Missouri Department Of Health & Senior Services

Missouri Department Of Health & Senior Services, a child entity of the State of Missouri, is a U.S. government state agency that operates as a prime recipient on more than one thousand federal awards spanning contracts and grants. The agency does not hold federal contract vehicles but functions primarily as a recipient delivering public health services, vital statistics collection and reporting, regulatory food and environmental compliance, nutrition program administration, and health workforce development to multiple federal agencies without set-aside designation.

The agency's footprint spans 69 distinct customer agencies, with concentration among health and nutrition administrators. The Centers for Disease Control and Prevention (Pittsburgh) leads by combined potential value with 36 awards worth $13.7 million; the Social Security Administration follows with 37 awards totaling $12.7 million; and the Food and Drug Administration contributes 19 awards valued at $11.7 million. By award count, the Department of Agriculture Food and Nutrition Service dominates with 119 awards; the Department of Health and Human Services Administration for Community Living places second with 111 awards; and the CDC contributes 99 awards. Recent activity totals 1,146 awards since the mid-1980s, with 43–51 awards per year over the past five years and 89 awards completing within the next twenty-four months, representing $3.4 million in recompete exposure.

Missouri DHSS executes work across five primary vehicle structures, all indefinite delivery contracts held by federal agencies rather than the state. The Social Security Administration's Indefinite Delivery Contract SS000860042 carries 8 task orders valued at $1.2 million; the HHS Basic Ordering Agreement HHSD200201250826I places 9 task orders worth $1.9 million; and three additional SSA vehicles support 7 task orders each for lead elimination, enumeration at birth, and electronic death records services. The agency holds no seats on government-wide acquisition contracts.

Missouri DHSS's capability portfolio centers on vital statistics data collection and reporting (supporting CDC's National Center for Health Statistics Vital Statistics Cooperative Program through a $3.65 million indefinite delivery contract), newborn screening test kits and laboratory services, food inspection and safety compliance, lead hazard identification and mitigation, BioWatch environmental monitoring support, Medicare enrollment assistance, and administration of federally funded nutrition programs including WIC (Special Supplemental Nutrition Program for Women, Infants, and Children), child nutrition, commodity supplemental food, and older Americans nutrition services. Representative contract work includes a $2.59 million Social Security Administration purchase order for enumeration at birth and race/ethnicity records; a $2.85 million SSA Electronic Death Records (EDR) contract serving 54 states and jurisdictions; a $1.32 million Food and Drug Administration human food inspections contract; a $1.56 million FDA Mammography Quality Standards Act (MQSA) inspections contract; and a $1.2 million Department of Housing and Urban Development Lead Hazard Reduction grant. The agency also delivers a $1.72 million FDA Cooperative Agreement for food testing capability expansion, a $468 thousand EPA voluntary lead testing program at schools and child care facilities, and a $2.14 million Department of Labor Senior Community Service Employment Program award.

Federal grant work dominates the award portfolio. The agency administers formula grants supporting Older Americans Act programs (nutrition, supportive services, ombudsman, family caregiver, preventive health, and elder abuse prevention); WIC program expenses and administration; Child Nutrition Program meal reimbursement and commodity distribution; Medicare Improvements for Patients and Providers Act enrollment assistance; and health-related cooperative agreements from the CDC covering vaccine-preventable disease prevention, opioid overdose surveillance and prevention, hospital preparedness, public health emergency preparedness, behavioral risk factor surveillance, HIV prevention and testing, violent death reporting, asthma control, cardiac health, diabetes prevention, physical activity and nutrition, oral health, Alzheimer's disease prevention, and maternal and child health. EPA cooperative agreements fund environmental health tracking, lead-based paint hazard reduction, radon risk reduction, superfund site health education, and manufacturing food regulatory programs. Recent project grants from HHS support maternal and child health services, sexual assault nurse examiner training, pregnancy-associated mortality review, loan repayment for primary care providers, and advanced nursing education. The agency also receives funding for lead testing in schools and child care facilities, food emergency response network laboratory capacity, and ATSDR environmental health risk assessment.

All 1,142 prime awards are full-and-open; the agency competes for work without set-aside designations as a state government entity. Sub-award activity is minimal (four documented sub-awards to Public Health Accreditation Board, the Department of Social Services, and the Association of Public Health Laboratories). The agency's cost structure reflects direct federal reimbursement for administration and program delivery rather than margin-based contracting typical of private vendors. Combined dollars obligated across recent awards total $7.92 billion, reflecting the scale of federal nutrition and health program funding flowing through state administration.