Puerto Rico Department Of Health

Puerto Rico Department Of Health, a U.S. government territorial health agency doing business as Odsi - Linea Interactiva, acts as a federal grant recipient (98% of recent awards) and serves the Centers for Disease Control and Prevention, the Centers for Medicare and Medicaid Services, the Department of Agriculture, the Food and Drug Administration, and the Social Security Administration with vital statistics collection, health surveillance, Medicaid and CHIP administration, nutrition programs, food safety inspections, and infectious disease control and prevention services across Puerto Rico.

The department's recent award footprint centers on mandatory federal health entitlements and formula grants. The top customer by combined potential value is CDC Pittsburgh, with 34 awards totaling $10.8 million, primarily for vital statistics cooperative program support under a $4.9 million single-award indefinite delivery contract (2022–2027) and delivery orders valued at approximately $187,000 each for collection and processing of vital statistics and population health data supporting the National Center for Health Statistics. FDA accounts for $1.5 million across 15 awards, including a $291,303 Mammography Quality Standards Act program definitive contract (ultimate completion July 2027) and human food inspection program contracts. The department holds a $1.5 million Social Security Administration contract for enumeration-at-birth and race-and-ethnicity records services running through June 2029. A $133,647 FDA definitive contract for human food Puerto Rico health inspections runs through August 2031.

The department's grant portfolio is dominated by block grant entitlements for Medicaid (CFDA 93.778) and Children's Health Insurance Program (CFDA 93.767) administered by the Centers for Medicare and Medicaid Services, which collectively represent multi-billion-dollar annual allocations distributed quarterly. Recent awards include a $7.796 billion Medicaid entitlement block grant (October 2025) and an $88.7 million CHIP block grant (October 2025). The department also receives federal grants for WIC program administration and food expenses under the Department of Agriculture (CFDA 10.557), with recent awards exceeding $172 million for food expenses alone (October 2025). Drinking water infrastructure grants from EPA Region 2 (CFDA 66.468) total approximately $300 million across multiple awards supporting lead service line replacement, emerging contaminant treatment, and drinking water system capitalization. The department administers specialized grants including a $6.31 million HIV Care Formula Grant (CFDA 93.917) for Puerto Rico's AIDS Drug Assistance Program, a $41.5 million Maternal and Child Health Services Block Grant (CFDA 93.994), and cooperative agreements totaling millions for disease surveillance, emergency preparedness, chronic disease prevention, suicide prevention, immunization programs, and tuberculosis control. The department is also a sub-recipient and pass-through entity for grant funds distributed to municipalities and nonprofit organizations for HOPWA housing assistance, early intervention services under IDEA Part C (CFDA 84.181), and various education and health programs.

Activity has averaged 32 awards per year over the past five years (2022–2026), with 38 awards reaching ultimate completion in the next twenty-four months (combined potential value $495 thousand). The department operates as a territorial Medicaid administrator and primary health authority with no federal contract prime positions and serves as the direct grant recipient for the vast majority of its federal funding. The department's parent organization is the Puerto Rico Commonwealth, through the Commission of Volunteerism and Community Service.