Notice2025-15036
Health Center Program Performance Period Extensions
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
August 7, 2025
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
Abstract
HRSA is extending health center grantees' performance periods to a total of 4 years. The change from a 3-year performance period to a 4-year performance period will provide current health centers additional time to serve their service area before they apply for a new award and will provide a funding amount consistent with what would have been made available through the Service Area Competition (SAC). The extended performance period supports HRSA's commitment to continuity in access to comprehensive primary care and will not impact HRSA's ability to ensure that health centers comply with Health Center Program requirements. This update will not change the statutory requirement that health centers that fail to comply with Health Center Program requirements will receive a 1-year performance period if a new project period is awarded.
Full Text
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<title>Federal Register, Volume 90 Issue 150 (Thursday, August 7, 2025)</title>
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[Federal Register Volume 90, Number 150 (Thursday, August 7, 2025)]
[Notices]
[Pages 38157-38164]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-15036]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Health Center Program Performance Period Extensions
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice of the extension of the standard performance period for
health center grantees from 3 to 4 years and request for information
from current recipients.
-----------------------------------------------------------------------
SUMMARY: HRSA is extending health center grantees' performance periods
to a total of 4 years. The change from a 3-year performance period to a
4-year performance period will provide current health centers
additional time to serve their service area before they apply for a new
award and will provide a funding amount consistent with what would have
been made available through the Service Area Competition (SAC). The
extended performance period supports HRSA's commitment to continuity in
access to comprehensive primary care and will not impact HRSA's ability
to ensure that health centers comply with Health Center Program
requirements. This update will not change the statutory requirement
that health centers that fail to comply with Health Center Program
requirements will receive a 1-year performance period if a new project
period is awarded.
FOR FURTHER INFORMATION CONTACT: Matt Kozar, Division Director, Office
of Program and Policy Development, Bureau of Primary Care, HRSA, at
<a href="/cdn-cgi/l/email-protection#c0adabafbaa1b280a8b2b3a1eea7afb6"><span class="__cf_email__" data-cfemail="eb868084918a99ab8399988ac58c849d">[email protected]</span></a> and 301-443-1034.
SUPPLEMENTARY INFORMATION: The 194 health center awardees, as listed in
the table below, will receive a 1-year Extension with Funds for a total
4-year performance period.
<bullet> Amount of Award(s): 192 non-competitive awards for
approximately $828 million.
<bullet> Project Period: January 1, 2023, to December 31, 2026;
February 1, 2023, to January 31, 2027.
<bullet> Assistance Listing Number: 93.224.
<bullet> Award Instrument: Grant--Non-competing Continuation.
<bullet> Authority: Section 330 of the Public Health Service Act,
as amended (42 U.S.C. 254b, as amended).
[[Page 38158]]
----------------------------------------------------------------------------------------------------------------
Table 1. Recipients and award Budget period Est award
amounts grant Number start Name City State amount
----------------------------------------------------------------------------------------------------------------
H80CS01138.................... Jan.............. Bethel Family Bethel........... AK $1,840,427
Clinic.
H80CS04434.................... Jan.............. Native Village of Cordova.......... AK 1,840,661
Eyak.
H80CS01130.................... Jan.............. Norton Sound Nome............. AK 3,141,641
Health
Corporation.
H80CS00020.................... Jan.............. Alabama Regional Birmingham....... AL 5,127,920
Medical Services.
H80CS00230.................... Jan.............. El Rio Santa Cruz Tucson........... AZ 10,074,355
Neighborhood
Health Center,
Inc.
H80CS26606.................... Jan.............. Horizon Health Apache Junction.. AZ 1,816,493
and Wellness,
Inc.
H80CS26604.................... Jan.............. Neighborhood Phoenix.......... AZ 3,090,888
Outreach Access
to Health.
H80CS00651.................... Jan.............. North Country Flagstaff........ AZ 6,746,754
Healthcare, Inc.
H80CS04321.................... Jan.............. Sunset Community Somerton......... AZ 6,167,152
Health Center.
H80CS00142.................... Jan.............. AltaMed Health Los Angeles...... CA 18,049,823
Services
Corporation.
H80CS08739.................... Jan.............. Avenal Community Lemoore.......... CA 3,718,335
Health Center.
H80CS00138.................... Jan.............. Community Medical Stockton......... CA 8,375,519
Centers, Inc.
H80CS26608.................... Jan.............. Coppertower Cloverdale....... CA 1,215,617
Family Medical
Center, Inc.
H80CS00628.................... Jan.............. Mendocino Ukiah............ CA 5,449,353
Community Health
Clinic, Inc.
H80CS26624.................... Jan.............. Pomona Community Pomona........... CA 2,701,790
Health Center.
H80CS26609.................... Jan.............. Ritter Center.... San Rafael....... CA 1,347,670
H80CS00226.................... Jan.............. Salud Para La Watsonville...... CA 4,816,103
Gente.
H80CS00049.................... Jan.............. San Francisco San Francisco.... CA 7,433,077
Community Clinic
Consortium.
H80CS00223.................... Jan.............. Tiburcio Vasquez Union City....... CA 2,588,719
Health Center,
Inc.
H80CS00137.................... Jan.............. United Health Fresno........... CA 13,254,279
Centers of The
San Joaquin
Valley.
H80CS26617.................... Jan.............. Via Care Los Angeles...... CA 2,578,738
Community Health
Center, Inc.
H80CS00040.................... Jan.............. The Colorado Denver........... CO 8,832,842
Coalition for
the Homeless.
H80CS00212.................... Jan.............. Peak Vista Colorado Springs. CO 9,909,055
Community Health
Centers.
H80CS00134.................... Jan.............. Valley Wide Alamosa.......... CO 8,056,605
Health Systems,
Inc.
H80CS00155.................... Jan.............. Generations Willimantic...... CT 4,048,775
Family Health
Center, Inc.
H80CS00026.................... Jan.............. Camillus Health Miami............ FL 4,259,012
Concern, Inc.
H80CS00178.................... Jan.............. Central Florida Sanford.......... FL 5,860,129
Family Health
Center, Inc.
H80CS25684.................... Jan.............. Health Care West Palm Beach.. FL 7,278,563
District of Palm
Beach County.
H80CS00097.................... Jan.............. MCR Health, Inc.. Palmetto......... FL 9,737,629
H80CS00182.................... Jan.............. Miami Beach Miami Beach...... FL 7,826,762
Community Health
Center, Inc.
H80CS00187.................... Jan.............. Treasure Coast Fellsmere........ FL 4,167,714
Community
Health, Inc.
H80CS08780.................... Jan.............. Diversity Health Hinesville....... GA 2,141,846
Center, Inc.
H80CS00022.................... Jan.............. Saint Joseph's Atlanta.......... GA 5,683,526
Mercy Care
Services.
H80CS00678.................... Jan.............. Valley Healthcare Columbus......... GA 3,098,570
System, Inc.
H80CS06641.................... Jan.............. Ko[revaps]olauloa Kahuku........... HI 1,957,949
Health Center.
H80CS06667.................... Jan.............. Community Health Fort Dodge....... IA 1,949,691
Center of Fort
Dodge, Inc.
H80CS00113.................... Jan.............. Crusaders Central Rockford......... IL 6,924,055
Clinic
Association.
H80CS00114.................... Jan.............. HealthNet, Inc... Indianapolis..... IN 8,594,547
H80CS00102.................... Jan.............. Family Health Louisville....... KY 6,912,875
Centers, Inc.
H80CS00083.................... Jan.............. Park Duvalle Louisville....... KY 5,435,002
Community Health
Center, Inc.
H80CS00206.................... Jan.............. Catahoula Parish Sicily Island.... LA 2,515,789
Hospital
District #2.
H80CS26580.................... Jan.............. Common Ground Gretna........... LA 1,548,517
Health Clinic.
H80CS00129.................... Jan.............. Excelth, New Orleans...... LA 5,849,119
Incorporated.
H80CS00006.................... Jan.............. Boston Health Boston........... MA 4,685,451
Care for the
Homeless
Program, Inc.
H80CS00734.................... Jan.............. Chase Brexton Baltimore........ MD 4,015,116
Health Services,
Inc.
H80CS00017.................... Jan.............. Health Care for Baltimore........ MD 6,211,119
the Homeless,
Inc.
H80CS26633.................... Jan.............. Owensville West River....... MD 1,378,296
Primary Care,
Inc.
H80CS00068.................... Jan.............. Total Health Baltimore........ MD 9,320,756
Care, Inc.
H80CS08738.................... Jan.............. Covenant Detroit.......... MI 4,347,804
Community Care,
Inc.
H80CS00033.................... Jan.............. Detroit Health Detroit.......... MI 5,273,464
Care For The
Homeless.
H80CS26564.................... Jan.............. South Central Rolla............ MO 2,269,295
Missouri
Community Health
Center.
H80CS00084.................... Jan.............. Central Jackson.......... MS 7,974,380
Mississippi
Civic
Improvement
Association, Inc.
H80CS00188.................... Jan.............. Coastal Family Biloxi........... MS 9,027,387
Health Center,
Inc.
H80CS00009.................... Jan.............. City of Newark, Newark........... NJ 4,076,227
New Jersey.
H80CS00164.................... Jan.............. Community Health Bridgeton........ NJ 8,326,868
Care, Inc.
H80CS00036.................... Jan.............. Albuquerque Albuquerque...... NM 3,225,622
Health Care for
the Homeless,
Inc.
H80CS21582.................... Jan.............. Anthony L. Jordan Rochester........ NY 4,449,956
Health
Corporation.
H80CS00007.................... Jan.............. Care For The New York......... NY 6,605,634
Homeless.
H80CS00171.................... Jan.............. Neighborhood Buffalo.......... NY 3,785,704
Health Center of
WNY, Inc.
H80CS00166.................... Jan.............. Northern Oswego Pulaski.......... NY 3,001,661
County Health
Services, Inc.
H80CS00029.................... Jan.............. Care Alliance.... Cleveland........ OH 4,635,985
H80CS00118.................... Jan.............. Columbus Columbus......... OH 7,011,836
Neighborhood
Health Center,
Inc.
H80CS00201.................... Jan.............. Healthsource Of Loveland......... OH 8,334,320
Ohio, Inc.
[[Page 38159]]
H80CS00193.................... Jan.............. Hopewell Health Chillicothe...... OH 5,439,208
Centers, Inc.
H80CS00196.................... Jan.............. Ohio North East Youngstown....... OH 4,713,674
Health Systems,
Inc.
H80CS26577.................... Jan.............. Talbert House Franklin......... OH 1,884,196
Health Center.
H80CS26585.................... Jan.............. Community Health Jay.............. OK 1,428,265
Center of
Northeast
Oklahoma, Inc.
H80CS00149.................... Jan.............. County of Portland......... OR 9,809,194
Multnomah.
H80CS00162.................... Jan.............. Centro De Florida.......... PR 1,895,587
Servicios
Primarios De
Salud, Inc.
H80CS02467.................... Jan.............. Republic of Palau Koror............ PW 1,375,337
H80CS00154.................... Jan.............. Blackstone Valley Pawtucket........ RI 3,200,860
Community Health
Care, Inc.
H80CS00057.................... Jan.............. Providence Providence....... RI 7,212,115
Community Health
Centers, Inc.
H80CS00216.................... Jan.............. Community Health Rapid City....... SD 3,043,104
Center of the
Black Hills, Inc.
H80CS00135.................... Jan.............. Horizon Health Howard........... SD 9,784,983
Care, Inc.
H80CS00219.................... Jan.............. City of Sioux Sioux Falls...... SD 3,048,204
Falls.
H80CS00128.................... Jan.............. Centro De Salud El Paso.......... TX 6,234,258
Familiar La Fe,
Inc.
H80CS00203.................... Jan.............. La Esperanza San Angelo....... TX 3,238,333
Clinic, Inc.
H80CS00126.................... Jan.............. Regence Health Plainview........ TX 5,972,736
Network, Inc.
H80CS00073.................... Jan.............. Peninsula Newport News..... VA 6,953,702
Institute for
Community
Health, Inc.
H80CS00147.................... Jan.............. Columbia Basin Othello.......... WA 6,707,625
Health
Association.
H80CS00319.................... Jan.............. Community Health Spokane.......... WA 7,791,273
Association of
Spokane.
H80CS00677.................... Jan.............. Peninsula Bremerton........ WA 3,148,785
Community Health
Services.
H80CS26599.................... Feb.............. Kodiak Area Kodiak........... AK 2,514,761
Native
Association.
H80CS26588.................... Feb.............. Christ Health Birmingham....... AL 1,375,147
Center, Inc.
H80CS00795.................... Feb.............. Health Services, Montgomery....... AL 8,136,046
Inc.
H80CS26611.................... Feb.............. The Achievable Culver City...... CA 735,054
Foundation.
H80CS00787.................... Feb.............. Asian Pacific Los Angeles...... CA 4,902,955
Health Care
Venture, Inc.
H80CS26616.................... Feb.............. Benevolence Los Angeles...... CA 2,222,955
Industries, Inc.
H80CS00052.................... Feb.............. Children's Oakland.......... CA 2,424,630
Hospital &
Research Center
at Oakland.
H80CS26607.................... Feb.............. Greenville Greenville....... CA 1,530,107
Rancheria.
H80CS26619.................... Feb.............. Kedren Community Los Angeles...... CA 1,206,507
Health Center,
Inc.
H80CS06674.................... Feb.............. Los Angeles Los Angeles...... CA 5,087,536
Christian Health
Centers.
H80CS26621.................... Feb.............. Los Angeles LGBT Los Angeles...... CA 2,200,370
Center.
H80CS26622.................... Feb.............. Nhan Hoa Garden Grove..... CA 1,283,149
Comprehensive
Health Care
Clinic, Inc.
H80CS26623.................... Feb.............. Operation National City.... CA 2,686,587
Samahan, Inc.
H80CS26625.................... Feb.............. Santa Barbara Santa Barbara.... CA 2,042,112
Neighborhood
Clinics.
H80CS00048.................... Feb.............. County of Santa Santa Cruz....... CA 2,852,721
Cruz.
H80CS26627.................... Feb.............. Serve the People, Santa Ana........ CA 2,667,302
Inc.
H80CS08730.................... Feb.............. Westside Family Culver City...... CA 2,249,634
Health Center.
H80CS00690.................... Feb.............. Clinica Campesina Lafayette........ CO 8,956,325
Family Health
Services.
H80CS00618.................... Feb.............. Borinquen Health Miami............ FL 7,968,464
Care Center, Inc.
H80CS26589.................... Feb.............. The Center for Miami............ FL 1,514,528
Family and Child
Enrichment, Inc.
H80CS00423.................... Feb.............. Central Florida Winter Haven..... FL 9,356,810
Health Care, Inc.
H80CS00809.................... Feb.............. Community Health Winter Garden.... FL 8,861,436
Centers, Inc.
H80CS26590.................... Feb.............. EMPOWER U, Inc... Miami............ FL 1,696,296
H80CS26626.................... Feb.............. FoundCare Inc.... West Palm Beach.. FL 2,680,886
H80CS00732.................... Feb.............. Jessie Trice Miami............ FL 10,972,059
Community Health
System, Inc.
H80CS00019.................... Feb.............. North Broward Fort Lauderdale.. FL 3,202,758
Hospital
District.
H80CS00081.................... Feb.............. Rural Health Palatka.......... FL 6,680,788
Care,
Incorporated.
H80CS00393.................... Feb.............. CareConnect Richland......... GA 7,501,495
Health, Inc.
H80CS26591.................... Feb.............. Center for Pan Atlanta.......... GA 2,248,570
Asian Community
Services, Inc.
H80CS26592.................... Feb.............. Coastal Community Brunswick........ GA 2,449,791
Health Services,
Inc.
H80CS26593.................... Feb.............. Good Samaritan Marietta......... GA 1,540,918
Health Center of
Cobb, Inc.
H80CS26594.................... Feb.............. Health Education, Atlanta.......... GA 2,536,129
Assessment and
Leadership, Inc.
H80CS00807.................... Feb.............. Waianae District Waianae.......... HI 3,990,277
Comprehensive
Health and
Hospital Board,
Inc.
H80CS00670.................... Feb.............. Community Health Davenport........ IA 5,063,179
Care, Inc.
H80CS00815.................... Feb.............. Peoples Community Waterloo......... IA 3,348,320
Health Clinic,
Inc.
H80CS26601.................... Feb.............. Family Medicine Boise............ ID 1,480,731
Residency of
Idaho.
H80CS00556.................... Feb.............. Valley Family Payette.......... ID 4,554,206
Health Care, Inc.
H80CS26565.................... Feb.............. Hamdard Center Addison.......... IL 1,514,484
for Health &
Human Services
NFP.
H80CS00324.................... Feb.............. University of Chicago.......... IL 4,387,891
Illinois.
H80CS26566.................... Feb.............. Jane Pauley Indianapolis..... IN 3,459,278
Community Health
Center, Inc.
H80CS26568.................... Feb.............. Southlake Merrillville..... IN 2,153,263
Community Mental
Health Center,
Inc.
[[Page 38160]]
H80CS26569.................... Feb.............. Wabash Valley Terre Haute...... IN 1,174,333
Health Center,
Inc.
H80CS00619.................... Feb.............. Big Sandy Health Prestonsburg..... KY 3,851,985
Care, Inc.
H80CS26595.................... Feb.............. Pennyroyal Princeton........ KY 1,857,174
Healthcare
Service Inc.
H80CS26579.................... Feb.............. C A S S E Dental Shreveport....... LA 2,555,332
Health Institute.
H80CS26581.................... Feb.............. Jefferson Parish Metairie......... LA 1,385,065
Human Services
Authority.
H80CS08764.................... Feb.............. Morehouse Bastrop.......... LA 2,613,881
Community
Medical Centers,
Inc.
H80CS26582.................... Feb.............. MQVN Community New Orleans...... LA 1,438,250
Development Corp.
H80CS26583.................... Feb.............. NO/AIDS Task New Orleans...... LA 2,326,502
Force.
H80CS00378.................... Feb.............. Charles River Boston........... MA 3,702,429
Community
Health, Inc.
H80CS26638.................... Feb.............. Island Health, Edgartown........ MA 1,412,934
Inc.
H80CS00001.................... Feb.............. City of Springfield...... MA 2,362,888
Springfield.
H80CS00067.................... Feb.............. Park West Health Baltimore........ MD 4,365,120
Systems, Inc.
H80CS00030.................... Feb.............. County of Ingham. Lansing.......... MI 2,773,592
H80CS26511.................... Feb.............. Upper Great Lakes Hancock.......... MI 3,256,108
Family Health
Center.
H80CS00028.................... Feb.............. Hennepin County.. Minneapolis...... MN 2,289,115
H80CS26563.................... Feb.............. Compass Health, Clinton.......... MO 10,776,978
Inc.
H80CS26560.................... Feb.............. East Central Mexico........... MO 1,264,246
Missouri
Behavioral
Health Services,
Inc.
H80CS26561.................... Feb.............. Health Care Lexington........ MO 2,975,818
Coalition of
Lafayette County.
H80CS00671.................... Feb.............. Northwest Health Saint Joseph..... MO 5,204,660
Services, Inc.
H80CS00633.................... Feb.............. Access Family Smithville....... MS 2,398,543
Health Services,
Inc.
H80CS00704.................... Feb.............. Montana Migrant & Billings......... MT 3,523,076
Seasonal Farm
Workers Council,
Inc.
H80CS26596.................... Feb.............. Ocracoke Health Ocracoke......... NC 956,895
Center, Inc.
H80CS00490.................... Feb.............. The Stedman-Wade Wade............. NC 2,035,716
Health Services,
Inc.
H80CS26562.................... Feb.............. Heartland Health Grand Island..... NE 1,438,898
Center, Inc.
H80CS26640.................... Feb.............. Mid-State Health Plymouth......... NH 1,679,642
Center.
H80CS00380.................... Feb.............. Southern Jersey Hammonton........ NJ 7,189,854
Family Medical
Centers, Inc.
H80CS04211.................... Feb.............. Zufall Health Dover............ NJ 6,272,425
Center, Inc.
H80CS26605.................... Feb.............. Northern Nevada Reno............. NV 1,778,657
HIV Outpatient
Program,
Education and
Services.
H80CS00313.................... Feb.............. Hudson River Peekskill........ NY 21,524,887
Healthcare, Inc.
H80CS26630.................... Feb.............. Jericho Road Buffalo.......... NY 1,635,945
Ministries, Inc.
H80CS26631.................... Feb.............. La Casa De Salud Bronx............ NY 3,181,047
Inc.
H80CS26574.................... Feb.............. Asian Services in Akron............ OH 1,529,543
Action, Inc.
H80CS00399.................... Feb.............. The Community Piketon.......... OH 4,402,783
Action Committee
of Pike County.
H80CS00816.................... Feb.............. Ohio Hills Health Barnesville...... OH 2,242,146
Services.
H80CS26578.................... Feb.............. County of Wood... Bowling Green.... OH 1,181,543
H80CS00320.................... Feb.............. Community Health Spencer.......... OK 7,575,782
Centers, Inc.
H80CS26602.................... Feb.............. Bandon Community Bandon........... OR 1,395,291
Health Center.
H80CS00705.................... Feb.............. Centerville Fredericktown.... PA 5,640,164
Clinics, Inc.
H80CS26635.................... Feb.............. Project H.O.M.E.. Philadelphia..... PA 1,667,917
H80CS00707.................... Feb.............. Rural Health Wilkes Barre..... PA 3,058,937
Corporation of
Northeastern
Pennsylvania.
H80CS00389.................... Feb.............. Spectrum Health Philadelphia..... PA 3,448,095
Services, Inc.
H80CS00379.................... Feb.............. Corporacion de Cidra............ PR 7,069,774
Servicios de
Salud y Medicina
Avanzada.
H80CS00382.................... Feb.............. Morovis Community Morovis.......... PR 3,712,502
Health Center,
Inc.
H80CS00712.................... Feb.............. Prymed Medical Ciales........... PR 3,016,725
Care, Inc.
H80CS00454.................... Feb.............. Thundermist Woonsocket....... RI 5,482,872
Health Center.
H80CS26597.................... Feb.............. Care Net of Lancaster........ SC 1,628,092
Lancaster.
H80CS00750.................... Feb.............. Community Rock Hill........ SC 2,934,738
Medicine
Foundation, Inc.
H80CS00730.................... Feb.............. Eau Claire Columbia......... SC 7,264,357
Cooperative
Health Center.
H80CS00578.................... Feb.............. New Horizon Greenville....... SC 5,800,227
Family Health
Services, Inc.
H80CS00333.................... Feb.............. Lake County Tiptonville...... TN 2,283,896
Primary Care.
H80CS26598.................... Feb.............. Maury Regional Columbia......... TN 1,261,121
Hospital.
H80CS00762.................... Feb.............. Ocoee Regional Benton........... TN 1,940,628
Health
Corporation.
H80CS26644.................... Feb.............. Utah Partners for Midvale.......... UT 1,735,438
Health.
H80CS00331.................... Feb.............. Bland County Bastian.......... VA 1,800,345
Medical Clinic,
Inc.
H80CS00018.................... Feb.............. Daily Planet, Inc Richmond......... VA 3,100,806
H80CS26636.................... Feb.............. Rockbridge Area Lexington........ VA 1,531,934
Free Clinic.
H80CS00386.................... Feb.............. Stony Creek Stony Creek...... VA 398,394
Community Health
Center.
H80CS26641.................... Feb.............. Battenkill Valley Arlington........ VT 1,481,503
Health Center,
Inc.
H80CS26642.................... Feb.............. Five-Town Health Bristol.......... VT 1,559,455
Alliance, Inc.
H80CS26798.................... Feb.............. Gifford Health Randolph......... VT 1,704,120
Care, Inc.
H80CS00647.................... Feb.............. Country Doctor Seattle.......... WA 3,244,516
Community Clinic.
H80CS00437.................... Feb.............. International Seattle.......... WA 2,832,480
Community Health
Services.
H80CS26603.................... Feb.............. The N. A. T. I. Spokane.......... WA 1,355,489
V. E. Project.
H80CS00493.................... Feb.............. New Health Chewelah......... WA 2,690,337
Programs
Association.
[[Page 38161]]
H80CS00639.................... Feb.............. Yakima Valley Toppenish........ WA 20,025,936
Farm Workers
Clinic.
H80CS00035.................... Feb.............. New Community Green Bay........ WI 2,546,831
Clinic, Inc. Ltd.
H80CS00034.................... Feb.............. Outreach Milwaukee........ WI 3,168,321
Community Health
Centers, Inc.
H80CS00384.................... Feb.............. Monroe County Union............ WV 2,532,477
Health
Department.
H80CS26637.................... Feb.............. Williamson Health Williamson....... WV 1,885,235
& Wellness
Center, Inc.
----------------------------------------------------------------------------------------------------------------
Purpose/Justification: Health centers currently receive a 3-year
performance period when they successfully compete and receive Health
Center Program funding through a SAC. HRSA will begin to move health
centers with a current 3-year performance period to a 4-year
performance period starting in fiscal year (FY) 2026 to:
<bullet> Reduce the burden on health centers by extending the
timing of their SAC application submission from every 3 years to every
4 years.
<bullet> Provide HRSA with increased operational flexibility and
accountability by distributing the review and processing of SACs,
program analysis and recommendations, and operational site visits more
evenly across the 4-year funding cycles of health center competitive
awards while further ensuring the integrity of compliance reviews and
funding decisions for the Health Center Program.
<bullet> Increase the continuity of patient access to comprehensive
primary health care services by committing each health center to
provide services for a longer time frame in each service area, while
remaining aligned with current grants requirements and policies.
Over the next 3 years, health centers with a current 3-year
performance period will receive a 4-year performance period, either
through a 1-year Extension with Funds to their existing performance
period or through a new 4-year performance period when they apply to
serve an available service area and successfully compete and receive
funding through a SAC. Health centers with a current performance period
of January 1, 2023, through December 31, 2025, and February 1, 2023,
through January 31, 2026, that receive an Extension with Funds will not
be required to submit a Budget Period Progress Report Non-Competing
Continuation (BPR) prior to their next scheduled SAC application but
rather will submit equivalent information via a Request for
Information. The 1-year performance period extension will result in a
4-year performance period, which reduces the administrative burden for
health centers, increases operational flexibility and accountability
for HRSA, and ensures continuity of access to comprehensive primary
care for health center patients.
HRSA will provide health centers that have a January or February
budget period start date and are scheduled to compete for their service
area in FY 2026 with a 1-year Extension with Funds. This award action
will initiate the process that eventually provides all compliant health
center awardees with a 4-year performance period and creates a balanced
number of health centers that compete for their service area over each
4-year funding cycle. Not supporting this approach would require
differentiated performance periods that would provide some health
centers with a 3-year performance period and others with a 4-year
performance period, thereby creating differing expectations and
requirements for health centers and their patients in the continuity of
access to comprehensive primary health care services in their service
area.
Request for Recipient Response: This action extends the performance
period with funds to Health Center Program awards. Awards with a
current performance period of January 1, 2023, through December 31,
2025, and February 1, 2023, through January 31, 2026, will be extended
by 12 months to December 31, 2026, and January 31, 2027, respectively.
These extensions will prevent interruptions in access to critical
health care services in the health centers' communities and shift
performance periods from 3 years to 4 years. To process this action,
current health center grantees must respond to this request for
information (RFI) within the specified timeframe by providing a SF-
424A, Budget Narrative, Form 1C, Form 3, Project Narrative Update, and
Supplemental Award Update (if applicable), as detailed below.
Activities/Requirements: Activities and work funded under this 1-
year extension are within the scope of the current award. All of the
terms and conditions of the current award apply to activities and work
supported by this 1-year extension.
Required Submission Response: Health center awardees must submit
the response to this RFI in HRSA's Electronic Handbook. If HRSA does
not receive a response to the RFI by the deadline, or the response to
the RFI is incomplete or non-responsive, there may be a delay or lapse
in the issuance of funding. The response should not exceed 20 pages,
single spaced, and must include the following information.
1. SF-424A: Budget Information Form
Upload an SF-424A: BUDGET INFORMATION FORM attachment.
Section A: Budget Summary: Verify the pre-populated list of Health
Center Program funding types:
<bullet> Community Health Center (CHC)
<bullet> Migratory and Seasonal Agricultural Workers (MSAW)
<bullet> Homeless Population (HP)
<bullet> Residents of Public Housing (RPH)
If the funding types are incorrect, make necessary adjustments. In
the Federal column, provide the funding request for each Health Center
Program funding type (CHC, MSAW, HP, RPH). The total federal funding
requested across all Health Center Program funding types must equal the
``Recommended Federal Budget'' amount. This amount should correspond
with the recommended future support amount (Item 33) on your most
recent H80 NOA.
Note: This RFI submission may not be used to request changes to
the total award, funding type(s), or Health Center Program funds
allocation between funding types. Funding must be requested and will
be awarded proportionately for all funding types as currently funded
under the Health Center Program.
In the Non-Federal column, provide the total non-federal funding
sources for each type of Health Center Program (CHC, MSAW, HP, RPH).
The total for the Non-Federal column should equal the Total Non-Federal
value on Form 3: Income Analysis (located at <a href="https://bphc.hrsa.gov/sites/default/files/bphc/funding/bpr-form-3.pdf">https://bphc.hrsa.gov/sites/default/files/bphc/funding/bpr-form-3.pdf</a>).
Section B: Object Class Categories: Provide the object class
category breakdown (i.e., line-item budget) for FY 2026 budgeted funds.
Include federal funding in the first column and non-federal funding in
the second
[[Page 38162]]
column. Each line represents a distinct object class category that must
be addressed in the Budget Narrative. Indirect costs may only be
claimed with an approved indirect cost rate (see details in the Budget
Narrative section below).
Section C: Non-Federal Resources: Provide a breakdown of non-
federal funds by funding source (e.g., state, local) for each type of
Health Center Program funding (CHC, MSAW, HP, RPH). If you are a state
agency, leave the State column blank and include state funding in the
Applicant column. Program income in this section must be consistent
with the Total Program Income presented in Form 3: Income Analysis.
Salary Rate Limitation
As required by the current appropriations act, ``[n]one of the
funds appropriated in this title shall be used to pay the salary of an
individual, through a grant or other extramural mechanism, at a rate
over Executive Level II.'' Effective January 2025, the salary rate
limitation is $225,700 (see <a href="https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/25Tables/exec/html/EX.aspx">https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/25Tables/exec/html/EX.aspx</a>). As
required by law, salary rate limitations may apply in future years and
will be updated.
2. Budget Narrative
Upload a budget narrative attachment for the 12-month extension
period that explains the amounts requested for each line in Section B,
Object Class Categories of the SF-424A Budget Information Form. The
Budget Narrative must itemize both your federal request and non-federal
resources.
The budget narrative must describe how each line-item will support
achieving the project objectives. Refer to 45 CFR 75 (2 CFR 200; see
<a href="https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75#part-75">https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75#part-75</a>) for information on allowable costs. Include detailed
calculations explaining how each line-item expense within each cost
category is derived (e.g., number of visits, cost per unit). Include a
description for each item in the ``other'' category.
Include the following in the Budget Narrative:
Personnel Costs: Explain personnel costs and list each staff member
who will be supported by Health Center Program funds, name (if
possible), position title, percentage of full-time equivalency, and
annual salary.
Reminder: An individual's base salary, per se, is NOT constrained
by the statutory provision for a salary limitation. The rate limitation
limits the amount that may be awarded and charged to the HRSA grant.
Provide an individual's actual base salary if it exceeds the cap. Refer
to the Sample Budget Narrative on <a href="https://bphc.hrsa.gov/funding/funding-opportunities/budget-period-progress-report-bpr-noncompeting-continuation-ncc">https://bphc.hrsa.gov/funding/funding-opportunities/budget-period-progress-report-bpr-noncompeting-continuation-ncc</a>.
Fringe Benefits: List the components that make up the fringe
benefit rate (e.g., health insurance, taxes, unemployment insurance,
life insurance, retirement plans, and tuition reimbursement). The
fringe benefits should be directly proportional to the personnel costs
allocated for the project.
Travel: List travel costs according to local and long-distance
travel. For local travel, outline the mileage rate, number of miles,
reason for travel, and staff members/consumers completing the travel.
The budget should also reflect the travel expenses (e.g., airfare,
lodging, parking, per diem, etc.) for each person and the trip
associated with participating in meetings and other proposed training
or workshops. Name the traveler(s) if possible, describe the purpose of
the travel, and provide the number of trips involved, the destinations,
and the number of individuals for whom funds are requested.
Equipment: List equipment costs and justify the need for the
equipment to carry out the program's goals. Extensive justification and
a detailed status of current equipment must be provided when requesting
funds to purchase items that meet the definition of equipment (a unit
cost of $10,000 or more and a useful life of 1 or more years).
Supplies: List the items that will be used to implement the
proposed project. Separate items into three categories: office supplies
(e.g., paper, pencils), medical supplies (e.g., syringes, blood tubes,
gloves), and educational supplies (e.g., brochures, videos). Items must
be listed separately. Equipment items such as laptops, tablets, and
desktop computers are classified as a supply if the acquisition cost is
under the $10,000 per unit cost threshold.
Contractual/Subawards/Consultant: Provide a clear justification,
including how you estimated the costs and the specific contract/
subaward deliverables. Attach a summary of contracts with the Budget
Narrative. Make sure that your organization has an established and
adequate procurement system with fully developed written procedures for
awarding and monitoring all contracts/subawards. Recipients must notify
potential subrecipients that entities receiving subawards must be
registered in the system for award management (SAM) and provide the
recipient with their Unique Entity Identifier number (see 2 CFR part
25; <a href="https://www.ecfr.gov/current/title-2/subtitle-A/chapter-I/part-25">https://www.ecfr.gov/current/title-2/subtitle-A/chapter-I/part-25</a>).
In your budget:
<bullet> For consultant services, list the total costs for all
consultant services. Identify each consultant, the services they will
perform, the total number of days, travel costs, and total estimated
costs.
<bullet> For subawards to entities that will help carry out the
work of the grant, describe how you monitor their work to ensure the
funds are being properly used.
<bullet> Note: You should not provide line-item details on proposed
contracts; rather, provide the basis for your cost estimate for the
contract.
Per the Suspension and Debarment rules in the Uniform
Administrative Requirements, as implemented by HRSA under 2 CFR
200.214, non-federal entities and contractors are subject to the non-
procurement debarment and suspension regulations implementing Executive
Orders 12549 and 12689, 2 CFR parts 180 and 376. These regulations
restrict awards, subawards, and contracts with certain parties
debarred, suspended, or otherwise excluded from or ineligible for
participation in federal assistance programs or activities.
Other: Include all costs that do not fit into any other category
and provide an explanation for each cost in this category (e.g.,
Electronic Health Record provider licenses, audit, legal counsel). In
some cases, rent, utilities, and insurance fall under this category if
they are not included in an approved indirect cost rate.
Indirect Costs: Indirect costs are costs you charge across more
than one project that cannot be easily separated by project. To charge
indirect costs you can select one of two methods:
Method 1--Approved rate. You currently have an indirect cost rate
approved by your cognizant federal agency. If indirect costs are
included in the budget, attach a copy of the indirect cost rate
agreement in the Budget Narrative attachment.
Method 2--De minimis rate. Per 2 CFR 200.414(f) (see <a href="https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-E/subject-group-ECFRd93f2a98b1f6455/section-200.414">https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-E/subject-group-ECFRd93f2a98b1f6455/section-200.414</a>), if you have never
received a negotiated indirect cost rate, you may elect to charge a de
minimis rate. If you choose this method, costs included in the indirect
cost pool must not be charged as direct costs. This rate is 15
[[Page 38163]]
percent of modified total direct costs. See 2 CFR 200.1 (<a href="https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200#p-200.1">https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200#p-200.1</a>(Modified%20Total%20Direct%20Cost%20(MTDC))) for the definition of
modified total direct costs. You can use this rate indefinitely.
3. Form 1C--Documents on File
Form 1C--Documents on File (see <a href="https://bphc.hrsa.gov/sites/default/files/bphc/funding/bpr-form-1c.pdf">https://bphc.hrsa.gov/sites/default/files/bphc/funding/bpr-form-1c.pdf</a>) collects information about
key documents that support the implementation of Health Center Program
requirements and other applicable funding requirements. These
requirements are outlined in the Health Center Program Compliance
Manual (see <a href="https://bphc.hrsa.gov/compliance/compliance-manual">https://bphc.hrsa.gov/compliance/compliance-manual</a>),
Notices of Funding Opportunity, Executive Orders, terms and conditions,
and other grants policies and regulations. Please note that Form 1C
does not require listing all health center documents (e.g., internal
policies and procedures, clinical protocols, or legal documents).
Detailed instructions for completing Form 1C: Documents on File are
available in the BPR User Guide and on <a href="https://bphc.hrsa.gov/funding/funding-opportunities/budget-period-progress-report-bpr-noncompeting-continuation-ncc">https://bphc.hrsa.gov/funding/funding-opportunities/budget-period-progress-report-bpr-noncompeting-continuation-ncc</a>.
4. Form 3--Income Analysis
Form 3--Income Analysis (see <a href="https://bphc.hrsa.gov/sites/default/files/bphc/funding/bpr-form-3.pdf">https://bphc.hrsa.gov/sites/default/files/bphc/funding/bpr-form-3.pdf</a>) must be uploaded and include the
projected income from all sources other than the Health Center Program
award for the upcoming budget period. Form 3 is divided into (1)
Patient Service Revenue--Program Income and (2) Other Income--Other
Federal, State, Local, and Other Income. Instructions for completing
Form 3: Income Analysis are included in the BPR User Guide and on
<a href="https://bphc.hrsa.gov/funding/funding-opportunities/budget-period-progress-report-bpr-noncompeting-continuation-ncc">https://bphc.hrsa.gov/funding/funding-opportunities/budget-period-progress-report-bpr-noncompeting-continuation-ncc</a>.
5. Project Narrative Update
Submit a Project Narrative Update attachment. You will address your
organizational and patient capacity. For each section, your narrative
should include:
<bullet> A summary of progress and changes to date,
<bullet> Expected progress for the rest of the FY 2025 budget
period, and
<bullet> Projected changes for the upcoming FY 2026 budget period.
Your response in each section is limited to 2,000 characters
(including spaces). This is approximately one page.
1. Organizational Capacity: Discuss your progress and any major
changes or barriers to organizational capacity since the last
application, either SAC or BPR. Describe how changes have impacted or
may impact progress. Address the following key areas:
<bullet> Staffing, including key management vacancies.
<bullet> Operations, including major changes in policies and
procedures. You must explain how responses to findings of noncompliance
have changed/improved your standards of operation or practice, for
example, findings identified in your last SAC or operational site
visit, or other conditions on your award (if applicable).
<bullet> Financial status, including the most current audit
findings.
2. Patient Capacity: Discuss any changes to the service area or to
your project that have impacted or may impact patient capacity.
Describe factors that have contributed to any downward patient trend
(greater than a 5 percent decrease) and plans for reaching the
projected patient target goal. Plans could include (but are not limited
to) changes in scope, successor-in-interest arrangements, or contract
or agreement updates. Detailed instructions for completing the Patient
Capacity section are available in Appendix A of the BPR Instructions on
the BPR TA web page, <a href="https://bphc.hrsa.gov/funding/funding-opportunities/budget-period-progress-report-bpr-noncompeting-continuation-ncc">https://bphc.hrsa.gov/funding/funding-opportunities/budget-period-progress-report-bpr-noncompeting-continuation-ncc</a>.
6. Supplemental Award Update
If HRSA's Bureau of Primary Healthcare awarded your organization
funding for any supplemental awards since FY 2023, upload an update on
your progress toward meeting the objectives of each award. Do not
include other HRSA or federal supplemental awards in this section.
Include awards rolled into your base funding.
For each supplemental award received, describe how available data
demonstrates progress toward achieving the supplemental funding
objectives. This may include Uniform Data System data showing increases
in patients, visits, or services, as well as scope of project data
reflecting expanded service hours or the addition of new services.
Your updates should include, but are not limited to the following
supplemental awards within the last three FY (since FY 2023):
<bullet> School-Based Service Expansion
[cir] FY 2023
<bullet> Primary Care HIV Prevention
[cir] FY 2023
<bullet> Early Childhood Development
[cir] FY 2023
<bullet> Behavioral Health Service Expansion
[cir] FY 2024
<bullet> Expanded Hours
[cir] FY 2025
For each supplemental award update, limit your response to 500
words. If you have questions about supplemental awards, contact us
using the BPHC Contact Form, <a href="https://hrsa.my.site.com/support/s/">https://hrsa.my.site.com/support/s/</a>.
Submission Deadline: Submit the response to this request via HRSA's
Electronic Handbook no later than XX:XX PM ET on XX/XX/20XX.
System for Award Management: Recipients must continue to maintain
active SAM registration with current information during all times that
they have an active federal award, an active application, or an active
plan under consideration by an agency (unless you are an individual or
federal agency that is exempted from those requirements under 2 CFR
25.110(b) or (c), or you have an exception approved by the agency under
2 CFR 25.110(d)). For your SAM registration, you must submit a
notarized letter appointing the authorized Entity Administrator.
Intergovernmental Review: This funding is subject to the provisions
of Executive Order 12372, as implemented by 45 CFR part 100.
Review Criteria and Process: HRSA will conduct a review of the
submitted response in accordance with HRSA guidelines. HRSA reserves
the right to request clarification; a resubmission of the budget,
narrative and forms, or additional information if the submission is not
fully responsive to any of the requirements, or if ineligible
activities are proposed. Following the review of all applicable
information, HRSA review and awards management officials will determine
if special conditions are required, and what level of funding is
appropriate. Award decisions and funding levels are discretionary and
are not subject to appeal. Continued funding depends on congressional
appropriation of funds, satisfactory performance, and a decision that
continued funding would be in the government's best interest.
As part of HRSA's required review of risk posed by applicants for
this program, as described in 2 CFR 200.206 (see <a href="https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-C/section-200.206">https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-C/section-200.206</a>), HRSA will consider additional factors. These factors include,
but are not limited to, past performance and the results of
[[Page 38164]]
HRSA's assessment of the financial stability of your organization. HRSA
reserves the right to conduct site visits and/or use the current
compliance status to inform final funding decisions.
Award Notice: HRSA anticipates issuing the Notice of Award
approximately 30 days prior to your budget period start date.
Thomas J. Engels,
Administrator.
[FR Doc. 2025-15036 Filed 8-6-25; 8:45 am]
BILLING CODE 4165-15-P
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</html>Indexed from Federal Register on August 7, 2025.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.