MD 21 007

The National Institutes of Health (NIH) funding opportunity titled "Centers for Multiple Chronic Diseases Associated with Health Disparities: Prevention, Treatment, and Management (P50 Clinical Trial Required)" (Funding Opportunity Number RFA-MD-21-007; CFDA 93.307) is designed to build and support comprehensive, center-based research programs focused on multiple chronic diseases that disproportionately affect populations experiencing health disparities. The central goal is to strengthen coordinated, multidisciplinary research that can move beyond studying single conditions in isolation and instead address how chronic diseases co-occur, how they are prevented and treated, and how long-term management can be improved in real-world settings where disparities persist. Because this is a P50 center mechanism and explicitly states "Clinical Trial Required," applicants should expect that clinical trial activity is a required component of the proposed center, rather than optional or incidental.

This opportunity supports "comprehensive research centers," which typically implies an integrated structure with multiple interrelated projects and shared infrastructure aimed at producing a bigger, sustained impact than a standalone research grant. The emphasis spans prevention, treatment, and management, meaning applicants can propose research that reduces disease incidence, improves therapeutic approaches and outcomes, and strengthens ongoing care strategies that help individuals live better with chronic conditions over time. The framing around health disparities signals that the research should be grounded in the needs of populations that face systematic disadvantages in health outcomes, access to care, or quality of care, and that the work should be positioned to generate evidence that meaningfully reduces those inequities.

Eligible applicants are broad and include many types of U.S.-based governmental, educational, nonprofit, and private-sector organizations. Specifically listed eligible entities include state, county, and city or township governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; Native American tribal governments that are federally recognized; public housing authorities and Indian housing authorities; Native American tribal organizations that are not federally recognized governments; nonprofits with 501(c)(3) status; nonprofits without 501(c)(3) status (in both cases, other than institutions of higher education); for-profit organizations other than small businesses; small businesses; and other unspecified eligible categories. The announcement also highlights additional eligible applicant types that commonly serve populations affected by health disparities, including 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), Indian/Native American Tribal Governments (other than federally recognized), Tribally Controlled Colleges and Universities (TCCUs), and U.S. territories or possessions.

At the same time, the opportunity is clear about what is not allowed with respect to international participation. Non-domestic (non-U.S.) entities (foreign institutions) are not eligible to apply. In addition, non-domestic components of U.S. organizations are not eligible to apply, and foreign components (as defined by the NIH Grants Policy Statement) are not allowed. In practical terms, this means the applicant organization and the proposed work need to be fully domestic, without foreign institutional applicants, foreign subcomponents, or foreign components embedded in the project structure.

From an administrative and funding standpoint, this is a discretionary grant funding instrument within the health funding activity category, administered by NIH. The listing provides an award ceiling of $3,000,000, indicating the maximum anticipated amount per award under the opportunity. The source data shows the opportunity was created on April 14, 2021, with an original closing date of June 24, 2021, and an anticipated number of awards not specified in the provided text. Overall, the opportunity is best understood as NIH support for large, coordinated research centers that will run clinical trials and produce actionable, center-driven evidence on how to prevent, treat, and manage multiple chronic diseases in ways that reduce health disparities across affected communities.

  • The National Institutes of Health in the health sector is offering a public funding opportunity titled "Centers for Multiple Chronic Diseases Associated with Health Disparities: Prevention, Treatment, and Management (P50 Clinical Trial Required)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.307.
  • This funding opportunity was created on 2021-04-14.
  • Applicants must submit their applications by 2021-06-24. (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 $3,000,000.00 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 RFA MD 21 007

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Frequently Asked Questions (FAQs)

What is the title of this NIH funding opportunity?

The funding opportunity is titled "Centers for Multiple Chronic Diseases Associated with Health Disparities: Prevention, Treatment, and Management (P50 Clinical Trial Required)."

What is the Funding Opportunity Number (FON)?

The Funding Opportunity Number is RFA-MD-21-007.

What CFDA number is associated with this opportunity?

The CFDA number listed for this opportunity is 93.307.

What is the overall purpose of this opportunity?

This opportunity is designed to build and support comprehensive, center-based research programs focused on multiple chronic diseases that disproportionately affect populations experiencing health disparities. The central aim is coordinated, multidisciplinary research that addresses how chronic diseases co-occur, how they can be prevented and treated, and how long-term management can be improved in real-world settings where disparities persist.

What kind of grant mechanism is this?

This is a P50 center mechanism intended to support comprehensive research centers with integrated structures, multiple interrelated projects, and shared infrastructure to achieve sustained impact beyond what a single standalone research grant typically supports.

Are clinical trials required under this opportunity?

Yes. The opportunity explicitly states "Clinical Trial Required," indicating that clinical trial activity is a required component of the proposed center rather than optional or incidental.

What research areas are emphasized (prevention, treatment, management)?

The opportunity emphasizes prevention, treatment, and management. This includes research that reduces the incidence of chronic disease, improves therapeutic approaches and outcomes, and strengthens long-term care strategies that help people live better with chronic conditions over time.

Does the opportunity focus on single diseases or multiple chronic diseases?

It focuses on multiple chronic diseases, with an emphasis on moving beyond studying single conditions in isolation and instead addressing co-occurrence and coordinated approaches to prevention, treatment, and ongoing management.

How does the opportunity define its focus on health disparities?

The framing around health disparities indicates the research should be grounded in the needs of populations facing systematic disadvantages in health outcomes, access to care, or quality of care, and should be positioned to generate evidence that meaningfully reduces inequities.

What types of organizations are eligible to apply?

Eligible applicants are broad and include many U.S.-based governmental, educational, nonprofit, and private-sector organizations. Specifically listed eligible entities include:

  • State governments
  • County governments
  • City or township governments
  • Special district governments
  • Independent school districts
  • Public and state-controlled institutions of higher education
  • Private 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 with 501(c)(3) status (other than institutions of higher education)
  • Nonprofits without 501(c)(3) status (other than institutions of higher education)
  • For-profit organizations other than small businesses
  • Small businesses
  • Other unspecified eligible categories

Are minority-serving institutions and U.S. territories mentioned as eligible?

Yes. The opportunity highlights additional eligible applicant types that commonly serve populations affected by health disparities, including Alaska Native and Native Hawaiian Serving Institutions, AANAPISIs, Hispanic-serving Institutions, HBCUs, Indian/Native American Tribal Governments (other than federally recognized), Tribally Controlled Colleges and Universities (TCCUs), and U.S. territories or possessions.

Are non-U.S. (foreign) institutions eligible to apply?

No. Non-domestic (non-U.S.) entities (foreign institutions) are not eligible to apply.

Can a U.S. organization apply if it has a non-domestic component?

No. Non-domestic components of U.S. organizations are not eligible to apply.

Are foreign components allowed as part of the project?

No. Foreign components (as defined by the NIH Grants Policy Statement) are not allowed. In practical terms, the applicant organization and proposed work need to be fully domestic, without foreign institutional applicants, foreign subcomponents, or foreign components embedded in the project structure.

What is the funding instrument and funding activity category?

The opportunity uses a discretionary grant funding instrument within the health funding activity category and is administered by the National Institutes of Health (NIH).

What is the maximum award amount listed (award ceiling)?

The listing provides an award ceiling of $3,000,000, indicating the maximum anticipated amount per award under this opportunity.

When was the opportunity created?

The source data shows the opportunity was created on April 14, 2021.

What was the original closing date?

The original closing date listed is June 24, 2021.

How many awards will NIH make under this opportunity?

The anticipated number of awards is not specified in the provided information.

What does NIH mean by supporting "comprehensive research centers" in this context?

Based on the description, "comprehensive research centers" implies an integrated center structure with multiple interrelated research projects and shared infrastructure, organized to produce a larger and more sustained impact than a single-project grant, with coordinated efforts spanning prevention, treatment, and management of multiple chronic diseases tied to health disparities.

What kind of impact is this opportunity aiming for?

The opportunity is positioned to produce actionable, center-driven evidence on preventing, treating, and managing multiple chronic diseases in ways that reduce health disparities across affected communities, especially in real-world settings where disparities persist.

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