RFGA 6030-0 Final tlh.pdf

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STATE OF OREGON

COVER PAGE

OREGON HEALTH AUTHORITY

Is issuing this Request for Grant Applications (RFGA) under

OregonBuys Bid Number #S-44300-00014190 and OHA #6030

PUBLIC HEALTH EQUITY GRANT

Date of Issue: July 1, 2025

Closing Date: August 22, 2025 – 5:00 p.m. p.s.t.

Single Point of Contact (SPC): Jordan Kennedy for this RFGA and Neal Armstrong for technical support for WebGrants platform.

Address: 500 Summer Street NE, E03 City, State, Zip Salem, Oregon 97301 E-mail: community.publichealth@odhsoha.oregon.gov

You can get this document in other languages, large print, braille, or a format you prefer free of charge. Contact the Point of Contact for Technical Assistance at community.publichealth@odhsoha.oregon.gov. We accept all relay calls.

The State of Oregon promotes equal opportunity for all individuals without regard to age, color, disability, marital status, national origin, race, religion or creed, sex or gender, sexual orientation, or veteran status.

mailto:community.publichealth@odhsoha.oregon.gov

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TABLE OF CONTENTS

SECTION 1: GENERAL INFORMATION

1.1 INTRODUCTION

1.2 SCHEDULE

1.3 SINGLE POINT OF CONTACT (SPC)

SECTION 2: AUTHORITY, OVERVIEW, AND SCOPE

2.1 AUTHORITY AND METHOD

2.2 DEFINITION OF TERMS

2.3 OVERVIEW AND PURPOSE

2.4 PROGRAM ELEMENT DESCRIPTIONS

SECTION 3: PROCUREMENT REQUIREMENTS

3.1 MINIMUM QUALIFICATIONS

3.2 MINIMUM SUBMISSION REQUIREMENTS

3.3 APPLICATION REQUIREMENTS

3.4 PROPOSED BUDGET

SECTION 4: Application PROCESS

4.1 PUBLIC NOTICE

4.2 INFORMATIONAL WEBINARS AND VIRTUAL OPEN OFFICE HOURS

4.3 QUESTIONS / REQUESTS FOR CLARIFICATIONS

4.4 APPLICATION DELIVERY OPTIONS

4.5 APPLICATION MODIFICATION OR WITHDRAWAL

4.6 APPLICATION DUE

4.7 OPENING of APPLICATIONS

4.8 APPLICATION REJECTION

4.9 EVALUATION PROCESS

4.10 POINT AND SCORE CALCULATIONS

4.11 RANKING OF APPLICANTS

SECTION 5: AWARD AND NEGOTIATION

5.1 AWARD NOTIFICATION PROCESS

5.2 APPARENT SUCCESSFUL APPLICANT SUBMISSION REQUIREMENTS

5.3 GRANT AGREEMENT NEGOTIATION

SECTION 6: ADDITIONAL INFORMATION

6.1 COMMITMENT TO DIVERSITY, EQUITY, AND INCLUSION

6.2 CERTIFIED FIRM PARTICIPATION

6.3 GOVERNING LAWS AND REGULATIONS

6.4 OWNERSHIP/PERMISSION TO USE MATERIALS

6.5 CANCELLATION OF RFGA; REJECTION OF APPLICATION; NO DAMAGES

6.6 COST OF SUBMITTING AN APPLICATION

ATTACHMENT A – APPLICANT INFORMATION AND CERTIFICATION SHEET

ATTACHMENT B — DISCLOSURE EXEMPTION AFFIDAVIT

ATTACHMENT C - RESPONSIBILITY INQUIRY

ATTACHMENT D - SAMPLE GRANT AGREEMENT

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SECTION 1: GENERAL INFORMATION

1.1 INTRODUCTION

The State of Oregon, acting through its Oregon Health Authority (OHA), Public Health Division (PHD) requests Applications from community-based organizations (CBOs) that operate in the state of Oregon.

OHA values the important work of CBOs, which play a vital role in helping communities stay healthy by providing services that are led by communities, culturally relevant, and available in different languages.

This RFGA brings together ten public health categories, listed in Section 2.3 “Overview and Purpose” below, into one application process. OHA will provide funding to achieve specific health outcomes and improve community well-being using local solutions. Additional details on the categories and the activities are provided in individual “Program Elements” which are described in Section 2.4.

Through this RFGA, Applicants will have the opportunity to apply for funding to address the emerging public health priorities listed in this RFGA. Successful Applicants will be eligible to directly “opt-in”, if they quality for funding to support new public health priorities as needed. For example, this could include working with the community during outbreak response or another public health emergency.

Grant Period: The initial term of the Grant Agreement is anticipated to be 1.5 years with the option to renew up to a cumulative maximum of 5 years. Both the initial term and cumulative maximum term is subject to change at OHA’s sole discretion. Initial awards are intended to be between $25,000 and $300,000 per funded program area, with total funds to not exceed $750,000 per applicant. OHA may award additional funds to support current or new public health priorities if they become available at a future date.

Awards will be made to eligible CBOs that currently serve the state of Oregon and operate in the state of Oregon. If the Applicant uses a Fiscal Sponsor, the Fiscal Sponsor must be registered with the Oregon Secretary of State but does not need to be based in the state of Oregon.

1.2 SCHEDULE

The table below represents a tentative schedule of events. All times are listed in Pacific Time. All dates listed are subject to change. N/A denotes that event is not applicable to this RFGA.

Event Date Time RFGA Release Date July 1, 2025 - Application Informational Webinar (English) July 2, 2025 2:00 p.m. – 4:00 p.m.

Application Informational Webinar (Spanish) July 7, 2025 11:00 a.m. – 1:00 p.m.

Application Informational Webinar (English) July 8, 2025 11:00 a.m. – 1:00 p.m.

Application Informational Webinar (English) July 9, 2025 1:00 p.m. – 3:00 p.m.

Application Informational Webinar (English) July 15, 2025 12:00 p.m. – 2:00 p.m.

Application Informational Webinar (Spanish) July 16, 2025 3:00 p.m. – 5:00 p.m.

OHA hosts virtual open office hours (English) July 22, 2025 1:00 p.m. – 2:30 p.m.

OHA hosts virtual open office hours (Spanish) July 24, 2025 11:00 a.m. – 12:30 p.m.

OHA hosts virtual open office hours (English) August 5, 2025 12:00 p.m. –1:30 p.m.

Questions / Requests for Clarification Due August 6, 2025 5:00 p.m.

Answers posted approx.. August 8, 2025 Opening (Application Due) August 22, 2025 5:00pm Issuance of Notice of Award (approx.) January 15, 2026

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1.3 SINGLE POINT OF CONTACT (SPC)

The SPC for this RFGA is identified on the Cover Page, along with the SPC’s contact information.

Applicant shall direct all communications related to any provision of the RFGA only to the SPC, whether about the technical requirements of the RFGA, contractual requirements, the RFGA process, or any other provision to community.publichealth@odhsoha.oregon.gov.

SECTION 2: AUTHORITY, OVERVIEW, AND SCOPE

2.1 AUTHORITY AND METHOD

OHA is issuing this RFGA pursuant to its authority under ORS 413.033

OHA may, optionally and in its sole discretion, use a combination of the methods for selecting successful Applicants under this RFGA.

2.2 DEFINITION OF TERMS

For the purposes of this RFGA, capitalized words are defined below.

Applicant: The Applicant is the organization that is responsible for performing the activities in the Grant Agreement, if awarded.

Community-Based Organization or CBO: For the purposes of this RFGA, a CBO is any registered 501(c)(3) organization that provides community-led culturally and linguistically responsive public health services to communities in Oregon working towards equity in communities of color, Tribal communities, disability communities, immigrant and refugee communities, undocumented communities, migrant and seasonal farmworkers, LGBTQIA2+ communities, faith communities, older adults, houseless communities, and others.

Culturally Responsive: Culturally Responsive is an approach to public health work that is comprehensive, effective, equitable, respectful and responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs. Culturally Responsive means providing services in an equitable and inclusive manner, without regard to race, color, religion, national origin, sex, age, disability, English proficiency, or economic status.

Emerging Health Priorities: means public health issues that are critical to address in Culturally Responsive ways in the moment. Emerging Health Priorities may go beyond the grant activities included in this RFGA.

Environmental Justice Communities: Communities historically underrepresented in public processes and adversely harmed by environmental and health hazards. In Oregon, disproportionate environmental justice impacts have been observed in the following:

communities of color, communities experiencing lower incomes, communities experiencing health inequities, tribal communities, rural communities, coastal communities, communities with limited infrastructure.

Fiscal Sponsor: A Fiscal Sponsor is a nonprofit organization (501(c)(3) that provides fiduciary oversight, financial management, and other administrative services to help build the capacity of charitable projects.

Local Public Health Authority or LPHA: Refers to either a county government, a health district formed under ORS 431.443, or other local government that provides public health services under an agreement established pursuant to ORS 190.010. LPHAs are responsible for providing required public health services within their jurisdiction. More information about LPHAs can be found at www.healthoregon.org/lhd.

ODHS: means the Oregon Department of Human Services.

http://www.healthoregon.org/lhd

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OHA: means the Oregon Health Authority.

OHA Programs: Refers to public health programs administered by the OHA Public Health Division. A list of public health programs can be found at https://www.oregon.gov/oha/PH/PHD/Pages/index.aspx.

Priority Populations: Priority Populations are communities that have or currently experience health inequities, including communities of color, Tribal communities, disability communities, immigrant and refugee communities, undocumented communities, migrant and seasonal farmworkers, LGBTQIA2+ communities, faith communities, older adults, rural communities, houseless communities, and others.

Public Health Modernization: Refers to a framework for ensuring that every person in Oregon can access the same benefits of a strong public health system. A modern public health system will provide core public health programs and capabilities and maintain flexibility to focus on new health challenges.

State: means the State of Oregon.

2.3 OVERVIEW AND PURPOSE

The State’s goal is to improve access to health care to all Oregonians. OHA recognizes that past and present policies, barriers in systems like health care and housing, and lasting social and economic challenges have made it harder for some communities to be healthy and create the futures they want for themselves and their families. Differences in income, education, and opportunities have led to critical and persistent health gaps.

Some of the communities most affected include tribal nations, individuals with disabilities, immigrants and refugees, undocumented populations, migrant and seasonal farmworkers, LGBTQIA2+ individuals, faith-based communities, people living with lower incomes, older adults, rural residents, and those without stable housing.

OHA is issuing this RFGA to support CBOs improve the health outcomes of Oregon communities by using the strengths, knowledge, skills, and leadership of the people they serve. When communities work together and share their ideas, they create solutions that truly meet their needs and improves health over time. The goal of this RFGA is to build strong partnerships that put community-led ideas first and ensure fair and lasting access to health care, mental health, social conditions, and support for all.

Funding Categories:

This Public Health Equity funding opportunity allows for Applicants to apply for multiple funding categories. Applicants must answer the project plan questions and upload a separate proposed budget for every funding category that they apply to. For example, if an Applicant selected three funding categories, they must complete the answers in Section 3.4 three times (one time each for each funding category) and must upload three separate proposed budgets (one budget for each category they selected). Proposed budgets may not be awarded in the amount requested, and may be adjusted up or down depending on the funding available in each category and region. The following is the list of available funding categories (categories may be added by OHA at a later date):

• Environmental Public Health approximately $75,000 to $300,000 funding up to 40 Applicants.

• Preventing Environmental Exposures for Children’s Health (PEECH) approximately up to $87,500 only funding 2 Applicants.

https://www.oregon.gov/oha/PH/PHD/Pages/index.aspx

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• Lower Umatilla Basin Ground Water Management Area (LUBGWMA) Domestic Wells approximately $30,000 to $100,000 funding up to 10 Applicants.

• Communicable Disease Prevention (Sub- element #1): Prevention of HIV, Sexually Transmitted Infections, and Tuberculosis approximately $50,000 to $400,000 funding up to 20 Applicants

• Communicable Disease Prevention (Sub- element #2): Immunizations approximately $25,000 to $250,000 funding up to 40 Applicants

• Commercial Tobacco Prevention approximately $25,000 to $200,000 funding up to 45 Applicants.

• Overdose Prevention approximately $125,000 funding up to 3 Applicants.

• Adolescent and School Health (ASH) approximately $40,000 to $80,000 funding up to 4 Applicants.

• Community Resilience (Sub-element #1): Community Connection & Empowerment approximately $100,000 to $250,000 funding up to 25 Applicants.

• Community Resilience (Sub-element #2): Emergency Preparedness and Response approximately$25,000 to $400,000 funding up to 30 Applicants.

Eligibility: Activities with known funding are described in the form of Program Elements below and may have criteria for eligibility or stated funding preferences. Unless otherwise specified, there are no restrictions on applying to perform activities within a county versus a region of the State. Applicants applying to perform activities in more than one county must provide specific details about each of the activities applying for and in each county, including how their specific population(s) of focus in each county will benefit from those activities and the existing relationships the Applicant has with the population(s) of focus in each county. If the Applicant does not have existing relationships in the county, Applicant must describe how they intend to build those relationships. Applicants are encouraged to apply for activities that meet the needs of their organization’s structure and service area.

All funded activities must be conducted in cooperation and collaboration with community members and partners, which can include schools, school districts, clinics, faith-based entities, and other CBOs or LPHAs based on \OHA-approved workplans. Development of or collaboration with existing community networks (i.e. community coalitions, collaboratives, collectives etc.) is strongly encouraged by OHA.

Training and Technical Assistance: Organizations that are awarded funding in one or more categories below are eligible to receive capacity building, training, and technical assistance, including, but not limited to: fiscal, human resources, equity, policy leadership and advocacy capacities and subject matter areas like communicable disease prevention and climate adaptation.

2.4 PROGRAM ELEMENT DESCRIPTIONS

2.4.1. Program Element #5002: Environmental Public Health (EPH) Program1

The Environmental Public Health Program works to identify, assess and report on threats to human health from exposure to environmental and occupational hazards, and advise Oregon communities on potential risks where they live, work, play and learn.

1 https://www.oregon.gov/oha/PH/HEALTHYENVIRONMENTS/Pages/index.aspx https://www.oregon.gov/oha/PH/HEALTHYENVIRONMENTS/Pages/index.aspx

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Definitions Specific to this Program Element Description

Climate Anxiety: A heightened emotional, mental, or somatic distress in response to dangerous changes in the climate system.

Climate Resilience: The ability of communities, ecosystems, and systems to anticipate, prepare for, respond to, and recover from the impacts of climate change.

It involves adapting to changing conditions—such as more frequent extreme weather events, rising sea levels, and temperature shifts—while minimizing harm to health, economies, and environments.

Community Resilience Building: Community-driven planning and action, where residents actively participate in creating strategies to reduce vulnerability, protect health, sustain local resources through education, inclusive decision-making, and collaboration, in the face of ongoing climate changes

Extreme Heat: Weather that is much hotter and sometimes more humid than average for a particular time and place. Extreme Heat may also be called a heat wave, leading to heat related illnesses such as heat exhaustion or heat stroke. An Extreme Heat event is any period of one or more days when the temperature is hotter than usual.

Harmful Chemicals: Substances that may cause harm to health depending on how a person comes into contact with them, the amount that gets into their bodies, and for how long and how often this occurs. Certain populations are more vulnerable than others to toxic substances in their environment. Examples of Harmful Chemicals include lead and improperly used Pesticides.

Pesticides: A Pesticide is any substance used to kill, repel, or control certain forms of plant or animal life that are considered to be pests. Pesticides include herbicides for destroying weeds and other unwanted vegetation, insecticides for controlling a wide variety of insects, fungicides used to prevent the growth of molds and mildew, disinfectants for preventing the spread of bacteria, and compounds used to control mice and rats. Rising temperatures and altered rain patterns are leading to decreased crop resilience, leaving them more vulnerable to pests, leading to increased Pesticide application rates.2

Risk Communication: The process of sharing information about potential hazards, risks, and protective actions with community members in a way that is clear, accessible, and culturally relevant to increase awareness, build trust, and empower communities to make informed decisions to protect their health and safety.

Water Insecurity: Inadequate or inequitable access to clean, safe, and affordable water for drinking, cooking, sanitation, and hygiene. Causes of Water Insecurity can include drought, contaminated water, and high costs for drinking water.

Water-Borne and Vector (insect)-Borne Illnesses: Water-borne diseases are diseases are caused by bacteria or chemicals in water that people drink, cook with, or play in. Examples include cholera, typhoid, dysentery, gastroenteritis, and hepatitis. Vector (insect)-borne illnesses are diseases are spread by insects, such as mosquitoes, ticks, and fleas. Examples include West Nile Virus, malaria, Lyme

2 https://www.fao.org/family-farming/detail/en/c/1635949/#:~:text=Rising%20temperatures%20and%20altered%20rain,in%20turn%20exacerbates%20the%20prob lem https://www.fao.org/family-farming/detail/en/c/1635949/#:%7E:text=Rising%20temperatures%20and%20altered%20rain,in%20turn%20exacerbates%20the%20problem https://www.fao.org/family-farming/detail/en/c/1635949/#:%7E:text=Rising%20temperatures%20and%20altered%20rain,in%20turn%20exacerbates%20the%20problem https://www.fao.org/family-farming/detail/en/c/1635949/#:%7E:text=Rising%20temperatures%20and%20altered%20rain,in%20turn%20exacerbates%20the%20problem

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Wildfire: An unplanned, unwanted, and uncontrolled fire burning in a natural area.

A wildfire can start from natural causes, such as lightning, or by human activities.

Wildfire Smoke: A mixture of gases and fine particles from burning trees and other plant material.

a. Program Element #5002-01: Environmental Public Health

(1) Background:

The goal for this Program Element is to strengthen community-based efforts that address health risks related to climate and environmental hazards.

Wildfires, Extreme Heat, water shortages, and pollution are examples of these hazards.3 Health risks tend to be greater for communities that have historically had fewer resources such as parks, trees, pedestrian safety, and pollution controls. These communities may also have less access to educational and workforce opportunities, with more people in jobs with hazardous working environments.4 Some communities may have witnessed the decline of neighborhoods over generations, or experienced loss of cultural practices alongside the decline of the environment.5 Many communities have not been involved in decision-making processes or even been targeted by policies that create unhealthy living environments.

To support solutions that improve health and resilience, Applications for community-led initiatives should focus on:

• Addressing respiratory health impacts from Wildfire Smoke (e.g. asthma)

• Preventing heat-related illnesses during Extreme Heat events

• Reducing climate-related stress and mental health challenges

• Mitigating risks associated with water quality and access6

• Limiting exposure to Pesticides and Harmful Chemicals7

• Preserving cultural and natural resources essential to community well-being

• Improving environmental conditions that contribute to long-term health and sustainability

(2) Priority Health Outcomes:

(a) Applicants must connect project goals and project activities to at least one health outcome related to climate change and environmental hazards. Applicants may develop their own health outcomes or select from the list below:

3 https://www.cdc.gov/heat-health/about/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fextreme-heat%2Fabout%2Findex.html https://www.oregon.gov/oha/ph/preparedness/prepare/pages/prepareforextremeheat.aspx?utm_source=OHA&utm_medium=egov_redi rect&utm_campaign=https%3A%2F%2Fwww.oregon.gov%2Fheat#resources 4https://www.oregon.gov/oha/PH/HEALTHYENVIRONMENTS/CLIMATECHANGE/Documents/FINAL%20Climate%20Health%20in%20Ore gon%202023%20v071124%20(1).pdf 5 https://www.oregon.gov/dsl/pages/cultural-resources.aspx 6 https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le8626.pdf 7https://www.oregon.gov/oha/PH/HEALTHYENVIRONMENTS/HEALTHYNEIGHBORHOODS/TOXICSUBSTANCES/Pages/ind ex.aspx https://www.cdc.gov/heat-health/about/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fextreme-heat%2Fabout%2Findex.html https://www.cdc.gov/heat-health/about/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fextreme-heat%2Fabout%2Findex.html https://www.oregon.gov/oha/ph/preparedness/prepare/pages/prepareforextremeheat.aspx?utm_source=OHA&utm_medium=egov_redirect&utm_campaign=https%3A%2F%2Fwww.oregon.gov%2Fheat#resources https://www.oregon.gov/oha/ph/preparedness/prepare/pages/prepareforextremeheat.aspx?utm_source=OHA&utm_medium=egov_redirect&utm_campaign=https%3A%2F%2Fwww.oregon.gov%2Fheat#resources https://www.oregon.gov/oha/PH/HEALTHYENVIRONMENTS/CLIMATECHANGE/Documents/FINAL%20Climate%20Health%20in%20Oregon%202023%20v071124%20(1).pdf https://www.oregon.gov/oha/PH/HEALTHYENVIRONMENTS/CLIMATECHANGE/Documents/FINAL%20Climate%20Health%20in%20Oregon%202023%20v071124%20(1).pdf https://www.oregon.gov/dsl/pages/cultural-resources.aspx https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le8626.pdf https://www.oregon.gov/oha/PH/HEALTHYENVIRONMENTS/HEALTHYNEIGHBORHOODS/TOXICSUBSTANCES/Pages/index.aspx https://www.oregon.gov/oha/PH/HEALTHYENVIRONMENTS/HEALTHYNEIGHBORHOODS/TOXICSUBSTANCES/Pages/index.aspx

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(i) Decreased risk of heat-related injury and illness.

(ii) Decreased risk of respiratory injury and illness, due to poor air quality, including exposure to Wildfire Smoke.

(b) Promoted mental health protection and wellbeing against the impacts of climate and environmental exposures.

(c) Addressed community health risks of polluted water or Water Insecurity.

(d) Reduced risk of exposures to pollution or Harmful Chemicals, such as Pesticides and consumer products.8

(e) Reduced risk of injury and death from extreme weather conditions or climate-related disasters including flooding and winter storms, Extreme Heat events, and Wildfire Smoke events.

(f) Reduced exposures to Water-Borne and Vector (insect)-Borne Illnesses.

(3) Program Goals:

(a) Increase community awareness and understanding of health impacts of environmental hazards resulting from climate change, and how Priority Populations are at a higher risk of harm due to past and current inequities.

(b) Develop strategies for increasing Climate Resilience in ways that center the community’s culture, interests, language, and needs.

(c) Build social resilience by strengthening social bonds and networks among community members, bridges between community groups, and/or linkages with decision-makers in the context of environmental or Climate Resilience.

(d) Create opportunities for community members for shared restoration and healing from health impacts of climate and environmental inequities.

(e) Gather and document local climate and environmental risks, and related community strengths and resilience strategies.

(f) Build policy development and advocacy skills of community members to advance community representation when there are opportunities to inform policies and programs affecting community health as it relates to environmental health and climate change.

(g) Improve community health education around safe and healthy homes and learning spaces, access to greenspaces, nutrition, and health protection resources.

8 https://www.niehs.nih.gov/health/topics/agents/pesticides https://www.niehs.nih.gov/health/topics/agents/pesticides

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(h) Address health risks of long-term environmental health stressors, and the cascading impacts they have on mental health, food, access to health care, housing, income, alternative transportation, and other aspects of well-being.

(4) Eligible Activities:

(a) Develop and deliver culturally responsive climate and health curricula and trainings on environmental health and climate change.

Examples include:

• Developing interactive youth workshops on addressing Climate Anxiety and mental health impacts of environmental hazards like Wildfire, Extreme Heat, and drought.

• Developing a workshop series on Climate Resilience through growing and preparing culturally appropriate foods, with a community gardening component. Developing a training or toolkit on the risks and impacts of Wildfire Smoke to vulnerable populations, such as perinatal communities.

(b) Host community outreach events or education fairs related to Environmental Health and Climate Change that strengthen connections between community members, local partners and decision makers.

Examples include:

• Creating and distributing culturally specific education materials or messaging.

• Creating community-based Risk Communication and education platforms or systems (example: social media, community boards, local magazine or newsletter, local radio stations, etc.)

• Hosting an Earth Day celebration that highlights community health and uplifts cultural connection.

• Developing a culturally- and linguistically-tailored social media campaign on topics relating to climate and health risks. Example topics include Pesticide use or Extreme Heat affecting farmworkers.

• Producing a culturally specific documentary on climate change's impact on waterways, first foods, traditional medicines, and culture, with a viewing party.

(c) Conduct community data collection and needs assessment focused on environmental health and climate change.

Examples include:

• Assessing and documenting local climate and environmental risks, along with community strengths and resilience as protective factors.

• Conducting focus groups, story gathering, interviews, surveys, and mapping activities.

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• Developing a data inventory, tool, story map, or other product to collect community insights for program and policy development.

• Conducting surveys to collect data on community health experiences related to climate change and environmental hazards to inform program development.

• Developing a story map of qualitative and quantitative data that presents the lived experiences of community members experiencing health impacts from climate change and environmental hazards.

(d) Facilitate community leadership development and collaborate with government partners to create climate and environmental health action plans.

Examples include:

• Developing or participating in youth leadership programs and including youth in decision-making processes.

• Building policy development and advocacy skills of community members, particularly youth and populations most impacted by layered climate and environmental justice risks.

• Developing or participating in local community health planning activities that focus on the health impacts of environmental hazards and climate change. Examples may include Local Public Health Authority (LPHA) led community health assessments, health equity plans, or climate adaptation plans.

• Working with partners to raise awareness among decision-makers about climate and environmental health impacts, focusing on policies in sectors such as housing, energy, and land use.

• Creating a summer leadership camp that teaches youth how to develop leadership and self-advocacy skills around climate change and environmental hazards listed above.

• Training community members on how to submit testimony and public comment in policy and legislative spaces with a focus on climate change and environmental hazards listed above.

• Participating in a local government led workgroup to advise on a local climate adaptation, transportation, water supply, housing, or other local plans.

(e) Lead community-based initiatives to minimize risks and enhance resilience against environmental health and climate impact.

Examples include:

• Creating programs, community gatherings, or community specific activities that support Community Resilience Building and/or climate change and health adaptation, prevention, or risk reduction.

• Hosting a tree planting or community greening event that strengthens community access to shared green spaces and

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• Establishing a program for youth to access outdoor recreation activities or green spaces that provide education on the mental and physical health benefits and healing and restoration that occurs through connection with the land.

• Hosting a community mural or storytelling event that create a shared space for community bonding around the health impacts from climate change and environmental hazards listed above.

(5) Funding Information:

Applicant’s should justify costs with Eligible Activities under this Program Element. OHA is more likely to approve funds under the EPH Program for community-gathering initiatives, such as gardening materials for a community garden with health education, rather than for mass item distribution. Program material costs should not exceed 20% of Applicant’s total budget.

b. Program Element #5002-03: Lower Umatilla Basin Ground Water Management Area (LUBGWMA) Domestic Wells9

(1) Background:

In accordance with Oregon’s Groundwater Quality Protection Act of 1989, the Oregon Department of Environmental Quality (DEQ) and Oregon Department of Agriculture (ODA) declared the LUBGWMA a groundwater management area in 1990 due to regional nitrate-nitrogen concentrations in groundwater exceeding 7 milligrams per liter (mg/L). This area straddles the northern portions of Morrow and Umatilla counties, and encompasses the cities of Hermiston, Boardman, Irrigon, Stanfield, Echo and nearby unincorporated areas. Over the past 30 years DEQ, ODA and local governmental and nongovernmental organizations have partnered to establish a groundwater management area committee, provide regular nitrate level monitoring, develop educational materials and identify and organize data to track compliance with the voluntary community action plan designed to reduce groundwater nitrate concentrations. However, monitoring well network data show these actions have not sufficiently reduced the nitrate-nitrogen levels to the federal Safe Drinking Water standard of 10 mg/L.

(2) Groundwater in parts of Morrow and Umatilla counties have elevated nitrate levels, primarily due to agricultural activities in the region, surpassing the federal Environmental Protection Agency (EPA) Maximum Contaminant Levels. Residents in the Lower Umatilla Basin who use domestic (private) wells for their drinking water may be exposed to unsafe nitrate levels, which can cause health issues, especially for infants and pregnant individuals. Long-term exposure increases the risk of thyroid problems, respiratory issues, and certain cancers. Response efforts include OHA, the Oregon Department of Human Services (ODHS), Morrow and Umatilla County Local Public Health Authorities (LPHA’s), local CBOs, and other partners working together to

9 https://www.oregon.gov/oha/PH/HealthyEnvironments/DrinkingWater/SourceWater/DomesticWellSafety/Pages/index.aspx

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(3) Priority Health Outcomes:

(a) Reduced community exposures to well-water contaminants, including nitrates

(b) Reduced risk of illness due to nitrate consumption

(4) Eligible Activities:

Activities will support community engagement related to domestic well testing and safe drinking water in the affected areas of Morrow and Umatilla counties. Applicants may use both staff and volunteers for eligible activities;

however, a staff member must accompany volunteers during fieldwork.

Selected grant Recipients will be required to attend and participate in OHA-coordinated LUBGWMA focused collaborative workgroups, which convene regularly to coordinate processes and interventions for residents of the area affected by nitrate contamination in groundwater.

(a) Support Outreach and Education.

Examples include:

• Collaborating with OHA and its partners (e.g., ODHS, LPHAs, and local CBOs) to adapt existing communication materials and create new materials that are culturally and linguistically accessible for lower-income households and populations historically affected by health inequities. Any co-produced materials may be published or released only after joint approval from OHA and its partners.

• Conducting outreach through community programs and events to share OHA information on the health risks of high nitrate levels in domestic well water, access to safe water services for residents with high nitrate levels, and providing guidance on well stewardship.

• Coordinating with OHA, ODHS, LPHAs, local CBOs, and other partners to address barriers accessing safe water services that residents and those seeking assistance may encounter, such as language, technology, or trust.

(b) Support Well Water Screening and Testing.

Examples include:

• Participating in activities to screen test domestic well water for contaminants, supporting testing activities, and encouraging residents to access well water testing.

• Participating as needed in activities organized by OHA, ODHS and LPHA partners such as door-to-door visits to provide testing and treatment information, collecting domestic well water samples, phone banking to remind households that re-testing is needed, DAS Procurement Services, Version 4.5 March 31, 2023 Page 14 of 87 and offering OHA-provided water screening test kits through programs serving community members and at their community events.

(c) Support Water Treatment and Maintenance Activities.

Examples include:

• Collaborating with OHA and its partners to refer well water users with elevated nitrate levels to OHA's free in-home drinking water treatment systems and contribute to the development of educational and outreach materials on maintaining these treatment systems.

(d) Support Water Provision Activities.

Examples include:

• Supporting OHA and partners in providing free bottled water delivery to selected well water users whose nitrate levels are above surpass maximum contaminate levels.

c. Program Element #5002-04: Preventing Environmental Exposures for Children’s Health (PEECH) 10

(1) Background:

A child’s environment significantly impacts their health. Children are more vulnerable than adults to environmental risks because they are constantly growing, breathe more air, consume more food, and drink more water per pound of body weight, and their detoxification systems are still developing.

Preventing Environmental Exposures for Children’s Health (PEECH) aims to prevent or reduce children’s exposure to environmental hazards in places where they learn, play, and grow. These hazards include industrial pollution, poor air and water quality, unsafe housing or recreational areas, certain consumer products, food sources, pesticides, and risks from extreme weather conditions. See the CDC’s Agency for Toxic Substances and Disease Registry for more information.11

PEECH aims to strengthen the ability of individuals, communities, & organizations to identify, reduce, and eliminate children’s exposures.

(2) PEECH Project Goals:

PEECH projects should focus on developing and implementing community-based strategies, interventions and partnerships that accomplish one or more of the following goals:

• Center Community Priorities: Collaborating with partners and community members to identify the environmental hazards and exposure prevention challenges that are most pressing to children’s caregivers and families.

10 https://www.oregon.gov/oha/ph/healthyenvironments/trackingassessment/pages/peech.aspx 11 https://www.atsdr.cdc.gov/index.html https://www.oregon.gov/oha/ph/healthyenvironments/trackingassessment/pages/peech.aspx https://www.atsdr.cdc.gov/index.html

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• Assess and Tailor Resources: Collaborating with the community to evaluate resources, policies, and local prevention strategies, adapting them to create accessible, community-based programs that prioritize the needs of children and families.

• Address Community Priorities: Developing, delivering, and documenting tailored community programming that strengthens exposure prevention and resilience strategies to address child and family priorities.

• Develop and Share Work Products: Selected grant Recipients receiving funds for PEECH activities are encouraged to share at least one work product with OHA and community partners to support the rollout of children’s exposure prevention efforts in their communities.

(3) Priority Health Outcomes:

(a) Increased availability and use of effective programming, resources, policies, and processes that prevent exposure to environmental health hazards.

(b) Increased knowledge and action to identify, reduce, or prevent negative health effects from childhood exposure to hazardous substances and Harmful Chemicals.

(c) Decreased or prevent childhood exposures to environmental health hazards.

(4) Eligible Activities

Applicants may choose from the suggested activities that are listed below or propose others that support PEECH’s overarching goals. Suggested activities to support PEECH strategies include, but are not limited to, the following:

(a) Facilitate group planning processes, such as conducting listening sessions, surveys, community interviews, or community open houses that allow families and partners to share community’s children’s environmental health priorities and inform the design of effective interventions.

(b) Gather additional information, data, or resources from existing programs or reports.

(c) Convene a steering committee that includes partners who can provide ongoing guidance for program development.

(d) Hold community engagement or education workshops.

(e) Create and disseminate education materials such as presentations, videos, toolkits, or other media.

(f) Integrate exposure prevention strategies into existing child-focused programming.

(g) Develop and implement new child-focused environmental health programming.

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2.4.2. Program Element #5003: Commercial Tobacco Prevention12

a. Background

Commercial tobacco is the harmful tobacco plant or nicotine products that are mass produced and sold for profit by tobacco companies. Examples of commercial tobacco products include cigarettes, vaping products or e-cigarettes, chewing tobacco, cigars and other products that contain addictive nicotine. The term commercial tobacco is used to separate it from sacred tobacco used by some American Indian/Alaskan Native communities and Tribal Nations in Oregon to promote physical, spiritual, emotional, and community well-being. Commercial tobacco-related disparities are complex. They do not have a single cause or a single solution. OHA seeks to leverage community strengths and wisdom to address and help improve community conditions that can lead people to use tobacco or make some groups more likely to get sick or die from tobacco use. The best way to do this is by building on community strengths and using solutions that reflect the culture and needs of the people affected. These efforts should be led by the community and guided by their voices and traditional practices.

b. Priority Health Outcomes:

(1) Decreased the percentage of youth and adults who smoke cigarettes.

(2) Decreased annual per capita cigarette sales in Oregon.

c. Eligible Activities:

Activities must be able to connect to commercial tobacco prevention and cessation.

Activities must help reduce the impacts of commercial tobacco.

(1) Collaborate and partner with LPHAs through regular meetings and alignment of planned activities.

(2) Build capacity by enhancing organizational infrastructure, improving fiscal and human resource management, and supporting program implementation, particularly in regions with limited organizational resources.

(3) Focus on reducing the impact of commercial tobacco use in communities that face higher risks by offering services developed to meet their specific needs, These include: Tribal communities, and communities that represent different cultures, that speak many different languages, and that have diverse cultural and language needs.

(4) Implement initiatives that directly address use of commercial tobacco.

Examples include:

• Providing holistic support and care tailored to different types of tobacco and in different contexts, and geographic settings (for example, stipends for traditional leaders to teach younger generations about ceremonial or traditional tobacco, opportunities for healing and stress management).

• Enhancing support for and access to culturally appropriate commercial tobacco cessation resources.

12 https://www.oregon.gov/oha/PH/PREVENTIONWELLNESS/TOBACCOPREVENTION/Pages/index.aspx https://www.oregon.gov/oha/PH/PREVENTIONWELLNESS/TOBACCOPREVENTION/Pages/index.aspx

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• Offering training sessions for community members to build skills in advocating for tobacco policy changes.

• Supporting local and state policy changes (excluding lobbying) that help protect people in Oregon from the harmful effects of commercial tobacco use and secondhand smoke and encourage healthier social norms.

• Informing community members about the tobacco industry’s targeted and predatory marketing practices.

• Training and capacity building for health care providers traditional health workers and community health workers supports to address commercial tobacco use and intersections with chronic diseases, including addressing bias in health care providers against mainstream beliefs, practices, and approaches by providing interventions that are tailored and culturally responsive for specific communities.

• Engaging in efforts that bridge environmental and health justice by addressing toxic waste in communities impacted by discriminatory zoning. This may include targeting cigarette, nicotine, and electronic cigarette waste and pushing for industry accountability.

(5) Conduct initiatives or data projects that help communities assess their strengths and identify needs in preventing commercial tobacco use.

Examples include:

• Conducting community-based and -led research to understand community needs and priorities and address health inequities.

• Conducting community-based and -led evaluation of local programs and/or policies.

• Conducting community-based and -led data collection to understand health risks and assets in the community

2.4.3. Program Element #5004: Adolescent and School Health (ASH) 13

Definitions Specific to this Program Element Description

Positive Youth Development (PYD): Is a strengths-based approach focused on empowering young people to contribute positively to society, build meaningful connections, and develop a sense of purpose and identity. PYD emphasizes helping youth feel valued, connected to others, and confident in their ability to shape their own future. It involves fostering active engagement across key areas of their lives—such as family, schools, workplaces, communities (e.g., sports, cultural, and religious groups), and peer relationships. PYD is measured through indicators like self-efficacy, self-esteem, resilience, supportive social connections, caring relationships, and community involvement, all of which contribute to a young person’s overall well-being and growth

13 https://www.oregon.gov/oha/PH/HEALTHYPEOPLEFAMILIES/YOUTH/Pages/Program-Information.aspx https://www.oregon.gov/oha/PH/HEALTHYPEOPLEFAMILIES/YOUTH/Pages/Program-Information.aspx

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a. Background:

The Adolescent and School Health Program is comprised of four program areas:

policy and assessment, school-based health centers, school nursing, and youth sexual health. OHA’s goals are to improve access to quality health services and health education for all youth in Oregon; to provide partners with opportunities to build capacity, learn new information, and improve practice to better meet the needs of all youth in Oregon; and to illuminate the strengths and needs of all youth in Oregon through collection, analysis, and dissemination of accurate and timely data. This funding category supports community-based organizations doing PYD related work.14

b. Priority Health Outcomes:

(1) Improved health outcomes, mental health and physical well-being of youth in Oregon.

(2) Build and strengthen youth connections to family, schools/training programs/workplaces, communities (e.g. through sports, social groups, religious activities, cultural groups, etc.), and peer groups.

(3) Increased youth self-efficacy, self-esteem, and resilience.

c. Eligible Activities:

(1) Conduct evidence-informed activities to engage and support youth in developing self-efficacy, self-awareness, resilience, conflict management, and problem-solving skills.

(2) Facilitate youth engagement activities that support positive youth peer groups and community engagement to foster a sense of belonging.

(3) Build connections and relationships between youth and supportive adults using a strengths-based approach focused on youth empowerment.

(4) May include promoting positive connections for youth with their families, communities (like sports, religious, and cultural groups), schools, training programs, workplaces, and peer groups.

(5) Conduct a needs assessment with youth involvement, for planning and implementation of Positive Youth Development and youth engagement activities.

2.4.4. Program Element #5005: Overdose Prevention15

a. Background:

The Injury & Violence Prevention Section works to prevent violence, injuries (such as poisoning and overdose), and suicide throughout Oregon. The program’s mission is to lessen the economic, social, and personal impact of injuries. This program's funding is focused on reducing disparities related to substance use and overdose.

14 https://www.myd.govt.nz/working-with-young-people/youth-development-approach.html 15 https://www.oregon.gov/oha/PH/PreventionWellness/SubstanceUse/Opioids/Pages/index.aspx https://www.myd.govt.nz/working-with-young-people/youth-development-approach.html https://www.oregon.gov/oha/PH/PreventionWellness/SubstanceUse/Opioids/Pages/index.aspx

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b. Priority Health Outcomes:

(1) Increased awareness of the overdose crisis, harm reduction approaches, and evidence-based practices.

(2) Improved access to culturally responsive overdose prevention resources and services.

(3) Increased availability to care and services among communities disproportionately affected by overdose.

(4) Reduced health disparities associated with substance use and overdose.

c. Eligible Activities:

(1) Engage communities on topics related to overdose prevention, harm reduction, and stigma by developing culturally responsive trainings, educational materials, and/or communications initiatives, or by hosting community meetings or educational events.

(2) Provide culturally or linguistically responsive programming to increase awareness of local harm reduction services and/or to expand distribution of harm reduction materials.

(3) Connect at-risk community members with resources and services to overcome barriers to care and enhance supportive factors, such as engagement in prevention, treatment, and long-term recovery services.

(4) Build community or organizational capacity to prevent substance use, substance use-related harms, and overdoses by fostering community partnerships, increasing knowledge on substance use prevention and harm reduction strategies within the…