County Of Erie

County Of Erie Health Department, a U.S. local government entity headquartered in Sandusky, Ohio, is a federal grant recipient operating as a prime grantee (30% of awards) and subrecipient (70% of awards) across public health, behavioral health, lead hazard remediation, and health infrastructure programs serving Erie County and surrounding rural Ohio communities. The organization does not hold federal contracts or contract vehicles; all federal engagement is grant-funded through HHS, CDC, USDA, and Department of Housing and Urban Development channels.

The Health Department's recent grant portfolio spans behavioral health expansion, opioid harm reduction, lead-based paint hazard control, maternal and child health services, substance use disorder treatment and recovery support, and justice-involved population reintegration. As a prime recipient, the Health Department has anchored $4.7 million HUD Lead Hazard Reduction Grant (CFDA 14.900) awarded March 16, 2026, running through March 2030, targeting pre-1960 and pre-1940 housing stock in low-income neighborhoods for lead inspections, risk assessments, interim controls, and abatement work while building local capacity in lead-safe work practices. The Health Department also received a $2.5 million HRSA construction grant (CFDA 93.224) in July 2022 for a mental health and behavioral health short-term housing facility serving Erie County's 75,000 residents and up to 10 million annual visitors and seasonal residents. A December 2024 grant from the Health Resources and Services Administration's Bureau of Primary Health Care funds a tri-county "Transitions in Care" initiative providing case management, housing access, substance use disorder treatment, and job training support to justice-involved adults from Erie, Huron, and Ottawa County jails; the program targets a 30% recidivism reduction through bio-psycho-social screening, coordinated care coordination, and wraparound service delivery through November 2026.

Customer concentration splits primarily across two HHS bureaus. The Department of Health and Human Services Health Resources and Services Administration accounts for 20 awards, while the Centers for Disease Control and Prevention accounts for 13 awards, covering 33% of the 112 recent awards in the source. The Department of Agriculture Food and Nutrition Service placed 11 awards, largely sub-awards for Women, Infants, and Children (WIC) nutrition services. The organization serves 26 distinct federal customer agencies, with sub-award activity concentrated through the Ohio Department of Health (primary pass-through grantor), Ohio Department of Mental Health, Ohio Department of Medicaid, and Ohio Department of Public Safety.

The sub-award footprint reflects the Health Department's role as a local delivery channel for state-administered federal programs. Since 2022, the Health Department has received 78 sub-awards from Ohio state agencies administering federal grants for immunization and vaccines for children, maternal and child health services, reproductive health and wellness, tobacco prevention and control, safe sleep promotion, sexually transmitted infection prevention, substance abuse block grant funding, and emergency preparedness. Representative sub-awards include maternal and child health services (multiple awards from Ohio Department of Health dating to October 2024), WIC nutrition services (five sub-awards from October 2024 through May 2025), naloxone access and harm reduction expansion (five sub-awards from Ohio Department of Mental Health, most recent May 2026), and tobacco cessation programming (four sub-awards from Ohio Department of Health dating to September 2024). The sub-award structure allows the Health Department to operate as a local health department serving a rural, high-poverty region where 11.6% of Erie County residents and 21% of Sandusky residents live below the poverty line.

Activity accelerated in 2024 with 55 awards, compared to 12 in 2022 and 7 in 2023, reflecting expanded grant footprint under federal behavioral health and public health infrastructure priorities. Only four awards face ultimate completion within the next 24 months, indicating a stable, multi-year grant base with minimal immediate recompete exposure. The Health Department operates as a child entity of County Of Erie (parent vendor) and maintains an operational partnership with Erie County Community Health Center (ECCHC), a federally qualified health center co-applicant on multiple behavioral health, lead remediation, and maternal-child health grants.