Opportunity Information: Apply for HRSA 23 023
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 (CFDA 93.224). Its central aim is to maintain uninterrupted access to primary health care in communities that are already being served by the Health Center Program, especially where patients face barriers to care because they live in medically underserved areas or belong to medically underserved populations. In practical terms, SAC funding is designed to support the continued operation of community-based, patient-directed health organizations that deliver comprehensive, culturally competent, and high-quality primary care services, helping ensure that existing service areas do not lose critical health center capacity.
This opportunity is targeted toward domestic organizations that can function as Health Center Program awardees and that are structured to be responsive to community needs. Eligible applicants include a wide range of public and nonprofit entities such as state, county, and city or township governments; special district governments; independent school districts; Native American tribal organizations (other than federally recognized tribal governments); nonprofit organizations with IRS 501(c)(3) status (excluding institutions of higher education); private institutions of higher education; and other applicants as further clarified in HRSA's additional eligibility guidance. The inclusion of both governmental and nonprofit applicants reflects the program's emphasis on ensuring stable, locally grounded providers can continue serving established patient populations.
From an administrative and planning perspective, the SAC notice of funding opportunity (NOFO) functions as a competitive process tied to defined geographic service areas, with the focus on continuity and sustained performance rather than launching entirely new service footprints. The notice emphasizes maintaining comprehensive primary care access, which typically implies a broad scope of services and an expectation that care be delivered in a way that is both high quality and culturally competent, aligning services with the language, cultural context, and practical realities of the community served. The "patient-directed" element signals that applicant organizations are expected to have governance and operational features that ensure community accountability, a hallmark of the Health Center Program model.
Key opportunity details include the funding opportunity number HRSA-23-023 and a creation date of September 15, 2022, with an original closing date of November 14, 2022. HRSA anticipated making approximately 47 awards under this competition. The award ceiling is listed as 0 in the provided data, which generally indicates that a specific upper funding limit is not stated in that particular field and that applicants should rely on the NOFO and related HRSA guidance for budget expectations, funding ranges, and any constraints tied to the service area and project scope.
Overall, the SAC grant opportunity is best understood as HRSA's mechanism for ensuring that communities already reliant on Health Center Program-supported providers continue to receive essential primary care services without disruption. The emphasis is on sustained access, comprehensive care, and culturally competent service delivery for medically underserved people, implemented through community-based organizations that are accountable to the patients and communities they serve.Apply for HRSA 23 023
- 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 15, 2022.
- Applicants must submit their applications by Nov 14, 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 47 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, 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) - Frequently Asked Questions
1) What is the Service Area Competition (SAC) grant opportunity?
The Service Area Competition (SAC) is a discretionary grant opportunity under the Health Center Program administered by the U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA). It is associated with CFDA 93.224.
2) What is the main purpose of SAC funding?
The central purpose of SAC is to maintain uninterrupted access to primary health care in communities already served by the Health Center Program. The focus is on preventing disruption or loss of critical health center capacity in existing service areas.
3) Does SAC fund new service areas or expansions into entirely new communities?
Based on the information provided, SAC is a competitive process tied to defined geographic service areas and is oriented toward continuity and sustained performance rather than launching entirely new service footprints.
4) Who is the intended population served by SAC-funded projects?
SAC emphasizes communities where patients face barriers to care because they live in medically underserved areas or belong to medically underserved populations. The program is meant to protect access for established patient populations that already rely on Health Center Program-supported providers.
5) What types of organizations are eligible to apply?
The opportunity targets domestic organizations that can function as Health Center Program awardees and are structured to be responsive to community needs. Eligible applicants include public and nonprofit entities such as:
- State governments
- County governments
- City or township governments
- Special district governments
- Independent school districts
- Native American tribal organizations (other than federally recognized tribal governments)
- Nonprofit organizations with IRS 501(c)(3) status (excluding institutions of higher education)
- Private institutions of higher education
- Other applicants as further clarified in HRSA's additional eligibility guidance
6) Are both governmental and nonprofit organizations included as eligible applicants?
Yes. The eligibility list includes multiple types of governmental entities as well as nonprofit organizations, reflecting the program emphasis on stable, locally grounded providers that can continue serving established communities.
7) What does "community-based" mean in the context of this opportunity?
The opportunity describes support for community-based organizations that deliver primary care in a way that is responsive to local needs. The underlying intent is that applicants are locally grounded and positioned to maintain access for the people already served in the defined service area.
8) What does "patient-directed" mean for SAC applicants?
"Patient-directed" indicates that applicant organizations are expected to have governance and operational features that ensure community accountability. This is described as a hallmark of the Health Center Program model, signaling that patients and the community have a meaningful role in how the organization is guided.
9) What kind of services are expected to be supported through SAC?
SAC is designed to support continued operation of organizations that deliver comprehensive primary care services. The notice emphasizes maintaining comprehensive primary care access, implying a broad scope of services aligned with community needs.
10) What does "culturally competent" care mean in this NOFO?
The information provided describes culturally competent care as delivering services aligned with the language, cultural context, and practical realities of the community served. The emphasis is on providing care that is appropriate and accessible for the population in the service area.
11) Which federal agency issues and administers this funding opportunity?
The funding opportunity is issued by HHS through HRSA as part of HRSA's Health Center Program administration.
12) What is the program type for SAC (competitive vs. formula, discretionary vs. mandatory)?
SAC is identified as a discretionary grant opportunity and is described as a competitive process tied to defined geographic service areas.
13) What is the CFDA number associated with this opportunity?
The opportunity is listed under CFDA 93.224.
14) What is the funding opportunity number?
The funding opportunity number is HRSA-23-023.
15) When was this opportunity created?
The creation date listed is September 15, 2022.
16) What was the original closing date?
The original closing date listed is November 14, 2022.
17) How many awards did HRSA anticipate making?
HRSA anticipated making approximately 47 awards under this competition.
18) Is there an award ceiling (maximum funding amount) listed?
The award ceiling is listed as 0 in the provided data. This generally indicates that a specific upper funding limit is not stated in that particular field and that applicants should rely on the NOFO and related HRSA guidance for budget expectations, funding ranges, and any constraints tied to the service area and project scope.
19) What is meant by "uninterrupted access" in this context?
"Uninterrupted access" refers to ensuring communities already served by the Health Center Program do not lose access to essential primary care services due to disruptions in funding or health center capacity within the existing service area.
20) What is the overall goal of SAC in plain terms?
SAC is HRSA's mechanism for ensuring that communities already relying on Health Center Program-supported providers continue receiving essential primary care services without disruption, with an emphasis on comprehensive, high-quality, and culturally competent care delivered by community-accountable organizations.
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