Health Resources and Services Administration

The Department of Health and Human Services Health Resources and Services Administration is a sub-agency of HHS that funds and procures grants and contracts supporting primary care, maternal and child health, rural health, workforce development, and health center operations across domestic and territorial jurisdictions. HRSA awards grants to expand access to preventive and primary health care services, workforce training, and public health infrastructure, while procuring contracts for technical assistance, evidence reviews, program evaluation, and administrative support across its multiple bureaus and offices.

HRSA has awarded 22,286 federal contracts with combined potential value of $9.84 billion since 1982, with $8.03 billion obligated to date. Contract activity has declined notably: 1,297 awards in 2022, 1,103 in 2023, 983 in 2024, 494 in 2025, and 387 year-to-date in 2026. Among recent primes by award count, F2 Solutions LLC dominates with 323 awards totaling $23.8 million in potential value over the last five years, followed by Jamieson, Dara G, MD PC with 168 awards and Macginnitie Andrew J with 138 awards. By potential value, the competitive landscape differs sharply: Sapient Government Services, Inc. leads with $447.3 million across 67 awards, Rei Systems, Inc. holds $242.4 million across 82 awards, and New TECH Solutions, Inc. accounts for $37.3 million across 71 awards. Competitive concentration is moderately concentrated by award count (top five cover 20%) but highly fragmented by potential value (top five cover 8%), indicating that high-dollar work concentrates among specialized vendors while award volume distributes broadly. Set-asides split nearly evenly between small-business designations (49% of awards) and no set-aside used (49%); 8(a) designations comprise less than 2% of all awards.

HRSA has issued 81,188 federal grants obligating $376.59 billion in federal dollars since 1954, with recent award volume declining sharply: 3,581 grants in 2022, 3,899 in 2023, 1,720 in 2024, 713 in 2025, and 271 year-to-date in 2026. University of Arkansas for Medical Sciences leads by award count with 29 recent grants and $222.3 million federal obligated, followed by Oregon Health & Science University (25 awards, $66.1 million) and Tennessee Department of Health (23 awards, $256.4 million). By federal dollars, University of Alabama at Birmingham leads with $701.5 million across 22 awards, Michigan Department of Health and Human Services accounts for $329.6 million across 18 awards, and Tennessee Department of Health holds $256.4 million. Recipient concentration is highly fragmented by both award count and federal dollars (top five cover 1% of recent awards and 0% of federal dollars), indicating extremely broad distribution across 8,787 distinct recipients. Project Grants dominate assistance types at 89% of awards, followed by Block Grants (7%), Formula Grants (2%), and Cooperative Agreements (1%).

Recent contract opportunities include HRSA-IEA-2027-01, a Request for Information for Resources, Engagement, and Action for Community Health State and Local Stakeholder Engagement Support (closed October 13, 2026), and 75R60226R00026, a Maternal and Child Health Bureau competitive IDIQ for Newborn Screening Systematic Evidence Review (master pool of three to five awards, $15.1 million collective ceiling, firm-fixed-price Task Order 1 issued concurrently; due date was September 22, 2026 with Amendment 0001 published addressing Q&A, template updates, and task structure revisions).

Recent grant opportunities span rural health, maternal and child health, and opioid response. FY 2027 Service Area Competition (HRSA-27-009) funds comprehensive primary health care in medically underserved communities through the Health Center Program, open to state and local governments, nonprofits, and tribal entities. Rural Communities Opioid Response Program tracks include Overdose Response (HRSA-27-040), Child and Adolescent Behavioral Health (HRSA-27-043), Community Systems Development (HRSA-27-042), and Evaluation (HRSA-27-041), all supporting rural counties and census tracts. Rural Maternity and Obstetrics Management Strategies (HRSA-27-047) and Rural Health Network Development Program (HRSA-27-051) support collaborative improvement and integrated networks in rural areas. Maternal, Infant, and Early Childhood Home Visiting (MIECHV) (HRSA-27-022) serves all 50 states and six jurisdictions. Alliance for Innovation on Maternal Health (AIM) Technical Assistance Center (HRSA-27-027) and Capacity Program (HRSA-27-028) support maternal safety initiatives nationally. Native Hawaiian Health Care Improvement Act Program (HRSA-27-013) is limited competition serving Papa Ola Lokahi and five certified Native Hawaiian Health Care Systems.

The Health Resources and Services Administration improves access to healthcare for people who are uninsured, isolated, or medically vulnerable.