CRCCP
Free colonoscopies by state — CDC CRCCP
Colorectal Cancer Control Program
The CDC Colorectal Cancer Control Program (CRCCP) funds 35 state and tribal grantees to increase colorectal screening — FIT, FIT-DNA (Cologuard), and colonoscopy — among priority populations. Roughly 30 states hold CRCCP grants in the 2020-2025 cohort; states without a CRCCP grantee still run colorectal outreach through FQHCs, the ACS, and state cancer coalitions, but the free-screening pathway is narrower.
The USPSTF recommends screening begin at age 45 (lowered from 50 in 2021 in response to rising incidence among younger adults, particularly Black Americans).
Why this matters for Black families
Black Americans have the highest colorectal-cancer incidence and mortality of any racial group in the US — roughly 20% higher incidence and 40% higher mortality than white Americans (ACS, 2024).
The American Cancer Society's 2024 report on Black-American colorectal cancer documents 20% higher incidence and 40% higher mortality than white Americans, plus a disproportionate share of cases diagnosed under age 50. These data drove the USPSTF to lower the screening start age from 50 to 45 in 2021 — but the under-45 population still carries disproportionate risk that age-based screening alone cannot address.
Stool-based FIT tests (annual) and Cologuard (every 3 years) are both USPSTF Grade A recommended and cost less than $50 per test. Colonoscopy remains the gold standard and — when positive from a FIT — CRCCP programs pay for the diagnostic follow-up colonoscopy at no charge.
Who qualifies (federal baseline)
Federal CRCCP targets low-income uninsured and under-insured adults:
- Age: 45-75 (USPSTF 2021 update lowered the start age from 50 to 45)
- Income: typically up to 250% FPL, varies by state grantee
- Insurance status: uninsured or insured with cost-sharing that blocks screening
State variations: Delaware's Screening for Life is the most famous — open to every uninsured resident regardless of income and credited with eliminating the state's Black-white colorectal mortality gap (Grubbs et al., Am J Public Health 2015). Most other states cap income at 250% FPL and age-limit to 45-75.
All 50 states & DC
Alabama
Alabama Department of Public Health Colorectal Cancer Program
1-334-206-3830
Alaska
No CDC grantee — see alternatives
Arizona
Arizona Colorectal Cancer Screening Program
1-602-542-7317
Arkansas
No CDC grantee — see alternatives
California
California Colorectal Cancer Control Program
1-916-449-5300
Colorado
Colorado Colorectal Screening Program
1-303-692-2600
Connecticut
No CDC grantee — see alternatives
Delaware
Delaware Colorectal Cancer Program
1-302-744-1020
Florida
Florida Colorectal Cancer Control Program
1-850-245-4444
Georgia
Georgia Colorectal Cancer Control Program
1-404-657-2700
Hawaii
No CDC grantee — see alternatives
Idaho
No CDC grantee — see alternatives
Illinois
Illinois Colorectal Cancer Screening Program
1-217-785-5166
Indiana
Indiana Colorectal Cancer Screening Program
1-317-233-7405
Iowa
Iowa Get Screened
1-800-369-2229
Kansas
No CDC grantee — see alternatives
Kentucky
Kentucky Colon Cancer Screening Program
1-502-564-7996
Louisiana
Louisiana Colorectal Cancer Program
1-225-342-4610
Maine
Maine Colorectal Cancer Control Program
1-207-287-5380
Maryland
Maryland Colorectal Cancer Control Program
1-410-767-6213
Massachusetts
No CDC grantee — see alternatives
Michigan
Michigan Colorectal Cancer Early Detection Program
1-888-354-2626
Minnesota
Sage Scopes
1-888-643-2584
Mississippi
No CDC grantee — see alternatives
Missouri
Show Me Colon Screenings
1-573-751-6096
Montana
Montana Colorectal Cancer Control Program
1-406-444-5970
Nebraska
No CDC grantee — see alternatives
Nevada
No CDC grantee — see alternatives
New Hampshire
No CDC grantee — see alternatives
New Jersey
Colorectal Cancer Control Program
1-609-292-8540
New Mexico
No CDC grantee — see alternatives
New York
New York Cancer Services Program (Colorectal)
1-866-442-2262
North Carolina
North Carolina Colorectal Cancer Control Program
1-919-707-5300
North Dakota
No CDC grantee — see alternatives
Ohio
Ohio Colorectal Cancer Screening Program
1-614-644-8560
Oklahoma
No CDC grantee — see alternatives
Oregon
No CDC grantee — see alternatives
Pennsylvania
Pennsylvania Colorectal Cancer Screening Initiative
1-717-787-5900
Rhode Island
No CDC grantee — see alternatives
South Carolina
South Carolina Colon Cancer Prevention Network
1-803-898-0550
South Dakota
No CDC grantee — see alternatives
Tennessee
Tennessee Colorectal Cancer Screening Program
1-615-741-7366
Texas
Cancer Prevention and Research Institute of Texas Colorectal Initiative
1-512-305-8400
Utah
Utah Colorectal Cancer Program
1-801-538-6193
Vermont
No CDC grantee — see alternatives
Virginia
Virginia Colorectal Cancer Screening Program
1-804-864-8170
Washington
Breast, Cervical, and Colon Health Program (Colon)
1-888-438-2247
West Virginia
West Virginia Colorectal Cancer Screening Program
1-800-642-8522
Wisconsin
Wisconsin Colorectal Cancer Screening Program
1-608-266-1865
Wyoming
No CDC grantee — see alternatives
District of Columbia
No CDC grantee — see alternatives
Data sources
- CDC CRCCP recipients: cdc.gov/cancer/crccp/recipients
- American Cancer Society Black Colorectal Cancer Report, 2024
- USPSTF Colorectal Cancer Screening Recommendation (2021)
- Grubbs et al., American Journal of Public Health (2015): elimination of Black-white colorectal mortality gap in Delaware
Data refreshed: