To work with State health agencies and other public and private nonprofit organizations in planning, developing, integrating, coordinating, or evaluating programs to prevent and control chronic diseases; assist in monitoring the major behavioral risks associated with the 10 leading causes of premature

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death and disability in the United States including cardiovascular diseases; and, establish new chronic disease prevention programs like Racial and Ethnic Approaches to Community Health (REACH), State Nutrition, Physical Activity and Obesity Programs (NPAO)

DP08-819/DP13-1317: Purpose - The purpose of the program is to 1) support community use of traditional foods and sustainable ecological approaches for diabetes prevention and health promotion in American Indian and Alaska Native communities; and 2) engage communities in identifying and sharing the stories of healthy traditional ways of eating, being active, and communicating health information and support for diabetes prevention and wellness.

CDC-RFA-DP13-1305, State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health, supports statewide implementation of cross-cutting approaches to promote health and prevent and control chronic diseases and their risk factors.

Four chronic disease prevention programs (Diabetes; Heart Disease and Stroke Prevention; Nutrition, Physical Activity, and Obesity; and School Health) are included in this FOA.

State Health Departments are funded under this FOA to address the following goals:
Short/Intermediate Term Goals:
? Improve state, community, worksite, school, and early childhood environments to promote and reinforce healthful behaviors across the lifespan related to diabetes, cardiovascular health, physical activity, healthful foods and beverages, obesity, and breastfeeding;
? Improve effective delivery and use of quality clinical and other preventive services aimed at preventing and managing diabetes and hypertension; and
? Increase community-clinical linkages to support prevention, self-management, and control of diabetes, hypertension, and obesity.


Long Term Goals:
? Improved prevention and control of hypertension
? Improved prevention and control of diabetes
? Improved prevention and control of overweight and obesity

The FOA has two components: 1) A basic non-competitive component to support health promotion, epidemiology, and surveillance activities and targeted strategies that will result in measurable impacts to address school health, nutrition and physical activity risk factors, obesity, diabetes, and heart disease and stroke prevention in all 50 states and the District of Columbia These efforts will be supported by core public health activities such as partnership engagement, workforce development, guidance and support for programmatic efforts, strategic communication, surveillance and epidemiology, and evaluation; and 2) A competitive enhanced component to build on and extend the activities supported with basic funding to achieve even greater reach and impact.

Thirty-two states were funded under the enhanced Component to implement evidence and practice-based interventions to improve physical activity and nutrition, reduce obesity, and prevent and control diabetes, heart disease, and stroke with a focus on high blood pressure.

The enhanced component includes implementation of evidence-based strategies that are more extensive and wider-reaching than those implemented in the basic component.

States funded for this enhanced component must implement interventions at scale in order to reach large segments of the population in the state (e.g., through school districts, early care and education (ECEs), worksites, and state and local governmental agencies) and in partnership with organizations that may or may not have worked with state departments of health in the past (e.g., large employers, public housing, the education sector, health insurers, and large health systems).

Selected Recipients for this Program

Not Applicable.

Uses and Use Restrictions

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

Cooperative agreement funds may not be used for direct curative or rehabilitative services.

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Eligibility Requirements

Applicant Eligibility

Eligible applicants are the official State and territorial health agencies of the United States, the District of Columbia, tribal organizations, the Commonwealth of Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, the Republic of Palau, and American Samoa.

Other public and private nonprofit community based organizations are also eligible (see REACH).

Beneficiary Eligibility

State health agencies and community based organizations will benefit.

Credentials/Documentation

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 OMB Circular No. A-21 for Educational Institutions, and OMB Circular No. A-122 for nonprofit organizations. 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. 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, 2920 Brandywine Road, Room 3000, Atlanta, GA 30341. This program is subject to the provisions of 45 CFR 92 and 74. The standard application forms, as furnished by PHS and required by 45 CFR 92 for State and local governments, must be used for these programs.

Award Procedures

After review and approval, 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

Public Health Service Act,, Title 42, Section 301(a) and 317.

Range of Approval/Disapproval Time

From 90 to 120 days. From three to four months.

Appeals

Not Applicable.

Renewals

After review and approval, a notice of award is prepared and processed, along with appropriate notification to the public.

Assistance Considerations

Formula and Matching Requirements

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

Length and Time Phasing of Assistance

Project Period: From 3 three to 5 five years. Budget period: Usually 12 months. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements

Reports

Progress reports are required on a semi-annual basis.

An annual Financial Status Report (FSR) is required.

Financial status reports are required no later than 90 days after the end of each specified funding period.

Final financial status and progress reports are required 90 days after the end of a project.

Cash reports are not applicable.

Progress reports are required on a semi-annual basis.

An annual Financial Status Report (FSR) is required.

Financial status reports are required no later than 90 days after the end of each specified funding period.

Final financial status and progress reports are required 90 days after the end of a project.

Progress reports are required on a semi-annual basis.

Audits

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. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.

Records

Financial records, supporting documents, statistical records, and all other records pertinent to the cooperative agreement 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 in accordance with PHS Grants Policy Statement requirements.

Financial Information

Account Identification

75-0958-0-1-550.

Obigations

(Cooperative Agreements) FY 16 $20,733,249; FY 17 est $43,831,855; and FY 18 est $0 - This support non-PPHF funding for DP13-1305.

Range and Average of Financial Assistance

No Data Available.

Regulations, Guidelines, and Literature

There are program regulations under 42 CFR 51b, Project Grants for Preventive Health Services. Guidelines are also available from PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994, applies to grants and cooperative agreements.

Information Contacts

Regional or Local Office

See Regional Agency Offices. See Appendix IV.

Headquarters Office

Nicholas Farrell 1600 Clifton Rd, Atlanta, Georgia 30333 Phone: (770) 488-5269.

Criteria for Selecting Proposals

Based on the evaluation criteria as published in the program and/or Federal Register Announcement.