Opportunity Information: Apply for HRSA 19 016
The Service Area Competition (SAC) grant opportunity (HRSA-19-016) is a discretionary grant program run by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA). It falls under CFDA 93.224 and is part of the broader Health Center Program, which funds community-based, patient-directed organizations that deliver primary health care in medically underserved communities. In practical terms, SAC is HRSA's process for making sure that a defined geographic or population-based service area continues to have reliable access to safety-net primary care, especially for vulnerable groups that might otherwise face barriers such as cost, lack of providers, transportation challenges, or unstable housing.
The central purpose of the SAC Notice of Funding Opportunity (NOFO) is continuity of care. HRSA uses this competition to maintain uninterrupted access to affordable, high-quality primary health care services in communities already being served under the Health Center Program. Rather than creating a brand-new service footprint, SAC generally focuses on an "announced service area" where Health Center Program support is intended to continue, and organizations compete to receive operational funding to provide those services. The overall emphasis is on preserving and strengthening essential primary care capacity for populations that are medically underserved, including people who may have limited insurance coverage, lower incomes, complex health needs, or reduced access to traditional health systems.
The NOFO explains who can apply and how applications are judged. While the eligibility category is listed broadly as "Others" (with additional eligibility details referenced in the full text), the program is designed for public and private nonprofit, community-based entities that meet Health Center Program requirements and can demonstrate the ability to operate as a patient-directed health center. The NOFO also lays out the eligibility requirements, review criteria, and awarding factors that HRSA will use to evaluate applications. Applicants are expected to show they can deliver comprehensive primary care services, operate responsibly with federal funds, and meet program expectations tied to serving underserved populations in the specified service area.
In this notice, the term "health center" is used as an umbrella for multiple statutory types of Health Center Program awardees authorized under section 330 of the Public Health Service Act. That includes 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 matters because applicants may be competing to provide services aligned with one or more of these categories, depending on what the announced service area and target populations require.
Administratively, the opportunity was created on September 6, 2018, with an original closing date of November 6, 2018, and HRSA anticipated making around 45 awards. The listing shows an award ceiling of 0, which typically indicates that a single, fixed maximum award amount is not specified in the summary field and that the actual award amounts are determined based on the service area needs, the scope of services proposed, and HRSA's available appropriations and funding determinations. Overall, SAC functions as a competitive mechanism to ensure that federally supported health center services remain available, stable, and effective in places where they are most needed.Apply for HRSA 19 016
- 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 Sep 06, 2018.
- Applicants must submit their applications by Nov 06, 2018. (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 45 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Service Area Competition (SAC) Grant (HRSA-19-016) - FAQs
What is the Service Area Competition (SAC) grant opportunity (HRSA-19-016)?
The Service Area Competition (SAC) (HRSA-19-016) is a discretionary grant opportunity offered by the U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA). It is part of the HRSA Health Center Program and is identified under CFDA 93.224.
What is the main purpose of SAC?
The central purpose of the SAC Notice of Funding Opportunity (NOFO) is continuity of care. SAC is HRSA's competitive process to help ensure communities already supported under the Health Center Program continue to have uninterrupted access to affordable, high-quality primary health care services.
Is SAC meant to create new health center service areas?
In general, no. SAC typically focuses on an "announced service area" where Health Center Program support is intended to continue. Organizations compete for operational funding to provide services in that already-defined geographic or population-based service area.
What is an "announced service area" in this NOFO?
An announced service area is the defined geographic area or population-based area where HRSA intends for Health Center Program services to continue and where applicants compete to provide and maintain that service coverage.
Who is SAC intended to serve?
SAC is designed to support access to safety-net primary care in medically underserved communities, especially for vulnerable groups who may face barriers such as cost, lack of providers, transportation challenges, unstable housing, limited insurance coverage, lower incomes, complex health needs, or reduced access to traditional health systems.
What kinds of organizations is SAC designed for?
Based on the NOFO summary, SAC is designed for public and private nonprofit, community-based entities that meet Health Center Program requirements and can demonstrate the ability to operate as a patient-directed health center serving underserved populations in the specified service area.
How is eligibility described in the opportunity summary?
The eligibility category is listed broadly as "Others," with additional eligibility details referenced in the full NOFO text. The summary also indicates the program is intended for organizations that meet Health Center Program requirements and can operate as patient-directed health centers.
What does "patient-directed" mean in the context of this opportunity?
The NOFO summary indicates applicants must demonstrate the ability to operate as a patient-directed health center. In practical terms (as described at a high level in the summary), this refers to operating in alignment with Health Center Program expectations for community-based organizations that deliver primary care in medically underserved communities.
What types of services are applicants expected to provide?
Applicants are expected to show they can deliver comprehensive primary care services, maintain reliable access to services in the announced service area, and meet program expectations tied to serving medically underserved populations.
How will HRSA evaluate SAC applications?
The NOFO describes eligibility requirements, review criteria, and awarding factors HRSA will use to evaluate applications. Applicants are expected to demonstrate capacity to deliver services, operate responsibly with federal funds, and meet Health Center Program expectations for the service area and target populations.
What does SAC mean by "health center" in this notice?
In this NOFO, "health center" is used as an umbrella term for multiple statutory types of Health Center Program awardees authorized under section 330 of the Public Health Service Act.
Which section 330 health center types are included under the term "health center" here?
The notice includes the following section 330 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)).
Does SAC funding relate to one or multiple section 330 categories?
It can relate to one or more categories, depending on what the announced service area and target populations require. The notice highlights that applicants may be competing to provide services aligned with one or more statutory health center types.
What is CFDA 93.224 and how does it relate to SAC?
CFDA 93.224 is the program listing identifier associated with the HRSA Health Center Program. The SAC opportunity (HRSA-19-016) is part of that broader program.
When was this opportunity created and when did it close?
The opportunity was created on September 6, 2018, and the original closing date was November 6, 2018.
How many awards did HRSA anticipate making under this SAC opportunity?
HRSA anticipated making around 45 awards.
What is the award ceiling for this opportunity?
The listing shows an award ceiling of 0. This generally indicates that a single fixed maximum award amount is not specified in the summary field, and that award amounts may be determined based on service area needs, the proposed scope of services, available appropriations, and HRSA funding determinations.
Does an award ceiling of 0 mean there is no funding?
Not necessarily. In this context, an award ceiling of 0 typically signals that the summary does not specify a single fixed cap for awards, rather than stating that no funds are available. The summary indicates awards are determined based on factors like service area needs, scope, and available funding.
What is SAC trying to achieve in practical terms?
SAC functions as a competitive mechanism to ensure federally supported health center services remain available, stable, and effective in areas where they are most needed, with an emphasis on preserving and strengthening essential primary care capacity in medically underserved communities.
Is SAC focused on operational support or one-time projects?
Based on the description provided, SAC centers on operational funding to support ongoing delivery of primary health care services in the announced service area, with continuity of care as the main theme.
What should applicants be prepared to demonstrate if they apply?
Applicants should be prepared to demonstrate their ability to provide comprehensive primary care, sustain reliable access to services for underserved populations in the specified service area, manage federal funds responsibly, and meet Health Center Program-related expectations described in the NOFO.
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