Affordable Care Act (ACA) Childhood Obesity Research Demonstration

The overall objective is to determine whether an integrated model of primary care and public health approaches in the community, such as policy, systems, and environmental supports for nutrition and physical activity, can improve underserved children?s risk factors for obesity.

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 can be used to develop, implement, and evaluate multi-sectoral (i.e., childcare, school, community, health care), multi-level (i.e., child, family, organization, community, policy) intervention demonstration projects for underserved children ages 2-12 years and their families, utilizing the Obesity Chronic Care Model and other similar models, as described in subsection 1139A(e) of the Social Security Act and section 301(a) and 317(k) of the ACA above.

Recipients may only expend funds to implement and evaluate evidence-based policies, systems and environmental interventions, including personnel, travel, supplies, and services, such as contractual to reduce risk factors and prevent childhood obesity.

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.

Eligibility Requirements

Applicant Eligibility

Initial applicants are identified above.

FY14 is the final year of the 5 year agreement, as such only grantees already awarded under FOA DP11-1107 are currently eligible.

Beneficiary Eligibility

The general public will benefit from the objectives of this program, with a specific focus on low income children eligible for services under titles XIX and XXI of the Social Security Act; children and their families living at least 150% or higher federal poverty level; or catchment areas where 50% of students are in schools eligible for the National School Lunch Program.


No Credentials or documentation are required. 2 CFR 200, Subpart E - Cost Principles 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 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

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. This program is covered under OMB Circular No. A-102. This program is covered under OMB Circular No. A-110. Information on the submission of applications may be obtained from the Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention. Telephone: (770) 488-2700. The standard application forms must be used for this program as furnished by the Public Health Service and requirement by OMB Circular No. A-110 for nongovernmental applicants.

Award Procedures

Initially a scientific merit review was conducted, followed by pre-decisional site visits, and a secondary review, to evaluate the scientific merit, responsiveness, readiness, and feasibility of applications according to the evaluation criteria listed in funding opportunity announcement. Successful applicants have received a Notice of Award (NOA) from the CDC Office of Financial Resources (OFR, Office of Grants Services (OGS). 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.


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


This program is authorized under section 401(a) of the Children?s Health Insurance Program Reauthorization Act of 2009 (CHIPRA, Public Law 111-3), added new section 1139A, to the Social Security Act (the Act). Subsection 1139A(e) of the Social Security Act requires the Secretary of Health and Human Services (HHS) to conduct a Childhood Obesity Demonstration Project ( In 2010, the Patient Protection and Affordability Act (ACA) appropriated funding for the Project in section 4306.section 301(a) and 317(k).

Range of Approval/Disapproval Time

From 90 to 120 days. Currently, only non competitive continuation applications are accepted for Year 2.


Not Applicable.


> 180 Days. Renewals will be based upon the availability of funding and satisfactory programmatic progress.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula. This program has no matching requirements. This program has no matching requirement. MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

The Project Periods is for a 28 month period, a 12 month and 18 month period. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements


An interim progress report, financial status reports, and a final report are required.

The final financial status and final report are due within 90 days after the end of each budget period and at the end of the Project Period.

Cash reports are not applicable.

An interim progress report, financial status reports, and a final report are required.

The final financial status and final progress report are due within 90 days after the end of each budget period.

Annual Financial Status Reports are required 90 days after the end of each budget period.

An interim progress report, financial status reports, and a final report are required.

The final financial status and final report are due within 90 days after the end of a Project Period.


In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.


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



(Cooperative Agreements) FY 16 $3,192,469; FY 17 est $3,899,652; and FY 18 est $0 - The total estimated amount for the 28 month period is $8.5 Million.

Range and Average of Financial Assistance

Awards range was $1,750,000 for the initial 12 month period and $2,500,000 for the 16 month period - 2 awards total.

Regulations, Guidelines, and Literature

Code of Federal Regulations 45 CFR Part 92.

Information Contacts

Regional or Local Office


Headquarters Office

Brenda Colley Gilbert, 1600 Clifton Rd, Atlanta, Georgia 30333 Email: Phone: (770) 488-8390.

Criteria for Selecting Proposals

Not Applicable.

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