Fiscal Year (FY) 2027 State and Regional Primary Care Association (PCA) Cooperative Agreements

The Fiscal Year State and Regional Primary Care Association Cooperative Agreements program is administered by the Health Resources and Services Administration within the U.S. Department of Health and Human Services. This federal initiative supports Primary Care Associations, which serve as key partners in strengthening the national Health Center Program. These associations play a central role in supporting health centers that provide care to medically underserved populations across the United States and its territories. The program is designed to ensure that health centers operate efficiently, deliver high quality care, and remain financially sustainable while expanding access to essential services. The primary purpose of this funding opportunity is to develop and deliver technical assistance to existing and prospective Health Center Program recipients and look alike organizations. These entities are collectively referred to as health centers and include organizations that either currently receive federal support or meet eligibility requirements to do so. Through cooperative agreements, recipients are expected to provide both direct and collaborative technical assistance alongside other HRSA funded programs. The overarching goal is to improve the health outcomes of medically vulnerable populations by enhancing the capacity and performance of health centers nationwide. Funding under this program supports a wide range of activities aimed at strengthening healthcare delivery systems. These include increasing access to preventive and primary care services, improving chronic disease management, and supporting workforce development efforts such as recruitment, retention, and training of healthcare professionals. Additional allowable uses include preparing for and responding to public health emergencies, implementing payer strategies such as value based care models, and leveraging data to improve operational and clinical performance. The program emphasizes data informed decision making and continuous quality improvement to ensure that health centers can effectively meet community needs. There is no cost sharing or matching requirement associated with this opportunity, making it accessible to a broad range of eligible applicants. Eligible entities include nonprofit organizations with or without 501 c 3 status, small and large for profit organizations, state and local governments, tribal organizations, and institutions of higher education. Applicants may come from all U.S. states and territories, including Puerto Rico, Guam, and other associated jurisdictions. Both new applicants and organizations currently receiving PCA funding are eligible to apply, though individuals are explicitly excluded. Applications must be submitted electronically through the designated federal systems by the specified deadline. The estimated application due date is January 25, 2027, with submissions required by 11 59 p.m. Eastern Time. There are no pre application requirements such as letters of intent specified in the forecast. Following submission, applications will be evaluated based on their ability to effectively deliver technical assistance, support health center operations, and improve health outcomes. The estimated award date and project start date are both July 1, 2027, indicating a streamlined transition from selection to implementation. This opportunity is currently in a forecast stage, with an estimated posting date in November 2026. The total program funding is projected at 76 million dollars, with approximately 52 awards expected. Individual awards range from a floor of 790000 dollars to a ceiling of 4900000 dollars. These cooperative agreements reflect a collaborative funding mechanism in which HRSA maintains substantial involvement in program activities. The program is expected to follow an annual cycle aligned with the federal fiscal year, and applicants should monitor official announcements for updates and final application guidance. For additional information, applicants may contact HRSA via the provided email or phone number.

Focus on demonstrating capacity to deliver technical assistance that improves access, workforce stability, and data driven health center performance