Opportunity Information: Apply for HRSA 22 004
The Service Area Competition (SAC) grant opportunity (Funding Opportunity Number HRSA 22-004) is a discretionary grant program run by the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services. It falls under the Health Center Program (CFDA 93.224) and is focused on maintaining and strengthening primary health care access for medically underserved communities in the United States. The core intent is continuity: this funding is designed to ensure that communities already being served through the Health Center Program continue to receive comprehensive, culturally competent, high-quality primary care services without disruption.
SAC is aimed at community-based, patient-directed organizations that deliver primary health care services, with an emphasis on serving medically underserved populations. In practical terms, the opportunity supports entities that operate or propose to operate as health centers under the Health Center Program model, where care is organized around community need, broad access, and patient governance principles. While the notice emphasizes domestic public or private, nonprofit organizations, the eligibility list is broad and includes various government entities (state, county, city/township, special district governments, and independent school districts), federally recognized tribal governments and other tribal organizations, 501(c)(3) nonprofits (excluding higher education institutions), and also for-profit entities (including small businesses). The listing also notes an "Others" category, indicating that additional eligibility nuances may be described in the full eligibility section of the notice.
From an operational standpoint, the SAC NOFO supports the ongoing delivery of comprehensive primary care services, meaning applicants are generally expected to provide a wide range of front-line health services rather than a narrow, single-purpose program. The description highlights culturally competent care, which signals that applicants should be prepared to demonstrate how services will be responsive to the language, cultural, and community context of the populations served. The emphasis on high-quality care further implies that applicants should have systems and processes that support effective service delivery and accountability, consistent with HRSA health center expectations.
Key administrative details include an opportunity creation date of June 14, 2021, and an original application closing date of August 13, 2021. HRSA anticipated making about 40 awards under this competition. The notice lists an award ceiling of 0, which typically indicates that a single fixed maximum award amount is not specified in the summary field and that award sizes may vary based on the service area, scope, or other program-specific determinations described in the full NOFO.
Overall, the SAC opportunity is best understood as a mechanism HRSA uses to preserve stable primary care infrastructure in underserved areas by competitively funding organizations to continue serving specific health center service areas. The program’s focus is not simply on launching new services, but on ensuring uninterrupted access to essential primary health care for communities already connected to the Health Center Program network.Apply for HRSA 22 004
- 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 Jun 14, 2021.
- Applicants must submit their applications by Aug 13, 2021. (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 40 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, 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, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
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Service Area Competition (SAC) Grant (HRSA 22-004) - Frequently Asked Questions
What is the Service Area Competition (SAC) grant opportunity?
The Service Area Competition (SAC) is a discretionary grant opportunity administered by the Health Resources and Services Administration (HRSA), an agency within the U.S. Department of Health and Human Services. This opportunity is identified as Funding Opportunity Number (FON) HRSA 22-004 and is part of the Health Center Program.
Which program does SAC fall under?
SAC falls under the Health Center Program (CFDA 93.224). The focus is on maintaining and strengthening access to primary health care for medically underserved communities in the United States.
What is the main purpose of SAC funding?
The core intent of SAC is continuity of care. The funding is designed to help ensure that communities already being served through the Health Center Program continue receiving comprehensive, culturally competent, high-quality primary care services without disruption.
Is this funding meant to start new services or to continue existing services?
Based on the information provided, SAC is best understood as a mechanism to preserve stable primary care infrastructure and ensure uninterrupted access to essential primary health care for communities already connected to the Health Center Program network. The emphasis is on continuity rather than simply launching new services.
Who is this opportunity intended to serve?
The opportunity is focused on medically underserved communities in the United States, with an emphasis on medically underserved populations.
What types of organizations is SAC aimed at?
SAC is aimed at community-based, patient-directed organizations that deliver primary health care services and operate (or propose to operate) as health centers under the Health Center Program model.
What does "patient-directed" imply in this opportunity?
The description indicates an emphasis on patient governance principles and care organized around community need and broad access, consistent with the Health Center Program model.
What kinds of services are applicants generally expected to provide?
The NOFO supports the ongoing delivery of comprehensive primary care services. This implies applicants are generally expected to provide a wide range of front-line health services rather than a narrow, single-purpose program.
What does HRSA mean by "comprehensive" primary care in this context?
Based on the summary provided, "comprehensive" indicates a broad scope of front-line primary health care services, aligned with Health Center Program expectations, rather than a limited or single-issue service offering.
What does "culturally competent" care mean for applicants?
The opportunity highlights culturally competent care, signaling that applicants should be prepared to show how services will be responsive to the language, cultural, and community context of the populations served.
What does the opportunity emphasize about quality?
The SAC description emphasizes high-quality care. This implies applicants should have systems and processes that support effective service delivery and accountability, consistent with HRSA health center expectations.
Who is eligible to apply for SAC (HRSA 22-004)?
The eligibility list described is broad and includes domestic public or private entities, nonprofit organizations, various government entities, tribal governments/organizations, and also for-profit entities (including small businesses). Specific eligible categories listed include:
- State governments
- County governments
- City or township governments
- Special district governments
- Independent school districts
- Federally recognized tribal governments
- Other tribal organizations
- 501(c)(3) nonprofits (excluding higher education institutions)
- For-profit organizations (including small businesses)
Are higher education institutions eligible under the 501(c)(3) category?
The provided information specifies 501(c)(3) nonprofits are eligible, excluding higher education institutions.
Are for-profit entities allowed to apply?
Yes. The eligibility list notes that for-profit entities (including small businesses) are included among eligible applicants.
Are tribal entities eligible to apply?
Yes. The eligibility list includes federally recognized tribal governments and other tribal organizations.
Are government entities eligible to apply?
Yes. The eligibility list includes multiple government entity types, including state, county, city/township, special district governments, and independent school districts.
What does the "Others" eligibility category mean?
The opportunity notes an "Others" category, indicating there may be additional eligibility nuances described in the full eligibility section of the notice.
Is SAC a formula grant or a discretionary grant?
SAC is described as a discretionary grant program run by HRSA.
When was this SAC opportunity created?
The opportunity creation date is June 14, 2021.
What was the original application closing date?
The original application closing date listed for this opportunity is August 13, 2021.
How many awards did HRSA anticipate making?
HRSA anticipated making about 40 awards under this competition.
Is there a maximum (ceiling) award amount?
The notice lists an award ceiling of 0. This typically indicates that a single fixed maximum award amount is not specified in the summary field and that award sizes may vary based on factors such as the service area, scope, or other program-specific determinations described in the full NOFO.
What is the overall goal of SAC in practical terms?
Overall, SAC is positioned as a way for HRSA to preserve stable primary care infrastructure in underserved areas by competitively funding organizations to continue serving specific health center service areas, with a focus on uninterrupted access to essential primary care.
What is meant by "service area" in SAC?
Based on the description, SAC competitively funds organizations to continue serving specific health center service areas. The opportunity is framed around ensuring communities already served through the Health Center Program continue to receive services in those areas.
Is this opportunity limited to the United States?
Yes. The description focuses on medically underserved communities in the United States and notes eligibility for domestic entities.
Where does SAC fit within the federal government?
SAC is run by HRSA within the U.S. Department of Health and Human Services.
What does it mean that SAC is part of the Health Center Program model?
The information provided describes the model as one where care is organized around community need, broad access, and patient governance principles, with an emphasis on comprehensive, culturally competent, high-quality primary care.
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