Dr. MiltieAtlas by Dr. Miltie™Healthcare Grant Intelligence

Atlas State Grant Intelligence

Georgia

Verified Georgia healthcare and healthcare-workforce funding intelligence covering nursing education, graduate medical education, rural health transformation, clinician recruitment and retention, workforce expansion, school-linked health, telehealth, technology, primary care, behavioral health and other current or upcoming opportunities for eligible Georgia hospitals, health systems, educational institutions, healthcare providers and community partners. Atlas prioritizes actionable verified funding and clearly distinguishes active, upcoming and closed GREAT Health and workforce rounds.

Nationwide CoverageGeorgia Intelligence Desk
Latest verification: October 11, 2026
Verified records98
Active opportunities75
Top active score97/100
Next tracked deadlineOctober 15, 2026; exact time and time zone not published

Tracked fundersHealth Resources and Services Administration (HRSA) · Georgia Department of Veterans Service (GDVS) · Georgia Criminal Justice Coordinating Council (CJCC) · Georgia Department of Education · Georgia Board of Health Care Workforce (GBHCW) · Grady Health System · Community Foundation of Central Georgia · Georgia CORE · Forsyth County, Georgia · The Legacy Link, Inc. Area Agency on Aging · CommonSpirit Health · City of Milton · Monroe County Board of Commissioners · DeKalb County Government · Georgia Foundation for Physical Therapy · James M. Cox Foundation · Georgia Trauma Commission · Okefenoke REMC Foundation · Caring Communities Foundation · Gwinnett County Government · Community Foundation of South Georgia · Rotary Club of Newnan · Georgia Foundation for Public Education · Episcopal Community Foundation for Middle and North Georgia · First Horizon Foundation · State Charter Schools Commission of Georgia · Georgia Department of Community Affairs (DCA) · Georgia Power Foundation · Georgia Department of Natural Resources (DNR) · Keep Georgia Beautiful Foundation (KGBF) · Georgia Environmental Protection Division (EPD) · Georgia Emergency Management and Homeland Security Agency (GEMA/HS) · Georgia Forestry Commission (GFC) · State Veterinary Education Board (Georgia) · Georgia Department of Transportation (GDOT) · Georgia Music Foundation · City of Atlanta Department of Grants and Community Development (DGCD) · North Georgia Community Foundation · Yamaha Motor Manufacturing Corporation of America · Georgia's Own Foundation · Arts Capital | Atlanta · Georgia State University · Georgia Municipal Association (GMA) · Georgia Health Initiative · Georgia Department of Community Health (DCH) · Public School Districts’ Opioid Recovery Trust

← All Healthcare Grants State Grant Intelligence
ClosedAtlas Opportunity Score 89/100
Verified September 9, 2026

Georgia Criminal Justice Coordinating Council (CJCC)

Georgia SFY2027 Safe Harbor for Sexually Exploited Children Grant

Opportunity Overview Georgia’s Criminal Justice Coordinating Council (CJCC) and Safe Harbor for Sexually Exploited Children Commission accepted SFY2027 applications through September 8, 2026 at 5:00 PM ET to strengthen Georgia’s response to the sexual exploitation of youth. The program supports care, rehabilitative services, residential housing, health services, social services, awareness, prevention and coordinated victim-centered response. […]

FundingUp to $346,272 total across three purpose areas; CJCC may cap individual awards at up to $100,000 depending on application volume. No matching requirement was identified in the controlling RFA reviewed.
DeadlineSeptember 8, 2026 at 5:00 PM Eastern Time.
Required next actionApplication closed September 8, 2026 at 5:00 PM ET. Preserve this record for award monitoring and future-cycle intelligence; monitor CJCC for any amendment, reopening, award announcement or subsequent Safe Harbor cycle. Do not initiate new applicant outreach or application-package activity for the closed SFY2027 solicitation.
Needs Review — official FY27 deadline conflictAtlas Opportunity Score 89/100
Verified September 17, 2026

Georgia Board of Health Care Workforce (GBHCW)

Georgia FY27 Healthcare Loan Repayment Programs — GBHCW

Georgia Board of Health Care Workforce FY27 loan-repayment sources currently conflict on the deadline: program pages state October 12, 2026 at 5:00 PM ET, while the FAQ states October 5, 2026 at 5:00 PM without a time zone. Atlas uses October 5 at 5:00 PM as the conservative cutoff pending GBHCW reconciliation.

FundingProgram-specific service-cancelable loan repayment; award amounts vary by profession and program under current GBHCW guidance.
DeadlineOfficial-source conflict remains unresolved as of September 17, 2026: the current GBHCW Loan Repayment Programs page and profession-specific program pages state September 1 - October 12, 2026, 5:00 PM ET, while the current GBHCW FAQ states Monday, October 5, 2026 at 5:00 PM and does not specify a time zone. The FAQ page itself simultaneously displays the site banner 'Apply for Loan Repayment Program: Sept. 1 - Oct 12, 2026.' Atlas continues to use October 5, 2026 at 5:00 PM as the conservative operational cutoff pending agency reconciliation.
Required next actionMaintain publication and new outreach hold until GBHCW reconciles its current FY27 deadline conflict. Continue planning against the earlier October 5, 2026 at 5:00 PM cutoff for already-engaged applicants, and do not represent October 12 as controlling unless the Board resolves the contradiction. Recheck the main program page, profession-specific page, FAQ, and current application before any applicant-specific work.
Active - continuation funding only; applications due October 15, 2026 at 5:00 p.m.; no deadline time zone published by CJCC in the controlling materials reviewed September 25, 2026Atlas Opportunity Score 88/100
Verified September 30, 2026

Georgia Criminal Justice Coordinating Council (CJCC)

Georgia FY2026 FVPSA (VAWA Deferred) Continuation Grant

Georgia CJCC is accepting FY2026 FVPSA (VAWA Deferred) continuation applications from eligible prior-year Georgia domestic-violence grantees through October 15, 2026 at 5:00 p.m. Appendix B lists $2,358,640 in continuation allocations and match is waived for this application. CJCC does not state the deadline time zone, so Atlas remains fail-closed for ORIGINAL outreach.

FundingContinuation allocations vary by named agency; Appendix B totals $2,358,640. Example: SafeHomes of Augusta is listed at $131,529.
DeadlineThursday, October 15, 2026 at 5:00 p.m. CJCC does not state a deadline time zone in the controlling public page or RFA reviewed September 25, 2026.
Required next actionReview the current RFA, Appendix B allocation, and required continuation package. CJCC lists the deadline as October 15, 2026 at 5:00 p.m. but does not publish a time zone on the current opportunity page.
Active — ongoing FY 2027 competitive cycles for infrastructure grants; construction finance accepted on a rolling basis while funds remain available.Atlas Opportunity Score 88/100
Verified September 21, 2026

Georgia Department of Community Affairs (DCA)

Georgia OneGeorgia Workforce Housing Initiative — FY 2027

Georgia DCA and the OneGeorgia Authority are accepting FY 2027 Workforce Housing Initiative applications for infrastructure grants and rolling construction financing. Approximately $30 million is available; infrastructure grants range from $250,000 to $2.5 million, with the next practical new-applicant full-application cycle due January 8, 2027 after the required pre-application process.

FundingApproximately $30,000,000 available. Infrastructure grants: $250,000 minimum and up to $2,500,000 per application/development. Construction finance: 0%-3% loans up to 40% of total development costs or $1,000,000 maximum.
DeadlineInfrastructure full applications: October 9, 2026; January 8, 2027; April 9, 2027. Required pre-application at least 30 days before full application. For a new applicant as of September 21, 2026, the next practical infrastructure full-application target is January 8, 2027, with pre-application due no later than December 9, 2026. Construction finance is rolling while funds remain available. No exact closing clock time or time zone is published.
Required next actionFor new infrastructure prospects, verify OneGeorgia county eligibility and a current workforce-housing need, complete the required Initial Project Assessment with DCA, and submit the required pre-application no later than December 9, 2026 for the January 8, 2027 full-application cycle. Before ORIGINAL outreach, verify the applicant's specific development, local-government/developer partnership, match and financing, zoning/readiness, authoritative recipient, CRM and Atlas_Email_Queue deduplication, Email_Opt_Out, permanent-bounce status, and prior successful ORIGINAL transmission history.
OpenAtlas Opportunity Score 88/100
Verified September 21, 2026

Okefenoke REMC Foundation

Georgia Okefenoke REMC Foundation Grant – October 2026 Cycle

Open quarterly community grant opportunity from the Okefenoke REMC Foundation for qualifying organizations serving OREMC communities in southeast Georgia and northeast Florida. The next deadline is October 2, 2026. Typical grants are about $2,500 and may not exceed $5,000 per organization in a 12 month period. N9+ Fit Score: 70/100 conditional.

FundingTypical grant approximately $2,500; no more than $5,000 to an organization in a 12 month period.
DeadlineOctober 2, 2026; exact closing time and time zone not published.
Required next actionVerify applicant-specific eligible project and cost allowability, confirm the organization has not received OREMC Foundation grant funds within the preceding 12 months and has completed any required prior grantee report, then verify Contact, Email_Opt_Out, permanent-bounce status, original-outreach deduplication, and queue state before ORIGINAL outreach.
Closed for Atlas action - September 17, 2026 at 3:00 PM Eastern Time conservative cutoff passed; no authoritative extension verifiedAtlas Opportunity Score 88/100
Verified September 17, 2026

DeKalb County Government

Georgia DeKalb County Emergency Medical Supplies for Fire Rescue — ITB 2026-108-ITB

DeKalb County's Emergency Medical Supplies for Fire Rescue ITB reached Atlas's conservative September 17, 2026 at 3:00 PM Eastern Time cutoff. DeKalb County's current official OpenGov project list still shows a September 17, 2026 due date and one addendum, and no authoritative extension has been verified. The current cycle is closed for Atlas publication, bidding, and new vendor pursuit unless DeKalb County posts an official extension, reissue, or successor solicitation.

FundingNo guaranteed contract value is stated in the accessible public procurement record. This is an as ordered annual supply contract with four renewal options.
DeadlineSeptember 17, 2026 at 3:00 PM Eastern Time - conservative operational cutoff passed on September 17, 2026. Current official OpenGov listing still shows project 2026-108-ITB with due date September 17, 2026 and one addendum. No authoritative extension has been verified.
Required next actionClosed for Atlas action for the current cycle. Do not submit, publish as open, or initiate vendor pursuit unless DeKalb County posts an official extension, reissue, or successor solicitation. If that occurs, retrieve and review Addendum 1 and the complete live bid package before any action.
Closed — September 2026 cycle expired September 15, 2026Atlas Opportunity Score 88/100
Verified September 17, 2026

Community Foundation of Central Georgia

Community Foundation of Coffee County Grant Program — September 2026 Cycle

Nonprofit organizations in Coffee County, Georgia, and the immediate surrounding area may apply to the Community Foundation of Coffee County Community Grant Program. The current cycle closes September 15, 2026 at 12:00 PM; the official page does not state a time zone. A total of $10,000 is available across awards.

FundingNo per-organization maximum published; $10,000 total available across awards.
DeadlineSeptember 15, 2026 at 12:00 PM; the official CFCG page does not publish a time zone. The 2026 cycle has passed.
Required next actionClosed for the September 2026 cycle. Do not initiate new outreach, package work, or application activity for this cycle. Preserve the canonical record for award monitoring and future-cycle intelligence; monitor CFCG for the next Community Foundation of Coffee County cycle or any official reopening.
Open - publication hold pending exact deadline time-zone verificationAtlas Opportunity Score 87/100
Verified September 16, 2026

Gwinnett County Government

Georgia Gwinnett County RP024-26 Re-Entry Management System Annual Contract

Gwinnett County is seeking a mature SaaS re-entry case-management system for the Sheriff’s Office GRIP program, including intake automation, tailored case management, secure information sharing, reporting, compliance, maintenance, and professional services. Addendum 1 moved proposals to September 25, 2026 at 2:50 PM local time. Atlas is holding publication because the controlling due-time statement does not explicitly name the time zone, although the County solicitation listing labels the associated 3:00 PM opening as EST.

FundingNo fixed contract value or applicant ceiling is stated in the accessible RFP; service providers must submit firm fixed pricing using Attachment C, including implementation, managed services, and solution costs.
DeadlineSeptember 25, 2026 at 2:50 PM local time in Lawrenceville, Georgia; Addendum 1 does not explicitly name the time zone. The County solicitation listing labels the associated 3:00 PM opening as EST.
Required next actionHold publication and direct-vendor action until the exact proposal deadline time zone is explicitly verified. Continue to monitor for additional addenda. No applicant outreach is appropriate for this vendor procurement.
ActiveAtlas Opportunity Score 87/100
Verified September 11, 2026

The Legacy Link, Inc. Area Agency on Aging

Georgia Legacy Link FY 2028 Aging Services RFP

The Legacy Link, Inc. Area Agency on Aging is accepting Statements of Interest through September 25, 2026 for FY 2028 aging-services procurements across 13 Northeast Georgia counties, including evidence-based wellness services requiring both Bingocize and A Matter of Balance.

FundingNot stated in the public Statement of Interest notice; confirm contract values in the full RFP after the SOI period.
DeadlineStatement of Interest period: September 8 through September 25, 2026. The public controlling notice does not state an exact closing time or time zone.
Required next actionQualified organizations should submit a Statement of Interest with organization name, service proposed, counties of interest, and contact information to Legacy Link by September 25, 2026, then review the full RFP and schedule when distributed.
OpenAtlas Opportunity Score 86/100
Verified September 15, 2026

Rotary Club of Newnan

Georgia Rotary Club of Newnan 2026-27 Community Grant Program

Rotary Club of Newnan community grants are open to qualified 501(c)(3) organizations serving Coweta County. There is no fixed award cap, and eligible uses include medical treatment, counseling, instruction, program equipment, organizational equipment, staff training and facility work. Applications close November 1, 2026 at 5:00 p.m.; the official source does not state a time zone.

FundingNo fixed cap; applicants are instructed to request what the project genuinely needs.
DeadlineNovember 1, 2026 at 5:00 p.m.; the official source does not state a time zone.
Required next actionIdentify eligible Coweta County 501(c)(3) organizations with qualifying healthcare, human-services or education projects; verify the IRS determination letter is at least three years old; assemble the five required documents and annual budget figure; confirm exact deadline time zone before any automated outreach.
OpenAtlas Opportunity Score 86/100
Verified October 4, 2026

Georgia Trauma Commission

Georgia Trauma Commission GTC Registry Start-Up Grant

Georgia Trauma Commission's open Registry Start-Up Grant supports aspiring Level III and IV trauma centers with costs associated with acquiring ESO Solutions trauma registry software and preparing for trauma center designation. The current public program page does not publish a fixed application deadline or applicant-specific award ceiling. N9+ Fit Score: 0/100.

FundingApplicant-specific award ceiling is not published on the current public grant page. Atlas does not infer a maximum from program-level budget materials.
DeadlineOpen and rolling while the Georgia Trauma Commission continues to label the program OPEN. No fixed application deadline, closing clock time, or time zone is published on the current public grant page.
Required next actionReview the official Georgia Trauma Commission page and current Registry Start-Up Grant materials for the latest application steps, requirements, and deliverables.
Closed — September 17, 2026 solicitation deadline passedAtlas Opportunity Score 86/100
Verified September 17, 2026

City of Milton

Georgia City of Milton RFP 26-FD02R Medical Direction Services Fire-Rescue REISSUANCE

The City of Milton is accepting proposals for RFP 26-FD02R for full-time EMS medical direction and oversight for Milton Fire-Rescue through September 17, 2026 at 2:00 PM Eastern Time. Atlas classifies the current Dr. Miltie/QC Healthcare path as No Bid because the required qualifying physician credentials are not verified and the 48-hour cutoff for new partner outreach has passed.

FundingNo guaranteed contract value or award ceiling is publicly stated.
DeadlineSeptember 17, 2026 at 2:00 PM Eastern Time
Required next actionClosed for the current RFP 26-FD02R cycle after the verified September 17, 2026 at 2:00 PM Eastern Time deadline. Do not submit a Dr. Miltie/QC Healthcare proposal and do not initiate partner outreach for this expired cycle. Preserve the canonical record and monitor only for an official extension, amendment, reissue, or successor solicitation that creates a new valid submission window.
OpenAtlas Opportunity Score 86/100
Verified September 17, 2026

Gwinnett County Government

Georgia Gwinnett County PA037-26 Medical Oxygen and Carbon Dioxide Annual Contract

Gwinnett County Government is accepting quotes for PA037-26, Purchase of Medical Oxygen and Carbon Dioxide on an Annual Contract, through September 18, 2026 at 3:00 PM EST. The solicitation requires a qualified FDA registered medical gas producer or supplier with CGMP compliance and other specialized capabilities. N9+ Fit Score: 0/100.

FundingNo guaranteed contract value or award ceiling is stated in the current official solicitation; vendors submit pricing through the required quote schedule.
DeadlineSeptember 18, 2026 at 3:00 PM EST.
Required next actionQualified medical-gas producers or suppliers should review the current PA037-26 package and any subsequently posted addenda, complete the required Fee Schedule, References, and Contractor Affidavit and Agreement, verify all FDA/CGMP/CGA/USP/NFPA/DOT, insurance, five-year experience, fill-location, transport, cylinder, testing, and emergency-delivery requirements, and submit the binding quote before September 18, 2026 at 3:00 PM EST. The Gwinnett County solicitation listing was rechecked September 17, 2026 and still lists PA037-26 for September 18, 2026 at 3:00 PM EST; no addendum is displayed for PA037-26 on that listing. Atlas classifies Dr. Miltie/QC Healthcare as No Bid and does not initiate applicant outreach for this commodity procurement.
ActiveAtlas Opportunity Score 86/100
Verified September 11, 2026

Community Foundation of Central Georgia

Georgia Carling Memorial Foundation Fund 2026

Community Foundation of Central Georgia funding for projects benefiting the health and well-being of children in Bibb County, with a November 15, 2026 noon deadline and an average historical grant of $1,000.

FundingAverage historical grant award: $1,000. The current controlling page does not publish a maximum award or total funding pool.
DeadlineNovember 15, 2026 at 12:00 PM; the controlling CFCG page does not publish a time zone.
Required next actionConfirm portal access, prior-award/final-report status, current portal questions, proposed-cost allowability, and applicant-controlled approvals before submission.
Draft verification hold — 2026-2027 pre-application cycle is open through October 16, 2026; exact closing time/time zone is not published on the live DNR cycle page reviewed September 22, 2026.Atlas Opportunity Score 85/100
Verified September 22, 2026

Georgia Department of Natural Resources (DNR)

Georgia Outdoor Stewardship Program (GOSP) 2026-2027

Georgia DNR's 2026-2027 Outdoor Stewardship Program is open for pre-applications through October 16, 2026. Local parks and trails projects may request $500,000 to $3,000,000 and generally require at least a 25% match. Eligible applicants include qualified local governments, constituted recreation authorities, state agencies, and conservation-focused nongovernmental entities.

FundingLocal parks and trails projects: $500,000 minimum and $3,000,000 maximum grant or loan request. State stewardship and state acquisition projects: no published minimum or maximum under the governing Georgia rule.
DeadlinePre-application deadline: October 16, 2026. The live Georgia DNR cycle page reviewed September 22, 2026 does not publish an exact closing clock time or deadline-specific time zone. Second Level application deadline for invited applicants: May 28, 2027.
Required next actionPrioritize qualified Georgia local governments, recreation authorities, state agencies, and conservation-focused nongovernmental entities with mature park, trail, land-protection, or conservation-stewardship projects and documented ability to provide at least 25% match. Before ORIGINAL outreach, verify applicant DCA/good-standing status, project significance and scope, match documentation, responsible business Contact, exact pre-application closing time/time zone if available, CRM/Deal/Atlas_Email_Queue deduplication, Email_Opt_Out, permanent-bounce status, and authoritative prior-send history.
Closed — 2026 Georgia application cycle expired September 15, 2026Atlas Opportunity Score 85/100
Verified September 17, 2026

First Horizon Foundation

Georgia First Horizon Foundation Community Grants — 2026

First Horizon Foundation's 2026 Georgia grant cycle supports eligible organizations serving Atlanta across Health & Human Services and other community-impact areas. Applications close September 15, 2026; the official Georgia page does not publish an exact closing time, time zone, or universal award ceiling.

FundingNo universal applicant maximum or total 2026 Georgia funding pool is published on the current official Georgia/general application pages reviewed.
DeadlineSeptember 15, 2026; deadline has passed. The official Georgia page did not publish an exact closing time or time zone.
Required next actionClosed for the 2026 cycle. Do not initiate or continue new applicant outreach, package work, or direct pursuit for this cycle. Retain the canonical record and monitor First Horizon Foundation for the next Georgia application cycle or an official reopening/extension.
ExpiredAtlas Opportunity Score 84/100
Verified September 1, 2026

Georgia Department of Veterans Service (GDVS)

Georgia FY 2027 Veterans Mental Health Services Program Grant

Georgia is accepting applications for remaining FY2027 Veterans Mental Health Services Program funds through August 31, 2026 at 4:30 PM ET. The state has appropriated $1 million for FY2027 and will make competitive matching grants to eligible Georgia 501(c)(3) community behavioral-health programs that improve access to mental-health services for service members, veterans and their families.

Funding$1,000,000 total FY2027 program funding. Competitive matching grants are subject to remaining fund availability; the official public page does not publish an applicant-specific maximum award. Applicants must provide matching funding.
DeadlineAugust 31, 2026 at 4:30 PM ET. Applications for remaining FY2027 funds opened July 8, 2026 at 10:00 AM and close August 31, 2026 at 4:30 PM.
Required next actionArchived on August 31, 2026 after the 4:30 PM ET deadline passed. Monitor the Georgia Department of Veterans Service for the next Veterans Mental Health Services Program funding cycle.
Verified FY2027 cycle. Current NOFA controls and the prior deadline conflict is resolved.Atlas Opportunity Score 84/100
17 days leftVerified 2026-09-25

Georgia Emergency Management and Homeland Security Agency (GEMA/HS)

Georgia FY2027 Funds for Protection of Communities (FPC) Grant

Opportunity Overview The Georgia Emergency Management and Homeland Security Agency (GEMA/HS) is administering the FY2027 Funds for Protection of Communities (FPC) Grant, a state-funded competitive reimbursement program for qualifying Georgia nonprofit organizations facing documented security risks. The State of Georgia has set aside $5,000,000 for the FY2027 program, and no cost share or match is […]

FundingSee current FY2027 NOFA for verified award range.
DeadlineOctober 31, 2026 at 11:59 PM EDT. Applications open October 1, 2026 and must be submitted through the GEMA EMGRANTS portal.
Required next actionUse current FY2027 NOFA. Applicant-specific eligibility must be verified.
OpenAtlas Opportunity Score 84/100
Verified September 15, 2026

Episcopal Community Foundation for Middle and North Georgia

Georgia Episcopal Community Foundation Spring 2027 Grants — LOI Cycle

ECF is accepting Spring 2027 Letters of Intent through September 30, 2026 for qualifying Episcopal parishes and nonprofit partners serving people experiencing poverty and oppression in Middle and North Georgia. Healthcare relevance includes a prior ECF capital grant for a mobile medical clinic.

FundingNo universal maximum published; ECF reports a $26,287 average grant in 2025, which is not an applicant cap.
DeadlineSeptember 30, 2026 for LOI and nonprofit parish Statement of Support; exact closing time and time zone not published. Invited applications due December 31, 2026.
Required next actionVerify a substantial partnership with an eligible Episcopal Diocese of Atlanta parish, confirm prior-grant/reapplication eligibility for both nonprofit and parish, complete the required conversation with ECF's Executive Director, and prepare the LOI plus parish Statement of Support before September 30, 2026. Do not initiate new outreach until the exact deadline time and time zone are authoritatively confirmed.
Active — project concept stage open; concepts due before September 30, 2026. No closing clock time or time zone published.Atlas Opportunity Score 84/100
Verified September 21, 2026

Georgia Power Foundation

Georgia Power Foundation Waters for Georgia Grant Program — 2027-2028 Cycle

Georgia Power Foundation's Waters for Georgia program is accepting project concepts for the 2027-2028 cycle, with approximately $1.5 million expected across Coastal, Central, and ACF/ACT regions. Concepts must be submitted by email before September 30, 2026.

FundingApproximately $1,500,000 total expected for the 2027-2028 cycle; 1-3 projects expected to be funded in each selected region. No fixed per-project minimum or maximum is published on the current program page.
DeadlineProject concepts must be submitted by email before September 30, 2026. The official project-concept template does not publish a closing clock time or time zone.
Required next actionIdentify established qualifying Georgia governmental agencies and 501(c)(3) nonprofits with credible watershed or aquatic-ecosystem projects in the Coastal, Central, or ACF/ACT regions. Before ORIGINAL outreach, verify applicant-specific project fit, authoritative Contact, CRM opt-out and bounce state, and authoritative original-send deduplication.