Centers for Disease Control and PreventionAffordable Care Act (ACA) Communities Putting Prevention t

This funding was appropriated under the Health Care and Education Affordability Reconciliation Act of (Public Health Service Act, 42 U.S.

Code 241(a) and 247b (k) (2) to reduce Chronic Disease risk factors, prevent and delay chronic disease, promote wellness, and better manage chronic conditions.

This
initiative will address the following: Increased levels of physical activity Improved nutrition (e.g.

increased fruit/vegetable consumption, reduced salt and transfats);Decreased smoking prevalence and decreased teen smoking initiation; and Decreased exposure to secondhand smoke.
Communities funded under this announcement will accomplish this by implementing population-based approaches such as policy, systems, and environmental changes across 5 evidence-based strategies - access, media, point of decision information, social support services, and price - in both schools and communities.

Both components are necessary to achieve behavior change in youth that sustain from school settings into family and community settings, and supports sustaining healthy behavior into adulthood.

Communities funded by this announcement will receive a menu of evidence-based interventions along with support and tools from the Centers for Disease Control and Prevention (CDC) to strengthen and develop effective strategies tailored to their needs.


The cooperative agreements will address the "Healthy People 2010" focus areas of obesity, cardiovascular disease, tobacco, and educational and community-based programs; the Health Protection Goals of "Healthy People in Every Stage of Life" which states that "all people, and especially those at greater risk of health disparities, will achieve their optimal lifespan with the best quality of health in every stage of life," and "Healthy People in Healthy Places" which states that "the places where people live, work, learn, and play will protect and promote their health and safety, especially those at greater risk of health disparities.".

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.



Program Accomplishments

Fiscal Year 2009: None. Fiscal Year 2010: In fiscal year 2010, projected to issue 7-10 awards to reduce Chronic Disease risk factors, prevent and delay chronic disease, promote wellness, and better manage chronic conditions. This initiative will address the following:

• Increased levels of physical activity
• Improved nutrition (e.g. increased fruit/vegetable consumption, reduced
salt and transfats);
• Decreased smoking prevalence and decreased teen smoking initiation; and
• Decreased exposure to secondhand smoke. Fiscal Year 2011: No Current Data Available

Uses and Use Restrictions

Of the $34 million dollars will be used to support intensive community approaches to chronic disease prevention and control described in Section "0.50" above.

The use of and use restrictions are as follows:
•Recipients may only expend funds for reasonable program purposes, including personnel, travel, supplies, and services, such as contractual to reduce risk factors, prevent and delay chronic disease, promote wellness, and better manage chronic conditions in the following areas; to increased levels of physical activity, improved nutrition (e.g.

increased fruit/vegetable consumption, reduced
salt and transfats); decreased smoking prevalence and decreased teen smoking initiation; and to decreased exposure to secondhand smoke.
•Recipients may not use funds for research.
•Recipients may not use funds for clinical care.
•Recipients may not generally use HHS/CDC/ATSDR funding for the purchase of furniture or equipment.

Any such proposed spending must be identified in the budget.
•The recipient must perform a substantial role in carrying out project objectives and not merely serve as a conduit for an award to another party or provider who is ineligible.
•Recipients may not spend more than 10% of the total award on nicotine replacement therapy.

Eligibility Requirements

Applicant Eligibility

Eligible applicants that can apply for this funding opportunity are listed below:
•All grant applications not funded under DP09-912ARRA consisting of Federally recognized Tribal Governments, Regional Area Indian Health Boards, Urban Indian organizations, and Inter-Tribal Councils as designated by the Principal Tribal elected official or chief executive officer County/City Health Departments
•The official state health department (or its bona fide agent), or its equivalent, as designated by the Governor, is to serve as the lead/fiduciary agency for Small City and Rural Community applications.

For this announcement, the term "State" includes the 50 states, the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.
•The official local health department (or its bona fide agent), or its equivalent, as designated by the mayor, county executive, or other equivalent governmental official.


•All grantees funded under funding opportunity announcement CDC-RFA-DP09-901 and CDC-RFA-DPPO-902 which are all official state health departments (or its bona fide agent) of the 50 states, the District of Columbia, Puerto Rico and the U.S.

Virgin Islands, the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

Beneficiary Eligibility

Any State, local health department (as described above), and other public entities will benefit.

Credentials/Documentation

Applicants will be required to provide the following information: Demonstrate that they have a coalition in place with experience in promoting health promotion or prevention of chronic disease outcomes or experience that relates to improving chronic disease outcomes, including the capacity to influence policy, system and/or environmental changes in the community. Demonstrate that they have an existing community action plan in place related to improving behaviors that lead to chronic diseases through changing policy, systems and/or environment. Provide documentation that they have received a grant of sufficient size to indicate the ability to adhere to Federal requirements and to expend a large amount of funds in the project period outlined by the Communities Putting Prevention to Work Initiative. Ensure that at least 50% of the total award is spent extramurally. Provide letters of support from school districts indicating support for implementing the YRBS survey for baseline and follow-up data.
Successful applicants will also be required to meet quarterly benchmarks for the Communities Putting Prevention to Work Initiative. At the end of each quarter, the grantee will receive a score card that indicates the percentage of benchmarks being met (100%-70% of benchmarks = green; 70%-50% of benchmarks = yellow; less than 50% of benchmarks = red). OMB Circular No. A-87 applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

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. This program is excluded from coverage under OMB Circular No. A-110. Applicants must download the SF424 application forms through Grants.gov/Apply. Only the forms package directly attached to a specific Funding Opportunity Announcement (FOA) can be used. If an applicant does not have access to the Internet, or if they have difficulty accessing the forms online, contact the CDC Procurement and Grants Office Technical Information Management Section (PGOTIMS) staff. For this, or further assistance, contact PGO TIMS: Telephone (770) 488-2700, Email: PGOTIM@cdc.gov. HHS/CDC Telecommunications for the hearing impaired: TTY 770-488-2783.

Award Procedures

All applications that were complete and responsive under FOA DP09-912ARRA to this competitive funding opportunity announcement were evaluated for programmatic and technical merit. Applications were reviewed for completeness by the Procurement and Grants Office (PGO) staff and for responsiveness jointly by the National Center for Chronic Disease Prevention and Health Promotion and PGO. Incomplete applications and applications that were non-responsive to the eligibility criteria did not advance through the review process. Applicants were notified the application did not meet submission requirements.
The panel was comprised of a primary, secondary, and tertiary reviewer that will score the applications and document their strengths and weaknesses. The applications were scored against the criteria not against one another. Successful applicants received 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.
A technical review panel will evaluate complete and responsive applications according to the evaluation criteria listed in funding opportunity announcements D09-901 and DP09-902.
An objective review panel will evaluate complete and responsive applications according to the evaluation criteria listed in funding opportunity announcement.

Deadlines

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

Authorization

This program is authorized under section 301(a) and 317(k)(2) Health Care and Education Affordability Reconciliation Act of 2010, Public Health Service Act, 42 U.S. Code 241(a) and 247b (k) 2311.

Range of Approval/Disapproval Time

Not Applicable.

Appeals

Not Applicable.

Renewals

Renewals will be based upon the availability of funding under the Affordable Care Act (ACA).

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

Project Period: Until April 30, 2012. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements

Reports

Recipients of Federal awards from funds authorized under Health Care and Education Affordability Reconciliation of Act of 2010 must comply with all requirements specified in: (a) The amount of unobligated award balances; (b) A detailed list of all projects or activities for which Health Care Reform Act funds under this award were obligated and expended, including: (1) the name of the project or activity; (2) a description of the project or activity; (3) an evaluation of the completion status of the project or activity; (4) for infrastructure investments made by State and local governments, the purpose, total cost, and rationale of the agency for funding the infrastructure investment with funds made available under this Act, and the name of the person to contact at the agency if there are concerns with the infrastructure investment; (c) Detailed information on any sub-awards (sub-contracts or sub-grants) made by the grant recipient.

(d) Recipients must account for each Health Care Reform Act award and sub-award (sub-grant and sub-contract) separately.

Recipients will draw down Health Care Reform Act funds on an award-specific basis.

Pooling of Health Care Reform Act award funds with other funds for drawdown or other purposes is not permitted.

(e) Recipients must account for each Health Care Reform Act award separately by referencing the assigned CFDA number for each award.

Additional reporting requirements will be detailed in Funding Opportunity Announcements and included in the award notice.

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

No cash reports are required.

No cash reports are required.

Recipients of Federal awards from funds authorized under Health Care and Education Affordability Reconciliation of Act of 2010 must comply with all requirements specified in: (a) The amount of unobligated award balances; (b) A detailed list of all projects or activities for which Health Care Reform Act funds under this award were obligated and expended, including: (1) the name of the project or activity; (2) a description of the project or activity; (3) an evaluation of the completion status of the project or activity; (4) for infrastructure investments made by State and local governments, the purpose, total cost, and rationale of the agency for funding the infrastructure investment with funds made available under this Act, and the name of the person to contact at the agency if there are concerns with the infrastructure investment; (c) Detailed information on any sub-awards (sub-contracts or sub-grants) made by the grant recipient.

(d) Recipients must account for each Health Care Reform Act award and sub-award (sub-grant and sub-contract) separately.

Recipients will draw down Health Care Reform Act funds on an award-specific basis.

Pooling of Health Care Reform Act award funds with other funds for drawdown or other purposes is not permitted.

(e) Recipients must account for each Health Care Reform Act award separately by referencing the assigned CFDA number for each award.

Additional reporting requirements will be detailed in Funding Opportunity Announcements and included in the award notice.

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

No cash reports are required.

Additional reporting requirements will be detailed in Funding Opportunity Announcements and included in the award notice.

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

Additional reporting requirements will be detailed in Funding Opportunity Announcements and included in the award notice.

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

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

Financial records, supporting documents, statistical records, and all other records pertinent to the grant program must be kept readily available for review by personnel authorized to examine PHS grant accounts . Financial records, supporting documentation, statistical records, and all other records pertinent to an award 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 requirements.

Financial Information

Account Identification

75-0943-0-1-550.

Obigations

(Salaries) FY 09 $0; FY 10 est $34,000,000; FY 11 est $0

Range and Average of Financial Assistance

No Data Availaible.

Regulations, Guidelines, and Literature

MEMORANDUM FOR THE HEADS OF DEPARTMENTS AND AGENCIES: Updated Implementing Guidance for the American Recovery and Reinvestment Act of 2009
Code of Federal Regulations 45 CFR Part 92

Information Contacts

Regional or Local Office

None.

Headquarters Office

Mike Waller, 4770 Buford Hwy, NE, Mailstop K45, Atlanta, Georgia 30341 Email: MNW1@cdc.gov Phone: (770) 488-5264.

Criteria for Selecting Proposals

Funding would be specifically directed to state and local health departments for Evidenced-Based Clinical and Community-Based Prevention and Wellness activities. CDC will require state applicants to specifically address in their applications state plans for sustaining the impact of Health Care Reform Act investments beyond the federal funding provided in the next two years. Specifically, states will need to demonstrate a continued plan for progress toward meeting HHS Action Plan prevention targets as demonstrated through reporting metrics outlined in the Plan. Other criteria will be listed in individual funding opportunity announcements.



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