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

Background
The Fiscal Year (FY) 2027 Health Center Program Service Area Competition (SAC) funding aims to improve 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. The Health Resources and Services Administration (HRSA) is responsible for this funding, which is intended to ensure access to affordable care while addressing pressing health challenges through chronic disease prevention and data-supported programs.

Grant Details
The FY 2027 SAC will provide grants to support health centers in delivering comprehensive primary and preventive health care services. Applicants must propose to serve at least one medically underserved area or population as defined in the Service Area Announcement Table (SAAT). The required services include prevention and management of chronic conditions, cancer screening, mental health services, and patient support services. Applicants must operate at least one full-time service delivery site in the proposed service area, open for patient care at least 40 hours per week. Funding awards will depend on appropriations and may vary based on the number of patients served. Organizations must demonstrate compliance with all Health Center Program requirements as outlined in the Health Center Program Compliance Manual.

Eligibility Requirements
Eligible applicants include state governments, county governments, city or township governments, special district governments, Native American tribal governments (Federally recognized), public housing authorities/Indian housing authorities, nonprofits with 501(c)(3) status (other than institutions of higher education), and other domestic organizations. Individuals are not eligible to apply. Applicants must propose to serve at least 75% of the SAAT Patient Target during the assessment period.

Period of Performance
The period of performance may be one year from April 1, 2027, to March 31, 2028, or four years from April 1, 2027, to March 31, 2031. If awarded a four-year period of performance, funding requests for years two through four cannot exceed the year one request.

Grant Value
The total expected available funding for FY 2027 is $267,773,700 with an anticipated award of approximately 63 grants. The funding range per award varies based on specific proposals and appropriations.

Place of Performance
The grant will be performed across various service areas in the United States and its territories as specified in the Service Area Announcement Table (SAAT).