The Affordable Care Act (ACA): Capacity Building Assistance to Strengthen Public Health Infrastructu

This funding was appropriated under the Patient Protection and Affordable Care Act (PPACA) (PL 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

credit: PR Log
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.

territorial health departments by making available to them capacity building assistance (including technical consultation, skills building/training, information, and technology transfer assistance) that will improve: 1) the planning, coordination, and implementation of public health infrastructure investments, and 2) the evaluation (including dissemination of best practices) of public health infrastructure investments.

The overall goal of capacity building assistance is to ensure improvements in the public health infrastructure so that it is prepared for responding to both acute and chronic threats relating to the Nation s health such as emerging infections, disparities in health status, and increases in chronic disease and injury rates.

This supplement for capacity building assistance will be focused on the provision of technical consultation, skills building/training, information, and technology transfer assistance to ensure successful planning, implementation, coordination and evaluation of the key areas for public health infrastructure investments.

This expert assistance will prepare states, tribal, local and territorial health departments to successfully implement PPACA.

Some of the capacity building needs are in the following areas:
• 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 orre engineeringg of infrastructure to improve networking, coordination, standardization, and centralization of public health services to effectively and efficiently address priority health indicators.
• Implementing besthealth caree 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, and
• Improving technical and program guidance and evaluation of preventive services to expand coverage for community and clinical preventive services.

This includes technical consultation and promotion on the adoption and utilization of the recommendations from the Guide for Community Preventive Services.

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.


Relevant Nonprofit Program Categories




Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Project funds may be used for costs associated with providing capacity building assistance to strengthen State, Tribal, Local, and Territorial public health infrastructure investments.

Recipients may only expend funds for reasonable program purposes, including personnel, travel, supplies (including training materials), and services, such as contractual.
Applicants will be required to participate, comply, and cooperate with CDC for any reporting requirements stipulated by, or mandated for, the receipt of PPACA funding.

PPACA funding is intended to be used only in support of PPACA programs and projects.

Eligibility Requirements

Applicant Eligibility

Eligible applicants are limited to national, non-profit, public health professional organizations funded through the competitive funding opportunity announcement HM08-805.

These organizations include: the Association of State and Territorial Health Officials (ASTHO), the National Association of County and City Health Officials (NACCHO), the American Public Health Association (APHA), the Council of State and Territorial Epidemiologists (CSTE), the Public Health Foundation (PHF), the Public Health Accreditation Board (PHAB), The National Network of Public Health Institutes (NNPHI), the Task Force for Global Health/Public Health Informatics Institute (TFGH/PHII), the National Association of Local Boards of Health (NALBOH), the Public Health Data Standards Consortium (PHDSC), and the Association of Maternal and Child Health Programs (AMCHP).

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

No Credentials or documentation are required. This program is excluded from coverage under OMB Circular No. A-87.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

This program is excluded from coverage under OMB Circular No. A-102. This program is excluded from coverage under OMB Circular No. A-110. Allowable costs will be determined in accordance with OMB Circular No. A-87 for non-profit non-governmental organizations.

Pre-application coordination is not 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.

Applicants must download supplemental application forms from www.Grants.gov. Supplemental 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

Supplemental 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

This program is authorized under sections 301 and 317 of the Public Health Service Act (PHS Act), 42 U.S.C. 241 and 247b as amended, and the Patient Protection and Affordable Care Act (Public Law 111-148), Title IV, Section 4002 (Prevention and Public Health Fund). , Title IV, Section 4002.

Range of Approval/Disapproval Time

From 60 to 90 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.
Matching requirements are not applicable to this program.
MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

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

Post Assistance Requirements

Reports

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.

The annual progress report i s due noless than 90 days after the end of the budget year (05/31).

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).

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.

The annual progress report is due no less than 90 days after the end of the budget year (05/31).

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.

Applicants selected for these competitive supplemental awards will be monitored by project officers to ensure accomplishment of approved objectives and activities (including development and dissemination of deliverables, and number of training and technical assistance episodes delivered), and for capacity building outcomes such as adoption of best practices by state, tribal, local and territiorial health departments and increases in the implementation and evaluation of public health infrastructure investments.

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

00-0000-0-0-000 - To Be Assigned.

Obigations

(Cooperative Agreements) FY 09 $0; FY 10 est $4,000,000; FY 11 est $5,000,000 - This is a new program and the following is expected in cooperative agreement funding: $0.00 is expected for FY 2009, approximately $4,000.000.00 for FY2010, and approximately $5,000,000.00 for FY 2011.

Range and Average of Financial Assistance

The range is between $.5M and $4M, and the average would be $660,000.00.

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

None.

Headquarters Office

Samuel Taveras 1600 Clifton Road, MS-E70, Altanta, Georgia 30333 Email: syt2@cdc.gov Phone: (404) 498-1126 Fax: (404) 498-1112.

Criteria for Selecting Proposals

• Applications will be evaluated based on: (1) demonstrated track record of providing technical consultation, skills building/training, information, or technology transfer assistance to state, tribal, local and territorial health departments, (2) understanding of the capacity building infrastructure development needs of state, tribal, local, and territorial health departments, (3) a clear plan of action with objectives achievable in one year and subsequent years, and (4) a clear assessment strategy (plan) to measure the effectiveness of capacity building assistance in improving the planning, implementation, coordination, evaluation (including dissemination of best practices) of public health infrastructure investments. Other criteria will be listed in the individual funding opportunity announcement.



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