Office of the National Coordinator for Health Information Technology

The Department of Health and Human Services Office of the Secretary Office of the National Coordinator for Health Information Technology is a civilian sub-agency that administers federal grants supporting health information technology interoperability, standards development, and adoption programs across the health care ecosystem.

The Office has obligated $154.2 million in federal grant funding across 73 awards since 2004. Grant activity has contracted significantly in recent years: the portfolio saw 38 awards in 2021, then dropped to 3 awards each in 2022, 2023, and 2024, with 2 awards recorded in 2025. The most recent grant award closed on September 22, 2025. Nearly all awards are structured as Cooperative Agreements (72 of 73 awards); Project Grants represent a single award in the portfolio.

Grant recipient concentration is highly fragmented across recent activity. The top five recipients by award count over the last five years hold 45 percent of recent awards, with each recipient receiving only one award in the window: Health Level Seven International Inc. ($14.6 million federal dollars obligated), Regenstrief Institute Inc. ($2.5 million), Medstar Health Research Institute Inc. ($2 million), Alliancechicago ($2 million), and The Children's Hospital Corporation ($2 million). By federal dollars obligated, the top five recipients account for 15 percent of recent dollars, driven primarily by Health Level Seven International Inc.'s $14.6 million single award. The remaining 47 distinct recipients in the all-time portfolio share the remaining federal funding across individual awards, indicating a distributed funding model across health information technology organizations and research institutes.

No recent federal grant opportunities are recorded against the Office or its descendant components, and no recent contract activity is recorded in the portfolio. The agency's current grant-making cadence and the absence of open solicitation records suggest limited near-term funding activity; business development focus should track the Office's future notice of funding opportunity releases for alignment with the health information interoperability and standards mission.