Advancing Healthcare for Older Adults from Populations that Experience Health Disparities (R01 - Clinical Trial Optional) | PAR 24 273

Opportunity Information: Apply for PAR 24 273

Advancing Healthcare for Older Adults from Populations that Experience Health Disparities (PAR-24-273) is a National Institutes of Health (NIH) R01 grant opportunity focused on improving health care for older adults who face persistent inequities in access, quality, and outcomes. The program is meant to push both the science and the real-world implementation of multi-level health care research, meaning projects can look beyond a single patient-level intervention and instead examine how patient, caregiver, clinician, care team, clinic, health system, and community factors interact to drive disparities. Clinical trials are optional under this announcement, so applicants can propose either observational, implementation, pragmatic, or intervention research depending on what best fits the question.

The research priorities center on three connected needs in primary care and related care settings. First, NIH is seeking work that clarifies what screening, diagnostic, and clinical care guidelines are most appropriate for older adults from populations experiencing health disparities, especially when usual guidelines may not account for differences in comorbidities, frailty, access barriers, language, cultural context, or the cumulative impact of structural inequities. Second, the opportunity emphasizes shared decision-making to strengthen care planning and patient agency, including how clinicians and care teams can more effectively engage older adults and their caregiver(s) in discussions about goals of care, preferences, risks and benefits, and feasible treatment plans. Third, it calls for identifying effective care coordination strategies, recognizing that older adults with complex needs often move between primary care, specialists, hospitals, rehabilitation, home health, and community services, and that gaps during these transitions can disproportionately harm underserved groups.

Eligible applicants span a wide range of U.S.-based organizations and governments, reflecting the program's implementation and community relevance goals. Eligible entities include 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 that are not federally recognized; public housing authorities/Indian housing authorities; nonprofits with or without 501(c)(3) status (excluding higher education institutions in those categories); for-profit organizations other than small businesses; and small businesses. The announcement explicitly highlights additional eligible applicants that often serve populations experiencing health disparities, such as Alaska Native and Native Hawaiian Serving Institutions, Asian American Native American Pacific Islander Serving Institutions (AANAPISISs), 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, and U.S. territories or possessions.

Foreign participation is restricted. Non-domestic (non-U.S.) entities are not eligible to apply, non-domestic components of U.S. organizations are not eligible, and foreign components (as defined by the NIH Grants Policy Statement) are not allowed. In practice, that means the applicant organization must be U.S.-based, and the supported work must be carried out without foreign components under NIH definitions.

From an administrative standpoint, this is a discretionary grant in the NIH R01 mechanism, under funding activity categories spanning education and health, with CFDA/Assistance Listing numbers 93.307, 93.361, 93.393, and 93.866. The posting lists an original closing date of January 7, 2028, indicating the opportunity remains open across multiple receipt dates typical of NIH announcements. An award ceiling is not specified in the provided source data, and the number of expected awards is also not listed, so applicants typically need to shape budgets according to NIH R01 norms and any institute-specific guidance referenced in the full announcement.

Overall, the opportunity is aimed at generating practical, evidence-based improvements in how primary care and broader care systems screen, diagnose, plan care with, and coordinate services for older adults in underserved and historically marginalized populations, with the intent that findings can be implemented and sustained in real clinical workflows and community-linked care settings.

• The National Institutes of Health in the education, health sector is offering a public funding opportunity titled "Advancing Healthcare for Older Adults from Populations that Experience 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, 93.361, 93.393, 93.866.
• This funding opportunity was created on 2024-08-27.
• Applicants must submit their applications by 2028-01-07.
• 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 24 273

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