# Immunization Cooperative Agreements (93.268)

Source: https://welltoldgrants.com/programs/93-268-immunization-cooperative-agreements/  
Publisher: Well Told Grants. Data: USAspending.gov and Grants.gov, updated November 7, 2026.

Immunization Cooperative Agreements is run by Department of Health and Human Services. From fiscal 2021 to 2025 it awarded $8.5 billion in 221 grants, about $38.6 million per award.

## Objectives

To assist states and communities in establishing and maintaining preventive health service programs to immunize individuals against vaccine-preventable diseases (including measles, rubella, poliomyelitis, diphtheria, pertussis, tetanus, hepatitis B, hepatitis A, varicella, mumps, haemophilus influenza type b, influenza, and pneumococcal pneumonia).

## Funding by fiscal year

| Year | Amount | Awards |
|---|---|---|
| 2021 | $7.2 billion | 69 |
| 2022 | $447 million | 73 |
| 2023 | $634 million | 72 |
| 2024 | $26.7 million | 107 |
| 2025 | $252 million | 135 |

## Largest recipients

| Recipient | State | Amount |
|---|---|---|
| California Department of Public Health | California | $935 million |
| Department of State Health Services | Texas | $594 million |
| Florida Department of Health | Florida | $476 million |
| NYS Department of Health | New York | $266 million |
| Pennsylvania Department of Health | Pennsylvania | $262 million |
| Ohio Department of Health | Ohio | $261 million |
| State of Georgia Department of Public Health | Georgia | $258 million |
| North Carolina Department of Health & Human Services | North Carolina | $247 million |
| Michigan Department of Health and Human Services | Michigan | $241 million |
| Department of Public Health Illinois | Illinois | $236 million |
| City of New York | New York | $234 million |
| New Jersey Department of Health | New Jersey | $211 million |
| Commonwealth of Virginia State Board of Health | Virginia | $193 million |
| Washington State Department of Health | Washington | $187 million |
| Arizona Department of Health Services | Arizona | $178 million |
| Massachusetts Department of Public Health | Massachusetts | $167 million |
| Tennessee Department of Health | Tennessee | $164 million |
| Indiana Department of Health | Indiana | $158 million |
| Maryland Department of Health | Maryland | $145 million |
| State of Wisconsin Department of Health Services | Wisconsin | $142 million |