Opportunity Information: Apply for HRSA 13 227
Apply for HRSA 13 227
- 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 Jan 16, 2013 and posted on Jun 7, 2012.
- Applicants must submit their applications by Jan 9, 2013. (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 41 candidate(s).
- Eligible applicants include: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education State governments Independent school districts Special district governments City or township governments Native American tribal organizations (other than Federally recognized tribal governments) County governments Others (see text field entitled Additional Information on Eligibility for clarification).
- Applicants must meet all of the following eligibility requirements. 1. Applicant proposes to serve a service area and its associated population(s) identified in the Service Area Announcement Table available at http://www.hrsa.gov/grants/apply/assistance/sac, including A current Health Center Program grantee whose project period ends on, or after, October 31, 2012 and before October 1, 2013 that seeks to continue serving its current service area. A health center not currently funded through the Health Center Program that seeks to serve an entire announced service area. A current Health Center Program grantee that seeks to serve an entire announced service area in addition to its current service area. 3) Applicant submits only one application for consideration under a single SAC announcement number. 4) 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. 5) Applicant proposes access to services for all individuals in the service area and target population. In instances where a sub population is being targeted within the service area or target population (e.g., homeless children lesbian, gay, bisexual, and transgender individuals adolescents/children in schools), the applicant must ensure that health care services will be made available to others in need of care who seek services at the proposed site(s). 6) Applicant requests annual Federal section 330 funding (as presented on the SF 424A) that DOES NOT exceed the established cap of section 330 funding available to support the announced service area and its designated population(s).
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Opportunity Summary:
The Service Area Competition (SAC) funding opportunity (HRSA-13-227) is a discretionary grant program run by the Health Resources and Services Administration (HRSA) under CFDA 93.224, focused on supporting health centers that deliver comprehensive primary health care in underserved communities and to vulnerable populations. The core purpose is to ensure people can access culturally competent, quality care regardless of their ability to pay. Under this announcement, HRSA is soliciting applications for operational support to run a health center in a specifically announced service area under the Health Center Program authorized by section 330 of the Public Health Service (PHS) Act, as amended. The term "health center" here is used broadly to include Community Health Centers (CHC, section 330(e)), Migrant Health Centers (MHC, section 330(g)), Health Care for the Homeless programs (HCH, section 330(h)), and Public Housing Primary Care programs (PHPC, section 330(i)).
This competition is tied to defined geographic service areas and populations listed in the Service Area Announcement Table referenced by HRSA. Applicants must propose to serve one of those announced areas and the related population group(s). The SAC is structured to allow several types of organizations to compete for the right to operate and receive section 330 funding in that area: existing HRSA-funded health centers whose project periods are ending within the stated timeframe and that want to continue serving their current service area; organizations that are not currently funded under the Health Center Program but want to take on the entire announced service area; and current Health Center Program grantees that want to expand by proposing to serve the entire announced service area in addition to their existing area. A key administrative rule is that an applicant may submit only one application under a single SAC announcement number, preventing multiple submissions for the same competition.
Programmatically, HRSA is looking for applicants that will operate a full-scope health center model rather than offering a narrow or single-service clinic. The application must request section 330 funds to support the delivery of required comprehensive primary and preventive services, along with enabling services, either directly at the site(s) or through formal arrangements. The opportunity explicitly notes that proposals limited to only one service line (for example, only dental, only behavioral health, or only prenatal care) do not meet the intent of the program. Applicants also must demonstrate that they will provide access without regard to ability to pay and that services will be available to all individuals within the service area and target population. Even when the applicant is focusing outreach or program design on a sub-population within the area (such as homeless children, LGBTQ individuals, or adolescents in schools), the health center must still make care available to others in the community who seek services at the proposed sites.
Eligibility is broad and includes nonprofit organizations with 501(c)(3) status (excluding institutions of higher education), a range of governmental entities (including state, county, city/township, special district governments, and independent school districts), and Native American tribal organizations that are not federally recognized tribal governments, along with other applicants as further clarified in the full FOA. Beyond organizational type, applicants must satisfy the SAC-specific conditions, including aligning the proposal with the announced service area and staying within the funding cap established for that service area. The FOA requires that the annual federal section 330 amount requested (as shown on the SF-424A budget forms) cannot exceed the maximum amount HRSA has made available for that particular service area and designated population(s). There is no cost-sharing or matching requirement for this opportunity.
From an awards perspective, HRSA projected an expected 41 awards under this announcement. The listing shows an award ceiling and award floor of $0, which typically indicates that the specific funding levels are determined by the service area cap and the approved budget rather than a single universal maximum or minimum across all applicants. The opportunity was originally posted June 7, 2012, with a closing date of January 9, 2013, and an archive date of March 10, 2013, indicating it was a time-limited competition tied to the service areas announced for that cycle.
For applicants needing the official materials, HRSA provided an additional information link through the HRSA grants portal and directed questions to the HRSA Call Center (CallCenter@HRSA.GOV, 877-464-4772). In practice, the key takeaway is that SAC is a competitive process to select an organization to operate a section 330-supported health center in a defined area, with a strong emphasis on comprehensive primary care, open access regardless of ability to pay, and demonstrated capacity to serve the full community need in the announced service area within the specified funding cap.
Frequently Asked Questions (FAQs) - Service Area Competition (SAC) (HRSA-13-227)
What is the Service Area Competition (SAC) funding opportunity (HRSA-13-227)?
The Service Area Competition (SAC) (HRSA-13-227) is a discretionary grant program administered by the Health Resources and Services Administration (HRSA) under CFDA 93.224. It funds operational support for a health center to deliver comprehensive primary health care in a specifically announced service area, focused on underserved communities and vulnerable populations.
What is the main purpose of SAC funding?
The core purpose is to ensure people can access culturally competent, quality care regardless of their ability to pay. HRSA is seeking applicants that will operate a full-scope health center model providing required comprehensive primary and preventive services, along with enabling services.
What authority governs the Health Center Program referenced in this competition?
The SAC supports the Health Center Program authorized by section 330 of the Public Health Service (PHS) Act, as amended.
What types of programs are included under the term "health center" in this announcement?
In this announcement, "health center" is used broadly to include:
- Community Health Centers (CHC, section 330(e))
- Migrant Health Centers (MHC, section 330(g))
- Health Care for the Homeless (HCH, section 330(h))
- Public Housing Primary Care (PHPC, section 330(i))
Is SAC funding tied to specific locations or populations?
Yes. This competition is tied to defined geographic service areas and populations listed in HRSA's Service Area Announcement Table. Applicants must propose to serve one of the announced service areas and the related population group(s).
Who can apply for SAC (HRSA-13-227)?
Eligibility is broad and includes:
- Nonprofit organizations with 501(c)(3) status (excluding institutions of higher education)
- Government entities (state, county, city/township, special district governments, and independent school districts)
- Native American tribal organizations that are not federally recognized tribal governments
- Other applicants as further clarified in the full FOA
What types of organizations typically compete in a SAC?
The SAC is structured so that multiple types of organizations can compete to operate and receive section 330 funding in an announced service area, including:
- Existing HRSA-funded health centers with project periods ending within the stated timeframe that seek to continue serving their current service area
- Organizations not currently funded under the Health Center Program that propose to take on the entire announced service area
- Current Health Center Program grantees proposing to expand and serve the entire announced service area in addition to their existing area
Can an applicant submit more than one application under this SAC announcement number?
No. A key administrative rule is that an applicant may submit only one application under a single SAC announcement number, which prevents multiple submissions for the same competition.
What type of service model is HRSA seeking under this SAC?
HRSA is looking for applicants that will operate a full-scope health center model, not a narrow or single-service clinic. Applications must request section 330 funds to support required comprehensive primary and preventive services and enabling services, delivered directly or through formal arrangements.
Are single-service proposals allowed (for example, only dental or only behavioral health)?
No. The opportunity explicitly states that proposals limited to only one service line (such as only dental, only behavioral health, or only prenatal care) do not meet the intent of the program.
Must services be provided directly, or can they be provided through partners?
Services may be provided directly at the site(s) and/or through formal arrangements. The application must support the delivery of required comprehensive primary and preventive services and enabling services either way.
Does the health center have to serve everyone, even if outreach focuses on a specific sub-population?
Yes. Applicants must demonstrate access without regard to ability to pay, and services must be available to all individuals within the service area and target population. Even if outreach or program design focuses on a sub-population (for example, homeless children, LGBTQ individuals, or adolescents in schools), the health center must still make care available to others in the community who seek services at the proposed sites.
Is access regardless of ability to pay a required expectation?
Yes. Applicants must demonstrate that they will provide access without regard to ability to pay.
What are the service area requirements for an application?
The application must align with one of the specifically announced service areas and the related population group(s) as listed in the Service Area Announcement Table referenced by HRSA, and the proposal must be to serve the entire announced service area.
Is there a funding cap for each announced service area?
Yes. Applicants must stay within the funding cap established for the specific service area and designated population(s).
Can the annual federal section 330 amount requested exceed HRSA's maximum for the service area?
No. The FOA requires that the annual federal section 330 amount requested (as shown on the SF-424A budget forms) cannot exceed the maximum amount HRSA has made available for that particular service area and designated population(s).
Is cost sharing or matching required?
No. There is no cost-sharing or matching requirement for this opportunity.
How many awards were expected under this SAC announcement?
HRSA projected an expected 41 awards under this announcement.
What do the listed award ceiling and award floor of $0 mean?
The listing shows an award ceiling and award floor of $0, which typically indicates that funding levels are determined by the service area cap and the approved budget, rather than a single universal maximum or minimum that applies across all applicants.
When was this funding opportunity posted and when did it close?
It was originally posted on June 7, 2012, with a closing date of January 9, 2013.
Is this SAC opportunity still active?
The archive date is March 10, 2013, indicating this was a time-limited competition tied to the service areas announced for that cycle.
Where can applicants find official materials or additional information?
HRSA provided an additional information link through the HRSA grants portal and referenced the Service Area Announcement Table for the defined service areas and populations.
Who can be contacted for questions about this opportunity?
Questions were directed to the HRSA Call Center at CallCenter@HRSA.GOV or 877-464-4772.
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