Heart Disease & Stroke Prevention Program and Diabetes Prevention ? State and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke

The purpose of this program is to support implementation of population-wide and priority population approaches to prevent obesity, diabetes, and heart disease and stroke and reduce health disparities in these areas among adults.

Related Programs93.283 Centers for Disease Control and Prevention_Investigations and Technical Assistance; 93.945 Assistance Programs for Chronic Disease Prevention and Control; 93.988 Cooperative Agreements for State-Based Diabetes Control Programs and Evaluation of Surveillance Systems

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.

Website Address


Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Continue to build on public health activities such as partnership engagement, workforce development, guidance and support for programmatic efforts, strategic communication, surveillance and epidemiology, and evaluation.

Continue to extend the activities supported with basic funding under DP13-1305 under enhanced component to achieve even greater reach and impact through implementation of evidence-based strategies that are more extensive and wider-reaching than those implemented in the basic component.

Supplemental funding may be provided that is specific to a chronic disease such as diabetes and/or heart disease and/or risk factor(s).

Funds may be used for costs associated with planning, implementing, and evaluating chronic disease prevention and control programs.

Applicants must adhere to all CDC Guidelines Regarding allowable and unallowable expenses.

There are regular Budget Authority dollars available in addition to PPHF dollars to fund this FOA.

Eligibility Requirements

Applicant Eligibility

Eligible Applicants: State Departments of Health or their Bona Fide Agents (includes the District of Columbia) 2.

Large city health departments or their bona fide agents, with populations of at least 900,000 (using July 2012 U.S.

census Estimates xviii) 3.Special Eligibility Requirements: Large city applicants must work in partnership with and provide a letter of support from the state department of health or its bona fide agent documenting activities proposed.

Beneficiary Eligibility

States and communities will benefit from this assistance in many ways including through improved clinical and other preventive services for self-management of hypertension, diabetes, overweight and obesity.


Applicants should document the need for assistance, State the objectives of the project, outline the method of operation, describe evaluation procedures, and provide a budget with justification for funds requested. Costs will be determined in accordance with 2 CFR Part 225, 45 CFR Part 92, OMB Circular No. A-102, and OMB Circular A-133. 2 CFR 200, Subpart E - Cost Principles 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

This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Submit Annual Progress Reports through www.Grants.gov. If you encounter any difficulties submitting your interim progress report through www.Grants.gov, please contact CDC?s Technical Information Management Section at (770) 488-2700 prior to the submission deadline. If further information is needed regarding the application process, please contact the CDC Procurement and Grants Office at (770) 488-2710 located at 2920 Brandywine Road, Atlanta, GA 30341

Award Procedures

After review and approval, a notice of award is prepared and processed, along with appropriate notification to the public, initial award provides funds for first budget period (usually 12 months) and Notice of Award indicates support recommended for the remainder of project period, allocation of Federal funds by budget categories, and special conditions, if any. However, applicants are encouraged to call CDC for programmatic technical assistance prior to the development and submission of their assistance application.


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


This program is authorized under section 301(a) and 317(k) of the Public Health Service Act, 42 U.S.C. section 241 and 247b(k)(2), and Title IV Section 4002 of the Affordable Care Act, Prevention and Public Health Fund. And, additional authorities apply to certain diabetes-related activities concerning behavioral interventions, Sections 399V-3 and 1703(a) of the Public health Service Act, 42 U.S.C 280g-14 and 300u-2.

Range of Approval/Disapproval Time

From 90 to 120 days.


Not Applicable.


From 120 to 180 days. Renewals will be based upon the availability of funding and satisfactory programmatic progress. Project period is for 4 years with 12 month budget periods.

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

12-month budget period within a 5-year project period. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements


Semi-annual reports from each entity awarded a grant, cooperative agreement, or contract, summarizing the activities undertaken and identifying any sub-grants or sub-contracts awarded (including the purpose of the award and the identity of the recipient), to be posted not later than 30 days after the end of each 6-month period.

Congress directed HHS to provide information on activities and programs supported with resources from the Prevention and Public Health Fund (PPHF) to a public website http://www.hhs.gov/open/recordsandreports/prevention/index.html.

No cash reports are required.

Reporting provides continuous program monitoring and identifies successes and challenges that awardees encounter throughout the project period.

Also, reporting is a requirement for awardees who want to apply for yearly continuation of funding.

Awardees must submit an Annual Performance Report via www.grants.gov 120 days before the end of each budget period.

The report must not exceed 45 pages excluding administrative reporting; attachments are not allowed, but Web links are allowed.

This report must include the following: performance measures, evaluation results, work plan, successes, challenges, CDC program support needs, and administrative reporting.

The annual FFR form (SF-425) is required and must be submitted through eRA Commons within 90 days after each budget period ends.

The report must include only those funds authorized and disbursed during the timeframe covered by the report.

The final report must indicate the exact balance of unobligated funds, and may not reflect any unliquidated obligations.

The final FFR expenditure data and the Payment Management System?s (PMS) cash transaction data must correspond; no discrepancies between the data sets are permitted.

Failure to submit the required information by the due date may affect adversely the future funding of the project.

If the information cannot be provided by the due date, awardees are required to submit a letter of explanation and include the date by which the information will be provided.

Awardees should have already provided (unless supplemental funding is awarded in other years that would require this as new)a more detailed evaluation and performance measurement plan within the first six months of this project.

This more detailed plan must be developed by awardees as part of first-year project activities, with support from CDC, must build on the elements stated in the initial plan, and must be no more than 25 pages.

Awardees are required to submit performance measures annually as a minimum, and may require reporting more frequently.

Performance measure reporting is limited to data collection.

When funding was awarded initially, CDC program specified required reporting frequency, data fields, and format.


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 project must be kept readily available for review by personnel authorized to examine PHS grant accounts. Records must be maintained for a minimum of 3 years after the end of a budget period. If questions still remain, such as those raised as a result of an audit, records must be retained until completion or resolution of any audit in process or pending resolution. Property records must be retained in accordance with PHS Grants Policy Statement requirements.

Financial Information

Account Identification



(Cooperative Agreements) FY 16 $69,500,000; FY 17 est $69,500,000; and FY 18 est $0

Range and Average of Financial Assistance

Actual amounts: FY2014: $69,530,534; Anticipated amounts - FY2015: $69,500,000, FY 2016 $69,500,000. The awards may range from $1,300,000 to $1,760,000 for component 1 and $1,300.000 to $1,760,000 for component 2, and $2,600,000 to $3,520,000 per applicant.

Regulations, Guidelines, and Literature

92 CFR Part 225 and 45 CFR Part 92 Cost Principles for Grants and Cooperative Agreements with State and Local Governments (OMB Circular A?102) and Audits of State, Local Governments and Non-Profit Organizations (OMB Circular No. A-133) and Congress directed HHS guidance/requirements regarding terms and conditions and reporting requirements for recipients of programs supported with resources from the Prevention and Public Health Fund

Information Contacts

Regional or Local Office


Headquarters Office

Robert Hancock 4770 Buford Highway, MS F75, Atlanta, Georgia 30341 Email: rnh2@cdc.gov Phone: 7704881431

Criteria for Selecting Proposals

Continuation applications will undergo a technical review prior to award. A summary statement will be provided which may or may not require a grantee response. For any supplemental funding all applications will be reviewed initially for completeness by CDC PGO staff and will be reviewed jointly for eligibility by the CDC NCCDPHP and PGO. Incomplete applications and applications that do not meet the eligibility criteria will not advance to Phase II review. Applicants will be notified that their applications did not meet eligibility or published submission requirements. A review panel will evaluate complete, eligible applications in accordance with the ?Criteria? section of the FOA. There may or may not be an additional review which will be provided in the FOA. Not more than thirty days after the Phase II review is completed, applicants will be notified electronically if their application does not meet eligibility or published submission requirements.

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