Special Programs for the Aging, Title III, Part D, Disease Prevention and Health Promotion Services
Active
- Assistance listing
- 93.043
- Agency
-
Administration for Community Living
Department of Health and Human Services
- Grant awards
- 1,090 $684,197,878 in federal obligations
Program facts
- Assistance types
-
- Formula Grant
- Cooperative Agreement
- Block Grant
- Project Grant
- Treasury account
-
- 75-0142-0-1-506
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Department of Health and Human Services Administration for Community Living funds evidence-based disease prevention and health promotion services for older adults through State Agencies on Aging and Area Agencies on Aging under Assistance Listing 93.043, with the most recent grant awards made on October 1, 2025.
This is a highly active, statutorily mandated program with a 25-year funding history stretching back to October 2000. The program distributes funding through a statutory formula, meaning awards are non-competitive and states are entitled to grants by statute. Recent award activity shows an average of roughly 70 awards per year over the past five years, with 55 awards in 2025. Grant awards are made for 2, 3, or 4-year periods with annual revisions. The portfolio comprises 1,090 total awards distributing $684.2 million in combined federal obligations over its lifetime.
The program funds concrete activities: physical fitness programs, medication management education, chronic disease self-management education, psychosocial and behavioral health interventions, and disease-specific prevention programs addressing HIV, arthritis, brain health, diabetes, falls prevention, depression, and chronic pain. The assistance-type mix is heavily dominated by Formula Grants (91 percent of awards), with smaller shares of Block Grants (5 percent) and Cooperative Agreements (3 percent).
Funding is concentrated within HHS, with the Administration for Community Living dominant across the award base. Award magnitudes vary considerably by state population and need, ranging from roughly $38 thousand to $6.25 million per award. Recent representative awards include California receiving $6,250,889 for FY2026, Florida receiving $4,713,172, and Texas receiving $4,262,491, each obligated on October 1, 2025, with two-year performance periods ending September 30, 2027.
Eligibility is restricted to State Agencies on Aging and their designated substate organizations; private entities and direct federal applicants are not eligible. Preapplication coordination with the state single point of contact is required. Awards to non-federal entities expending $750,000 or more in federal funds trigger federal audit requirements. Recipients must retain records for three years after submission of the final expenditure report.
Objective and description
- Objective
To develop or strengthen preventive health service and health promotion systems through designated State Agencies on Aging and Area Agencies on Aging. Funds are provided for evidence-based disease prevention and health promotion services including pr
- Description
To develop or strengthen preventive health service and health promotion systems through designated State Agencies on Aging and Area Agencies on Aging. Funds are provided for evidence-based disease prevention and health promotion services including programs related to: physical fitness; medication management; chronic disease self-management education; psychosocial behavioral health intervention; HIV; arthritis; brain health; diabetes; falls prevention; depression; and chronic pain.
Eligibility
- Applicant eligibility
Only States and U.S. Territories which have State Agencies on Aging designated by the governors are eligible to receive these grants.
- Beneficiary eligibility
Older individuals, age sixty and older, especially those living in areas of States which are medically underserved and in which there are a large number of older individuals who have the greatest economic need for the services.
- Uses of assistance
Funds are awarded to States to develop or strengthen preventive health service and health promotion systems through designated State Agencies on Aging and Area Agencies on Aging. A State plan covering 2, 3, or 4 years, with annual revisions as necessary, must be submitted to the Administration for Community Living regional office for approval. Funds are to be used only for disease prevention and health promotion programs which have been demonstrated through rigorous evaluation to be evidence-based and effective. Funds are used to implement evidence-based programs for preventive health services to be provided at senior centers or alternative sites as appropriate. The preventive health services under this part may not include services eligible for reimbursement under Medicare.
- Length and time phasing of assistance
One year.
How to apply
- Preapplication coordination
Preapplication coordination is required. Environmental impact information is not required for this program. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.
- Criteria for selecting proposals
Awards are made on a non-competitive basis. State Grants are awarded upon approval of a State Plan.
- Award procedure
The Administration on Aging awards funds through a statutory formula to State Agencies on Aging. State agencies approve and award funds to substate level organizations, which they have designated.
- Time to approval or disapproval
States are entitled to these grants by statute.
- Renewals
Applications are submitted for a 2,3 or 4-year period with annual revisions.
- Appeals
Appeals are processed in accordance with HHS regulations in 45 CFR 1321 and Section 2112 of Title 28, U.S.C.
Grant awards
Latest 10 of 1,090 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Department Of Aging California | $57,851,174 | 8% |
| 2 | Department Of Elder Affairs Florida | $39,618,431 | 6% |
| 3 | Health & Human SVC Commn TX | $32,790,671 | 5% |
| 4 | New York State Office For The Aging | $31,959,382 | 5% |
| 5 | Pa Department Of Aging | $22,791,701 | 3% |
| 6 | Ohio Department Of Aging | $19,653,952 | 3% |
| 7 | Illinois Department On Aging | $19,477,809 | 3% |
| 8 | Michigan Department Of Health And Human Services | $16,905,527 | 2% |
| 9 | North Carolina Department Of Health & Human Services | $16,279,167 | 2% |
| 10 | New Jersey Department Of Human Services | $14,673,306 | 2% |
10 of 95 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $73,182,299 |
| FY2025 | $65,187,454 |
| FY2024 | $81,101,182 |
| FY2023 | $79,510,110 |
| FY2022 | $53,626,029 |
| FY2021 | $68,453,414 |
| FY2020 | $51,311,993 |
| FY2019 | $24,659,710 |
| FY2018 | $24,620,602 |
| FY2017 | $19,615,094 |
| FY2016 | $19,692,964 |
| FY2015 | $19,730,269 |
| FY2014 | $19,732,154 |
| FY2006 | $1,358,443 |
| FY2005 | $939,996 |
| FY2004 | $1,268,002 |
| FY2003 | $27,667,734 |
| FY2002 | $3,483,427 |
| FY2001 | $2,966,266 |
Show all 19
Quick answers
What is Assistance Listing 93.043?
Assistance Listing 93.043 is Special Programs for the Aging, Title III, Part D, Disease Prevention and Health Promotion Services, a federal grant program run by Administration for Community Living (Department of Health and Human Services).
What is the CFDA number for Special Programs for the Aging, Title III, Part D, Disease Prevention and Health Promotion Services?
Its CFDA number is 93.043: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.043 awarded?
1,090 grant awards under 93.043 have obligated $684,197,878 in federal funds to 95 recipients.
Who receives the most funding from 93.043?
The recipients obligated the most under Special Programs for the Aging, Title III, Part D, Disease Prevention and Health Promotion Services are Department Of Aging California ($57,851,174), Department Of Elder Affairs Florida ($39,618,431) and Health & Human SVC Commn TX ($32,790,671).
How much did 93.043 obligate in fiscal year 2025?
Grants under 93.043 obligated $65,187,454 in federal funds in fiscal year 2025.
On GovTribe
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