Opportunity Information: Apply for HRSA 27 005

The Fiscal Year (FY) 2027 Service Area Competition (SAC) is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) under the Health Center Program (CFDA 93.224). Its central purpose is to improve health outcomes in medically underserved communities and for medically underserved populations by funding organizations that can deliver comprehensive, high-quality preventive and primary health care. In practical terms, this competition is designed to ensure continuity and quality of health center services in specific geographic or community-based service areas across the United States and its territories by awarding grant support to eligible entities prepared to operate and sustain health center care in those areas.

A key feature of SAC is that it is service-area based, meaning applicants are competing to serve particular locations or populations identified by HRSA. For each SAC Notice of Funding Opportunity (NOFO), the specific service areas open for competition are published in the Service Area Announcement Table (SAAT). The SAAT is essentially the definitive list that tells applicants which service areas are currently available and therefore which places they can apply to serve under this funding cycle. HRSA also notes that service areas can change during the year: if a currently awarded health center can no longer continue providing services in its funded service area, HRSA may open up additional areas later through a related process called Service Area Competition-Additional Area (SAC-AA). That SAC-AA pathway functions as a way to fill unexpected gaps so communities do not lose access to health center services.

This opportunity is offered as a grant (Funding Instrument Type: Grant) and is categorized under the health funding activity area. HRSA anticipates making about 63 awards under this competition. The listed award ceiling is $10,116,100, indicating the maximum expected funding level for an individual award under this announcement (actual award amounts can vary depending on the service area, scope of services proposed, and HRSA program and budget determinations).

Eligible applicants span a wide range of public and nonprofit entities. Government applicants may include state, county, and city or township governments, as well as special district governments. Tribal participation is supported through eligibility for federally recognized Native American tribal governments and for Native American tribal organizations that are not themselves federally recognized tribal governments. Housing-related public entities may apply as well, including public housing authorities and Indian housing authorities. On the nonprofit side, both 501(c)(3) organizations (excluding institutions of higher education) and nonprofits without 501(c)(3) status (also excluding institutions of higher education) are eligible, which gives communities flexibility in who can lead a health center proposal as long as the entity meets program requirements.

For reference and tracking, the official funding opportunity title is "Fiscal Year (FY) 2027 Service Area Competition (SAC)" and the funding opportunity number is HRSA-27-005. The opportunity was created on 2026-09-18, and the original application closing date is 2026-10-19. Overall, SAC is structured to competitively award resources to capable organizations so that underserved communities have reliable access to preventive and primary care, while also maintaining a mechanism (SAC-AA) to quickly re-open competition for any service area that unexpectedly becomes unserved.

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Fiscal Year (FY) 2027 Service Area Competition (SAC)" 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 2026-09-18.
  • Applicants must submit their applications by 2026-10-19. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $10,116,100.00 in funding.
  • The number of recipients for this funding is limited to 63 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education.
Apply for HRSA 27 005

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Frequently Asked Questions (FAQs)

What is the Fiscal Year (FY) 2027 Service Area Competition (SAC)?

The FY 2027 Service Area Competition (SAC) is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) under the Health Center Program (CFDA 93.224). It is a competitive funding process where eligible organizations apply to operate and sustain health center services in specific HRSA-defined service areas.

What is the main purpose of this SAC funding opportunity?

The central purpose is to improve health outcomes in medically underserved communities and for medically underserved populations by funding organizations that can deliver comprehensive, high-quality preventive and primary health care. The competition is designed to help ensure continuity and quality of health center services in the service areas included in the announcement.

Is this funding opportunity service-area based?

Yes. SAC is service-area based, meaning applicants compete to serve particular geographic or community-based service areas identified by HRSA for that funding cycle.

How do I know which service areas are open for competition?

HRSA publishes the specific service areas open for competition in the Service Area Announcement Table (SAAT) for each SAC Notice of Funding Opportunity (NOFO). The SAAT is the definitive list of service areas available under the funding cycle.

What is the Service Area Announcement Table (SAAT)?

The SAAT is the table HRSA provides with the SAC NOFO that lists the service areas currently available for applicants to compete for. It tells applicants which locations or populations can be applied for under this particular SAC cycle.

Can service areas change after the opportunity is posted?

Yes. HRSA notes that service areas can change during the year. If a currently awarded health center can no longer continue providing services in its funded service area, HRSA may open additional service areas later through a related process.

What is SAC-AA and how is it related to SAC?

SAC-AA stands for Service Area Competition-Additional Area. It is a related process HRSA may use to open up additional service areas later if an awarded health center can no longer provide services. The intent is to fill unexpected gaps so communities do not lose access to health center services.

What type of funding instrument is used for this opportunity?

The funding instrument type is a grant.

What is the funding activity area for this opportunity?

This opportunity is categorized under the health funding activity area.

How many awards does HRSA expect to make under this SAC competition?

HRSA anticipates making about 63 awards under this competition.

What is the maximum award amount (award ceiling) listed for this opportunity?

The listed award ceiling is $10,116,100, which indicates the maximum expected funding level for an individual award under this announcement.

Will every award be exactly the award ceiling amount?

No. Actual award amounts can vary depending on the service area, the scope of services proposed, and HRSA program and budget determinations.

Who is eligible to apply?

Eligible applicants include a range of public and nonprofit entities, including certain state and local governments, special district governments, eligible tribal entities, housing authorities, and eligible nonprofit organizations (as described in the opportunity details).

Which types of government entities may apply?

Government applicants may include state governments, county governments, and city or township governments, as well as special district governments.

Are tribal entities eligible to apply?

Yes. Eligibility includes federally recognized Native American tribal governments and Native American tribal organizations that are not themselves federally recognized tribal governments.

Can housing-related public entities apply?

Yes. Eligible applicants include public housing authorities and Indian housing authorities.

Are nonprofit organizations eligible to apply?

Yes. Both 501(c)(3) organizations (excluding institutions of higher education) and nonprofits without 501(c)(3) status (also excluding institutions of higher education) are eligible, as described in the opportunity information.

Are institutions of higher education eligible under the nonprofit categories listed?

No. The nonprofit eligibility categories described in the opportunity specifically exclude institutions of higher education.

What is the CFDA number associated with this opportunity?

The SAC opportunity is under the Health Center Program with CFDA 93.224.

What is the official title of the funding opportunity?

The official funding opportunity title is "Fiscal Year (FY) 2027 Service Area Competition (SAC)."

What is the funding opportunity number?

The funding opportunity number is HRSA-27-005.

When was this opportunity created?

The opportunity was created on 2026-09-18.

What is the original application closing date?

The original application closing date is 2026-10-19.

What kinds of services is this funding intended to support?

Based on the opportunity description, this funding is intended to support comprehensive, high-quality preventive and primary health care services delivered through health center operations in the designated service areas.

What does HRSA mean by ensuring "continuity" of health center services?

In this context, continuity refers to maintaining reliable access to health center services in the specified service areas. SAC is structured to competitively fund organizations prepared to operate and sustain health center care so communities continue to have access to preventive and primary care.

Does SAC apply only in the United States?

The opportunity is described as covering specific service areas across the United States and its territories.

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