HOPE Act

This bill amends the Social Security Act to require the federal government to guarantee at least two grants per state (and D.C.) for health programs each grant cycle, if qualified applications exist. It mandates the Secretary to report to Congress on application numbers, approvals, and grant allocation details when fewer than two applicants are available in a state. The law applies directly to states and eligible health program entities receiving federal grants. It does not change the purpose or funding of health programs but establishes procedural requirements for grant distribution. The changes take effect October 1, 2025.