County Of Sacramento

County Of Sacramento Division Of Public Health Division (doing business as Public Health Division) is a U.S. local government public health agency operating as a sub-division of County Of Sacramento, headquartered in Sacramento, California, that receives federal grant funding as a prime recipient and sub-recipient across substance use disorder treatment, HIV/AIDS prevention and care, maternal and child health, and chronic disease surveillance programs. The Division does not hold federal contracts or compete on IDVs; all federal activity is grant-based, routed through SAMHSA, HHS Health Resources and Services Administration, CDC, and state pass-through vehicles administered by the California Department of Public Health and California Department of Health Care Services.

The Division's prime grant portfolio centers on community-based behavioral health and disease prevention services. Representative prime awards include a $400 thousand SAMHSA Center for Substance Abuse Treatment grant (CFDA 93.490) awarded September 2026 to expand Sacramento County Family Treatment Court, delivering trauma-informed substance use disorder treatment and recovery supports to parents and caregivers involved with Child Protective Services over a five-year period through September 2031, targeting at least 40 unduplicated adults annually; a $2 million SAMHSA grant awarded September 2024 for Sacramento County Adult Drug Court—Substance Treatment Enrichment Program to expand treatment and supportive services, including recovery housing, family engagement, and case management, to serve over 200 justice-involved participants during the five-year grant period; and a five-year cooperative agreement from HHS National Center for HIV/AIDS awarded August 2024 to expand the Sacramento County Sexual Health Clinic's clinical infrastructure and linkage-to-care efforts for young gay and bisexual men of color and other priority populations. The Division also received a CDC cooperative agreement (Center for State, Tribal, Local, and Territorial Support) in September 2024 for the Southern California Pregnancy-Associated Mortality Review, collaborating with Stanford's California Maternal Quality Care Collaborative and the Public Health Institute on maternal death investigation and quality improvement. Additional prime grants address workforce development and data modernization (CDC Center for Surveillance, December 2022, through November 2027), evidence-based psychosis screening and treatment for youth ages 12–25 (SAMHSA Center for Mental Health Services, September 2022–2026), and falls prevention capacity building (Administration on Aging, May 2022–October 2025).

Sub-grant activity runs through state pass-through vehicles. The Division receives recurring annual sub-awards from the California Department of Public Health for immunization programs, maternal and child health, home visiting support, and Ryan White HIV/AIDS Program core services; from the California Department of Health Care Services for mental health block grants, substance abuse block grants, and Medicaid-related behavioral health programs; and from the California Office of Traffic Safety for child passenger safety. These sub-awards typically carry July 1 or annual award dates and fund ongoing public health program operations within Sacramento County.

Federal customer concentration sits with HHS agencies. The top five funding sources account for 57 percent of recent awards by count, led by HHS Health Resources and Services Administration (9 awards) and HHS Substance Abuse and Mental Health Services Administration (14 awards combined across two organizational records in the source). The potential-value ranking diverges slightly: Veterans Affairs Veterans Health Administration (Veterans Integrated Service Network 21) anchors four awards with $230 thousand combined potential value, followed by GSA Public Buildings Service Region 9 with one award valued at $108 thousand. Most awards sit in the mid-to-low dollar range per award; combined potential value across all 56 awards (prime and sub) stands at $391 thousand, but combined obligated dollars total $289.7 million, indicating that most awards have been substantially drawn down in performance.

Activity has been episodic. The Division recorded twelve awards in 2022, three in 2023, eight in 2024, eight in 2025, and five through September 2026. Two awards face ultimate completion within the next twenty-four months, representing minimal near-term recompete exposure. The Division's federal footprint is entirely grant-based; it does not hold seats on GWACs, BPAs, or agency-wide IDIQs and does not subcontract to federal prime contractors. Accordingly, the Division functions as a grant recipient and sub-recipient for state and local public health operations, not as a federal contractor or supplier of goods or services on the federal competitive marketplace.