Grants for Education, Prevention, and Early Detection of Radiogenic Cancers and Diseases

Active

Assistance listing
93.257
Agency
Grant awards
47 $43,606,978 in federal obligations

Program facts

Also known as
Radiation Exposure Screening and Education Program
Assistance types
  • Project Grant
  • Block Grant
Treasury account
  • 75-0350-0-1-550
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 Health Resources and Services Administration funds cancer screening and education programs for populations exposed to radiation through uranium mining or nuclear weapons testing via CFDA 93.257, with the most recent grant award issued on April 1, 2026.

The program awards Project Grants (98 percent of awards) and one Block Grant to establish and operate screening clinics that serve individuals meeting Radiation Exposure Compensation Act eligibility criteria—uranium miners, millers, ore transporters, downwinders from atmospheric nuclear testing, and onsite test participants. Funded activities include cancer screening for radiogenic diseases (particularly thyroid cancer and leukemia), referrals for medical treatment, follow-up services, public education and prevention programs, and facilitation of RECA compensation documentation. Eligible applicants are located in Arizona, Colorado, Idaho, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas, Utah, Washington, or Wyoming and include National Cancer Institute-designated cancer centers, VA hospitals, Federally Qualified Health Centers, state and local health agencies, Indian Health Service facilities, and nonprofit organizations.

Grant awards total $43.6 million across 47 awards since 2002. The Health Resources and Services Administration provided both the documented award count and federal dollar share reported in the portfolio block. Recent awards cluster around September 2024 (eight awards), with individual project grants typically ranging from roughly $591 thousand to $1.7 million over three-year periods. Representative recent awards funded screening operations for uranium-exposed populations on the Navajo Nation ($1.7 million, September 2024) and downwinders in southwestern Utah and adjacent Nevada and Arizona counties ($1.3 million, September 2024).

A forecast solicitation (HRSA-27-039) was posted August 13, 2026, targeting organizations serving radiation-exposed populations in RECA states. Prior competitive solicitation HRSA-24-009 closed May 29, 2024. Project periods run up to three years with potential non-competitive renewal contingent on satisfactory performance and available appropriations.

Objective and description

Objective

The Radiation Exposure Screening and Education Program aims to screen individuals described under section 4 (a) (1)(A)(i) and 5(a)(1)(A) of the Radiation Exposure Compensation Act (42 U.S.C. 2210 note) for cancer as a preventative health measure. Als

Description

The Radiation Exposure Screening and Education Program aims to screen individuals described under section 4 (a) (1)(A)(i) and 5(a)(1)(A) of the Radiation Exposure Compensation Act (42 U.S.C. 2210 note) for cancer as a preventative health measure. Also, to provide the appropriate referrals for medical treatment, ensure the provision of appropriate follow-up services, as well as develop and disseminate public information and education programs for the detection, prevention, and treatment of radiogenic cancers and diseases.

Eligibility

Applicant eligibility

State (includes District of Columbia, public institutions of higher education and hospitals), Local (includes State-designated lndian Tribes, excludes institutions of higher education and hospitals, Public nonprofit institution/organization (includes institutions of higher education and hospitals), Federally Recognized lndian Tribal Governments, Specialized group (e.g. health professionals, students, veterans), Native American Organizations (includes lndian groups, cooperatives, corporations, partnerships, associations) The following entities, (located within the approved states of Arizona, Colorado, Idaho, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas, Utah, Washington or Wyoming) are eligible to apply for the funds: (1) National Cancer Institute-designated cancer centers; (2) Department of Veterans Affairs hospitals or medical centers; (3) Federally Qualified Health Centers (FQHC), community health centers or hospitals; (4) agencies of any state or local government, includes any state department of health that currently provide direct health care services; (5) IHS health care facilities, including programs provided through tribal contracts, compacts, grants, or cooperative agreements with the IHS and which are determined appropriate to raising the health status of Indians; including federally-recognized Tribal Government and Native American Organizations, and (6) nonprofit organizations.

Beneficiary eligibility

Pub. L. No. 119-21 made significant changes to the eligibility criteria under RECA. Please refer to the Department of Justice Civil Division RECA website https://www.justice.gov/civil/reca for a complete list of claimant categories that comprise the qualifying individuals RESEP services support.

Uses of assistance

Awards are made to organizations that develop new or expand existing capacity to provide screening, referrals for medical treatment, education, and eligibility assistance for eligible individuals. Restrictions on the Use of Grant Funds: (1) grant funds may not be used to pay for inpatient services; (2) grant funds may not be used to make cash payments to intended recipients of primary health care services or specialty care; (3) grant funds may not be used to supplant other provider/third party coverage payments available to the patient; and (4) grant funds may not be used to purchase or improve real property (other than minor remodeling of existing improvements to real property) or to purchase major medical equipment without the approval of the HRSA Grants Management Office.

Use restrictions

Awards are made to organizations that develop new or expand existing capacity to provide screening, referrals for medical treatment, education, and eligibility assistance for eligible individuals. Restrictions on the Use of Grant Funds: (1) grant funds may not be used to pay for inpatient services; (2) grant funds may not be used to make cash payments to intended recipients of primary health care services or specialty care; (3) grant funds may not be used to supplant other provider/third party coverage payments available to the patient; and (4) grant funds may not be used to purchase or improve real property (other than minor remodeling of existing improvements to real property) or to purchase major medical equipment without the approval of the HRSA Grants Management Office.

Length and time phasing of assistance

Awards are made annually. After funds are issued, funds are released in accordance with payment procedures of DHHS, which may be an Electronic Transfer System or monthly cash request system.

How to apply

Preapplication coordination

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

(1) Need and Readiness -- the extent to which the applicant can demonstrate a need for these services in their area and their readiness to provide them; (2) Response --the extent to which the applicant can demonstrate their strength and feasibility of the proposed approach to meeting the service area and user needs; (3) Evaluative Measures -- the extent to which the applicant can describes the strength of the plan to evaluate RESEP and assess whether stated objectives were met through program activities; (4) Impact -- The extent to which the application provides clear evidence of a positive impact on the health of the user population and the strength of the plan for how problem areas or unmet objectives will be remedied after they are identified; (5) Resources/Capabilities-- the extent to which project personnel are qualified by training and/or experience to implement and carry out the projects; and (6) Support Requested -- the extent to which the applicant's budget for the scope of the proposed activities.

Award procedure

Notification is made in writing by a Notice of Award.

Time to approval or disapproval

Approximately 180 days.

Renewals

RESEP awards may be made for up to 3-year project periods. Subject to availability of funds, after initial awards, projects may be renewed non-competitively contingent upon submission and approval of an application, availability of appropriated funds, and awardee's satisfactory performance.

Grant opportunities

Opportunity Status Posted Applications due
Radiation Exposure Screening and Education Program HRSA-27-039 Forecasted —
Radiation Exposure Screening and Education Program (RESEP) HRSA-24-009 Closed
Radiation Exposure Screening and Education Program HRSA-23-032 Past —
Radiation Exposure Screening and Education Program HRSA-20-029 Closed
Radiation Exposure Screening and Education Program HRSA-17-025 Closed
Radiation Exposure Screening and Education Program HRSA-11-147 Closed

Grant awards

Latest 10 of 47 listed here. See the rest on GovTribe.

Top recipients by federal obligations

Rank Recipient Federal obligations Share
1 Indian Health Service $5,709,214 13%
2 National Jewish Health $5,653,169 13%
3 IHC Health Services Inc. $5,579,824 13%
4 University Of New Mexico $4,967,387 11%
5 North Country Healthcare, Inc. $4,960,787 11%
6 Board Of Regents Of Nevada System Of Higher Education $4,566,645 10%
7 Utah Navajo Health System Inc. $3,460,215 8%
8 Tuba City Regional Health Care Corporation $2,843,591 7%
9 Board Of Regents Of Nevada System Of Higher Education $1,853,069 4%
10 County Of San Juan $929,652 2%

10 of 14 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2026 $1,884,697
FY2025 $4,204,246
FY2024 $4,595,979
FY2023 $4,407,815
FY2022 $5,118,300
FY2021 $1,353,344
FY2020 $1,636,499
FY2019 $1,355,414
FY2018 $1,474,768
FY2017 $1,594,175
FY2016 $1,471,452
FY2015 $1,652,041
FY2014 $1,589,499
FY2013 $1,579,594
FY2012 $1,498,467
FY2011 $1,482,525
FY2010 $1,714,390
FY2009 $1,642,032
FY2008 $439,066
FY2007 $1,289,681
FY2005 $1,622,995
Show all 21

Quick answers

What is Assistance Listing 93.257?

Assistance Listing 93.257 is Grants for Education, Prevention, and Early Detection of Radiogenic Cancers and Diseases, a federal grant program run by Health Resources and Services Administration (Department of Health and Human Services).

What is the CFDA number for Grants for Education, Prevention, and Early Detection of Radiogenic Cancers and Diseases?

Its CFDA number is 93.257: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.257 awarded?

47 grant awards under 93.257 have obligated $43,606,978 in federal funds to 14 recipients.

Who receives the most funding from 93.257?

The recipients obligated the most under Grants for Education, Prevention, and Early Detection of Radiogenic Cancers and Diseases are Indian Health Service ($5,709,214), National Jewish Health ($5,653,169) and IHC Health Services Inc. ($5,579,824).

How much did 93.257 obligate in fiscal year 2025?

Grants under 93.257 obligated $4,204,246 in federal funds in fiscal year 2025.

Are there open grant opportunities under 93.257?

1 listed opportunity under 93.257 is open or forecasted. The latest, Radiation Exposure Screening and Education Program, was posted on August 13, 2026.

On GovTribe

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