Activities to Support State, Tribal, Local and Territorial (STLT) Health Department Response to Public Health or Healthcare Crises


CDC will strengthen the U.S. public health systems response to public health or healthcare crises by providing specialized support to State, Tribal, Local and Territorial health departments (STLTs) when engaged in a response. Because STLTs vary widely in capacity and expertise - as well as in the demographics and disease burdens of the populations they serve - an emergency in any location is likely to reveal areas in which they need assistance to launch and sustain effective response activities. The purpose of this program is (1) to establish a pool of organizations capable of rapidly providing essential expertise to governmental public health entities involved in a response, and (2) to fund select awardees to provide that support, when required, based on CDCs determination of need. The role of the recipient will be to function as a rapid provider of information and/or resources, as well as a coordinator of the project management components involved. Recipients will primarily support public health departments, but may be engaged to support CDC programs also involved in the response.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Centers For Disease Control and Prevention, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Not applicable.
Public Health Service Act, Title 42, Part 247d, Section 319, 42 U.S.C. 319
Public Health Service Act, Title 42, Part 242l, Section 307, 42 U.S.C. 307
Patient Protection and Affordable Care Act, Public Law 111-148
Public Health Service Act, Title 42, Part 243, Section 311, 42 U.S.C. 311
Public Health Service Act, Title 42, Part 300u, Section 1703, 42 U.S.C. 1703
Public Health Service Act, Title 42, Part 247b, Section 317, 42 U.S.C. 317
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Eligible applicants are limited to the following: 1. Nonprofits having a 501(c)(3) or 501(c)(6) status with the IRS, other than institutions of higher education. 2. Public and private institutions of higher education. 3. Native American tribal organizations (other than Federally-recognized tribal governments).
Beneficiary Eligibility
Direct awards will be made to the non-governmental organizations described in the eligible applicant section. Beneficiaries of the support provided by those non-governmental organizations will include state health departments; tribal health organizations; local health departments; the District of Columbia; U.S. Territories; and other components of the public health system. The general public will also serve as beneficiaries.
Applicants should review the individual CDC notice of funding opportunity issued under this assistance listing for any documentation, credentials or proof of certifications which must be submitted prior to or simultaneous with submission of an application package.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards.
Award Procedure
Notification is made in writing through a Notice of Grant Award issued from the program's Office of Grants Services (OGS).
Check for any relevant NOFO information regarding processes for applying for assistance.
Approval/Disapproval Decision Time
From 60 to 90 days.
Not applicable.
Typically, cooperative agreement periods of performance are 5 years with 12-month budget periods.
How are proposals selected?
Applications will be evaluated on the review criteria described in the Notices of Funding Opportunity (NOFOs).
How may assistance be used?
Project funds will be used by non-governmental organizations (501c3s, 501c6s, public and private institutions of higher learning, and Native American tribal organizations) to provide emergency response assistance to State, Tribal, Local, and Territorial public health agencies and other components of the public health system. For the purposes of this program, “other components of the public health system” refers to specific professional constituencies (i.e., epidemiologists, community health nurses, health education and promotion specialists tribal health leaders, chronic disease directors, health information specialists, Medicaid/Medicare Directors, state/local public health financial officials, etc.) or key components of the public health system (i.e., community and neighborhood health centers, public health and primary care delivery systems, community and faith-based organizations, public health and accreditation boards, public health institutes, primary care residency programs, health insurance consortia, family/social services programs, maternal/child health associations, etc.).
What are the requirements after being awarded this opportunity?
Performance Reports: Annual Federal Financial Reports (FFR) and performance/progress reports are required. Final FFRs and performance reports are required. Other reporting may be required and will be outlined in the NOFO or the Notice of Award
Not applicable.
In accordance with 2 CFR ?200, as codified in 45 CFR ?75, there is a 3-year record retention requirement; records shall be retained beyond the 3-year period if final audit has not been done or findings resolved. Property records must be retained in accordance with HHS Grants Policy Statement requirements.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
One NOFO under this AL is designed to collect responsive proposals from eligible applicants and retain them as “approved but unfunded” (ABU) until a crisis occurs. The NOFO will only be funded upon occurrence of a particular public health or healthcare crisis. At that time, depending on the nature of the scenario, specific applicants and specific components of their applications will be selected for funding. These funding decisions will take into account various relevant factors such as geographic location, expectations of spread (e.g., with infectious disease-related emergencies), applicant’s capabilities, national priorities, impact of the emergency on an eligible jurisdiction, and target populations, etc. Refer to the NOFOs listed under this AL on for additional information. Notice of Award
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Caroline Gardner
2400 Century Center Parkway
Mail Stop V-24-6
Atlanta, GA 30345 USA
Phone: 4046394276
Website Address
Financial Information
Account Identification
(Cooperative Agreements) FY 22$0.00; FY 23 est $0.00; FY 24 est $0.00; FY 21$2,259,362,047.00; - Funded in FY21 with a period of performance lasting through FY24.
Range and Average of Financial Assistance
Due to the nature of the issues that would trigger CDC to fund these programs, it is difficult to project the total funding amount that would be made available. When and if CDC activates these programs, it is expected to be only for the time necessary to respond to the emergency at hand, and that long-term recovery needs (and/or emergencies that shift from an epidemic to an endemic nature) would be addressed by other NOFOs as appropriate.
Regulations, Guidelines and Literature
Not applicable.
Examples of Funded Projects
Not applicable.


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