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CRCCP

Free colorectal cancer screening by state

Colorectal Cancer Control Program

The CDC Colorectal Cancer Control Program (CRCCP) funds 38 award recipients (21 states, 8 universities, 3 tribal organizations and 6 other organizations in the 2025-2030 cycle) to work with clinics and health systems that have low screening rates. It is not a free-test program: CDC's own description is that CRCCP stopped providing screening services and now funds partners to implement evidence-based interventions. A state pays for an individual's FIT test or colonoscopy only where it runs its own screening program, and the state pages below list only those programs whose own page says so.

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; whether a state program pays for the diagnostic colonoscopy after a positive FIT is program-specific, so ask before the test is done.

Who qualifies (federal baseline)

State colorectal screening programs target low-income uninsured and under-insured adults; each sets its own limits:

  • Age: screening is recommended starting at age 45-75 (the USPSTF 2021 update lowered the start age to 45); program age bands vary
  • Income: commonly up to 250% FPL, but several states use 200% or 300%; check the state page
  • 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.

The three federal eligibility gates

Federal eligibility gates for this screening Three conditions: age within 45-75, household income at or below 250 percent of the federal poverty level, and being uninsured or under-insured. Meeting all three means you likely qualify through CRCCP. AGE Ages 45-75 Household income at or below 250% of the federal poverty level INSURANCE Uninsured or under-insured If all three are true, you likely qualify Free colonoscopy through CRCCP
This is the federal baseline. Your state program may set different age or income limits. Check your state below for the exact rules.

All 50 states & DC

Alabama

No CDC grantee, see alternatives

Alaska

No CDC grantee, see alternatives

Arizona

No CDC grantee, see alternatives

Arkansas

No CDC grantee, see alternatives

California

No CDC grantee, see alternatives

Colorado

No CDC grantee, see alternatives

Connecticut

No CDC grantee, see alternatives

Delaware

Screening for Life

302-744-1040

Florida

No CDC grantee, see alternatives

Georgia

No CDC grantee, see alternatives

Hawaii

No CDC grantee, see alternatives

Idaho

No CDC grantee, see alternatives

Illinois

No CDC grantee, see alternatives

Indiana

No CDC grantee, see alternatives

Iowa

No CDC grantee, see alternatives

Kansas

No CDC grantee, see alternatives

Kentucky

Kentucky Colon Cancer Screening and Prevention Program (KCCSP)

Louisiana

No CDC grantee, see alternatives

Maine

No CDC grantee, see alternatives

Maryland

No CDC grantee, see alternatives

Massachusetts

No CDC grantee, see alternatives

Michigan

No CDC grantee, see alternatives

Minnesota

Sage Scopes

888-643-2584

Mississippi

No CDC grantee, see alternatives

Missouri

No CDC grantee, see alternatives

Montana

No CDC grantee, see alternatives

Nebraska

No CDC grantee, see alternatives

Nevada

No CDC grantee, see alternatives

New Hampshire

No CDC grantee, see alternatives

New Jersey

NJCEED colorectal screening

800-328-3838

New Mexico

No CDC grantee, see alternatives

New York

Cancer Services Program (CSP)

866-442-2262

North Carolina

No CDC grantee, see alternatives

North Dakota

North Dakota Colorectal Cancer Screening Initiative (Get:Screened)

833-220-2981

Ohio

No CDC grantee, see alternatives

Oklahoma

No CDC grantee, see alternatives

Oregon

No CDC grantee, see alternatives

Pennsylvania

No CDC grantee, see alternatives

Rhode Island

No CDC grantee, see alternatives

South Carolina

Colorectal Cancer Prevention Network (CCPN)

803-777-1231

South Dakota

South Dakota Colorectal Cancer Program (GetScreenedSD)

Tennessee

No CDC grantee, see alternatives

Texas

No CDC grantee, see alternatives

Utah

Huntsman Cancer Institute Screening Voucher Program

801-213-6251

Vermont

No CDC grantee, see alternatives

Virginia

No CDC grantee, see alternatives

Washington

No CDC grantee, see alternatives

West Virginia

No CDC grantee, see alternatives

Wisconsin

No CDC grantee, see alternatives

Wyoming

Wyoming Cancer Program

800-264-1296

District of Columbia

DC Colorectal Cancer Control Program (via WISH)

202-442-5900

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: