Opportunity Information: Apply for HRSA 16 004
Apply for HRSA 16 004
- The 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 Consolidated Health Centers (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public.
- This funding opportunity was created on Jun 30, 2015 and posted on Jun 30, 2015.
- Applicants must submit their applications by Aug 31, 2015. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $278,000,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 123 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- 1) An applicant must be a public or nonprofit private entity, as demonstrated through the submission of the Evidence of Non profit/Public Center Status outlined in Section IV.2.vi. Faith based and community based organizations, Tribes, and tribal organizations are eligible to apply. 2) The applicant must request funding to support the operation of a health center that provides required comprehensive primary, preventive, and enabling health care services, either directly 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. 3) The applicant must propose to serve an announced service area and its patients identified in the SAAT. a) The total unduplicated patients projected to be served by December 31, 2017, entered on Form 1A, must be at least 75 percent of the SAAT Patient Target. See the Summary of Funding section above if the patient projection is less than the SAAT Patient Target. b) Zip codes entered in the Service Area Zip Codes field on Form 5B Service Sites must be those where at least 75 percent of the current patients reside.1 Refer to the SAAT to determine the zip codes where the majority of patients reside. Note Health centers will be held accountable for all patients projected to be served, as well as any additional patient projections through supplemental awards received during the project period. If a health center is unable to demonstrate that it is serving the cumulative total of projected patients by December 31, 2017, announced funding for the service area may be proportionally reduced. 4) The applicant must propose access to services for all individuals in the service area and target population, as defined in the SAAT. Services proposed cannot be exclusive to a single age group (e.g., children, elderly) or health issue/disease category (e.g., HIV/AIDS). In instances where a sub population is targeted (e.g., homeless children lesbian, gay, bisexual, and transgender individuals (LGBT)), the applicant must ensure that required health care services will be made available to others who seek services at the proposed site(s). 5) The annual funding request (as presented on the SF 424A and Budget Justification Narrative) MUST NOT exceed the amount of Total Funding available in the SAAT. Applications that exceed this amount will be considered non responsive and will not be
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Opportunity Summary:
The Service Area Competition (SAC) funding opportunity (HRSA-16-004) is a discretionary grant program run by the Health Resources and Services Administration (HRSA) to fund the ongoing operation of Health Center Program sites that deliver comprehensive primary and preventive health care in medically underserved communities. The main goal is continuity of access: HRSA uses SAC to make sure that communities and vulnerable populations already served through the Health Center Program do not lose reliable, culturally competent, quality care when a service area is opened for competition. The announcement covers operational support for the core Health Center Program authorities, including Community Health Centers (section 330(e)), Migrant Health Centers (section 330(g)), Health Care for the Homeless (section 330(h)), and Public Housing Primary Care (section 330(i)). In this notice, all of these are referred to broadly as "health centers."
Funding is intended for patient-directed public and nonprofit private organizations that provide required health center services either directly or through formal arrangements, and that do so regardless of a persons ability to pay. A key point is that applicants cannot propose a narrow or single-service clinic model; for example, an application that only offers dental care, only behavioral health, or only prenatal services would not meet the program expectations. Instead, SAC supports comprehensive primary care that includes preventive and enabling services consistent with the Health Center Program model.
Eligibility is limited to public entities or nonprofit private entities, with faith-based and community-based organizations explicitly allowed to apply, as well as Tribes and tribal organizations. Applicants must document their public or nonprofit status as required in the application instructions. Beyond organizational status, the applicant must propose to serve the specific announced service area and patient population identified by HRSA in the Service Area Announcement Table (SAAT). The SAAT functions as the roadmap for what HRSA expects in that competition, including the defined service area, target population, and the total funding amount available for that service area.
The FOA sets measurable service expectations tied to the SAAT. Applicants must project that, by December 31, 2017, they will serve a number of unduplicated patients that is at least 75 percent of the SAAT patient target (as entered on the required forms). The application must also align service area zip codes with where patients actually live: the zip codes listed for service sites must correspond to where at least 75 percent of current patients reside, using the SAAT as the reference for the predominant patient residence pattern. HRSA also emphasizes accountability after award. Health centers are held to the patient projections they commit to (including any later increases connected to supplemental awards). If a grantee cannot show it is serving the cumulative projected patient total by the deadline, HRSA indicates the announced funding for that service area may be reduced proportionally.
Another major requirement is that access cannot be restricted in ways that conflict with serving the broader service area and target population defined in the SAAT. Proposed services cannot be exclusive to a single age group (such as only children or only seniors) or limited to a single condition or disease category (such as only HIV/AIDS). The FOA does allow targeted outreach or focus on particular subpopulations (for example, homeless children or LGBT individuals), but even then the applicant must ensure that required health center services are available to others who seek care at the proposed sites. In practical terms, HRSA is looking for proposals that can meet the needs of the service area as a whole while still addressing high-need groups.
Budget rules are strict and tied directly to the SAAT. The annual amount requested in the application budget must not exceed the total funding amount listed as available for that announced service area. Applications that ask for more than the SAAT total are treated as non-responsive and are not considered for award. The FOA also notes there is no cost-sharing or matching requirement, meaning applicants are not required to contribute a specific non-federal match to be eligible.
For this particular announcement cycle, HRSA estimated total funding at approximately $278,000,000 and expected to make about 123 awards under CFDA 93.224 (Consolidated Health Centers). The posting date was June 30, 2015, with an original and current closing date of August 31, 2015, and an archive date of October 30, 2015. The award ceiling and floor are listed as $0 in the data excerpt, which typically indicates the award amounts vary by service area and are governed by the SAAT funding level rather than a single universal cap.
Overall, SAC is best understood as a competitive process to select or reselect organizations to operate HRSA-supported health center services in a specific geographic service area. The program is not aimed at funding isolated programs or specialty-only services; it is designed to maintain comprehensive primary care capacity for underserved communities, with clear expectations for who must be served, where patients reside, what scope of services must be available, and how the applicant will be held accountable for meeting projected patient levels. For questions or technical access issues, the listed contact for this FOA is HRSA at bphcsac@hrsa.gov, with a phone contact provided for Beth Hartmayer at (301) 594-4300.
Service Area Competition (SAC) (HRSA-16-004) FAQs
What is the Service Area Competition (SAC) funding opportunity (HRSA-16-004)?
SAC (HRSA-16-004) is a discretionary grant program run by the Health Resources and Services Administration (HRSA). It funds the ongoing operation of Health Center Program sites that provide comprehensive primary and preventive health care in medically underserved communities.
What is the main purpose of SAC funding?
The central goal is continuity of access. HRSA uses SAC to help ensure that communities and vulnerable populations already served through the Health Center Program do not lose reliable, culturally competent, quality care when a service area is opened for competition.
What types of Health Center Program authorities are included in this SAC notice?
The announcement covers operational support under the core Health Center Program authorities: Community Health Centers (section 330(e)), Migrant Health Centers (section 330(g)), Health Care for the Homeless (section 330(h)), and Public Housing Primary Care (section 330(i)). In the notice, all of these are referred to broadly as "health centers."
Who is this funding intended to support?
Funding is intended for patient-directed public organizations and nonprofit private organizations that provide required health center services either directly or through formal arrangements, and that do so regardless of a person's ability to pay.
Can a for-profit organization apply?
No. Eligibility is limited to public entities or nonprofit private entities. Applicants must document their public or nonprofit status as required in the application instructions.
Are faith-based organizations allowed to apply?
Yes. Faith-based organizations are explicitly allowed to apply, as are community-based organizations.
Are Tribes and tribal organizations eligible to apply?
Yes. Tribes and tribal organizations are included as eligible applicants.
Does SAC fund single-service clinics (for example, only dental, only behavioral health, or only prenatal care)?
No. Applicants cannot propose a narrow or single-service clinic model. Applications that only offer dental care, only behavioral health, or only prenatal services would not meet program expectations. SAC supports comprehensive primary care that includes preventive and enabling services consistent with the Health Center Program model.
Can an applicant restrict services to only one age group (only children or only seniors)?
No. The FOA states that proposed services cannot be exclusive to a single age group in ways that conflict with serving the broader service area and target population defined in the SAAT.
Can an applicant limit services to only one condition or disease category (for example, only HIV/AIDS)?
No. The FOA indicates proposed services cannot be limited to a single condition or disease category in ways that conflict with serving the broader service area and target population defined in the SAAT.
Is targeted outreach to specific subpopulations allowed?
Yes. The FOA allows targeted outreach or a focus on particular subpopulations (for example, homeless children or LGBT individuals), but required health center services must still be available to others who seek care at the proposed sites.
What is the Service Area Announcement Table (SAAT) and why does it matter?
The SAAT is the roadmap for what HRSA expects in each competition. It identifies the defined service area, the target population, and the total funding amount available for that specific service area. Applicants must propose to serve the specific announced service area and patient population identified in the SAAT.
What patient service level must applicants project by the deadline?
Applicants must project that, by December 31, 2017, they will serve a number of unduplicated patients that is at least 75 percent of the SAAT patient target (as entered on the required forms).
How does the FOA treat patient residence patterns and zip codes for service sites?
The application must align service area zip codes with where patients actually live. The zip codes listed for service sites must correspond to where at least 75 percent of current patients reside, using the SAAT as the reference for the predominant patient residence pattern.
How will HRSA hold awardees accountable for meeting patient projections?
HRSA emphasizes accountability after award. Health centers are held to the patient projections they commit to (including any later increases connected to supplemental awards). If a grantee cannot show it is serving the cumulative projected patient total by the deadline, HRSA indicates the announced funding for that service area may be reduced proportionally.
How much can an applicant request in the budget?
The annual amount requested in the application budget must not exceed the total funding amount listed as available for the announced service area in the SAAT. Budget requests above the SAAT total are treated as non-responsive and are not considered for award.
Is there a cost-sharing or matching requirement?
No. The FOA notes there is no cost-sharing or matching requirement for this opportunity.
What is the CFDA number associated with this opportunity?
The CFDA number listed is 93.224 (Consolidated Health Centers).
What was HRSA's estimated total funding and expected number of awards for this announcement cycle?
For this cycle, HRSA estimated total funding at approximately $278,000,000 and expected to make about 123 awards.
What were the posting date, closing date, and archive date?
The posting date was June 30, 2015. The original and current closing date was August 31, 2015. The archive date was October 30, 2015.
Why are the award ceiling and floor listed as $0?
In the provided excerpt, the award ceiling and floor are listed as $0, which typically indicates award amounts vary by service area and are governed by the SAAT funding level rather than a single universal cap.
Is SAC meant for starting a brand-new stand-alone specialty program?
No. SAC is described as a competitive process to select or reselect organizations to operate HRSA-supported health center services in a specific geographic service area. It is designed to maintain comprehensive primary care capacity for underserved communities, not to fund isolated programs or specialty-only services.
Who can be contacted for questions or technical access issues about this FOA?
The listed contact is HRSA at bphcsac@hrsa.gov. A phone contact is also provided for Beth Hartmayer at (301) 594-4300.
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