Opportunity Information: Apply for HRSA 17 053

  • 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 Aug 16, 2016.
  • Applicants must submit their applications by Oct 17, 2016. (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 64 candidate(s).
  • Eligible applicants include: State governments, 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, Private institutions of higher education, Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 17 053

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Opportunity Summary:

The Service Area Competition (SAC) grant opportunity (HRSA-17-053) is a discretionary funding announcement from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), under CFDA 93.224. It is part of the Health Center Program, which funds patient-directed organizations to deliver primary and preventive health care in medically underserved areas and to medically underserved populations. The central aim of SAC is continuity: it is designed to ensure that communities and vulnerable groups already being served through the Health Center Program do not lose access to comprehensive, culturally competent, high-quality primary care when funding for a service area is up for competition.

This announcement seeks applications for operational support to provide ongoing services in a specifically announced service area. In practical terms, SAC is the mechanism HRSA uses to recompete or reaffirm which organizations will receive Health Center Program funding to serve a defined geographic or population-based area, helping maintain stable access to care rather than allowing gaps in service. The opportunity emphasizes full-scope, community-oriented care delivered in a way that reflects the culture, needs, and circumstances of the patients being served, consistent with the Health Center Program model.

The funding applies to health centers authorized under section 330 of the Public Health Service Act, and the notice explicitly includes several Health Center Program categories. These include 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)). The announcement also clarifies that, for the purposes of the document, the term "health center" is used broadly to refer to applicants or awardees under any of these categories. Each of these categories targets a particular set of communities or populations, but they share the overarching goal of delivering accessible primary and preventive services to people who might otherwise face barriers due to geography, income, housing instability, or other risk factors.

Eligibility is broad and includes a wide range of public and nonprofit entities, reflecting the many ways health centers are structured across the country. Eligible applicants include state, county, city or township governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized tribal governments; tribal organizations (including those other than federally recognized tribal governments); public housing authorities and Indian housing authorities; and nonprofit organizations with 501(c)(3) status (excluding institutions of higher education). The listing also includes an "others" category with additional clarification referenced in the full eligibility text, signaling that HRSA may allow certain additional entity types depending on program rules and the specific service area being competed.

From an application and selection standpoint, the notice indicates that the Funding Opportunity Announcement (FOA) lays out the key rules applicants must follow, including eligibility requirements, review criteria, and award factors. While the provided excerpt does not itemize those criteria, the intent is clear: HRSA will evaluate competing applicants based on their ability to provide continued, comprehensive primary and preventive services in the announced service area, aligned with Health Center Program expectations around quality, access, and cultural competence. The competition format means applicants must demonstrate they can responsibly operate and sustain services for the target community, rather than simply proposing a new short-term project.

Administratively, the opportunity was created on August 16, 2016, with an original closing date of October 17, 2016. HRSA anticipated making 64 awards under this competition. The award ceiling is listed as 0, which typically indicates that a single maximum dollar cap is not specified in the summary field and that actual award amounts may be determined based on service area needs, available appropriations, or other FOA-specific funding formulas described in the full announcement.

Overall, SAC is best understood as a continuity-of-care competition within the federal health center funding system. It is focused on keeping essential front-line health services in place for underserved communities by selecting and supporting organizations that can deliver ongoing, patient-centered primary and preventive care within defined service areas under the Health Center Program framework.

Service Area Competition (SAC) Grant (HRSA-17-053) - FAQs

What is the Service Area Competition (SAC) grant opportunity (HRSA-17-053)?

The Service Area Competition (SAC) grant opportunity (HRSA-17-053) is a discretionary funding announcement from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), under CFDA 93.224. It is part of the Health Center Program and supports patient-directed organizations that deliver primary and preventive health care in medically underserved areas and to medically underserved populations.

What is the main purpose of SAC?

The central aim of SAC is continuity of care. It is designed to help ensure that communities and vulnerable groups already being served through the Health Center Program do not lose access to comprehensive, culturally competent, high-quality primary care when funding for a service area is up for competition.

What does "continuity of care" mean in the context of this funding?

In this context, continuity means maintaining stable access to ongoing, full-scope primary and preventive health services in a defined service area. SAC helps avoid gaps in care by selecting organizations to continue delivering Health Center Program services when a service area is being recompeted.

Is this opportunity for new projects or ongoing operations?

Based on the description provided, this announcement seeks applications for operational support to provide ongoing services in a specifically announced service area. It emphasizes sustained delivery of services rather than a short-term or stand-alone project concept.

What kind of services are expected to be provided under SAC?

SAC is tied to the Health Center Program model and focuses on comprehensive primary and preventive health care. The opportunity emphasizes full-scope, community-oriented care that is culturally competent and aligned with the needs and circumstances of the patients being served.

Who is this funding intended to help?

The funding is intended to support access to care for medically underserved areas and medically underserved populations, including communities and groups that may face barriers due to geography, income, housing instability, or other risk factors.

What is meant by an "announced service area"?

An announced service area refers to a specifically defined geographic area or population-based area identified by HRSA for this competition. Applications are sought to provide ongoing services within that defined area.

Why does HRSA run a "competition" for a service area?

SAC is the mechanism HRSA uses to recompete or reaffirm which organizations will receive Health Center Program funding to serve a defined service area. The goal is to ensure services continue without disruption by selecting organizations that can responsibly operate and sustain care for the community.

Which federal program and authority does SAC fall under?

SAC falls under HRSA's Health Center Program and applies to health centers authorized under section 330 of the Public Health Service Act.

Which Health Center Program categories are included?

The notice explicitly includes multiple Health Center Program categories: 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)).

What does the term "health center" mean in this announcement?

For the purposes of the document, the term "health center" is used broadly to refer to applicants or awardees under any of the included Health Center Program categories (CHC, MHC, HCH, and PHPC).

Who is eligible to apply?

Eligibility is broad and includes a range of public and nonprofit entities. Eligible applicants include state, county, city or township governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized tribal governments; tribal organizations (including those other than federally recognized tribal governments); public housing authorities and Indian housing authorities; and nonprofit organizations with 501(c)(3) status (excluding institutions of higher education).

Are tribal entities eligible to apply?

Yes. Eligible applicants include federally recognized tribal governments and tribal organizations, including those other than federally recognized tribal governments.

Are public housing authorities eligible?

Yes. Public housing authorities and Indian housing authorities are listed among eligible applicants.

Are colleges and universities eligible?

Yes. The eligibility list includes public and state-controlled institutions of higher education and private institutions of higher education. The notice also specifies that 501(c)(3) nonprofits are eligible excluding institutions of higher education, which implies that higher education applicants are eligible under their own institution category rather than through the 501(c)(3) nonprofit category.

Are nonprofit organizations eligible?

Yes. Nonprofit organizations with 501(c)(3) status are eligible, excluding institutions of higher education.

What is the "others" eligibility category?

The eligibility list includes an "others" category with additional clarification referenced in the full eligibility text. This suggests HRSA may allow certain additional entity types depending on program rules and the specific service area being competed, as described in the full Funding Opportunity Announcement (FOA).

How will applications be reviewed and selected?

The notice indicates the Funding Opportunity Announcement (FOA) lays out the key rules applicants must follow, including eligibility requirements, review criteria, and award factors. While the excerpt does not list those criteria, the selection intent described focuses on an applicant's ability to provide continued, comprehensive primary and preventive services in the announced service area, aligned with Health Center Program expectations for quality, access, and cultural competence.

What does HRSA expect applicants to demonstrate in a competition format?

Because SAC is a competition to continue services in a defined service area, applicants generally need to show they can responsibly operate and sustain services for the target community and maintain stable access to care consistent with the Health Center Program model.

When was this opportunity created and when did it close?

The opportunity was created on August 16, 2016, with an original closing date of October 17, 2016.

How many awards did HRSA anticipate making?

HRSA anticipated making 64 awards under this competition.

Is there a maximum award amount (award ceiling)?

The award ceiling is listed as 0 in the summary field. This typically indicates that a single maximum dollar cap is not specified in that summary and that actual award amounts may be determined based on service area needs, available appropriations, or FOA-specific funding approaches described in the full announcement.

What is CFDA 93.224?

CFDA 93.224 is the program listing identifier associated with this HRSA Health Center Program funding opportunity.

What does "patient-directed" mean in this context?

The opportunity describes the Health Center Program as funding patient-directed organizations to deliver primary and preventive care. The excerpt does not provide a detailed definition, but it frames the program around care that is oriented around patients and the community being served.

Does SAC focus on cultural competence?

Yes. The opportunity highlights the importance of comprehensive, culturally competent, high-quality primary care and emphasizes care delivered in a way that reflects the culture, needs, and circumstances of the patients being served.

What is the overall takeaway for what SAC is meant to accomplish?

SAC is best understood as a continuity-of-care competition within the federal health center funding system. It supports keeping essential front-line health services in place for underserved communities by selecting and supporting organizations that can deliver ongoing, patient-centered primary and preventive care within defined service areas under the Health Center Program framework.

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