Assistance Programs for Chronic Disease Prevention and Control

Published on AidPage by IDILOGIC on Jun 24, 2005

Purpose of this program:

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 death and disability in the United States including cardiovascular diseases and arthritis; and, establish new chronic disease prevention programs like Racial and Ethnic Approaches to Community Health (REACH).

Possible 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.

Who is eligible to apply...

Eligible applicants are the official State and territorial 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, the Republic of Palau, and American Samoa. Other public and private nonprofit community based organizations are also eligible (see REACH).

Eligible Applicant Categories:
Eligible Functional Categories:

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-87 for State and local governments, OMB Circular No. A-21 for Educational Institutions, and OMB Circular No. A-122 for nonprofit organizations.

Note:This is a brief description of the credentials or documentation required prior to, or along with, an application for assistance.

About this section:

This section indicates who can apply to the Federal government for assistance and the criteria the potential applicant must satisfy. For example, individuals may be eligible for research grants, and the criteria to be satisfied may be that they have a professional or scientific degree, 3 years of research experience, and be a citizen of the United States. Universities, medical schools, hospitals, or State and local governments may also be eligible. Where State governments are eligible, the type of State agency will be indicated (State welfare agency or State agency on aging) and the criteria that they must satisfy.

Certain federal programs (e.g., the Pell Grant program which provides grants to students) involve intermediate levels of application processing, i.e., applications are transmitted through colleges or universities that are neither the direct applicant nor the ultimate beneficiary. For these programs, the criteria that the intermediaries must satisfy are also indicated, along with intermediaries who are not eligible.

How to apply...

Application Procedure:

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.

Note: Each program will indicate whether applications are to be submitted to the Federal headquarters, regional or local office, or to a State or local government office.

Award Procedure:

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

Note: Grant payments may be made by a letter of credit, advance by Treasury check, or reimbursement by Treasury check. Awards may be made by the headquarters office directly to the applicant, an agency field office, a regional office, or by an authorized county office. The assistance may pass through the initial applicant for further distribution by intermediate level applicants to groups or individuals in the private sector.

Deadlines and process...


Contact CDC Headquarters Office for application deadlines.

Note: When available, this section indicates the deadlines for applications to the funding agency which will be stated in terms of the date(s) or between what dates the application should be received. When not available, applicants should contact the funding agency for deadline information.

Range of Approval/Disapproval Time

From three to four months.

Preapplication Coordination

Preapplication coordination is not required. Applications are subject to the review requirements of the National Health Planning and Resources Development Act of 1974, as amended, by the Health Planning and Resources Development Act of 1979. 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.

Note: This section indicates whether any prior coordination or approval is required with governmental or nongovernmental units prior to the submission of a formal application to the federal funding agency.


Not applicable.

Note: In some cases, there are no provisions for appeal. Where applicable, this section discusses appeal procedures or allowable rework time for resubmission of applications to be processed by the funding agency. Appeal procedures vary with individual programs and are either listed in this section or applicants are referred to appeal procedures documented in the relevant Code of Federal Regulations (CFR).


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

Note: In some instances, renewal procedures may be the same as for the application procedure, e.g., for projects of a non-continuing nature renewals will be treated as new, competing applications; for projects of an ongoing nature, renewals may be given annually.

Who can benefit...

State health agencies and community based organizations will benefit.

About this section:

This section lists the ultimate beneficiaries of a program, the criteria they must satisfy and who specifically is not eligible. The applicant and beneficiary will generally be the same for programs that provide assistance directly from a Federal agency. However, financial assistance that passes through State or local governments will have different applicants and beneficiaries since the assistance is transmitted to private sector beneficiaries who are not obligated to request or apply for the assistance.

What types of assistance...

Project Grants

The funding, for fixed or known periods, of specific projects. Project grants can include fellowships, scholarships, research grants, training grants, traineeships, experimental and demonstration grants, evaluation grants, planning grants, technical assistance grants, survey grants, and construction grants.

How much financial aid...

Range and Average of Financial Assistance

CVH: Core Programs: Capacity Building: $250,000 to $500,000; $300,000. Comprehensive Programs: $262,000 to $360,000; $300,000. Basic Implementation: $980,000 $1,000,000 to $1,500,000 to $1,340,000; $1,250,000. Arthritis Establishment Programs: $40,000 to $80,000; $60,000. Planning Programs: $120,000 to $150,000; $130,000. Planning Programs: $200,000 to $200,000 to $380,000; $320,000. REACH: Phase I $200,000 to $300,000. REACH 2010: Interventions: Average $300,000. Average: $250,000. Phase II $800,000 to $1,000,000. Average: $900,000 $800,000. AI/AN: Average $300,000. Elderly: Average $250,000.

Note: This section lists the representative range (smallest to largest) of the amount of financial assistance available. These figures are based upon funds awarded in the past fiscal year and the current fiscal year to date. Also indicated is an approximate average amount of awards which were made in the past and current fiscal years.


(Grants) Financial Assistance: Cardiovascular (CVH) FY 03 $19,000,000; FY 04 est $24,482,998; FY 05 $24,482,998. Arthritis: FY 03 $6,309,146; FY 04 est $6,153,558; FY 05 est $6,153,558. REACH: FY 03 $37,500,000; FY 04 est $25,400,000; and FY 05 est $25,400,000.

Note: The dollar amounts listed in this section represent obligations for the past fiscal year (PY), estimates for the current fiscal year (CY), and estimates for the budget fiscal year (BY) as reported by the Federal agencies. Obligations for non-financial assistance programs indicate the administrative expenses involved in the operation of a program.

Account Identification


Note: Note: This 11-digit budget account identification code represents the account which funds a particular program. This code should be consistent with the code given for the program area as specified in Appendix III of the Budget of the United States Government.

Examples of funded projects...

The Cardiovascular Health Program (CVH): The New York Healthy Heart Program has partnered with its Dairy Council to educate the public about the benefits of drinking low-fat milk. The campaign increased the sale of milk by five percent and the sale of low fat milk by 15 percent. It has also assessed more than 600 businesses concerning a heart healthy worksite. Based on this assessment over 300 worksites have implement changes to make it easier for their employees to be heart healthy during the workday: workday: offering low-fat food choices in vending machines, being smoke-free, smoke-free, providing physical activity breaks during the workday, making stairwells safe, and safe, and encouraging employees to be physically active. The North Carolina CVH Carolina CVH Program provided the Strike Out Stroke program that targets hypertension targets hypertension in African Americans in partnership with the North the North Carolina Association of Pharmacies and through local health departments. The Missouri CVH Program partners with the State Diabetes State Diabetes Control Program (DCPC) and Federal qualified health centers to improve to improve outcome measures related to Diabetes and CVD. Arthritis. The Georgia Division of Public Health Georgia Division of Public Health piloted a physical activity program for persons with arthritis in Georgia's West Central Health District. Three counties, representing urban, small town, and rural populations, participated. The program was led by community leaders. Teams of 10 people with arthritis participated in 10 weeks of physical activity such as walking, gardening, swimming, and ballroom dancing. Team captains held group activities for their teams and provided educational materials and telephone encouragement. Participants kept logs of their physical activity each week. This project has served as a catalyst for social change in the area. Local residents recognizing the need for a safe place to engage in physical activity, have formed a coalition to advocate for such a place from the county commission. With CDC support, Alabama is developing and evaluating a community project in an underserved rural African-American community. This project involves the community in developing resources for arthritis, including the delivery of the Arthritis Self help Course. Because of the partnerships developed through this program, a rheumatologist travels 2 hour from Tuscaloosa once a month to offer specialized are for people with arthritis. In addition , the community has recognized the need for a place in which to walk. Through the arthritis Partnership developed, funds have been identified which can be used to develop walking trails within the community. REACH: The Coalition headed by the Lowell Community Health Center, in Lowell Massachusetts, serves the Cambodian community. This coalition has held learning tours to familiarize Cambodians with the emergency medical services and other related services in the community: police stations, hospitals, City hall. It has distributed over 1000 brochures and over 1000 t-shirts with health messages. A health festival was held in FY 2001. Of major significance due to the numbers of persons that are reached, a weekly radio program is held by the program director. Fulton County Department of Health and Wellness maintains a motto of "Wellness through Empowerment." The health priority area of focus is cardiovascular disease. The communities served are within the Atlanta Empowerment Zone which has high rates of CVD. The population served are African American Families. This REACH 2010 project has over 90 partners within the coalition. One of these is the Association of Black Cardiologists (ABC). ABC has recruited 30 churches, and 50 beauty salons and barber shops and has trained over 150 people to provide CVD education. Two additional partners, the Sisters Action Team

About this section

This section indicates the different types of projects which have been funded in the past. Only projects funded under Project Grants or Direct Payments for Specified Use should be listed here. The examples give potential applicants an idea of the types of projects that may be accepted for funding. The agency should list at least five examples of the most recently funded projects.

Program accomplishments...

The Cardiovascular Health Program (CVH): CDC funded 27 States and DC in 2001. Six of the 25 States are funded for comprehensive programs and 20 States are building core capacity for cardiovascular health. State CVH programs are defining the the CVD burden within their State; developing a comprehensive CVH State State Plan with emphasis on developing heart-healthy policies, changing changing physical and social environments, and reducing disparities; and and designing population- based strategies for the primary and secondary secondary prevention of CVD and promotion of CVH. CVH plans to fund three core and two more Comprehensive programs in 2002. Arthritis. The Arthritis Program currently funds 21 States at the Establishment level. These States are further developing the public health infrastructure to address arthritis by monitoring the burden of arthritis, refining their State arthritis plans, and working with partners to increase awareness and implement programs to increase the quality of life among persons with arthritis. In addition to the activities listed under Establishment level funding, the eight programs funded at the Core level are implementing pilot programs; examples include a project to increase our knowledge of physician's roles in increasing self management and projects to increase the availability of arthritis self management and physical activity programs. In fiscal year 2002, the Arthritis Program will fund an additional 7 States at the Establishment level. The REACH 2010 Program initiated 2 program announcements in fiscal year 2001. One was for the REACH 2010 demonstration grantees to compete for implementation and evaluation phase funding. Twenty-one (then) current and former Phase I grantees were eligible to apply for funding for Phase II activities. The program announcement was PA 00121 and it was entitled: Racial and Ethnic Approaches to Community Health (REACH 2010) Phase II. Seven of the eligible communities were awarded funding which brought the total number of communities supported by CDC to 31. Two additional communities received continuation funding for Phase II activities from the California Endowment through the CDC Foundation. The second program announcement was PA 01132 for American Indian/Alaska Native Core Capacity Building Programs. The purpose of the program is for AI/AN Communities to build core capacity and augment existing programs to reduce disparities in health outcomes for one or more of the designated health priority areas. In addition, the funding was provided to AI/AN communities that demonstrated need based on high prevalence and related morbidity and mortality and have limited infrastructure and resources to address health disparities. "Core capacity" is defined as the development of infrastructure and support strategies, including networking, partnership formation, and coalition building to raise and maintain community awareness and support, as well as national awareness of the health priority area needs of AI/AN populations. Core capacity programs include basic health promotion, disease prevention and control functions, ability to capture data, program coordination related to primary and secondary prevention, scientific capacity, training and technical assistance, and culturally competent intervention strategies for addressing the health priority area needs of AI/AN populations. Five communities were awarded approximately $1.5 million under this program announcement. The communities are: Chugachmiut, Chocktaw Nation of Oklahoma, Albuquerque Area Indian Health Board, Assoc. of American Indian Physicians, and United South and Eastern Tribes. These grantees provide capacity building technical assistance to a broad number of tribes and tribal organizations. The estimated number of persons to be served is 2,000. The contact for this program is Chris Tullier who can be contacted at770-488-5482. The REACH 2010 web site has been

Criteria for selecting proposals...

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

Assistance considerations...

Length and Time Phasing of Assistance

Project Period: From 3 three to 5 five years. Budget period: Usually 12 months.

Formula and Matching Requirements

There are no specific matching requirements except for the Comprehensive Cardiovascular Health Program which requires a 20 percent match from State health agencies.

A formula may be based on population, per capita income, and other statistical factors. Applicants are informed whether there are any matching requirements to be met when participating in the cost of a project. In general, the matching share represents that portion of the project costs not borne by the Federal government. Attachment F of OMB Circular No. A-102 (Office of Management and Budget) sets forth the criteria and procedures for the evaluation of matching share requirements which may be cash or in-kind contributions made by State and local governments or other agencies, institutions, private organizations, or individuals to satisfy matching requirements of Federal grants or loans.

Cash contributions represent the grantees' cash outlay, including the outlay of money contributed to the grantee by other public agencies, institutions, private organizations, or individuals. When authorized by Federal regulation, Federal funds received from other grants may be considered as the grantees' cash contribution.

In-kind contributions represent the value of noncash contributions provided by the grantee, other public agencies and institutions, private organizations or individuals. In-kind contributions may consist of charges for real property and equipment, and value of goods and services directly benefiting and specifically identifiable to the grant program. When authorized by Federal legislation, property purchased with Federal funds may be considered as grantees' in-kind contribution.

Maintenance of effort (MOE) is a requirement contained in certain legislation, regulations, or administrative policies stating that a grantee must maintain a specified level of financial effort in a specific area in order to receive Federal grant funds, and that the Federal grant funds may be used only to supplement, not supplant, the level of grantee funds.

Post assistance requirements...


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.

Note: This section indicates whether program reports, expenditure reports, cash reports or performance monitoring are required by the Federal funding agency, and specifies at what time intervals (monthly, annually, etc.) this must be accomplished.


In accordance with the provisions of OMB Circular No. A- 133 (Revised, June 24, 1997), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a a program-specific audit conducted for that year. Nonfederal entities that 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. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.

Note: This section discusses audits required by the Federal agency. The procedures and requirements for State and local governments and nonprofit entities are set forth in OMB Circular No. A-133. These requirements pertain to awards made within the respective State's fiscal year - not the Federal fiscal year, as some State and local governments may use the calendar year or other variation of time span designated as the fiscal year period, rather than that commonly known as the Federal fiscal year (from October 1st through September 30th).


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.

Note: This section indicates the record retention requirements and the type of records the Federal agency may require. Not included are the normally imposed requirements of the General Accounting Office. For programs falling under the purview of OMB Circular No. A-102, record retention is set forth in Attachment C. For other programs, record retention is governed by the funding agency's requirements.



Public Health Service Act, Sections 301(a) and 317(a), and (k)(2), as amended.

Note: This section lists the legal authority upon which a program is based (acts, amendments to acts, Public Law numbers, titles, sections, Statute Codes, citations to the U.S. Code, Executive Orders, Presidential Reorganization Plans, and Memoranda from an agency head).

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.

Contact information...

Web Sites
Regional Or Local Office

See Additional Contact Information - FMR Help.

Note: This section lists the agency contact person, address and telephone number of the Federal Regional or Local Office(s) to be contacted for detailed information regarding a program such as: (1) current availability of funds and the likelihood of receiving assistance within a given period; (2) pre-application and application forms required; (3) whether a pre-application conference is recommended; (4) assistance available in preparation of applications; (5) whether funding decisions are made at the headquarters, regional or local level; (6) application renewal procedures (including continuations and supplementals) or appeal procedures for rejected applications; and (7) recently published program guidelines and material. However, for most federal programs, this section will instruct the reader to consult the so-called Appendix IV of the Catalog due to the large volume of Regional and Local Office Contacts for most agencies. This information is provided in Additional Contact Information (see below).

Headquarters Office

Program Contact: Mike Waller, Deputy Director, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Public Health Service, Department of Health and 4770 Buford Hwy., MS K45, Atlanta, GA 30333. Human Services, 1600 Clifton Road, NE., Atlanta, GA 30333. Telephone: Telephone: (770) 488-5269. Grants Management Contact: Nealean Austin, Team Lead, Carlos M. Smiley, Grants Management Officer/Contracting Officer, Branch B, Procurement and Grants Office, Centers for Disease Control and Prevention, Department of Health and Human Services, 2920 Brandywine Brandywine Road, Suite 3000, Atlanta, GA 30341. Telephone: (770) 488- 2754.

Note: This section lists names and addresses of the office at the headquarters level with direct operational responsibility for managing a program. A telephone number is provided in cases where a Regional or Local Office is not normally able to answer detailed inquiries concerning a program. Also listed are the name(s) and telephone number(s) of the information contact person(s) who can provide additional program information to applicants.

Additional Contact Information (Appendix IV)

Due to the large volume of regional and local office contacts for most agencies, full contact information is also provided separately here in a PDF format: