West Virginia State Health Department

West Virginia State Health Department, a U.S. state government entity headquartered in Charleston, West Virginia, is the prime recipient of 64 federal grants from health, nutrition, environmental, and disaster-preparedness agencies, operating as a grant recipient rather than a federal contractor.

The department's federal grant footprint is concentrated in three agency relationships. The Department of Agriculture Food and Nutrition Service (USDA FNS) funds the bulk of the department's recent work through formula grants for the Women, Infants, and Children (WIC) program and related nutrition initiatives. A $20.3 million WIC Food Expense formula grant (CFDA 10.557, awarded October 1, 2025, through September 30, 2026) and a $14.6 million WIC Administrative Expenses formula grant (CFDA 10.557, same period) represent the scale of WIC operations. The Environmental Protection Agency Region 3 funds drinking-water and lead-remediation programs, including a $786 thousand Small and Underserved Communities Emerging Contaminants Grant (CFDA 66.442, October 1, 2025 through September 30, 2027) to procure technical-assistance providers for small water systems, and a $395 thousand voluntary lead-testing program at schools and child care facilities (CFDA 66.444, same period). The Centers for Disease Control and Prevention (CDC Pittsburgh office) awarded three purchase orders for National Death Index (NDI) database maintenance and operations, most recently a $14,990 purchase order (June 29, 2026, through May 1, 2027) supporting 2026 Executive Order 14398 compliance.

Beyond the top three funders, the department holds cooperative agreements anchored by two high-impact awards: a $598.4 million Rural Health Transformation Program cooperative agreement from the Centers for Medicare and Medicaid Services (awarded December 29, 2025, through October 30, 2030, CFDA 93.798) to coordinate seven flagship initiatives including telehealth integration and rural health workforce development across West Virginia, and a $9.4 million Maternal and Child Health Services Block Grant from the Maternal and Child Health Bureau (CFDA 93.994, October 1, 2025 through September 30, 2027) supporting needs assessment, maternal mortality review infrastructure, and newborn screening. Grant work spans workforce development — a $252,922 Grants to States for Loan Repayment award from the Health Resources and Services Administration (CFDA 93.165, July 1, 2026 through June 30, 2029) to reduce healthcare clinician debt burdens in rural Health Professional Shortage Areas — and disease prevention and surveillance, including cooperative agreements for tuberculosis elimination (CFDA no. provided; National Center for HIV/AIDS, January 1, 2025 through December 31, 2029), vaccine-preventable disease prevention (National Center for Immunization and Respiratory Diseases, July 1, 2025 through June 30, 2030), asthma surveillance and control (CFDA no. provided; National Center for Environmental Health, September 1, 2024 through August 31, 2028), and behavioral risk factor surveillance (CDC, August 1, 2024 through July 31, 2029).

The department distributes sub-awards under its grant portfolio. A $14.6 million WIC Administrative Expenses award (CFDA 10.557) flowed sub-grants to local county health departments including Monongalia County, Randolph Elkins, Wheeling-Ohio County, Mid-Ohio Valley, Clay County, and community health centers. A $9.4 million Maternal and Child Health Services Block Grant sub-awarded to West Virginia University Research Corporation to support newborn screening operations. Award activity grew from four awards in 2022 to 22 in 2024, with 19 awards in 2025 and three in 2026 year-to-date; 22 awards carrying combined potential value of $15 thousand reach ultimate completion inside the next twenty-four months, representing significant recompete exposure across WIC, EPA water-infrastructure, and MCH program families.