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Tribal Health Centers
Governance requirements and regulations do not apply to health centers operated by an Indian tribe or tribal or Indian organization under the Indian Self-Determination Act or an urban Indian organization under the Indian Health Care Improvement Act that receives section 330 funding.
Migrant, Homeless, Public Housing, and Rural Areas
Upon showing "good cause" the Secretary per statute, has the discretion to waive all or part of the governance requirements for health centers that receive grant support under sections 330(g), (h), (i) or (p) (migrant, homeless, public housing and sparsely populated rural areas health centers respectively). This waiver authority is effective for the length of a health center's project period.
To date, HRSA has provided these types of applicants with the option of waiving only the following two governance requirements:
- Fifty-one percent consumer board representation; and/or
- Monthly board meetings.
Only applicants requesting targeted funding solely to serve migrant and seasonal farmworkers, people experiencing homelessness, and/or residents of public housing that do not receive or are not requesting to receive general funds, may request a waiver.
If granted, the waiver is effective for the length of a health center's project period.
How to Request a Waiver
Governance waivers are requested through a New Access Point application (for organizations that do not currently received section 330 funds) or through the Competing Continuation/Service Area Competition application (for existing grantees).
Note: An approved waiver does not absolve the organization's governing board from fulfilling all other statutory board responsibilities and requirements.
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