Opportunity Information: Apply for HRSA 22 007

The Service Area Competition (SAC) grant opportunity (Funding Opportunity Number HRSA 22 007) is a discretionary grant program run by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA). It is part of the federal Health Center Program (CFDA 93.224) and is designed to support community-based, patient-directed organizations that deliver primary health care services to medically underserved populations in the United States. In practical terms, this competition is about ensuring that communities already being served through the Health Center Program do not lose access to core health services when an existing project period ends or when HRSA determines the service area should be opened to competition.

The central purpose of the SAC Notice of Funding Opportunity (NOFO) is continuity of care. HRSA uses SAC to maintain uninterrupted access to comprehensive, culturally competent, high-quality primary care for people living in areas or belonging to populations that face barriers to care, such as limited provider availability, low income, lack of insurance, geographic isolation, or other forms of medical underservice. While the NOFO language emphasizes service continuation, applicants are generally expected to demonstrate they can operate effectively as a Health Center Program awardee, meaning they can provide accessible primary care and supportive services in a way that is community-centered and responsive to local needs.

Eligible applicants include a wide range of domestic public and nonprofit entities that can operate as community-based health care providers. This includes county governments, city or township governments, special district governments, independent school districts, public and state-controlled institutions of higher education, federally recognized Native American tribal governments, public housing authorities/Indian housing authorities, and other Native American tribal organizations. Nonprofit organizations with 501(c)(3) status (excluding higher education institutions) are also eligible, along with additional entities as allowed under HRSA's eligibility clarification in the NOFO. The common thread across these categories is the ability to function as a nonprofit, community-based, patient-directed organization capable of delivering primary health care services to underserved communities.

The opportunity was created on September 2, 2021, with an original application closing date of November 1, 2021. HRSA anticipated making approximately 84 awards under this competition. The posted award ceiling is listed as 0, which typically signals that the maximum award amount is not captured in that particular summary field and that applicants should consult the full NOFO for funding ranges, methodology, and final award determinations. Overall, SAC is best understood as a mechanism HRSA uses to keep Health Center Program-funded services in place for existing service areas and populations by selecting organizations that can meet federal program expectations and sustain comprehensive primary care access where it is most needed.

  • 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 Sep 02, 2021.
  • Applicants must submit their applications by Nov 01, 2021. (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 84 candidate(s).
  • Eligible applicants include: 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, Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 22 007

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