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Grants / Department of Health and Human Services / Health Resources and Services Administration

HRSA-23-018: Service Area Competition

Closed Closed July 5, 2022 Opportunity HRSA-23-018

This grant is closed. A newer notice from the same program is forecast: Fiscal Year (FY) 2027 Service Area Competition (SAC) (HRSA-27-009). Status: Expected deadline January 8, 2027. It is in our archive of Health Resources and Services Administration notices from 2022.

Health Resources and Services Administration offered grants to nonprofits, colleges and universities, state and local governments and tribes. It expected to make about 82 awards worth $418 million in total. Applications closed on July 5, 2022.

From the official notice on Grants.gov, last changed May 5, 2022. Checked November 7, 2026.

Other notices with this title

Health Resources and Services Administration has posted this title under other numbers: earlier or later rounds, or the same competition for another area. Each has its own dates and may change its rules.

NoticePostedDeadlineStatus
HRSA-26-006July 24, 2025Closed November 10, 2025Closed
HRSA-26-005July 24, 2025Closed October 10, 2025Closed
HRSA-26-004July 24, 2025Closed September 29, 2025Closed
HRSA-26-002July 22, 2025Closed September 22, 2025Closed
HRSA-25-017August 29, 2024Closed October 29, 2024Closed
HRSA-25-016August 15, 2024Closed October 15, 2024Closed
HRSA-25-015July 25, 2024Closed September 24, 2024Closed
HRSA-25-014June 27, 2024Closed August 27, 2024Closed
HRSA-25-013May 30, 2024Closed August 19, 2024Closed
HRSA-25-012May 28, 2024Closed August 19, 2024Closed
HRSA-24-071August 31, 2023Closed November 3, 2023Closed
HRSA-24-070August 17, 2023Closed October 16, 2023Closed

Key dates

PostedMay 5, 2022
DeadlineJuly 5, 2022

Who can apply

This opportunity was open to nonprofits, colleges and universities, state and local governments and tribes.

All 12 applicant types the notice lists

1) You must be a domestic public or private, nonprofit entity, as demonstrated through the submission of the Evidence of Non-profit/Public Center Status (Attachment 11), outlined in Section IV.2.vi.10 Faith-based and community-based organizations, Tribes, and tribal organizations are eligible to apply.11 2) You must propose in the RESPONSE section of the Project Narrative to operate a health center that makes all required primary health care services (see footnote 6) available 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. 3) 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). 4) 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: a) 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. b) 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. c) 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. d) 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). 5) If you are a new or competing supplement applicant, you must propose a

More grants for nonprofits, colleges and universities, state and local governments, tribes.

Is this a realistic fit?

What the grant funds

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.

Category: Health.

Who has won Health Center Program grants before

From fiscal 2021 to 2025, Health Center Program (93.224) awarded $21 billion across 4,197 grant awards, an average of $5.0 million per award.

Largest recipients, fiscal 2021 to 2025
RecipientStateAwardsAmount
Sun River Health, Inc.New York4$103 million
Family Health Centers of San Diego IncCalifornia6$87.8 million
Yakima Valley Farm Workers ClinicWashington3$84.5 million
Altamed Health Services CorporationCalifornia5$82.6 million
Clinica Sierra VistaCalifornia2$81.4 million

Top states: California ($3.1 billion), New York ($1.2 billion), Texas ($1.2 billion), Florida ($1.1 billion), Illinois ($873 million).

Applying now

This notice no longer takes applications. Apply under the newer notice, HRSA-27-009, which is forecast.

The notice on Grants.gov keeps its full text and attachments, which is useful for planning a resubmission.

Questions people ask

Is HRSA-23-018 still open?

No. It closed on July 5, 2022. A newer notice is forecast: HRSA-27-009, expected deadline January 8, 2027.

Who can apply for Service Area Competition?

Health Resources and Services Administration accepted applications from nonprofits, colleges and universities, state and local governments and tribes. The notice adds further conditions, so read its eligibility section.

What is the deadline for Service Area Competition?

Closed July 5, 2022. Applications are no longer accepted; the program's newer notices are on this page when there are any.

How much funding is available?

About $418 million in total across about 82 awards.

Who has won Health Center Program grants before?

The largest recipients over five fiscal years were Sun River Health, Inc., Family Health Centers of San Diego Inc, Yakima Valley Farm Workers Clinic. The program made 4,197 awards worth $21 billion in that time.

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