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Rural Health Information Hub

First Responders - Comprehensive Addiction and Recovery Act Grants

This funding record is inactive. Please see the program website or contact the program sponsor to determine if this program is currently accepting applications or will open again in the future.

Catalog of Federal Domestic Assistance Number: 93.243
Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services
Apr 15, 2024

For program and eligibility questions:

Shannon Hastings

For fiscal or budget questions:

For review process and application status questions:
Toni Davidson


This program (Short Title: FR-CARA) provides funding to support first responders and members of other key community sectors on training, administering, and distributing naloxone and other Food and Drug Administration (FDA)-approved overdose reversal medications or devices. Populations of focus include populations disproportionately impacted by opioid use, primary treatment admissions, and high overdose rates.

Grant funds should be used to support the following activities:

  1. Provide resources to support the purchase and distribution of FDA approved/cleared devices for emergency reversal of known or suspected opioid overdose by first responders and members of other key community sectors
  2. Train and provide resources for first responders and members of other key community sectors on carrying and administering an approved drug or device
  3. Establish culturally and linguistically appropriate processes, protocols, and mechanisms for referral to treatment, recovery, harm reduction, and other psychosocial resource support services
  4. Form or join an advisory committee to provide ongoing program guidance throughout the project's four years, monitor progress, and ensure that the goals are being met.
  5. Conduct and submit the results of resource mapping in the catchment area to identify existing community assets, strengths, needs, and gaps relevant to the program's overdose prevention goals.
  6. Establish applicable organizational policies and procedures for the implementation of evidence-based, trauma-informed care practices
  7. Develop and implement strategies to provide, increase, or enhance access to services for people of all underserved groups in the community, in accordance with Culturally and Linguistically Appropriate Services in Health and Healthcare (CLAS) Standards

Eligible applicants include:

  • State governments
  • Territorial governments and the District of Columbia
  • American Indian/Alaska Native tribes
  • Tribal organizations
  • Consortia of tribes or tribal organizations
  • Local governmental entities
Geographic coverage
Nationwide and U.S. territories
Amount of funding

Estimated award range: $300,000 - $800,000
Project period: Up to 4 years
Expected number of awards: 15
Estimated total program funding: $6,200,000

Approximately $2,500,000 is set aside for rural projects.

Application process

Links to the full announcement, application instructions, and the online application process are available through

Applicant webinar recording

Tagged as
Emergency medical services · Emergency medical technicians and paramedics · Health workforce education and training · Illicit drug use · Prescription drug misuse · Racial and ethnic groups · Substance use and misuse · Trauma-informed care

Organizations (2)

  • U.S. Department of Health and Human Services, view details
  • Substance Abuse and Mental Health Services Administration, view details

For complete information about funding programs, including your application status, please contact funders directly. Summaries are provided for your convenience only. RHIhub does not take part in application processes or monitor application status.