HEALTH SERVICES KENTUCKY CABINET FOR
...The Cabinet for Health Services Kentucky has received approximately $31.6 billion in federal funding across 23 awards, with the Department of Health and Human Services accounting for $31.1 billion of that total. The Department of Agriculture provided an additional $493.2 million. The majority of funding supports social services programs, followed by health and biotech initiatives, with a smaller allocation to other sectors and energy.
The cabinet's federal awards include Medicaid entitlements for fiscal year 2026, epidemiology and laboratory capacity grants for infectious disease prevention and control, and rural health transformation initiatives. These programs aim to improve health outcomes and expand access to care across Kentucky's rural areas, which comprise a significant portion of the state's 1.87 million residents.
Narrative generated May 15, 2026 by The Buildout's synthesis pipeline. Facts are drawn only from the recipient's tracked federal awards; no marketing material, no recipient input.
- health8 awards$30.4B 48%
- other13 awards$30.4B 48%
- social-services15 awards$1.2B 2%
- biotech2 awards$692.0M 1%
- energy1 award$56.5M 0%
Based on 23 awards totaling $31,615,027,257.
Top 23 by amount
| Action date | Recipient | Agency | Amount | Description | Sector | Status |
|---|---|---|---|---|---|---|
| 2026-04-06 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $15,593,085,025 | MEDICAID ENTITLEMENT FOR 24 - FY 2026 - T19 | — | expired |
| 2026-04-06 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $13,539,821,269 | MEDICAID ENTITLEMENT FOR 24 - FY 2026 - T19 | — | active |
| 2026-04-06 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $571,401,699 | CK19-1904 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR PREVENTION AND CONTROL OF EMERGING INFECTIOUS DISEASES (ELC) | — | active |
| 2026-04-06 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $269,609,243 | MEDICAID ENTITLEMENT FOR 24 - FY 2026 - T19 | — | active |
| 2026-03-20 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $212,905,591 | KENTUCKY RURAL HEALTH TRANSFORMATION PLAN - TO IMPROVE HEALTH OUTCOMES, EXPAND ACCESS TO CARE, & STRENGTHEN THE INFRASTRUCTURE THAT SUPPORTS THE COMMONWEALTH OF KY RURAL CONSTITUENTS & AREAS - THE COMMONWEALTH OF KENTUCKY IS THE 10TH MOST RURAL STATE IN THE COUNTRY, WITH 1.87 MILLION RESIDENTS, NEARLY HALF (41.6%) OF THE TOTAL STATE POPULATION, RESIDING IN A RURAL AREA. ACCORDING TO AMERICA’S HEALTH RANKINGS, KENTUCKY IS CURRENTLY RANKED 41ST OUT OF THE 50 STATES BASED ON A SPECTRUM OF MEASURES. AVERAGE LIFE EXPECTANCY RANGES FROM 64.5 TO 79.7 YEARS ACROSS COUNTIES, WITH A LOWER LIFE EXPECTANCY IN COUNTIES WITHIN EASTERN RURAL AREAS. THESE RURAL COMMUNITIES FACE SOME OF THE MOST SIGNIFICANT HEALTH ACCESS CHALLENGES IN THE COMMONWEALTH AND ACROSS THE COUNTRY, INCLUDING HIGH RATES OF CHRONIC DISEASE, MATERNAL HEALTH DESERTS, BEHAVIORAL HEALTH CRISES, AND LIMITED ACCESS TO PREVENTIVE DENTAL CARE AND EMERGENCY SERVICES. THE COMMONWEALTH’S RURAL HEALTH TRANSFORMATION PLAN (RHTP) REPRESENTS A BOLD STEP FORWARD TO TRANSFORM CARE DELIVERY ACROSS OUR RURAL HEALTH ECOSYSTEM. KENTUCKY’S DEPARTMENT FOR PUBLIC HEALTH, UNDER THE CABINET FOR HEALTH AND FAMILY SERVICES (CHFS) AND, TOGETHER WITH KEY STAKEHOLDERS, PROPOSE FIVE SPECIFIC CARE INNOVATION MODELS TO REFOCUS EFFORTS ON IMPROVING ACCESS AND PREVENTION OF HIGH-PRIORITY HEALTH CONDITIONS THAT DISPROPORTIONATELY IMPACT RURAL KENTUCKIAN THESE INITIATIVES AND THEIR GOALS INCLUDE: 1) RURAL COMMUNITY HUBS FOR CHRONIC CARE INNOVATION: REDUCE OBESITY AND DIABETES RATE THROUGH EVIDENCE-BASED, COMMUNITY-LED STRATEGIES FOCUSED ON UPSTREAM PREVENTION; 2) POWERING MATERNAL AND INFANT HEALTH, COMMUNITY-BASED TEAMS: INCREASE TIMELY PERINATAL CARE IN MATERNITY CARE DESERTS THROUGH COORDINATED, TELEHEALTH-ENABLED TEAMS; 3) RAPID RESPONSE TO RECOVERY, EMPATH MODEL, MOBILE CRISIS, AND TELEHEALTH: EXPAND INTEGRATED, TECHNOLOGY-ENABLED CRISIS CARE FROM COMMUNITY RESPONSE TO LONG-TERM SUPPORT; 4) ROOTED IN HEALTH, KENTUCKY RURAL DENTAL ACCESS PROGRAM: IMPROVE RURAL ACCESS TO PREVENTIVE DENTAL CARE AND TREATMENT THROUGH EXPANDED TRAINING AND MOBILE, PORTABLE SERVICES; AND 5) FROM CRISIS TO CARE, INTEGRATED EMS AND TRAUMA RESPONSE: STRENGTHEN EMS AND TRAUMA CARE CAPACITY, RESPONSIVENESS, AND COORDINATION. ACROSS THESE FIVE PRIORITY AREAS, KENTUCKY WILL MAKE INVESTMENTS IN NEW AND EMERGING TECHNOLOGY INFRASTRUCTURE, DATA INTEROPERABILITY STANDARDS, AND OTHER TECHNOLOGY-BASED INITIATIVES. THE COMMONWEALTH WILL ALSO SUPPORT WORKFORCE CAPACITY BY EXPANDING THE NUMBER AND ROLE OF CLINICAL AND NON-CLINICAL HEALTH CARE WORKERS TO IMPROVE ACCESS AND ENABLE MORE COST-EFFECTIVE RURAL HEALTH DELIVERY AT THE LOCAL COMMUNITY LEVEL. KENTUCKY INTENDS TO ALLOCATE FUNDS TO SUBRECIPIENTS WHO WILL PLAY A CRITICAL ROLE IN IMPLEMENTING THE PROPOSED INITIATIVES OUTLINED IN THE RHTP. THE COMMONWEALTH WILL ALSO MAINTAIN ONGOING ENGAGEMENT WITH STAKEHOLDERS ACROSS THE PROGRAM’S DURATION TO ENSURE BROAD INPUT AND COLLABORATION. KENTUCKY IS FULLY COMMITTED TO FISCAL RESPONSIBILITY, RIGOROUS MONITORING, MEASURABLE OUTCOMES, AND LONG-TERM PROGRAM SUSTAINABILITY. FURTHERMORE, THE COMMONWEALTH WILL ADOPT AND ENFORCE ANY POLICIES OR REGULATIONS NECESSARY TO SUPPORT AND ADVANCE THE GOALS OF THE PROGRAM. THROUGH THIS COMPREHENSIVE AND COLLABORATIVE APPROACH, KENTUCKY AIMS TO CREATE LASTING IMPROVEMENTS IN RURAL HEALTH OUTCOMES ACROSS THE COMMONWEALTH AND BE A LEADER IN RURAL HEALTH TRANSFORMATION NATIONWIDE. TOTAL FEDERAL COST: $200,000,000 PER BUDGET PERIOD | — | active |
| 2026-05-05 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $143,189,092 | CCDD-2026 - CHILD CARE AND DEVELOPMENT BLOCK GRANT DISCRETIONARY | — | active |
| 2026-04-06 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $135,517,065 | 2026 TANF | — | active |
| 2026-04-20 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $120,599,685 | CDC-RFA-IP19-1901 IMMUNIZATION AND VACCINES FOR CHILDREN | — | expired |
| 2026-04-17 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Agriculture | $102,778,126 | SNAP STATE ADMINISTRATIVE COSTS | — | expired |
| 2026-04-17 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Agriculture | $98,837,868 | SNAP STATE ADMINISTRATIVE COSTS | — | expired |
| 2026-04-20 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $88,958,139 | ADPTASST-2024 | — | expired |
| 2026-04-17 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Agriculture | $79,853,088 | WIC FOOD EXPENSE | — | expired |
| 2026-04-06 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $78,749,030 | ADPTASST-2026 - ADOPTION ASSISTANCE | — | active |
| 2026-03-20 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $75,418,204 | KENTUCKY OVERDOSE RESPONSE EFFORT - THE KENTUCKY OVERDOSE RESPONSE EFFORT (KORE) SUPPORTS THE IMPLEMENTATION OF A COMPREHENSIVE RESPONSE TO KENTUCKY'S OPIOID AND STIMULANT CRISIS BY EXPANDING ACCESS TO EVIDENCE-BASED PREVENTION, TREATMENT, AND RECOVERY SUPPORT SERVICES. CENTRAL TO KORE’S APPROACH IS A BEHAVIORAL HEALTH SYSTEM INFRASTRUCTURE WITH THE CAPACITY TO DELIVER HIGH-QUALITY, EVIDENCE-BASED INTERVENTIONS IN A DATA-DRIVEN, EQUITABLE, AND TRAUMA-INFORMED MANNER. ADDRESSING THE EVOLVING AND EXPANDING EPIDEMIC IS A TOP PRIORITY ACROSS ALL LEVELS OF GOVERNMENT AND COMMUNITY PARTNERS IN KENTUCKY. OPIOID AND STIMULANT OVERDOSE REMAINS ONE OF THE MOST CRITICAL PUBLIC HEALTH AND SAFETY ISSUES FACING THE COMMONWEALTH OF KENTUCKY. ALTHOUGH OVERDOSE DEATHS DECREASED BY 9.8% FROM 2022 TO 2023-A REDUCTION THAT WAS THREE TIMES THE NATIONAL AVERAGE—1,984 KENTUCKIANS DIED FROM A DRUG OVERDOSE, AND MOST OF THESE FATALITIES INVOLVED FENTANYL (79%) AND METHAMPHETAMINE (55%). INFORMED BY KORE’S STRATEGIC ACTION PLAN, POPULATIONS OF FOCUS INCLUDE INDIVIDUALS WITH OPIOID USE DISORDER (OUD) OR STIMULANT USE DISORDER (STIMUD) WHO ARE 1) OVERDOSE SURVIVORS; 2) CRIMINAL-LEGAL SYSTEM-INVOLVED; 3) PREGNANT AND POSTPARTUM; 4) BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC); AND 5) TRANSITION-AGE YOUTH. THE GOALS OF KENTUCKY’S STATE OPIOID RESPONSE GRANT ARE TO 1) PREVENT THE DEVELOPMENT OF OUD AND STIMUD BY IMPLEMENTING EVIDENCE-BASED INTERVENTIONS THAT ADDRESS BEHAVIORS THAT MAY LEAD TO A USE DISORDER OR OVERDOSE; 2) REDUCE OVERDOSE FATALITIES AND OTHER NEGATIVE IMPACTS OF OPIOID AND STIMULANT USE THROUGH EXPANSION OF HARM REDUCTION STRATEGIES AND PRINCIPLES; 3) REDUCE OUD/STIMUD, OVERDOSE, AND RELATED HEALTH CONSEQUENCES BY INCREASING EQUITABLE AVAILABILITY AND ACCESSIBILITY OF EVIDENCE-BASED TREATMENTS THAT INCLUDE THE USE OF FDA-APPROVED MEDICATIONS FOR OPIOID USE DISORDER (MOUD); AND 4) FACILITATE AND SUSTAIN LONG-TERM RECOVERY FROM OUD/STIMUD BY INCREASING ACCESS TO SUPPORT SERVICES THAT BUILD RECOVERY CAPITAL. KENTUCKY PROPOSES TO SERVE 104,000 INDIVIDUALS IN YEAR 1, 154,000 IN YEAR 2, AND 154,000 IN YEAR 3. GRANT ACTIVITIES WILL BE PRIORITIZED IN CATCHMENT AREAS WITH HIGH RATES OF OPIOID OR STIMULANT OVERDOSE, WHICH INCLUDE APPALACHIAN EASTERN KY, NORTHERN KY, CENTRAL KY, AND GREATER JEFFERSON COUNTY. THROUGH THE STATE OPIOID RESPONSE GRANT, KENTUCKY WILL BE BETTER EQUIPPED TO SUPPORT THE BEHAVIORAL HEALTH NEEDS OF THE COMMONWEALTH AND IMPLEMENT EVIDENCE-BASED INTERVENTIONS TO END THE OPIOID AND STIMULANT EPIDEMIC. | — | active |
| 2026-04-17 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Agriculture | $67,571,396 | SNAP STATE ADMINISTRATIVE COSTS | — | active |
| 2026-04-17 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Agriculture | $63,085,197 | WIC FOOD EXPENSE | — | active |
| 2026-04-20 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $59,829,474 | RYAN WHITE CARE ACT TITLE II | — | active |
| 2026-04-06 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $59,142,078 | LIHEAP-2024 | — | expired |
| 2026-03-20 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $59,037,115 | LIHEAP-2023 | — | expired |
| 2026-03-20 | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $58,108,753 | LIHEAP-2022 | — | expired |
| — | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Health and Human Services | $56,497,880 | LIHEAP-2026 - LOW INCOME HOME ENERGY ASSISTANCE | — | active |
| — | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Agriculture | $47,912,226 | CNP SME EBT BENEFITS NON APPR | — | expired |
| — | HEALTH SERVICES KENTUCKY CABINET FOR | Department of Agriculture | $33,120,014 | WIC ADMIN EXPENSES | social-services | expired |
Profile compiled from publicly available USAspending.gov records, ingested and entity-resolved by The Buildout's pipeline.