Racial and Ethnic Approaches to Community Health

The purpose of this program is to fund National Networks to fund, manage, support, and monitor sub-recipients to address health disparities and implement evidence- and practice-based strategies that reduce health disparities for intervention population(s) experiencing high burden of disease or risk factors.

intervention population is the population within the selected geographic area that applicants will reach with proposed program activities.

They are to contribute to the development and implementation of a community health action plan to address chronic disease health disparities.
Examples of Funded Projects

Fiscal Year 2012: DP12-1209PPHF12 - $21,953,412.

Fiscal Year 2013: This initiative builds on the body of knowledge funded through previous Racial and Ethnic Approaches to Community Health programs, including REACH US, REACH 2010, REACH CEED, and the REACH National Organization FOAs.

1.8 million.

Fiscal Year 2014: No Current Data Available

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.
Website Address


Program Accomplishments

Fiscal Year 2012: In fiscal year 2012, the Centers for Disease Control and Prevention (CDC) initiated the REACH: Racial and Ethnic Approaches to Community Health Program - aka National Networks. This program provides funding and technical assistance to six organizations across the United States to put into action sustainable strategies to reduce or eliminate chronic disease disparities in racial and ethnic groups and to build practice-based evidence around effective strategies. They launched 82 communities to focus on 1) Increased Use of High-Impact Quality Clinical Preventive Services to control hypertension and cholesterol, 2) Tobacco-Free Living, and 3) Active Living and Healthy Eating. Fiscal Year 2013: No Current Data Available Fiscal Year 2014: No Current Data Available

Uses and Use Restrictions

Project funds may be used for costs associated with planning, organizing, conducting, implementing, managing, and coordinating all recipient requirements of the FOA.

Applicants must adhere to all CDC guidelines regarding allowable and unallowable expenses and activities.

CDC will have substantial involvement with the award recipient during performance of the funded activity.

• Recipients may not use funds for research.

• Recipients may not use funds for clinical care.

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

• 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 direct and primary recipient in a cooperative agreement program 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.

• Reimbursement of pre-award costs is not allowed.

• If requesting indirect costs in the budget, a copy of the indirect cost rate agreement is required.

If the indirect cost rate is a provisional rate, the agreement should be less than 12 months of age.

The indirect cost rate agreement should be uploaded as a PDF file with "Other Attachment Forms" when submitting via Grants.gov.

• The recommended guidance for completing a detailed justified budget can be found on the CDC Web site, at the following Internet address: http://www.cdc.gov/od/pgo/funding/budgetguide.htm.

FY 2012 Appropriations Provision: HHS recipients must comply with all terms and conditions outlined in their grant award, including grant policy terms and conditions contained in applicable Department of Health and Human Services (HHS) Grant Policy Statements, and requirements imposed by program statutes and regulations and HHS grant administration regulations, as applicable, as well as any requirements or limitations in any applicable appropriations acts.

• Recipients may not use funds for abortions in accordance with Executive Order 13535.
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Are there restrictions upon the use of the assistance? If you select yes you must describe the restrictions


o Applicants must adhere to all CDC guidelines regarding allowable and unallowable expenses and activities.

o In accordance with U. S. law, no Federal funds provided by CDC are permitted to be used by community grantees for lobbying or to influence, directly or indirectly, specific pieces of pending or proposed legislation at the federal, state, or local levels.

The awardee should work with project officer to ensure activities adhere to federal guidelines, and federal dollars are not used to engage in unauthorized activities.

Throughout all objectives and activities, the awardee should clarify that the work plan language clearly describes the role, nature, and purpose of the funded activities.

This includes providing clear language focusing on the message (e.g., addressing the health risks/effects, using evidence based strategies for increasing protections) when conducting public educational initiatives.

In addition, language should be included for proper engagement of elected officials as documented in the federal guidelines.

Additionally, awardees should consult appropriate legal counsel to ensure compliance with all rules, regulations, and restriction of any funding sources.
o Title 2 of the United States Code Section 1611 states that an organization described in Section 501(C )(4) of the Internal Revenue Code that engages in lobbying activities is no eligible to receive Federal funds constituting a grant, loan, or award.
o The awardee should refer to the AR-12 and CDC Guidance documents on Anti-Lobbying restrictions for more information on allowable and restricted activities.
o http://www.cdc.gov/od/pgo/funding/grants/additional_req.shtm#ar12
o http://www.cdc.gov/obesity/downloads/Anti-Lobbying-Restrictions-for-CDC-Grantees-July2012-508.pdf.

Eligibility Requirements

Applicant Eligibility

In continuation years, eligibility is limited to the six (6) existing original awardees:
o Asian and Pacific Islander American Health Forum
o Hidalgo Medical Services
o National Council of Young Men s Christian Association of the USA
o National REACH Coalition
o Regents of the University of California, Los Angeles
o University of Colorado Denver.

Beneficiary Eligibility

The general public will benefit from the objectives of this program.


Applicants should document the need for assistance, state the objectives of the project, outline the method of operation, describe the evaluation procedures, and provide a budget with justification of funds. OMB Circular No. A-87 applies to this program. 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.


Application Procedures

This program is excluded from coverage under OMB Circular No. A-102. OMB Circular No. A-110 applies to this program.

Award Procedures

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 and e-mailed to the program director. A hard copy of the NoA will be mailed to the recipient fiscal officer identified in the application. Any application awarded in response to this FOA will be subject to the DUNS, CCR Registration and Transparency Act requirements. Unsuccessful applicants will receive notification of the results of the application review by mail.


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


Sections 301(a) and 317(k)(2) of the Public Health Service Act (as amended) [42 U.S.C. Sections 241(a) and 247b(k)(2).

Range of Approval/Disapproval Time

From 90 to 120 days.


Not Applicable.


From 120 to 180 days. Project period is 5 years with 12-month budget periods. Applications must be obtained from www.Grants.Gov.

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 periods are for 1 - 5 years with 12-month budget periods. Method of awarding/releasing assistance: lump sum. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements


Each funded applicant must provide CDC with an annual Interim Progress Report submitted via www.grants.gov:

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

The Interim Progress Report will serve as the non-competing continuation application, and must contain the following elements:

Standard Form ("SF") 424S Form.

SF-424A Budget Information-Non-Construction Programs.

Budget Narrative.

Indirect Cost Rate Agreement.

Project Narrative.

Additionally, funded applicants must provide CDC with an original, plus two hard copies of the following reports:

Annual progress report, due 90 days after the end of the budget period.

Information needed in an annual report includes:

Progress towards objectives.


Barriers encountered.

Technical Assistance and training requested.

No cash reports are required.


Annual and Final performance and Federal Financial Reports (SF-425)*, no more than 90 days after the end of each budget year and project period.

Unobligated funds should be broken down and reported.

The annual progress report must contain the following elements:

Annual Performance Report

Success Story

These reports must be submitted to the attention of the Grants Management Specialist listed in the Section VII below entitled "Agency Contacts".

Federal Financial Reports are required 90 days after the end of the calendar quarter in which the budget period ends.

Performance Monitoring and Evaluation:

o Describe performance monitoring plans and how the applicant plans to monitor their own performance and that of sub-recipients on a regular basis.

Describe plans to make mid-course corrections as needed.

o Describe the applicant s ability to input performance monitoring information in the CDC performance monitoring system (CD MIS) on a quarterly basis.
o Describe process to collect cost data (total cost and number of people reached for each separate intervention) to calculate and report cost per person reached.

o Describe process to collect reach of implementation activities, including demographic characteristics of people reached within the intervention population(s).

Describe how the implementation activities will be tracked to capture the percentage of the intervention population(s) reached, including processes and measures.
o Indicate whether additional evaluation activities will be proposed or not.

If they are proposed, describe plans for evaluation, including whether process and/or outcome evaluation data will be collected and potential data sources.

If any new data will be collected for the purposes of evaluation, indicate willingness to share with CDC in an electronic format suitable for analysis.


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.


There is a 3-year record retention requirement; records shall be retained beyond the 3-year period if final audit has not been done or findings resolved. Property records must be retained in accordance with PHS Grants Policy Statement requirements.

Financial Information

Account Identification



(Cooperative Agreements) FY 12 $21,953,412; FY 13 est $1,800,000; and FY 14 est $0 - FY12 was Public Prevention Health Funding (PPHF).

Range and Average of Financial Assistance

No Data Available.

Regulations, Guidelines, and Literature

Not Applicable.

Information Contacts

Regional or Local Office

See Regional Agency Offices.

Headquarters Office

Robert Bailey 4770 Buford Hwy, MS F-81, Atlanta, Georgia 30341 Email: apu8@cdc.gov Phone: 770-488-8438

Criteria for Selecting Proposals

Not Applicable.

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