Bureau of Primary Health Care

The Health Resources and Services Administration (HRSA), a sub-agency of the Department of Health and Human Services, administers federal grants funding primary care and community health services, workforce development in shortage areas, and maternal and child health programs nationwide. HRSA operates as the principal federal grantor for federally qualified health centers, rural health initiatives, and health professions training.

HRSA has obligated $158.95 billion in cumulative federal grant funding across 14,120 awards to 2,056 distinct recipients since 1983. Grant activity shows a notable decline in recent years: 2,060 awards in 2022, 2,007 in 2023, 610 in 2024, 1 in 2025, and 79 year-to-date in 2026. The most recent grant award was recorded in August 2026. All awards are structured as Project Grants.

Grant recipient concentration is highly fragmented; the top five recipients by award count account for only 1 percent of recent awards over the last five years. Refuah Health Center Inc. leads by award count with 7 awards totaling $15.9 million in federal dollars obligated, followed by Community Health Center Incorporated, Family Health Centers of San Diego Inc., Denver Health and Hospital Authority, and Community Health Center of Southeast Kansas Inc., each with 6 awards. By federal dollars obligated, El Rio Santa Cruz Neighborhood Health Center Inc. leads with $28.4 million across 5 awards, followed by Denver Health and Hospital Authority at $19 million across 6 awards and Community Health Association of Spokane at $18.5 million across 5 awards. The highly fragmented competitive structure reflects HRSA's mission to distribute primary care and health workforce funding across thousands of community health organizations, rural providers, and academic institutions nationwide. No recent grant opportunities are recorded against HRSA or its descendant offices.