Existing FQHCs have to reapply for their funding when the Health Resources and Services Administration (HRSA) issues a SAC NOFO for their service area. This grant funding should not be taken for granted as neighboring organizations occasionally have success with SAC applications, essentially transferring the federal grant away from the FQHC to the new upstart.

Any nonprofit or public agency that can meet the eligibility requirements and chooses to apply is eligible to receive this funding. Operating as an FQHC can be a very welcomed funding source, turning community partners into competitors. FQHCs should be mindful of the potential for this competitive threat.