HHS MAHA Initiative Reshapes HRSA Grant Priorities — 51 May 2026 Awards (~$171M) + Disparities/DEI Deprioritized

HHS Make America Healthy Again (MAHA) initiative is reshaping FY2026 HRSA grant priorities, with approximately 93 Service Area Competition awards (~$232M) issued March 2026 and 51 SAC awards (~$171M) issuing May 2026. Programmatic shift: deprioritization of health disparities, LGBTQ+ health, and DEI activities under MAHA framework. New opportunity: MAHA Elevate program (~$100M) opens for preventive lifestyle interventions (nutrition, physical activity, chronic disease prevention). Strategic implication: CA FQHCs serving heavy LGBTQ+ populations (San Francisco Community Health Center, APAIT, JWCH Institute, Mission Neighborhood Health Center) face programmatic alignment risk and should review SAC language for MAHA-compatible framing. Conversely, FQHCs with strong chronic disease management programs can position for Elevate funding. Pairs with the HHS RFI on AI in clinical care (closed Jan 28) — federal grant infrastructure shifting simultaneously across multiple programs.