The Affordable Care Act: Building Epidemiology, Laboratory, and Health Information Systems Capacity

Funding was appropriated under regular CDC appropriations, HHS/CDC H1N1 appropriations, and the Patient Protection and Affordable Care Act (the Affordable Care Act) (Public Law 111-148).

The Prevention and Public Health Fund (Title IV, Section 4002) was established under PPACA to provide for expanded

credit: Run Luau Run
and sustained national investment in prevention and public health programs to improve health and help restrain the rate of growth in private and public sector health care costs.

The Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) and Emerging Infections Program (EIP) cooperative agreements were formed in 1995 as key components of CDC s national strategy to address and reduce emerging infectious disease (EID) threats.

The programs play a critical role in strengthening national infectious disease infrastructure by serving as collaborative platforms for state and local health departments, CDC programs, and academic and various other public health partners to improve the ability to detect and respond to EIDs and other public health threats.

Specifically, the programs build epidemiology, laboratory, and information systems capacity, integrate epidemiology and laboratory practice, implement active surveillance, and conduct targeted research aimed at improving methods and informing national surveillance and response activities.

Overall, additional funds from multiple sources including PPACA will allow ELC and EIP partner agencies to substantially address gaps in EID epidemiology and laboratory capacity (e.g.

number and training level of epi and lab staff, efficient/functional information systems, etc).

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

Fiscal Year 2009: No Current Data Available Fiscal Year 2010: It is anticipated in FY2010 that up to 68 applications (58 ELC + 10 EIP) will be received.
ELC: Up to 58 will be awarded.
EIP: Up to 10 will be awarded. Fiscal Year 2011: No Current Data Available

Uses and Use Restrictions

Project funds may be used for costs associated with planning, organizing, and the implementation of other program elements to build public health epidemiology, laboratory, and health information systems capacity.

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

Funds may not be used for clinical care.

Eligibility Requirements

Applicant Eligibility

Eligible applicants include the current ELC and EIP grantees which consists of all 50 states, Washington, D.C., 5 largest local health departments (Chicago, Illinois; Houston Texas; Los Angeles, California; New York City, New York; Philadelphia, Pennsylvania;), Puerto Rico, and the Republic of Palau or their bona fide agents.

Beneficiary Eligibility

State health departments, large local health departments, the District of Columbia, U.S. Territories, and the general public.


Credentials and or documentation are required. OMB Circular No. A-87 applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is 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. This program is excluded from coverage under OMB Circular No. A-110. Applicants must download application forms from Applications must be submitted electronically at
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:

Award Procedures

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 an objective review process (ELC) or a peer review process (EIP), 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.


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


Public Health Service Act (PHS Act), Section 301 and 317, 42 U.S.C 241 and 247b; Patient Protection and Affordable Care Act (Public Law 111-148), Title IV, Section 4002.

Range of Approval/Disapproval Time

From 90 to 120 days. About 120 days from receipt of application.


Not Applicable.


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.
This program has no matching requirements.
This program does not have MOE requirements.

Length and Time Phasing of Assistance

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

Post Assistance Requirements


Program reports are not applicable.

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.

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.

All reports must be submitted to the Grants Management Specialist indicated in the NoA.


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.


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



(Cooperative Agreements) FY 09 $0; FY 10 est $21,250,000; FY 11 est $45,450,000 - FY2010: Approximately $21,250,000 in cooperative agreement funding will be made available. This consists of approximately $19,200,000 Affordable Care Act funding and approximately $2,050,000 other funding.
FY2011: Approximately $45,450,000 in cooperative agreement funding will be made available. This consists of approximately $44,000,000 Affordable Care Act funding and approximately $1,450,000 other funding.

Range and Average of Financial Assistance

ELC: Awards in FY2010 will range from approximately $50,000 to $300,000 with an average of approximately $184,000.
EIP: Awards in FY2010 will range from approximately $200,000 to $600,000 with an average of approximately $455,000.

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

Information Contacts

Regional or Local Office


Headquarters Office

Greg J. Jones, Acting Branch Chief, Scientific and Program Services Branch, Division of Preparedness and Emerging Infections (proposed), National Center for Emerging and Zoonotic Diseases (proposed),
Centers for Disease Control and Prevention, Department of Health and Human Services, 1600 Clifton Road, NE
Mailstop C10, Atlanta, Georgia 30333 Email: Phone: (404) 639-4180 Fax: (404) 639-3106.

Criteria for Selecting Proposals

Applications will be evaluated based on: (1) clearly provide a plan that includes quantitative process and outcome measures (2) provide adequate and clear information to enable the reviewer to gain a reasonable understanding of the applicant s recent and current efforts to address the issues and (3) provide a realistic plan with activities that can be achieved in year one and subsequent years. Other criteria will be listed in the individual funding opportunity announcement.

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