Epidemiology Program (93.231)
Epidemiology Program (Assistance Listing 93.231) is run by the Indian Health Service, part of the Department of Health and Human Services. It awarded $191 million in 150 grants from fiscal 2021 to 2025, about $1.3 million per award on average. 1 funding opportunity is open or forecast now.
The typical award was $796,421. Half of the 150 awards fell between $400,000 and $800,000, and they ranged from $150,000 to $10.0 million.
- Awarded, FY 2021 to 2025$191 million
- Grant awards150
- Typical award$796,421
- Awarded in FY 2025$45.6 million
- Size rank618 of 1824
- Type of assistanceCooperative agreements
Key findings
- Annual funding rose from $26.0 million in fiscal 2021 to $45.6 million in fiscal 2025.
- It is the 618th largest of 1,824 federal grant programs by five-year awards.
- The 20 largest recipients received 65% of the money.
- Awards went to recipients in 27 states and territories.
What the program funds
The purpose of this program is to fund Tribes, Tribal and urban Indian organizations, and intertribal consortia to provide epidemiological support for the American Indian / Alaska Native (AI/AN) population served by IHS. Tribal Epidemiology Center (TEC) activities should include, but are not limited to, enhancement of surveillance for disease conditions; research, prevention and control of disease, injury, or disability; assessment of the effectiveness of AI/AN public health programs; epidemiologic analysis, interpretation, and dissemination of surveillance data; investigation of disease outbreaks; development and implementation of epidemiologic studies; development and implementation of disease control and prevention programs; and coordination of activities with other public health authorities in the region. It is the intent of IHS to fund several TECs that will serve Tribes and urban Indian communities in all 12 IHS Administrative Areas.
Open opportunities
Rules from the program listing
Who can apply
AI/AN Tribes, Tribal organizations, and eligible intertribal consortia or urban Indian organizations as defined by 25 U.S.C. 1603(e) may be eligible for a TEC cooperative agreement. Such entities must represent or serve a population of at least 60,000 AI/AN to be eligible as demonstrated by Tribal resolutions or the equivalent documentation from urban Indian clinic directors/Chief Executive Officers (CEOs). Applicants must describe the population of AI/ANs and Tribes that will be represented. The number of AI/ANs served must be substantiated by documentation describing IHS user populations, United States Census Bureau data, clinical catchment data, or any method that is scientifically and epidemiologically valid. An intertribal consortium or urban Indian organization is eligible to receive a cooperative agreement if it is incorporated for the primary purpose of improving AI/AN health, and represents the Tribes, AN villages, or urban Indian communities in which it is located. Resolutions from each Tribe, AN village and equivalent documentation from each urban Indian community represented must be included in the application package. Collaborations with IHS Areas, Federal agencies such as the Centers for Disease Control and Prevention (CDC), State, academic institutions or other organizations are encouraged (letters of support and collaboration should be included in the application).
What the money can and cannot pay for
Cooperative agreement funds for TEC awards may be used to develop and conduct activities to achieve at least one epidemiology program in each of the 12 Areas of Indian country. The recipient activities will coordinate and participate in projects, investigations, or studies of national scope; and share surveillance and other data collected. IHS activities will convene workshops/meetings; provide technical assistance and consultation; provide training; conduct site visits; and coordinate all epidemiological activities on a national basis. Grant funds for NPHR and NPHRP may be used for planning and implementation of public health activities as described under the 10 Essential Public Health Services on the Centers for Disease Control and Prevention web site, Public Health Professionals Gateway (https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html). Funds will be used to support activities that are directly related to the grant project. All indirect costs will be issued based on the indirect cost rate agreement that is negotiated by the recipient, as appropriate.;
Matching requirements
This program has no statutory formula. Matching requirements are not applicable to this assistance listing. MOE requirements are not applicable to this assistance listing.
Award range and average, in the agency's words
$565,475 to $1,322,125; average award $795,535.
Funding history and past recipients
From fiscal 2021 to 2025, Epidemiology Program (93.231) awarded$191 million across 150 grant awards, an average of $1.3 million per award.
Who usually wins
Tribal governments and organizations received 44% of the money, nonprofits 42%.
| Recipient type | Awards | Amount | Share |
|---|---|---|---|
| Tribal governments and organizations | 125 | $84.0 million | 44% |
| Nonprofits | 22 | $79.8 million | 42% |
| Other | 3 | $27.1 million | 14% |
By state
15 states have a page for this program: those that received at least $1 million or 10 awards.
| State | Awards | Amount |
|---|---|---|
| Oklahoma | 27 | $25.4 million |
| Alaska | 21 | $21.3 million |
| Arizona | 10 | $21.1 million |
| California | 19 | $20.4 million |
| New Mexico | 11 | $16.3 million |
| Washington | 7 | $14.4 million |
| South Dakota | 9 | $14.3 million |
| Oregon | 4 | $11.5 million |
| Montana | 7 | $11.3 million |
| Tennessee | 1 | $8.4 million |
| Wisconsin | 5 | $8.2 million |
| Nebraska | 6 | $4.4 million |
| Michigan | 5 | $3.0 million |
| Minnesota | 3 | $1.8 million |
| Colorado | 2 | $1.6 million |
| Idaho | 1 | $800,000 |
| Illinois | 1 | $800,000 |
| Louisiana | 1 | $800,000 |
| Texas | 1 | $800,000 |
| New York | 1 | $697,022 |
| Wyoming | 1 | $676,446 |
| Maine | 1 | $612,542 |
| Mississippi | 1 | $600,000 |
| Nevada | 1 | $600,000 |
| District of Columbia | 2 | $550,000 |
| North Carolina | 1 | $500,000 |
| South Carolina | 1 | $200,000 |