Opportunity Information: Apply for HRSA 23 103

The Service Area Competition (SAC) grant opportunity, issued by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA), is a discretionary grant under the Health Center Program. It is designed to maintain uninterrupted access to primary health care in communities that are already being served by HRSA-supported health centers, particularly in areas and among populations that are medically underserved. The central goal of this funding opportunity is continuity: HRSA uses SAC to make sure patients in existing service areas do not lose access to essential health center services and can continue receiving care that is comprehensive, culturally competent, and high quality.

At a practical level, SAC supports community-based, patient-directed organizations that deliver primary health care services. These organizations are expected to operate in a way that reflects the Health Center Program model, which emphasizes serving medically underserved communities, offering a broad set of primary care services, and tailoring care to the culture and needs of the population. The notice focuses on ensuring that the communities and populations currently covered by the Health Center Program remain covered, meaning the competition is tied to specific service areas already recognized and funded under the program rather than being an open-ended expansion opportunity into entirely new areas.

Eligibility is broad and includes many types of domestic public and nonprofit entities that can run or sponsor community health center operations. Eligible applicants include state, county, and city or township governments; special district governments; independent school districts; public housing authorities and Indian housing authorities; and public or state-controlled institutions of higher education. It also includes federally recognized Native American tribal governments and other Native American tribal organizations. On the nonprofit side, organizations with IRS 501(c)(3) status (other than institutions of higher education) may apply, as can private institutions of higher education. HRSA also lists an "Others" category, with additional eligibility details referenced in the full notice. Across these categories, the common thread is that applicants must be positioned to deliver community-based primary care consistent with Health Center Program expectations.

This opportunity is identified as HRSA-23-103 and is categorized under the health funding activity area, with CFDA/Assistance Listing number 93.224. The opportunity was created on December 15, 2022, and the original application closing date was February 13, 2023. HRSA anticipated making one award under this particular listing, and the posted award ceiling is shown as 0, which typically indicates that the maximum award amount is not specified in the summary fields and would need to be confirmed in the full funding notice or related program guidance.

In summary, the Service Area Competition is essentially HRSA's mechanism for re-competing support for a defined Health Center Program service area so that local patients, especially those facing access barriers, continue to receive reliable primary health care. The emphasis is on preserving access and sustaining the delivery of comprehensive, culturally appropriate care through qualified community-based organizations operating within the Health Center Program framework.

  • 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 Dec 15, 2022.
  • Applicants must submit their applications by Feb 13, 2023. (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 1 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).
Apply for HRSA 23 103

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