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

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