Health Resources and Services Administration · Department of Health and Human Services

Fiscal Year (FY) 2027 State and Regional Primary Care Association (PCA) Cooperative Agreements

Opening soon

Deadline: Opens Nov 16, 2026 · due about Jan 25, 2027 Estimate, not confirmed by the funder ?
Award size: $790K – $4.9M
Total available: $76M · about 52 awards
Match ?: Not required · Work out your budget and match
Who can apply: County government, City or town government, Tribal organization, Small business, State government, Nonprofit with 501(c)(3), Nonprofit without 501(c)(3), Public college or university, Special district (utility, fire, etc.), Private college or university, Larger business, Tribal government
Where: Anywhere in the U.S., including Tennessee

Read the official notice Should we apply? Sign in to save Get ready

Opening soon: the funder has announced this grant, but you can't apply yet. Use the time to get ready and check whether it fits.

Before you apply: federal grants require an active SAM.gov registration (Unique Entity ID) and a Grants.gov account. Registration is free but can take weeks, so start now, not when the deadline is close. Get-ready checklist

How this fits you

Available in Davidson County (nationwide program)
No match required
Past Tennessee awards on file: 9 — including your county

Tell us who you are to see whether you're eligible.

About this grant

The purpose of the Fiscal Year (FY) 2027 State and Regional Primary Care Association (PCA) program is to develop and deliver technical assistance (TA) that supports existing and potential Health Center Program award recipients and look-alikes (LALs), hereafter referred to as health centers, both directly and collaboratively with other HRSA-funded TA programs. PCAs will improve the health of medically vulnerable individuals and communities by: • Increasing access to high-quality preventive and primary health care services. • Improving chronic disease prevention and management to enhance the overall health of communities. • Recruiting, retaining, and training a health center workforce. • Preparing for, responding to, and recovering from emergent health events. • Implementing payer strategies, including value-based care delivery, to ensure high functioning, financially sustainable health centers. • Accelerating data-informed improvements to improve operations and clinical quality.

Who can apply, from the official notice

Applications can be from the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, or the Republic of Palau.New organizations and organizations currently receiving funding as PCAs under Section 330(l) may submit applications. Individuals are not eligible applicants under this NOFO.

Davidson County: Health shortage areas here

HRSA shortage designations that cover all or part of Davidson County:

Primary care: low-income residents in 64 census tracts of Davidson County are a population HPSA (the people, not the place), score 10. HRSA name “LI - Central Nashville”, ID 1472633122.
Primary care: low-income residents in 42 census tracts of Davidson County are a population HPSA (the people, not the place), score 17. HRSA name “LI - Priest Lake/Antioch”, ID 1472405026.
Primary care: low-income residents in 33 census tracts of Davidson County are a population HPSA (the people, not the place), score 15. HRSA name “LI-Northeast Davison”, ID 1473314046.
Dental: low-income residents across Davidson County are a population HPSA (the people, not the place), score 11. HRSA has proposed withdrawing it. HRSA name “LI-Davidson County”, ID 6476619630.
Dental: low-income residents in 51 census tracts of Davidson County are a population HPSA (the people, not the place), score 13. HRSA name “LI-Nashville”, ID 6478883600.
Mental health: low-income residents across Davidson County are a population HPSA (the people, not the place), score 15. HRSA name “LI-Davidson County”, ID 7471068693.
Medically underserved area: 5 census tracts of Davidson County, IMU score 61.00. HRSA name “Bordeaux/Inglewood”, ID 03242.
Medically underserved area: 10 census tracts of Davidson County, IMU score 57.06. HRSA name “Davidson Service Area”, ID 03248.
Medically underserved area: 8 census tracts of Davidson County, IMU score 48.27. HRSA name “Davidson Service Area”, ID 03243.

A designation for part of the county, or for a group of residents, does not make all of Davidson County a shortage area.

Funders check the exact site or address. Look yours up in HRSA's Find Shortage Areas tool. It also lists facility designations, such as health centers, which HRSA's download leaves out.

Source: HRSA, shortage area data downloads (HPSA and MUA/P files), as of Oct 8, 2026. Withdrawn designations are left out. Higher HPSA scores mean more need.

Official notice: https://simpler.grants.gov/opportunity/88f12b64-0fbc-44ea-a689-57ed9e9fb9dd · Printed from grantme.click/grants/9cbdac5d-a7a5-4f14-a3ab-a7a5e54cc660

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Writing the need statement? Davidson County facts with citations.

Who in Tennessee has won this program

6 awards to Tennessee groups in 1 county since 2006 · 6 in Davidson County. Largest shown:

Past Tennessee winners
Past winner	Where	Amount	Fiscal year
National Health Care for the Homeless Council Inc	Nashville, Davidson County	$12.5M	2008
Tennessee Primary Care Association, Inc	Nashville, Davidson County	$9.9M	2006
Tennessee Primary Care Association, Inc	Nashville, Davidson County	$4.7M	2022
Tennessee Primary Care Association, Inc	Nashville, Davidson County	$1.3M spent that year	2025
National Health Care for the Homeless Council Inc	Nashville, Davidson County	$447K	2021
Tennessee Primary Care Association, Inc	Nashville, Davidson County	$297K	2021

Source: USAspending.gov; Federal Audit Clearinghouse. Past awards show who this program funds. They don't guarantee future awards.

Tennessee groups that got this money through Tennessee Department of Health

This federal money also reaches local groups as pass-through grants. In Tennessee, Tennessee Department of Health passes it on: watch that agency for applications, not the federal agency. 3 pass-through grants on file · 3 in Davidson County. Largest shown:

Tennessee pass-through grant winners
Past winner	Where	Through	Amount	Fiscal year
National Health Care for the Homeless Council Inc	Nashville, Davidson County	Tennessee Department of Health	$1.6M spent that year	2025
National Health Care for the Homeless Council, Inc.	Nashville, Davidson County	Corporation for Supportive Housing	$76K spent that year	2023
National Health Care for the Homeless Council, Inc.	Nashville, Davidson County	Corporation for Supportive Housing:	$40K spent that year	2024

Source: USAspending.gov pass-through reports (the first recipient reports each one of $30,000 or more).

About the federal program

State and Regional Primary Care Associations (PCAs), National Technical Assistance Programs (NTAPs), and Health Centered Controlled Networks (HCCNs), also called “State and Regional Primary Care Associations (PCAs), National Technical Assistance Programs (NTAPs), and Health Centered Controlled Networks (HCCNs)”
Program number 93.129 (the federal Assistance Listing number) · U.S. Department of Health and Human Services, Health Resources and Services Administration · Cooperative agreement (a grant with close agency involvement)

How applications are judged

Applicants seeking to provide technical and non-financial assistance to health centers will be evaluated on their ability to provide national, state, or regional-specific technical assistance in the areas specified in each NOFO. Activities must support the stated objectives and advance the HRSA mission. Applications are subject to independent objective review procedures.

Match

None required (federal program listing).

This program on SAM.gov

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Key facts