Opportunity Information: Apply for HRSA 14 128
Apply for HRSA 14 128
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Service Area Competition Additional Areas (AL, AZ, CA, CO, KY, MO, MS, MT, NC, NJ, NY, OK, OR, PA, PR, TN, and TX)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.224 Consolidated Health Centers (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public.
- This funding opportunity was created on Feb 19, 2014 and posted on Feb 19, 2014.
- Applicants must submit their applications by Mar 21, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $22,781,022.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 22 candidate(s).
- Eligible applicants include: Native American tribal governments (Federally recognized) State governments Public and State controlled institutions of higher education Native American tribal organizations (other than Federally recognized tribal governments) Special district governments Independent school districts Private institutions of higher education Others (see text field entitled Additional Information on Eligibility for clarification) Public housing authorities/Indian housing authorities County governments City or township governments Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education.
- Applicant is a public or nonprofit private entity, such as a tribal, faith based, or community based organization. Applicant is one of the following Competing Continuation A current Health Center Program grantee whose project period ends on, or after, October 31, 2013 and before October 1, 2014 that seeks to continue serving its current service area. New A health center not currently funded through the Health Center Program that seeks to serve an entire announced service area through the proposal of one or more sites. Supplemental A current Health Center Program grantee that seeks to serve an entire announced service area in addition to its current service area (select Revision on the SF 424 see Section IV.2.i for details) through the proposal of one or more new sites. Applicant proposes to serve a service area and its associated population(s) and patients identified in Table 6. Applicant must propose on Form 1A to serve at least an equivalent number of patients by the end of the project period as listed in Table 6. Applicant must propose on Form 5B the service area zip codes from which at least 75 percent of the current patients come.1Applicants may utilize the Patient Origin Map available on the SAC AA technical assistance site (http://www.hrsa.gov/grants/apply/assistance/sac aa), if applicable, as a resource in determining the zip codes from which the majority of patients originate. Applicant must propose to serve all currently targeted populations (i.e., CHC, MHC, HCH, PHPC) identified through the funding distribution in Table 6. See Item 7 below for details on how this impacts the budget request. 4) Applicant submits only one application for consideration under a single SAC announcement number. Note An applicant wishing to apply to serve two different service areas announced under a single announcement number must contact the Office of Policy and Program Development at 301 594 4300 or BPHCSAC@hrsa.gov for guidance. Applicant requests section 330 funds to support the operation of a health center for the provision of required comprehensive primary, preventive, and enabling health care services, either directly on site or through established arrangements, without regard to ability to pay.An applicant may not propose to provide only a single service, such as dental, behavioral, or prenatal services. Applicant proposes access to services for all individuals in the service area and target population. In other words,
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Opportunity Summary:
The Service Area Competition Additional Areas (SAC AA) funding opportunity (HRSA-14-128) is a discretionary grant program run by the Health Resources and Services Administration (HRSA) under section 330 of the Public Health Service Act (42 U.S.C. 254b). The purpose is to provide operational grant support for health centers to deliver comprehensive, culturally competent, quality primary health care in underserved communities and for vulnerable populations. This competition focuses on specific “announced service areas†located in Alabama, Arizona, California, Colorado, Kentucky, Missouri, Mississippi, Montana, North Carolina, New Jersey, New York, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Tennessee, and Texas, with the intent of ensuring that those defined geographic areas and their target populations have stable access to full-scope health center services.
At its core, SAC AA is part of HRSA’s broader Health Center Program, which funds roughly 1,200 health centers operating nearly 9,000 service delivery sites across all states and U.S. territories. These centers collectively serve medically underserved people, including uninsured patients, and aim to reduce barriers to care by offering services regardless of a patient’s ability to pay. Within the section 330 framework, applicants may propose to operate as (or include the required elements of) one or more of the following health center types depending on what the announced service area requires: Community Health Centers (CHC, section 330(e)), Migrant Health Centers (MHC, section 330(g)), Health Care for the Homeless (HCH, section 330(h)), and Public Housing Primary Care (PHPC, section 330(i)). HRSA’s expectation is that a funded organization will function as a true health center model provider, meaning it delivers a comprehensive primary care system (including preventive and enabling services) either directly or through formal arrangements, rather than focusing on only a single service line.
Funding details in the announcement indicate an estimated total funding amount of $22,781,022 with an anticipated 22 awards under CFDA 93.224 (Consolidated Health Centers). The FOA lists no cost sharing or matching requirement. Award ceiling and floor are both shown as $0 in the posting, which typically signals that award amounts vary by service area and will be determined based on HRSA’s service-area specific funding decisions and the applicant’s proposed scope and budget, rather than being constrained by a single standardized maximum/minimum in the public synopsis.
Eligibility is open to public entities and nonprofit private entities, including community-based, faith-based, and tribal organizations, among others. The eligible applicant types listed include federally recognized tribal governments, tribal organizations, state and local governments (including counties, cities/townships, special districts, and independent school districts), public housing authorities/Indian housing authorities, public or private institutions of higher education, and 501(c)(3) nonprofits (excluding institutions of higher education in that specific category). Practically, the key eligibility test is not just organizational type, but whether the applicant fits one of the SAC AA applicant pathways described in the FOA and can credibly take responsibility for serving the entire announced service area as required.
The FOA outlines three main applicant scenarios. First, “Competing Continuation†applicants are current Health Center Program grantees whose project period ends on or after October 31, 2013 and before October 1, 2014, and who are seeking to continue serving their current service area through a new competitive award. Second, “New†applicants are organizations not currently funded under the Health Center Program that want to take on an entire announced service area by proposing one or more sites to cover it. Third, “Supplemental†applicants are current Health Center Program grantees proposing to add an entire announced service area in addition to their current one, typically by proposing one or more new sites (and the application is submitted as a revision per the FOA instructions). Across all three paths, the central expectation is the same: the applicant must be able to operate a health center that meets section 330 requirements and can cover the full announced service area rather than a partial footprint.
Several service-area specific requirements are highlighted. Applicants must propose to serve the service area and populations identified by HRSA (referenced in the FOA as Table 6), and they must propose on Form 1A to serve at least an equivalent number of patients by the end of the project period as the number listed for that service area. They must also identify, on Form 5B, the service area zip codes from which at least 75 percent of current patients originate, with HRSA pointing applicants to a Patient Origin Map tool as a planning resource when applicable. In addition, applicants must propose to serve all currently targeted populations tied to the announced service area’s existing funding distribution (for example, if the service area includes CHC plus HCH expectations, the application must address those targeted populations rather than selecting only one). The FOA also limits applicants to one application under a single SAC announcement number, and it instructs organizations that want to apply for two different service areas under the same announcement to contact HRSA for guidance.
From a programmatic standpoint, HRSA makes clear that section 330 funds are meant to support full health center operations and access to required services “without regard to ability to pay.†The FOA explicitly notes that an applicant cannot propose to provide only a single service such as dental-only, behavioral health-only, or prenatal-only care. Instead, the applicant must propose a comprehensive primary care program with preventive and enabling services and demonstrate access for all individuals in the service area and the identified target populations, using either direct staffing/services at the site(s) or established arrangements that reliably fill gaps in the required service set.
Administratively, the opportunity was posted February 19, 2014, with an original and current closing date of March 21, 2014, and it was archived May 20, 2014. Questions and access issues were directed to the HRSA Grants Application Center and the HRSA Call Center (877-464-4772, CallCenter@HRSA.GOV), with an additional program contact listed for SAC guidance (BPHCSAC@hrsa.gov). Overall, the SAC AA competition is designed to ensure continuity and expansion of federally supported health center coverage in specific high-need service areas by selecting organizations that can take responsibility for comprehensive, culturally competent primary care services for the full defined community and its priority populations.
Frequently Asked Questions (FAQs)
What is the Service Area Competition Additional Areas (SAC AA) opportunity?
SAC AA (HRSA-14-128) is a discretionary grant funding opportunity run by the Health Resources and Services Administration (HRSA) under section 330 of the Public Health Service Act (42 U.S.C. 254b). It supports organizations to operate health centers that deliver comprehensive, culturally competent, quality primary health care in underserved communities and for vulnerable populations.
What is the main purpose of SAC AA funding?
The purpose is to provide operational grant support so health centers can deliver full-scope primary care services (including preventive and enabling services) for people in defined, underserved service areas and for identified target populations, with the goal of stable access to health center services.
Which locations are included in this SAC AA competition?
This competition focuses on specific announced service areas located in Alabama, Arizona, California, Colorado, Kentucky, Missouri, Mississippi, Montana, North Carolina, New Jersey, New York, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Tennessee, and Texas.
What does HRSA mean by an "announced service area"?
An announced service area is a defined geographic area and target population identified by HRSA for this competition. Applicants are expected to take responsibility for providing access to full-scope health center services for the entire announced service area, not just a portion of it.
How does SAC AA fit into the broader HRSA Health Center Program?
SAC AA is part of HRSA's Health Center Program, which funds approximately 1,200 health centers operating nearly 9,000 service delivery sites across all states and U.S. territories. These health centers serve medically underserved people, including uninsured patients, and work to reduce barriers to care by offering services regardless of a patient's ability to pay.
What types of health centers can applicants propose under section 330?
Depending on what the announced service area requires, applicants may propose to operate as (or include the required elements of) one or more section 330 health center types: Community Health Centers (CHC, section 330(e)), Migrant Health Centers (MHC, section 330(g)), Health Care for the Homeless (HCH, section 330(h)), and Public Housing Primary Care (PHPC, section 330(i)).
Is SAC AA intended to fund a single service line (like dental-only or behavioral health-only)?
No. HRSA states that an applicant cannot propose to provide only a single service such as dental-only, behavioral health-only, or prenatal-only care. The expectation is a comprehensive primary care program that includes preventive and enabling services, delivered directly and/or through formal arrangements.
What is meant by "comprehensive" services in this FOA?
HRSA expects a funded organization to function as a true health center model provider by delivering a comprehensive primary care system, including preventive and enabling services, either directly at the site(s) or through formal arrangements that ensure reliable access to the required service set.
Do health centers funded under SAC AA have to serve patients regardless of ability to pay?
Yes. The FOA emphasizes that section 330 funds are intended to support access to required services "without regard to ability to pay."
What is the CFDA number for this opportunity?
The FOA lists CFDA 93.224 (Consolidated Health Centers).
How much funding is available and how many awards are expected?
The FOA indicates an estimated total funding amount of $22,781,022 and anticipates 22 awards.
Is there a cost sharing or matching requirement?
No. The FOA lists no cost sharing or matching requirement.
Why does the posting show an award ceiling and floor of $0?
The FOA shows both the award ceiling and award floor as $0, which typically indicates that award amounts vary by service area and will be determined based on HRSA's service-area specific funding decisions and the applicant's proposed scope and budget, rather than a single standard maximum/minimum amount in the public synopsis.
Who is eligible to apply?
Eligibility is open to public entities and nonprofit private entities, including community-based, faith-based, and tribal organizations, among others. Eligible applicant types listed include federally recognized tribal governments, tribal organizations, state and local governments (including counties, cities/townships, special districts, and independent school districts), public housing authorities/Indian housing authorities, public or private institutions of higher education, and 501(c)(3) nonprofits (excluding institutions of higher education in that specific category).
Is organizational type the only eligibility requirement?
No. The FOA emphasizes that eligibility is not only about organizational type; the applicant must fit one of the SAC AA applicant pathways described in the FOA and must be able to take responsibility for serving the entire announced service area as required.
What are the main applicant scenarios described in the FOA?
The FOA outlines three main scenarios: (1) Competing Continuation applicants, (2) New applicants, and (3) Supplemental applicants.
Who qualifies as a "Competing Continuation" applicant?
Competing Continuation applicants are current Health Center Program grantees whose project period ends on or after October 31, 2013 and before October 1, 2014, and who seek to continue serving their current service area through a new competitive award.
Who qualifies as a "New" applicant?
New applicants are organizations not currently funded under the Health Center Program that want to take on an entire announced service area by proposing one or more sites to cover it.
Who qualifies as a "Supplemental" applicant?
Supplemental applicants are current Health Center Program grantees proposing to add an entire announced service area in addition to their current one, typically by proposing one or more new sites. The FOA indicates this application is submitted as a revision following FOA instructions.
Do applicants have to cover the full announced service area?
Yes. Across all applicant scenarios, HRSA's expectation is that the applicant can cover the full announced service area, not a partial footprint.
What service-area specific population requirements apply?
Applicants must propose to serve the service area and populations identified by HRSA (referenced in the FOA as Table 6). Applicants must also propose to serve all currently targeted populations tied to the announced service area's existing funding distribution (for example, if the service area includes CHC plus HCH expectations, the application must address those targeted populations rather than selecting only one).
Is there a patient projection requirement?
Yes. Applicants must propose on Form 1A to serve at least an equivalent number of patients by the end of the project period as the number listed for that service area.
What is the requirement related to patient origin ZIP codes?
Applicants must identify on Form 5B the service area ZIP codes from which at least 75 percent of current patients originate. The FOA points applicants to a Patient Origin Map tool as a planning resource when applicable.
Can an applicant choose to serve only one of the targeted populations in a service area?
No. The FOA indicates applicants must propose to serve all currently targeted populations associated with the announced service area as reflected in the existing funding distribution for that area.
How many applications can an organization submit under this SAC announcement number?
The FOA limits applicants to one application under a single SAC announcement number.
What if an organization wants to apply for two different service areas under the same announcement?
The FOA instructs organizations that want to apply for two different service areas under the same announcement to contact HRSA for guidance.
When was this funding opportunity posted and when did it close?
The opportunity was posted February 19, 2014. The original and current closing date was March 21, 2014.
Is this opportunity still open?
No. The FOA was archived May 20, 2014.
Who should applicants contact for application submission questions or access issues?
Questions and access issues were directed to the HRSA Grants Application Center and the HRSA Call Center at 877-464-4772 or CallCenter@HRSA.GOV.
Is there a program contact for SAC-related guidance?
Yes. The FOA lists BPHCSAC@hrsa.gov as an additional program contact for SAC guidance.
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