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 center (FQHC) organizations seeking to deliver primary and preventive care in underserved areas.
Eligible applicants are 501(c)(3) nonprofits, health centers, and public health agencies already in the HRSA Health Center Program or seeking to establish new service areas.
Service areas available for competition are announced annually in the Service Area Announcement Table (SAAT). Geographic scope includes all 50 states, Washington D.C., and U.S. territories. Projects support comprehensive primary care, preventive services, and dental/mental health care for medically underserved populations.
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Key dates
- Sep 1, 2026 Applications open
- Jan 8, 2027 Application deadline in 81 days
- Jul 29, 2027 Award announced
- Aug 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)
- Public Authority
- Special District
- State Government
- Tribal Nation
- Tribal Organization
Demographic focus
How to apply
Application links
Key dates & requirements
Required documents
- HRSA Application Form (SF-424)
- Project Narrative
- Budget and Budget Narrative
- Organizational Capability and Experience Documentation
- Service Area Needs Assessment
- 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 can apply for this grant?
Federally qualified health centers, 501(c)(3) nonprofits, and public agencies authorized to provide primary health care. Existing Health Center Program grantees and new applicants can compete for available service areas.
What is the deadline and funding range?
The FY 2027 deadline is January 8, 2027. Awards typically range from $650,000 to $1,500,231.
What activities does this grant support?
Grants fund comprehensive primary care, preventive services, dental care, mental health services, and care for medically underserved populations in designated service areas.
How is the Service Area Competition structured?
Available service areas are announced in the Service Area Announcement Table (SAAT). Additional service areas may be announced throughout the year if a current grantee cannot continue services.
Is cost-sharing required?
No, cost-sharing is not required for this grant. This is a straightforward federal funding opportunity.
💡 Tips for applicants
- Review the Service Area Announcement Table (SAAT) early to identify geographic areas matching your organization's capacity and mission.
- Emphasize your experience serving medically underserved populations and your ability to deliver comprehensive primary care services.
- Detail your staffing plan, clinical protocols, and infrastructure for delivering preventive, primary, dental, and mental health services.
- Include strong letters of support from community organizations, local health departments, and representatives of the underserved population.
- Demonstrate financial stability and management capacity to sustain operations across the multi-year grant period.
⚠️ Common mistakes
Applying for service areas already assigned to another grantee or failing to demonstrate established relationships with the target underserved population. Weak sustainability plans or insufficient evidence of organizational capacity to deliver comprehensive services. Unclear clinical protocols or inadequate staffing plans for primary care delivery.
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