Affordable Care Act (ACA) Grants for New and Expanded Services under the Health Center Program


To provide for expanded and sustained national investment in health centers funded under section 330 of the Public Health Service Act, including expanding the current safety net on a national basis by creating new access points (i.e., new health centers and sites), expanding services at existing health centers, and expanding networks that facilitate health information technology-based quality improvements in health centers.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration
Type(s) of Assistance Offered
Project Grants
Program Accomplishments
Not Applicable.
Section 330 of the Public Health Service Act as amended (42 U.S.C. 254b), as amended by Section 10503 of The Patient Protection and Affordable Care Act (P.L. 111-148), Public Law 111-148.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Eligible applicants for funding for new access points are public and private non-profit entities, including federally recognized Indian Tribal governments and Native American, faith-based, and community-based organizations that have the capacity to effectively administer the grant.

Eligible applicants for funding for expanded services and behavioral health integration are current Health Centers 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 organizations providing data-drive quality improvement services as Health Center Controlled Networks as defined under Section 330 of the Public Health Services Act, as amended, including federally recognized Indian Tribal governments and Native American, faith-based, and community-based organizations that have the capacity to effectively administer the grant. Refer to the applicable funding opportunity announcement(s) under this CFDA number for additional information.
Beneficiary Eligibility
Population groups in medically underserved areas, medically underserved populations, and special populations such migratory and seasonal agricultural workers, people experiencing homelessness, and public housing residents.
Applicants should review the applicable HRSA funding opportunity announcement(s) issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is required. Environmental impact information is not required for this program. 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.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program.
Award Procedure
Notification is made in writing by a Notice of Award (NoA).
Contact the headquarters or regional office, as appropriate, for application deadlines.
Approval/Disapproval Decision Time
From 90 days to up to 6 months.
Not Applicable.
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 funding opportunity announcement(s) under this CFDA program.
How may assistance be used?
Applications should be designed to improve the availability, accessibility, provision, and quality of primary health care services. Refer to the funding opportunity announcement(s) under this CFDA number for additional information.
What are the requirements after being awarded this opportunity?
Refer to the applicable funding opportunity announcement(s) under this CFDA program for additional reporting information. The awardee will be required to submit federal financial reports (see the program announcement and notice of award for details for each required report). The awardee must submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System within 30 days of the end of each calendar quarter. A Federal Financial Report (SF-425) is due according to the following schedule: A final report is due within 90 days after the project period ends. If applicable, the awardee must submit a Tangible Personal Property Report (SF-428) and any related forms within 90 days after the project period ends. New awards (“Type 1”) issued under this funding opportunity announcement are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub. L. 109–282), as amended by section 6202 of Public Law 110–252, and implemented by 2 CFR Part 170. Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient’s and subrecipient’s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (FFATA details are available online at Competing continuation awardees, etc. may be subject to this requirement and will be so notified in the Notice of Award. Expenditure reports are not applicable. Performance monitoring is not applicable.
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.
Grantees 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
This program has no statutory formula.
Matching requirements are not applicable to this program.
This program has MOE requirements, see funding agency for further details.
Length and Time Phasing of Assistance
Awards are made annually. After awards are issued, funds are released in accordance with HHS payment procedures, which may be through an Electronic Transfer System or a Monthly Cash Request System. See the following for information on how assistance is awarded/released: Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Who do I contact about this opportunity?
Regional or Local Office
See Regional Agency Offices. Contact headquarters with questions.
Headquarters Office
Bureau of Primary Health Care, HRSA, 5600 Fishers Lane Room 17C-26, Rockville, Maryland 20857 Phone: (301) 594-4300.
Website Address
Financial Information
Account Identification
(Project Grants) FY 14 $54,500,000; FY 15 est $51,323,685; and FY 16 est $0 - Behavioral Health Integration Service Expansion. (Project Grants) FY 14 $20,975,378; FY 15 est $22,000,000; and FY 16 est $25,000,000 - Health Center Controlled Networks. (Project Grants) FY 14 $301,820,677; FY 15 est $350,000,000; and FY 16 est $0 - Expanded Services Service Expansion. (Project Grants) FY 14 $150,728,198; FY 15 est $100,000,000; and FY 16 est $50,000,000 - New Access Points.
Range and Average of Financial Assistance
Varies. See applicable funding opportunity announcement.
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
Examples of Funded Projects
Not Applicable.