Health Emergency Preparedness Grants

Background Information

The Center for Health Emergency Preparedness and Response (CHEPR) provides Public Health Emergency Preparedness (PHEP) related awards from the Centers for Disease Control and Prevention (CDC) to grantees to address emergencies and disasters. As a Texas Emergency Management Council member, DSHS provides grants to local areas to prepare them to support response and recovery efforts during emergencies. Health Emergency Preparedness grants address natural disasters, infectious disease outbreaks, bioterrorism, and other emergencies.

Awards through CHEPR focus on Disaster Emergency Support Functions (ESF) during public health emergencies. This program is committed to assisting Texans in being prepared for disasters by supporting the development of leadership, training, and planning for recovery and response through award funding.

"Preparedness Steps"


ALN – Federal Assistance Listing Numbers

*Assistance Listing Numbers (ALN), formerly the Catalog of Federal Domestic Assistance (CFDA).

ALN Number 93.074 Hospital Preparedness Program (HPP) and Public Health Emergency Preparedness (PHEP) Aligned Cooperative Agreements is a CDC funded program that offers discretionary awards to grantees through cooperative agreements or formula grants.

ALN Number 93.069 Public Health Emergency Preparedness is a program created by the Center of Preparedness and Response by the CDC and has collaborated with health departments to advance emergency preparedness since 9/11. This program distributes discretionary awards to grantees through cooperative agreements.

ALN Number 93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response is a program designed to enhance the United States’ ability to mobilize and respond to emergencies rapidly and provides a mechanism to accelerate readiness for impending health threats. This program distributes awards to grantees through cooperative agreements to promote emergency response and preparedness.

Graphs and Tables

The Federal Emergency Management Agency (FEMA) declares emergencies throughout the United States and other eligible states. These declarations are made at the discretion of the President of the United States after a governor of a state requests a declaration. The table below reflects the number of severe disasters and health emergencies declared by FEMA in Texas between 2010 and 2022.

"FEMA Disaster Declarations in Texas 2010-2022"


"A graph showing Health Public Emergency Preparedness & Response Grants -2022"


*Total assistance, FY 2008 to present.

Requirements for Grantees

For federally funded grant programs, grant records must comply with federal financial management regulations issued by the uniform grant guidance (UGG) and Texas grant management standards (TxGMS),depending upon the originating funding sources. Title 2 part 200 of the 2CFR200 guides the administrative aspect of the federal awards and sub-awards to all non-federal entities.

HHS utilizes TxGMS as the authority for state-funded grant awards. For grant programs wholly funded by the state, a local government grantee under a grant from DSHS must comply with the following Standard Financial Management Conditions as required by Chapter 783 of the Texas Government Code.

Applicable Entity

Applicable Cost Principles

Audit Requirements

Administrative Requirements

State, Local and Tribal Governments

2 CFR, Part 225

2 CFR Part 200, Subpart F and UGMS*

2 CFR Part 200 and UGMS*

Educational Institutions

2 CFR, Part 220

2 CFR Part 200, Subpart F and UGMS*

2 CFR Part 200 and UGMS*

Non-Profit Organizations

2 CFR, Part 230

2 CFR 200, Subpart F and UGMS*

2 CFR Part 200 and UGMS*

For-Profit Organization other than a hospital and an organization named in OMB Circular A-122 (2 CFR Part, 230) as not subject to that circular.

48 CFR Part 31, Contract Cost Principles Procedures, or uniform cost accounting standards that comply with cost principles acceptable to the federal or state awarding agency

2 CFR Part 200, Subpart F and UGMS*

2 CFR Part 200 and UGMS*

*UGMS was replaced by TxGMS on January 1, 2022. If a state awarding agency adds funds to a grant that existed before March 1, 2021, TxGMS will apply to it from that point forward. Unless the state awarding agency specifically indicates that TxGMS will not apply. For further information, visit Texas Comptroller Grant Management.