CARA FY26 Statement of Rates.docx

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Attached to
Comprehensive Addiction and Recovery Act (CARA)
Opportunity number
CDC-RFA-CE-26-0110
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About this file

This is a Statement of Local Rates document that establishes eligibility requirements for the Comprehensive Addiction and Recovery Act (CARA) FY26 grant program. Applicants must demonstrate that their local rate of opioid and/or methamphetamine use is significantly higher than the national average or has sustained elevated rates over a long period of time. The document provides a table template for applicants to complete, documenting local rates of opioid and methamphetamine use compared against national averages sourced from two data sources: the Monitoring the Future Survey (MTF) National Survey Results on Drug Use (1975-2023) and the National Survey on Drug Use and Health (NSDUH) Key Substance Use and Mental Health Indicators (2024 data). The document clarifies that due to methodological changes in these national surveys, applicants are not required to demonstrate sustained trends over time; rather, they may satisfy the statutory requirement by showing that current local rates are significantly higher than the most recent national estimates.

The CARA program, administered by the Department of Health and Human Services Centers for Disease Control and Prevention, targets youth ages 12-18 and seeks to prevent and reduce opioid and methamphetamine use as well as prescription drug misuse. Eligible applicants must be current or formerly funded Drug-Free Communities (DFC) Support Program recipients and are domestic public or private nonprofit entities. Awards typically range from $250,000 to $418,329 for one to five-year project periods with 12-month budget cycles. Historical award data indicates approximately $8.9 million distributed across 71 cooperative agreements, with potential non-competitive continuation available based on satisfactory progress and federal interest.

CARA FY26 Statement of Rates

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Statement of Local Rates of Opioid and/or Methamphetamine Use Applicants must be able to demonstrate that the local rate of opioid and/or methamphetamine use is significantly higher than the national average or has rates higher than the national average sustained over a long period of time.* Complete the table below to document that your local rate of opioid and/or methamphetamine use is higher than the national average. National averages are provided across two data sources.

· Monitoring the Future Survey (MTF) National Survey Results on Drug Use, 1975-2023: Overview and Detailed Results for Secondary School Students | Monitoring the Future

· National Survey on Drug Use and Health (NSDUH) Key Substance Use and Mental Health Indicators in the United States: Results from the 2024 National Survey on Drug Use and Health

Opioids

Rates of Use
Source of Data
Year

National Rates

Local Rates

OR

Meth-amphetamine

Rates of Use
Source of Data
Year

National Rates

Local Rates

*For the purposes of this NOFO, applicants may demonstrate eligibility for this statutory requirement by showing that local rates of opioid and methamphetamine use are significantly higher than the most recent national estimates. Considering the results and methodological changes in the Monitoring the Future Survey and the National Survey on Drug Use and Health applicants will not be able to demonstrate rates of abuse of opioids or methamphetamines at levels that are higher than the national average over a sustained period of time. Given this, applicants are not required to demonstrate trends over a sustained period of time.

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