Traumatic Brain Injury State Demonstration Grant Program

Active

Assistance listing
93.234
Agency
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 HHS-2026-ACL-AOD-TBSG-0026 Closed
Traumatic Brain Injury State Partnership Program HHS-2023-ACL-AOD-TBSG-0044 Closed
Traumatic Brain Injury State Partnership Program HHS-2022-ACL-AOD-TBSG-0047 Closed
Traumatic Brain Injury State Partnership Program (SPP) HHS-2021-ACL-AOD-TBSG-0070 Closed
Traumatic Brain Injury State Partnership Program Partner State Funding Opportunity HHS-2019-ACL-AOD-TBSG-0348 Closed

Grant awards

Award Recipient Federal obligations Awarded
Traumatic brain injury state partnership program partner state funding opportunity 90TBSG0046 Maine Department Of Health And Human Services $300,000
Traumatic brain injury state partnership program partner state funding opportunity 90TBSG0044 Alabama Department Of Rehabilitation Services $300,000
Traumatic brain injury state partnership program partner state funding opportunity 90TBSG0043 Utah Department Of Health And Human Services $220,214
Traumatic brain injury state partnership program partner state funding opportunity 90TBSG0040 Missouri Department Of Health & Senior Services $449,510
Traumatic brain injury state partnership program 90TBSG0039 University Of Oregon $879,272
Traumatic brain injury state partnership program mentor state funding opportunity 90TBSG0038 West Virginia University Research Corporation $900,000
Traumatic brain injury state partnership program - mentor state funding opportunity 90TBSG0033 Massability $899,357
Traumatic brain injury state partnership program partner state 90TBSG0029 Health Services Kentucky Cabinet For $450,000
Traumatic brain injury state partnership program mentor state funding opportunity 90TBSG0024 Tennessee Department Of Health $900,000
Traumatic brain injury state partnership program mentor state funding opportunity 90TBSG0023 Pennsylvania Department Of Health $570,703

Latest 10 of 405 listed here. See the rest on GovTribe.

Top recipients by federal obligations

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

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