Fiscal Year (FY) 2027 Service Area Competition (SAC)

The Fiscal Year FY Service Area Competition SAC is a forecasted federal grant opportunity administered by the Health Resources and Services Administration HRSA within the U.S. Department of Health and Human Services. The opportunity is part of the Health Center Program under Assistance Listing 93.224. HRSA uses the Service Area Competition process to support health center services for medically underserved communities and populations. The opportunity is classified as discretionary funding and uses a grant as the funding instrument. The stated category of funding activity is Health. The purpose of the Service Area Competition is to improve the health of medically underserved communities and populations by supporting the delivery of comprehensive, high-quality preventive and primary health care services in the United States and its territories. For each Service Area Competition Notice of Funding Opportunity, the service areas available for competition are announced through the Service Area Announcement Table, or SAAT. HRSA may also announce additional service areas during the year through a Service Area Competition-Additional Area, or SAC-AA, when an awarded health center cannot continue providing services in its funded service area. The forecast does not provide more detailed allowable-cost rules, prohibited expenditures, indirect cost restrictions, or subaward restrictions. Eligible applicants include nonprofit organizations with 501(c)(3) status, other than institutions of higher education, as well as nonprofit organizations without 501(c)(3) status, other than institutions of higher education. County governments, state governments, city or township governments, special district governments, and public housing authorities or Indian housing authorities are also eligible. Federally recognized Native American tribal governments and Native American tribal organizations other than federally recognized tribal governments are specifically included. The forecast does not identify institutions of higher education, individuals, school districts, or for-profit organizations as eligible applicants. No cost sharing or matching contribution is required. The opportunity is currently forecasted rather than open for application submission. HRSA estimates that the opportunity will be posted on September 4, 2026. The estimated application deadline is October 5, 2026, and electronically submitted applications must be submitted no later than 11:59 p.m. Eastern Time on that date. The forecast does not identify a letter of intent, concept paper, pre-proposal, notice of intent, or other pre-application gating requirement. It also does not provide application questions, required attachments, narrative requirements, evaluation criteria, scoring criteria, or detailed submission instructions beyond indicating electronic submission. Applicants should therefore consult the subsequently posted Notice of Funding Opportunity and its applicable Service Area Announcement Table for the complete submission requirements. Estimated total program funding is 422424000, with 109 awards expected. The stated award ceiling is 22025000 and the stated award floor is 398400. The forecast does not provide a complete period of performance or explain whether the stated award amounts represent annual or total project-period funding. The estimated award date is January 30, 2027, and the estimated project start date is February 1, 2027. Because the source is a forecast, these posting, application, award, and project start dates are estimates and may be updated when the formal funding opportunity is issued. Questions about the opportunity may be directed to the Health Resources and Services Administration at bphcfunding@hrsa.gov or 301-594-4300. The source identifies no individual grantor contact by name. The forecast was dated July 31, 2026 and was last updated August 26, 2026. Its archive date is October 2, 2027. The provided forecast does not explicitly state that this opportunity recurs annually or on another fixed schedule, so recurrence is not assumed for data-entry purposes.

Review the applicable Service Area Announcement Table when the NOFO is posted because it identifies the service areas available for competition. Align the proposed services with the stated purpose of delivering comprehensive, high-quality preventive and primary health care to medically underserved communities and populations.