SOW.docx

STATEMENT OF WORK

Centers for Disease Control and Prevention National Center for Injury Prevention and Control Division of Overdose Prevention, Office of the Director

Title of Project: Technical Support for Marijuana and Public Health Program Activities

Background

Over the past two decades, 46 states have legalized marijuana, or one of its constituents, for medical or recreational use. In 2018, an estimated 43.5 million people aged 12 and older (15.9% of the population) reported using marijuana in the past year, with increases primarily among adults since 2002. That same year, an estimated 4.4 million people aged 12 or older were estimated to have a marijuana use disorder. Additional several vulnerable populations youth, pregnant women, and the elderly are emerging as areas of concern for increasing marijuana use. CDC has over the past several years strengthened our ability to monitor these populations through public health surveillance through our work with state public health departments and other federal and state partners.

In partnership with Council of State and Territorial Epidemiologists (CSTE) and other HHS agencies through the Behavioral Health Coordinating Council, in 2019, CDC and partners identified and developed core surveillance indicators for states to consider using in population-based adult and youth surveys. CDC has begun identifying ways to integrate marijuana indicators into existing national health surveys. CDC and the CDC Foundation also have provided direct technical assistance to states on design and implementation of marijuana surveillance. Based on the above-described work with states, CDC is aware that states need continued technical assistance for marijuana surveillance activities.

Earlier work by CDC with states also indicated that states need awareness of marijuana policies and their impacts from other states. In previous projects CDC collected and shared public health policies related to marijuana across states through a multi-state learning collaborative. This tracking can help states evaluate the impact of policies and compare the impact of different policies across states on marijuana-related health harms and use trends. It can also help CDC identify areas of public health concern.

Earlier work with states indicated that states need the opportunity to share public health lessons learned in order to inform the design of future public health programs. Because marijuana legalization has evolved along different timelines in different states, frequently states encounter public health challenges related to marijuana that another state has already effectively addressed. In previous work, CDC facilitated a multi-state learning collaborative on marijuana and public health that convened State Health Officers, State Epidemiologists, and Program Managers, Toxicologists, and Health Communications staff from the states with legal recreational policies in place. The work included at least one in-person meeting per year, and some monthly calls to allow states to discuss challenges, solutions, and emerging public health problems related to marijuana. This group has been highly valued by states because it provided a venue to identify contacts in other states and learn about public health strategies employed by other states and their effectiveness, as well as reduced the burden on veteran states of responding to individual inquiries related to marijuana programs.

In 2019, coordination of CDC’s efforts to address marijuana use moved to the National Center for Injury Prevention and Control (NCIPC) for management. NCIPC would like to continue to provide existing technical support to states, improve surveillance of the impact of marijuana policies, and facilitate multi-state learning collaborative of states and federal partners. NCIPC would also like to increase the level of effort in conducting these activities. The tasks proposed in this statement of work will assist CDC in accomplishing these goals.

Purpose

To provide planning, management and technical support for CDC staff in the conduct of marijuana and public health activities including policy tracking activities, technical assistance to states and surveillance activities.

Scope of Work

The vendor will provide all labor, materials, and equipment required to complete the tasks outlined below. The vendor may require travel or communications with CDC to obtain materials or information needed to complete outlined tasks.

Tasks to be Performed

A. Allocate additional/new effort to analysis of marijuana surveillance data from CDC surveys and CDC-funded data collection with CDC staff to disseminate information on the trends and impact of marijuana use and to assess the utility and limitations of existing surveillance questions.

1. Updates can be delivered verbally during the monthly calls of CDC's marijuana workgroup meeting

B. Allocate additional/new effort to co-authoring reports related to marijuana with CDC staff. Reports could include analysis of surveillance data, systematic reviews of literature, or description of principles to be incorporated in a public health approach to addressing marijuana in states.

C. Allocate additional/new effort to updating the report of core surveillance questions used on population-based adult and youth surveys (e.g., YRBS, BRFSS and PRAMS)

1. Potential activities required may include evaluating new cognitive testing data and pilot testing questions in consumer surveys.

2. Updates could include edits to the existing core surveillance indicators report

D. Allocate additional/new effort to providing CDC with monthly updates regarding policy changes and forecasted policy changes among states and other countries with regard to marijuana and public health policies related to marijuana legalization

E. Allocate additional/new effort to produce quarterly policy tracking report of public health policies related to marijuana and public health across states

F. Allocate additional/new effort to provide states with technical assistance with regard to marijuana and public health surveillance

1. Disseminate quarterly policy tracking report as requested to assist states in understanding policy landscape

2. Direct state partners to appropriate CDC staff when assistance with specific topics are requested

3. Convene multi-state learning collaborative conference calls with of State Health Officers and state public health staff from states with legalized recreational marijuana and other interested partners (federal and state) to share lessons-learned and discuss emerging challenges with respect to marijuana and public health

4. Record and report monthly to CDC technical assistance provided to states via written report monthly

G. Convene approximately quarterly conference calls with national partners (e.g., ASTHO, NACCHO, APHL, NCSL) interested in legalized recreational and medical marijuana to discuss emerging challenges with respect to marijuana and public health.

1. Record and report conference call notes and action items.

Government Furnished Materials N/A

Period of Performance

12/01/2019– 11/30/2020

Deliverables

The vendor shall provide the following deliverables to the Project Officer by the dates reflected below. All electronic files should be delivered in MS Word format and provided via email.

June 1, 2020 September 1, 2020

January 31, 2020 February 28, 2020 March 30, 2020 April 30, 2020 May 29, 2020 June 30, 2020 July 31, 2020 August 31, 2020

January 31, 2020 February 28, 2020 March 30, 2020 April 30, 2020 May 29, 2020 June 30, 2020 July 31, 2020 August 31, 2020