Coal Miners Respiratory Impairment Treatment Clinics and Services

Active

Assistance listing
93.965
Agency
Grant awards
102 $279,788,115 in federal obligations

Program facts

Also known as
Black Lung Clinics Program (BLCP) and the Black Lung Data and Resource Center (BLDRC)
Assistance types
  • Project Grant
  • Cooperative Agreement
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 medical, outreach, educational, and benefits counseling services for coal miners with occupationally-related coal mine dust lung disease through the Black Lung Clinics Program (CFDA 93.965), with recent grant awards made as of July 2025.

The program has distributed $279.8 million in federal funding across 102 awards since 1979, with two recent opportunities posted in July 2024 and due February 11, 2025. Award activity shows variable cadence—two awards in 2025, two in 2020, and five in both 2017 and 2014—indicating sporadic rather than annual solicitation cycles. The portfolio is predominantly Project Grants (99 percent of 102 awards) with a single Cooperative Agreement. Recent awards reflect a typical range from under $600 thousand to multiyear grants exceeding $10 million; The Lung Disease Foundation of Central Pennsylvania received $1.746 million in first-year funding (July 2025–June 2030) to expand diagnostic, treatment, education, and benefits counseling services across 51 counties in Pennsylvania's former and active coal-mining regions, while a second 2025 award obligated $590 thousand over five years.

Two opportunities are open. HRSA-25-040 (Black Lung Clinics Program) solicits Project Grants for medical, outreach, educational, and benefits counseling services; applicant types include states, local governments, nonprofits (501(c)(3) and non-exempt), tribes, higher education institutions, and small businesses. HRSA-25-039 (Black Lung Data and Resource Center) solicits a Cooperative Agreement to improve data collection, clinic operations, and service quality across existing Black Lung Clinics Program recipients and will partner with HRSA and federal partners to analyze demographics and clinical status of coal miners with Coal Mine Dust Lung Diseases, particularly Coal Workers Pneumoconiosis and Progressive Massive Fibrosis. Both close February 11, 2025. Applicants must consult their state's single point of contact on grants management procedures. Federal audit requirements apply to recipients expending $1 million or more annually in federal awards.

Objective and description

Objective

The Black Lung Clinics Program aims to reduce the morbidity and mortality associated with occupationally-related coal mine dust lung disease (CMDLD) through the provision of quality medical, outreach, educational, and benefits counseling services to

Description

The Black Lung Clinics Program aims to reduce the morbidity and mortality associated with occupationally-related coal mine dust lung disease (CMDLD) through the provision of quality medical, outreach, educational, and benefits counseling services to coal miners. The primary objective of the Black Lung Data and Resource Center is to improve patient-level data collection and analysis, clinic operations, and the quality and breadth of services provided by the Black Lung Clinics Program (BLCP) recipients.

Eligibility

Applicant eligibility

The BLCP is open to any state or public or private entity that meets the requirements of the program. This includes faith-based and community-based organizations as well as federally-recognized Tribes and Tribal organizations. The requirements may be met by a state, a single entity in a state, or a newly-formed consortium within a state. The BLDRC is open to any domestic public or private organization that meets the requirements of the program. This includes faith-based and community-based organizations as well as federally-recognized Tribes and Tribal organizations.

Beneficiary eligibility

Per 42 CFR Part 55a, a "coal miner" is defined as: Any individual who works or has worked in or around a coal mine or coal preparation facility in the extraction or preparation of coal. The term also includes an individual who works or has worked in coal mine construction or transportation in and around a coal mine, to the extent that the individual was exposed to coal dust as a result of employment.

Uses of assistance

Screening, diagnosis and treatment services to active, inactive, disabled, and retired coal miners, including provision of the following services: education and outreach; medical case management; compensation counseling; DOL medical exams in accordance with the authorizing legislation; patient data collection and analysis; and other treatments that may relieve symptoms.

Use restrictions

Screening, diagnosis and treatment services to active, inactive, disabled, and retired coal miners, including provision of the following services: education and outreach; medical case management; compensation counseling; DOL medical exams in accordance with the authorizing legislation; patient data collection and analysis; and other treatments that may relieve symptoms.

Length and time phasing of assistance

Assistance will cover operational costs and awardees will generally be expected to begin to deliver services immediately.

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

Per the 42 CFR Part 55a, funding criteria will take into account: (1) The number of miners to be served and their needs; and (2) The quality and breadth of services to be provided. Additionally, state applicants will be given preference over individual entities who apply within the same state.

Award procedure

Notification is made in writing by a Notice of Award.

Time to approval or disapproval

Up to 6 months.

Renewals

All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.

Grant opportunities

Opportunity Status Posted Applications due
Black Lung Data and Resource Center HRSA-25-039 Closed
Black Lung Clinics Program HRSA-25-040 Closed
Black Lung Clinics Program HRSA-17-023 Closed

Grant awards

Latest 10 of 102 listed here. See the rest on GovTribe.

Top recipients by federal obligations

Rank Recipient Federal obligations Share
1 West Virginia Department Of Health And Human Resources $43,678,473 16%
2 University Of Illinois $28,044,659 10%
3 ST. Charles Health Council, Inc. $23,746,449 8%
4 Oh Muhlenberg, LLC $22,743,276 8%
5 National Jewish Health $20,500,634 7%
6 Miners Colfax Medical Center $18,949,480 7%
7 Centerville Clinics, Incorporated $12,980,589 5%
8 Alveoli Corp $12,755,978 5%
9 Big Sandy Health Care $10,988,191 4%
10 Northwest Community Action Programs Of Wyoming, Inc. $9,357,421 3%

10 of 26 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2026 $20,371,001
FY2025 $33,866,230
FY2024 $31,601,666
FY2023 $37,243,303
FY2022 $27,142,383
FY2021 $11,346,203
FY2020 $11,476,643
FY2019 $10,655,678
FY2018 $9,839,662
FY2017 $7,141,084
FY2016 $6,640,958
FY2015 $6,432,219
FY2014 $6,512,479
FY2013 $6,594,373
FY2012 $7,032,385
FY2011 $7,312,164
FY2010 $7,338,134
FY2009 $7,398,637
FY2008 $191,608
FY2007 $5,421,287
FY2006 $1,541,455
FY2003 $3,386,150
FY2002 $6,910,646
FY2001 $4,598,239
Show all 24

Quick answers

What is Assistance Listing 93.965?

Assistance Listing 93.965 is Coal Miners Respiratory Impairment Treatment Clinics and Services, a federal grant program run by Health Resources and Services Administration (Department of Health and Human Services).

What is the CFDA number for Coal Miners Respiratory Impairment Treatment Clinics and Services?

Its CFDA number is 93.965: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.965 awarded?

102 grant awards under 93.965 have obligated $279,788,115 in federal funds to 26 recipients.

Who receives the most funding from 93.965?

The recipients obligated the most under Coal Miners Respiratory Impairment Treatment Clinics and Services are West Virginia Department Of Health And Human Resources ($43,678,473), University Of Illinois ($28,044,659) and ST. Charles Health Council, Inc. ($23,746,449).

How much did 93.965 obligate in fiscal year 2025?

Grants under 93.965 obligated $33,866,230 in federal funds in fiscal year 2025.

Are there open grant opportunities under 93.965?

No opportunity listed under 93.965 is open now. The latest, Black Lung Data and Resource Center, was posted on July 12, 2024.

On GovTribe

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