Opportunity Information: Apply for HRSA 23 019
The Service Area Competition (SAC) grant opportunity (Funding Opportunity Number: HRSA 23 019) is a discretionary grant offered by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), under the Health Center Program (CFDA 93.224). Its central aim is to maintain and strengthen access to primary health care for medically underserved communities by funding organizations that will continue providing services in areas and to populations already served through the Health Center Program. In practical terms, SAC is designed to ensure continuity of care so that existing service areas do not lose comprehensive primary care capacity when a funding period ends or when a service area is being competed.
The program focuses on supporting domestic, community-based, patient-directed organizations that deliver comprehensive, culturally competent, high-quality primary health care. The emphasis on patient-direction reflects the Health Center Program model, which is built around community governance and responsiveness to local needs, with services tailored to the populations the health center serves. The opportunity is rooted in ensuring that people in medically underserved settings can continue to access essential, front-line health services, rather than experiencing disruptions that could widen health disparities or reduce access to preventive and routine care.
Eligible applicants are broad and include multiple types of public and nonprofit entities. This includes state, county, and city or township governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; and federally recognized Native American tribal governments as well as other tribal organizations. Nonprofits with 501(c)(3) status (excluding institutions of higher education) are also eligible, along with other applicants as specified in HRSA's additional eligibility guidance. This wide eligibility range reflects the reality that primary care safety net services may be delivered through different organizational structures depending on the community, including local government entities, community-based nonprofits, and tribal health organizations.
The notice was created on May 19, 2022, with an original application closing date of July 18, 2022. HRSA anticipated making approximately 113 awards under this competition. The published award ceiling is listed as 0, which typically indicates that a single universal maximum award amount is not provided in the summary field and that award amounts may be determined based on factors such as the service area, scope of project, and funding methodology described in the full NOFO. The funding instrument is a grant, and the activity category is health, consistent with the Health Center Program's role in supporting primary care infrastructure and service delivery.
Overall, SAC is best understood as a continuation and competition mechanism within HRSA's Health Center Program to ensure that established service areas keep access to comprehensive primary care delivered by qualified community-based organizations, with particular attention to quality, cultural competence, and the needs of medically underserved populations.Apply for HRSA 23 019
- 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 May 19, 2022.
- Applicants must submit their applications by Jul 18, 2022. (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 113 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), 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).
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Service Area Competition (SAC) Grant (HRSA 23-019) FAQs
What is the Service Area Competition (SAC) grant opportunity?
The Service Area Competition (SAC) is a discretionary grant opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), under the Health Center Program (CFDA 93.224). It supports organizations that will continue providing primary health care services in areas and to populations already served through the Health Center Program.
What is the main purpose of SAC funding?
The central aim is to maintain and strengthen access to primary health care for medically underserved communities by ensuring continuity of care. In practical terms, SAC helps prevent established service areas from losing comprehensive primary care capacity when a funding period ends or when the service area is being competed.
What problem does SAC specifically address?
SAC is designed to avoid disruptions in access to comprehensive primary care in service areas already supported by the Health Center Program. The focus is on preventing gaps that could widen health disparities or reduce access to preventive and routine care.
Which federal agency administers this opportunity?
This opportunity is administered by HRSA, which is part of HHS.
What is the Funding Opportunity Number (FON) for this SAC notice?
The Funding Opportunity Number is HRSA 23 019.
What program is this opportunity associated with?
It is offered under the Health Center Program (CFDA 93.224).
What type of funding instrument is SAC?
The funding instrument is a grant.
What is the activity/category area for this funding?
The activity category is health.
Who is SAC intended to support?
SAC focuses on supporting domestic, community-based, patient-directed organizations that deliver comprehensive, culturally competent, high-quality primary health care.
What does "patient-directed" mean in this context?
Based on the Health Center Program model described, "patient-directed" refers to community governance and responsiveness to local needs, with services tailored to the populations the health center serves.
What does SAC mean by "comprehensive" primary health care?
Within the description provided, "comprehensive" refers to maintaining full primary care capacity in existing service areas so people can continue accessing essential, front-line health services without disruption.
What does "culturally competent" care mean in this opportunity?
The opportunity emphasizes care that is responsive to the cultural and community needs of the populations served, alongside quality and patient-direction, to support medically underserved communities.
Is this opportunity focused on new service areas or existing service areas?
It is focused on areas and populations already served through the Health Center Program, with the goal of ensuring service continuity in established service areas.
When was this notice created?
The notice was created on May 19, 2022.
What was the original application closing date?
The original application closing date was July 18, 2022.
How many awards did HRSA anticipate making under this competition?
HRSA anticipated making approximately 113 awards.
Who is eligible to apply for SAC according to the information provided?
Eligible applicants include a broad range of public and nonprofit entities, including:
- State governments
- County governments
- 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 Native American tribal governments
- Other tribal organizations
- Nonprofits with 501(c)(3) status (excluding institutions of higher education)
- Other applicants as specified in HRSA's additional eligibility guidance
Are nonprofit organizations eligible?
Yes. Nonprofits with 501(c)(3) status (excluding institutions of higher education) are eligible, along with other applicants as described in HRSA's eligibility guidance.
Are tribal governments and tribal organizations eligible?
Yes. Federally recognized Native American tribal governments and other tribal organizations are listed as eligible applicants.
Are higher education institutions eligible?
Yes. Both public and state-controlled institutions of higher education and private institutions of higher education are listed as eligible.
Are local government entities eligible?
Yes. State, county, and city or township governments, as well as special district governments and independent school districts, are listed as eligible applicants.
Is this a domestic-only opportunity?
The opportunity emphasizes supporting domestic, community-based organizations delivering primary health care.
What is the award ceiling for this opportunity?
The published award ceiling is listed as 0. This typically indicates that a single universal maximum award amount is not provided in the summary field and that award amounts may be determined based on factors such as the service area, the scope of project, and the funding methodology described in the full Notice of Funding Opportunity (NOFO).
Does an award ceiling of 0 mean no funding is available?
No. In the summary provided, an award ceiling of 0 is explained as typically meaning a universal maximum award amount is not provided in the summary field, not that funding is unavailable. Award levels may be determined using details in the full NOFO.
How should this grant be understood within HRSA's Health Center Program?
SAC is described as a continuation and competition mechanism within HRSA's Health Center Program. Its function is to ensure that established service areas keep access to comprehensive primary care delivered by qualified community-based organizations, with attention to quality, cultural competence, and the needs of medically underserved populations.
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