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 federally qualified health centers (FQHCs) and health center program grantees seeking to expand or continue primary care services in medically underserved areas. Eligible applicants are nonprofit organizations, public authorities, and tribal entities operating or planning to operate health centers. The program supports comprehensive preventive and primary health care delivery across the United States and its territories.
Service areas are competition-specific and announced in advance. Organizations must demonstrate capacity to serve medically underserved populations. This is a highly competitive grant with significant funding available for expansion and sustainability of health center programs.
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Key dates
- Sep 18, 2026 Applications open
- Oct 19, 2026 Application deadline today
- Dec 29, 2026 Award announced
- Jan 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
- Project Narrative describing service area need and organizational capacity
- Community Health Needs Assessment (CHNA)
- Work plan with measurable objectives and timeline
- Budget and Budget Narrative with 3-5 year projections
- Organizational documents (bylaws, IRS 501(c)(3) determination, audit reports)
- Letters of support from community partners and local health departments
- Cultural competency and linguistic access plan
- Management and staffing plan with organizational chart
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 is eligible to apply for this grant?
Federally qualified health centers, existing health center grantees, and organizations seeking FQHC status can apply. Public authorities and tribal entities are also eligible.
What geographic areas are eligible?
Competition is limited to announced service areas published in the Service Area Announcement Table. Check the NOFO for available service areas in your region.
What activities and services are funded?
The grant supports comprehensive primary care, preventive services, dental care, and behavioral health services in medically underserved communities.
How competitive is this program?
This is highly competitive with a large funding pool ($470+ million) attracting applications from established health centers and new applicants. Strong evidence of community need is essential.
What is the funding range?
Awards typically range from approximately $1.2 million to $19 million annually, depending on service area size and scope.
💡 Tips for applicants
- Align your application to announced service areas. Applying for unannounced areas automatically disqualifies you.
- Emphasize demonstrated capacity to serve medically underserved populations, not just organizational size or infrastructure.
- Include letters of support from local health departments, schools, and community organizations showing stakeholder buy-in.
- Document baseline health disparities in your target service area using epidemiological data and community assessments.
- Build your budget on realistic patient volume projections based on comparable health centers in similar demographic areas.
⚠️ Common mistakes
Not verifying the service area is open for competition in your deadline year. Underestimating the time required to conduct a comprehensive community health needs assessment. Submitting weak or generic letters of support without specific commitments from key partners.
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