Ohio Department Of Health

The Ohio Department of Health (ODH), a U.S. state government entity headquartered in Columbus, Ohio, acts as a federal grant recipient and occasional service contractor, delivering public health infrastructure, disease surveillance, nutrition assistance administration, emergency preparedness, and maternal and child health services to federal agencies including the CDC, USDA, HHS, and DHS. ODH is a 100% prime recipient across recent awards with no material subcontracting footprint; the organization competes in full-and-open solicitations without set-aside designations.

ODH's federal footprint centers on formula and cooperative agreement grants from public health funders. The top three customer agencies by award count—the CDC (94 awards), USDA Food and Nutrition Service (61 awards), and HHS Centers for Medicare and Medicaid Services (60 awards)—account for roughly 40% of recent awards. By combined potential value, the CDC Pittsburgh field office and Social Security Administration each carry approximately $24.8 million in recent grants and contracts; together with DHS Countering Weapons of Mass Destruction, the Air Force, and other agencies, the top five funders represent 57% of combined potential value. Recent contract work includes a single-award indefinite delivery contract (VSCP 2022-2027-OHIO) with CDC Pittsburgh for Voluntary Self-Contained Public Health Emergency Response services, ceiling $5.274 million through April 2027, with five delivery orders issued to date totaling $1.309 million; a $4.644 million enumeration-at-birth and race-ethnicity records contract with Social Security Administration (ceiling extended through June 2029); a $1.926 million Mammography Quality Standards Act inspections contract with the Food and Drug Administration (ceiling through July 2027); and multiple bioWatch technical support purchase orders with DHS and HHS worth $100 thousand to $90 thousand each.

ODH's grant portfolio is dominated by USDA and HHS formula grants for nutrition assistance, maternal and child health, and infectious disease programs. Recent major grants include a $808.121 million Rural Health Transformation Program cooperative agreement with CMS (CFDA 93.798, through October 2030) funding innovation hubs, emergency care transformation, and school-based health centers across 73 non-urban Ohio counties; a $137.293 million WIC food expenses formula grant from USDA (CFDA 10.557, through September 2026); a $61.733 million WIC administrative expenses formula grant from USDA (through September 2026); a $50.646 million Maternal and Child Health Services Block Grant from HRSA (CFDA 93.994, through September 2027) distributed to 35 or more sub-recipients including county health departments and nonprofits; a $24.683 million Maternal, Infant and Early Childhood Home Visiting cooperative agreement from HRSA (CFDA 93.870, through September 2025) serving approximately 2,302 families across 27 high-need counties; and a $7.473 million Preventive Health and Health Services Block Grant from CDC (CFDA 93.991, through September 2027) supporting epidemiology, emergency response, infectious disease investigation, maternal and child health promotion, and health workforce development. Additional cooperative agreements include funding for tuberculosis elimination and laboratory services (CFDA not specified, CDC, through December 2029), immunization and vaccines for children programs (through June 2030), public health crisis response (through January 2027), public health emergency preparedness (through June 2029), and specialized programs addressing sexual violence prevention, falls prevention for older adults, asthma management, oral health, cardiovascular disease, and diabetes prevention.

ODH distributes formula grants and cooperative agreement funds to sub-recipients including 111 local health departments across Ohio's 88 counties, nonprofit community organizations, and specialized providers. The Rural Health Transformation Program names more than 30 sub-recipients spanning rural clinics, emergency services, health departments, and hospital systems. The Maternal and Child Health Services Block Grant flows to over 35 county and nonprofit sub-recipients. WIC formula grants are distributed to approximately 25 sub-awardee entities including county health departments and community action organizations operating across the state. A $5.750 million Lead Hazard Reduction Demonstration Grant from HUD (CFDA 14.905, through March 2029) supports inspections, risk assessments, and abatement in low-income and minority neighborhoods. Beach monitoring programs funded by EPA Region 5 project grants conduct bacteriological water quality surveillance and public notification at Ohio's recreational beaches.

Recent activity shows 28 awards in 2022, 33 in 2023, 31 in 2024, and 25 in 2025 (with 5 recorded in 2026 year-to-date through September). The combined potential value across all 808 awards in the portfolio is $89 million; however, obligated dollars across all awards total $10.26 billion, indicating substantial prior-year or multi-year awards now in execution. SCI-reported invoiced revenue for federal service contracts above the $150,000 threshold totaled $1.5 million in FY2024; no invoiced revenue appears in FY2022, FY2023, or FY2025. SCI records show 0 FTEs reported for each fiscal year, consistent with ODH's use of in-house personnel rather than contracted labor. Over the next twenty-four months, 41 awards with combined potential value of $3.4 million reach ultimate completion and face recompete. ODH's capability portfolio reflects the state public health authority's core responsibilities: surveillance and epidemiology, laboratory services, emergency preparedness and response coordination, nutrition assistance program administration through WIC and related USDA programs, maternal and child health promotion, immunization management, disease investigation and outbreak response, environmental health monitoring, and health equity initiatives serving vulnerable populations across Ohio's 11.7 million residents.