1. 2018

   In Academic Year 2017-2018, grantees of the ANEW Program trained 3,787 nursing students and produced 934 graduates. Of the 1,142 students who were directly funded by ANEW, the majority received training in substance use treatment (57 percent) and/or opioid use treatment (51 percent). In addition, ANEW grantees supported 32 faculty and 11 preceptors. To provide clinical training experiences to nursing students, grantees partnered with 2,141 clinical training sites in primary care settings (78 percent), medically underserved communities (61 percent), and/or rural areas (32 percent). ANEW grantees developed or enhanced and offered 273 curricula, provided 90 continuing education courses to practicing professionals, and offered 119 faculty and preceptor development programs.

2. 2020

   ANEW: In Academic Year 2019-2020, grantees of the ANEW Program trained 4,817 nursing students of which one third of them were underrepresented minorities and/or from disadvantaged backgrounds. The ANEW program produced 1,604 graduates who were ready to enter the health care workforce. Of the 2,267 students who were directly funded by ANEW, the majority trained in primary care settings (75 percent) and/or medically underserved communities (65 percent) and received training in telehealth (60 percent) and/or opioid use treatment (45 percent). More than one in four students who were directly funded received COVID-19 related training. One year post graduation data showed that over half of the trainees were pursuing additional training in a medically underserved communities. In addition, 47 percent of the recently graduated individuals were working in a primary care setting. Additionally, ANEW grantees supported 116 faculty and 76 preceptors. To provide clinical training experiences to nursing students, grantees partnered with 2,433 clinical training sites in primary care settings (77 percent), medically underserved communities (68 percent), and/or rural areas (32 percent). ANEW grantees offered 500 curricula, provided 122 continuing education courses to practicing professionals, and offered 132 faculty and preceptor development programs. ANE-SANE: In Academic Year 2019-2020, grantees from the ANE-SANE program trained 1,467 students and produced 228 graduates. The majority of trainees were from a rural and/or disadvantaged background (56 percent). About one in five SANE trainees received their training in rural areas and just over 40 percent of them received their training in medically underserved communities. Approximately 28 percent of the students participated in COVID-19 related training. The ANE-SANE grantees partnered with 149 clinical training sites in primary care settings (18 percent), medically underserved communities (77 percent), and/or rural areas (24 percent). SANE grantees developed and/or enhanced 80 courses. ANE-NPR: In Academic Year 2019-2020 the ANE-NPR program trained 94 nurse practitioner (NP) residents and 84 preceptors. There were a total of 16 NP resident graduates in the first year of the program. Sixty-three percent of first year graduates are currently employed in FQHCs or look-alikes and Rural Health Clinics. In addition, grantees from this program provided direct support to 19 faculty. Almost all of the NP residents received training in medically underserved communities (99 percent) and/or a primary care setting (99 percent). The majority of the NP residents participated in trainings related to COVID-19 (93 percent), opioid use treatment (91 percent) and/or telehealth (84 percent). The ANE-NPR grantees partnered with 122 clinical training sites to provide experiential training experiences to students. The majority of these sites where located in primary care settings (58 percent) and/or medically underserved communities (80 percent). A total of 792 courses where enhanced or developed, and 173 continuing education courses were offered. This program also supported 65 faculty and preceptor development training and activities. ANE-NPRIP: In FY 2020, HRSA established the ANE-NPRIP Program with nurse practitioner optional fellowship funds to establish or expand community-based nurse practitioner that are accredited or in the accreditation process for practicing postgraduate nurse practitioners in primary care or behavioral health; 5 awards were planned, 10 new awards were made. This program gives preference to Federally Qualified Health Centers (FQHCs). Out of the 10 awards, 5 grantees are FQHCs (50%) and 3 of the grantees partner with FQHCs (30%). One of the 10 grantees is mainly focused on serving rural areas, while 3 of the 10 grantees are partnered with rural health clinics.

3. 2021

   ANEW: In Academic Year 2020-2021, awardees of the ANEW Program trained 4,379 nursing students, more than one third of whom were underrepresented minorities and/or from disadvantaged backgrounds (38 percent). The ANEW program produced 1,644 graduates who were ready to enter the health care workforce. Of the 1,627 students who were directly funded by ANEW, the majority trained in primary care settings (77 percent), in medically underserved communities (75 percent), and/or in a setting that offered telehealth (62 percent). Forty-eight percent of students received training in opioid use treatment. More than 65 percent of students who were directly funded received COVID-19 related training and 37 percent received health equity training. For individuals for whom one year post graduation data was available, over half were pursuing additional training in a medically underserved community (53 percent). In addition, 51 percent of the recently graduated individuals were working in a primary care setting. To provide clinical training experiences to nursing students, grantees partnered with 2,049 clinical training sites in primary care settings (75 percent), medically underserved communities (65 percent), and/or rural areas (33 percent). More than half of the partner sites provided to individuals with mental health or substance use disorders (51 percent) and uninsured or underinsured individuals and families (52 percent); 21 percent offered services to undocumented immigrants. ANEW awardees offered developed or enhanced 520 courses for trainees, provided 135 continuing education courses to practicing professionals, and offered 167 faculty and preceptor development programs.

   ANE-SANE: In Academic Year 2020-2021, awardees from the ANE-SANE program trained 2,360 students and produced 858 graduates. The majority of trainees were from a rural and/or disadvantaged background (57 percent). More than half of SANE trainees received their training in medically underserved communities (53 percent) and about one in ten received training in rural areas (13 percent). Twenty-one percent of students participated in health equity training and approximately 19 percent participated in COVID-19 related training. The ANE-SANE awardees partnered with 169 clinical training sites in primary care settings (21 percent), medically underserved communities (81 percent), and/or rural areas (28 percent). More than 90 percent of the sites provided services to victims of interpersonal violence, abuse, or trauma. SANE grantees developed and/or enhanced 109 courses, 28 percent of which were focused on evidence-based practice. HRSA made 20 new awards in FY 2021.

   ANE-NPR: In Academic Year 2020-2021 the ANE-NPR program trained 319 nurse practitioner (NP) residents and graduated 171 NP residents. Almost all of the NP residents received training in medically underserved communities (99 percent) and/or a primary care setting (99 percent). Moreover, the majority of the NP residents participated in trainings related to COVID-19 (96 percent), opioid use treatment (90 percent) and/or trained in a setting that offered telehealth (90 percent). Sixty-six percent of AY 2020-2021 graduates were employed in a primary care setting 63 percent were employed in a medically underserved community, and 26 percent were employed in a rural area. Of prior year graduates, 77 percent were working in primary care settings one year after graduation, 77 percent were working in medically underserved communities, and 31 percent were working in a rural area. Fifty-two percent of AY 2020-2021 graduates and 77 percent of prior year graduates were employed in FQHCs or look-alikes and Rural Health Clinics.

   ANE-NPRIP: In Academic Year 2020-2021, the ANE-NPRIP Program trained 49 NP residents, 22 percent of whom were from underrepresented minority and/or disadvantaged backgrounds. One hundred percent of the NP residents received training in primary care settings and medically underserved communities, and 43 percent received training in rural settings. Moreover, all NP residents participated in trainings related to COVID-19 (100 percent), health equity (100 percent), and integrated behavioral health in primary care (100 percent) and trained in a setting that offers telehealth (100 percent). Eighty-eight percent of residents received training in medication assisted treatment (MAT) for substance use disorder/opioid use disorder, leading to 55 percent of residents receiving a waiver from the Substance Abuse and Mental Health Services Administration to prescribe MAT.

4. 2022

   ANEW: In Academic Year 2021-2022, awardees of the ANEW Program trained 3,964 nursing students, more than one half of whom were underrepresented minorities and/or from disadvantaged backgrounds (53%). The ANEW program produced 1,468 graduates who were ready to enter the health care workforce. Of the 1,468 students who were directly funded by ANEW, the majority trained in primary care settings (77%), in medically underserved communities (75%), and/or in a setting that offered telehealth (62%). To provide clinical training experiences to nursing students, grantees partnered with 2,017 clinical training sites in primary care settings (70%), medically underserved communities (71%), and/or rural areas (32%). For individuals for whom one year post graduation data was available, over half were pursuing additional training in a medically underserved community (71%). In addition, 74% of the recently graduated individuals were working in a primary care setting. ANEW awardees offered developed or enhanced 874 courses for trainees, provided 168 continuing education courses to practicing professionals, and offered 34 faculty and preceptor development programs. In FY 23, the ANEW program was re-competed, and HRSA intends to make awards to 56 applicants.

   ANE-SANE: In Academic Year 2021-2022, awardees from the ANE-SANE program trained 2,930 students and produced 580 graduates. The majority of trainees were from a rural and/or disadvantaged background (68%). Over 30% of SANE trainees received their training in medically underserved communities and about 22% of these trainees received training in rural areas . Twenty- seven percent of students participated in health equity training and approximately 21% participated in COVID-19 related training. The ANE-SANE awardees partnered with 214 clinical training sites in primary care settings (16%), medically underserved communities (71%), and/or rural areas (34%). More than 90% of the sites provided services to victims of interpersonal violence, abuse, or trauma. SANE awardees developed and/or enhanced 170 courses. Over 25% of the 580 graduates are currently employed in Medically Underserved Community, 6% employed in Primary Care Settings, and 11% employed in Rural Areas. In FY 2022, ANE-SANE received additional funding to fund 8 additional applicants, bringing the total number of awardees to 28. In FY23, ANE-SANE awarded continued funding to 28 awardees.

   ANE-NPR: In Academic Year 2021-2022, the ANE-NPR program trained 383 nurse practitioner (NP) residents and graduated 197 NP residents. Most of the NP residents received training in medically underserved communities and/or a primary care setting (96%), while others received training in a rural setting (38%). A majority of the NP residents participated in trainings related to COVID-19 (97%), Health Equity/Social Determinants of Health (93%), substance use treatment (93%) and/or trained in a setting that offered telehealth (92%) and had behavioral health integrated in primary care (91%). Sixty-five percent of AY 2021-2022 graduates were employed in a primary care setting, 63% were employed in a medically underserved community, 34% were employed in a rural area, and 43% in FQHCs or look-alikes. In FY 2022, ANE-NPR received additional funding to supplement the FY22 funding to bring the 36 awardees closer to their FY22 requested funded level. The ANE-NPR program will close in 2023.

   ANE-NPRIP: In Academic Year 2021-2022, the ANE-NPRIP Program trained 104 NP residents, 24% of whom were from underrepresented minority and/or disadvantaged backgrounds. One hundred percent of the NP residents received training in primary care settings and medically underserved communities, and 31% received training in rural settings. All NP residents participated in trainings related to COVID-19, health equity, behavioral health integration in primary care and trained in a setting that offer telehealth. In FY 2022, additional funding was received to make supplemental funding awards to the 10 ANE-NPRIP awardees to establish/expand/maintain optional community-based nurse practitioner fellowship programs (ANE-NPRIP projects), with a preference for those in FQHCs, for practicing postgraduate nurse practitioners in primary/behavioral health. The ANE-NPRIP program will close in 2023.

   ANE-NPRF: In FY 2023, HRSA combined the current Advanced Nursing Education Nurse Practitioner Residency Program (ANE-NPR) and Advanced Nursing Education Nurse Practitioner Residency Integration Program (ANE-NPRIP) into one program, the Advanced Nursing Education Nurse Practitioner Residency and Fellowship (ANE-NPRF) Program. In FY 23 HRSA intends to make 45 new awards for the ANE-NPRF Program.

   MatCare: For FY 23, HRSA estimates approximately $8,000,000 to be available annually to fund approximately 8 award recipients.

5. 2023

   ANEW: In Academic Year 2022-2023, awardees of the ANEW Program trained 2,668 nursing students, more than one half of whom were underrepresented minorities and/or from disadvantaged backgrounds (65%). The ANEW program produced 1,201 graduates who were ready to enter the health care workforce. To provide clinical training experiences to nursing students, grantees partnered with 1,863 clinical training sites (primary care settings (73%), medically underserved communities (71%), and/or rural areas (30%). ANEW awardees offered developed or enhanced 983 courses for trainees, provided 190 continuing education courses to practicing professionals, and offered 3 faculty and preceptor development programs. In FY24 ANEW awarded funding to 56 awardees.

   ANE-NPRF: In FY 2023, HRSA combined the current Advanced Nursing Education Nurse Practitioner Residency Program (ANE-NPR) and Advanced Nursing Education Nurse Practitioner Residency Integration Program (ANE-NPRIP) into one program, the Advanced Nursing Education Nurse Practitioner Residency and Fellowship (ANE-NPRF) Program. In FY 23 HRSA made 45 new awards for the ANE-NPRF Program for a total investment of $30,008,851.

   MatCare: For FY 23, HRSA awarded $8,000,000 to 10 new award recipients.

   ANE-SANE: In Academic Year 2022-2023, awardees from the ANE-SANE program trained 3,220, students and produced 632 graduates. The majority of trainees were from a rural and/or disadvantaged background (67%). 64% of SANE trainees received their training in medically underserved communities and about 19% of these trainees received training in rural areas. 23% percent of students participated in health equity training and approximately 22% participated in COVID-19 related training. The ANE-SANE awardees partnered with 293 clinical training sites (primary care settings 16%, medically underserved communities 64), and/or rural areas 32%). SANE awardees developed and/or enhanced 222 courses. Over 40% of the 2022-2023 graduates are currently employed in Medically Underserved Community, 6% employed in Primary Care Settings, and 19% employed in Rural Areas. In FY24, ANE-SANE awarded funding to 30 awardees.

   ANE-NPR: In Academic Year 2022-2023, the ANE-NPR program trained 373 nurse practitioner (NP) residents and graduated 265 NP residents. Most of the NP residents received training in medically underserved communities (97%) and primary care settings (98%), while others received training in a rural setting (39%). A majority of the NP residents participated in trainings related to COVID-19 (88%), Health Equity/Social Determinants of Health (95%), substance use treatment (88%) and/or trained in a setting that offered telehealth (89%) and had behavioral health integrated in primary care (90%). Seventy-three percent of AY 2022-2023 graduates were employed in a primary care setting, 77% were employed in a medically underserved community, 23% were employed in a rural area, and 57% in FQHCs or look-alikes. The ANE-NPR program closed in 2023.

   ANE-NPRIP: In Academic Year 2022-2023, the ANE-NPRIP Program trained 103 NP residents, 50% of whom were from underrepresented minority and/or disadvantaged backgrounds, with 54 graduates. Most of the NP residents received training in medically underserved communities (97%), and primary care settings (98%), while others received training in a rural setting (33%). One hundred percent of the NP residents participated in trainings related to COVID-19, Telehealth and Health Equity/Social Determinants of Health, substance use treatment training (88%) and had training in behavioral health integrated in primary care (97%). Seventy-six percent of AY 2022-2023 graduates were employed in a primary care setting, 45% were employed in a medically underserved community, 5% were employed in a rural area, 42% in FQHCs or look-alikes, and 16% were employed in community behavioral health/mental health centers. The ANE-NPRIP program closed in 2023.

Single Audit Applies (2 CFR Part 200 Subpart F):

For additional information on single audit requirements for this program, review the current Compliance Supplement.

All administrative and audit requirements and the cost principles that govern Federal monies associated with this activity will be subject to the Uniform Guidance 2 CFR 200 as codified by HHS at 45 CFR 75. HRSA awards are also subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at https://www.hhs.gov/sites/default/files/hhs-grants-policy-statement-october-2024.pdf.

1. Section 811 of the Public Health Service Act, (42 U.S.C. 296j).
2. Public Health Service Act, 811.
3. Public Health Service Act U.S.C. § 42 USC § 296j.