The Patient Protection and Affordable Care Act of 2010 (ACA)

The overall goals of this program are to reduce death and disability from leading causes of death through the prevention and control of these conditions and their risk factors.

Racial and ethnic groups targeted include: African American/Black, American Indian/Alaska Native, Asian, Native Hawaiian/Other
Pacific Islander, and Hispanic/Latino.

Health priority areas include: breast and cervical cancer; cardiovascular disease; diabetes mellitus; adult/older adult immunization, hepatitis B, and/or tuberculosis; asthma; and infant mortality.

REACH and Community Health program recipients will design, implement, evaluate, and disseminate community-driven strategies to eliminate health disparities as well as provide capacity-building to increase effectiveness of chronic disease prevention and health promotion programs at the state, territorial and local level through professional development and workforce training, identification, communication and use of effective evidence-based interventions.

More specific goals within these broad goal areas will be provided in funding announcements.


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

Not Applicable.

Uses and Use Restrictions

Funds may be used to support intensive approaches to chronic disease prevention and control described in Section "0.50" above.

• Recipients may only expend funds for reasonable policies, systems and environmental program purposes, including personnel, travel, supplies, and services, such as contractual to reduce risk factors, prevent and delay chronic disease.
• Recipients may not use funds for research.
• 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.
• Recipients may not use funds for construction.



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, small, minority, women-owned businesses, universities, colleges, research institutions, hospitals, community-based organizations, faith-based organizations, Federally recognized Indian tribal governments, Indian tribes, and Indian tribal organizations.

Additional guidance may be provided in individual program announcements.

Beneficiary Eligibility

The general public will benefit from the objectives of this program. Additionally, colleges, universities, private non-profit and public nonprofit domestic organizations, research institutions, and faith-based organization, states, political subdivisions of states, local health authorities, and individuals or organizations with specialized health interests will benefit.

Credentials/Documentation

Applicants must document the need for assistance, state the objectives of the project, outline the method of operation, describe the evaluation procedures 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 covered under OMB Circular No. A-87. 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 excluded from coverage under E.O.

12372.

Application Procedures

OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program.

Award Procedures

An objective review panel will evaluate complete and responsive 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 301(a) and 317(k)(2) Patient Protection and Affordable Care Act of 2010, Public Health Service Act, 42 U.S. Code 241(a) and 247b (k) 2311, sec 4201.

Range of Approval/Disapproval Time

From 120 to 180 days.

Appeals

Not Applicable.

Renewals

Renewals will be based upon the availability of funding and satisfactory programmatic progress. Project periods is for one year with a 12 month budget period. 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

Statutory formulas are not applicable to this program.
Matching requirements are not applicable to this program.
MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

Project periods is for one year with a 12 month budget period. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements

Reports

Annual or semiannual progress reports are required.

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

Cash reports are not applicable.

Annual or semiannual progress reports are required.

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

Annual or semiannual progress reports are required.

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

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. 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. An organization that expends $500,000 or more in a year in Federal awards shall have a single or program-specific audit conducted for that year in accordance with the provisions of OMB Circular A-133, Audit of States, Local Governments, and Non-Profit Organizations.

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

75-0094-3-1-550.

Obigations

(Cooperative Agreements) FY 10 $0; FY 11 $20,414,742; FY 12 $0 - 07-707 (REACH) - $13,900,000
09-905 - (REACH NMO) $900,000
10-1008 - (Chronic Disease Prevention and Health Program) 2,214,742
10-1014 - (REACH Core) $2,000,000.

Range and Average of Financial Assistance

07-707 (REACH) $175,000 - $505,000;
09-905 $150,000 (REACH NMO)
10-1008 $614,742 - 1,600,000 (Chronic Disease Prevention and Health Program)
10-1014 $250,000. (REACH Core).

Regulations, Guidelines, and Literature

Code of Federal Regulations 45 CFR Part 74.

Information Contacts

Regional or Local Office

None.

Headquarters Office

Sandra L Coulberson 4770 Buford Highway, NE, Mailstop K30
, Atlanta, Georgia 30341 Email: axc1@cdc.gov Phone: 770-488-5332 Fax: 770-488-5974

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 are also eligible for funding opportunities. Additional criteria will be listed in individual funding opportunity announcements.



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