Healthy Schools, Healthy Communities


To support the development and operation of school- based health centers that provide preventive and comprehensive primary health care services to children at risk for poor health outcomes and other medically underserved populations. Priorities will be focused on providing services in the most medically underserved areas and maintaining existing school-based health centers that are serving high need populations. A school-based health center (SBHC) is defined as a health center in a school or on school grounds, operating year round, at least 30 hours per week. SBHCs must demonstrate sound capacities in the following areas: fiscal and management capabilities; monitoring and assessment of project performance; development and implementation of mechanisms for improving quality of care; and maximization of third- party reimbursement levels, through improved project administration and management.

General information about this opportunity
Last Known Status
Deleted 05/18/2005 (Program has been combined with other HRSA Bureau of Primary Health Care grants under 93.224.)
Program Number
Federal Agency/Office
Type(s) of Assistance Offered
Project Grants.
Program Accomplishments
The main purpose of the Healthy School, Healthy Communities program has been to support the development and operation of school-based health centers which provide preventive and primary health care services to at-risk school-children and other underserved populations. In addition, the Bureau of Primary Health Care identifies the most needy communities/populations through State-based planning activities. In fiscal year 2001 approximately 75 grantee organizations were funded, which provide services in more than 140 school-based health centers to nearly 50,000 users. Growth during fiscal year 2002 is expected to be between 5,000 and 10,000 users.
Public Health Service Act, Section 330, as amended, 42 U.S.C. 2546, Public Law 104-299.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Public or nonprofit private agency, institution, or organization. Profit-making organizations are not eligible.
Beneficiary Eligibility
Population groups in medically underserved areas.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Necessary coordination varies; Contact the HRSA Field Offices for details. 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. This program is subject to the requirements of the Public Health System Impact Statement.
Application Procedure
Application forms are available from the HRSA Grants Application Center. The standard application forms, furnished by HRSA and required by 45 CFR, Part 92, must be used by local government applicants. Local governments must prepare a Form DHHS 5161, Application for Federal Assistance (Nonconstruction), fully documenting the need for the grant and the proposed amount for the project. Other nonprofit organizations must complete Form PHS-5194, Grant Application for Health Services, documenting the need for and the proposed amount of the grant. Applications must be given to designated organizations for review and approval. This program is subject to the provisions of 45 CFR, Part 92 for State and local governments, and 45 CFR Part 74 for nonprofit organizations. Applications are subject to review pursuant to 45 CFR 100.
Award Procedure
HRSA Field Offices review continuation applications. Final decisions are made by the Director of the Bureau of Primary Health Care, Health Resources and Services Administration.
Contact Headquarters Office for application deadlines.
Approval/Disapproval Decision Time
From 90 to 120 days.
Renewals are subject to review pursuant to 45 CFR 100.
How are proposals selected?
1) Relative merit of grant proposals as measured against the Bureau's funding criteria; (2) Specific program guidelines; (3) Service to high priority population; (4) Demonstrated sound fiscal and management capabilities; and (5) Past management performance of the applicant.
How may assistance be used?
Applications should be designed to improve the availability, accessibility and organization of health care for the children enrolled in the school and the underserved populations residing in the community.
What are the requirements after being awarded this opportunity?
All grantees must submit a financial status report 90 days after the end of each budget period and a final financial status report 90 days after the end of the project period. Basic data, cost accounting, and reporting or monitoring systems will be compatible with federally established national reporting requirements for health services delivery projects.
In accordance with the provisions of OMB Circular No. A- 133 (Revised, June 24, 1997), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $300,000 or more in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.
DHHS and the Comptroller General of the United States or any of their authorized representatives, shall have the right of access to any books, documents, papers, or other records of a grantee, subgrantee, contractor, or subcontractor, which are pertinent to the DHHS grant, in order to make audits, examinations, excerpts and transcripts. Grantees are required to maintain grant accounting records 3 years after the end of a budget period. If any litigation, claim, negotiation, audit or other action involving the records 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. The applicant must assume part of the project costs determined on a case-by-case basis. Statement of availability is required as indicated in the appropriate program.
Length and Time Phasing of Assistance
The initial period of support may be up to 5 years. The project may be renewed for additional years of support based on its progress and the need for additional Federal support.
Who do I contact about this opportunity?
Regional or Local Office
Contact the HRSA Offices of Field Coordination.
Headquarters Office
Program Contact: Director, Division of Programs for Special Populations, Bureau of Primary Health Care, Health Resources and Services Administration, Department of Health and Human Services, 9th Floor, 4350 East-West Highway, Bethesda, MD 20814. Telephone: (301) 594-4420. Grants Management Contact: Office of Grants Management, Bureau of Primary Health Care, Health Resources and Services Administration, Department of Health and Human Services, 11th Floor, 4350 East-West Highway, Bethesda, MD 20814. Telephone: (301) 594-4235. Use the same numbers for FTS. Web site:
Website Address
Financial Information
Account Identification
(Grants) FY 02 $16,085,000; FY 03 est $18,479,000; and FY 04 est $20,000,000.
Range and Average of Financial Assistance
$100,000 to $300,000; $214,467.
Regulations, Guidelines and Literature
PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994; 42 CFR 51 C.
Examples of Funded Projects
(1) Health centers; (2) Health departments; (3) University medical centers; and (4) Hospitals.


Federal Grants Resources