PolicyBrief
H.R. 5386
119th CongressSep 16th 2025
Technical Assistance for Health Grants Act
IN COMMITTEE

This Act updates and specifies the technical assistance provided by the Secretary of Health and Human Services to recipients of grants under Section 2008 of the Social Security Act, including dedicated funding for support tailored to diverse grantee needs.

Steven Horsford
D

Steven Horsford

Representative

NV-4

LEGISLATION

New Act Dedicates $15 Million for Tailored Health Grant Support, Starting FY 2026

This bill, the Technical Assistance for Health Grants Act, is essentially an administrative upgrade designed to make federal health grant money work better on the ground. It restructures how the Secretary of Health and Human Services (HHS) provides support to organizations receiving grants under Section 2008 of the Social Security Act. The main takeaway is that the government is committing $15 million specifically for fiscal year 2026 to fund a new, more targeted system of technical assistance. These changes are set to kick in on October 1, 2025.

Clearing the Path for Better Support

Think of this as HHS clearing out the junk drawer and replacing it with a custom organizer. The bill starts by removing an existing, unspecified rule regarding technical assistance (subparagraph (D) from subsection (b)(4))—a necessary step, perhaps, to streamline the process. The core change, however, is defining what "technical assistance" actually means now. It must be tailored to what grantees need at every stage of their project, from the initial application to running the program. This is crucial because it moves support away from a one-size-fits-all approach to something that actually helps organizations succeed, which ultimately means better service delivery for the public.

Who Gets the Custom Treatment?

The bill explicitly mandates that this new, tailored support must address the unique challenges faced by several key groups. This includes Indian tribes, tribal organizations, and tribal colleges and universities, as well as U.S. territories. For a small health clinic run by a tribal organization, this means the technical help they receive—whether it's assistance with regulatory compliance or figuring out how to scale a successful program—will be customized to their specific local context, rather than trying to fit a standard template designed for a large urban center. This focus on specific needs should increase the success rate of these grants in areas that often struggle with the complexities of federal funding.

Sharing Notes and Spending Money

Beyond just getting tailored advice, grantees are now required to talk to each other. The Secretary must organize conferences for peer technical assistance, letting organizations share their best practices and troubleshoot issues together. If a community health center in Puerto Rico figures out a fantastic way to manage supply chain issues, they’ll now have a formal venue to share that knowledge with a similar center in Guam or rural Montana. This kind of knowledge transfer is often the most valuable part of grant work. To make sure this whole system is properly funded, the bill dedicates a significant chunk of change: $15,000,000 for fiscal year 2026 is set aside just for running this new technical assistance structure. Additionally, the Secretary must report back to Congress every session detailing exactly what kind of help was given out, adding a layer of accountability to the process.