Traumatic Brain Injury State Demonstration Grant Program
Active
- Assistance listing
- 93.234
- Agency
-
Administration for Community Living
Department of Health and Human Services
- Grant awards
- 405 $75,722,465 in federal obligations
Program facts
- Also known as
- TBI State Partnership Program
- Assistance types
-
- Project Grant
- Cooperative Agreement
- Block Grant
- Treasury account
-
- 75-0412-0-1-506
- 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 is funding systems-building grants to create and strengthen services and supports for individuals with traumatic brain injury, their families, and support networks, with a most recent grant opportunity posted July 9, 2026 (CFDA 93.234).
Program activity remains sparse but recent. The portfolio shows 405 awards over twenty-six years, with the most recent award made in July 2019. Funding concentrated heavily in 2014 and 2016, with nine awards in 2018 and only two in 2019, suggesting a shift in award cadence or funding availability. Administration for Community Living has dominated the program, accounting for all meaningful federal dollars obligated across 404 of 405 awards totaling $75.7 million. A single Health Resources and Services Administration award carried zero federal dollars obligated.
Awards are predominantly Project Grants (75 percent of the portfolio) with smaller shares of Block Grants (14 percent) and Cooperative Agreements (12 percent). Recent cooperative agreements for state partnership programs range from $300 thousand to $900 thousand per award. Earlier project grants from 2016 clustered around $450 thousand to $510 thousand. Mentor State grants historically command higher values (up to $900 thousand) than Partner State grants (typically $300 thousand to $450 thousand).
Eligible applicants are limited to state governments, territorial governments, federally recognized Indian Tribal governments, and Native American organizations. Only one application per jurisdiction may enter review, and applications must originate from the state agency designated by the Chief Executive Officer as the lead TBI agency. Applicants for Partner State awards must provide a required 2:1 state match and agree to support a state TBI Advisory Board with at least 50 percent individuals with lived TBI experience, dedicate one full-time employee, develop a person-centered TBI state plan, and establish culturally competent resource facilitation practices.
An active opportunity (HHS-2026-ACL-AOD-TBSG-0026) opened July 9, 2026 with a due date of August 13, 2026, soliciting grant applications from state governments. A prior FY 2023 cooperative agreement opportunity posted March 17, 2023 (closed June 28, 2023) funded one state grant with the 2:1 match requirement. Program announcements have posted regularly on roughly annual cycles, most recently in 2023 and 2021 prior to the current 2026 posting.
Objective and description
- Objective
To create and strengthen a system of services and supports that maximizes the independence, well-being, and health of people with TBI across the lifespan and all other demographics, their family members, and support networks.
- Description
To create and strengthen a system of services and supports that maximizes the independence, well-being, and health of people with TBI across the lifespan and all other demographics, their family members, and support networks.
Eligibility
- Applicant eligibility
State, territorial governments, and federally recognized Indian Tribal governments and Native American organizations are the only eligible applicants for funding. The application for a TBI State Partnership Program Mentor State Grant may only come from the state agency designated by the Chief Executive Officer of the state as the lead agency for TBI within the state, territory, or Indian tribal government. Only one application from each state, territorial government, federally recognized Indian tribal government or Native American organization may enter the review process and be considered for a TBI State Partnership Program Grant.
- Beneficiary eligibility
State, Individuals with TBI and their families, including those in high risk groups, such as children and youth, older adults, Native Americans and Alaska Natives, military service members and veterans, and people in the criminal justice system.
- Uses of assistance
Project grants to States are to improve access to health and other Traumatic Brain Injury (TBI)-related services for people of all ages across the United States. Any State seeking TBI grant funds is required to agree to establish or have an advisory board within the appropriate health department of the State or within another department as designated by the Chief Executive Officer of the State. The Board's composition as specified must include representatives of the involved State agencies; public and nonprofit private health related organizations; disability advisory or planning groups; members of an organization or foundation representing individuals with TBI; State and local injury control programs if they exist, and a substantial number of individuals with TBI and their family members. People with TBI should comprise 50% of the Advisory Board. These grants are to be used in building a statewide system to assure access to comprehensive and coordinated TBI services. Grants can address a wide range of activities and should reflect gaps or needed system change identified through the TBI state plan. Funds under this announcement may not be used for the following purposes: construction projects or for pre-award costs (reimbursement is not given for costs incurred prior to receiving the award) or to support primary injury prevention initiatives, research initiatives, or the provision of direct services. For any available grant funds in excess of $10,000,000, distribution of grants will be at the discretion of the Administration for Community Living (ACL), and will be made according to the criteria communicated to the States via a grant solicitation.
- Length and time phasing of assistance
Awards are made annually in accordance with the project period method of awarding grants. Payments are made through a Letter of Credit or Cash Demand System. Project periods are for 1, 2, 3, 4 or 5 years. See the following for information on how assistance is awarded/released: Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
How to apply
- Criteria for selecting proposals
Applications are reviewed by nonfederal consultants who make recommendations to the Administrator of Community Living. The Administrator will approve projects which best promote the purposes of TBI grants.
- Award procedure
Application forms are submitted through a centralized depository and received by the awarding agency, Administration for Community Living. Applicants generally apply under a program announcement indicating all the necessary application procedures to be followed.
- Renewals
No renewals; grants are approved for three years for TBI State Partnership Program grants.
Grant opportunities
| Opportunity | Status | Posted | Applications due |
|---|---|---|---|
| TBI State Partnership Program | Closed | ||
| Traumatic Brain Injury State Partnership Program | Closed | ||
| Traumatic Brain Injury State Partnership Program | Closed | ||
| Traumatic Brain Injury State Partnership Program (SPP) | Closed | ||
| Traumatic Brain Injury State Partnership Program Partner State Funding Opportunity | Closed |
Grant awards
Latest 10 of 405 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Tennessee Department Of Health | $3,162,803 | 4% |
| 2 | Massability | $3,021,040 | 4% |
| 3 | Missouri Department Of Health & Senior Services | $2,773,835 | 4% |
| 4 | Alabama Department Of Rehabilitation Services | $2,628,539 | 3% |
| 5 | Pennsylvania Department Of Health | $2,457,260 | 3% |
| 6 | Idaho State University | $2,372,207 | 3% |
| 7 | Department For Aging And Rehabilitative Services | $2,360,230 | 3% |
| 8 | Health Research, Inc. | $2,356,348 | 3% |
| 9 | Iowa Department Of Public Health | $2,341,474 | 3% |
| 10 | Arizona Department Of Economic Security | $2,326,760 | 3% |
10 of 69 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2025 | -$47,620 |
| FY2024 | $6,264,435 |
| FY2023 | $11,736,977 |
| FY2022 | $16,460,961 |
| FY2021 | $5,107,796 |
| FY2020 | $5,540,210 |
| FY2019 | $5,540,488 |
| FY2018 | $4,843,590 |
| FY2017 | $4,580,905 |
| FY2016 | $4,312,587 |
| FY2015 | $4,534,702 |
| FY2014 | $5,042,055 |
| FY2013 | $4,985,047 |
| FY2012 | $5,265,048 |
| FY2011 | $5,248,134 |
| FY2010 | $5,204,419 |
| FY2009 | $5,087,333 |
| FY2008 | $5,147,347 |
| FY2007 | $5,666 |
| FY2006 | $4,492,543 |
| FY2005 | $95,712 |
| FY2004 | $2,173,760 |
| FY2003 | $3,169,087 |
| FY2002 | $6,735,870 |
| FY2001 | $4,020,588 |
Show all 25
Quick answers
What is Assistance Listing 93.234?
Assistance Listing 93.234 is Traumatic Brain Injury State Demonstration Grant Program, a federal grant program run by Administration for Community Living (Department of Health and Human Services).
What is the CFDA number for Traumatic Brain Injury State Demonstration Grant Program?
Its CFDA number is 93.234: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.234 awarded?
405 grant awards under 93.234 have obligated $75,722,465 in federal funds to 69 recipients.
Who receives the most funding from 93.234?
The recipients obligated the most under Traumatic Brain Injury State Demonstration Grant Program are Tennessee Department Of Health ($3,162,803), Massability ($3,021,040) and Missouri Department Of Health & Senior Services ($2,773,835).
How much did 93.234 obligate in fiscal year 2025?
Grants under 93.234 obligated -$47,620 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.234?
No opportunity listed under 93.234 is open now. The latest, TBI State Partnership Program, was posted on July 9, 2026.
On GovTribe
See this program's full record
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