Hawaii Department Of Health

The Hawaii Department Of Health Children With Special Health Needs - NBS Division is a U.S. state government entity operating as a subordinate division of the State of Hawaii that holds federal contracts and grants as a prime recipient across public health, laboratory diagnostics, vital records management, and water quality programs. Over the past five years, the division has grown from 59 awards in 2022 to 81 in 2024, with 1,232 total federal awards on record carrying combined potential value of $156.7 million, though obligated dollars total $3.6 billion—reflecting largely formula-grant pass-through mechanisms where the division administers federal funding allocated to lower-tier subrecipients.

The division's federal portfolio splits heavily toward prime awards (98%) rather than subcontract work (2%), positioning it as an administrator and deliverer of federal programs rather than a support contractor. Recent concrete work includes a $26,305 purchase order from CDC Pittsburgh for 2026 National Death Index (NDI) data services (June 2026), a $188,352 delivery order from CDC for vital statistics screening under the National Center for Health Statistics Vital Statistics Cooperative Program (February 2026), $217,000 in newborn metabolic screening kits for Tripler Army Medical Center from the Defense Health Agency (February 2026), $50,000 for highly pathogenic avian influenza testing under the National Animal Health Laboratory Network from USDA Veterinary Services (November 2024), and $649,924 from the Social Security Administration for Hawaii enumeration-at-birth and race/ethnicity records (June 2024, Option Period 2 extending through June 2029).

Federal customer concentration runs across environmental, health, and aging portfolios. EPA and EPA Region 9 combined account for 285 awards; the Department of Health and Human Services Administration for Community Living holds 187 awards; and CDC carries 75 awards generating $16 million in combined potential value—though CDC Pittsburgh specifically anchors the highest-value segment at $50.7 million across 45 awards. Social Security Administration accounts for $2.8 million across 22 awards. The division serves 69 distinct federal agencies, with the top five customers covering only 44% of award count, signaling broad diversification across environmental compliance, aging services, public health infrastructure, and vital statistics programs.

Grant work predominates; the source catalogs 125+ federal grants ranging from EPA water infrastructure capitalization grants (Drinking Water and Clean Water State Revolving Funds, $68.3 million and $22.4 million awarded in October 2025 respectively) to HHS formula grants for WIC nutrition programs ($20.4 million food expense award, October 2025), maternal and child health services ($3.44 million, October 2025), and community mental health block grants ($6.7 million, October 2025). The division also administers Older Americans Act Title III funding ($2.71 million in supportive services, October 2025) and specialized public health cooperative agreements with CDC for HIV prevention, tuberculosis control, epidemiology capacity, and emergency preparedness (multi-year cooperative awards dated 2024-2025). Grant awards illustrate the division's role as state health agency steward managing federal compliance, subrecipient oversight, and direct service delivery across nutrition, aging, maternal health, mental health, environmental, and disease prevention domains.

Contract vehicle positions include two indefinite delivery vehicles held at the prime level: a $2.9 million CDC National Center for Health Statistics Vital Statistics Cooperative Program IDV (single-award, through April 2027) generating three delivery orders totaling $565,056, and a $20 million USDA Marketing and Regulatory Programs Business Services animal laboratory testing IDV (single-award, through August 2026) with two delivery orders placing $12,100 in work against it. The division also operates under multiple Basic Ordering Agreements and task-order vehicles, with 12 task orders against HHSD200201250811I generating $1.4 million combined potential value.

Subcontract presence is minimal (2% of portfolio); the division subcontracts as a technical-assistance provider to the National Association of State Mental Health Program Directors on Coalition and Transformation Transfer Initiative work (awards January 2025, January 2024), and receives sub-grants as a pass-through from the Hawaii Department of Defense, the Executive Office of the State of Hawaii, and the Department of Transportation for disaster response, rural health transformation, and traffic safety programs (October 2024 onward).

Recompete exposure in the next 24 months totals 89 awards with $649 thousand combined potential value—a modest cliff relative to portfolio scale, reflecting the prevalence of multi-year formula grants and indefinite delivery vehicles that renew through standing federal appropriations rather than discrete solicitation cycles. The division operates as a state health agency performing classic public health functions—laboratory testing, vital records management, disease surveillance, emergency response coordination, and grant administration—rather than competing for commercial contracts or performing work for private-sector primes.