Minnesota Department Of Health

Minnesota Department Of Health Financial Management Division, a U.S. state government entity headquartered in St. Paul, Minnesota, operates as a federal grant recipient and contract prime across public health infrastructure, vital statistics management, food assistance administration, and disease surveillance programs. The division competes in full-and-open federal grant and contract mechanisms with no set-aside designation, holding 950 prime awards (81% of recent activity) and serving as sub-recipient or sub-awardee on 217 additional awards across 79 distinct federal agencies. MDH's federal footprint is dominated by formula grants and cooperative agreements rather than competitive procurements, reflecting its statutory role as Minnesota's state health authority.

The division's capability portfolio centers on five concrete service lines. Vital statistics and death records management—including National Death Index data services, enumeration at birth records, and electronic death records supporting 54 states and jurisdictions—anchors a $4.19 million indefinite delivery contract with the Centers for Disease Control and Prevention through April 2027, with delivery orders valued at $438,720 each. Nutrition assistance administration comprises the largest dollar volume: WIC program delivery spans food expenses ($62.6 million formula award for FY 2026), administrative operations ($30.98 million), breastfeeding peer counselor services ($1.36 million), and infrastructure modernization ($1.28 million and $279,680 respectively), all under CFDA 10.557. Water safety and environmental health programs include lead hazard reduction in low-income housing ($3.85 million project grant from HUD through November 2027), emerging contaminant remediation for small communities ($14.75 million EPA formula grant for PFAS and manganese treatment through September 2028), and public water system supervision under the Safe Drinking Water Act. Disease surveillance and emergency preparedness encompasses epidemiology and laboratory capacity ($multiple cooperative agreements with CDC through 2029 covering foodborne illness, healthcare-associated infections, antimicrobial resistance, and emerging zoonotic pathogens), immunization programs, tuberculosis elimination, and HIV prevention. Rural health transformation represents a $579.3 million five-year cooperative agreement from CMS (CFDA 93.798) awarded December 2025 through October 2030, supporting healthcare workforce development, telehealth infrastructure, and provider financial stabilization across Minnesota's rural and frontier regions.

Customer concentration is heavily weighted to HHS agencies. The CDC Pittsburgh office leads with 43 awards ($42.4 million combined potential value), followed by the Social Security Administration (29 awards, $11.1 million) for enumeration and death records services, and the CDC Office of Acquisition Services (14 awards, $10.2 million). The Department of Agriculture Food and Nutrition Service accounts for substantial volume through recurring WIC formula grants. Top customers by award count include CDC (140 awards), USDA Food and Nutrition Service (68 awards), CMS (68 awards), EPA (66 awards), and Food and Nutrition Service again (60 awards), covering 34% of all awards. The top five customers by potential value account for 81% of combined value, with CDC Pittsburgh's vital statistics and disease surveillance work anchoring the single largest customer relationship.

Parent vehicles center on indefinite delivery contracts and basic ordering agreements with CDC and Social Security Administration. The CDC NCHS VSP contract (HHSD200201250824I) carries 10 task orders worth $2.8 million combined; SSA enumeration and death records contracts (SS000860040 and SS001260024) hold 15 task orders across $1.9 million combined value. The MDH–CDC relationship is perennial: delivery orders for vital statistics data collection, National Death Index services, and health statistics surveillance recur quarterly or annually.

Activity has declined modestly in recent years—84 awards in 2022, declining to 53 in 2025 and 5 through July 2026—reflecting the maturity and long-term nature of MDH's federal footprint rather than market loss. Sixty-seven awards (combined potential value $570 thousand) reach ultimate completion inside the next twenty-four months, presenting minimal recompete risk given the formula-grant and cooperative-agreement structure of most MDH work, where continuation typically requires letter-of-intent submission rather than full competitive reapplication.

Sub-award footprint reveals MDH's role as pass-through agent for federal funds to state agencies and local partners. MDH issues sub-awards to Minnesota Department of Human Services across Medicaid administration, refugee assistance, and behavioral health block grants; to Minnesota Department of Public Safety for emergency management and disaster relief; to the University of Minnesota and other research institutions for epidemiological studies and biomonitoring; and to the Association of Public Health Laboratories for viral and bacterial testing capacity. These sub-recipient relationships are administrative extensions of MDH's core function rather than specialty contracting arrangements.

Federal grant work dominates the portfolio. MDH holds primary recipient status on 60+ active cooperative agreements and formula grants from CDC (disease surveillance, chronic disease prevention, environmental health, emergency preparedness), CMS (rural health transformation), HRSA (maternal and child health services, loan repayment, home visiting), EPA (water safety, environmental health, fish consumption advisories), USDA (WIC administration), and SAMHSA (mental health crisis response, substance abuse prevention). Award dates cluster in October (fiscal year allocation month), with recurring annual awards spanning multiple years. Grant ceiling values range from $40 thousand (NDI data services) to $579.3 million (rural health transformation), with most health infrastructure grants in the $1–20 million range.

The division operates with no set-aside or socioeconomic business category designations—it is a state government entity and thus ineligible for 8(a), HUBZone, SDVOSB, or WOSB certification. All federal awards are full-and-open or formula-allocated.