Affordable Care Act (ACA) Childhood Obesity Research Demonstration

The overall goals of this program are to determine whether an integrated model of primary care and public health approaches in the community, such as policy, systems, and environmental supports for nutrition and physical activity, can improve underserved children s risk factors for obesity.

More
specific goals will be provided in funding announcement.


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 - None.

Headquarters Office: Michael E.

Dalmat, Dr.P.H., Extramural Research Program Office, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Department of Health and Human Services, 4770 Buford Highway, NE., Mailstop K-92, Atlanta, Georgia, 30341 Email: med1@cdc.gov , Phone: 770-488-6423, Fax: 770-488-8046.


Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Funds may be used to develop, implement, and evaluate multi-sectoral (i.e., childcare, school, community, health care), multi-level (i.e., child, family, organization, community, policy) intervention demonstration projects for underserved children ages 2-12 years and their families, utilizing the Obesity Chronic Care Model and other similar models, as described in subsection 1139A(e) of the Social Security Act and section 301(a) and 317(k) of the ACA above.

The use of and use restrictions are as follows:
• Recipients may only expend funds to implement and evaluate evidence-based policies, systems and environmental interventions, including personnel, travel, supplies, and services, such as contractual to reduce risk factors and prevent childhood obesity.
• Recipients may not use funds for clinical care.
• Recipients may not generally use 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.

The use of and use restrictions are as follows:
• Recipients may only expend funds to implement and evaluate evidence-based policies, systems and environmental interventions, including personnel, travel, supplies, and services, such as contractual to reduce risk factors and prevent childhood obesity.
• Recipients may not use funds for clinical care.
• Recipients may not generally use 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.



Eligibility Requirements

Applicant Eligibility

Applications may be submitted by State or local governments or their Bona Fide Agents (this includes the District of Columbia, 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).

Eligible applicants also include public and private nonprofit organizations, for profit organizations, universities, colleges, research institutions, hospitals, community-based organizations, faith-based organizations, Federally recognized Indian tribal governments, Indian tribes, and Indian tribal organizations, Federally qualified health centers, health care providers, and an established consortium or partnership of entities.

Additional guidance may be provided in the funding opportunity announcement.

Beneficiary Eligibility

The general public will benefit from the objectives of this program, with a specific focus on low income children eligible for services under titles XIX and XXI of the Social Security Act; children and their families living at least 150% or higher federal poverty level; or catchment areas where 50% of students are in schools eligible for the National School Lunch Program.

Credentials/Documentation

Applicants must document their reach into the eligible pool of children for this FOA, identify a catchment area and specify a rigorous pre -post design that include at least 1500 children: (1) low income children eligible for services under titles XIX and XXI of the Social Security Act; (2) children and their families living at least 150% or higher federal poverty level; or (3) catchment areas where 50% of students are in schools eligible for the National School Lunch Program. Applicants must state the research aims, the scientific knowledge to be obtained, specify the research methods to be used to test intervention strategies, and provide a budget justification for funds requested. Costs for nonprofit recipients will be determined in accordance with HHS Regulations, 45 CFR Part 74, Subpart Q. This program is excluded from coverage under OMB Circular No. A-87. OMB Circular No. A-87 applies to this program.

Aplication and Award Process

Preapplication Coordination

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.

Application Procedures

OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. This program is covered under OMB Circular No. A-102. This program is covered under OMB Circular No. A-110. Information on the submission of applications may be obtained from the Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention. Telephone: (770) 488-2700. The standard application forms must be used for this program as furnished by the Public Health Service and requirement by OMB Circular No. A-110 for nongovernmental applicants.

Award Procedures

A scientific merit review will be conducted, followed by pre-decisional site visits, and a secondary review, to evaluate the scientific merit, responsiveness, readiness, and feasibility of applications according to the evaluation criteria listed in funding opportunity announcement. 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.

Deadlines

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

Authorization

This program is authorized under section 401(a) of the Children s Health Insurance Program Reauthorization Act of 2009 (CHIPRA, Public Law 111-3), added new section 1139A, to the Social Security Act (the Act). Subsection 1139A(e) of the Social Security Act requires the Secretary of Health and Human Services (HHS) to conduct a Childhood Obesity Demonstration Project (http://www.ssa.gov/OP_Home/ssact/title11/1139A.htm). In 2010, the Patient Protection and Affordability Act (ACA) appropriated funding for the Project in section 4306.section 301(a) and 317(k).

Range of Approval/Disapproval Time

> 180 Days. From 200-220 days (approximately 7 months).

Appeals

Not Applicable.

Renewals

> 180 Days. Renewals will be based upon the availability of funding and satisfactory programmatic progress. The Project Periods is 4 years with four 12-month budget periods. Applications must be obtained from Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention. Telephone: (770 488-2700.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
This program has no matching requirements. This program has no matching requirement.
MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

The Project Periods is for 4 years, with four 12-month budget periods. See the following for information on how assistance is awarded/released: The Project Periods is for 4 years, with four 12-month budget periods. Based on availability of funds and performance. Assistance is awarded on an annual basis.

Post Assistance Requirements

Reports

An interim progress report, financial status reports, and a final report are required.

The final financial status and final report are due within 90 days after the end of a Project Period.

Cash reports are not applicable.

An interim progress report, financial status reports, and a final report are required.

The final financial status and final report are due within 90 days after the end of a Project Period.

Annual Financial Status Reprots are requried 90 days after the end of each budget beriod.

An interim progress report, financial status reports, and a final report are required.

The final financial status and final report are due within 90 days after the end of a 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 $0; FY 11 $6,250,000 - FY 2011 est. $5.25 million for Component A (Demonstration Projects) and $1.0 million for Component B (third-part Evaluation Center); FY2012 est. $5.25 million for Component A and $1.0 million for Component B.

Range and Average of Financial Assistance

Expected: Average award of $1.75 million (3 awards) for Component A and $1.0 million for Component B. (1 award).

Regulations, Guidelines, and Literature

Code of Federal Regulations 45 CFR Part 92.

Information Contacts

Regional or Local Office

None. Headquarters Office: Michael E. Dalmat, Dr.P.H., Extramural Research Program Office, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Department of Health and Human Services, 4770 Buford Highway, NE., Mailstop K-92, Atlanta, Georgia, 30341 Email: med1@cdc.gov , Phone: 770-488-6423, Fax: 770-488-8046.

Headquarters Office

Michael Dalmat, 4770 Buford Highway, NE., Mailstop K-92, Atlanta, Georgia 30341 Email: med1@cdc.gov Phone: (770) 488-6423 Fax: (770) 488-8046.

Criteria for Selecting Proposals

: Funding will be directed to tribal, territorial, large county, and state and local health departments for evidenced-based policies, systems, and environmental programmatic activities. Non-governmental organizations may also be eligible for the funding opportunity. Additional criteria will be listed in the funding opportunity announcement.



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