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Health Center Program’s Service Area Competition (United States)

Deadline: 16-Oct-23

The Health Resources and Services Administration (HRSA) is accepting applications for the Service Area Competition (SAC) under the Health Center Program.

The Health Center Program supports domestic public or private, nonprofit community-based and patient-directed organizations that provide primary health care services to the Nation’s medically underserved populations. The purpose of the SAC notice of funding opportunity (NOFO) is to ensure continued access to comprehensive, culturally competent, high-quality primary health care services for communities and populations currently served by the Health Center Program.

In addition to the general Health Center Program requirements specific requirements for funding under each population type are outlined below.

  • Community Health Center (CHC) Applicants:
    • Ensure compliance with PHS Act section 330(e) and program regulations, requirements, and policies.
    • Provide a plan that ensures the availability and accessibility of required primary health care services to underserved populations in the service area.
  • Migrant Health Center (MHC) Applicants:
    • Ensure compliance with PHS Act section 330(g); and, as applicable, section 330(e), program regulations, requirements, and policies.
    • Provide a plan that ensures the availability and accessibility of required primary health care services to migratory and seasonal agricultural workers and their families in the service area, which includes:
      • Migratory agricultural workers who are individuals whose principal employment is in agriculture, who have been so employed within the last 24 months, and who establish for the purposes of such employment a temporary abode;
      • Seasonal agricultural workers who are individuals whose principal employment is in agriculture on a seasonal basis and who do not meet the definition of a migratory agricultural worker;
  • Health Care for the Homeless (HCH) Applicants:
    • Ensure compliance with PHS Act section 330(h); and, as applicable, section 330(e), program regulations, requirements, and policies.
    • Provide a plan that ensures the availability and accessibility of required primary health care services to individuals:
      • Who lack housing (without regard to whether the individual is a member of a family);
      • Whose primary residence during the night is a supervised public or private facility that provides temporary living accommodations;
  • Public Housing Primary Care (PHPC) Applicants:
    • Ensure compliance with PHS Act section 330(i); and, as applicable, section 330(e), program regulations, requirements, and policies.
    • Provide a plan that ensures the availability and accessibility of required primary health care services to residents of public housing and individuals living in areas immediately accessible to public housing.
    • Consult with residents of the proposed public housing sites regarding the planning and administration of the program.
Funding Information
  • Summary of Funding
    • HRSA estimates approximately $179,271,885 to be available annually to fund 65 recipients. The actual amount available will not be determined until enactment of the final FY 2024 federal appropriation. This program notice is subject to the appropriation of funds and is a contingency action taken to ensure that, should funds become available for this purpose, HRSA can process applications and award funds appropriately.
    • The period of performance is May 1, 2024 through April 30, 2027 (up to 3 years).
  • Type of Application and Award
    • Types of applications sought:
      • Competing continuation – A current Health Center Program award recipient whose period of performance ends April 30, 2024 and that seeks to continue serving its current service area.
      • New – An organization that is not currently funded through the Health Center Program that seeks to serve an announced service area through the proposal of one or more permanent service delivery sites.
      • Competing supplement – A current Health Center Program award recipient that seeks to serve an announced service area through the addition of one or more new permanent service delivery sites within the announced service area in addition to its current service area.
Eligibility Criteria
  • State governments
  • City or township governments
  • Independent school districts
  • Native American tribal governments (Federally recognized)
  • Special district governments
  • Native American tribal organizations (other than Federally recognized tribal governments)
  • Others (see text field entitled “Additional Information on Eligibility” for clarification)
  • County governments
  • Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education
  • You must be a domestic public or private, nonprofit entity, as demonstrated through the submission of the Evidence of Non-profit/Public Center Status, Faith-based and community-based organizations, Tribes, and tribal organizations are eligible to apply.
  • You must provide continuity of services, ensuring availability and accessibility of services to residents of the service area, by proposing to serve an announced service area.
  • If you are a new or competing supplement applicant, you must propose at least one new full-time (operational 40 hours or more per week) permanent, fixed building service site.

For more information, visit Grants.gov.

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