National Institute on Alcohol Abuse and Alcoholism

The National Institute on Alcohol Abuse and Alcoholism, a sub-agency of the Department of Health and Human Services National Institutes of Health, conducts and supports research on alcohol's effects on human health and the etiology, prevention, and treatment of alcohol abuse and alcoholism through both contract procurements and grant funding.

The Institute awarded 1,452 federal contracts totaling $196.4 million in combined potential value since 2007, with $171 million obligated to date. Contract activity averaged 98 to 123 awards annually from 2022 through 2025, declining to 71 awards year-to-date in 2026. Among 375 distinct prime contractors, competitive concentration is highly fragmented; the top five primes by award count hold 23 percent of recent awards and account for only 4 percent of combined potential value by dollars. Astrix Technology LLC leads by award count with 41 awards and $4.4 million in potential value, followed by Agilent Technologies Inc. with 28 awards and $1.6 million. The contract portfolio is overwhelmingly open competition: 96 percent of awards carry no set-aside designation, with small business set-asides representing 3 percent and 8(a) sole-source awards accounting for the remaining fraction. Recent awards frequently transact through Schedule task orders, BPA calls, or modifications with unreported individual dollar values, contributing to the disconnect between award count and by-value concentration metrics.

The Institute distributed 3,492 federal grants totaling $7.64 billion in federal dollars obligated since 1978, with cumulative non-federal share bringing total obligation to $8.1 billion. Grant activity peaked at 305 awards in 2023, declining to 205 in 2024, 184 in 2025, 178 in 2026, and 13 recorded awards for 2027 (with the most recent grant award recorded as February 2027). Among 444 distinct recipients, concentration is highly fragmented; the top five recipients by award count hold 16 percent of recent awards and represent only 3 percent of federal dollars. Yale University leads with 47 awards and $75.1 million federal dollars obligated over the last five years, followed by the University of Washington with 39 awards and $40.4 million. The grant portfolio is predominantly Project Grants, accounting for 93 percent of awards, with Cooperative Agreements comprising 7 percent. The most recent recorded grant award date is February 25, 2027.