NYS Department Of Health

NYS Department Of Health, a U.S. state government entity and division of the State of New York, receives federal grants to administer health, nutrition, and social service programs serving New York residents as the designated state lead agency or fiscal intermediary across multiple federal grant programs. The department operates overwhelmingly as a grant recipient (99% of awards are prime grants), with no federal contract prime footprint and minimal subcontract activity (1% of awards).

The department's federal customer base is heavily concentrated in entitlement and formula grant programs. The Centers for Medicare and Medicaid Services (CMS) leads by award count with 170 awards carrying $1.2 million in combined potential value, anchored by massive Medicaid entitlement block grants ($212.940 billion obligated in FY 2026, $9.541 billion, and $2.104 billion in CHIP funding) and related program grants. The Department of Agriculture Food and Nutrition Service accounts for 234 awards across multiple lines, reflecting NYS DOH's role administering WIC (Supplemental Nutrition Program for Women, Infants, and Children), child nutrition programs (National School Lunch Program, Child and Adult Care Food Program, Commodity Supplemental Food Program), and related nutrition and breastfeeding infrastructure grants. The Environmental Protection Agency Region 2 funds drinking water infrastructure through multiple Drinking Water State Revolving Fund (DWSRF) capitalization grants totaling hundreds of millions in program funding for lead service line replacement, emerging contaminants (including PFAS), and general water system improvements. Additional significant customers include the Department of Education (Office of Special Education and Rehabilitative Services) for early intervention services for infants and toddlers with disabilities (formula grants of $28–29 million annually), the Department of Health and Human Services (Health Resources and Services Administration, Maternal and Child Health Bureau, Administration for Children and Families) for maternal and infant home visiting, loan repayment for health professionals in shortage areas, and developmental disabilities support, and the Centers for Disease Control and Prevention for preventive health and disease surveillance (TB control, vaccine-preventable disease prevention, and NDI data services).

Capability portfolio centers on state public health administration and pass-through grant management. Representative work includes administering $212.940 billion in Medicaid entitlement funding (CFDA 93.778) for medical assistance to cash assistance recipients, children, pregnant women, and elderly beneficiaries, with sub-awards to local health departments and community providers; managing $636.174 million in CMS Rural Health Transformation Program funding (CFDA 93.798) across four initiatives addressing rural health disparities, workforce development, and technology infrastructure; distributing $444.606 million in WIC food expenses (CFDA 10.557) to 28 local WIC agencies statewide; overseeing $126.896 million in National School Lunch Program funding (CFDA 10.555) providing subsidized meals to public and nonprofit schools; and administering $28.429 million in Special Education—Grants for Infants and Families (CFDA 84.181) to support early intervention services for birth-through-two-year-old children with disabilities. The department also operates federal capitalization programs: it jointly administers drinking water infrastructure financing with the New York State Environmental Facilities Corporation, channeling hundreds of millions in DWSRF capitalization grants to public water systems for treatment improvements, distribution upgrades, and lead line replacement. Grant work also spans home visiting (Maternal, Infant and Early Childhood Home Visiting, CFDA 93.870), family planning services (Title X, CFDA 93.217), radon risk reduction (CFDA 66.032), and violence prevention (Bureau of Justice Assistance Community-Based Violence Intervention, CFDA 16.045).

Activity has remained stable in recent years—33 awards in 2022, 32 in 2023, 30 in 2024, 37 in 2025—with four awards recorded as of mid-2026. The combined potential value reported across all 868 awards is $24.6 million; however, the combined obligated amount ($2.572 trillion) vastly exceeds this figure due to massive multi-billion-dollar Medicaid, CHIP, and food nutrition entitlements reflected at full face value in the source. Within the next twenty-four months, 24 awards (combined potential value $4.4 million) reach ultimate completion and will face grant renewal or recompete. The department holds a single named parent vehicle—Indefinite Delivery Contract 24362018D0013 (Defense Counterintelligence and Security Agency, $64 thousand combined potential value)—for provision of birth records to support federal personnel security clearance investigations, a minor outlier in an otherwise grant-dominated footprint. NYS DOH distributes sub-awards to 28 local WIC agencies, 37 local health departments, the New York State Environmental Facilities Corporation, county social services, hospitals, community health centers, and nonprofit community organizations across New York State. The vast majority of federal dollars flow through the department to local and regional sub-recipients rather than being executed by NYS DOH itself, positioning the department as a state fiscal intermediary and steward of entitlement programs rather than as a service provider competing for discretionary federal contracts.