Opportunity Information: Apply for HRSA 18 024

The Service Area Competition (SAC) grant opportunity is a discretionary federal grant run 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 goal is to maintain uninterrupted access to affordable, high-quality primary health care in communities that are medically underserved, especially where current Health Center Program-funded services are already in place. In practice, SAC functions as a competitive process tied to a specific "service area" that HRSA announces, allowing qualified organizations to apply for continued operational support to deliver comprehensive primary care to vulnerable populations in that area.

This funding is designed for community-based, patient-directed health center organizations and covers the operational support needed to provide primary care services under the Health Center Program. HRSA uses SAC to make sure that communities already relying on federally supported health center services do not lose access when funding cycles change or when an incumbent award is recompeted. The notice outlines what applicants must do to qualify, how applications will be evaluated, and what factors HRSA will weigh when making awards. The program definition of "health center" here includes organizations funded under Section 330 of the Public Health Service Act, including Community Health Centers (CHC, 330(e)), Migrant Health Centers (MHC, 330(g)), Health Care for the Homeless programs (HCH, 330(h)), and Public Housing Primary Care programs (PHPC, 330(i)). That means the competition can involve service models aimed at the general medically underserved population, migrant and seasonal agricultural workers, people experiencing homelessness, and residents of public housing, depending on the service area and program scope HRSA announces.

Eligibility is broad and includes many types of public and nonprofit entities that can operate community-based health services. Eligible applicants listed include state, county, and city or township governments; special district governments; independent school districts; public housing authorities and Indian housing authorities; federally recognized Native American tribal governments as well as other tribal organizations; public and state-controlled institutions of higher education and private institutions of higher education; and nonprofit organizations with 501(c)(3) status (other than higher education institutions). The notice also indicates there are additional eligibility clarifications in the full announcement, which is typical for SAC because HRSA often sets conditions tied to the specific service area being competed and the applicant's ability to meet Health Center Program requirements.

Key administrative details in the source information include the funding opportunity title "Service Area Competition" and number HRSA-18-024, with the opportunity categorized as a grant in the health funding activity area. The opportunity was created on July 21, 2017, and had an original application closing date of September 19, 2017. HRSA anticipated making 44 awards under this notice. The listed award ceiling is shown as 0 in the extracted data, which usually means the ceiling was not specified in that particular field or was determined based on service-area-specific funding amounts rather than a single fixed cap across all awards.

Overall, SAC is best understood as HRSA's mechanism for competitively selecting organizations to continue delivering Health Center Program services in particular communities. Applicants are expected to propose an operational plan that aligns with Health Center Program expectations and demonstrates the capacity to provide ongoing primary care access for medically underserved and vulnerable populations within the defined service area, with awards determined through the eligibility rules, review criteria, and awarding considerations described in the notice.

  • 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 Jul 21, 2017.
  • Applicants must submit their applications by Sep 19, 2017. (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 44 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), Public housing authorities/Indian housing authorities, 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-18-024) - Frequently Asked Questions

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

The Service Area Competition (SAC) is a discretionary federal grant opportunity administered by 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 is a competitive process tied to a specific HRSA-announced service area.

What is the main purpose of SAC funding?

The central purpose of SAC is to maintain uninterrupted access to affordable, high-quality primary health care in medically underserved communities, particularly where Health Center Program-funded services are already in place and the funding is being continued through a competitive process.

Why does HRSA run SAC competitions?

HRSA uses SAC to help ensure communities do not lose access to federally supported health center services when funding cycles change or when an incumbent award is recompeted. SAC is designed to select qualified organizations to continue operations in a defined service area.

Is SAC a continuation grant or a new grant?

Based on the notice description, SAC functions as a competition to support continued operational services in a specific service area. While applicants compete, the intent is to ensure continuity of Health Center Program services in areas that already rely on these federally supported services.

Who administers and funds this opportunity?

This opportunity is administered by HRSA within HHS under the Health Center Program (CFDA 93.224).

What does "service area" mean in SAC?

In SAC, a "service area" is a specific geographic or program-defined area that HRSA announces for competition. Applicants apply to provide Health Center Program services within that particular service area, and HRSA makes award decisions for that area through the competitive process.

What types of services does SAC support?

SAC supports operational funding needed to provide comprehensive primary health care services under the Health Center Program. The emphasis is on maintaining access to primary care for medically underserved and vulnerable populations within the defined service area.

What kinds of organizations is this funding designed for?

The funding is designed for community-based, patient-directed health center organizations that can deliver Health Center Program services and meet program expectations in the specified service area.

What does HRSA mean by "health center" in this notice?

For SAC, "health center" includes organizations funded under Section 330 of the Public Health Service Act, including:

  • Community Health Centers (CHC, 330(e))
  • Migrant Health Centers (MHC, 330(g))
  • Health Care for the Homeless programs (HCH, 330(h))
  • Public Housing Primary Care programs (PHPC, 330(i))

Which populations may be served under SAC?

Depending on the service area and program scope HRSA announces, SAC may support service models aimed at medically underserved populations generally, migrant and seasonal agricultural workers, people experiencing homelessness, and residents of public housing.

Who is eligible to apply for SAC?

The notice indicates eligibility includes a wide range of public and nonprofit entities capable of operating community-based health services, including:

  • State governments
  • County governments
  • City or township governments
  • Special district governments
  • Independent school districts
  • Public housing authorities
  • Indian housing authorities
  • Federally recognized Native American tribal governments
  • Other tribal organizations
  • Public and state-controlled institutions of higher education
  • Private institutions of higher education
  • Nonprofit organizations with 501(c)(3) status (other than higher education institutions)

Are there additional eligibility requirements beyond the list provided?

Yes. The notice indicates there are additional eligibility clarifications in the full announcement. This is typical for SAC because HRSA may set conditions related to the specific service area being competed and the applicant's ability to meet Health Center Program requirements.

How are applications evaluated for SAC?

The notice states it outlines what applicants must do to qualify, how applications will be evaluated, and the factors HRSA will weigh when making awards. The specific evaluation criteria are described in the notice (and, as referenced, may be further detailed in the full announcement).

What is the funding opportunity number and title?

The funding opportunity title is "Service Area Competition" and the opportunity number is HRSA-18-024.

What type of federal funding opportunity is this?

This opportunity is categorized as a grant and is listed under the health funding activity area.

What is the CFDA number for this program?

The SAC opportunity is associated with the Health Center Program under CFDA 93.224.

When was this opportunity created and when was it due?

The opportunity was created on July 21, 2017, and the original application closing date was September 19, 2017.

How many awards did HRSA anticipate making?

HRSA anticipated making 44 awards under this notice.

What is the award ceiling for this funding opportunity?

The extracted data shows an award ceiling of 0. In context, this usually indicates the ceiling was not specified in that particular field or that funding amounts were determined based on service-area-specific amounts rather than a single fixed cap across all awards.

What should an applicant propose in a SAC application?

Applicants are expected to propose an operational plan that aligns with Health Center Program expectations and demonstrates capacity to provide ongoing primary care access for medically underserved and vulnerable populations in the defined service area.

Does SAC apply only to certain Health Center Program models?

The notice definition includes CHC, MHC, HCH, and PHPC models under Section 330. Which models are relevant can depend on the service area and program scope HRSA announces for competition.

What is the overall takeaway for organizations considering SAC?

SAC is HRSA's mechanism for competitively selecting organizations to continue delivering Health Center Program services in particular communities, with awards determined through eligibility rules, review criteria, and awarding considerations described in the notice.

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