Opportunity Information: Apply for HRSA 21 002

The Service Area Competition (SAC) grant opportunity, listed as HRSA 21 002, is a discretionary grant announced by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA). It falls under the Health Center Program (CFDA 93.224) and is designed to support organizations that deliver primary health care in communities where access to care is limited. The overall focus is on maintaining and strengthening primary care services for medically underserved populations, including communities that already rely on Health Center Program-supported providers.

At its core, the purpose of the SAC Notice of Funding Opportunity is continuity. HRSA uses SAC to make sure there is no break in access to comprehensive primary health care for service areas that are currently served under the Health Center Program. This means the funding is aimed at sustaining essential health services already in place in particular communities and ensuring those services continue to meet expectations for quality, cultural competence, and responsiveness to patient and community needs. The program emphasizes patient-directed, community-based care, which reflects the Health Center Program model of governance and accountability to the populations being served.

The opportunity supports both public and private nonprofit organizations, specifically those that are community-based and patient-directed. While the eligibility category is listed broadly as "Others (see text field entitled Additional Information on Eligibility for clarification)," the description makes clear that the intended applicants are organizations capable of operating as Health Center Program-funded entities and delivering primary care services to underserved groups. In practice, this generally means organizations with the structure, mission, and operational capacity to provide a full range of primary health care services and to align with Health Center Program requirements around accessibility, quality improvement, and culturally competent care.

Administratively, the notice was created on June 16, 2020, with an original closing date of August 17, 2020. HRSA anticipated making about three awards under this announcement. The award ceiling is listed as 0, which typically indicates that a fixed maximum award amount was not specified in the high-level summary and that award size would depend on factors defined in the full funding announcement (such as the approved scope of services, the size of the service area population, and program-specific budget methodology).

In summary, SAC is a HRSA Health Center Program funding mechanism intended to preserve continued access to high-quality, comprehensive primary care in areas already served by health centers, with a particular emphasis on medically underserved populations and on delivering care in a way that is culturally competent and grounded in community and patient direction.

  • 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 Jun 16, 2020.
  • Applicants must submit their applications by Aug 17, 2020. (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 3 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 21 002

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Service Area Competition (SAC) Grant (HRSA 21-002) FAQs

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

The Service Area Competition (SAC) opportunity (HRSA 21-002) is a discretionary grant announced 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 is used to support organizations that deliver primary health care in communities where access to care is limited.

What is the main purpose of SAC funding?

The core purpose of SAC is continuity of care. HRSA uses SAC to help ensure there is no break in access to comprehensive primary health care in service areas that are currently served under the Health Center Program. In other words, the funding is designed to sustain essential primary care services that are already in place in specific communities.

Is SAC intended to start new health center service areas or maintain existing ones?

Based on the description provided, SAC is focused on maintaining and strengthening services in areas already served under the Health Center Program, rather than creating brand-new service areas. The emphasis is on preserving continued access in communities that already rely on Health Center Program-supported providers.

Which federal agency administers this opportunity?

This opportunity is administered by HRSA, which is part of HHS (the U.S. Department of Health and Human Services).

What program does SAC fall under?

SAC falls under the HRSA Health Center Program and is identified with CFDA 93.224.

Who is the SAC program designed to serve?

The program is designed to support access to primary health care for medically underserved populations, including communities where access to care is limited and communities that already rely on Health Center Program-supported providers.

What kinds of services are supported by SAC?

The opportunity supports comprehensive primary health care services. The information provided emphasizes sustaining essential primary care services and continuing to meet expectations for quality, cultural competence, and responsiveness to patient and community needs.

What does HRSA mean by "no break in access" to care?

Within the context provided, "no break in access" means SAC is intended to keep primary care services available without interruption in service areas currently served under the Health Center Program.

What are the expectations around quality and how care is delivered?

The description highlights expectations that services continue to meet standards for quality, cultural competence, and responsiveness to patient and community needs. It also emphasizes patient-directed, community-based care consistent with the Health Center Program model of governance and accountability.

What does "patient-directed, community-based care" refer to in this opportunity?

It refers to the Health Center Program model in which care is grounded in community needs and includes governance and accountability mechanisms oriented toward the populations being served. The opportunity stresses that supported organizations should operate in a way that reflects this model.

What types of organizations are intended to apply?

The opportunity supports both public and private nonprofit organizations, specifically those that are community-based and patient-directed, and that can operate as Health Center Program-funded entities delivering primary care services to underserved groups.

How is eligibility described in the opportunity summary?

The eligibility category is listed as "Others (see text field entitled Additional Information on Eligibility for clarification)." However, the description provided clarifies that intended applicants are organizations capable of operating as Health Center Program-funded entities and delivering primary care services to underserved populations.

Does the summary specify a maximum award amount?

No. The award ceiling is listed as 0, which typically indicates a fixed maximum award amount was not specified in the high-level summary and that award size would depend on factors described in the full funding announcement.

What factors may influence the size of an award?

Based on the information provided, award size may depend on items such as the approved scope of services, the size of the service area population, and program-specific budget methodology described in the full funding announcement.

How many awards did HRSA anticipate making under this announcement?

HRSA anticipated making about three awards under this SAC announcement.

When was this notice created?

The notice was created on June 16, 2020.

What was the original application closing date?

The original closing date listed for this opportunity was August 17, 2020.

Is this grant described as discretionary or formula-based?

This opportunity is described as a discretionary grant.

What is the overall focus of SAC within the Health Center Program?

The overall focus is on maintaining and strengthening primary care services for medically underserved populations, ensuring that services in currently served areas continue to operate effectively and meet expectations for quality and culturally competent care.

What is SAC trying to protect or preserve in the community?

SAC is intended to preserve continued access to high-quality, comprehensive primary care in areas already served by health centers, particularly for medically underserved populations.

What is the relationship between SAC and communities already served by health centers?

The description indicates SAC is specifically used in service areas currently served under the Health Center Program, with the intent of sustaining those services so communities that already rely on Health Center Program-supported providers do not experience interruptions.

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