Health Services Kentucky Cabinet For

Health Services Kentucky Cabinet For, a state government entity and child agency of the Commonwealth of Kentucky headquartered in Frankfort, Kentucky, operates as the prime recipient on federal grants delivering vital statistics management, health services administration, and comprehensive social services to federal grantors across 78 distinct agencies. The Cabinet holds no prime federal contracts but serves as recipient on 1,731 federal grants (99% of all awards), with an additional 13 sub-grant awards, reflecting its role as Kentucky's designated state-level administrator for federal health and human services programs.

The Cabinet's customer base is heavily concentrated within Department of Health and Human Services agencies. The top five funding bodies by award count—HHS Administration for Children and Families (186 awards), HHS Centers for Medicare and Medicaid Services (169 awards), HHS Administration for Children and Families (116 awards), HHS Administration for Community Living (112 awards), and USDA Food and Nutrition Service (86 awards)—account for 38% of recent awards. HHS Centers for Disease Control and Prevention Pittsburgh (33 awards, $11 million combined potential value) leads by dollar magnitude, with five additional top-tier federal agencies rounding out the customer base. Federal grant work dominates the portfolio: representative recent awards include a $638.7 million Centers for Medicare and Medicaid Services Cooperative Agreement for the Rural Health Transformation Program (CFDA 93.798, awarded December 2025, through October 2030), a $27.01 billion Medicaid Entitlement Block Grant for fiscal year 2026 (CFDA 93.778, awarded October 2025), a $442.1 million Children's Health Insurance Program (CHIP) entitlement block grant (CFDA 93.767, awarded October 2025), and a $4.057 million AmeriCorps State and National formula award (CFDA 94.006, awarded August 2026) funding deployment of AmeriCorps members across Kentucky. Recent contract work includes a $311,340 delivery order under the CDC's National Center for Health Statistics Vital Statistics Cooperative Program indefinite delivery contract (awarded April 2026 through May 2027) supporting data processing and vital records management, and a $32,691 purchase order for 2026 National Death Index operations under Executive Order 14398 (awarded June 2026 through May 2027).

The Cabinet's grant footprint spans child welfare, nutrition assistance, aging services, mental and behavioral health, emergency preparedness, and rural health innovation. Federal grant recipients include the Department of Labor Employment and Training Administration (Senior Community Service Employment Program, $1.644 million for FY 2025-2026), SAMHSA Center for Substance Abuse Treatment (Substance Abuse Prevention, Treatment, and Recovery Services Block Grant, $15.97 million; State Opioid Response Grant, awarded September 2024; Kentucky Overdose Response Effort expansion), SAMHSA Center for Mental Health Services (Block Grants for Community Mental Health Services; Projects for Assistance in Transition from Homelessness; Mental Health Disaster Assistance and Emergency Mental Health), the Substance Abuse and Mental Health Services Administration (Mental Health Disaster Assistance grants, $493,184 and $664,662 awarded July 2026 for emergency mental health services in disaster-affected areas), FEMA HQ Financial Assistance Awards (three Cooperative Agreements totaling $20.476 million for disaster recovery services, awarded April-May 2026 through September 2026), the Corporation for National and Community Service (AmeriCorps formula and discretionary awards including $416,974 in Training and Technical Assistance funding for the State Service Commission), USDA Food and Nutrition Service (WIC program grants, SNAP administration and Employment and Training initiatives, Summer EBT programs, Child Nutrition Technology Innovation grants), HHS Administration on Aging (Older Americans Act Title III and Title VII programs including supportive services, home-delivered meals, congregate meals, nutrition services incentive program, family caregiver support, elder abuse prevention, ombudsman services, and disease prevention and health promotion), HHS Administration for Children and Families (Foster Care Title IV-E, Adoption Assistance, Chafee Foster Care Program, Child Welfare Services, Promoting Safe and Stable Families, Child Abuse and Neglect grants, Family Violence Prevention and Services, Community-Based Child Abuse Prevention, Temporary Assistance for Needy Families, Child Care and Development Fund, Personal Responsibility Education Program, State Sexual Risk Avoidance Education), the Health Resources and Services Administration (Maternal, Infant, and Early Childhood Home Visiting Program $8.93 million, Maternal and Child Health Services Block Grant $22.6 million), the Centers for Disease Control and Prevention (Strengthening Vaccine-Preventable Disease Prevention and Response, Tuberculosis Elimination and Laboratory Cooperative Agreement, Public Health Emergency Preparedness, HIV Prevention and Surveillance Programs, Epidemiology and Laboratory Capacity, Behavioral Risk Factor Surveillance, Maternal Mortality Review Enhancement, Colorectal Cancer Screening, Asthma Management, and Rape Prevention and Education), the Food and Drug Administration (Environmental and Food Surveillance Testing Cooperative Agreement, $150,000 for laboratory operations), the Administration on Aging (Lifespan Respite Care Program Cooperative Agreement, $400,000, through September 2028), the Administration for Community Living (Medicare Enrollment Assistance Program and related MIPPA Priority initiatives), the Office of Refugee Resettlement (Refugee and Entrant Assistance Programs), the Centers for Medicare and Medicaid Services (Kentucky CARES Continuity of Access to Resources and Essential Services State Planning Grant, Kentucky Strengthening Health Integration in Education cooperative agreement, Rural Health Transformation Plan), the U.S. Department of Education Office of Special Education and Rehabilitative Services (Special Education-Grants for Infants and Families Part C), the Office of Community Services (Community Services Block Grant, Low-Income Home Energy Assistance Program, Social Services Block Grant, Children's Justice Act), the Office of Child Support Enforcement (Child Support Services, State Access and Visitation Programs), the EPA Region 4 (Lead Abatement and Chemical Safety Programs), the Bureau of Justice Assistance (KASPER system enhancements for controlled substance monitoring), and the Department of Labor Employment and Training Administration (Senior Community Service Employment Program). Sub-grant activity includes awards to the Council of State and Territorial Epidemiologists (disability-related definitions for syndromic surveillance), the University of Arkansas for Medical Sciences (Appalachian STAR Trial), and the University of Kentucky Research Foundation (KASPER system enhancement, harm reduction training program coordination, and pain management training development).

Activity has remained relatively steady at 81–106 awards per year over the past five years. Eighty-one awards were recorded for 2025 and ten as of 2026 (reflecting the recent award snapshot date of August 1, 2026). One hundred forty-nine awards totaling $2.3 million in combined potential value face ultimate completion in the next twenty-four months, representing moderate recompete exposure. The vendor holds no parent contract vehicles (GWACs, IDIQs, or agency-wide BPAs); work is performed under single-award or multiple-award federal IDCs and BOAs. No set-aside designations apply to awarded federal grants. Work is performed primarily in Frankfort, Kentucky, with subordinate operations and service delivery across all 120 Kentucky counties and distributed through Area Agencies on Aging, local health departments, community-based organizations, and regional development districts serving as sub-awardees and pass-through recipients.