Grants for New and Expanded Services under the Health Center Program

 

To provide for expanded and/or sustained national investment in health centers funded under section 330 of the Public Health Service Act, or designated by HRSA as meeting the requirements of the Health Center Program (referred to as look-alikes). Objectives may include expanding access to primary health care by supporting service provision at new or existing health center sites, implementing evidence-based models to improve the quality of primary care services, supporting networks that facilitate health information technology-based quality improvements in health centers, and expanding primary health care services related to emerging public health issues, including public health emergencies.

General information about this opportunity
Last Known Status
Active
Program Number
93.527
Federal Agency/Office
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Fiscal Year 2021 The HRSA Health Center Program improves the health of the nation’s underserved communities and vulnerable populations by assuring access to comprehensive, culturally competent, quality primary health care services. The Health Center Program provides patient-centered, comprehensive, integrated care to nearly 29 million people a year in communities across the United States through nearly 1,400 HRSA health centers that operate more than 13,500 service delivery sites. Through new and expanded funding, approximately 86% of health centers are part of a network, and health centers have been able to implement and evaluate innovative practices as well as support their communities and patients throughout the COVID-19 pandemic and expand critical services, such as HIV prevention. One-time funding to Health Center Program look-alikes (LALs), designated as of April 1, 2021, was provided to respond to and mitigate the spread of COVID-19, and to enhance health care services and infrastructure.
Fiscal Year 2022 The HRSA Health Center Program improves the health of the nation’s underserved communities and vulnerable populations by assuring access to comprehensive, culturally competent, quality primary health care services. The Health Center Program provides patient-centered, comprehensive, integrated care to more than 30 million people a year in communities across the United States through nearly 1,400 HRSA health centers that operate nearly 14,000 service delivery sites. Through new and expanded funding, health centers have been able to implement and evaluate innovative approaches to improve maternal health outcomes and reduce disparities for patients at highest risk of maternal morbidity and mortality, as well as support their communities and patients throughout the COVID-19 pandemic and expand critical services, such as HIV prevention. One-time funding to Health Center Program look-alikes (LALs), was provided to respond to and mitigate the spread of COVID-19, and to enhance health care services and infrastructure. Networks include 83% of all health centers and look-alikes and strengthen and leverage health information technology (IT) to improve health outcomes, with nearly 100% of participating health centers using health IT for patient engagement.
Authorization
HRSA-funded health centers and Health Center Controlled Networks are authorized under section 330 of the Public Health Service Act (42 U.S.C. 254b), as amended., Title Public Health Service Act
Look-alike funding is authorized under the Paycheck Protection Program and Health Care Enhancement Act (P.L. 116-139); section 2601 of the American Rescue Plan Act of 2021 (P.L. 117-2); Social Security Act, Section 1861(aa)(4) and 1905(I)(2)(B) (42 U.S.C. 1395x(aa)(4)(B) and 42 U.S.C. 1396d(I)(2)(B)(iii)), and Public Health Service Act, Section 330 (42 U.S.C. 254b)).
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Refer to the applicable NOFO under this program for additional information. Eligible applicants for funding for expanded services, such as HIV prevention services and evidence-based quality improvement, are current Health Center Program award recipients (funded under section 330 of the Public Health Service Act, as amended). Eligible applicants for funding for Health Center Controlled Networks are public, non-profit, or for-profit networks that are at least majority controlled and, as applicable, at least majority owned by Health Center Program award recipients; or current Health Center Program award recipients, funded for at least the 2 consecutive preceding years, applying on behalf of a Health Center Controlled Network. Eligible applicants for expansion of COVID-19 related services are current designated look-alikes and Health Center Controlled Networks. Refer to the applicable NOFO or supplemental funding instructions under this assistance listing for additional information.
Beneficiary Eligibility
Populations in medically underserved areas, medically underserved populations, and special populations such as migratory and seasonal agricultural workers and their families, people experiencing homelessness, and public housing residents.
Credentials/Documentation
Applicants should review the applicable HRSA NOFO issued under this program for any required proof or certifications that must be submitted before or with submission of an application package. The cost principles codified by the United States Department of Health and Human Services at 45 CFR Part 75 apply to this program.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is required. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review. An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.
Application Procedure
This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards.
Award Procedure
Notification is made in writing by a Notice of Award (NoA).
Deadlines
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
Refer to the applicable NOFO under this program.
Appeals
Not applicable.
Renewals
Awards to support projects beyond the first budget year will be contingent upon Congressional appropriation, compliance with applicable statutory and regulatory requirements, demonstrated organizational capacity to accomplish the project's goals, satisfactory performance, and a determination that continued funding would be in the best interest of the federal government.
How are proposals selected?
Criteria for selecting proposals are available in the NOFO under this assistance listing.
How may assistance be used?
Refer to the NOFO for additional information.
What are the requirements after being awarded this opportunity?
Reporting
Performance Reports: Refer to the applicable NOFO under this assistance listing for additional information.
Auditing
Not applicable.
Records
Award recipients are required to maintain grant accounting records for 3 years after the date they submit the Federal Financial Report (FFR). If any litigation, claim, negotiation, audit, or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
Refer to the NOFO for details.
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Bureau of Primary Health Care, Health Resources and Services Administration
5600 Fishers Lane
Rockville, MD 20857 US
BPHCFunding@hrsa.gov
Phone: 3015944300
Website Address
http://www.hrsa.gov
Financial Information
Account Identification
75-0350-0-1-550
Obligations
(Project Grants) FY 22$29,500,000.00; FY 23 est $25,000,000.00; FY 24 est $0.00; FY 21$5,400,000.00; FY 20$0.00; FY 19$42,200,000.00; FY 18$36,400,000.00; FY 17$36,300,000.00; FY 16$36,304,343.00; - School-Based Service Site Expansion (SBSS and SBSE)(Cooperative Agreements) FY 22$43,400,000.00; FY 23 est $43,400,000.00; FY 24 FY 21$42,250,000.00; FY 20$42,000,000.00; FY 19$200,700,000.00; FY 18$0.00; - Health Center Controlled Networks(Project Grants) FY 22$0.00; FY 23 est $338,000,000.00; FY 24 est $0.00; FY 21$143,800,000.00; FY 20$21,000,000.00; - Expanding COVID-19 Vaccination(Project Grants) FY 22$12,000,000.00; FY 23 est $0.00; FY 24 est $0.00; FY 21$10,560,000.00; FY 20$0.00; - Coronavirus Pandemic Response Awards for Look-Alikes(Project Grants) FY 22$124,200,000.00; FY 23 est $157,250,000.00; FY 24 est $172,000,000.00; FY 21$102,000,000.00; FY 20$53,700,000.00; - Primary Care HIV Prevention Programs(Project Grants) FY 22$54,500,000.00; FY 23 est $67,500,000.00; FY 24 est $25,000,000.00; FY 21$0.00; FY 20$1,175,000,000.00; - Quality Improvement
Range and Average of Financial Assistance
Varies. See applicable Notice of Funding Opportunity (NOFO) .
Regulations, Guidelines and Literature
The program is subject to the provision of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 75 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants.
Examples of Funded Projects
Not applicable.

 


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