Opportunity Information: Apply for HHS 2019 ACL AOD LLRC 0314

The National Limb Loss Resource Center grant opportunity is a discretionary funding program from the U.S. Department of Health and Human Services (HHS), Administration for Community Living (ACL), aimed at improving access to reliable, practical information and supports for people living with limb loss or limb differences across the United States. The need behind the program is substantial: roughly 2 million people in the country live with limb loss or limb difference, and about 185,000 amputations occur each year. The opportunity is framed around a clear gap in services and information. Many individuals report receiving limited guidance about rehabilitation before or after amputation, even though limb loss can affect nearly every part of daily life, including mobility, employment, community participation, recreation, and mental health.

The announcement emphasizes that limb loss often comes with layered barriers that make community reintegration difficult. People may experience anxiety, psychological distress, and challenges returning to work, alongside practical obstacles like inaccessible environments. There are also common secondary health issues linked to amputation, such as back pain and arthritis, which can compound disability and reduce quality of life over time. ACL is essentially trying to address these real-world challenges by ensuring that people and their support networks can find comprehensive, high-quality, up-to-date information that helps them make informed choices about health, independence, and long-term wellbeing.

ACL planned to fund one national-level cooperative agreement to create and operate a National Limb Loss Resource Center. A cooperative agreement signals that the federal agency expects to be substantially involved in the project’s direction and oversight, more so than in a typical grant. The single award structure also suggests ACL wanted a centralized, unified national hub rather than multiple regional efforts. The maximum award amount listed is $3,400,000, with one expected award, reflecting the scale of building and maintaining a nationwide resource and outreach operation.

The Resource Center’s core responsibilities are described in a few major pillars. First, it must expand the supports and resources available to individuals with limb loss or limb differences, as well as families and caregivers, primarily through a robust national website. The site is expected to serve people at different life stages and circumstances, including those newly amputated, those living long-term with amputation, and those who have grown up with limb differences. Second, the Center is expected to provide educational opportunities, activities, and outreach designed to reach people regardless of age, location, or gender. This highlights a national equity goal: the information and support should not be limited to major medical centers or specific geographic areas but should be accessible to anyone who needs it.

Third, the Center must actively collaborate with federal agencies and national organizations that have a stake in the limb loss and limb difference community. This collaborative component points to coordination around long-term services and supports, employment and workforce re-entry, and broader disability and rehabilitation systems. In practice, that likely means building referral pathways, aligning messaging, avoiding duplication of resources, and amplifying outreach through trusted partners that already serve related populations. Finally, the project must capture performance measurements so ACL can identify lessons learned and develop best practices. In other words, the Center is not only expected to provide resources but also to demonstrate reach and effectiveness using measurable outcomes, which can guide improvements and inform future work in this area.

Eligibility for the funding was broad and included many types of entities: state, county, and local governments; special district governments; independent school districts; public and state-controlled colleges and universities; federally recognized tribes and other tribal organizations; public and Indian housing authorities; and nonprofit organizations with or without 501(c)(3) status (excluding higher education institutions in those nonprofit categories). The funding opportunity number is HHS 2019 ACL AOD LLRC 0314, listed under CFDA 93.325, with the activity category identified as Health. The opportunity was created December 17, 2018, and the original application deadline was February 15, 2019, with electronic submissions due by 11:59 p.m. Eastern Time on the due date.

Overall, the grant is designed to create a centralized, national resource that helps close information gaps and improve real-life outcomes for people affected by limb loss or limb differences. By combining a comprehensive web-based resource, broad education and outreach, formal collaboration with key partners, and structured performance measurement, ACL’s intent is to make it easier for individuals, families, and caregivers to find trustworthy guidance, navigate services, and support long-term community participation, health, and employment.

  • The Department of Health and Human Services, Administration for Community Living in the health sector is offering a public funding opportunity titled "National Limb Loss Resource Center" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.325.
  • This funding opportunity was created on Dec 17, 2018.
  • Applicants must submit their applications by Feb 15, 2019 Electronically submitted applications must be submitted no later than 1159 p.m., ET, on the listed application due date.. (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 $3,400,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • 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, Others (see text field entitled Additional Information on Eligibility for clarification).
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