Opportunity Information: Apply for HRSA 18 025

The Service Area Competition (SAC) grant opportunity (HRSA-18-025) is a discretionary grant from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), under the Health Center Program (CFDA 93.224). It invites applications from organizations that want to provide ongoing operational primary care services in a specific, announced service area that is already being served through the Health Center Program. The central goal is continuity: keeping affordable, high-quality primary health care available for medically underserved communities and for vulnerable populations who rely on these services.

SAC is designed for community-based and patient-directed organizations that deliver comprehensive primary care, and it applies broadly to the major Health Center Program funding streams authorized under section 330 of the Public Health Service Act. In this notice, the term "health center" includes award recipients funded as Community Health Centers (CHC, section 330(e)), Migrant Health Centers (MHC, section 330(g)), Health Care for the Homeless programs (HCH, section 330(h)), and Public Housing Primary Care programs (PHPC, section 330(i)). In practical terms, applicants are competing to operate and sustain health center services for a defined service area, following Health Center Program expectations and requirements.

The notice emphasizes that applicants will be evaluated according to eligibility rules, review criteria, and awarding factors laid out in the NOFO, with the intent of selecting organizations that can successfully maintain and operate primary care services for the people currently served in the target service area. While the opportunity is framed as a competition, the underlying purpose is stability and access: ensuring communities do not lose essential safety-net primary care capacity when funding periods change or when HRSA recompetes a service area.

A wide range of entities are eligible to apply, reflecting the program's community-based focus and the reality that health center services can be operated by many different kinds of public or nonprofit organizations. Eligible applicants include state, county, and city or township governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments; tribal organizations (other than federally recognized tribal governments); public housing authorities and Indian housing authorities; and nonprofit organizations with IRS 501(c)(3) status (other than higher education institutions). The listing also includes an "Others" category, with additional eligibility clarification referenced in the NOFO.

Key administrative details in the source information include an original posting/creation date of August 8, 2017, and an original closing date of October 10, 2017. HRSA anticipated making 59 awards under this competition. The listed award ceiling is shown as 0 in the source data, which typically indicates that a fixed maximum amount is not specified in that field and that final award amounts may depend on factors described in the full NOFO (such as the particular service area, scope of project, and available appropriations).

Overall, SAC functions as HRSA's mechanism to competitively select and fund organizations to continue delivering Health Center Program services in designated service areas, protecting access to essential primary care for medically underserved populations and maintaining the operational capacity of the health center safety net.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Service Area Competition" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.224.
  • This funding opportunity was created on Aug 08, 2017.
  • Applicants must submit their applications by Oct 10, 2017. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The number of recipients for this funding is limited to 59 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, Private institutions of higher education, Others (see text field entitled Additional Information on Eligibility for clarification).
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