Strengthening Public Health Infrastructure for Improved Health Outcomes

This funding was appropriated under the Patient Protection and Affordable Care Act (ACA) (Public Law 111-148).

The Prevention and Public Health Fund (Title IV, Section 4002) was established under this legislation to provide for expanded and sustained national investment in prevention and public
health programs to improve health and help restrain the rate of growth in private and public sector health care costs.

This program will help State, Tribal, Local and U.S.

Territories sustain and build a strong core public health infrastructure that is prepared for responding to both acute and chronic threats relating to the Nation s health such as emerging infections, disparities in health status, increase in chronic disease and injury rates.

This program has two components; Graduated Based Funding for Public Health Transformation (Component I) and Enhanced Funding for Public Health Transformation (Component II).

This funding is to advance any or all of the key areas for infrastructure investment and will help ensure successful implementation of ACA, specifically by:
• Improving the public health workforce (e.g., e-learning, other training, and fellowship programs); vital statistics system (electronic birth and death registration); food and water borne disease identification and prevention, prevention of hospital acquired infections, electronic health record/IT systems, communications systems and processes (e.g.

information syndication and social media capacity), laboratory and epidemiologic capacity.
• Developing information systems to support adoption, implementation, enforcement, and/or evaluation of public health legislation, codes, rules, regulations, ordinances, and other policies.


• Improving public health system development/redevelopment by building or reengineering of infrastructure to improve networking, coordination, standardization, and centralization of public health services to effectively and efficiently address priority health indicators.


• Implementing best healthcare practices and impact evaluation
• Improving information and data system capacity through policy/communication for standardized data collection and analysis systems, information management technology, information dissemination, and meaningful data use and translation
• Improving organizational capacity to effectively and efficiently use resources such as fiscal agents, and intermediaries.


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.

Office - See Regional Agency Offices.

Local Office - Program Contact: Kristin Brusuelas, Branch Chief, Government Relations Branch, Office for State, Tribal, Local and Territorial Support, Centers for Disease Control and Prevention, Department of Health and Human Services, 1600 Clifton Road, NE, Mailstop K86, Atlanta, GA 30333.

Telephone: (770) 488-1624.

Fax: (770) 488-1600.

E-mail: KMB0@cdc.gov; Grants Management Contact: Annie Camacho- Harrison, Procurement and Grants Office, Center for Disease Control and Prevention, Department of Health and Human Services, 2920 Brandywine Road, Room 1126, Atlanta, GA 30341.

Telephone: (770) 488-2098.


Program Accomplishments

Fiscal Year 2009: None. Fiscal Year 2010: It is anticipated in FY 2010 that up to 100 applications will be received.
Component I: up to 75 will be awarded.
Component II: up to 29 will be awarded. Fiscal Year 2011: No Current Data Available

Uses and Use Restrictions

Project funds may be used for costs associated with planning, organizing, and the implementation of other program elements to strengthen State, Tribal, Local, and Territorial public health core infrastructure.

Recipients may only expend funds for reasonable program purposes, including personnel, travel, supplies, and services, such as contractual.



Eligibility Requirements

Applicant Eligibility

Eligible applicants include all 50 states, Washington, D.C., 9 large local health departments supporting cities with populations of 1 million or more inhabitants (Chicago, Illinois; Dallas, Texas; Houston Texas; Los Angeles, California; New York City, New York; Philadelphia, Pennsylvania; Phoenix, Arizona; San Antonio, Texas; San Diego, California), 5 U.S.

Territories 3 U.S.

Affiliated Pacific Islands, and up to 7 federally-recognized tribes with an established public health departments structure (or their equivalent) that provide public health services to their tribal members or their bona fide agents.

Beneficiary Eligibility

State health departments, large local health departments supporting cities with populations of 1 million or more inhabitants, the District of Columbia, U.S. Territories, tribal health organizations and the general public.

Credentials/Documentation

. OMB Circular No. A-87 applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is required.

Environmental impact information is not required for this program.

This program is eligible for coverage under E.O.

12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or 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

OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. Applicants must download application forms from www.Grants.gov. Applications must be submitted electronically at www.Grants.gov.
If an applicant does not have access to the Internet, or if they have difficulty accessing the forms on-line, contact the CDC Procurement and Grants Office Technical Information Management Section (PGO-TIMS) staff. For this, or further assistance, contact PGO-TIMS: Telephone (770) 488-2700, Email: PGOTIM@cdc.gov

Award Procedures

Applications that are complete and responsive will be evaluated for scientific and technical merit and receive support. CDC will not review incomplete and non-responsive applications. Applications that are complete and responsive will undergo and objective review process, receive a written critique and be scored according to the published review criteria. Successful applicants will receive a Notice of Award (NOA) from the CDC Procurement and Grants Office. The NOA shall be the only binding, authorizing document between the recipient and CDC. The NOA will be signed by an authorized Grants Management Officer. Initial award provides funds for the first budget period (usually 12 months) and the NOA will indicate support recommended for the remainder of the project period, allocation of Federal funds by budget categories, and special conditions, if any.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

Public Health Act, Section 301 and 317, 42 U.S.C 241 and 247b ; Patient Protection and Affordable Care Act (Public Law 111-148), Title IV, Section 4002.

Range of Approval/Disapproval Time

From 90 to 120 days.

Appeals

Not Applicable.

Renewals

Renewals will be based upon availability of funding under the Patient Protection and Affordable Care Act.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
This program has no matching requirements.
This program does not have MOE requirements.

Length and Time Phasing of Assistance

Financial assistance is available for a 12-month budget period within project periods ranging from one to five years. Method of awarding/releasing assistance: lump sum. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements

Reports

Program reports are not applicable.

Cash reports are not applicable.

Each funded applicant must provide an interim and annual progress report.

The interim progress report is due no less than 90 days before the end of the specified budget period.

The Interim Progress Report will serve as the non-competing continuation application.

Semi-annual progress reports are also required.

Financial Status Reports (SF 269) are required no more than 90 days after the end of the budget period.

Final financial status and progress reports are required, no more than 90 days after the end of the project period.

No later than 10 days after the end of each calendar quarter, starting with the quarter ending December 31, 2010 and reporting by January 10, 2010 the recipients must submit a calendar quarter cash transaction report (SF-272 or top portion of the SF-425 Financial Report Form) to the Payment Management System (PMS).

Performance monitoring is not applicable.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit 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. Records must be available for review or audit by appropriate officials of the Federal agency, pass-through entity, and General Accounting Office (GAO). The grantee is to also ensure that the sub-recipients receiving CDC funds also meet these requirements (if total Federal grant or grants funds received exceed $500,000). The grantee should include this requirement in all sub-recipient contracts.

Records

Financial records, supporting documents, statistical records, and all other records pertinent to the grant program shall be retained for a minimum of 3 years, or until completion and resolution of any audit in process or pending resolution. In all cases records must be retained until resolution of any audit questions. Property records must be retained in accordance with 45 CFR 92.42.

Financial Information

Account Identification

99-9999-9-9-999.

Obigations

(Cooperative Agreements) FY 09 $0; FY 10 est $42,500,000; FY 11 est $0

Range and Average of Financial Assistance

Component I: This amount is based on population and will continue for each year of the cooperative agreement:

• Below 1.5 million = $100,000
• 1.5 million - 5 million = $200,000
• 5 million - 8 million = $300,000
• Above 8 million = $400,000.

Component II: $1M - $2.95M.

Regulations, Guidelines, and Literature

Regulations governing this program are published under 42 CFR 55b. Guidelines are available. 45 CFR 92, and also HHS Grants Policy Statement at http://www.ahrq.gov/fund/hhspolicy.htm

Information Contacts

Regional or Local Office

See Regional Agency Offices. Local Office - Program Contact: Kristin Brusuelas, Branch Chief, Government Relations Branch, Office for State, Tribal, Local and Territorial Support, Centers for Disease Control and Prevention, Department of Health and Human Services, 1600 Clifton Road, NE, Mailstop K86, Atlanta, GA 30333. Telephone: (770) 488-1624. Fax: (770) 488-1600. E-mail: KMB0@cdc.gov; Grants Management Contact: Annie Camacho- Harrison, Procurement and Grants Office, Center for Disease Control and Prevention, Department of Health and Human Services, 2920 Brandywine Road, Room 1126, Atlanta, GA 30341. Telephone: (770) 488-2098.

Headquarters Office

Rickenya L. Hodge, 2500 Century Pkwy, Atlanta, Georgia 30329 Email: rid9@cdc.gov Phone: (404) 498-2292.

Criteria for Selecting Proposals

Applications will be evaluated based on: (1) clearly provide a plan that include quantitative process and outcome measures (2) provide adequate and clear information to enable the reviewer to gain a reasonable understanding of the applicant s recent and current efforts to address the issues and (3) provide a realistic plan with activities that can be achieved in year one and subsequent years. Other criteria will be listed in the individual funding opportunity announcement.



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