Opportunity Information: Apply for HRSA 20 020

The Service Area Competition (SAC) funding opportunity (HRSA-20-020) is a discretionary grant program run by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA). It is part of the Health Center Program (CFDA 93.224), which funds community-based organizations that deliver primary health care to medically underserved people and communities. In practical terms, SAC is designed to keep existing Health Center Program service areas from losing access to care by allowing eligible organizations to compete for continued federal support to operate in communities that are already being served under the program.

The core purpose of this Notice of Funding Opportunity is continuity. HRSA uses SAC to ensure that patients in currently funded service areas can continue receiving affordable, high-quality primary care without disruption when a project period ends or when continued funding needs to be recompeted. The program emphasizes organizations that are community-based and patient-directed, reflecting the Health Center Program model where services are tailored to local needs and guided by the populations being served.

This opportunity uses the grant funding instrument and is categorized under the health funding activity area. The notice was created on September 26, 2019, with an original application closing date of December 2, 2019. HRSA anticipated making about 171 awards under this competition. The listed award ceiling is shown as 0 in the source data, which typically indicates that a single uniform maximum was not specified in that field and that award levels may vary based on factors such as the service area, scope of project, and available appropriations.

Eligibility is listed broadly as "Others," with additional clarification expected in the full notice under an "Additional Information on Eligibility" section. However, the opportunity description aligns with typical Health Center Program eligibility patterns: public and private nonprofit, community-based entities that can demonstrate the capacity to deliver comprehensive primary health care services to underserved populations, with governance and operations consistent with Health Center Program requirements. Overall, SAC is essentially the mechanism HRSA uses to re-compete and renew federal support so that established communities do not lose health center access and so that high-need populations continue to have a reliable safety-net source for primary care.

  • 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 26, 2019.
  • Applicants must submit their applications by Dec 02, 2019. (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 171 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Service Area Competition (SAC) Funding Opportunity (HRSA-20-020) - FAQs

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

The Service Area Competition (SAC) is a discretionary grant program administered by the U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA). It is part of the Health Center Program (CFDA 93.224) and supports community-based organizations that provide primary health care services to medically underserved people and communities.

What is the main purpose of SAC?

The core purpose of SAC is continuity of care. HRSA uses SAC to allow eligible organizations to compete for continued federal support to operate in service areas that are already funded under the Health Center Program, helping prevent disruptions when a project period ends or when funding must be re-competed.

Who runs SAC and under what federal agency?

SAC is run by HRSA, which is an agency within HHS (the U.S. Department of Health and Human Services).

What program does SAC fall under?

SAC falls under the Health Center Program, identified as CFDA 93.224, which funds primary care delivery through community-based organizations serving medically underserved populations.

What type of funding instrument is used?

This opportunity uses the grant funding instrument.

What is the funding activity area for this opportunity?

The opportunity is categorized under the health funding activity area.

Why does HRSA use a competition for existing service areas?

SAC is designed so that existing Health Center Program service areas do not lose access to care. By re-competing funding when needed, HRSA helps ensure patients can continue receiving affordable, high-quality primary care in communities that are already being served under the program.

What kinds of services are supported through the Health Center Program model described here?

Based on the description provided, SAC supports the delivery of comprehensive primary health care services to medically underserved people and communities, consistent with the Health Center Program approach.

What does "community-based and patient-directed" mean in the context of this opportunity?

The notice emphasizes organizations that reflect the Health Center Program model, where services are tailored to local needs and guided by the populations being served. In other words, it prioritizes organizations grounded in the community and oriented toward patient needs and input.

When was this Notice of Funding Opportunity created?

The notice was created on September 26, 2019.

What was the original application closing date?

The original application closing date was December 2, 2019.

How many awards were expected under this competition?

HRSA anticipated making about 171 awards under this competition.

What is the award ceiling for SAC (HRSA-20-020)?

The award ceiling is shown as 0 in the source data. This typically indicates that a single uniform maximum award amount was not specified in that particular field, and that award levels may vary depending on factors such as the service area, the scope of the project, and available appropriations.

Who is eligible to apply?

Eligibility is listed broadly as "Others," with additional clarification expected in the full notice under an "Additional Information on Eligibility" section. The description aligns with typical Health Center Program eligibility patterns, such as public and private nonprofit, community-based entities that can demonstrate capacity to deliver comprehensive primary health care services to underserved populations, with governance and operations consistent with Health Center Program requirements.

Is this opportunity intended for new service areas or existing ones?

This opportunity is designed for continuity in existing Health Center Program service areas. It is aimed at communities already being served under the program so that they do not lose access to health center services when funding must be re-competed.

What does it mean that SAC helps prevent "disruption" in care?

As described, SAC is meant to ensure patients in currently funded service areas can continue receiving affordable, high-quality primary care without interruption when an existing project period ends or when continued funding needs to be re-competed.

What does "discretionary grant program" mean here?

Based on the provided description, SAC is labeled a discretionary grant program, meaning it is a competitively awarded grant opportunity administered by HRSA under HHS rather than an automatic entitlement.

Where can applicants find the most specific eligibility rules?

The information provided notes that additional clarification is expected in the full notice, specifically under an "Additional Information on Eligibility" section.

What is SAC, in practical terms, for communities?

In practical terms, SAC is HRSA's mechanism for keeping federal support in place for established Health Center Program service areas so that medically underserved people and communities continue to have a reliable safety-net source of primary care.

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