Cuyahoga County Board Of Health

Cuyahoga County Board Of Health, a U.S. local government entity and division of Cuyahoga County, Ohio, acts as a federal grant recipient delivering public health and environmental health services to the Department of Health and Human Services, the Department of Housing and Urban Development, and the U.S. Department of Agriculture. The Board operates primarily as a sub-recipient (73% of recent awards) flowing federal grant funding through Ohio state agencies and Cuyahoga County, though it also holds direct prime recipient status on six federal grants spanning lead hazard reduction, food systems, and community health improvement.

The Board's federal footprint concentrates in public health programming. The Department of Health and Human Services dominates the customer set, with its Health Resources and Services Administration, Centers for Disease Control and Prevention, and component offices accounting for 67 of 128 recent awards. The Department of Housing and Urban Development's Office of Healthy Homes and Lead Hazard Control and the U.S. Department of Agriculture round out the active customer set. The Board received a $7.14 million Lead Hazard Reduction Demonstration Grant (CFDA 14.900) from HUD on March 2, 2026, targeting lead-based paint inspection, risk assessment, interim controls, and abatement in pre-1960 housing units across Cuyahoga County, with completion scheduled for March 4, 2030. A $100,000 Farm to School Grant (CFDA 10.575) from USDA's Food and Nutrition Service, awarded July 22, 2024, funds local food procurement, school garden development, and agricultural education through June 2026. The Board also received a cooperative agreement from EPA Region 5 under the Inflation Reduction Act to convene a community advisory board and conduct health impact assessments on healthful homes and indoor/outdoor air quality in under-resourced communities, with sub-recipients Northeast Ohio Black Health Coalition and Ohio State University's Center for Health Outcomes and Policy Evaluation Studies.

In its sub-recipient role, the Board flows substantial federal health funding through awards from the Ohio Department of Health. These sub-awards span HIV prevention and surveillance programming, sexually transmitted infection identification and treatment, dental sealant programs for low-income children, maternal and child health services, safe sleep infant mortality prevention, reproductive health and wellness initiatives, COVID-19 case investigation and contact tracing, public health emergency preparedness, and specialty crop promotion in schools. The Board also receives sub-awards from the Ohio Department of Youth Services for reproductive health education to foster-care and justice-involved youth and from Cuyahoga County for overdose fatality review coordination and substance use data analysis supporting the Cuyahoga County Overdose Data Dashboard. The Board leads the Health Improvement Partnership–Cuyahoga (HIP-Cuyahoga), a multisector equity-grounded consortium established in 2009, and serves as backbone organization for evidence-based interventions addressing chronic disease, infectious disease prevention, and health equity through the Cuyahoga County OD2A Local Initiative, a cooperative agreement focused on opioid epidemic surveillance, prevention, linkage to treatment, and harm reduction.

Award activity spiked in 2024 with seventy-four awards, up from seven in both 2023 and 2022, though the 2025 and 2026 counts remain preliminary. Only one award (the HUD lead hazard reduction grant) faces ultimate completion in the next twenty-four months, presenting minimal near-term recompete exposure. The Board's capability portfolio centers on environmental health hazard control, food systems strengthening, chronic and infectious disease prevention, maternal and child health, opioid epidemic response, and health equity initiatives serving low-income and minority populations in Cuyahoga County and northern Ohio.