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 and health center programs serving medically underserved areas and populations. Applicants must be able to deliver comprehensive primary care and preventive health services. Eligible recipients include existing health centers and new applicants approved to serve specific service areas announced by HRSA. All U.S. states, territories, and tribal lands are eligible.
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Key dates
- Jul 31, 2026 Applications open
- Sep 14, 2026 Application deadline
- Mar 3, 2027 Award announced
- Apr 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 describing service delivery plan
- Organizational capacity documentation
- Budget and Budget Narrative
- Proof of tax-exempt status or governance documentation
- Letters of support from community partners
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 SAC funding?
Federally qualified health centers and health center programs serving medically underserved communities. Applicants must be approved to operate in announced service areas.
What services must be supported by this grant?
Comprehensive primary care and preventive health services. This includes medical, dental, mental health, and substance abuse services.
How often does HRSA announce service areas?
HRSA announces service areas in the annual NOFO. Additional areas may be announced during the year through SAC-AA notices.
What is the funding range for awards?
Awards typically range from $650,000 to $10,117,000 annually, depending on service area size and need.
Is cost-sharing required?
No. This is a fully funded competitive grant with no required cost-share.
💡 Tips for applicants
- Review the Service Area Announcement Table (SAAT) early to identify service areas matching your service delivery capacity and community need.
- Provide strong data on the medically underserved population you will serve, including demographics and current health disparities.
- Demonstrate organizational capacity to deliver comprehensive services across multiple disciplines within the first funding year.
- Include detailed plans for quality improvement, patient accessibility, and cultural competency in your application.
- Align your proposal with HRSA's priorities for health equity and underserved population outreach.
⚠️ Common mistakes
Applying for a service area without sufficient organizational capacity to launch comprehensive services quickly. Underestimating the scope of required services and staff needed to meet competition requirements. Submitting weak data on the target population's health status and current access barriers.
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