Fiscal Year (FY) 2027 State and Regional Primary Care Association (PCA) Cooperative Agreements
🏛 Health Resources and Services Administration (HHS-HRSA)
✓ Free, no account · Source: Grants.gov · Last verified Oct 19, 2026
Can you apply?
This grant is for State and Regional Primary Care Associations (PCAs) that provide technical assistance to Health Center Program recipients and look-alikes.
Eligible applicants are established or new PCAs serving a state or multi-state region. Organizations must have capacity to deliver technical assistance directly and collaborate with other HRSA-funded programs.
The program supports TA activities that strengthen health center operations, workforce development, chronic disease management, emergency preparedness, value-based care strategies, and data-driven quality improvements. Activities must directly benefit medically vulnerable populations and communities.
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Key dates
- Aug 3, 2026 Applications open
- Jan 25, 2027 Application deadline in 97 days
- Jul 1, 2027 Award announced
- Jul 1, 2027 Project start
Program description
The purpose of the Fiscal Year (FY) 2027 State and Regional Primary Care Association (PCA) program is to develop and deliver technical assistance (TA) that supports existing and potential Health Center Program award recipients and look-alikes (LALs), hereafter referred to as health centers, both directly and collaboratively with other HRSA-funded TA programs. PCAs will improve the health of medically vulnerable individuals and communities by:
- Increasing access to high-quality preventive and primary health care services.
- Improving chronic disease prevention and management to enhance the overall health of communities.
- Recruiting, retaining, and training a health center workforce.
- Preparing for, responding to, and recovering from emergent health events.
- Implementing payer strategies, including value-based care delivery, to ensure high functioning, financially sustainable health centers.
- Accelerating data-informed improvements to improve operations and clinical quality.
Who can apply
Eligible applicants
- 501(c)(3) Public Charity
- City / Municipal Government
- County Government
- Nonprofits
- Private University
- Public University
- Small Business (SBA-defined)
- 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)
- SF-424 Supplement (Narrative statement)
- Project Narrative (describing TA strategy and activities)
- Budget and Budget Narrative
- Organizational capacity documentation
- Letters of support from partner health centers
- Indirect cost rate agreement (if applicable)
Program contact
- 👤 Health Resources and Services Administration
- 📧 bphcfunding@hrsa.gov
- 📞 301-594-4300
Funding track record
Recent awards under CFDA 93.129 from the last 3 years — real organizations that won funding through this same program.
Top 10 Largest Recent Awards
-
$46,786,845
-
$35,698,709
-
$24,847,364
-
$20,648,463
-
$19,586,053
-
$19,582,050
-
$18,729,615
-
$18,456,803
-
$17,348,951
-
$16,936,330
Top States by Funding
- CA 7 awards $103.9M
- NY 6 awards $70.9M
- TN 5 awards $68.9M
- MD 3 awards $63.9M
- TX 5 awards $58.1M
Source: USAspending.gov — federal spending transparency. Data covers last 3 years.
Funding history
Annual funding for this program — Federal obligations (CFDA 93.129). How funding has trended year over year.
| 2024 | $140,680,100 | |
| 2025 | $155,440,000 | |
| 2026 est. | $153,307,000 |
FAQ
Who can apply for this grant?
State and Regional Primary Care Associations that serve health centers can apply. Your organization must have capacity to provide technical assistance to multiple health centers.
What is the deadline?
The deadline is January 25, 2027. This is a fixed deadline, not rolling.
What activities are funded?
Funding supports technical assistance in workforce development, chronic disease prevention, value-based care implementation, emergency preparedness, and operational quality improvements for health centers.
What is the funding range?
Individual awards typically range from $790,000 to $4,900,000. Total program funding is $76,000,000.
Do I need to provide cost-sharing?
No. Cost sharing is not required for this cooperative agreement.
💡 Tips for applicants
- Clearly describe your organization's experience supporting health centers in your target state or region. Provide concrete examples of past TA delivery.
- Align your proposed activities with HRSA priorities: workforce recruitment, chronic disease management, value-based care, and emergency preparedness are key focus areas.
- Show strong partnerships with existing health centers and other HRSA-funded technical assistance programs. Collaboration is essential.
- Use data to demonstrate the health care needs of your region's vulnerable populations and how your TA directly addresses them.
- Include realistic staffing plans and organizational infrastructure details. Reviewers want to see you can execute across multiple health centers.
⚠️ Common mistakes
Weak organizational capacity narrative. Reviewers reject applications when PCAs don't clearly demonstrate past experience providing TA to multiple health centers or strong regional presence. Vague partnership descriptions. Stating you "will partner with" organizations without specific MOUs or letters of support weakens proposals significantly. Misaligned activities. Proposing TA that doesn't directly support health center operations or serve medically underserved populations gets scored down.
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