Federal Cooperative Agreement Summary

The Oregon Health Authority received a $1,283,254 cooperative agreement from the Centers for Disease Control and Prevention's National Center for Chronic Disease Prevention and Health Promotion under the Organized Approaches to Increase Colorectal Cancer Screening program (CFDA 93.800). Awarded on August 30, 2025, with a completion date of August 29, 2030, this five-year agreement supports Oregon's initiative to strengthen colorectal cancer screening programs across the state. The award funds implementation of evidence-based interventions in partnership with federally qualified health centers (FQHCs), tribal clinics, and other community-based primary care practices to increase CRC screening rates among populations aged 45-75 years, with particular emphasis on underserved and medically underinsured populations.

The project targets populations experiencing significant CRC screening disparities, including residents of rural Oregon, uninsured individuals, Oregon Health Plan (Medicaid) beneficiaries, and communities of color. Key deliverables include creation and maintenance of robust CRC screening programs within participating clinics, implementation of evidence-based strategies such as patient and provider reminders, reduction of structural barriers to screening, and assessment and feedback mechanisms to improve screening prevalence. Given that 61 percent of FQHC patients are insured through Oregon Medicaid and current screening rates across Oregon's FQHCs remain below 60 percent, the agreement leverages these clinical networks as critical access points to address documented disparities in colorectal cancer incidence, mortality, and screening rates across Oregon's diverse populations.