# Cooperative Agreements to States/Territories for the Coordination and Development of Primary Care Offices (93.130)

Source: https://welltoldgrants.com/programs/93-130-cooperative-agreements-to-states-territories-for-the/  
Publisher: Well Told Grants. Data: USAspending.gov and Grants.gov, updated November 7, 2026.

Cooperative Agreements to States/Territories for the Coordination and Development of Primary Care Offices is run by Department of Health and Human Services. From fiscal 2021 to 2025 it awarded $14.6 million in 54 grants, about $269,978 per award.

## Objectives

The State Primary Care Offices (PCO) cooperative agreement aims to improve access to primary, dental, and mental health services for uninsured, isolated, and medically vulnerable populations by coordinating statewide primary care initiatives and health workforce strategies. Through statewide needs assessment, shortage designation coordination, and targeted technical assistance, the PCO identifies unmet health needs, monitors provider availability, and supports the development and expansion of community-based primary care delivery systems. The program further advances recruitment and retention efforts—including support for National Health Service Corps initiatives—and works collaboratively with state agencies, health centers, and community partners to strengthen the primary care safety net. Collectively, these activities position the PCO to lead long-term, data-driven strategies that address health workforce shortages and expand access to care across the state.

## Funding by fiscal year

| Year | Amount | Awards |
|---|---|---|
| 2021 | $0 | 0 |
| 2022 | $0 | 0 |
| 2023 | $12.0 million | 54 |
| 2024 | $2.8 million | 54 |
| 2025 | -$266,260 | 0 |

## Largest recipients

| Recipient | State | Amount |
|---|---|---|
| California Department of Health Care Access and Information | California | $866,997 |
| NYS Department of Health | New York | $627,383 |
| Florida Department of Health | Florida | $455,835 |
| Michigan Department of Health and Human Services | Michigan | $417,589 |
| Department of Public Health Illinois | Illinois | $416,685 |
| Massachusetts Department of Public Health | Massachusetts | $412,779 |
| Pennsylvania Department of Health | Pennsylvania | $411,133 |
| Department of State Health Services | Texas | $381,587 |
| Ohio Department of Health | Ohio | $361,918 |
| North Carolina Department of Health & Human Services | North Carolina | $355,613 |
| Commonwealth of Virginia State Board of Health | Virginia | $332,267 |
| Georgia Department of Community Health | Georgia | $324,477 |
| Minnesota Department of Health | Minnesota | $318,879 |
| Colorado Department of Public Health & Environment | Colorado | $311,034 |
| Missouri Department of Health & Senior Services | Missouri | $308,025 |
| Arizona Department of Health Services | Arizona | $303,112 |
| Oregon Health Authority-Public Health | Oregon | $296,380 |
| Tennessee Department of Health | Tennessee | $294,140 |
| Health Services Kentucky Cabinet for | Kentucky | $284,584 |
| Puerto Rico Department of Health | Puerto Rico | $282,057 |