NIH Highlighted Topic: Health and Extreme Weather: Advancing Critical Research to Address the Direct and Indirect Health Impacts of Weather-Related Natural Disasters and Emerging Weather-Related Harms

Below is a brief summary. Please check the full solicitation before applying (link in resources section).

Executive Summary:

The National Institutes of Health (NIH) is encouraging innovative research focused on understanding and mitigating the direct and indirect health impacts of extreme weather, weather-related natural disasters, and emerging weather-related harms. This highlighted topic, part of the NIH Health and Extreme Weather (HEW) Program, aims to advance mechanistic research, interventions, and prevention strategies that protect communities and populations at heightened risk for mortality, chronic disease, and lifelong health impacts.

The HEW Program's scope spans temperature and precipitation extremes, wildfires, hurricanes, droughts, floods, heatwaves, harmful algal blooms, and snowpack loss, along with weather's downstream influence on other environmental exposures. NIH is particularly interested in projects spanning the full translational continuum, from in vivo, in vitro, and in silico mechanistic models to evidence-based interventions, with strong emphasis on populations at heightened risk such as children, pregnant women, outdoor workers, older adults, military personnel, and those with limited economic resources. Methods to aggregate and link health and weather-related data, along with training and community engagement, are also priorities.

Areas of interest include characterizing weather-related environmental exposures like airborne pollutants and heavy metals within the broader exposome, understanding extreme weather's effects on cancer risk and treatment delivery for patients and survivors, studying cumulative environmental exposure impacts on heart, lung, blood, and sleep conditions, examining how extreme weather affects aging processes and caregiver wellbeing, investigating weather-related variations in infectious and allergic disease incidence and severity, identifying biomarkers linking extreme weather to flares in arthritis, lupus, and skin conditions, measuring mental health impacts of extreme weather on children and at-risk populations, addressing health disparities in outdoor workers and rural or coastal residents, and evaluating how extreme weather and displacement affect women's health across reproductive stages.

Note: as with prior topics, this is a Highlighted Topic rather than a standalone NOFO, so applicants apply through an appropriate NIH Parent Funding Announcement or other broad opportunity on Grants.gov rather than a dedicated solicitation with its own SBIR/STTR dollar figures.

This highlighted topic is supported by an unusually broad coalition of ICOs, including the National Institute of Environmental Health Sciences (NIEHS), National Center for Complementary and Integrative Health (NCCIH), National Cancer Institute (NCI), National Heart, Lung, and Blood Institute (NHLBI), National Institute on Aging (NIA), National Institute of Allergy and Infectious Diseases (NIAID), National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institute of Mental Health (NIMH), National Institute on Minority Health and Health Disparities (NIMHD), National Institute of Nursing Research (NINR), Office of Behavioral and Social Sciences Research (OBSSR), Office of Disease Prevention (ODP), and Office of Research on Women's Health (ORWH), reflecting how far-reaching extreme weather's health impacts are across NIH's research mission.

How much funding would I receive?

Awards provide up to $323,090 for Phase I projects (up to 2 years) and $2,153,927 for Phase II projects (up to 3 years). Some topics approved by NIH may exceed these limits. Fast-Track and Phase IIB (follow-on) options allow continuous or extended funding beyond Phase II.

What could I use the funding for?

Funding may support the research, development, validation, and commercialization of technologies, clinical tools, software platforms, and evidence-based interventions related to augmentative and alternative communication (AAC).

Eligible activities may include:

  • Development of speech-generating devices and AAC communication platforms

  • AI and machine learning tools for adaptive communication support

  • Personalized AAC assessment and recommendation systems

  • Precision measurement tools for tracking communication outcomes

  • Digital health platforms supporting AAC users and caregivers

  • Literacy instruction technologies for AAC users

  • Mobile applications supporting non-speaking and minimally verbal individuals

  • Predictive analytics and communication profiling systems

  • User-centered design and accessibility research for AAC technologies

  • Tools supporting communication partner engagement and training

  • Clinical software for AAC implementation and therapy management

  • Mixed-methods research platforms for communication needs analysis

  • Technologies supporting lifelong AAC adaptation and personalization

  • Remote monitoring and telehealth solutions for speech and communication therapy

  • Assistive technologies supporting autism, ALS, cerebral palsy, and related conditions

  • Research evaluating quality-of-life and well-being outcomes for AAC users

  • Prototype development, validation studies, and usability testing

  • Commercialization planning and implementation strategy development

Funding may also support personnel, software development, usability studies, clinical testing, cloud infrastructure, AI model development, accessibility design, data collection, intellectual property protection, regulatory preparation, and commercialization activities necessary to advance a scalable and commercially viable AAC solution aligned with NIH priorities.

Are there any additional benefits I would receive?

Beyond the formal funding award, awardees gain several strategic advantages:

  • Government Validation and Credibility:
    Being selected for an NIH-backed SBIR grant signals technical excellence and alignment with national health and biomedical priorities. This validation builds investor and partner confidence.

  • Enhanced Visibility and Market Recognition:
    Awardees are featured in NIH and HHS announcements, helping attract partnerships, media attention, and future contracting opportunities.

  • Access to the Federal Innovation Ecosystem:
    Recipients join a national network of researchers and agencies advancing life science innovation, often opening doors to collaborations with NIH laboratories and federal health programs.

  • Stronger Commercial and Exit Potential:
    By maturing technology through nondilutive funding, companies strengthen valuation, de-risk commercialization, and increase attractiveness for acquisition or follow-on private investment.

What is the timeline to apply and when would I receive funding?

Applications are accepted each year on January 5th, April 5th, and September 5th. Funding is received approximately 9 months after submission.

Where does this funding come from?

Funding comes from the U.S. Department of Health and Human Services, with statutory set-asides requiring NIH, CDC, and FDA to devote portions of their extramural R&D budgets (3.2% for SBIR, 0.45% for STTR) to support small business innovation.

Who is eligible to apply?

Applicants must be U.S. small business concerns (SBCs) that:

  • Are organized for profit with a U.S. place of business.

  • Have ≤ 500 employees including affiliates.

  • Are > 50% owned by U.S. citizens or permanent residents, qualifying U.S. entities, or combinations thereof.

What companies and projects are likely to win?

Projects that demonstrate:

  • A clear unmet medical or public-health need,

  • Strong scientific rationale and feasibility,

  • High commercialization potential, supported by a realistic market and regulatory strategy, and

  • Alignment with an NIH Institute’s or CDC/FDA Center’s specific research mission (e.g., infectious disease, digital health, diagnostics, therapeutics, or data analytics).

Competitive applicants often have an early prototype, preliminary data, and a defined path to market adoption.

Are there any restrictions I should know about?

  • Companies must complete multiple federal registrations (SAM.gov, Grants.gov, eRA Commons, SBA Company Registry) before applying.

  • Foreign entities are not eligible.

  • Disclosure of foreign affiliations and compliance with national security screening are mandatory. Currently we do not recommend any sort of foreign affiliation.

How long will it take me to prepare an application?

For a first-time applicant, preparing a competitive submission will likely take 120–200 hours in total.

How can BW&CO help?

Our team specializes in complex federal R&D proposals and can:

  • Triple your likelihood of success through proven strategy and insider-aligned proposal development

  • Reduce your time spent on the proposal by 50–80%, letting your team focus on technology and operations

  • Ensure you are targeting the best opportunity for your project and positioning your company for long-term growth.

Review solicitation here.

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