Opportunity Information: Apply for HRSA 16 005
Apply for HRSA 16 005
- 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 Jul 28, 2015 and posted on Jul 28, 2015.
- Applicants must submit their applications by Sep 28, 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 $152,000,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 104 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. 1 HRSA considers service area overlap when making funding determinations for new and competing supplement applicants if zip codes are proposed on Form 5B Service Sites beyond those listed on the SAAT. For more information about service area overlap, refer to Policy Information Notice 2007 09.
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Opportunity Summary:
The Service Area Competition (SAC) funding opportunity (HRSA-16-005) is a discretionary grant program run by the Health Resources and Services Administration (HRSA) under the federal Health Center Program. Its main goal is to maintain uninterrupted access to comprehensive, culturally competent, high-quality primary and preventive health care in specific, HRSA-announced service areas that are medically underserved and/or include vulnerable populations. In practical terms, SAC is designed to fund the ongoing operation of a health center in a defined geographic/community service area so that patients in that area continue to receive essential care and related supports.
This competition covers operational support for health centers funded under Section 330 of the Public Health Service Act, including Community Health Centers (CHC, 330(e)), Migrant Health Centers (MHC, 330(g)), Health Care for the Homeless (HCH, 330(h)), and Public Housing Primary Care (PHPC, 330(i)). HRSA uses the term "health center" in this announcement to include any of these four funding types. The focus is not on a narrow or single-service clinic; applicants are expected to operate a full-scope primary care health center that delivers required comprehensive primary and preventive services and enabling services either directly or through formal arrangements.
Eligibility is limited to public entities or private nonprofit organizations, and applicants must be able to document their public/nonprofit status as specified in the application instructions. Faith-based and community-based organizations may apply, and Tribes and tribal organizations are explicitly eligible as well. Beyond organizational status, the program requirements are central: the applicant must propose to run a health center that provides comprehensive primary, preventive, and enabling services to everyone served, without regard to ability to pay. The announcement makes clear that an applicant cannot propose a standalone, single-service model (for example, only dental, only behavioral health, or only prenatal care). The expectation is a complete health center model consistent with Health Center Program requirements, including access and affordability protections.
A key SAC requirement is that the applicant must propose to serve the specific announced service area and the patient population identified by HRSA in the Service Area Announcement Table (SAAT). HRSA ties the application closely to performance expectations for patient volume and where patients live. Applicants project unduplicated patients to be served by December 31, 2017, and the projection entered on Form 1A must be at least 75 percent of the SAAT Patient Target. The service area definition in the application also matters: zip codes listed for service sites (Form 5B) are expected to correspond to where at least 75 percent of current patients reside, and applicants are instructed to use the SAAT to determine which zip codes represent the majority of patients. The FOA also notes that HRSA considers service area overlap when applicants propose zip codes beyond those listed in the SAAT, referencing Policy Information Notice 2007-09 for additional guidance.
Accountability for projected patient volume is built into the award structure. Health centers funded through this opportunity are held responsible for serving the total number of patients they project (including any increases resulting from supplemental awards during the project period). If, by December 31, 2017, the health center cannot demonstrate it is serving the cumulative total of projected patients, HRSA indicates that funding for the announced service area may be reduced proportionally. This framing signals that SAC awards are not only about proposed plans, but also about measurable delivery and follow-through in the service area.
From a funding and administrative standpoint, the opportunity was posted July 28, 2015, with an application deadline of September 28, 2015, and an archive date of November 27, 2015. HRSA anticipated 104 awards with an estimated total funding amount of $152,000,000. The CFDA number listed is 93.224 (Consolidated Health Centers). The announcement states there is no cost sharing or matching requirement. The award ceiling and floor are both shown as 0 in the source data, which typically means amounts vary by service area and are determined according to program formulas, service area needs, and HRSA funding decisions rather than a single fixed cap in the synopsis.
Applicants looking for help or experiencing issues accessing the full announcement are directed to contact HRSA at bphcsac@hrsa.gov, or to reach Beth Hartmayer at (301) 594-4300.
Service Area Competition (SAC) (HRSA-16-005) FAQ
What is the Service Area Competition (SAC) funding opportunity (HRSA-16-005)?
SAC (HRSA-16-005) is a discretionary grant program administered by the Health Resources and Services Administration (HRSA) under the federal Health Center Program. It is designed to maintain uninterrupted access to comprehensive, culturally competent, high-quality primary and preventive health care in specific HRSA-announced service areas that are medically underserved and/or include vulnerable populations.
What is the main purpose of SAC funding?
The main purpose is to support the ongoing operation of a health center in a defined geographic/community service area so that patients in that area continue to receive essential care and related supports without disruption.
What types of health centers are included under this competition?
This competition provides operational support for health centers funded under Section 330 of the Public Health Service Act, including:
- Community Health Centers (CHC, 330(e))
- Migrant Health Centers (MHC, 330(g))
- Health Care for the Homeless (HCH, 330(h))
- Public Housing Primary Care (PHPC, 330(i))
In the announcement, HRSA uses the term "health center" to refer to any of these four funding types.
Is SAC intended to fund a narrow or single-service clinic?
No. Applicants are expected to operate a full-scope primary care health center that delivers required comprehensive primary and preventive services and enabling services, either directly or through formal arrangements. The announcement explicitly notes that an applicant cannot propose a standalone, single-service model (for example, only dental, only behavioral health, or only prenatal care).
Who is eligible to apply for SAC?
Eligibility is limited to public entities or private nonprofit organizations that can document their public/nonprofit status as specified in the application instructions. Faith-based and community-based organizations may apply. Tribes and tribal organizations are also explicitly eligible.
What organizational documentation is required for eligibility?
Applicants must be able to document their public or nonprofit status as required by the application instructions for this opportunity.
Are faith-based organizations allowed to apply?
Yes. The announcement states that faith-based organizations may apply, as long as they meet eligibility and program requirements.
Are Tribes and tribal organizations eligible?
Yes. Tribes and tribal organizations are explicitly listed as eligible applicants.
What service commitments must an applicant make to meet SAC program expectations?
The applicant must propose to run a health center that provides comprehensive primary, preventive, and enabling services to everyone served, without regard to ability to pay. The model must align with Health Center Program requirements, including access and affordability protections.
What is a "service area" in this SAC opportunity?
The service area is the specific HRSA-announced geographic/community service area the applicant proposes to serve. A key requirement is that the application must align with the specific announced service area and patient population identified by HRSA.
What is the Service Area Announcement Table (SAAT) and why does it matter?
The SAAT identifies the announced service area and the patient population targets tied to that area. SAC applications are closely tied to the SAAT, including performance expectations related to patient volume and where patients live.
What patient volume projection is required?
Applicants project unduplicated patients to be served by December 31, 2017. The projection entered on Form 1A must be at least 75 percent of the SAAT Patient Target.
What happens if an applicant projects fewer than 75 percent of the SAAT Patient Target on Form 1A?
Based on the requirements described, the Form 1A projection must be at least 75 percent of the SAAT Patient Target, so projecting below that threshold would not meet the stated expectation for this opportunity.
How does HRSA evaluate where patients live for service area purposes?
The application is tied to zip codes and where current patients reside. Zip codes listed for service sites (Form 5B) are expected to correspond to where at least 75 percent of current patients live. Applicants are instructed to use the SAAT to determine which zip codes represent the majority of patients.
Can applicants propose zip codes beyond those listed in the SAAT?
The FOA notes that HRSA considers service area overlap when applicants propose zip codes beyond those listed in the SAAT, and it references Policy Information Notice (PIN) 2007-09 for additional guidance.
What accountability requirements apply to projected patient volume after an award is made?
Health centers funded through this opportunity are held responsible for serving the total number of patients they project, including any increases resulting from supplemental awards during the project period.
What are the consequences if a health center does not reach its projected patient totals by December 31, 2017?
If, by December 31, 2017, the health center cannot demonstrate it is serving the cumulative total of projected patients, HRSA indicates that funding for the announced service area may be reduced proportionally.
When was this funding opportunity posted and when was the application due?
The opportunity was posted on July 28, 2015, and the application deadline was September 28, 2015.
What is the archive date for this opportunity?
The archive date listed is November 27, 2015.
How many awards did HRSA anticipate making and what was the estimated total funding?
HRSA anticipated 104 awards with an estimated total funding amount of $152,000,000.
What is the CFDA number for this program?
The CFDA number listed is 93.224 (Consolidated Health Centers).
Is cost sharing or matching required?
No. The announcement states there is no cost sharing or matching requirement.
Is there a set minimum or maximum award amount?
The award ceiling and floor are both shown as 0 in the source data, which typically indicates that award amounts vary by service area and are determined according to program formulas, service area needs, and HRSA funding decisions rather than a single fixed cap in the synopsis.
Who should applicants contact if they need help or cannot access the full announcement?
Applicants are directed to contact HRSA at bphcsac@hrsa.gov or to reach Beth Hartmayer at (301) 594-4300.
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