Cooperative Agreements, Grants & Partnerships

Find information about CDC’s budget, funding opportunities, grant writing, expediting the federal grant process, and the appropriations process.

CSTLTS’s Office of Island Affairs coordinates CDC support to help strengthen public health systems and services in the US territories and freely associated states.

CDC Grant Funding Profiles

US territories and freely associated states receive CDC funding to address specific public health issues and cross-cutting public health systems and activities. The profiles below summarize FY19 funding each US territory and freely associated state receives across all CDC programs.

The data and summaries for each fiscal year are provided annually after the end of each fiscal year. Because the data represent a point in time, and some data is excluded, the data set does not reflect CDC’s total appropriations in any given area. Read more about data included pdf icon[PDF-153KB].

CDC announced its new National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities. CDC offered grants to public health departments to advance health equity and address social determinants of health related to COVID-19 health disparities. Funding was awarded to up to 107  state, local, territorial, and freely associated state health departments, or their bona fide agents.

The Preventive Health and Health Services (PHHS) Block Grant Program (Notice of Funding Opportunity OT19-1902) provides federal funding for 61 recipients, including the eight insular areas. Under this program, recipients set their own goals and program objectives and implement local strategies in their jurisdictions.

CDC works with national partners toward sustaining and improving the performance of the public health system, which allows the delivery of the 10 Essential Public Health Services. Currently under this cooperative agreement, the Association of State and Territorial Health Officials (ASTHOexternal icon) provides technical assistance and expert consultation to the Puerto Rico Department of Health, the USVI Department of Health, and the Pacific Island territories to increase capacity to effectively manage grants and contracts and improve business processes (procurement, recruitment, and onboarding).

This cooperative agreement with the Pacific Island Health Officers’ Association (PIHOAexternal icon) provides capacity-building assistance to strengthen the quality, performance, and sustainability of the US-Affiliated Pacific Islands (USAPI) public health system. Projects aim to advance quality and performance in business services, workforce, data and information systems, public health practice and services, partnerships, laws and policies, and resources.

In the aftermath of the devastating 2017 hurricanes, CDC provided funding to the Puerto Rico and USVI departments of health to support diverse programs to help restore public health services across the islands. A wide array of partners work together to plan and implement these programs, which address: assessment and mitigation, restoring public health systems and infrastructure for environmental health; surveillance and epidemiology (foodborne/waterborne diseases, rabies, leptospirosis, TB, HIV/STD); laboratory capacity; controlling vectors including mosquitoes, immunizations, hospital inspections; and implementing systems for electronic disaster death-related registry, electronic grants management, laboratory test ordering, property bar coding, and vaccine cold chain.

Page last reviewed: April 25, 2022