Health Resources and Services Administration: Service Area Competition

The Health Resources and Services Administration (HRSA) is accepting applications for the fiscal year (FY) 2023 Service Area Competition (SAC) under the Health Center Program.

Donor Name: Health Resources and Services Administration

State: All States

County: All Counties

Type of Grant: Grant

Deadline: 11/14/2022

Size of the Grant: $175 million

Grant Duration: 3 years

Details:

The purpose of this grant program is to improve the health of the Nation’s underserved communities and vulnerable populations by assuring continued access to comprehensive, culturally competent, high-quality primary health care services.

This notice announces the opportunity to apply for funding under the Health Center Program’s Service Area Competition (SAC). 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.

Funding Information

HRSA estimates approximately $175 million to be available annually to fund 47 recipients.
The period of performance is June 1, 2023 through May 31, 2026 (up to 3 years).

Eligibility Criteria

You must be a domestic public or private, nonprofit entity, as demonstrated through the submission of the Evidence of Non-profit/Public Center Status, outlined in Section IV.2.vi. 10 Faith-based and community-based organizations, Tribes, and tribal organizations are eligible to apply.
You must propose in the RESPONSE section of the Project Narrative to operate a health center that makes all required primary health care services vailable and accessible in the service area, either directly or through established arrangements, without regard for ability to pay. You may not propose to provide ONLY a single service or any subset of the required primary health care services.
You must propose on Form 5A: Services Provided to make General Primary Medical Care available directly (Column I) and/or through formal written contractual agreements in which the health center pays for the service (Column II).
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, as well as:
- Patients: The total number of unduplicated patients that you project to serve in calendar year 2024 (January 1 – December 31, 2024) as entered on Form 1A: General Information Worksheet must be at least 75 percent of the SAAT Patient Target.
- Services: You must project patients on Form 1A: General Information Worksheet for each Service Type (e.g., Medical, Mental Health, Enabling) listed for the service area in the SAAT.)
- Service Area: If you are a new or competing supplement applicant, you must enter Service Area Zip Codes on Form 5B: Service Sites for service delivery sites (administrative-only sites will not be considered) that: 12
  - Include a combination of SAAT Service Area Zip Codes where zip code patient percentages total at least 75 percent of the current patients served; or
  - Include all SAAT Service Area Zip Codes for the proposed service area, if the sum of all zip code patient percentages is less than 75 percent of the current patients served.
- Populations: You must propose to serve all population types listed in the SAAT (i.e., CHC, MHC, HCH, and/or PHPC) and maintain the funding distribution from the SAAT in the federal funding request on the SF-424A. You may not add new population types (those noted in the SAAT with $0 in funding).
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 on Form 5B: Service Sites. 13, 14 You must provide a verifiable street address for each proposed site on Form 5B: Service Sites.
You must propose to provide access to services for all individuals in the service area and target population, as described in the RESPONSE section of the Project Narrative. In instances where one or more services will be provided at a location that targets a sub-population (e.g., a school-based site that targets school-aged children), you must ensure that all health center services will be made available and accessible to others who seek services at the proposed site(s). You may not propose to serve only a single sub-population.
PUBLIC HOUSING PRIMARY CARE APPLICANTS: If you are a new or competing supplement applicant applying for 330(i) funding, you must demonstrate that youhave consulted with residents of public housing in the preparation of the SAC application. You must also ensure ongoing consultation with the residents regarding the planning and administration of the health center, as documented in the COLLABORATION section of the Project Narrative.
HEALTH CARE FOR THE HOMELESS AND PUBLIC HOUSING PRIMARY CARE APPLICANTS: If you are a new or competing supplement applicant applying for 330(h) or 330(i) funding for the first time, you must attest on the Summary Page that you will utilize this funding to supplement, and not supplant, the expenditures of the health center and the value of in-kind contributions for the delivery of services to these populations.