Coal Miners Respiratory Impairment Treatment Clinics and Services
Active
- Assistance listing
- 93.965
- Agency
-
Health Resources and Services Administration
Department of Health and Human Services
- 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 | Closed | ||
| Black Lung Clinics Program | Closed | ||
| Black Lung Clinics Program | 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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