Service Area Competition – Additional Areas (SAC-AA) – California, District of Columbia, Kansas, Nevada, New York, Oregon, Texas, and Washington

Grants to USA nonprofits and tribal groups providing health care services in Los Angeles, California; Washington, D.C.; Topeka, Kansas; Las Vegas, Nevada; New York, New York; Eugene, Oregon; Cleveland, Texas; Houston, Texas; and Tacoma, Washington. Funding will be provided for high quality, culturally appropriate, primary and preventive care to underserved and vulnerable populations.

New and competing supplement applicants must propose at least one full-time (operational 40 hours or more per week) permanent, fixed building site, with the exception of projects serving only migratory and seasonal agricultural workers, which may propose a full-time seasonal (rather than permanent) service delivery site. A mobile medical van may be proposed only if at least one full-time (operational 40 hours or more per week) permanent, fixed building site is also proposed in the application.

New and competing supplement applicants must demonstrate readiness to meet the following requirements:

• Within 120 days of receipt of the Notice of Award, all proposed sites must be operational, including having the necessary staff and providers in place to begin operating and delivering services to the proposed community and/or target population.

• Within one year of receipt of the Notice of Award, all proposed providers must be in place and all sites must be delivering services for the proposed hours of operation.

In addition to the general requirements, specific legislative requirements for applicants requesting funding under each health center type are outlined below:

Community Health Center Applicants:
• Ensure compliance with PHS Act section 330(e) and program regulations, requirements, and policies.
• Provide a plan that ensures the availability and accessibility of required primary and preventive health care services to underserved populations in the service area.

Migrant Health Center Applicants:

• Ensure compliance with PHS Act section 330(g); section 330(e); and, as applicable, program regulations, requirements, and policies.
• Provide a plan that ensures the availability and accessibility of required primary and preventive health care services to migratory and seasonal agricultural workers and their families in the service area. Migratory and seasonal agricultural workers are individuals principally employed in agriculture on a seasonal basis within the last 24 months who establish temporary housing for the purpose of this work. Seasonal agricultural workers are individuals employed in agriculture on a seasonal basis, who are not also migratory. Agriculture refers to farming in all its branches, as defined by the North American Industry Classification System5 under codes 111, 112, 1151, and 1152.

Health Care for the Homeless Applicants:

• Ensure compliance with PHS Act section 330(h); section 330(e); and, as applicable, program regulations, requirements, and policies.
• Provide a plan that ensures the availability and accessibility of required primary and preventive health care services to people experiencing homelessness, defined to include residents of permanent supportive housing or other housing programs that are targeted to homeless populations, in the service area. This plan may also allow for the continuation of services for up to 12 months to individuals who are no longer homeless as a result of becoming a resident of permanent housing.

Public Housing Primary Care Applicants:

• Ensure compliance with PHS Act section 330(i); section 330(e); and, as applicable, program regulations, requirements, and policies.
• Provide a plan that ensures the availability and accessibility of required primary and preventive health care services to residents of public housing and individuals living in areas immediately accessible to public housing. Public housing means public housing agency-developed, owned, or assisted low-income housing, including mixed finance projects, but excludes housing units with no public housing agency support other than Section 8 housing vouchers.