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

The Health Resources and Services Administration, an agency of the U.S. Department of Health and Human Services, forecasts the Service Area Competition (SAC) under Assistance Listing 93.224, Health Center Program. This federal discretionary grant opportunity is identified as HRSA-27-008 and is categorized under Health. The program is intended to improve the health of medically underserved communities and populations by supporting the delivery of comprehensive, high-quality preventive and primary health care services throughout the United States and its territories. The forecast indicates an expected 61 awards and estimated total program funding of $258,338,000. The Service Area Competition makes specific health center service areas available for competition. For each SAC Notice of Funding Opportunity, the available service areas are announced through the Service Area Announcement Table. HRSA may also announce additional service areas during the year through a Service Area Competition-Additional Area when an awarded health center cannot continue providing services in its funded service area. The source establishes the delivery of comprehensive preventive and primary health care services as the central funding purpose. It does not provide additional details regarding specific allowable cost categories, prohibited expenditures, indirect cost limits, subaward limits, or the period of performance in this forecast. Eligible applicants include county governments, federally recognized Native American tribal governments, city or township governments, public housing authorities and Indian housing authorities, state governments, special district governments, Native American tribal organizations other than federally recognized tribal governments, nonprofit organizations having 501(c)(3) status with the IRS other than institutions of higher education, and nonprofit organizations without 501(c)(3) status other than institutions of higher education. No cost sharing or matching requirement applies. The description states that the program serves communities and populations in the United States and its territories and does not identify a state-specific restriction. This opportunity remains in forecast status. The forecasted date is July 31, 2026, and the estimated posting date is September 4, 2026. Because the opportunity has not yet reached its estimated posting date, the forecast does not provide complete application instructions or identify required application forms, narratives, attachments, pre-application submissions, or evaluation criteria. Applicants should therefore rely on the forthcoming Notice of Funding Opportunity and associated Grants.gov package for the final submission requirements. The forecast does state that electronically submitted applications must be submitted no later than 11:59 p.m. Eastern Time on the listed application due date. The estimated application due date is October 5, 2026. No Letter of Intent, concept paper, pre-proposal, notice of intent, or other pre-application gating deadline is identified in the provided forecast. The estimated award date is March 3, 2027, and the estimated project start date is April 1, 2027. The opportunity has an archive date of October 2, 2027. Although HRSA states that additional service areas may be announced throughout the year through SAC-AA opportunities, the forecast does not explicitly establish a recurring schedule for this specific opportunity, so no recurring application cycle is inferred. The estimated award ceiling is $10,117,000 and the estimated award floor is $650,000. These amounts are presented directly in the Grants.gov forecast, but the source does not provide award tiers, per-year funding amounts, a defined project duration, or other details needed to further interpret the individual award amounts. Questions concerning the opportunity may be directed to the Health Resources and Services Administration at bphcfunding@hrsa.gov or 301-594-4300. No individual grantor contact person is named in the source.

Align the proposed work with delivery of comprehensive, high-quality preventive and primary health care services for medically underserved communities and populations and the applicable service area.