Public Health Emergency Preparedness

To develop emergency-ready public health departments by upgrading, integrating and evaluating State and local public health jurisdictions preparedness for and response to terrorism, pandemic influenza, and other public health emergencies with Federal, State, local, and tribal governments, the private

sector, and non-governmental organizations (NGOs).

These emergency preparedness and response efforts are intended to support the National Response Plan (NRP) and the National Incident Management System (NIMS).

Examples of Funded Projects

For FY 08, the emphasis of this project will be to upgrade State and local public health jurisdiction's preparedness and response to bioterrorism, outbreaks of infectious diseases, and other public health threats and emergencies.

Enacted in December 2006, The Pandemic and All-Hazards Preparedness Act (PAHPA, Public Law 109-417 42 U.S.C.

247d-3a) requires project activities to meet the following goals: (1) Integrating public health and public and private medical capabilities with other first responder systems; (2) Developing and sustaining essential State, local, and tribal public health security capabilities, including disease situational awareness, disease containment, risk communication and public preparedness, and the rapid distribution and administration of medical countermeasures; (3) Addressing the public health and medical needs of at-risk individuals in the event of a public health emergency; (4) Minimizing duplication and assuring coordination among State, local, and tribal planning, preparedness, and response activities (including Emergency Management Assistance Compact).

Such planning shall be consistent with the National Response Framework or any successor plan, the National Incident Management System, and the National Preparedness Goal; (5) Maintaining vital public health and medical services to allow for optimal federal, State, local, and tribal operations in the event of a public health emergency; and (6) Developing and testing an effective plan for responding to pandemic influenza.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Website Address

Relevant Nonprofit Program Categories

Program Accomplishments

Improved Preparedness at State and Local Levels: Over $4.9 billion in PHEP cooperative agreement funding has been awarded to state and local agencies since 2002 with a Grantee base of 62 grantees, including 50 states, 8 territories, District of Columbia, Chicago, Los Angeles County, and New Your City. All states have bioterrorism response plans in place (few states had such planning in 2001). All states have pandemic influenza plans as well as plans in place for receiving and distributing assets from the Strategic National Stockpile and are exercising those plans. Ninety-six percent of states have a crisis and emergency risk communication plan. Ninety-eight percent of states have individuals assigned to receive and evaluate urgent disease reports 24 hours, 7 days a week, 365 days a year. All states have protocols in place to activate the public health emergency response system 24 hours, 7 days a week, 365 days a year. Increased Laboratory Capacity: $492 million annually since 2002 has been utilized by states to bolster Epidemiology and Surveillance, Laboratory Capacity and Communication -key functions of public health response. There are more than 150 Laboratory Response Network (LRNs) with at least one in every state (up from 91 labs in 2001). More than $75 million has been awarded to state and local health departments to increase chemical lab capacity. Comprehensive Approach: The program has migrated cooperative agreement guidance from a focus area approach to a comprehensive all hazards approach that infuses performance and accountability within the framework of CDC preparedness goals and the National Response Plan (NRP).

Uses and Use Restrictions

The distribution of funds will be to the health departments of all 50 States, the District of Columbia, the nation's three largest municipalities (New York City, Chicago and Los Angeles County), the Commonwealths of Puerto Rico and the Northern Mariana Islands, the territories of American Samoa, Guam and the U. S. Virgin Islands, the Federated States of Micronesia, and the Republics of Palau and the Marshall Islands.

Eligibility Requirements

Applicant Eligibility

State health departments of all 50 States, the District of Columbia, the nation's three largest municipalities (New York City, Chicago and Los Angeles County), the Commonwealths of Puerto Rico and the Northern Mariana Islands, the territories of American Samoa, Guam and the U.S.

Virgin Islands, the Federated States of Micronesia, and the Republics of Palau and the Marshall Islands.

Beneficiary Eligibility

All State and Local Health Departments.


Applicants should review the individual CDC Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.

Aplication and Award Process

Preapplication Coordination

This program is eligible for coverage under E.O.

12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office of official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedures

CDC provides an Internet-based system for submitting applications, including narrative and budget, electronically. This system will also enable applicants to complete most required forms electronically, which can then be signed and uploaded into the system. Applicants are required to use this system in lieu of paper-based applications. Under separate cover, CDC will provide detailed instructions on obtaining a digital certificate to access the CDC web portal and use the electronic application system. This program is subject to the provisions of 45 CFR Parts 74 and 92, as appropriate.

Award Procedures

After review and approval of an application, a notice of award is made in writing and issued by the Grants Management Officer, Procurement and Grants Office, CDC. Also, appropriate notification is made to the public.


Contact Headquarters Office listed below for application deadlines.


Public Health Service Act Sections 301, 307, 311, 317, and 319, Public Law 108-111, Public Law 109-417, U.S.C. 247d-3.

Range of Approval/Disapproval Time

From 2 to 3 months.




Project periods are for 5 years with 12-month budget periods. Applications must be submitted in the same manner as a new application.

Assistance Considerations

Formula and Matching Requirements

Formula and Matching Requirements This program has no statutory formula or matching requirements.

Length and Time Phasing of Assistance

Awards are made annually and assistance is available for a 12-month budget period. There are five separate budget periods within the 5-year project period. After awards are issued, funds are released in accordance with DHHS payment procedures, which may be through an Electronic Transfer System or a Monthly Cash Request System.

Post Assistance Requirements


Semiannual and year end progress reports are required.

Financial status reports are required no later than 90 days after the end of each budget period.

Final financial status and performance reports are required 90 days after the end of a project period.


In accordance with the provisions of OMB Circular No. A- 133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.


Grantees are required to maintain grant accounting records for a minimum of three years after the end of a grant period. If any litigation, claim, negotiation, audit or other act ion involving the record has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later. More detailed information regarding retention requirements is provided in 45 CFR Parts 74 and 92.

Financial Information

Account Identification



(Cooperative Agreements) FY 07 $897,166,530; FY 08 $704,867,418; and FY 09 est $694,096,980.

Range and Average of Financial Assistance

FY 07 $471,804 to $65,303,030.

Regulations, Guidelines, and Literature

This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations.

Information Contacts

Regional or Local Office


Headquarters Office

Program Contact: Susan True, Branch Chief, Program Services Branch, Division of State and Local Readiness, Coordinating Office of Terrorism Preparedness and Emergency Response, Centers for Disease Control and Prevention, Department of Health and Human Services, 1600 Clifton Road, N.E., Mailstop D29, Atlanta, GA 30333. Telephone: (404) 639-5998. Grants Management Contact: Nealean Austin, Grants Management Officer, Branch VI, Procurement and Grants Office, Centers for Disease Control and Prevention, 2920 Brandywine Road, Atlanta, GA 30341. Telephone: (770) 488-2771.

Criteria for Selecting Proposals

The applicants must submit their application in accordance with appropriate program guidance. Applications will be reviewed for completeness by the Procurement and Grants Office staff and for technical acceptability by the Coordinating Office of Terrorism Preparedness and Emergency Response and CDC subject matter experts. Incomplete applications and applications that are non-responsive to the eligibility criteria will not advance through the review process. Applicants will be notified that their application did not meet submission requirements.

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