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 across Kentucky's 78 distinct agencies and 120 counties. The Cabinet holds 1,746 recent prime federal awards (99% of its total awards) and competes in full-and-open federal procurements without SBA set-aside designations. Recent work includes a $1.391 million definitive contract with the Food and Drug Administration for human food Kentucky state inspections through September 2031, delivery orders and purchase orders supporting vital records management and CDC vital statistics surveillance valued at $32,691 to $311,340, and a $1.775 million Social Security Administration purchase order for enumeration at birth and race/ethnicity records services through June 2029.

The Cabinet's federal footprint concentrates heavily within the Department of Health and Human Services. The top five customer agencies by award count comprise 38% of recent awards, with the Administration for Children and Families (189 awards), Centers for Medicare and Medicaid Services (169 awards), Administration for Community Living (113 awards), and Department of Agriculture Food and Nutrition Service (86 awards) anchoring the active set. Awards span formula grants, block grants, cooperative agreements, and project grants across 78 distinct federal agencies. Recent grant work includes a $638.716 billion Rural Health Transformation Program cooperative agreement with CMS running through October 2030 to support five care innovation models addressing chronic disease, maternal health, behavioral health crises, dental access, and emergency services across rural Kentucky; a $58.548 billion Medicaid entitlement block grant from CMS covering October 2025 through September 2026; a $451.723 million Temporary Assistance for Needy Families block grant for the same period; a $478.352 million Child Care and Development Block Grant through September 2028; and $110.021 million in Foster Care Title IV-E formula funding through September 2026. The Cabinet also holds cooperative agreements and project grants from SAMHSA for substance abuse treatment ($58.596 million), community mental health services ($29.223 million), disaster mental health assistance ($986,368 to $1.329 million), maternal and infant health home visiting ($8.93 million), and opioid response ($KORE amount not specified in source).

Activity across recent years has remained relatively flat: 106 awards in 2022, 96 in 2023, 96 in 2024, 83 in 2025, and 22 reported for 2026 year-to-date. Combined potential value across all awards totals $36.7 million, though combined dollars obligated significantly exceed this figure at $531.56 billion, reflecting the Cabinet's role as administrator of large federal entitlement programs with substantial annual reimburse-rate obligations. Within the next twenty-four months, 102 awards carrying combined potential value of $2.3 million will reach ultimate completion, creating recompete exposure across formula grants and block grants. The Cabinet places work under three named parent vehicles: Basic Ordering Agreement HHSD200201250817I (8 task orders, $1.9 million combined potential value), Indefinite Delivery Contract HHSD200201792586I (6 task orders, $1.6 million), and Indefinite Delivery Contract 75D30122D13076 (5 task orders, $1.6 million).

As a state-level administrator for federal health and human services programs, the Cabinet serves as prime recipient on entitlement and formula grants covering Medicaid, CHIP, SNAP, WIC, foster care, child welfare, aging services, substance abuse and mental health treatment, disaster assistance, and community development. The Cabinet distributes federal funds to 120 counties through Area Agencies on Aging, local health departments, community-based organizations, and regional development districts functioning as sub-awardees and pass-through recipients. Subcontract work is minimal (1% of awards); the Cabinet does serve as sub-recipient on a small number of grants held by prime recipients including the Council of State and Territorial Epidemiologists, Inc., the University of Arkansas for Medical Sciences, and the University of Kentucky Research Foundation, typically delivering epidemiological support, disability-related surveillance definitions, and opioid response programming. The Cabinet's role is predominantly recipient and administrator rather than vendor in the commercial sense, with competitive award activity limited to targeted solicitations such as the FDA food inspections contract and CDC vital statistics delivery orders.