Opportunity Information: Apply for HRSA 16 007
The Service Area Competition (SAC) funding opportunity is a Health Resources and Services Administration (HRSA) grant announcement under the Health Center Program (CFDA 93.224) designed to keep primary care access in place for medically underserved communities. In practical terms, SAC is how HRSA competes and awards continued operational support for an announced service area so that patients in that area do not lose access to a comprehensive, culturally competent, high-quality safety net health center. The opportunity covers several types of Health Center Program scope awards under section 330 of the Public Health Service Act, including Community Health Centers (330(e)), Migrant Health Centers (330(g)), Health Care for the Homeless (330(h)), and Public Housing Primary Care (330(i)). Throughout the announcement, these are collectively referred to as "health centers."
Eligible applicants must be either a public entity or a private nonprofit entity, and they must be able to prove that status through the required documentation (the FOA points to the "Evidence of Non-profit/Public Center Status" submission requirements). The eligibility language also makes clear that faith-based and community-based organizations may apply, and that Tribes and tribal organizations are eligible as well. The overall intent is to fund patient-directed organizations that can operate like federally supported health centers and meet program expectations tied to access, governance, and service delivery in underserved settings.
A central requirement is that applicants are seeking support to operate a full health center model, not a narrow or single-service clinic. The proposed project must provide required comprehensive primary and preventive health care services along with enabling services, either directly or through formal established arrangements, and services must be provided without regard to a patient’s ability to pay. The FOA explicitly notes that an applicant cannot propose to provide only one type of service (for example, only dental care, only behavioral health, or only prenatal care). The grant is meant to sustain integrated primary care capacity rather than fund a standalone specialty component.
The application must align with an "announced service area" and the associated patient population identified in the Service Area Announcement Table (SAAT). HRSA uses the SAAT to define the competition area and to set expectations for who should be served and where those patients reside. The FOA sets measurable service commitments tied to that SAAT information. First, the applicant’s projected total unduplicated patients to be served by December 31, 2017 (reported on Form 1A) must reach at least 75 percent of the SAAT patient target. Second, the zip codes listed for service area on Form 5B (Service Sites) must reflect where at least 75 percent of the health center’s current patients live, and applicants are instructed to use the SAAT to determine the zip codes where the majority of patients reside.
The FOA also emphasizes accountability for patient projections. Health centers will be held responsible for serving the number of patients they project, including increases associated with any supplemental awards received during the project period. If a funded health center cannot demonstrate that it is serving the cumulative total of projected patients by December 31, 2017, HRSA indicates that the announced funding for the service area may be reduced proportionally. In other words, patient volume projections are not just planning numbers; they are performance expectations that can affect future funding levels.
Finally, the announcement flags that HRSA considers service area overlap when making funding determinations, especially for new or competing supplement requests if an applicant proposes zip codes beyond those listed in the SAAT. The FOA references HRSA Policy Information Notice 2007-09 for additional context on overlap rules. Administrative details in the source data indicate this is a discretionary grant opportunity (HRSA-16-007) that anticipated 51 awards, with an original closing date of December 2, 2015, and an award ceiling listed as 0 (which typically signals that award amounts vary by service area and are specified elsewhere in HRSA’s related tables or notices rather than capped in the FOA header).Apply for HRSA 16 007
- 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.
- This funding opportunity was created on 2015-09-29.
- Applicants must submit their applications by 2015-12-02. (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 51 candidate(s).
- Eligible applicants include: Others.
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Service Area Competition (SAC) - Frequently Asked Questions
What is the Service Area Competition (SAC) funding opportunity?
The Service Area Competition (SAC) is a Health Resources and Services Administration (HRSA) grant announcement under the Health Center Program (CFDA 93.224). Its purpose is to keep primary care access in place for medically underserved communities by competing and awarding continued operational support for an announced service area, so patients in that area do not lose access to a comprehensive, culturally competent, high-quality safety net health center.
Which federal agency administers SAC?
SAC is administered by the Health Resources and Services Administration (HRSA).
What program is SAC associated with?
SAC is a Health Center Program funding opportunity listed under CFDA 93.224.
What types of health center awards can SAC support?
The opportunity covers several types of Health Center Program scope awards under section 330 of the Public Health Service Act, including:
- Community Health Centers (section 330(e))
- Migrant Health Centers (section 330(g))
- Health Care for the Homeless (section 330(h))
- Public Housing Primary Care (section 330(i))
In the announcement, these are collectively referred to as "health centers."
What is the main goal of SAC?
The main goal is to sustain access to a full, comprehensive health center model in an announced service area by awarding continued operational support through a competitive process.
Who is eligible to apply for SAC funding?
Eligible applicants must be either a public entity or a private nonprofit entity, and must be able to document that status through the required submission materials (the FOA points to the "Evidence of Non-profit/Public Center Status" requirements). The eligibility language also states that faith-based and community-based organizations may apply, and that Tribes and tribal organizations are eligible as well.
What documentation is required to prove applicant eligibility?
Applicants must provide documentation that establishes they are either a public entity or a private nonprofit entity, consistent with the FOA's "Evidence of Non-profit/Public Center Status" submission requirements.
Can faith-based organizations apply?
Yes. The eligibility language indicates that faith-based organizations may apply.
Can community-based organizations apply?
Yes. The eligibility language indicates that community-based organizations may apply.
Are Tribes and tribal organizations eligible?
Yes. The eligibility language indicates that Tribes and tribal organizations are eligible to apply.
Does SAC fund single-service or specialty-only clinics?
No. A central requirement is that applicants are seeking support to operate a full health center model, not a narrow or single-service clinic. The FOA explicitly states that an applicant cannot propose to provide only one type of service (for example, only dental care, only behavioral health, or only prenatal care).
What kind of services must a SAC-supported project provide?
The proposed project must provide required comprehensive primary and preventive health care services along with enabling services. These services may be provided directly or through formal established arrangements.
Can services be provided through contracts or formal arrangements instead of directly?
Yes. The FOA allows required services (including enabling services) to be provided either directly or through formal established arrangements.
Do SAC-supported services have to be provided regardless of a patient's ability to pay?
Yes. Services must be provided without regard to a patient's ability to pay.
What is an "announced service area," and why does it matter?
The application must align with an "announced service area" and the associated patient population identified in the Service Area Announcement Table (SAAT). HRSA uses the SAAT to define the competition area and to set expectations for who should be served and where those patients reside.
What is the Service Area Announcement Table (SAAT)?
The SAAT is the table HRSA uses to define the announced service area for the competition and to identify expectations related to the patient population and where patients reside. The FOA instructs applicants to use the SAAT information to shape service commitments and service area zip codes.
What patient volume commitment is required under SAC?
The FOA sets measurable service commitments tied to the SAAT. The applicant's projected total unduplicated patients to be served by December 31, 2017 (reported on Form 1A) must reach at least 75 percent of the SAAT patient target.
Where do applicants report the projected total unduplicated patients?
The projected total unduplicated patients to be served by December 31, 2017 must be reported on Form 1A.
What is the 75 percent threshold related to the SAAT patient target?
Applicants must project total unduplicated patients (by December 31, 2017) that are at least 75 percent of the SAAT patient target, as reported on Form 1A.
How must the service area zip codes be reflected in the application?
The zip codes listed for the service area on Form 5B (Service Sites) must reflect where at least 75 percent of the health center's current patients live. Applicants are instructed to use the SAAT to determine the zip codes where the majority of patients reside.
Which form is used to list service area zip codes and service sites?
Form 5B (Service Sites) is used to list the zip codes for the service area and the associated service sites.
What does HRSA mean by accountability for patient projections?
The FOA states that health centers will be held responsible for serving the number of patients they project. This includes increases associated with any supplemental awards received during the project period.
What happens if a funded health center does not meet its projected patient numbers by December 31, 2017?
HRSA indicates that if a funded health center cannot demonstrate it is serving the cumulative total of projected patients by December 31, 2017, the announced funding for the service area may be reduced proportionally.
Do supplemental awards affect patient service expectations?
Yes. The FOA notes that health centers are responsible for serving the number of patients they project, including increases associated with any supplemental awards received during the project period.
How does HRSA handle service area overlap?
The announcement flags that HRSA considers service area overlap when making funding determinations. This is especially relevant for new or competing supplement requests if an applicant proposes zip codes beyond those listed in the SAAT. The FOA references HRSA Policy Information Notice 2007-09 for additional context on overlap rules.
What is HRSA Policy Information Notice (PIN) 2007-09 used for in this context?
The FOA references HRSA PIN 2007-09 as a source for additional context on HRSA's service area overlap considerations and related rules.
What is the funding opportunity number for this SAC announcement?
The administrative details indicate this is a discretionary grant opportunity identified as HRSA-16-007.
How many awards were anticipated under this SAC opportunity?
The source data indicates an anticipated 51 awards.
What was the original closing date for this SAC opportunity?
The administrative details list an original closing date of December 2, 2015.
What does it mean that the award ceiling is listed as 0?
The source data lists an award ceiling of 0, which typically signals that award amounts vary by service area and are specified elsewhere in HRSA's related tables or notices rather than being capped in the FOA header.
Is SAC a discretionary grant?
Yes. The administrative details describe it as a discretionary grant opportunity.
Does SAC focus on continued operational support in an existing service area?
Yes. SAC is described as HRSA's process to compete and award continued operational support for an announced service area so patients in that area do not lose access to a safety net health center.
What kind of organization does HRSA intend to fund through SAC?
The intent is to fund patient-directed organizations that can operate like federally supported health centers and meet program expectations tied to access, governance, and service delivery in underserved settings.
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