Opportunity Information: Apply for HRSA 12 088

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Service Area Competitions" 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 20, 2011 and posted on Jun 14, 2011.
  • Applicants must submit their applications by Aug 15, 2011. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $83,141,805.00 to eligible and selected applicants.
  • The number of recipients for this funding is limited to 37 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • 1) Applicant is a public or nonprofit private entity, such as a tribal, faith based, or community based organization. 2) 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, 2011 and before October 1, 2012 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. 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 4)Applicant requests section 330 funds to support the operation of a health center for the provision of required comprehensive primary, preventive, enabling, and additional 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 health services. 5)Applicant proposes access to services for all individuals in the service area or target population. In other words, applicant does not propose to exclusively serve a single age group (e.g., children, elderly) or health issue/disease category (e.g., HIV/AIDS). In instances where a sub population is being targeted within the service area or target population (e.g., homeless children, 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). 7)Applicant adheres to the 150 page limit on the length of the application when printed by HRSA. See Tables 2 5 for specific information regarding the documents included in the 150 page limit.
Apply for HRSA 12 088

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Opportunity Summary:

The Service Area Competitions (SAC) grant opportunity (Funding Opportunity Number HRSA-12-088) is a discretionary grant program run by the Health Resources and Services Administration (HRSA) under the Health Center Program (CFDA 93.224, Consolidated Health Centers). Its purpose is to ensure continued and expanded access to comprehensive, community-based primary health care in specific high-need service areas by funding organizations that can operate a full-scope health center serving medically underserved and vulnerable populations. The program is built around the idea that health centers are patient-directed and community-rooted, and that maintaining stable access points in underserved areas has a measurable impact on population health outcomes. SAC, in particular, is used to award funds tied to defined geographic service areas and associated target populations identified by HRSA in an official Service Area Announcement Table.

HRSA anticipated making 37 awards through this competition, with an estimated total funding amount of $83,141,805 and no cost-sharing or matching requirement. Awards are made as grants, and applicants must request Section 330 funding to support health center operations. The opportunity was posted June 14, 2011, created June 20, 2011, and closed August 15, 2011 (original and current closing date were the same). The archive date is October 14, 2011, which signals it is no longer open, but the details describe how SAC competitions are structured and what HRSA expects from applicants when these competitions are active.

Eligible applicants are limited to public entities or private nonprofit organizations, including tribal, faith-based, and community-based organizations, as long as they meet the competition requirements. HRSA allows multiple types of applicants to compete depending on the situation in the announced service area: (1) current Health Center Program grantees whose project periods are ending within the specified window and who seek to continue serving their existing service areas; (2) organizations not currently funded under the Health Center Program that propose to serve an entire announced service area; and (3) current Health Center Program grantees that want to take on an additional entire announced service area beyond their current one. A key administrative rule is that an applicant may submit only one application under a single SAC announcement number. If an organization wants to apply for two different service areas under the same announcement number, it must coordinate with HRSA (specifically the Office of Policy and Program Development) rather than submitting multiple independent applications.

Programmatically, applicants must propose a full health center model rather than a narrow or single-service clinic. Section 330 funds must support the provision of required comprehensive primary and preventive services, along with enabling services and additional health services, delivered directly on site or through formal established arrangements. The competition explicitly prohibits proposals that provide only one service line (for example, dental-only, behavioral-health-only, or prenatal-only). In addition, the applicant must propose access for all individuals in the service area or target population, meaning the project cannot be designed to exclusively serve only one age group (such as children only or seniors only) or only one disease/issue category (such as HIV-only). If the applicant is targeting a sub-population within the broader service area (for instance, homeless children or students in schools), the proposal must still ensure that other individuals in need who seek care at the proposed sites can access services as well.

There are also clear funding and application compliance constraints. The requested annual federal Section 330 amount (as reflected on the SF-424A budget form) cannot exceed the established cap HRSA sets for the announced service area and its designated population(s). This cap is tied to the specific service area HRSA lists in the Service Area Announcement Table, so applicants must design their scope, staffing, and service delivery plan to fit within that ceiling. HRSA also enforces an application length limit of 150 pages when printed by HRSA, with specific guidance (referenced as Tables 2-5 in the full announcement) on which documents count toward that limit, so applicants must be selective and organized in how they present narratives, attachments, and supporting materials.

Overall, this SAC opportunity reflects HRSA's broader strategy of targeting the neediest populations and geographic areas by funding a nationwide network of health centers. The notice highlights the scale of that network at the time: more than 1,100 health centers operating over 8,100 service delivery sites across every state, Washington, DC, Puerto Rico, the US Virgin Islands, and the Pacific Basin. The SAC mechanism helps HRSA ensure that when funding for a particular service area is being competed, the selected awardee can deliver comprehensive, affordable primary care without regard to ability to pay, while meeting the Health Center Program's expectations around access, breadth of services, and community-oriented governance and operations. For further details, the opportunity points applicants to the HRSA grants webpage for SAC and provides HRSA Call Center contact information for technical assistance accessing the full announcement.

Service Area Competitions (SAC) Grant (HRSA-12-088) FAQs

What is the Service Area Competitions (SAC) grant opportunity?

The Service Area Competitions (SAC) opportunity (Funding Opportunity Number HRSA-12-088) is a discretionary grant competition run by the Health Resources and Services Administration (HRSA) under the Health Center Program (CFDA 93.224, Consolidated Health Centers). It funds organizations to operate a full-scope health center in specific, HRSA-defined high-need service areas and for associated target populations listed in HRSA's Service Area Announcement Table.

What is the purpose of SAC funding?

SAC is intended to ensure continued and expanded access to comprehensive, community-based primary health care in defined high-need geographic service areas. The goal is to fund stable access points for medically underserved and vulnerable populations, using the full health center model (not a single-service clinic).

Who runs the SAC program and under what larger program does it fall?

SAC is administered by HRSA and is part of HRSA's Health Center Program under CFDA 93.224 (Consolidated Health Centers). Applicants must request Section 330 funding to support health center operations.

Is this opportunity currently open?

No. This opportunity was posted June 14, 2011, created June 20, 2011, and closed August 15, 2011. The archive date is October 14, 2011, which indicates it is no longer open.

How many awards did HRSA expect to make, and what was the estimated total funding?

HRSA anticipated making 37 awards, with an estimated total funding amount of $83,141,805.

Is there a cost-sharing or matching requirement?

No. The SAC opportunity description specifies there is no cost-sharing or matching requirement.

What type of funding mechanism is used?

Awards are made as grants. Applicants must request federal Section 330 funding to support health center operations.

What kinds of organizations were eligible to apply?

Eligibility was limited to public entities or private nonprofit organizations, including tribal, faith-based, and community-based organizations, as long as they met the competition requirements.

What applicant situations does HRSA allow under SAC?

HRSA allows multiple applicant types to compete depending on the situation for the announced service area:

  • Current Health Center Program grantees whose project periods are ending within the specified window and who seek to continue serving their existing service areas.
  • Organizations not currently funded under the Health Center Program that propose to serve an entire announced service area.
  • Current Health Center Program grantees that want to take on an additional entire announced service area beyond their current one.

Can an organization submit more than one application under the same SAC announcement number?

No. An applicant may submit only one application under a single SAC announcement number.

What if an organization wants to apply for more than one service area under the same announcement number?

The organization must coordinate with HRSA (specifically the Office of Policy and Program Development) rather than submitting multiple independent applications.

What is a "service area" in this competition?

SAC awards are tied to defined geographic service areas and associated target populations that HRSA identifies in an official Service Area Announcement Table. Applicants are expected to design their proposal around the specific announced service area and population(s).

Does SAC fund a full health center model or can it support a narrow clinic?

Applicants must propose a full health center model. The competition explicitly prohibits proposals that offer only one service line (for example, dental-only, behavioral-health-only, or prenatal-only).

What services are Section 330 funds expected to support?

Section 330 funds must support the provision of required comprehensive primary and preventive services, along with enabling services and additional health services. These services may be delivered directly on site or through formal established arrangements.

Can a proposed project serve only one age group (for example, children only or seniors only)?

No. The proposal must provide access for all individuals in the service area or target population, meaning the project cannot be designed to exclusively serve only one age group.

Can a proposed project focus only on a single disease or issue category (for example, HIV-only)?

No. The competition states that the project cannot be designed to exclusively serve only one disease/issue category.

If an applicant targets a sub-population (such as homeless children or students in schools), is that allowed?

Targeting a sub-population within the broader service area can be part of the approach, but the proposal must still ensure that other individuals in need who seek care at the proposed sites can access services as well.

Is there a cap on how much Section 330 funding can be requested?

Yes. The requested annual federal Section 330 amount (as reflected on the SF-424A budget form) cannot exceed the cap HRSA establishes for the announced service area and its designated population(s). The cap is tied to the specific service area listed in HRSA's Service Area Announcement Table.

Where does the requested funding amount show up in the application?

The requested annual federal Section 330 amount is reflected on the SF-424A budget form, and it must stay at or below the established cap for the announced service area.

Is there an application page limit?

Yes. HRSA enforces an application length limit of 150 pages when printed by HRSA. The full announcement references guidance (Tables 2-5) describing what counts toward the page limit, so applicants must organize narratives and attachments carefully.

How does HRSA describe the broader health center network that SAC supports?

The notice describes a nationwide network at the time consisting of more than 1,100 health centers operating over 8,100 service delivery sites across every state, Washington, DC, Puerto Rico, the US Virgin Islands, and the Pacific Basin.

What does HRSA emphasize about how health centers operate under this model?

The opportunity emphasizes that health centers are patient-directed and community-rooted, and that stable access points in underserved areas have measurable impacts on population health outcomes.

What is the key outcome HRSA is trying to achieve through SAC awards?

When SAC funding for a particular service area is competed, HRSA aims to select an awardee that can deliver comprehensive, affordable primary care without regard to ability to pay, while meeting Health Center Program expectations for access, breadth of services, and community-oriented operations.

Where were applicants directed for more details or technical assistance?

The opportunity points applicants to the HRSA grants webpage for SAC and provides HRSA Call Center contact information for technical assistance in accessing the full announcement.

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