Leading Edge Acceleration Projects (LEAP) in Health Information Technology
Active
- Assistance listing
- 93.345
- Agency
-
Immediate Office of the Secretary
Department of Health and Human Services
- Grant awards
- 18 $23,593,246 in federal obligations
Program facts
- Also known as
- LEAP
- Assistance type
-
- Cooperative Agreement
- Treasury account
-
- 75-0130-0-1-551
- 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 Office of the National Coordinator for Health Information Technology (ONC) funds cooperative agreements under the Leading Edge Acceleration Projects (LEAP) in Health Information Technology program (CFDA 93.345) to develop and test interoperable health IT solutions addressing barriers to nationwide data exchange and clinical knowledge integration, with grant opportunities currently open and due July 16, 2026.
The program funds development and pilot testing of health IT capabilities aligned with 21st Century Cures Act interoperability mandates. Recent awards demonstrate concrete focus: demonstrating FHIR-based subscriptions capability for real-time clinical decision support (NORC at the University of Chicago partnership, awarded September 2025, $1.998 million); testing innovative technical approaches to increase adoption of Individual Access Services under the Trusted Exchange Framework and Common Agreement (HIMSS collaboration, awarded September 2025, $1.999 million); adapting open-source FHIR applications for behavioral health care planning and information exchange (awarded September 2024, $1.998 million); and developing AI-informed approaches to nursing data processing for early warning systems (awarded September 2024, $1.997 million). Additional recent work has addressed advance care planning document aggregation via FHIR interoperability, FHIR data quality improvement frameworks, patient-generated health data integration for equity-enhanced care, and cross-sector care coordination linking healthcare with housing and social services.
ONC is the sole funder. All 18 awards in the portfolio are cooperative agreements totaling $23.6 million federal dollars obligated. Awards have consistently dispersed at roughly two per year from 2021 through 2025, with individual awards typically ranging from approximately $1.97 million to $2 million over multiyear periods.
Eligible applicants include public and private nonprofit institutions (universities, colleges, faith-based and community-based organizations), units of state and local government, federally recognized Indian/Native American Tribal Governments, and in limited capacity, for-profit organizations as sub-recipients within consortia only. The most recent open solicitation (NAP-AX-26-001, due July 16, 2026) is seeking three cooperative agreements for two-year projects addressing three priority areas: agentic AI integration with health IT systems, and continuation of prior emphasis on FHIR-based subscriptions and TEFCA infrastructure innovation. A prior solicitation (NAP-AX-22-001, originally extended through September 30, 2027, with most recent update noting application period extended to April 25, 2025) remains available for the same two focus areas. Renewals are available for awardees demonstrating measurable progress toward project goals.
Objective and description
- Objective
The goal of the LEAP in Health IT funding opportunity is to address well-documented and fast emerging challenges inhibiting the development, use, or advancement of well-designed, interoperable health IT, which are scalable across the healthcare indus
- Description
It is critical for the health IT field to be able to innovate and leverage the latest technological advancements and breakthroughs to optimize real-time solutions, especially in areas where health IT has potential to improve the health and healthcare for individuals and populations. The descriptions provided for the two areas of interest, Area 1 and Area 2, include ways applicants may approach developing a project. The areas of interest have been assigned numbers for ease of reference, not for prioritization. While there are many challenges associated with the use of health IT, ASTP identified these two areas of interest as 2025 priority areas: • Area 1: Demonstrate readiness of FHIR®-based Subscriptions capability as a foundational health IT capability for improved interactivity with third-party applications. • Area 2: Identify and test innovative technical approaches that would inform future changes to the TEFCA infrastructure to increase adoption of IAS.
Eligibility
- Applicant eligibility
Public or non-profit private institutions, such as a university, college, or a faith-based or community-based organization; units of local or state government, eligible agencies of the federal government, Indian/Native American Tribal Governments (federally recognized, other than federally recognized, and tribally designated organizations).
- Uses of assistance
For Objective 1: The goal of this focus area is for the awardee to develop a prototype and propose enhancements to existing technical specifications that would make it possible for an independent entity to securely access data on various populations of patients from a FHIR-based API. For Objective 2: The goal of this focus area is to advance clinical knowledge into the health care setting via innovative health IT tools and solutions.
- Length and time phasing of assistance
Assistance will be available during the period of performance of the award (September 2018-2023), and 90 days after the close of the period of performance for reconciliation.
How to apply
- Criteria for selecting proposals
Proposals will be reviewed by a review panel comprised of no less than one (1) federal employee and subject matter experts (non-federal employees). Each proposal will receive a score based on strength and merit of their proposals based on the merit review criteria of Understanding of Project Purpose, Approach and Activities, Applicant Capabilities , and Budget, Level of Effort, and Justification. A detailed list of merit review criteria in these areas are detailed in the funding opportunity announcement.
- Award procedure
The final award decision will be made by the National Coordinator for Health Information Technology taking into consideration several factors such as the results of the merit review process, results of the pre-award risk assessment, compliance with programmatic and grants management requirements; the reasonableness of the estimated costs, available funding, geographical dispersion, program priorities; and the likelihood that the proposed project will result in the benefits expected. All applicants will receive a summary of the objective review panel's assessment of the application's strengths, weaknesses, and score. The recipients Authorized Representatives will receive the notice of award electronically from ONC. The Recipient accepts the award by drawing down funds. By accepting an ONC award, the recipient assumes legal, financial, administrative, and programmatic responsibility for administering the award in accordance with the terms and conditions of the award, as well as applicable laws, rules, regulations, and Executive Orders governing HHS assistance awards, all of which are to be incorporated into the award by reference. Failure to comply with these requirements may result in suspension or termination of the awards and/or ONC's recovery of award funds.
- Renewals
Renewals may be available if the applicant is able to successfully show progress towards achieving specified goals.
Grant opportunities
| Opportunity | Status | Posted | Applications due |
|---|---|---|---|
| Leading Edge Acceleration Projects (LEAP) in Health Information Technology | Closed | ||
| Leading Edge Acceleration Projects (LEAP) in Health Information Technology | Open | ||
| Leading Edge Acceleration Projects for Health IT (LEAP) | Past | — | |
| Leading Edge Acceleration Projects (LEAP) in Health Information Technology | Closed |
Grant awards
Latest 10 of 18 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | The Children's Hospital Corporation | $4,399,810 | 19% |
| 2 | Medstar Health Research Institute Inc. | $3,997,199 | 17% |
| 3 | Alliancechicago | $2,000,000 | 8% |
| 4 | Healthelink, Inc. | $2,000,000 | 8% |
| 5 | Healthcare Information And Management Systems Society | $1,999,536 | 8% |
| 6 | Oregon Health & Science University | $1,998,660 | 8% |
| 7 | National Opinion Research Center | $1,998,454 | 8% |
| 8 | The Trustees Of Columbia University In The City Of New York | $1,997,806 | 8% |
| 9 | Dartnet Institute | $999,990 | 4% |
| 10 | Chesapeake Regional Information System For Our Patients, Inc. | $959,208 | 4% |
10 of 13 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | -$34,697 |
| FY2025 | $3,997,990 |
| FY2024 | $3,995,214 |
| FY2023 | $3,954,365 |
| FY2022 | $3,933,908 |
| FY2021 | $1,998,108 |
| FY2020 | $3,449,348 |
| FY2019 | $300,000 |
| FY2018 | $1,999,010 |
Quick answers
What is Assistance Listing 93.345?
Assistance Listing 93.345 is Leading Edge Acceleration Projects (LEAP) in Health Information Technology, a federal grant program run by Immediate Office of the Secretary (Department of Health and Human Services).
What is the CFDA number for Leading Edge Acceleration Projects (LEAP) in Health Information Technology?
Its CFDA number is 93.345: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.345 awarded?
18 grant awards under 93.345 have obligated $23,593,246 in federal funds to 13 recipients.
Who receives the most funding from 93.345?
The recipients obligated the most under Leading Edge Acceleration Projects (LEAP) in Health Information Technology are The Children's Hospital Corporation ($4,399,810), Medstar Health Research Institute Inc. ($3,997,199) and Alliancechicago ($2,000,000).
How much did 93.345 obligate in fiscal year 2025?
Grants under 93.345 obligated $3,997,990 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.345?
1 listed opportunity under 93.345 is open or forecasted. The latest, Leading Edge Acceleration Projects (LEAP) in Health Information Technology, was posted on June 16, 2026.
On GovTribe
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