As Section 330 grantees, all health centers are subject to oversight by the Health Resources and Services Administration (HRSA).  

HRSA has recently increased its scrutiny of health centers’ compliance with core statutory and regulatory requirements.  These requirements are summarized the health center requirements in the Nineteen Key Health Center Program Requirements, which reflect the core components of the health center program: 

1. Need: Facilities located in and/or serving medically underserved areas / medically underserved populations;
2. Services: Provision of comprehensive primary and preventive health care services and related enabling services regardless of ability to pay; 
3. Management and finance: Systems that ensure the health center’s autonomy and fiscal viability; and,
4. Governance: Governance by a community-based Board of Directors. 

HRSA also sets forth guidance through Policy Information Notices (PINs) and Program Assistance Letters (PALs).  

Operational site visit assessments serve as HRSA’s main tool for evaluating health center compliance with the Program Requirements.  Health centers have received findings of non-compliance, as well as having conditions placed on their Section 330 awards.