Immunization Cooperative Agreements (93.268)
Immunization Cooperative Agreements (Assistance Listing 93.268) is run by the Centers for Disease Control and Prevention, part of the Department of Health and Human Services. It awarded $8.5 billion in 221 grants from fiscal 2021 to 2025, about $38.6 million per award on average. No funding opportunity is open on Grants.gov right now.
The typical award was $2.1 million. Half of the 221 awards fell between $250,000 and $44.1 million, and they ranged from $252 to $924 million.
- Awarded, FY 2021 to 2025$8.5 billion
- Grant awards221
- Typical award$2.1 million
- Awarded in FY 2025$252 million
- Size rank58 of 1824
- Type of assistanceProject grants
Key findings
- Annual funding fell from $7.2 billion in fiscal 2021 to $252 million in fiscal 2025.
- It is the 58th 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 59 states and territories.
What the program funds
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).
Open opportunities
No opportunity under this program is open or forecast on Grants.gov right now. Programs often post once a year, so the funding history below shows what to expect.
Rules from the program listing
Who can apply
Any U.S. state, and in consultation with state health authorities, political subdivisions of states and other public entities and U.S. territories may apply; private individuals and private nonprofit agencies are not eligible for immunization grants.
What the money can and cannot pay for
Cooperative Agreement funds may be used for costs associated with planning, organizing, and conducting immunization programs directed toward vaccine-preventable diseases and for the purchase of vaccine; and for the implementation of other program elements, such as assessment of the problem; surveillance and outbreak control; information and education; adequate notification of the risks and benefits of immunization; compliance with compulsory school immunization laws; vaccine storage, supply management, and delivery; citizen participation; and use of volunteers. Vaccine will be available "in lieu of cash" if requested by the applicants. Requests for personnel and other items "in lieu of cash" will also be considered. Vaccine purchased with Cooperative Agreement funds may be provided to private practitioners who agree not to charge for vaccine. Cooperative Agreement funds may be used to supplement (not substitute for) existing immunization services and operations provided by a state or locality.
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.
Deadlines
Check Grants.gov for any relevant NOFO information regarding processes for applying for assistance.
Award range and average, in the agency's words
Awards range from $400,000 to $465,640,000 Average: $6,000,000
Funding history and past recipients
From fiscal 2021 to 2025, Immunization Cooperative Agreements (93.268) awarded$8.5 billion across 221 grant awards, an average of $38.6 million per award.
Who usually wins
Almost all of the money went to state and local governments.
| Recipient type | Awards | Amount | Share |
|---|---|---|---|
| State and local governments | 183 | $8.5 billion | 100% |
| Nonprofits | 20 | $11.2 million | 0.1% |
| Colleges and universities | 9 | $3.0 million | less than 0.1% |
| Businesses | 1 | $500,000 | less than 0.1% |
By state
58 states have a page for this program: those that received at least $1 million or 10 awards.
| State | Awards | Amount |
|---|---|---|
| California | 6 | $938 million |
| Texas | 7 | $696 million |
| New York | 9 | $502 million |
| Florida | 3 | $476 million |
| Illinois | 7 | $338 million |
| Pennsylvania | 7 | $308 million |
| Ohio | 4 | $261 million |
| Georgia | 6 | $260 million |
| North Carolina | 4 | $247 million |
| Michigan | 5 | $241 million |
| New Jersey | 3 | $211 million |
| Virginia | 5 | $199 million |
| Washington | 5 | $188 million |
| Arizona | 6 | $180 million |
| Massachusetts | 5 | $167 million |
| Tennessee | 4 | $164 million |
| Indiana | 3 | $158 million |
| Maryland | 7 | $146 million |
| Minnesota | 5 | $143 million |
| Wisconsin | 3 | $142 million |
| Colorado | 4 | $138 million |
| Missouri | 3 | $137 million |
| South Carolina | 4 | $122 million |
| Alabama | 5 | $121 million |
| Louisiana | 4 | $109 million |
| Kentucky | 3 | $108 million |
| Oregon | 3 | $105 million |
| Connecticut | 5 | $98.8 million |
| Oklahoma | 2 | $96.9 million |
| Nevada | 3 | $87.2 million |
| Iowa | 5 | $87.2 million |
| Mississippi | 2 | $84.3 million |
| Kansas | 3 | $83.5 million |
| Utah | 3 | $82.8 million |
| Arkansas | 3 | $82.5 million |
| Puerto Rico | 2 | $78.0 million |
| New Mexico | 3 | $74.8 million |
| Nebraska | 3 | $64.6 million |
| District of Columbia | 8 | $63.1 million |
| Idaho | 2 | $61.7 million |
| Hawaii | 2 | $61.5 million |
| Maine | 3 | $60.3 million |
| New Hampshire | 3 | $53.8 million |
| West Virginia | 3 | $53.5 million |
| Montana | 2 | $53.5 million |
| Rhode Island | 3 | $53.4 million |
| Delaware | 3 | $53.1 million |
| South Dakota | 2 | $52.6 million |
| Alaska | 3 | $51.3 million |
| North Dakota | 2 | $49.7 million |
| Vermont | 3 | $48.7 million |
| Wyoming | 3 | $47.2 million |
| Federated States of Micronesia | 2 | $9.8 million |
| Guam | 3 | $9.5 million |
| U.S. Virgin Islands | 2 | $9.3 million |
| Marshall Islands | 2 | $7.6 million |
| Northern Mariana Islands | 2 | $6.6 million |
| American Samoa | 2 | $5.8 million |
| Palau | 2 | $792,343 |