Recipient of federal assistance · OLYMPIA, WA

HEALTH CARE AUTHORITY

HEALTH CARE AUTHORITY received $281.4M in federal grants and other assistance in FY2026, on 57 actions, +145% vs FY2025. It has no federal contracts in the loaded years. Since FY2021: $914.1M. Its largest awarding agency was Centers for Medicare and Medicaid Services ($182.6M).

Assistance · FY2026
$281.4M
New awards
3
Actions
57
Since FY2021
$914.1M
UEI
LNHZYKMNB9T5
Location
OLYMPIA, WA
State and local governments
Open in the explorerFederal grants & assistance

Federal grants & assistance received

Grants, loans (counted at their subsidy cost), direct payments and insurance, by fiscal year of the action (USAspending.gov, FABS). Reported apart from contracts and never added to them.

Assistance by fiscal year

  1. 216.4MFY2021
  2. 98.5MFY2022
  3. 102.8MFY2023
  4. 100.1MFY2024
  5. 114.9MFY2025
  6. 281.4MFY2026

By type

  1. Grants$281.4M100%

Top programs · Awarding agencies

Obligations in FY2026.

Top programs

  1. 93.798 · Rural Health Transformation Program$181.3M64%
  2. 93.959 · Block Grants for Prevention and Treatment of Substance Abuse$42.7M15%
  3. 93.958 · Block Grants for Community Mental Health Services$24.6M8.7%
  4. 93.788 · Opioid Str$22.9M8.1%
  5. 93.243 · Substance Abuse and Mental Health Services Projects of Regional and National Significance$4.6M1.6%
  6. 93.104 · Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (SED)$2.7M0.9%
  7. 93.771 · State Grants for the Implementation, Enhancement, and Expansion of Medicaid and CHIP School-Based Services$1.4M0.5%
  8. 93.150 · Projects for Assistance in Transition From Homelessness (PATH)$1.2M0.4%

Awarding agencies

  1. Centers for Medicare and Medicaid Services$182.6M65%
    Department of Health and Human Services
  2. Substance Abuse and Mental Health Services Administration$98.6M35%
    Department of Health and Human Services
  3. Office of Justice Programs$213.5K0.1%
    Department of Justice

Largest awards

  1. WASHINGTON STATE SUPPORTING THE INNOVATIVE DEVELOPMENT OF RURAL HEALTH CARE ACROSS PRIMARY AND SPECIALTY CARE, HOSPITALS, WORKFORCE…$181.3M
    93.798 · Rural Health Transformation Program· Centers for Medicare and Medicaid Services· Cooperative agreement· Dec 29, 2025 – Aug 4, 2026· RHTCMS332044
  2. WASHINGTON STATE OPIOID RESPONSE GRANT - PROJECT ABSTRACT PROJECT SUMMARY: WASHINGTON STATE SOR IV IS DESIGNED TO ADDRESS WASHINGTON (WA)…$82.7M
    93.788 · Opioid Str· Substance Abuse and Mental Health Services Administration· Project grant· Sep 24, 2024 – Jul 13, 2026· H79TI087845
  3. WASHINGTON STATE OPIOID RESPONSE III - WASHINGTON STATE PROJECT ABSTRACT PROJECT SUMMARY: WASHINGTON STATE SOR III IS DESIGNED TO ADDRESS…$51.4M
    93.788 · Opioid Str· Substance Abuse and Mental Health Services Administration· Project grant· Sep 23, 2022 – Jun 5, 2026· H79TI085727
  4. SUBSTANCE ABUSE PREVENTION, TREATMENT, AND RECOVERY SERVICES BLOCK GRANT$42.7M
    93.959 · Block Grants for Prevention and Treatment of Substance Abuse· Substance Abuse and Mental Health Services Administration· Block grant· Jan 28, 2026 – Sep 18, 2026· B08TI088506
  5. SUBSTANCE ABUSE PREVENTION, TREATMENT, AND RECOVERY SERVICES BLOCK GRANT$42M
    93.959 · Block Grants for Prevention and Treatment of Substance Abuse· Substance Abuse and Mental Health Services Administration· Block grant· Feb 20, 2024 – Feb 10, 2026· B08TI087075
  6. BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES$24.6M
    93.958 · Block Grants for Community Mental Health Services· Substance Abuse and Mental Health Services Administration· Block grant· Jan 27, 2026 – Sep 11, 2026· B09SM090756

Subawards

Matched by Unique Entity ID: the first-tier subawards this organization reported as a prime recipient, and those primes reported paying it.

As a prime: who it pays · FY2026

  • Sub-grants: $193.3M (445 subawards)

159 sub-recipients

  1. WASHINGTON STATE HOSPITAL ASSOCIATION$42M22%
    SEATTLE, WA · 1 subaward
  2. KING, COUNTY OF$15.1M7.8%
    SEATTLE, WA · 12 subawards
  3. CARELON BEHAVIORAL HEALTH, INC.$7.7M4.0%
    BOSTON, MA · 3 subawards
  4. WASHINGTON RURAL HEALTH COLLABORATIVE$5.4M2.8%
    OLYMPIA, WA · 1 subaward
  5. NORTH SOUND BEHAVIORAL HEALTH ADMINISTRATIVE SERVICES ORGANI$5.1M2.7%
    MOUNT VERNON, WA · 5 subawards
  6. COUNTY OF KITSAP$3.5M1.8%
    PORT ORCHARD, WA · 9 subawards
  7. THURSTON-MASON BEHAVIORAL HEALTH ORGANIZATION, LLC$3.3M1.7%
    LACEY, WA · 5 subawards
  8. EDUCATION SERVICE DISTRICT 123$3.2M1.7%
    PASCO, WA · 6 subawards
  9. WASHINGTON STATE DEPARTMENT OF CORRECTIONS$3.2M1.7%
    TUMWATER, WA · 3 subawards
  10. EDUCATIONAL SERVICE DISTRICT 112$3.2M1.7%
    VANCOUVER, WA · 6 subawards

As a sub-recipient: who pays it · FY2026

  • Sub-grants: $40.7K (2 subawards)

2 primes

  1. EDUCATIONAL SERVICE DISTRICT 105$39.8K98%
    YAKIMA, WA · 1 subaward
  2. THE LELAND STANFORD JUNIOR UNIVERSITY$9742.4%
    STANFORD, CA · 1 subaward

By fiscal year

  • FY2021: $705.2K paid out · $0 received
  • FY2022: $37.6M paid out · $2.2M received
  • FY2023: $114.4M paid out · $511.8K received
  • FY2024: $208M paid out · $462K received
  • FY2025: $56.9M paid out · $378.9K received
  • FY2026: $193.3M paid out · $40.7K received
  • FY2027: $1.2M paid out · $0 received

Primes report first-tier subawards of $30,000 or more themselves, and many go unreported (GAO-24-106214). Reporting moved from FSRS to SAM.gov in March 2025 and fewer sub-contracts have been reported since. Amounts are what primes reported; they are never added to prime award totals.

Source: Subawards (first-tier sub-contracts and sub-grants reported under FFATA) (U.S. Department of the Treasury, USAspending.gov (reports filed in SAM.gov, formerly FSRS)), data current to Oct 9, 2026, loaded Oct 9, 2026 · Subawards loaded from FY2021.

Source: Federal financial assistance transactions (Financial Assistance Broker Submission) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 8, 2026, loaded Oct 8, 2026 · FY2021–FY2026.