Fiscal Year 2013: In fiscal 2013, the Centers for Disease Control and Prevention (CDC) will enter into the 23rd year of the National Breast and Cervical Cancer early Detection Program (NBCCEDP). This landmark Program brings critical breast and cervical cancer screening services to underserved women, including older women, women with low income, and women of racial and ethnic minority groups. CDC plans to continue support of programs in all 50 states, US territories, the District of Columbia, and Tribes/Tribal Organizations. Fiscal Year 2014: No Current Data Available Fiscal Year 2015: No Current Data Available

Uses and Use Restrictions

Cooperative agreements funds may be used to assure screening of women for breast and cervical cancer as an early detection preventive measure; assure appropriate referrals for follow-up services for women with abnormal screening tests and routine rescreening; develop and disseminate public education and outreach programs for the early detection and control of breast and cervical cancers; improve the education, training and skills of health professionals (including allied health professionals) in the early detection and control of breast and cervical cancers; establish mechanisms through which the States, tribes and territories can monitor the quality of breast and cervical cancer screening procedures in the State, including the interpretation of such procedures; and evaluate program activities through appropriate surveillance and monitoring.

Cooperative agreement funds may not be expended for screening and follow-up services to the extent that payment has been made, or can reasonably be expected to be made, with respect to such items or services: (1) under any State compensation program, under any insurance policy or under any Federal or State health benefits program; or (2) by any entity that provides health services on a prepaid basis.

Cooperative agreement funds shall not be used for treatment or treatment services.

States, tribes and territories are required to make available nonfederal contributions in cash or in-kind toward such cost in an amount equal to not less than $1 for each $3 of Federal funds provided.

Such contributions may be made directly or through donations from public or private entities.

The payment for treatment services or the donation of treatment service may not be used for nonfederal contributions.

States, tribes and territories may include only nonfederal contributions in excess of the average amount of nonfederal contributions made by the State, tribe or territory for the two year period preceding the first fiscal year for which the State, tribe territory is applying to receive a cooperative agreement for a comprehensive breast and cervical cancer early detection program.

In making a determination of the amount of nonfederal contributions for purposes of matching fund requirements, applicants may include any nonfederal amounts expended pursuant to Title XIX of the Social Security Act for the purpose of screening and follow- up for women at-risk for breast and cervical cancers.

Cannot be used for treatment.

People Building Stronger Communities

Health Care Innovations Save Lives of Mothers and Children

Increasing Outdoor Time Leads to Improved Physical Activity Among Youth

Thanks to Medicare, Over 6.6 Million People Saved Over $7 Billion Costs on Prescription Drugs

Community Health Workers Get Promising Opportunities at the Height of Health Reform

Why The Need To Support Workers\' Paid Leave

Angel Investor Ron Conway Targets Homelessness

Committed Solutions to Homelessness Needed Now

Poverty Shrinks Brainpower Required to Devote to Other Areas of Life, New Research Finds

Sandwich Generation Cannot Be Social Entrepreneurs

Eligibility Requirements

Applicant Eligibility

Eligible applicants are the official State health agencies of the United States.

Beneficiary Eligibility

Eligible applicants are the official State health agencies of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, American Samoa, American Indian and Alaska Native tribes and tribal organizations as defined in Section 4 of the Indian Self-Determination and Education Assistance Act.

Credentials/Documentation

Applicants should document the need for assistance; state the objectives of the project, outline the method of operation, describe evaluation procedures, identify and describe nonfederal contributions, and provide a budget with justification for funds requested. 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.

Award Procedures

In the competitive year one and after objective review and approval, a notice of award is prepared and processed, along with appropriate notification to the public. For non-competitive continuation years, after review and approval on the Interim Progress Report (IPR), a notice of award is prepared and processed, along with appropriate notification to the public.

Deadlines

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

Authorization

This program is authorized under section 4002 of the Patient Protection and Affordable Care Act, Public Law 111-148; sections 1501-1510 [42 U.S.C. 300k, 42 U.S.C. 300l, 42 U.S.C. 3001-1, 42 U.S.C. 300m, 42 U.S.C. 300n, 42 U.S.C. 300 n-1, 42 U.S.C. 300 n-2, 42 U.S.C. 300 n-3, 42 U.S.C. 300 n-4, 42 U.S.C. 300 n-5] of the Public Health Service Act, as amended and Title IV Section 4002 Prevention and Public Health Fund.
Breast and Cervical Cancer Mortality Prevention Act of 1990, Section 301(a), Section 317(k)(3), and Section 1501, Public Law 101-354; 42 U.S.C.241a, 42 U.S.C. 247b(k)(3), and 42 U.S.C. 300K; Public Law 103-183.

Range of Approval/Disapproval Time

From 90 to 120 days.

Appeals

Not Applicable.

Renewals

> 180 Days. Information on renewals may be obtained from Annie Harrison Camacho, Grants Management Specialist, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention, Atlanta, GA 30341; Telephone: (770) 488-2098.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
Matching Requirements: Percent: 30.%. 33% - Public Law 101-354 requires States, tribes and territories to make available nonfederal contributions (cash or in-kind) toward such costs in an amount equal to not less than $1 of matching for every $3 of Federal dollars provided in this cooperative agreement. Such contributions may be made directly or through donations from public or private entities. Payment for treatment services or the donation of treatment services may not be used for nonfederal contributions. States, tribes and territories may include only nonfederal contribution in excess of the average amount of nonfederal contributions made by the State, tribe territory for the two year period preceding the first fiscal year for which the State, tribe or territory is applying to receive a cooperative agreement for a comprehensive Breast and cervical cancer early detection program.
This program has MOE requirements, see funding agency for further details. The average amount of non-Federal contributions toward breast and cervical cancer programs and activities for the two year period preceding the first Federal fiscal year of funding for NBCCEDP is referred to as Maintenance of Effort (MOE). Only those non-Federal contributions in excess of the MOE amount may be considered matching funds. Supplanting, or replacing, existing program efforts currently paid with Federal or non-Federal sources is not allowable.

Length and Time Phasing of Assistance

From 1 to 5 years. Budget period is 12 months. Assistance is awarded through the Payment Management System (PMS). Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements

Reports

Interim Progress Report (IPR) is due on or about January 30 of each year and Annual Progress Report is due 90 days after the end of the budget period.

Grantees must address fiscal progress in the IPR & Annual Reports.

Federal Financial reports (FFRs) are due 90 days after the end of the budget period.

As well as Semi-annual PPHF reporting.

Grantees must address fiscal progress in the IPR & Annual Reports.

Federal Financial Reports reports (FFRs) are due 90 days after the end of the budget period.

As well as Semi-annual PPHF reporting.

Grantees must address fiscal progress in the IPR & Annual Reports.

Federal Financial Reports reports (FFRs) are due 90 days after the end of the budget period.

As well as Semi-annual PPHF reporting.

Grantees must address fiscal progress in the IPR & Annual Reports.

Federal Financial Reports reports (FFRs) are due 90 days after the end of the budget period.

As well as Semi-annual PPHF reporting.

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 cooperative agreement program shall be retained for a minimum of three years, or until completion and resolution of any audit in process or pending resolution. In all cases, records must be retained in accordance with PHS Grants Policy Statement requirements.

Financial Information

Account Identification

75-0943-0-1-550.

Obigations

(Cooperative Agreements) FY 13 $0; FY 14 est $104,000,000; and FY 15 est $104,000,000

Range and Average of Financial Assistance

242,796 to $8,693,584 Range of Awards; $2,320,696 Average Award.

Regulations, Guidelines, and Literature

There are no regulations, but guidelines are available. PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, applies to cooperative agreements. Public Law 101-354 (August 10, 1994) places specific requirements on monies from this law which are to be used for funding State-based breast and cervical cancer early detection programs.

Information Contacts

Regional or Local Office

None.

Headquarters Office

Debra Younginer 4770 Buford Hwy, NE
, Atlanta, Georgia 30341 Email: dcmo@cdc.gov Phone: 770-488-1074

Criteria for Selecting Proposals

(1) Extent of disease burden and need; (2) feasibility and appropriateness of operational plan to meet the purpose of the cooperative agreement; (3) the extent of collaboration and community involvement; (4) the extent to which the applicant appears likely to succeed in implementing proposed objectives; (5) the appropriateness of nonfederal contributions; and (6) the extent to which the budget is reasonable, consistent with the intended use of cooperative agreement funds, and includes evidence of the State"s commitment to the program application of financial and/or in-kind contributions from nonfederal sources to activities of the proposed program.