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.Apply for HRSA 22 007
- 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).
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Service Area Competition (SAC) Grant (HRSA 22-007) - FAQs
What is the Service Area Competition (SAC) grant opportunity?
The Service Area Competition (SAC) is a discretionary grant opportunity run by the U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA). It is part of the federal Health Center Program and is intended to support community-based, patient-directed organizations that deliver primary health care services to medically underserved populations in the United States.
What is the Funding Opportunity Number (FON) for this SAC opportunity?
The Funding Opportunity Number listed for this Service Area Competition is HRSA 22 007.
Which federal program is SAC associated with?
This opportunity is part of the Health Center Program (CFDA 93.224).
What is the main purpose of the SAC Notice of Funding Opportunity (NOFO)?
The central purpose is continuity of care. SAC is designed to help ensure communities already 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.
Why does HRSA run a Service Area Competition?
HRSA uses SAC as a mechanism 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. The emphasis is on keeping services in place for existing service areas and populations by selecting organizations that can meet federal program expectations.
Who is SAC intended to serve?
SAC focuses on medically underserved populations in the United States, including people who face barriers such as limited provider availability, low income, lack of insurance, geographic isolation, or other forms of medical underservice.
What types of services are supported under this SAC opportunity?
The opportunity is designed to support the delivery of primary health care services. The NOFO emphasizes comprehensive, culturally competent, high-quality primary care and continuity of access to core health services in the funded service areas.
Does this competition apply to new service areas or existing Health Center Program service areas?
Based on the description provided, SAC is best understood as a way to keep Health Center Program-funded services in place for existing service areas and populations, particularly when a project period ends or when HRSA opens a service area to competition.
What does "community-based, patient-directed" mean in the context provided?
The opportunity is aimed at organizations that operate as community-based health care providers and are patient-directed. In practical terms, applicants are generally expected to demonstrate they can operate effectively as a Health Center Program awardee by providing accessible primary care and supportive services in a community-centered and responsive way.
Who is eligible to apply for the SAC grant?
Eligible applicants include domestic public and nonprofit entities that can operate as community-based health care providers, including:
- 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
- Other Native American tribal organizations
- Nonprofit organizations with 501(c)(3) status (excluding higher education institutions)
- Additional entities as allowed under HRSA's eligibility clarification in the NOFO
Are nonprofit organizations eligible, and are there any limitations mentioned?
Yes. Nonprofit organizations with 501(c)(3) status are eligible, excluding higher education institutions. The description also notes that additional entities may be eligible as allowed under HRSA's eligibility clarification in the NOFO.
Are tribal entities eligible to apply?
Yes. Federally recognized Native American tribal governments and other Native American tribal organizations are listed among the eligible applicant types.
Are public housing authorities eligible applicants?
Yes. Public housing authorities/Indian housing authorities are included in the list of eligible applicant types.
Is this a discretionary grant program?
Yes. The SAC opportunity is described as a discretionary grant program administered by HRSA under HHS.
When was this grant opportunity created?
The opportunity was created on September 2, 2021.
What was the original application closing date?
The original application closing date was November 1, 2021.
How many awards did HRSA anticipate making under this competition?
HRSA anticipated making approximately 84 awards under this Service Area Competition.
What is the award ceiling for this opportunity?
The posted award ceiling is listed as 0. As described, this typically signals that the maximum award amount is not captured in that summary field and that applicants should consult the full NOFO for funding ranges, methodology, and final award determinations.
Does an award ceiling of 0 mean there is no funding available?
Not necessarily. The description indicates that a ceiling listed as 0 typically means the maximum award amount is not shown in that particular summary field. The full NOFO is where applicants would look for funding ranges, methodology, and how final award amounts are determined.
What are applicants generally expected to demonstrate to be competitive?
While the NOFO language emphasizes continuing services, applicants are generally expected to show they can operate effectively as a Health Center Program awardee. That includes demonstrating the ability to provide accessible primary care and supportive services in a community-centered way that is responsive to local needs.
Is the SAC primarily about expanding services or maintaining existing services?
Based on the description provided, SAC is primarily about maintaining continuity of care and preventing disruption of core health services in communities already served through the Health Center Program.
What is the overall goal of SAC in plain terms?
In practical terms, SAC helps ensure that when an existing Health Center Program project period ends or HRSA opens a service area to competition, the community does not lose access to core primary health care services. HRSA selects organizations that can sustain comprehensive primary care access where it is most needed.
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