21st Century Cures Act - Precision Medicine Initiative
Active
- Assistance listing
- 93.368
- Agency
-
National Institutes of Health
Department of Health and Human Services
- Grant awards
- 13 $450,227,896 in federal obligations
Program facts
- Also known as
- All of Us Research Program
- Assistance types
-
- Cooperative Agreement
- Project Grant
- Treasury account
-
- 75-2025-0-0-028
- 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 National Institutes of Health Office of the Director is funding precision medicine research leveraging the All of Us Research Program cohort, with the most recent grant awards made in September 2023 under CFDA 93.368.
Grant activity has accelerated sharply in the past few years, with eight awards made in 2023 alone compared to sporadic funding prior (one award each in 2012, 2016, 2017, and 2019, and two in 2019). The program has obligated $450.2 million in federal dollars across 13 awards since 2012. Recent awards cluster heavily in 2023, with all funding channeled through a single federal agency—the NIH Office of the Director—indicating sustained institutional commitment.
The program funds secondary research analyses on biospecimens, genomic data, and electronic health records from the All of Us cohort to investigate associations between biomarkers, genetic variants, social determinants of health, and chronic disease outcomes across diverse populations. Representative recent awards include genome-wide association studies examining family health history as proxy phenotypes in Alzheimer's disease genetics ($874,688), discovery and analysis of somatic copy-number variants in the All of Us cohort ($645,600), and analyses of allostatic load and chronic disease risk in diverse Asian Americans ($875,516). Two notable large cooperative agreements support biobank operations (Mayo Clinic biospecimen processing and storage, $366.2 million) and participant engagement technology infrastructure (Vibrent Health, $78.2 million). The portfolio is predominantly Project Grants (85 percent), with a smaller share of Cooperative Agreements (15 percent). Individual Project Grant awards typically range from $230 thousand to $1.4 million per award.
A current solicitation (PAR-27-069, due March 1, 2027) invites biomarker analysis projects to access All of Us biospecimens for discovery, validation, novel disease stratification, and multiomics integration in support of precision medicine, with broad applicant eligibility including nonprofits, educational institutions, small businesses, and tribal organizations. Funding decisions prioritize scientific merit, program relevance, and program balance, with approximately ten months to funding decision for grants and cooperative agreements.
Objective and description
- Objective
To provide support for initiatives funded under the 21st Century Cures Act, the All of Us Research Program will gather data from one million or more diverse people living in the United States to accelerate research and improve health. By taking into
- Description
The All of Us Research Program will gather data from one million or more people living in the United States to accelerate research and improve health. By taking into account individual differences in lifestyle, environment, and biology, researchers will uncover paths toward delivering precision medicine.
Eligibility
- Applicant eligibility
The awardee will be a university, college, hospital, public agency, nonprofit research institution or for-profit organization that applies and receives an award for support of research by a named principal investigator. To be eligible for funding, a grant application must be approved for scientific merit and program relevance by a scientific review group and a national advisory council.
- Beneficiary eligibility
Any nonprofit or for-profit organization, company, or institution engaged in biomedical research.
- Uses of assistance
Other Transactions, Contracts, IAAs, Grants and cooperative agreements may be made to eligible institutions for the support of the All of Us Research Program projects. The awards may be used for personnel, consultant costs, equipment, supplies, travel, patient costs, animals, alterations and renovations, miscellaneous items, and Facilities and Administrative Costs (formerly known as indirect costs).
- Use restrictions
Other Transactions, Contracts, IAAs, Grants and cooperative agreements may be made to eligible institutions for the support of the All of Us Research Program projects. The awards may be used for personnel, consultant costs, equipment, supplies, travel, patient costs, animals, alterations and renovations, miscellaneous items, and Facilities and Administrative Costs (formerly known as indirect costs).
- Length and time phasing of assistance
Other Transactions, Grants and Cooperative Agreements: Average 3 to 5 years. Renewals may be awarded for additional periods. Method of rewarding/releasing assistance: funding is provided through Monthly Demand Payment System or an Electronic Transfer System
How to apply
- Preapplication coordination
Preapplication coordination is not applicable. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
- Application procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. For Grants and Cooperative Agreements, 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. For Other Transactions, Section 402 (n) of the Public Health Service Act, 42 U.S.C. 282 (n) apply to this program.
- Criteria for selecting proposals
For grants and cooperative agreements, funding decisions are based on scientific merit (42 CFR 52h) and program relevance. Scientific merit review encompasses: the peer review criteria detailed in the specific funding announcement, as well as the significance, approach, and innovation of the proposed research; the competency of the principal investigator; the adequacy of the resources and environment; the proposed budget and requested period of support; and, where applicable, the adequacy of the measures for protecting against adverse effects upon humans, animals, or the environment. For Other Transactions the Research Opportunity Announcement (ROA) will detail the review process for each initiative.
- Award procedure
Grants and cooperative agreements are funded based on scientific merit, program relevance, and program balance and are made annually. The initial grant award provides funds for the first budget period (usually 12 months) and letter Notice of Award indicates support recommended for the remainder of the project period, allocation of Federal funds by budget categories and special conditions, if any. Other Transactions are awarded based on the criteria stated within the research opportunity announcement for each initiative.
- Time to approval or disapproval
Grants/Cooperative Agreements: Approximately 10 months. Other Transactions: varies
- Renewals
Applications submitted for renewal are reviewed and selected for funding on a competitive basis.
- Appeals
For grants/cooperative agreements: A principal investigator may question the substantive or procedural aspects of the review of his/her application by communicating with the staff of the Institute. A description of the NIH Peer Review Appeal procedures is available on the NIH home page www.nih.gov/grants/guide/notice-files/not97-232.html . For Other Transactions the Research Opportunity Announcement (ROA) will detail the appeals process for each initiative.
Grant opportunities
Grant awards
Latest 10 of 13 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Mayo Clinic | $366,838,592 | 81% |
| 2 | Vignet Inc. | $78,239,640 | 17% |
| 3 | Brigham Young University | $1,557,708 | <1% |
| 4 | Vanderbilt University Medical Center | $1,371,931 | <1% |
| 5 | Icahn School Of Medicine At Mount Sinai | $950,625 | <1% |
| 6 | Temple University-Of The Commonwealth System Of Higher Education | $875,516 | <1% |
| 7 | University Of Wisconsin System | $874,688 | <1% |
| 8 | The Washington University | $450,950 | <1% |
| 9 | Rector & Visitors Of The University Of Virginia | $351,492 | <1% |
| 10 | Marquette University | $230,733 | <1% |
10 of 12 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | -$5,192,285 |
| FY2025 | -$6,773 |
| FY2024 | $58,521,608 |
| FY2023 | $118,836,014 |
| FY2022 | $117,509,100 |
| FY2021 | -$1,513,978 |
| FY2019 | $23,989,999 |
Quick answers
What is Assistance Listing 93.368?
Assistance Listing 93.368 is 21st Century Cures Act - Precision Medicine Initiative, a federal grant program run by National Institutes of Health (Department of Health and Human Services).
What is the CFDA number for 21st Century Cures Act - Precision Medicine Initiative?
Its CFDA number is 93.368: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.368 awarded?
13 grant awards under 93.368 have obligated $450,227,896 in federal funds to 12 recipients.
Who receives the most funding from 93.368?
The recipients obligated the most under 21st Century Cures Act - Precision Medicine Initiative are Mayo Clinic ($366,838,592), Vignet Inc. ($78,239,640) and Brigham Young University ($1,557,708).
How much did 93.368 obligate in fiscal year 2025?
Grants under 93.368 obligated -$6,773 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.368?
1 listed opportunity under 93.368 is open or forecasted. The latest, Accelerating Discovery through Partnered Research with All of Us to Analyze Participant Biospecimens (X01 Clinical Trial Not Allowed), was posted on January 8, 2026.
On GovTribe
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