NIH SBIR Grants: A Complete Guide for Biotech and Medical Device Startups

February 16, 2026

NIH SBIR Grants: The Largest Source of SBIR Funding

The National Institutes of Health (NIH) is the single largest funder of SBIR and STTR grants in the federal government, awarding over $1 billion annually. If your company is developing biotech, medical devices, diagnostics, digital health tools, or pharmaceutical innovations, NIH SBIR grants should be a cornerstone of your funding strategy.

NIH SBIR Funding Overview

Phase I

  • Award Amount: Up to $275,589 (standard) or $425,132 (with subcontract to research institution)
  • Duration: 6-12 months
  • Purpose: Establish technical merit, feasibility, and commercial potential

Phase II

  • Award Amount: Up to $1,842,264 (standard) or $2,461,032 (with subcontract)
  • Duration: 2 years
  • Purpose: Full research and development based on Phase I results

Understanding the differences between SBIR Phase I, Phase II, and Phase III is essential for planning your NIH funding strategy.

NIH Institutes and Centers That Fund SBIR

NIH consists of 27 Institutes and Centers (ICs), and most participate in SBIR. The largest funders include:

  • National Cancer Institute (NCI): Cancer diagnostics, therapeutics, prevention technologies
  • National Heart, Lung, and Blood Institute (NHLBI): Cardiovascular, pulmonary, and blood disease technologies
  • National Institute of Allergy and Infectious Diseases (NIAID): Vaccines, antimicrobials, diagnostics for infectious diseases
  • National Institute of Neurological Disorders and Stroke (NINDS): Neurology devices and therapeutics
  • National Institute on Aging (NIA): Aging-related technologies and Alzheimer's disease
  • National Institute of Mental Health (NIMH): Mental health diagnostics and interventions
  • National Institute of Biomedical Imaging and Bioengineering (NIBIB): Imaging, sensors, and bioengineering devices

NIH SBIR Submission Process

Omnibus Solicitation

Unlike most agencies, NIH uses an omnibus solicitation that accepts proposals on any health-related topic at any time. Key submission dates are:

  • Standard Receipt Dates: January 5, April 5, September 5
  • AIDS-Related: January 7, May 7, September 7

Contract Solicitations

In addition to grants, NIH also awards SBIR contracts for specific topics. These are published separately and have specific deadlines and requirements.

Registration Requirements

Before submitting to NIH, you must register on SAM.gov, Grants.gov, and the NIH eRA Commons system. Allow at least 6-8 weeks for all registrations to be processed.

NIH Review Process

NIH uses a peer review process called the Center for Scientific Review (CSR) study section system:

  1. Assignment: Your proposal is assigned to an appropriate study section based on the science
  2. Peer Review: Three reviewers evaluate your proposal and assign scores (1-9 scale) for five criteria
  3. Study Section Meeting: Reviewers discuss top-scoring proposals and assign final scores
  4. Council Review: The advisory council of the relevant IC makes final funding recommendations

NIH Review Criteria

NIH evaluates proposals on five core criteria, and avoiding common application mistakes related to these criteria is critical:

  • Significance: Does the project address an important problem?
  • Investigator(s): Are the PD/PI and key personnel qualified?
  • Innovation: Does the project employ novel approaches?
  • Approach: Is the methodology well-designed and feasible?
  • Environment: Does the scientific environment contribute to success?

NIH-Specific Tips for Success

Specific Aims Page

The Specific Aims page is the most important page of your NIH SBIR proposal. It must clearly state the problem, your innovative solution, your specific aims, and the expected impact. Many reviewers form their opinion based largely on this single page.

Commercialization Plan

NIH places significant weight on the commercialization plan. Include detailed market analysis, regulatory pathway (FDA strategy), reimbursement considerations, and a realistic timeline to market.

Budget Justification

NIH requires a detailed budget justification explaining every line item. Personnel effort must be justified in terms of the specific work they will perform.

Success Rates

NIH SBIR success rates vary by institute but generally range from 15-25% for Phase I and 35-45% for Phase II. These rates are competitive but achievable with a strong proposal.

Special NIH SBIR Programs

Fast-Track

NIH offers a Fast-Track option that allows simultaneous submission of Phase I and Phase II proposals. If Phase I is successful, Phase II funding begins without a gap.

Direct-to-Phase II

Companies that can demonstrate Phase I-level feasibility through prior work can apply directly to Phase II, skipping Phase I entirely.

STTR

If your project involves collaboration with a university or research institution, consider the STTR program, which requires a formal research institution partner and allows the PI to be employed at the institution.

NIH SBIR and Regulatory Considerations

For biotech and medical device companies, consider these regulatory factors:

  • FDA Pathway: Include your regulatory strategy (510(k), PMA, De Novo) in your commercialization plan
  • IRB/IACUC: If your research involves human subjects or animal research, you need institutional review board or animal care committee approval
  • cGMP Considerations: For Phase II manufacturing scale-up, address Good Manufacturing Practices

Get Expert NIH SBIR Guidance

NIH SBIR proposals require deep understanding of both the science and the grant-writing process. An experienced SBIR grant writer who understands NIH's review culture can significantly improve your chances of funding. At MJP Grant Consulting, we have extensive experience with NIH SBIR across multiple institutes.

Contact us for a free consultation to discuss your NIH SBIR strategy.

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