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4,448 awards

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Action dateRecipientAgencyAmountDescriptionSector
2026-04-30PERATON INC.National Aeronautics and Space Administration$220,065,715IGF::CT::IGF OPERATIONS AND MANAGEMENT OF THE NASA BALLOON FACILITY
2026-04-22HAWAII DEPARTMENT OF HEALTHDepartment of Health and Human Services$219,931,085HAWAII'S EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC), ENHANCING EPIDEMIOLOGY, LABORATORY, AND HEALTH INFORMATION SYSTEMS CAPACITY
2026-05-12OFFICE OF EMERGENCY SERVICESDepartment of Homeland Security$219,686,113GRANT TO LOCAL GOVERNMENT FOR REPAIR OR REPLACEMENT OF DISASTER DAMAGED FACILITIES
2026-03-05BARNARD SPENCER JOINT VENTUREDepartment of Homeland Security$219,480,804CONSTRUCT/INSTALL 60 MILES OF SYSTEM ATTRIBUTES (DETECTION, LIGHTING, CABLING, ETC..).
2026-05-06THE REGENTS OF THE UNIVERSITY OF COLORADODepartment of Commerce$219,410,937THE PROPOSAL IS TO ESTABLISH A NOAA COOPERATIVE INSTITUTE FOR EARTH SYSTEM RESEARCH AND DATA SCIENCE AT THE UNIVERSITY OF COLORADO, BOULDER (UC) FOR 2022-2027 TO FULFILL NOAAS VISION OF HEALTHY ECOSYSTEMS, COMMUNITIES, AND ECONOMIES THAT ARE RESILIENT IN THE FACE OF CHANGE. THE UNIVERSITY OF COLORADO PROPOSES A COMPREHENSIVE, INNOVATIVE, AND FLEXIBLE RESEARCH PROGRAM TO ACHIEVE NOAAS VISION AND GOALS, WITH A FOCUS ON EARTH SYSTEM RESEARCH AND DATA SCIENCE. THE COOPERATIVE INSTITUTE WILL EMPLOY WORLD-CLASS RESEARCHERS TO CONDUCT SCIENCE IN SERVICE TO SOCIETY AND IN PARTNERSHIP WITH NOAA. THE COOPERATIVE INSTITUTE WILL BE SUPPORTED BY A ROBUST INFRASTRUCTURE COMMITTED TO EQUITY, EDUCATION, AND OUTREACH. THE COOPERATIVE INSTITUTE PROPOSES TO ADDRESS THE FOLLOWING THEMES OVER THE COURSE OF THIS 5-YEAR AWARD: 1) FUTURE ATMOSPHERE, 2) CLIMATE SCIENCE AND PREDICTION, 3) EARTH SYSTEM DATA SCIENCE, STEWARDSHIP, AND APPLICATIONS, 4) REGIONAL SCIENCE AND APPLICATIONS, 5) SCIENTIFIC OUTREACH, EDUC
2026-04-06HEALTH AND HUMAN SERVICES, MAINE DEPARTMENT OFDepartment of Health and Human Services$219,030,821MAINE'S 2019 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR PREVENTION AND CONTROL OF EMERGING DISEASES APPLICATION
2026-03-31FLORIDA DEPARTMENT OF EDUCATIONDepartment of Education$218,908,956STATE VOCATIONAL REHABILITATION SERVICES (VR)
2026-05-05GEORGIA DEPARTMENT OF COMMUNITY HEALTHDepartment of Health and Human Services$218,862,170GEORGIA RURAL ENHANCEMENT AND TRANSFORMATION OF HEALTH (GREAT HEALTH) PROGRAM IS A GRANT TO SUPPORT VALUE-BASED CARE UPTAKE IN THE STATE OF GEORGIA; BY STRENGTHENING THE HEALTHCARE ACCESS, WORKFORCE - PROJECT SUMMARY ORGANIZATION: GEORGIA DEPARTMENT OF COMMUNITY HEALTH SUB-RECIPIENTS: STATE OFFICE OF RURAL HEALTH, GEORGIA BOARD OF HEALTH CARE WORKFORCE, DEPARTMENT OF PUBLIC HEALTH, DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES, DEPARTMENT OF HUMAN SERVICES, UNIVERSITY SYSTEM OF GEORGIA, SIDE BY SIDE, GEORGIA EMS ASSOCIATION/GEORGIA AMBULANCE PROVIDERS ASSOCIATION, SHARECARE, DELOITTE, RSM PROJECT GOALS: ALL FIVE RURAL HEALTH TRANSFORMATION GOALS AS SPECIFIED IN THE NOFO TOTAL BUDGET AMOUNT: $1,427,778,682 OVER FIVE YEARS DESCRIPTION: GEORGIA’S RURAL ENHANCEMENT AND TRANSFORMATION OF HEALTH (GREAT HEALTH) PROGRAM WILL BRING ABOUT A TRANSFORMATION OF HEALTH IN RURAL GEORGIA. ACHIEVING THIS VISION MEANS RURAL POPULATIONS ARE HEALTHIER, LIVE LONGER, HAVE AN IMPROVED QUALITY OF LIFE, AND CAN BOTH LIVE AND WORK IN THE COMMUNITIES THEY LOVE; RURAL PLACES HAVE HEALTHCARE THAT IS HIGH QUALITY, MORE ABUNDANT, MORE ACCESSIBLE, AND MORE EFFECTIVE; AND RURAL PROGRESS CREATES SYSTEMS-LEVEL CHANGE THAT LEVERAGES TECHNOLOGY, DRIVES INNOVATION, AND IMPROVES QUALITY, WHILE MAINTAINING A PATIENT FOCUS. THE GREAT HEALTH PROGRAM WILL DO THIS THROUGH FIVE INITIATIVES: 1. TRANSFORMING FOR A SUSTAINABLE HEALTH SYSTEM FOCUSES ON PREPARING RURAL HEALTHCARE FACILITIES AND PROVIDERS TO QUALIFY FOR THE ACHIEVING HEALTHCARE EFFICIENCY THROUGH ACCOUNTABLE DESIGN (AHEAD) MODEL FOR HOSPITALS AND AHEAD PRIMARY CARE PROGRAMS FROM CMS TO ALIGN WITH THE GEORGIA VISION OF RURAL PROGRESS. AS PART OF THIS INITIATIVE, THE GREAT HEALTH PROGRAM WILL FOCUS TIME AND RESOURCES TO WORKING COLLABORATIVELY WITH HEALTHCARE FACILITIES AND LEADERS TO ASSESS READINESS, IDENTIFY GAPS, AND PROVIDE TECHNICAL ASSISTANCE. OTHER PARTS OF THIS INITIATIVE WILL ADDRESS STRATEGIC GAPS AND MITIGATE FISCAL RISK THAT COULD CAUSE SOME FACILITIES AND PROVIDERS TO DELAY ENGAGEMENT IN THESE REFORMS. GEORGIA INTENDS TO APPLY IN 2026 TO BE A PART OF THE AHEAD PROGRAM BEGINNING IN 2028. MANY OF THE STRATEGIES OUTLINED ACROSS INITIATIVES WILL SUPPORT THE CARE DELIVERY AND FINANCIAL SITUATIONS OF RURAL PROVIDERS TO ENSURE LONG-TERM, MEANINGFUL PARTICIPATION IN AHEAD. 2. STRENGTHENING THE CONTINUUM OF CARE INCLUDES NINE STRATEGIES THAT FOCUS ON ADDRESSING RURAL-SPECIFIC BEHAVIORAL HEALTH CONCERNS, IMPROVING INFRASTRUCTURE RELATED TO EMERGENCY PREPAREDNESS TO MITIGATE INJURY AND TRAUMA RISKS, IMPROVING PUBLIC HEALTH INITIATIVES RELATED TO NEWBORN SCREENINGS AND INTERHOSPITAL TRANSPORTATION, EXPANDING SUPPORT FOR ACQUIRED BRAIN INJURY SURVIVORS, AND INCREASING ACCESS TO NUTRITION SERVICES FOR CHILDREN WITH AUTISM SPECTRUM DISORDER (ASD) AND PREGNANT WOMEN. 3. CONNECTING TO CARE TO IMPROVE HEALTHCARE ACCESS INCLUDES SIX STRATEGIES THAT ALIGN WITH THE VISION OF INCREASING ACCESS IN RURAL PLACES TO ENSURE RURAL RESIDENTS HAVE MORE OPPORTUNITIES FOR PREVENTATIVE, PRIMARY, SPECIALTY, DENTAL, AND BEHAVIORAL HEALTHCARE. 4. GROWING A HIGHLY SKILLED HEALTHCARE WORKFORCE INCLUDES FIVE STRATEGIES GROUNDED IN INCREASING AND INCENTIVIZING HEALTHCARE WORKERS TO PRACTICE IN RURAL GEORGIA. THIS IS DIRECTLY ASSOCIATED WITH THE VISION FOR RURAL POPULATIONS IN RURAL PLACES THROUGH EXPANDED SCHOLARSHIP AND GME PROGRAMS AND ESTABLISHING RURAL RECRUITMENT INCENTIVES. 5. LEVERAGING TECHNOLOGY FOR HEALTHCARE INNOVATION CONSISTS OF EIGHT TECHNOLOGY-BASED STRATEGIES THAT WILL SCALE UP INNOVATION WITH A FOCUS ON IMPROVING CARE DELIVERY, ALIGNING WITH THE VISION OF ADVANCING RURAL PROGRESS, THROUGH TECHNOLOGICAL ADVANCES IN CYBERSECURITY, ROBOTICS, ELECTRONIC MEDICAL RECORDS, ARTIFICIAL INTELLIGENCE, AND MORE
2026-04-06NEW YORK STATE OFFICE OF TEMPORARY & DISABILITY ASSISTANCEDepartment of Health and Human Services$218,762,358SCSS-2024
2026-03-03TEPA EC, LLCDepartment of the Interior$218,746,004MANY FARMS HIGH SCHOOL CONSTRUCTION BUILD.
2026-04-02TETRA TECH, INC.Department of State$218,581,586OFFICE OF WEAPONS REMOVAL AND ABATEMENT HAS A HUMANITARIAN DEMINING REQUEST FOR INTERNATIONAL ASSISTANCE TO UKRAINE/CONVENTIONAL WEAPONS DESTRUCTION (CWD).
2026-04-06NEBRASKA DEPARTMENT OF HEALTH & HUMAN SERVICESDepartment of Health and Human Services$218,529,075RHTP ? MAKE NEBRASKA HEALTHY AGAIN - NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS) WILL BUILD A PREVENTION-FIRST, TECH-ENABLED SUSTAINABLE RURAL HEALTH CARE SYSTEM. - RHTP – MAKE NEBRASKA HEALTHY AGAIN - NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS) WILL BUILD A PREVENTION-FIRST, TECH-ENABLED SUSTAINABLE RURAL HEALTH CARE SYSTEM.
2026-05-05STATE OF MICHIGANDepartment of Health and Human Services$217,814,784CCDD-2026 - CHILD CARE AND DEVELOPMENT BLOCK GRANT DISCRETIONARY
2026-04-15KIEWIT INFRASTRUCTURE WEST CO.Department of the Interior$217,706,096YOSE 196416 REHABILITATE EL PORTAL WASTEWATER TREATMENT FACILITY AND ADMINISTRATIVE CAMP THE WORK OF THIS CONTRACT IS FOR THE CONSTRUCTION OF: YOSE 196416 REHABILITATE EL PORTAL WASTEWATER TREATMENT FACILITY AND ADMINISTRATIVE CAMP IN YOSEMITE NAT
2026-03-16SCIENCE APPLICATIONS INTERNATIONAL CORPORATIONGeneral Services Administration$217,639,592BATTLEFIELD SYSTEMS SUB TASK 2
2026-04-30INNOVATIVE MANAGEMENT CONCEPTS, INCGeneral Services Administration$217,472,871THE PURPOSE OF THIS TO IS TO PROVIDE MISSION CRITICAL C4 AND IT SYSTEM SUPPORT TO ESIM, ITS SUBORDINATE UNITS, AND ITS STRATEGIC AND OPERATIONAL PARTNERS.
2026-03-20SPECTRUM HEALTHCARE RESOURCES INCORPORATEDDepartment of Health and Human Services$217,355,774REGION D PROFESSIONAL MEDICAL STAFFING&OCCUPATIONAL HEALTH SERVICES
2026-04-06STATE OF FLORIDA DEPARTMENT OF REVENUEDepartment of Health and Human Services$217,319,969SCSS-2024
2026-04-21AMERESCO INCGeneral Services Administration$217,262,240ENERGY SAVINGS PERFORMANCE CONTRACT, NATIONAL DEEP ENERGY RETROFIT PROGRAM ROUND 7, REGION 5 FOR IMPLEMENTATION OF ENERGY CONSERVATION MEASURES AT THE BEAN FEDERAL CENTER, INDIANAPOLIS AND 24 OTHER BUILDINGS INDIANA, ILLINOIS, MINNESOTA AND WISCONSIN
2026-04-02MARYLAND DEPARTMENT OF TRANSPORTATIONDepartment of Transportation$217,027,036PROJECT TITLE: FRANCIS SCOTT KEY (FSK) BRIDGE REBUILD PDB PHASE II :::: PROJECT DESCRIPTION: CONSTRUCTION - PHASE II OF PROGRESSIVE DESIGN BUILD (PDB) - ER PERMANENT REPAIR
2026-03-25STRONGHOLD ENGINEERING INCDepartment of the Interior$216,965,500GRCA 190083 / 250176 - IMPROVE POTABLE WATER SUPPLY TO INNER-CANYON AND SOUTH RIM, TRANS-CANYON WATER DISTRIBUTION PIPELINE, GRAND CANYON NATIONAL PARK, AZ
2026-03-03STATE OF FLORIDA DEPARTMENT OF TRANSPORTATIONDepartment of Transportation$216,707,246PROJECT TITLE: I-4 MANAGED LANES FROM KIRKMAN TO SR 434; ADD LANES & RECONSTRUCT; PRELIMINARY ENGINEERING & CONSTRUCTION; DB :::: PROJECT DESCRIPTION: I-4 MANAGED LANES FROM KIRKMAN TO SR 434; ADD LANES & RECONSTRUCT; PRELIMINARY ENGINEERING & CONSTRUCTION; DB
2026-04-20HEALTH, WASHINGTON STATE DEPARTMENT OFDepartment of Health and Human Services$216,586,656CDC-RFA-IP19-1901 IMMUNIZATION AND VACCINES FOR CHILDREN
2026-03-05GENERAL DYNAMICS ONE SOURCE LLCDepartment of Homeland Security$216,530,542REMOTE VIDEO SURVEILLANCE SYSTEM UPGRADE
2026-04-06DEPARTMENT OF SOCIAL SERVICES MISSODepartment of Health and Human Services$216,276,818MISSOURI TRANSFORMATION OF RURAL COMMUNITY HEALTH CARE (TORCH CARE) - PROJECT SUMMARY ORGANIZATION: MISSOURI DEPARTMENT OF SOCIAL SERVICES (DSS) PROJECT TITLE: MISSOURI TRANSFORMATION OF RURAL COMMUNITY HEALTH CARE (TORCH CARE) TOTAL BUDGET AMOUNT: $1 BILLION OVER FIVE YEARS OF RHTP (AS REQUESTED BY CMS) PURPOSE AND OVERVIEW: MISSOURI DEPARTMENT OF SOCIAL SERVICES (DSS) WILL LEAD A COMPREHENSIVE, STATEWIDE EFFORT THROUGH TRANSFORMATION OF RURAL COMMUNITY HEALTH CARE (TORCH CARE) TO TRANSFORM HOW RURAL HEALTHCARE IS DELIVERED AND SUSTAINED. BUILDING ON THE PROVEN SUCCESS OF MISSOURI’S TRANSFORMATION OF RURAL COMMUNITY HEALTH (TORCH) PROGRAM, TORCH CARE WILL CREATE A CONNECTED SYSTEM OF LOCAL COMMUNITY HUBS TO ENSURE EVERY RURAL MISSOURIAN HAS ACCESS TO THE HIGH-QUALITY CARE THEY NEED THROUGH A DELIVERY SYSTEM THAT IS WELL ALIGNED, COMMUNITY ANCHORED, AND BUILT TO LAST. GOALS: • EXPANDING ACCESS TO CARE: ENSURE RURAL MISSOURIANS CAN ACCESS PRIMARY AND BEHAVIORAL HEALTH PROVIDERS CLOSE TO HOME, COMMUNITY-BASED MATERNITY OPTIONS, WITH CONNECTIONS TO SPECIALISTS AND COMPLEX CARE ENABLED BY TELEHEALTH AND PROVIDER INTEROPERABILITY • IMPROVING HEALTH OUTCOMES: STRENGTHEN HEALTHCARE QUALITY THROUGH INTEGRATED CARE COORDINATION, ALIGNED INCENTIVES, AND EVIDENCE-BASED PRACTICES – SO THAT RURAL MISSOURIANS CONSISTENTLY EXPERIENCE SEAMLESS, HIGH-VALUE CARE • STRENGTHENING PROVIDER SUSTAINABILITY: REINFORCE THE LONG-TERM SUSTAINABILITY OF RURAL PROVIDERS THROUGH TARGETED INVESTMENTS IN INFRASTRUCTURE, ADOPTION OF INNOVATIVE TECHNOLOGIES, AND PAYMENT MODELS THAT REFLECT THE REALITIES OF RURAL CARE DELIVERY USE OF FUNDS: MISSOURI WILL DEPLOY RHTP FUNDING ACROSS FIVE COORDINATED INITIATIVES: 1. REGIONAL COORDINATING NETWORKS AND HUB ACTIVATION: BUILDING THE FOUNDATION OF REGIONAL COORDINATING NETWORKS AND LOCAL COMMUNITY HUBS TO COORDINATE LOCAL CARE DELIVERY AND EXPAND ENTRY POINTS FOR PHYSICAL HEALTH, BEHAVIORAL HEALTH, AND SOCIAL SERVICES 2. ALTERNATIVE PAYMENT MODELS: DESIGNING AND LAUNCHING ALTERNATIVE PAYMENT MODELS TO SUSTAIN TORCH CARE THROUGH REWARDING COLLABORATION THAT LEADS TO HIGH QUALITY AND HIGH VALUE OUTCOMES 3. DIGITAL BACKBONE: ESTABLISHING THE FOUNDATIONAL LAYERS OF TECHNOLOGY THAT ENABLE TORCH CARE TO FUNCTION, INCLUDING PLATFORM INTEROPERABILITY AND DATA MODERNIZATION 4. RURAL HEALTH WORKFORCE PROGRAMS: CREATING A TALENT PIPELINE THAT ENCOMPASSES THE CULTIVATION, RECRUITMENT, TRAINING, AND RETENTION OF RURAL CLINICIANS AND A BROAD ARRAY OF HEALTHCARE PROFESSIONALS 5. PROVIDER TRANSFORMATION: INVEST IN OPERATIONAL INNOVATIONS THAT MODERNIZE AND INCREASE THE SUSTAINABILITY OF RURAL PROVIDERS WHILE PRESERVING ACCESS WITH STRATEGIC RENOVATIONS
2026-05-11BOOZ ALLEN HAMILTON INCGeneral Services Administration$215,708,124AWARD OF DSCU ICB TO SUPPORT THE MISSION SETS AND PROGRAMS.
2026-03-03DEPARTMENT OF EDUCATION IOWADepartment of Agriculture$215,597,749CNP CN BLOCK PROG
2026-04-17OREGON DEPARTMENT OF EDUCATIONDepartment of Agriculture$215,322,986CNP CN BLOCK PROG
2026-04-13DEPARTMENT OF TRANSPORTATION NEW YORKDepartment of Transportation$215,104,000THE PURPOSE OF THIS PROJECT IS TO REPLACE THE CIVIL WAR-ERA PASSENGER RAIL BRIDGE SPANNING THE HUDSON RIVER BETWEEN THE CITIES OF ALBANY AND RENSSELAER AND PROVIDE A MODERN CROSSING THAT WILL IMPROVE SERVICE AND RELIABILITY ALONG THE FEDERALLY DESIGNATED HIGH SPEED RAIL EMPIRE CORRIDOR.THE NEW BRIDGE WILL BE CONSTRUCTED ADJACENT TO AND SOUTH OF THE CURRENT STRUCTURE. THE BRIDGE WILL CARRY TWO TRACKS AND WILL HAVE A MOVABLE LIFT BRIDGE SPAN TO PROVIDE VERTICAL CLEARANCE FOR MARINE TRAFFIC. UPON COMPLETION OF THE NEW BRIDGE, THE RECIPIENT WILL TIE CONNECTING TRACKS INTO THE EXISTING EMPIRE CORRIDOR, AND WILL SHIFT TRAIN TRAFFIC TO THE NEW BRIDGE. FINALLY, THE RECIPIENT WILL DEMOLISH THE OLD BRIDGE. THE PROJECT AIMS TO ACHIEVE A STATE OF GOOD REPAIR FOR THIS CRITICAL LINK, WHICH WILL REDUCE MAINTENANCE COSTS AND ELIMINATE DELAYS FOR BOTH TRAIN AND SHIP TRAFFIC.THIS WILL ALSO INCREASE CAPACITY, ENABLING TWO TRAINS TO TRAVERSE THE BRIDGE SIMULTANEOUSLY, AND INCREASE PASSENGER RAIL SPEEDS. ADDITIONALLY, THE PROJECT WILL ENHANCE BOTH LOAD CAPACITY AND CLEARANCE.
2026-03-16GRANITE CONSTRUCTION COMPANYDepartment of Transportation$214,934,133THE PROJECT CONSISTS OF TWO PHASES: 1) PRE-CONSTRUCTION SERVICES CONTAINED IN THE BASE CONTRACT; AND 2) CONSTRUCTION SERVICES CONTAINED IN TWO OPTIONS. THE PROJECT WILL CONSIST OF SPANNING THE ACTIVE PRETTY ROCKS LANDSLIDE WITH AN APPROXIMATELY 475-F
2026-02-13LOCKHEED MARTIN CORPORATIONNational Aeronautics and Space Administration$214,759,527MULTI-SLIT SOLAR EXPLORER (MUSE) MISSION PHASE A
2026-05-01CHICKASAW NATIONDepartment of Housing and Urban Development$214,725,570INDIAN HSG BLOCK GR
2026-05-01RSI-QUANTITECH JV LLCNational Aeronautics and Space Administration$214,389,803MARSHALL ENGINEERING TECHNICIANS AND TRADES SUPPORT (METTS III) COVERS A WIDE RANGE OF ENGINEERING TECHNICIANS AND TRADE SKILLS TO PERFORM TESTING GROUND AND SPACE BASED RESEARCH TEST OPERATIONS DATA ANALYSIS INSTRUMENTATION CALIBRATION
2026-03-05TENNESSEE DEPARTMENT OF HUMAN SERVICESDepartment of Health and Human Services$214,056,377CCDD-2023
2026-04-27HENSEL PHELPS CONSTRUCTION CO.General Services Administration$213,841,579DESIGN BUILD SERVICES MODERNIZATION AND EXPANSION OF THE CALEXICO LAND PORT OF ENTRY PHASE 2B LOCATED IN CALEXICO, CALIFORNIA
2026-04-13UNWIN CODepartment of Energy$213,772,540THE CONTRACTOR SHALL PROVIDE TECHNICAL AND ADMINISTRATIVE SUPPORT TO THE OFFICE OF ENTERPRISE ASSESSMENT IN SUPPORT OF ITS MISSION TO PROVIDE THE SECRETARY OF ENERGY AND SENIOR DEPARTMENT OF ENERGY MANAGERS WITH AN INDEPENDENT ASSESSMENT OF THE EFFEC
2026-03-05NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICESDepartment of Health and Human Services$213,008,356NORTH CAROLINA RURAL HEALTH TRANSFORMATION PROGRAM - PROJECT ABSTRACT / SUMMARY ORGANIZATION: THE NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES (NCDHHS), AS THE GOVERNOR’S DESIGNEE, WILL LEAD THE NORTH CAROLINA RURAL HEALTH TRANSFORMATION PROGRAM (NCRHTP) THROUGH ITS OFFICE OF RURAL HEALTH. IMPLEMENTATION IS GUIDED BY A STATEWIDE STEERING COMMITTEE THAT INCLUDES MEDICAID, PUBLIC HEALTH, AND BEHAVIORAL HEALTH DIVISIONS. KEY SUBRECIPIENTS INCLUDE THE DUKE-MARGOLIS HEALTH POLICY CENTER, UNC THE CECIL G. SHEPS CENTER FOR HEALTH SERVICES RESEARCH AND OTHERS TO BE DETERMINED. PROJECT GOALS: THIS TRANSFORMATIVE INVESTMENT IMPROVES HEALTH OUTCOMES AND ACCESS FOR NEARLY 3 MILLION RURAL NORTH CAROLINIANS ACROSS 85 OF 100 NC COUNTIES THROUGH THREE GOALS; (1) CATALYZING INNOVATIVE CARE MODELS, 2) TRANSFORMING THE RURAL CARE EXPERIENCE, AND 3) CREATING A SUSTAINABLE RURAL DELIVERY SYSTEM. BY FY2031, NCRHTP WILL INCREASE RURAL PROVIDER-TO-POPULATION RATIOS, REDUCE PREVENTABLE HOSPITAL READMISSIONS AND EMERGENCY VISITS, LOWER CHRONIC DISEASE RISK FACTORS, AND EXPAND ACCESS TO INTEGRATED BEHAVIORAL, MENTAL HEALTH AND SUBSTANCE USE SERVICES. ALL WHILE SIMULTANEOUSLY INVESTING DIRECTLY INTO COMMUNITIES AND STIMULATING RURAL ECONOMIC DEVELOPMENT AND JOB CREATION. TOTAL BUDGET $1,000,000,000 OVER 5 YEARS (INDICATIVE PER CMS GUIDANCE) FUND USAGE: THROUGH 6 INTEGRATED INITIATIVES, NCRHTP WILL SUSTAINABLY TRANSFORM RURAL HEALTH. 1. LAUNCH “NC ROOTS”* HUBS. THESE LOCALLY GOVERNED, COMMUNITY-TAILORED NETWORKS CONNECT MEDICAL, BEHAVIORAL, AND SOCIAL SERVICES--MAKING IT EASIER FOR RURAL RESIDENTS TO ACCESS COMPREHENSIVE CARE IN ONE PLACE. EACH HUB IS TAILORED TO ITS REGION, OFFERING IN-PERSON SERVICES, CARE COORDINATION, AND DIRECT SUPPORT FOR FAMILIES, WHILE ALSO LEVERAGING VIRTUAL CARE AND ADVANCED AI TO ENHANCE ACCESS AND SHARE DATA. 2. IMPROVE PREVENTION/SCREENING, CHRONIC DISEASE MANAGEMENT, MATERNAL HEALTH, AND NUTRITION BY SCALING UP EFFECTIVE PROGRAMS FOR PRIMARY CARE ACCESS, FOOD AS MEDICINE, DIABETES AND HYPERTENSION MANAGEMENT, CANCER SCREENING, AND PERINATAL HEALTH. 3. EXPAND BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES AND INTEGRATE INTO REGIONAL CARE NETWORKS THROUGH THE GROWTH OF CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS (CCBHCS), ENHANCED ASSESSMENT AND TREATMENT PROGRAMS TO ADDRESS CRITICAL CARE GAPS, AS WELL AS NEW COLLABORATIVE AND NON-TRADITIONAL WORKFORCE MODELS TO CONNECT RESIDENTS TO CARE. 4. MODERNIZE AND SUSTAIN THE RURAL HEALTH WORKFORCE THROUGH CATALYZING INVESTMENTS IN RURAL TRAINING CENTERS, FELLOWSHIPS, AND CERTIFICATION PROGRAMS TO RECRUIT, TRAIN, AND RETAIN CLINICIANS, ALLIED HEALTH PROFESSIONALS, AND COMMUNITY HEALTH WORKERS. 5. ADVANCE VALUE-BASED PAYMENT (VBP) BY ESTABLISHING CAPABILITIES FOR RURAL PRIMARY CARE PRACTICES TO PARTICIPATE IN ADVANCED VBP MODELS AND LAYING THE GROUNDWORK FOR RURAL HOSPITAL PARTICIPATION IN VBP ARRANGEMENTS, WITH A FOCUS ON FINANCIAL SUSTAINABILITY. 6. ACCELERATE TECHNOLOGICAL INNOVATION, ACCESS, AND INTEROPERABILITY THROUGH INCREASED HEALTH INFORMATION EXCHANGE PARTICIPATION, DIGITAL LITERACY PROGRAMS TO ENSURE RURAL RESIDENTS CAN ACCESS MODERN, CONNECTED CARE, AND THE BROAD IMPLEMENTATION OF STATE-OF-THE-ART AI-BASED TECHNOLOGY TO SUPPORT DOCUMENTATION AND REAL-TIME EXPERT CLINICAL DECISION SUPPORT TO DRIVE DOWN BUSINESS COSTS FOR RURAL PROVIDERS AND IMPROVE SUSTAINABILITY *RURAL ORGANIZATIONS ORCHESTRATING TRANSFORMATION FOR SUSTAINABILITY
2026-03-20HEALTH SERVICES KENTUCKY CABINET FORDepartment of Health and Human Services$212,905,591KENTUCKY RURAL HEALTH TRANSFORMATION PLAN - TO IMPROVE HEALTH OUTCOMES, EXPAND ACCESS TO CARE, & STRENGTHEN THE INFRASTRUCTURE THAT SUPPORTS THE COMMONWEALTH OF KY RURAL CONSTITUENTS & AREAS - THE COMMONWEALTH OF KENTUCKY IS THE 10TH MOST RURAL STATE IN THE COUNTRY, WITH 1.87 MILLION RESIDENTS, NEARLY HALF (41.6%) OF THE TOTAL STATE POPULATION, RESIDING IN A RURAL AREA. ACCORDING TO AMERICA’S HEALTH RANKINGS, KENTUCKY IS CURRENTLY RANKED 41ST OUT OF THE 50 STATES BASED ON A SPECTRUM OF MEASURES. AVERAGE LIFE EXPECTANCY RANGES FROM 64.5 TO 79.7 YEARS ACROSS COUNTIES, WITH A LOWER LIFE EXPECTANCY IN COUNTIES WITHIN EASTERN RURAL AREAS. THESE RURAL COMMUNITIES FACE SOME OF THE MOST SIGNIFICANT HEALTH ACCESS CHALLENGES IN THE COMMONWEALTH AND ACROSS THE COUNTRY, INCLUDING HIGH RATES OF CHRONIC DISEASE, MATERNAL HEALTH DESERTS, BEHAVIORAL HEALTH CRISES, AND LIMITED ACCESS TO PREVENTIVE DENTAL CARE AND EMERGENCY SERVICES. THE COMMONWEALTH’S RURAL HEALTH TRANSFORMATION PLAN (RHTP) REPRESENTS A BOLD STEP FORWARD TO TRANSFORM CARE DELIVERY ACROSS OUR RURAL HEALTH ECOSYSTEM. KENTUCKY’S DEPARTMENT FOR PUBLIC HEALTH, UNDER THE CABINET FOR HEALTH AND FAMILY SERVICES (CHFS) AND, TOGETHER WITH KEY STAKEHOLDERS, PROPOSE FIVE SPECIFIC CARE INNOVATION MODELS TO REFOCUS EFFORTS ON IMPROVING ACCESS AND PREVENTION OF HIGH-PRIORITY HEALTH CONDITIONS THAT DISPROPORTIONATELY IMPACT RURAL KENTUCKIAN THESE INITIATIVES AND THEIR GOALS INCLUDE: 1) RURAL COMMUNITY HUBS FOR CHRONIC CARE INNOVATION: REDUCE OBESITY AND DIABETES RATE THROUGH EVIDENCE-BASED, COMMUNITY-LED STRATEGIES FOCUSED ON UPSTREAM PREVENTION; 2) POWERING MATERNAL AND INFANT HEALTH, COMMUNITY-BASED TEAMS: INCREASE TIMELY PERINATAL CARE IN MATERNITY CARE DESERTS THROUGH COORDINATED, TELEHEALTH-ENABLED TEAMS; 3) RAPID RESPONSE TO RECOVERY, EMPATH MODEL, MOBILE CRISIS, AND TELEHEALTH: EXPAND INTEGRATED, TECHNOLOGY-ENABLED CRISIS CARE FROM COMMUNITY RESPONSE TO LONG-TERM SUPPORT; 4) ROOTED IN HEALTH, KENTUCKY RURAL DENTAL ACCESS PROGRAM: IMPROVE RURAL ACCESS TO PREVENTIVE DENTAL CARE AND TREATMENT THROUGH EXPANDED TRAINING AND MOBILE, PORTABLE SERVICES; AND 5) FROM CRISIS TO CARE, INTEGRATED EMS AND TRAUMA RESPONSE: STRENGTHEN EMS AND TRAUMA CARE CAPACITY, RESPONSIVENESS, AND COORDINATION. ACROSS THESE FIVE PRIORITY AREAS, KENTUCKY WILL MAKE INVESTMENTS IN NEW AND EMERGING TECHNOLOGY INFRASTRUCTURE, DATA INTEROPERABILITY STANDARDS, AND OTHER TECHNOLOGY-BASED INITIATIVES. THE COMMONWEALTH WILL ALSO SUPPORT WORKFORCE CAPACITY BY EXPANDING THE NUMBER AND ROLE OF CLINICAL AND NON-CLINICAL HEALTH CARE WORKERS TO IMPROVE ACCESS AND ENABLE MORE COST-EFFECTIVE RURAL HEALTH DELIVERY AT THE LOCAL COMMUNITY LEVEL. KENTUCKY INTENDS TO ALLOCATE FUNDS TO SUBRECIPIENTS WHO WILL PLAY A CRITICAL ROLE IN IMPLEMENTING THE PROPOSED INITIATIVES OUTLINED IN THE RHTP. THE COMMONWEALTH WILL ALSO MAINTAIN ONGOING ENGAGEMENT WITH STAKEHOLDERS ACROSS THE PROGRAM’S DURATION TO ENSURE BROAD INPUT AND COLLABORATION. KENTUCKY IS FULLY COMMITTED TO FISCAL RESPONSIBILITY, RIGOROUS MONITORING, MEASURABLE OUTCOMES, AND LONG-TERM PROGRAM SUSTAINABILITY. FURTHERMORE, THE COMMONWEALTH WILL ADOPT AND ENFORCE ANY POLICIES OR REGULATIONS NECESSARY TO SUPPORT AND ADVANCE THE GOALS OF THE PROGRAM. THROUGH THIS COMPREHENSIVE AND COLLABORATIVE APPROACH, KENTUCKY AIMS TO CREATE LASTING IMPROVEMENTS IN RURAL HEALTH OUTCOMES ACROSS THE COMMONWEALTH AND BE A LEADER IN RURAL HEALTH TRANSFORMATION NATIONWIDE. TOTAL FEDERAL COST: $200,000,000 PER BUDGET PERIOD
2026-04-28EDFINANCIAL SERVICES LLCDepartment of Education$212,869,773OPERATIONS AND MAINTENANCE (O&M) TASK ORDER FOR STUDENT LOAN SERVICING IN ACCORDANCE WITH THE REQUIREMENTS OF THE USDS CONTRACT. ALL WORK AND DELIVERABLES PROVIDED MUST BE IN ACCORDANCE WITH THE REQUIREMENTS OF THE CONTRACT FOR THE TASK ORDER.
2026-04-21BRASFIELD & GORRIE LLCGeneral Services Administration$212,588,735DESIGN-BUILD CONSTRUCTION SERVICES FOR A NEW U. S. FEDERAL BUILDING LOCATED AT FORT LAUDERDALE, FL 33316-
2026-04-17STATE DEPARTMENT OF EDUCATIONDepartment of Agriculture$212,514,944CNP CN BLOCK PROG
2026-05-12WALSH CONSTRUCTION COMPANY II, LLCDepartment of Veterans Affairs$212,402,055CONSTRUCTION LONG TERM SPINAL CORD INJURY VAMC NORTH DALLAS, TX
2026-03-05PA DEPARTMENT OF HUMAN SERVICESDepartment of Health and Human Services$212,155,562LIHEAP-2023
2026-04-27TEXAS DIVISION OF EMERGENCY MANAGEMENTDepartment of Homeland Security$212,108,238GRANT TO LOCAL GOVERNMENT FOR REPAIR OR REPLACEMENT OF DISASTER DAMAGED FACILITIES
2026-04-06NYS DEPARTMENT OF HEALTHDepartment of Health and Human Services$212,058,208THE NY RHTP IS DESIGNED TO ADDRESS PERSISTENT DISPARITIES IN RURAL HEALTH OUTCOMES, WORKFORCE SHORTAGES, AND INFRASTRUCTURE GAPS BY INVESTING IN INNOVATIVE MODELS, TECHNOLOGY, AND PARTNERSHIPS. - NEW YORK’S (NY) RURAL COMMUNITIES ARE HOME TO APPROXIMATELY 2.1 MILLION RESIDENTS, WHO REPRESENT 10.6% OF THE STATE'S TOTAL POPULATION. THESE RURAL COMMUNITIES FACE SIGNIFICANT DISPARITIES ACROSS A VARIETY OF HEALTH INDICATORS WHEN COMPARED TO THEIR REGIONAL COUNTERPARTS, INCLUDING CARE COORDINATION, PRIMARY CARE ACCESS, BEHAVIORAL HEALTH CARE ACCESS, AND INCIDENCE OF CHRONIC CONDITIONS. THESE CHALLENGES DEMAND COLLABORATIVE, INNOVATIVE, AND SUSTAINABLE SOLUTIONS. NY ENVISIONS A RURAL HEALTH SYSTEM THAT IS RESILIENT AND SUSTAINABLE WHERE EVERY RESIDENT, REGARDLESS OF GEOGRAPHY, HAS TIMELY ACCESS TO HIGH-QUALITY, COORDINATED CARE. INFORMED BY INPUT FROM NEARLY 170 STAKEHOLDER ORGANIZATIONS AND COMMUNITY PARTNERS, NY’S RURAL HEALTH TRANSFORMATION PROGRAM STRATEGY SEEKS TO IMPROVE HEALTH CARE ACCESS FOR RURAL COMMUNITIES THROUGH A SET OF FOUR, INTERRELATED INITIATIVES THAT STRATEGICALLY LEVERAGE LOCAL PROVIDERS, REGIONAL PARTNERSHIPS, AND STATEWIDE INFRASTRUCTURE. THESE INITIATIVES AND THEIR GOALS INCLUDE: 1) RURAL COMMUNITY HEALTH INTEGRATION: ESTABLISH RURAL HEALTH PARTNERSHIPS THAT FACILITATE COMPREHENSIVE CARE COORDINATION AND ENHANCE PATIENT ACCESS TO A WIDE RANGE OF PROVIDERS ACROSS THE CARE CONTINUUM, EFFECTIVELY ADDRESSING HEALTH AND SOCIAL NEEDS; 2) STRENGTHENING RURAL COMMUNITIES WITH TECHNOLOGY-ENHANCED PRIMARY CARE: IMPROVE RURAL PATIENT ACCESS TO AND UTILIZATION OF HIGH-QUALITY PRIMARY CARE; 3) RURAL ROOTS: BUILDING A SUSTAINABLE RURAL HEALTHCARE WORKFORCE: CREATE A SELF-SUSTAINING CYCLE OF WORKFORCE DEVELOPMENT THAT ADDRESSES BOTH IMMEDIATE STAFFING NEEDS AND LONG-TERM CAPACITY-BUILDING, ENSURING NY’S RURAL COMMUNITIES HAVE CONTINUOUS ACCESS TO HIGH-QUALITY HEALTH CARE SERVICES; AND 4) INVESTMENTS IN TECHNOLOGY INNOVATION AND CYBERSECURITY ENHANCEMENTS: EXPAND ACCESS TO CARE THROUGH TELEHEALTH, IMPROVE PATIENT OUTCOMES THROUGH ECONSULT PARTNERSHIPS, INCREASE USABLE ALERTS IN RURAL COUNTIES, AND STRENGTHEN CYBERSECURITY OF RURAL FACILITIES. TO ENSURE THAT FUNDING DIRECTLY BENEFITS RURAL RESIDENTS ACROSS THE STATE, NY WILL IMPLEMENT A FUNDING DISTRIBUTION PROCESS THAT PRIORITIZES THE IDENTIFIED NEEDS OF RURAL POPULATIONS. NY WILL COLLABORATE CLOSELY WITH RURAL HOSPITALS, CLINICS, AND COMMUNITY-BASED ORGANIZATIONS TO IDENTIFY AREAS OF HIGHEST NEED AND ALLOCATE RESOURCES ACCORDINGLY. PROGRAM IMPLEMENTATION WILL BE SUPPORTED BY ONGOING STAKEHOLDER ENGAGEMENT, INCLUDING FEEDBACK FROM PROVIDERS, TRIBAL AND FAITH-BASED ORGANIZATIONS, LOCAL LEADERS, AND COMMUNITY MEMBERS, TO TARGET RESOURCES WHERE THEY WILL HAVE THE GREATEST IMPACT.
2026-04-28CADDELL CONSTRUCTION CO. (DE), LLCDepartment of State$211,927,514CONSTRUCTION NEW CONSULATE COMPOUND
2026-04-17HEALTH & HUMAN SVC COMMN TXDepartment of Agriculture$211,689,429WIC ADMIN EXPENSES
2026-04-06NEW MEXICO HEALTH CARE AUTHORITYDepartment of Health and Human Services$211,484,741RURAL HEALTH TRANSFORMATION PROGRAM - THE STATE OF NEW MEXICO HEALTH CARE AUTHORITY (HCA) IS PROUD TO PRESENT THE STATE OF NEW MEXICO’S RURAL HEALTH TRANSFORMATION PLAN. NEW MEXICO IS READY TO LEAD A BOLD TRANSFORMATION OF RURAL HEALTH – ONE THAT EXPANDS ACCESS, STRENGTHENS OUTCOMES, AND ENSURES LASTING EQUITY FOR RURAL, FRONTIER, AND TRIBAL COMMUNITIES. THROUGH FRONTIER INGENUITY, DATA-DRIVEN INNOVATION, AND COMMUNITY PARTNERSHIP, WE WILL BUILD A RESILIENT SYSTEM THAT SUSTAINS LOCAL PROVIDERS, EMPOWERS FAMILIES, AND REDEFINES WHAT IT MEANS TO DELIVER QUALITY CARE IN EVERY CORNER OF THE STATE. NEW MEXICO RURAL HEALTH TRANSFORMATION PLAN – INITIATIVE SUMMARY 1. HEALTHY HORIZONS: EXPANDING ACCESS TO CARE IN RURAL COMMUNITIES - 5-YEAR BUDGET: $393,290,280 - STATE GOAL / CMS GOAL: EXPAND ACCESS TO CARE / MAKE RURAL AMERICA HEALTHY AGAIN - SUMMARY: STRENGTHEN SPECIALTY CARE AND CHRONIC DISEASE MANAGEMENT FOR HIGH-RISK RURAL POPULATIONS BY IMPLEMENTING REGIONALIZED SPECIALTY AND MATERNAL CARE NETWORKS, PROVIDER TRAINING, AND REMOTE CARE TECHNOLOGIES TO EXPAND ACCESS, IMPROVE LOCAL CAPACITY, AND REDUCE HOSPITAL READMISSIONS FOR RURAL COMMUNITY MEMBERS. 2. ROOTED IN NEW MEXICO: BUILDING TOMORROW’S RURAL HEALTH WORKFORCE - 5-YEAR BUDGET: $243,166,440 - STATE GOAL / CMS GOAL: EXPAND AND SUSTAIN RURAL HEALTH CARE WORKFORCE / WORKFORCE DEVELOPMENT - SUMMARY: BUILD AND SUSTAIN A RURAL AND TRIBAL HEALTH WORKFORCE BY EXPANDING LOCAL CAREER PATHWAYS, STRENGTHENING CLINICAL TRAINING PIPELINES AND EDUCATIONAL OPPORTUNITIES, AND SUPPORTING LONG-TERM RETENTION THROUGH HOUSING, MENTORSHIP, AND COMMUNITY-BASED INCENTIVES. 3. RURAL HEALTH INNOVATION FUND: ENABLING COMMUNITY-DESIGNED, COMMUNITY-LED CHANGE - 5-YEAR BUDGET: $187,508,220 - STATE GOAL / CMS GOAL: SUPPORT COMMUNITY-LED RURAL HEALTH SOLUTIONS / MAKE RURAL AMERICA HEALTHY AGAIN - SUMMARY: LAUNCH A COMPETITIVE GRANT PROGRAM THAT EMPOWERS RURAL, FRONTIER, AND TRIBAL COMMUNITIES IN NEW MEXICO TO DESIGN AND LEAD LOCALLY TAILORED HEALTH INITIATIVES ADDRESSING UNIQUE CHALLENGES SUCH AS PREVENTIVE CARE, BEHAVIORAL HEALTH, NON-MEDICAL DRIVERS OF HEALTH, AND PROVIDER FACILITY NEEDS. 4. BRIDGE TO RESILIENCE: RURAL HEALTH SUSTAINABILITY & INNOVATION CENTER - 5-YEAR BUDGET: $122,644,440 - STATE GOAL / CMS GOAL: STABILIZE AND SUSTAIN RURAL HEALTH CARE PROVIDERS / SUSTAINABLE ACCESS - SUMMARY: ESTABLISH A RURAL HEALTH SUSTAINABILITY & INNOVATION CENTER TO DELIVER TAILORED TECHNICAL ASSISTANCE, PROVIDER EDUCATION, AND OPERATIONAL SUPPORT THAT STRENGTHENS FINANCIAL STABILITY, FOSTERS REGIONAL PARTNERSHIPS, AND EQUIPS RURAL NEW MEXICO’S PROVIDERS TO NAVIGATE LONG-TERM CHALLENGES AND IMPROVE CARE DELIVERY. 5. RURAL HEALTH DATA HUB: ESTABLISHING A HEALTH ANALYTICS PLATFORM - 5-YEAR BUDGET: $53,390,620 - STATE GOAL / CMS GOAL: CONNECT COMMUNITY MEMBERS WITH HEALTH CARE DATA / TECH INNOVATION - SUMMARY: BUILD A STATEWIDE HEALTH ANALYTICS PLATFORM THAT INTEGRATES SILOED DATA SOURCES TO IMPROVE RURAL HEALTH PLANNING, ENABLE PREDICTIVE INSIGHTS, AND EXPAND TRANSPARENT ACCESS TO TIMELY, ACTIONABLE INFORMATION FOR PROVIDERS, POLICYMAKERS, AND COMMUNITIES.
2026-04-07QLARANT INTEGRITY SOLUTIONS LLCDepartment of Health and Human Services$211,411,274IGF::OT::IGF UNIFIED PROGRAM INTEGRITY CONTRACT (UPIC) WESTERN JURISDICTION TASK ORDER
2026-04-21EMERGENT BIODEFENSE OPERATIONS LANSING LLCDepartment of Health and Human Services$211,409,788CHIMERIX INC: AR&D FOR SMALLPOX ANTIVIRAL