National Bioterrorism Hospital Preparedness Program
Active
- Assistance listing
- 93.889
- Agency
-
Immediate Office of the Secretary
Department of Health and Human Services
- Grant awards
- 498 $3,475,979,465 in federal obligations
Program facts
- Also known as
- (HPP)
- Assistance types
-
- Project Grant
- Cooperative Agreement
- Block Grant
- Formula Grant
- Treasury account
-
- 75-0140-0-1-551
- 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 (HHS) Immediate Office of the Secretary funds hospital and healthcare system preparedness for terrorism response and public health emergencies under Assistance Listing 93.889, with the most recent award disbursed July 1, 2024.
The program supports healthcare system readiness activities conducted through state health departments and their healthcare coalitions. Funded activities include healthcare coalition governance and planning; hazard vulnerability and readiness assessments; training and exercise programs for hospital staff and emergency responders; medical surge capacity planning and protocols; supply chain and pharmaceutical cache management; continuity of care and operations planning; pediatric emergency preparedness; workforce resilience and behavioral health support; and coordination with Emergency Support Function 8 (ESF-8) and local emergency management. Award abstracts emphasize whole-of-community coordination among hospitals, long-term care facilities, federally qualified health centers, emergency medical services, public health agencies, and emergency management partners to prepare for mass casualty incidents, infectious disease outbreaks, natural disasters, and CBRN exposures.
The portfolio is dominated by Cooperative Agreements (249 of 498 awards, 50% federal dollars) and Block Grants (229 awards, 46%), with smaller shares of Project Grants and Formula Grants. The HHS Immediate Office of the Secretary has awarded 374 grants totaling $2.06 billion, while the HHS Office of the Assistant Secretary for Preparedness and Response (ASPR) has awarded 122 grants totaling $1.42 billion across 3.48 billion in combined federal dollars obligated since 2002. The program disbursed 28 awards in 2024 after a gap; prior years show volatility (151 in 2009, 2 in 2010, 11 in 2019, 51 in 2020).
Recent Cooperative Agreement awards issued July 1, 2024 for five-year performance periods (through June 30, 2029) include state health department recipients: New York State Department of Health ($80,723,746), Pennsylvania Department of Health ($61,062,921), North Carolina Department of Health ($54,106,812), Ohio Department of Health ($53,241,679), Virginia Department of Health ($51,794,934), and Illinois Department of Public Health ($55,629,363). Awards to other jurisdictions range from $2.55 million (Northern Mariana Islands) to $39.3 million (Maryland).
One current opportunity remains open: the Pediatric Disaster Care Centers of Excellence Program Cooperative Agreement (EP-U3R-26-001), posted July 30, 2026 with an August 31, 2026 due date, funds four centers to develop coordinated pediatric disaster care, strengthen pediatric surge planning, and enhance statewide and regional pediatric readiness. Estimated total program funding over the five-year period is $24 million. Eligible applicants are public or private hospitals and corporate health systems. The most recent HPP Cooperative Agreement opportunity (EP-U3R-24-001) closed June 18, 2024 and generated the July 2024 awards visible in the portfolio.
Objective and description
- Objective
To ready hospitals and other healthcare systems, in collaboration with other partners, to deliver coordinated and effective care to victims of terrorism and other public health emergencies.
- Description
To ready hospitals and other healthcare systems, in collaboration with other partners, to deliver coordinated and effective care to victims of terrorism and other public health emergencies.
Eligibility
- Applicant eligibility
State health departments of all 50 States, the District of Columbia, the nation's three largest municipalities (New York City, Chicago and Los Angeles County), the Commonwealths of Puerto Rico and the Northern Mariana Islands, the territories of American Samoa, Guam and the United States Virgin Islands, the Federated States of Micronesia, and the Republics of Palau and the Marshall Islands.
- Beneficiary eligibility
All State health departments listed above, hospitals and supporting health care systems.
- Uses of assistance
The distribution of funds will be to the health departments of all 50 States, the District of Columbia, the nation's three largest municipalities (New York City, Chicago and Los Angeles County), the Commonwealths of Puerto Rico and the Northern Mariana Islands, the territories of American Samoa, Guam and the Unites States Virgin Islands, the Federated States of Micronesia, and the Republics of Palau and the Marshall Islands. Health/Medical
- Use restrictions
The statute specifies appropriate use of funds.
- Length and time phasing of assistance
Project periods are limited up to 3 years. Budget periods are limited up to 12 months.
How to apply
- Preapplication coordination
Pre-application coordination is not applicable. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
- Criteria for selecting proposals
This is a formula grant program. The applicants must submit their application in accordance with fiscal year Funding Opportunity Announcement. The applications are reviewed and approved applications are processed immediately. Applications approved with conditions, require the applicant to resubmit supporting information within a prescribed time frame. Upon review and approval, the revised application can then be submitted to Grants Management for processing and issuing a notice of grant award.
- Award procedure
Notification is made in writing through a Notice of Grant Award issued from the program's Grants Management Office.
Grant opportunities
Grant awards
Latest 10 of 498 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Department Of State Health Services | $279,043,537 | 8% |
| 2 | Ohio Department Of Health | $197,169,528 | 6% |
| 3 | Pennsylvania Department Of Health | $142,520,846 | 4% |
| 4 | Department Of Public Health Illinois | $120,418,715 | 3% |
| 5 | The American National Red Cross | $118,000,000 | 3% |
| 6 | Florida Department Of Health | $109,265,579 | 3% |
| 7 | California Department Of Public Health | $98,235,543 | 3% |
| 8 | New Jersey Department Of Health | $93,327,613 | 3% |
| 9 | VA State Board Of Health | $92,237,391 | 3% |
| 10 | North Carolina Department Of Health & Human Services | $87,808,445 | 3% |
10 of 171 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | -$65,839 |
| FY2025 | $273,227,155 |
| FY2024 | $329,387,781 |
| FY2023 | $501,479,821 |
| FY2022 | $788,492,358 |
| FY2021 | $233,614,621 |
| FY2020 | $723,583,923 |
| FY2019 | $236,686,242 |
| FY2017 | -$1,063,990 |
| FY2014 | -$8,130,629 |
| FY2013 | -$747,009 |
| FY2012 | -$1,133,466 |
| FY2011 | $352,609,174 |
| FY2010 | $420,584,380 |
| FY2009 | $428,890,492 |
| FY2008 | $449,526,418 |
| FY2007 | $457,620,217 |
Show all 17
Quick answers
What is Assistance Listing 93.889?
Assistance Listing 93.889 is National Bioterrorism Hospital Preparedness Program, a federal grant program run by Immediate Office of the Secretary (Department of Health and Human Services).
What is the CFDA number for National Bioterrorism Hospital Preparedness Program?
Its CFDA number is 93.889: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.889 awarded?
498 grant awards under 93.889 have obligated $3,475,979,465 in federal funds to 171 recipients.
Who receives the most funding from 93.889?
The recipients obligated the most under National Bioterrorism Hospital Preparedness Program are Department Of State Health Services ($279,043,537), Ohio Department Of Health ($197,169,528) and Pennsylvania Department Of Health ($142,520,846).
How much did 93.889 obligate in fiscal year 2025?
Grants under 93.889 obligated $273,227,155 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.889?
No opportunity listed under 93.889 is open now. The latest, Pediatric Disaster Care Centers of Excellence Program Cooperative Agreement, was posted on July 30, 2026.
On GovTribe
See this program's full record
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