Department Of Health

The American Samoa Department of Health, a U.S. Government Entity operating as the sole public health agency for the territory, receives federal grant and contract funding as a prime recipient across maternal and child health, aging services, infectious disease prevention, behavioral health, and emergency preparedness programs. The department does not hold subcontract positions and competes in full-and-open federal grant and contract channels without set-aside designations.

The department's federal footprint is overwhelmingly grant-focused, with 302 total awards spanning the past three decades. Recent annual activity tracks 16 awards in 2022, 19 in 2023, 23 in 2024, and 20 in 2025, with a single award recorded through April 2026. The combined potential value across all awards is $2.1 million; however, obligated dollars ($332.9 million) substantially exceed potential value, indicating extensive draw-down against mature grants and completion of prior-year commitments. Forty-one awards face ultimate completion within the next twenty-four months, creating sustained recompete activity across the department's grant portfolio.

The Department of Health and Human Services (HHS) dominates the customer concentration. The Administration for Community Living (ACC) anchors 107 awards across multiple Older Americans Act formula grants—congregate meals, home-delivered meals, supportive services, family caregiver support, elder abuse prevention, and ombudsman programs—accounting for 72 percent of awards by count. The Health Resources and Services Administration (HRSA) funds 34 awards in maternal and child health services and health center infrastructure; the Centers for Disease Control and Prevention (CDC) funds 32 awards spanning immunization, chronic disease prevention, behavioral health crisis response, surveillance, and emergency preparedness; and the Office of Special Education and Rehabilitative Services (OSERS) funds 19 awards for early intervention services for infants and toddlers with disabilities (CFDA 84.181). The Food and Drug Administration recently entered the portfolio with a single-award IDIQ contract valued at $1.5 million for tobacco retail compliance inspections, with one delivery order issued in December 2025 for $116,130.21 through June 2029.

Recent concrete grant work includes a $1.388 million Maternal, Infant and Early Childhood Home Visiting Grant (CFDA 93.870) from the Maternal and Child Health Bureau to deliver evidence-based home visitation services using the Healthy Families America model across American Samoa's Eastern, Western, and Central districts through September 2027; a $237,082 Block Grant for Community Mental Health Services (CFDA 93.958) from the SAMHSA Center for Mental Health Services supporting community-based mental health centers, peer support services, and case management through September 2027; a $686,570 formula grant under Special Education-Grants for Infants and Families (CFDA 84.181) from OSERS providing early intervention for children aged birth to three years; and a $613,790 Older Americans Act Title III, Part B grant (CFDA 93.044) for supportive services and senior centers. The department also holds cooperative agreements from CDC for immunization access and chronic disease prevention (five years through June 2030), hospital preparedness (through June 2029), and public health emergency preparedness (through June 2029), plus a five-year cooperative agreement from the National Center for Immunization and Respiratory Diseases for epidemiology, laboratory, and infectious disease surveillance capacity-building.

The department's contract footprint is nascent relative to its grant work. The FDA IDIQ for tobacco retail compliance inspections represents the department's entry into federal contracting; the vehicle ceiling of $1.5 million and the initial delivery order of $116,130 establish a time-and-materials operational model for ongoing inspection and enforcement services in Pago Pago and across the territory through June 2030. No parent contract vehicles or prior contract history are present in the source data.

Place of performance spans American Samoa's inhabited islands, including the remote Manu'a district, with administrative operations in Pago Pago, Eastern District. The department operates the sole hospital (LBJ Tropical Medical Center, 120-bed capacity) and five community health centers under its authority, positioning it as the essential infrastructure through which federal health program dollars flow to the territory's approximately 50,000 residents.