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Health Center Program New Access Points (NAP)


Additional Links

Notice of Funding Opportunity (


Application Deadline: Mar 12, 2019

Sponsoring Organization

Bureau of Primary Health Care (BPHC)


Awards funding to establish new health centers to expand access to quality primary healthcare services in medically underserved communities. Provides operational support for new health care service delivery sites for the provision of comprehensive, affordable, and cost-effective primary healthcare services with the goal of improving the health and well-being of individuals and reducing health disparities among vulnerable populations.

Projects must comply with Health Center Program Requirements established in section 330 of the Public Health Service (PHS) Act and further detailed in the program Health Center Program Compliance Manual.

Applicants may propose projects that serve four different population types. Program requirements for each population type include:

Community Health Centers (CHCs) – PHS Act section 330(e):

  • Provide a plan that ensures the availability and accessibility of required primary health care services to underserved populations in the service area

Migrant Health Centers (MHCs) – PHS Act section 330(g):

  • Provide a plan that ensures the availability and accessibility of required primary health care services to migratory and seasonal agricultural workers and their families in the service area

Healthcare for the Homeless Centers (HCHs) – PHS Act section 330(h):

  • Provide a plan that ensures the availability and accessibility of required primary health care services to individuals:
    • Who lack housing, without regard to whether the individual is a member of a family
    • Whose primary residence during the night is a supervised public or private facility that provides temporary living accommodations
    • Who reside in transitional housing
    • Who reside in permanent supportive housing or other housing programs targeted to homeless populations
    • Who are children and youth at risk of homelessness, homeless veterans, and veterans at risk of homelessness
  • Provide substance use disorder (SUD) services

Public Housing Primary Care Centers (PHPCs) – PHS Act section 330(i):

  • Provide a plan that ensures the availability and accessibility of required primary health care services to residents of public housing and individuals living in areas immediately accessible to public housing that:
    • Includes low-income housing and mixed finance projects developed, owned, or assisted by a public housing agency
    • Excludes housing units with no public housing agency support other than Section 8 vouchers
  • Consult with residents served by the proposed project regarding the planning and administration of the program

Proposals must support at least one full-time, permanent service delivery site that provides primary healthcare services as its main purpose. All funded projects must begin operation within 120 days of the award notice with all necessary staff and providers in place. Programs must propose to serve a projected number of unduplicated patients in 2020. Funding may be withdrawn or reduced if programs do not meet these service goals.

Amount of Funding

Award ceiling: $650,000 per year

Up to $150,000 of the $650,000 may be requested in year 1 of the grant for one-time minor capital costs for equipment and/or minor alteration or renovation projects.

Project period:

  • Up to 2 years
  • 1 year for new applicants

Estimated number of awards: 75
Estimated total program funding: $50,000,000

The following amounts are expected to be available for each health center type:

  • $40,750,000 for Community Health Center applicants
  • $4,300,000 for Migrant Health Center applicants
  • $4,350,000 for Healthcare for the Homeless Center applicants
  • $600,000 for Public Housing Primary Care Center applicants

Who Can Apply

Domestic public or private nonprofit entities, including tribal, faith-based, and community-based organizations are eligible to apply.

Eligible applicants must:

  • Provide health services to medically underserved populations
  • Ensure the required primary healthcare services will be available and accessible in the proposed service area
  • Operate service delivery site(s) located in an area with a shortage of health services

In addition to these requirements, new applicants must propose to serve a defined geographic area that is federally-designated, in whole or in part, as a Medically Underserved Area or Medically Underserved Population (MUA/MUP). Public housing primary care (PHPC) applicants must demonstrate that they have consulted with the public housing residents while preparing the grant application and will ensure ongoing consultation with the residents regarding the planning and administration of the health center.

For additional eligibility details and requirements, review the program guidance.

Geographic Coverage


What This Program Funds

Buildings and Facilities • Capacity Building • Equipment • New Program • Operating Costs and Staffing

Application Process

Application instructions, requirements, and other information can be found in the funding announcement.

Applicants must complete a two-phase application process:

  • Phase 1: Applications must be submitted and validated through by March 12, 2019
  • Phase 2: Applicants must submit supplemental information through HRSA Electronic Handbooks (EHBs) by April 11, 2019

Applicant technical assistance webinar recording and slides
Question and answer session one and session two recordings
NAP helpful tips video series
Applicant frequently asked questions
HRSA Electronic Handbooks NAP applicant user guide
HRSA SF-424 two-tier application guide


For programmatic or technical questions:
Allison Arnone
Online contact form

For grants management or budget questions:
Terry Hatchett

Brian Feldman

Topics This Program Addresses

Community Planning and Coalition Building • Healthcare Facilities