Fiscal Year (FY) 2027 Service Area Competition (SAC)
🏛 Health Resources and Services Administration (HHS-HRSA)
✓ Free, no account · Source: Grants.gov · Last verified Oct 18, 2026
Can you apply?
This grant is for health centers seeking to expand or establish primary and preventive health care services in medically underserved areas. Eligible applicants are community health centers, federally qualified health centers (FQHCs), and similar nonprofit and public entities authorized to deliver comprehensive primary care. Specific service areas are announced annually in the Service Area Announcement Table (SAAT); applicants must target one of these designated areas. Awards support multi-year projects delivering preventive care, primary care, and related services to uninsured, underinsured, and vulnerable populations across the U.S. and territories.
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Key dates
- Jul 31, 2026 Applications open
- Sep 4, 2026 Application deadline
- Jan 30, 2027 Award announced
- Feb 1, 2027 Project start
Program description
The FY 2027 Health Center Program Service Area Competition (SAC) funding improves the health of medically underserved communities and populations by providing grants to support the delivery of comprehensive, high-quality preventive and primary health care services in the United States and its territories. For each SAC Notice of Funding Opportunity (NOFO), service areas available for competition are announced in the Service Area Announcement Table (SAAT). Throughout the year, we may announce additional service areas in a Service Area Competition-Additional Area (SAC-AA) if an awarded health center cannot continue to provide services in the funded service area.
Who can apply
Eligible applicants
- 501(c)(3) Public Charity
- City / Municipal Government
- Community Health Center
- County Government
- FQHC (Federally Qualified Health Center)
- Nonprofits
- Public Authority
- Special District
- State Government
- Tribal Nation
- Tribal Organization
Demographic focus
How to apply
Application links
Key dates & requirements
Required documents
- SF-424 (Application for Federal Assistance)
- Project Narrative/Service Delivery Plan
- Organizational Capacity Documentation
- Community Health Needs Assessment
- Letters of Support
- Budget Narrative and Detail
- Organizational Chart and Key Personnel Resumes
Program contact
- 👤 Health Resources and Services Administration
- 📧 bphcfunding@hrsa.gov
- 📞 301-594-4300
Funding track record
Recent awards under CFDA 93.224 from the last 3 years — real organizations that won funding through this same program.
Top 10 Largest Recent Awards
-
$182,307,437
-
$171,713,232
-
$161,629,074
-
$141,255,409
-
$131,002,327
-
$129,473,285
-
$128,839,338
-
$127,849,259
-
$125,447,744
-
$121,866,082
Top States by Funding
- CA 17 awards $1,743.7M
- FL 10 awards $777.4M
- NY 7 awards $678.0M
- IL 6 awards $548.7M
- TX 7 awards $497.7M
Source: USAspending.gov — federal spending transparency. Data covers last 3 years.
Funding history
Annual funding for this program — Federal obligations (CFDA 93.224). How funding has trended year over year.
| 2024 | $5,401,144,000 | |
| 2025 | $5,408,524,000 | |
| 2026 est. | $5,342,179,000 |
FAQ
Who can apply for the SAC grant?
Community health centers, FQHCs, and similar health care entities serving underserved populations. Applicants must be eligible to receive federal healthcare funding.
When is the deadline?
The FY 2027 SAC deadline is September 4, 2026. Additional service areas (SAC-AA) may open throughout the year.
Which service areas are eligible for this funding?
Only service areas listed in the Service Area Announcement Table (SAAT) are available. Check the SAAT to see if your target area is open for competition.
What activities does this funding support?
Primary and preventive health care delivery, including outreach, care coordination, and services for vulnerable populations in medically underserved areas.
What is the typical award amount?
Awards range from $398,400 to $22,025,000 depending on service area, scope, and need. Total program funding is approximately $422 million.
💡 Tips for applicants
- Review the Service Area Announcement Table (SAAT) early to confirm your target area is open and understand the specific scope required.
- Provide strong evidence of the underserved population's health needs through data, community input, and epidemiological analysis.
- Describe a realistic, phased implementation plan that shows how you'll achieve comprehensive primary care delivery within the service area.
- Include letters of support from local health departments, community partners, and other stakeholders demonstrating coordination and buy-in.
- Align your budget and staffing plan with the scope and population size of the service area to show feasibility and sustainability.
⚠️ Common mistakes
Applying for a service area not listed in the SAAT or already awarded. Submitting insufficient evidence of community health needs and population served. Underestimating operational complexity or overpromising service expansion without realistic timelines.
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