Opportunity Information: Apply for HRSA 19 099
The Service Area Competition-Additional Areas (SAC-AA) funding opportunity (HRSA 19-099) 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 sits within the federal Health Center Program (CFDA 93.224) and is designed to fund community-based, patient-directed nonprofit organizations that deliver primary health care in medically underserved communities. In this specific notice, HRSA is inviting applications tied to eight named service areas: Bishop, California; Worcester, Massachusetts; Baltimore, Maryland; Jackson, Michigan; Fayetteville, North Carolina; Perth Amboy, New Jersey; Caguas, Puerto Rico; and Naranjito, Puerto Rico. The overall intent is continuity of care, meaning HRSA is using this competition to help make sure residents in these locations do not lose access to affordable, high-quality primary care services that have been supported through the Health Center Program.
The purpose of SAC-AA is operational support for primary health care services in the announced service areas, with an emphasis on maintaining and strengthening access for vulnerable and underserved populations already being reached by the Health Center Program. Rather than funding a brand-new concept in the abstract, this type of notice is about ensuring there is a capable health center operator in place for each listed area so that core services continue without disruption. The notice explains the eligibility requirements applicants must meet, how applications will be reviewed, and what factors HRSA will use to make award decisions for each service area.
For clarity, the notice uses the term "health center" broadly to include organizations funded under multiple subsections of section 330 of the Public Health Service Act. That includes Community Health Centers (CHC, section 330(e)), Migrant Health Centers (MHC, section 330(g)), Health Care for the Homeless programs (HCH, section 330(h)), and Public Housing Primary Care programs (PHPC, section 330(i)). In practical terms, that means applicants are expected to operate like federally supported health centers: community-based, nonprofit, and structured to provide patient-centered primary care to people who often face barriers such as low income, lack of insurance, unstable housing, or residence in areas with limited provider availability.
Administrative details in the notice indicate this is a grant (Funding Instrument Type: Grant) under the health category, with HRSA as the issuing agency. The opportunity was created on December 18, 2018, and the original application deadline was February 19, 2019. HRSA anticipated making eight awards, which aligns with the eight service areas listed. The listing shows an award ceiling of 0, which typically signals that the ceiling is not specified in that summary field and applicants must rely on the full NOFO for the actual funding levels, budgets, and any service-area-specific amounts.
Eligibility is summarized as "Others" with a note to consult the NOFO section titled "Additional Information on Eligibility" for specifics. In programs like SAC-AA, eligibility is usually tightly defined around nonprofit, community-based entities that can meet Health Center Program requirements and demonstrate the governance, financial, clinical, and operational capacity to run comprehensive primary care services for the designated service area. Applicants generally need to show they can maintain service availability, meet program expectations, and serve medically underserved populations consistent with Health Center Program rules.
Overall, this SAC-AA notice is a targeted competition to select or confirm capable Health Center Program operators for the named communities, ensuring continued access to essential primary care services where the Health Center Program already plays a key role in the local safety net.Apply for HRSA 19 099
- 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-Additional Areas (SAC-AA)—Bishop, CA; Worcester, MA; Baltimore, MD; Jackson, MI; Fayetteville, NC; Perth Amboy, NJ; Caguas, PR; and Naranjito, PR" 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 Dec 18, 2018.
- Applicants must submit their applications by Feb 19, 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 8 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Service Area Competition-Additional Areas (SAC-AA) (HRSA 19-099) FAQs
What is the SAC-AA (HRSA 19-099) funding opportunity?
SAC-AA stands for Service Area Competition-Additional Areas. HRSA 19-099 is a discretionary grant funding opportunity run by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA). It sits within the federal Health Center Program (CFDA 93.224) and is intended to support primary health care services in specific medically underserved communities.
What is the main goal of this SAC-AA notice?
The overall intent is continuity of care. HRSA is using this competition to help ensure that people living in the listed service areas do not lose access to affordable, high-quality primary care services that have been supported through the Health Center Program.
Is this funding for new programs or for continuing services?
Based on the notice description, SAC-AA is focused on operational support and maintaining and strengthening access to primary health care in the announced service areas. It is not described as funding a brand-new concept in the abstract; instead, it is designed to ensure a capable Health Center Program operator is in place for each listed area so core services can continue without disruption.
Who is the issuing agency for this opportunity?
The issuing agency is the Health Resources and Services Administration (HRSA), under the U.S. Department of Health and Human Services.
What type of funding instrument is SAC-AA?
The funding instrument type is a grant (Funding Instrument Type: Grant).
What program does SAC-AA fall under?
This opportunity is within the federal Health Center Program (CFDA 93.224).
What types of organizations are these grants intended to fund?
The notice describes funding for community-based, patient-directed nonprofit organizations that deliver primary health care in medically underserved communities.
What does HRSA mean by "health center" in this notice?
In this notice, "health center" is used broadly to include organizations funded under multiple subsections of section 330 of the Public Health Service Act, including:
- Community Health Centers (CHC, section 330(e))
- Migrant Health Centers (MHC, section 330(g))
- Health Care for the Homeless programs (HCH, section 330(h))
- Public Housing Primary Care programs (PHPC, section 330(i))
Which service areas are included in this SAC-AA notice?
HRSA invited applications tied to eight named service areas:
- Bishop, California
- Worcester, Massachusetts
- Baltimore, Maryland
- Jackson, Michigan
- Fayetteville, North Carolina
- Perth Amboy, New Jersey
- Caguas, Puerto Rico
- Naranjito, Puerto Rico
How many awards did HRSA anticipate making?
HRSA anticipated making eight awards, which aligns with the eight service areas listed in the notice.
What populations does SAC-AA emphasize serving?
The notice emphasizes maintaining and strengthening access for vulnerable and underserved populations already being reached by the Health Center Program, including people who often face barriers such as low income, lack of insurance, unstable housing, or living in areas with limited provider availability.
What kinds of services are supported by this funding?
The purpose described is operational support for primary health care services in the announced service areas. The notice frames this as supporting essential, ongoing primary care access in medically underserved communities.
What are the key features expected of applicant organizations?
Applicants are expected to operate like federally supported health centers: community-based, nonprofit, patient-directed, and structured to provide patient-centered primary care to underserved populations in the designated service areas.
What does the notice say about eligibility?
Eligibility is summarized as "Others" with a note to consult the NOFO section titled "Additional Information on Eligibility" for specifics. The notice also indicates eligibility requirements are explained in the full NOFO, along with how applications will be reviewed and what factors HRSA will use to make award decisions for each service area.
Where should applicants look for detailed eligibility requirements?
Applicants should consult the NOFO section titled "Additional Information on Eligibility" for the detailed eligibility requirements referenced in the notice summary.
Does the opportunity description mention how applications will be reviewed?
Yes. The notice states it explains how applications will be reviewed and what factors HRSA will use to make award decisions for each service area.
What is the opportunity number or identifier?
The funding opportunity is identified as HRSA 19-099.
When was this opportunity created and what was the original deadline?
The opportunity was created on December 18, 2018, and the original application deadline was February 19, 2019.
What is the award ceiling for this opportunity?
The listing shows an award ceiling of 0. In the notice summary, this typically indicates the ceiling is not specified in that summary field and applicants should rely on the full NOFO for the actual funding levels, budgets, and any service-area-specific amounts.
What is meant by "continuity of care" in the context of this competition?
In this context, continuity of care refers to keeping primary care services available in the listed service areas without disruption, so residents continue to have access to affordable, high-quality primary care supported through the Health Center Program.
Is this opportunity limited to the listed service areas?
Yes. The notice is described as inviting applications tied to eight named service areas, making it a targeted competition for those specific locations.
What category is this funding opportunity listed under?
The administrative details indicate this is under the health category.
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