TP17-1701 Final Supplemental NOFO.pdf

Hospital Preparedness Program - Public Health Emergency Preparedness Cooperative Agreement Department of Health and Human Services

CDC-RFA-TP17-17010201SUPP18

TABLE OF CONTENTS

Part 1. Overview Information Part 2. Full Text of the Announcement

Section I. Funding Opportunity Description Section II. Award Information Section III. Eligibility Information Section IV. Application and Submission Information Section V. Application Review Information Section VI. Award Administration Information Section VII. Agency Contacts Section VIII. Other Information

Part 1. Overview Information Federal Agency Name:

Federal Centers for Disease Control and Prevention (CDC) Notice of Funding Opportunity (NOFO) Title:

Hospital Preparedness Program - Public Health Emergency Preparedness Cooperative Agreement Department of Health and Human Services Announcement Type:

Announcement Type: Type 6 Non-competitive Supplement

Agency Notice of Funding Opportunity Number:

CDC-RFA-TP17-17010201SUPP18

Catalog of Federal Domestic Assistance Number:

93.074 Key Dates:

Due Date for Application: 04/09/2018 Application must be successfully submitted to Grants.gov by 11:59pm Eastern Standard Time on the deadline date.

Additional Overview Content:

This award will provide supplemental funds only for recipients previously awarded under CDC- RFA-TP17-1701: Hospital Preparedness Program (HPP) and Public Health Emergency Preparedness (PHEP) Cooperative Agreements. This supplement will also serve as notification to funded entities that the current period of performance, originally scheduled to end on June 30, 2022, will now end on June 30, 2019. A new Notice of Funding Opportunity Announcement will be published to go into effect on July 1, 2019, and will mark the beginning of a new five-year period of performance. Funding for this budget period is provided for both HPP and PHEP programmatic activities. A total of $226,948,000 for HPP and $605,632,500 for PHEP in fiscal year 2018 funds is estimated to be available for this Budget Period 1 Supplement, which begins July 1, 2018, and ends June 30, 2019. The funding amounts shown in the appendices are for planning purposes only and may be revised based on the final fiscal year 2018 budget.

This announcement is only for non-research activities supported by ASPR and CDC. If research is proposed, the application will not be considered. For this purpose, research is defined at https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf.

Guidance on how CDC interprets the definition of research in the context of public health can be found at http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-researchnonresearch.pdf.

Executive Summary:

This supplement is for the purpose of strengthening and enhancing the capabilities of state, local, and territorial public health and health care systems to respond effectively (mitigate the loss of life and reduce the threats to the community’s health and safety) to evolving threats and other emergencies within the United States, its territories, and freely associated states. This announcement provides clear expectations and priorities for recipients and health care coalitions

(HCCs) to strengthen and enhance the readiness of the public health and the health care delivery system to save lives during emergencies that exceed the day-to-day capacity and capability of the public health and medical emergency response systems. This announcement provides funds to ensure that:

1. HPP recipients focus on activities that advance progress toward meeting the goals of the 2017-2022 Health Care Preparedness and Response Capabilities and document progress in establishing or maintaining ready health care systems through strong HCCs and,

2. PHEP recipients continue to advance the development of effective public health emergency management and response programs as outlined in the Public Health Preparedness Capabilities: National Standards for State and Local Planning.

Recipients must develop strategies and activities based on the HPP-PHEP Logic Model and use findings from their jurisdictional risk assessments, HCC hazard vulnerability analyses, capability self-assessments, National Health Security Preparedness Index, and incident after-action reports to inform their strategic priorities and preparedness investments.

Measurable outcomes of the program will be in alignment with one (or more) of the following performance goal(s) for the OPHPR:

CDC will continue to collect data for the Government Performance and Results act (GPRA) measures, which may also be revised during this project period. These include PHEP 3.1 (GPRA); PHEP 12.5 (PHEP Benchmark), 12.6 (PHEP Benchmark), 12.7 (PHEP Benchmark),

12.14 (GPRA), and 12.15.

ASPR will continue to collect data for the Government Performance and Results Act (GPRA) measures, which may also be revised during this project period. These include HPP HCCDA Factor 11 and HPP Medical Surge Indicator 5.

This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be considered. For this purpose, research is defined at https ://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf.

Guidance on how CDC interprets the definition of research in the context of public health can be found at https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html (See section 45 CFR 46.102(d)).

Part 2. Full Text Section I. Funding Opportunity Description

Statutory Authority Hospital Preparedness Program (HPP): section 319C-2 of the Public Health Service (PHS) Act (42 USC § 247d-3b), as amended.

Contingent Emergency Response Funding (HPP only): section 311 of the PHS Act ((42 USC § 243)), subject to available funding and other requirements and limitations.

Public Health Emergency Preparedness (PHEP): section 319C-1 of the PHS Act (47 USC § 247d-3a), as amended.

Contingent Emergency Response Funding (PHEP Only): 317(a) and 317(d) of the PHS Act [42 USC § 247b(a) and (d)], subject to available funding and other requirements and limitations.

Background This supplemental funding builds on funding and guidance provided under CDC-RFA-TP17- 1701: Hospital Preparedness Program (HPP) and Public Health Emergency Preparedness (PHEP) Cooperative Agreements. All requirements of that NOFO remain in effect unless otherwise amended herein.

Purpose This NOFO supplement addresses the “Healthy People 2020” focus area of Preparedness:

https://www.healthypeople.gov/2020/topics-objectives/topic/preparedness

Preparedness objectives for HP 2020: https://www.healthypeople.gov/2020/topics-objectives /topic/preparedness/objectives

Program Implementation

Recipient Activities Joint HPP-PHEP Activities

The following requirements apply to both HPP and PHEP programs:

1. All HPP and PHEP recipients must participate in or complete a jurisdictional risk assessment (JRA) at least once every five years. The five-year period can extend from one project period to the next. For instance, if a JRA was conducted in Budget Period 2 during the previous project period, one must be completed prior to the end of this supplemental period.

2. The joint HPP-PHEP statewide functional or full-scale exercise requirement, involving HPP/HCCs, PHEP, and emergency management agency/organization partners, is a five-year requirement, regardless of performance or budget period. For example, if a statewide functional or full-scale exercise was conducted in Budget Period 2 during the previous project period, one must be completed prior to the end of this supplemental period. This requirement applies to states, directly funded localities, and Puerto Rico, and is optional for all other recipients. A real incident/event will be considered.

3. Where due dates referenced in the original NOFO as the last day of the month, this is clarified to mean the last business day of the month.

HPP Activities

For this supplement, HPP recipients must address and comply with all joint HPP-PHEP and HPP-specific programmatic requirements for the strategies and activities that were originally listed as annual requirements or were listed as Budget Period 2 requirements in the 2017-2022 Hospital Preparedness Program (HPP) - Public Health Emergency Preparedness (PHEP) Cooperative Agreement CDC-RFA-TP17-1701 NOFO.

ASPR reminds HPP recipients of the following key areas of emphasis. Additional details on each of them can be found in the original HPP/PHEP NOFO:

ASPR expects HPP recipients to continue to refine and/or sustain HCCs through this supplemental period.

• All recipients must continue to allocate funding to HCCs.

• Recipients are not permitted to use HPP funds to make subawards to any HCC that does not meet the core membership requirements (please consult the CDC-RFA-TP17- 1701 NOFO for more information about core membership requirements).

• ASPR encourages HCCs to engage health care delivery system executives and clinical leaders to provide input, acknowledgement, and approval regarding strategic and operational planning.

• Each recipient-funded HCC must complete an annual hazard vulnerability analysis (HVA) to identify and plan for risks, in collaboration with the recipient.

• Each HCC funded by recipients must complete a resource assessment to identify health care resources and services at the jurisdictional and regional levels that could be coordinated and shared. HCCs must be capable of tracking this information and sharing it with all of their members by the end of this supplemental period.

• Each HCC funded by the recipient must develop a response plan that is informed by its members’ individual emergency operations plans and submit the plan to ASPR by the end of this supplemental period with the annual progress report. Please see Domain 2/Activity 4 and Domain 3/Activity 1 of the CDC-RFA-TP17-1701 NOFO for more information on the required components of the HCC response plan.

• HPP recipients must ensure by the end of this supplemental period that their HCCs are engaged when an emergency with the potential to impact the public’s health occurs within their boundaries. The HCC and its members must, at a minimum, define and share essential elements of information (EEIs) to include elements of electronic health record and resource needs and availability. In particular, recipients must ensure the HCC is engaged when one or more health care organizations have lost capacity or ability to provide patient care or when a disruption to a health care organization requires evacuation.

HPP recipients and HCCs must obtain de-identified data from the U.S. Department of Health and Human Services emPOWER map every six months to identify populations with unique health care needs, such as dialysis and those with electricity-dependent medical and assistive equipment, such as ventilators and wheel chairs.

To test the ability of the HCC to perform components of the 2017-2022 Health Care Preparedne ss and Response Capabilities, each funded HCC must conduct an exercise using the Coalition Surge Test (CST) during this supplemental period. Since this is an annual requirement, any CSTs conducted during Budget Period 1 will NOT satisfy this requirement. Instead of the CST, American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Republic of the Marshall Islands, Republic of Palau, and the U.S. Virgin Islands must conduct the Hospital Surge Test, as described in the CDC-RFA-TP17-1701 NOFO.

HPP recipients and the Emergency Medical Services for Children (EMSC) program recipients within their jurisdictions must provide a joint letter of support indicating that EMSC and HPP with their funding application for this supplemental period. HPP recipients must work with HCCs and EMSC to ensure that all hospitals are prepared to receive, stabilize, and manage pediatric patients. At the end of this supplemental period, HRSA will provide HPP with data regarding each hospital’s capability to manage pediatric medical emergencies to assist with this work.

Recipients must limit recipient-level direct costs to no more than 18 percent of the HPP cooperative agreement award during this supplemental period. Recipient-level direct costs are defined as personnel, fringe benefits, and travel. ASPR will consider requests for exemptions on a case-by-case basis. Requests for exemption must be submitted with the supplemental funding application. Requests for exemption will be strengthened by letters of support from the HCCs and the jurisdiction’s hospital association indicating these entities understand and agree with the amount the recipient is retaining for recipient-level direct costs. Please note that concurrence is not required, only recommended if a recipient is requesting an exemption.

Within the first 60 days of the supplemental period, all recipients should provide a detailed spend plan, including all budget line items, to all HCCs within their jurisdiction and any interested health care entity. This spend plan must also be sent to FPOs and will be used for program monitoring and communication.

HPP recipients and their subrecipients may provide funding to individual hospitals or other health care entities, as long as the funding is used for activities to advance regional, HCC, or health care system wide priorities, and are in line with ASPR’s four health care preparedness and response capabilities. Funding to individual health care entities is not permitted to be used to meet Centers for Medicare and Medicaid Services (CMS) conditions of participation, including CMS-3178-F Medicare and Medicaid Programs: Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers.

As discussed in more detail in the Funding Restrictions section below, funding to individual health care entities is not permitted to be used to meet Centers for Medicare & Medicaid Services (CMS) conditions of participation, conditions for coverage, or facility requirements (collectively, “CoPs”), including the rules set out in “Medicare and Medicaid Programs;

Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers”. (81 FR 63860, September 16, 2016).

HPP Performance Measure Reporting

HPP will release Budget Period 1 Supplement guidance documents for the HPP performance measures, including detailed reporting requirements. The HPP performance measures are anticipated to be nearly identical to the Budget Period 1 performance measures. ASPR recommends that recipients reflect performance/program measure requirements, in contracts, memoranda of understanding, and other binding documents with subrecipients.

New HPP Requirements for the Budget Period 1 Supplement

Coalition Assessment Tool:

HPP has implemented a Coalition Assessment Tool that the HCC, in coordination with their recipient and HCC members, must use to self-assess its progress toward meeting program requirements and the 2017-2022 Health Care Preparedness and Response Capabilities. The tool allows HCCs and their members to better plan and prioritize activities, help recipient and HCC leadership identify risks and issues earlier, and enable HPP to evaluate the program and provide more targeted assistance. HCCs and recipients must comply with the requirements below during the supplemental period:

• Recipients must work with their HCCs to update the CAT assessment by January 31, 2019 and fully submit by June 30, 2019.

• HCCs must update forms 1-4 NLT January 31, 2019

• HCCs must have the CAT fully completed and submitted by June 30, 2019.

HPP Supplemental Period Benchmarks Subject to Withholding

Four of the five HPP benchmarks for the supplemental period are identical to the Budget Period 1 benchmarks and carry the same penalties. Benchmark 4 is updated to reflect the HCC response plan requirement.

HPP Benchmarks Requirements

HPP - Program 1 Recipients must execute subawards with each HCC within 90 calendar days from the start of each budget period.

HPP - Program 2 Recipients must submit quarterly Federal Financial Reports (FFRs) within 30 calendar days of Notice of Award deadlines during each budget period.

HPP - Program 3 Recipients must submit a joint MYTEP with each budget period application package.

HPP - Program 4 Recipients must ensure HCCs have a draft response plan completed by April 1, 2019, and final plans submitted with the Supplemental Period Annual Progress Report.

HPP – Program 5

HPP recipients must satisfy the annual requirement to submit a pandemic influenza preparedness plan through the submission of required program data such as the capability self-assessment and program measures that provide information on the status of state and local pandemic response readiness, barriers and challenges to preparedness and operational readiness, and efforts to address the needs of at-risk individuals.

The Criteria to Determine Potential Withholding of HPP Fiscal Year 2019 Funds is the same as the criteria described for HPP Fiscal Year 2018 Funds in CDC-RFA-TP17-1701.

PHEP Activities

Requirements outlined in the original NOFO remain in effect and continue into the subsequent year. The following clarifications are hereby incorporated:

1. Quarterly object-class level financial reports are due 30 days after the end of each fiscal quarter, with high-level verbal reports during monthly calls.

2. Pandemic Influenza Readiness Assessment (PIRA) and medical countermeasure action plans will be on the same timeline: verbal updates via conference call and written action plan updates are due in alternating quarters of the budget period, i.e., Q1 and Q3 shall be verbal, Q2 and Q4 shall be written and submitted. The PIRA submission fulfills the pan flu requirement in PAHPRA. Reports are due no later than the last business day of the quarter.

3. Full-scale exercises described in Budget Period 1 should be conducted at least every five years, regardless of period of performance or budget period, in accordance with language in the MCM Operational Readiness Review guidance.

4. States must match 10% of total federal funding regardless of whether those funds are provided through financial assistance or direct assistance.

5. As stated in the original NOFO, several meetings remain mandatory. In this Budget Period 1 Supplement, the following meeting is considered mandatory, and recipients should budget travel funds accordingly:

• Training for MCM coordinators sponsored by CDC during August 2018. Specific information and travel authorization letters will be provided in advance.

SECTION II. Budget Period 1 Supplement (July 1, 2018 –-June 30, 2019)

The following are new PHEP strategies and requirements for Budget Period 1 Supplement.

Modified Risk-based Medical Countermeasure Planning Strategies

Based on extensive input from subject matter experts and stakeholders, CDC plans to implement revised risk criteria for state and local medical countermeasure (MCM) risk planning and response, effective July 2019.

Historically, all 62 PHEP jurisdictions and their 72 local Cities Readiness Initiative (CRI) planning jurisdictions have been required to prepare for response to a single planning scenario:

an intentional release of anthrax. However, CDC subject matter experts as well as Association of State and Territorial Health Officials (ASTHO) and National Association of County and City Health Officials (NACCHO) MCM work groups, ASTHO’s Directors of Public Health Preparedness (DPHP) Executive Committee, and Department of Homeland Security (DHS) threat experts, indicate jurisdictions should also incorporate EID in their MCM planning. State and local public health risk assessments consistently identify EID as a more viable threat, and state and local experience in responding to the H1N1 pandemic influenza, Ebola, and Zika virus disease outbreaks illustrate the critical need to ensure operational readiness for EID outbreaks.

Therefore, beginning in Budget Period 1 Supplement, PHEP recipients must start adapting work plans as necessary to ensure they have in place essential planning and operational elements to respond to an emerging infectious disease (EID) such as pandemic influenza, in addition to an intentional release of a Category A agent such as anthrax.

While PHEP jurisdictions must continue to prepare for all potential threats, CDC plans to use population and population density as the basis for determining the primary jurisdictional planning assumptions and full-scale exercise requirements. Following a review of existing national risk-based initiatives, CDC will require that all CRI local planning jurisdictions within an MSA with a population of more than 1 million people and a population density of more than 750 people per square mile across the MSA demonstrate full operational readiness for an intentional release of anthrax. Readiness must be demonstrated at least once every five years through a full-scale exercise or response to a real incident. The 18 CRI MSAs that meet these criteria are:

Baltimore, MD Houston, TX Pittsburgh, PA

Boston, MA Memphis, TN San Francisco Bay Area, CA

Chicago, IL Miami, FL Tampa, FL

Cleveland, OH Milwaukee, WI Washington. D.C.

Dallas-Fort Worth, TX New York, NY

Detroit, MI Philadelphia, PA

Los Angeles, CA San Diego, CA

Recipients and other CRI local planning jurisdictions may elect to ensure full operational readiness for both scenarios by conducting a full-scale exercise or responding to a real incident for both an EID and an anthrax scenario once every five years. However, CDC requires only one full scale exercise every five years.

Based on the new risk criteria, CDC will implement the following requirements in July 2019.

All recipients and CRI local planning jurisdictions will be required to:

• maintain fully developed plans to respond to both EID and Category A agents and

• demonstrate readiness for a core set of response activities for both scenarios through some combination of drills, tabletop exercises, and functional exercises.

• The 18 identified CRI MSAs will be required to test their operational readiness to respond by conducting a full-scale exercise or responding to a real incident at least once every five years using an anthrax scenario.

• The remaining CRI MSAs will be required to test their operational readiness for an EID response by conducting a full scale exercise or responding to a real incident at least once every five years using an EID scenario.

Additional information and guidance on these scenarios will be provided in a separate document.

• Additional Accountability Standards

CDC will implement additional monitoring and accountability measures to track recipient progress in achieving desired programmatic outcomes and financial performance levels. Monitoring and reporting activities also help to identify jurisdictions that may need additional guidance and assistance.

Using the PERFORMS program management system and the DCIPHER operational readiness review (ORR) data collection system, CDC will continue to review performance systematically. In addition, CDC will monitor recipient performance through site visits, ongoing consultation calls, and technical evaluation of various recipient reports. CDC may modify future PHEP base funding to reflect recipient performance in the following areas:

Fiscal Performance

CDC routinely monitors historical use of funding as demonstrated through fiscal management reports. Beginning in July 2019, CDC will review recipient spending rates over a three-year rolling basis and will provide targeted technical assistance to improve fiscal performance and consider adjusting base funding as needed for those at risk of lapsing funds.

Administrative Performance

CDC will continue to monitor compliance with PHEP reporting requirements and other grants management deliverables to ensure timely submission of critical program data. CDC will restrict funds for non-compliance and may modify base funding for continued noncompliance.

Programmatic Performance

CDC will continue to assess recipient progress made across the six domains and their related strategies, activities, and outcomes as described in the CDC-RFA- TP17-1701 NOFO. CDC measures PHEP programmatic performance using a variety of methods, including collection of process measures, performance measures, and an operational readiness review (ORR) process. Recipients who do not meet specific programmatic outcomes may be subject to modified base funding.

In addition, CDC sets annual PHEP programmatic benchmarks and collects data accordingly. Recipients who fail to “substantially meet” the benchmarks are subject to withholding of a statutorily mandated percentage of the award the following fiscal year.

CDC will provide specific guidance on how these accountability standards will be enforced in a separate document that will be released by the beginning of the budget period.

Updated Public Health Preparedness Capability Standards

CDC will release updated public health preparedness capability standards in the second quarter of 2018. The revised capability standards will reflect current public health practice, operational readiness components, and other public health emergency preparedness and response priorities. The updated standards also will incorporate new content related to tribal populations, vulnerable populations, environmental health, and pandemic influenza. While the updated content will not be released in time to inform Budget Period 1 Supplement work plans, CDC encourages recipients to review the updated content to help guide current year activities and to begin planning for fiscal year 2019 activities.

Revised Requirements for U.S. Affiliated Pacific Island (USAPI) Territories and

U.S. Virgin Islands

Recognizing the challenges faced by these jurisdictions with limited local resources and funding, CDC notifies the USAPI (American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Guam, Republic of the Marshal Islands, Republic of Palau) and the U.S. Virgin Islands that we will use this supplemental period to revise and refine PHEP requirements for the next period of performance that are more appropriate to their jurisdictions. This may include emphasis on Tier 1 capabilities, reduced ORR requirements, and other criteria, along with more focused programmatic assistance to ensures operational readiness.

Performance Measures and Benchmarks

CDC will release Budget Period 1 Supplement guidance for PHEP performance measures, including detailed reporting requirements, which are anticipated to be nearly identical to Budget Period 1. CDC recommends that recipients reflect performance requirements in contracts, memoranda of understanding, and other binding documents with subrecipients.

PHEP benchmarks and criteria to determine potential penalties for withholding of PHEP Fiscal Year 2019 funds is the same as the criteria described in CDC-RFA-TP17-1701.

In a cooperative agreement, CDC staff is substantially involved in the program activities, above and beyond routine grant monitoring.

CDC Activities

Section II. Award Information Type of Award: Cooperative Agreement CDC substantial involvement in this program appears in the Activities Section above.

Award Mechanism: U90

Fiscal Year Funds: 2018 Approximate Total Supplemental Funding: $830,580,500 This amount is subject to availability of funds. Includes direct and indirect costs.

HPP: $ 226,948,000

PHEP: $605,632,500

Approximate Number of Awards: 62

Approximate Average Award: $13,396,460 This amount is for the budget period only and includes direct costs and indirect costs as applicable.

Floor of Individual Award Range: $579,108 Ceiling of Individual Award Range: $64,833,259 This ceiling is for a 12-month budget period.

HPP Funding: $ 3,700,000

PHEP Funding: $ 9,800,000

Anticipated Award Date: 06/01/2018 Budget Period Length: 12 month(s) Period of Performance Length: 1 year(s)

Section III. Eligibility Information

Eligible Applicants The following recipients may submit an application:

Eligibility Category: State governments County governments City or township governments Special district governments

Only HPP and PHEP recipients funded under CDC_RFA-TP17-1701, Budget Period 1, are eligible for this supplemental funding.

Required Registrations

System for Award Management and Universal Identifier Requirements An organization must be registered at the three following locations before it can submit an application for funding at www.grants.gov.

a. Data Universal Numbering System: All applicant organizations must obtain a Data Universal Numbering System (DUNS) number. A DUNS number is a unique nine-digit identification number provided by Dun & Bradstreet (D&B). It will be used as the Universal Identifier when applying for federal awards or cooperative agreements. The applicant organization may request a DUNS number by telephone at 1-866-705-5711 (toll free) or Internet at http://fedgov.dnb.com/webform/displayHomePage.do. The DUNS number will be provided at no charge. If funds are awarded to an applicant organization that includes sub-recipients, those sub-recipients must provide their DUNS numbers before accepting any funds.

b. System for Award Management (SAM): The SAM is the primary registrant database for the federal government and the repository into which an entity must submit information required to conduct business as a recipient. All applicant organizations must register with SAM, and will be assigned a SAM number. All information relevant to the SAM number must be current at all times during which the applicant has an application under consideration for funding by CDC. If an award is made, the SAM information must be maintained until a final financial report is submitted or the final payment is received, whichever is later. The SAM registration process usually requires not more than five business days, and registration must be renewed annually. Additional information about registration procedures may be found at www.SAM.gov.

c. Grants.gov: The first step in submitting an application online is registering your organization through www.grants.gov, the official HHS E-grant website. Registration information is located at the "Get Registered" option at www.grants.gov. All applicant organizations must register with www.grants.gov. The one-time registration process usually takes not more than five days to complete. Applicants must start the registration process as early as possible.

Cost Sharing or Matching Cost Sharing / Matching Requirement: Yes ASPR and CDC may not award a cooperative agreement to a state or consortium of states under these programs unless the recipient agrees that, with respect to the amount of the cooperative agreements awarded by ASPR and CDC, the state will make available nonfederal contributions in the amount of 10% ($1 for each $10 of federal funds provided in the cooperative agreement, regardless of whether those funds are provided through financial assistance or direct assistance) of the award. Match may be provided directly or through donations from public or private entities and may be in cash or in kind, fairly evaluated, including plant, equipment or services.

Amounts provided by the federal government or services assisted or subsidized to any significant extent by the federal government may not be included in determining the amount of such nonfederal contributions.

Please refer to 45 CFR § 75.306 for match requirements, including descriptions of acceptable match resources. Documentation of match, including methods and sources, must be included in the Budget Period 1 application for funds, follow procedures for generally accepted accounting practices, and meet audit requirements.

Exceptions to Matching Funds Requirement:

• The match requirement does not apply to the political subdivisions of Chicago, Los Angeles County, or New York City.

• Pursuant to department grants policy implementing 48 U.S.C. 1469a(d), any required matching (including in-kind contributions) of less than $200,000 is waived with respect to cooperative agreements to the governments of American Samoa, Guam, the U.S.

Virgin Islands, or the Northern Mariana Islands (other than those consolidated under other provisions of 48 U.S.C. 1469). The match requirement is also waived for the freely associated states, including the Republic of Palau, the Federated States of Micronesia, and the Republic of the Marshall Islands. For instance, if 10% (the match requirement) of the award is less than $200,000, then the entire match requirement is waived. If 10% of the award is greater than $200,000, then the first $200,000 is waived, and the rest must be paid as match.

• Matching does not apply to future contingent emergency response awards that may be authorized under 311, 317(a), and 317(d) of the Public Health Service (PHS) Act unless such a requirement were imposed by statute or administrative process at the time.

Other

Special Requirements Note: Title 2 of the United States Code Section 1611 states that an organization described in Section 501(c)(4) of the Internal Revenue Code that engages in lobbying activities is not eligible to receive Federal funds constituting a grant, loan, or an award.

Note: Title 2 of the United States Code Section 1611 states that an organization described in Section 501(c)(4) of the Internal Revenue Code that engages in lobbying activities is not eligible to receive Federal funds constituting a grant, loan, or an award.

Maintenance of Effort Statutory Basis Maintenance of Funding (HPP 319C-2) and Maintain State Funding (PHEP) 319C-1 is a responsiveness criterion. Recipients must stipulate the total dollar amount in their cooperative agreement funding applications. Recipients must be able to account for MOF/MSF separate from accounting for federal funds and separate from accounting for any matching funds requirements; this accounting is subject to ongoing monitoring, oversight, and audit. MOF/MSF may not include any subrecipient matching funds requirement where applicable.

Maintenance of Funding/Maintaining State funding

(A) In general

An entity that receives an award under this section shall maintain expenditures for public health security at a level that is not less than the average level of such expenditures maintained by the entity for the preceding 2 year period.

(B) Rule of construction

Nothing in this section shall be construed to prohibit the use of awards under this section to pay salary and related expenses of public health and other professionals employed by State, local, or tribal public health agencies who are carrying out activities supported by such awards (regardless of whether the primary assignment of such personnel is to carry out such activities).

This represents a recipient’s historical level of contributions or expenditures (money spent) related to federal programmatic activities that have been made prior to the receipt of federal funds. The maintenance of effort (MOE) is used as an indicator of nonfederal support for public health security and health care preparedness before the infusion of federal funds. These expenditures are calculated by the recipient without reference to any federal funding that also may have contributed to such programmatic activities in the past.

The definition of eligible state expenditures for public health security and health care preparedness includes:

• Appropriations specifically designed to support health care or public health emergency preparedness as expended by the entity receiving the award; and

• Funds not specifically appropriated for health care or public health emergency preparedness activities but which support health care or public health emergency preparedness activities, such as personnel assigned to health care or public health emergency preparedness responsibilities or supplies or equipment purchased for health care or public health emergency preparedness from general funds or other lines within the operating budget of the entity receiving the award.

MOF/MSF does not apply to future contingent emergency response awards that may be authorized under 311, 317(a), and 317(d) of the Public Health Service Act unless such a requirement were imposed by statute or administrative process at the time.

Section IV. Application and Submission Information

Address to Request Application Package Applicants must download the application package associated with this funding opportunity from Grants.gov. If access to the Internet is not available or if the applicant encounters difficulty accessing the forms on-line, contact the HHS/CDC Office of Grants Services (OGS) Technical Information Management Section (TIMS) staff at (770) 488-2700 for further instruction. CDC Telecommunications for the hearing impaired or disable is available at: TTY 1-888-232-6348.

If the applicant encounters technical difficulties with Grants.gov, the applicant should contact Grants.gov Customer Service. The Grants.gov Contact Center is available 24 hours a day, 7 days a week, with the exception of all Federal Holidays. The Contact Center provides customer service to the applicant community. The extended hours will provide applicants support around the clock, ensuring the best possible customer service is received any time it is needed. You can reach the Grants.gov Support Center at 1-800-518-4726 or by email at support@grants.gov. Submissions sent by email, fax, CD’s or thumb drives of applications will not be accepted.

Content and Form of Application Submission Unless specifically indicated, this announcement requires submission of the following information:

A Project Abstract must be completed in the Grants.gov application forms. The Project Abstract must contain a summary of the proposed activity suitable for dissemination to the public. It should be a self-contained description of the project and should contain a statement of objectives and methods to be employed. It should be informative to other persons working in the same or related fields and insofar as possible understandable to a technically literate lay reader. This abstract must not include any proprietary/confidential information.

Maximum 1 page.

A Project Narrative must be submitted with the application forms. The project narrative must be uploaded in a PDF file format when submitting via Grants.gov. The narrative must be submitted in the following format:

• Maximum number of pages: 20. If your narrative exceeds the page limit, only the first pages which are within the page limit will be reviewed.

• Font size: 12 point unreduced, Times New Roman

• Double spaced

• Page margin size: One inch

• Number all narrative pages; not to exceed the maximum number of pages.

The narrative should address activities to be conducted over the entire Period of Performance and must include the following items in the order listed.

HPP Project Narrative:

SECTION I. Current Budget Period Progress (for Budget Period 1, July 1, 2017 – June 30, 2018)

Provide a brief report addressing the following elements of each objective or activity from Budget Period 1:

1. Within each domain, for those capabilities on which a recipient worked during Budget Period 1, a brief status update (completed; ongoing and on schedule;

ongoing but not on schedule; or discontinued) is required.

2. Progress Update: Recipients must report progress on completing activities outlined within domain work plans, including descriptions of outcomes or outputs. Recipients should describe any additional successes, identified through evaluation results or lessons learned, achieved to date, including public health and medical preparedness and response accomplishments resulting from HPP-funded activities

3. Risks/Challenges: In this section, recipients must describe:

1. Any challenges that might affect their ability to achieve subsequent year domain objectives and activities, meet performance/program measures, or complete work plan activities.

2. Additional challenges encountered to date as identified through evaluation results or lessons learned.

SECTION II. New Budget Period Proposed HPP Strategies and Activities (for Supplement Period 1, July 1, 2018 – June 30, 2019)

Following are standard requirements for proposed activities in the Budget Period 1 Supplement.

Note that, unless otherwise specified, requirements outlined in the original Notice of Funding Opportunity Announcement (NOFO) remain in place. Recipients must address and comply with joint program requirements and HPP-specific requirements.

1. List proposed objectives for the upcoming budget period. These objectives must support the intent of the original NOFO and align with the domains outlined in the logic model.

2. Work Plan

Recipients must develop and submit detailed work plans for the budget period. The high-level plan should crosswalk to the strategies and activities, outcomes, and evaluation and performance measures described in the NOFO. Recipients must describe in their Budget Period 1 Supplement domain work plans their planned activities for addressing the Strategies and

Activities described in the ASPR-CDC project description plan, including:

• Domains and aligned capabilities

• Strategies and proposed activities

• Program requirements and recommendations

PHEP Project Narrative:

SECTION I. Current Budget Period Progress (for Budget Period1, July 1, 2017 – June 30, 2018)

1. Provide a brief report addressing the following elements of each objective or activity from Budget Period 1:

1. Within each domain, for those capabilities on which a recipient worked during Budget Period 1, a brief status update (completed; ongoing and on schedule;

ongoing but not on schedule; or discontinued) is required.

2. Progress Update: Recipients must report progress on completing activities outlined within domain work plans, including descriptions of outcomes or outputs. Recipients should describe any additional successes, identified through evaluation results or lessons learned, achieved to date, including public health and medical preparedness and response accomplishments resulting from PHEP-funded activities

3. Risks/Challenges: In this section, recipients must describe:

1. Any challenges that might affect their ability to achieve subsequent year domain objectives and activities, meet performance/program measures, or complete work plan activities.

2. Additional challenges encountered to date as identified through evaluation results or lessons learned.

SECTION II. New Budget Period Proposed PHEP Strategies and Activities (for Supplement Period 1, July 1, 2018 – June 30, 2019)

Following are standard requirements for proposed activities in the Budget Period 1 Supplement.

Note that, unless otherwise specified, requirements outlined in the original Notice of Funding Opportunity Announcement (NOFO) remain in place. Recipients must address and comply with joint program requirements and PHEP-specific requirements.

1. List proposed objectives for the upcoming budget period. These objectives must support the intent of the original NOFO and align with the domains outlined in the logic model .

2. Work Plan

Recipients must develop and submit detailed work plans for the budget period. The high-level plan should crosswalk to the strategies and activities, outcomes, and evaluation and performance measures described in the NOFO. Recipients must describe in their Budget Period 1 SUPP domain work plans their planned activities for addressing the Strategies and Activities described in the ASPR-CDC project description plan, including:

• Domains and aligned capabilities

• Strategies and proposed activities

• Program requirements and recommendations

The narrative should address activities to be conducted over the entire Period of Performance and must include the following items in the order listed.

Additional information may be included in the application appendices. The appendices must be uploaded to the "Other Attachments Form" of application package in Grants.gov. Note:

appendices will not be counted toward the narrative page limit. This additional information includes:

Budget Narrative

Applicants must submit an itemized budget narrative. When developing the budget narrative, applicants must consider whether the proposed budget is reasonable and consistent with the purpose, outcomes, and program strategy outlined in the project narrative. The budget must include:

• Salaries and wages

• Fringe benefits

• Consultant costs

• Equipment

• Supplies

• Travel

• Other categories

• Contractual costs

• Total Direct costs

• Total Indirect costs The budget can include both direct costs and indirect costs as allowed. Indirect costs could include the cost of collecting, managing, sharing and preserving data.

• Indirect costs on grants awarded to foreign organizations and foreign public entities and performed fully outside of the territorial limits of the U.S. may be paid to support the costs of compliance with federal requirements at a fixed rate of eight percent of modified total direct costs exclusive of tuition and related fees, direct expenditures for equipment, and subawards in excess of $25,000. Negotiated indirect costs may be paid to the American University, Beirut, and the World Health Organization.

• If requesting indirect costs in the budget, a copy of the indirect cost rate agreement is required. Include a copy of the current negotiated federal indirect cost rate agreement or cost allocation plan approval letter.

The applicant can obtain guidance for completing a detailed justified budget on the

CDC website, at the following Internet address:

https://www.cdc.gov/grants/documents/Budget-Preparation-Guidance.docx

Additional information submitted via Grants.gov must be uploaded in a PDF file format, and should be named:

"Indirect Cost Rate Agreement"

No more than 10 electronic attachments should be uploaded per application.

CDC Assurances and Certifications: All applicants are required to sign and submit “Assurances and Certifications” documents indicated at http://wwwn.cdc.gov/grantassurances/ (S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx.

Applicants may follow either of the following processes:

• Complete the applicable assurances and certifications with each application submission, name the file “Assurances and Certifications” and upload it as a PDF file with at www.grants.gov

• Complete the applicable assurances and certifications and submit them directly to CDC on an annual basis at http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.asp x

Assurances and certifications submitted directly to CDC will be kept on file for one year and will apply to all applications submitted to CDC by the applicant within one year of the submission date.

Duplication of Efforts Applicants are responsible for reporting if this application will result in programmatic, budgetary, or commitment overlap with another application or award (i.e. grant, cooperative agreement, or contract) submitted to another funding source in the same fiscal year.

Programmatic overlap occurs when (1) substantially the same project is proposed in more than one application or is submitted to two or more funding sources for review and funding consideration or (2) a specific objective and the project design for accomplishing the objective are the same or closely related in two or more applications or awards, regardless of the funding source. Budgetary overlap occurs when duplicate or equivalent budgetary items (e.g., equipment, salaries) are requested in an application but already are provided by another source.

Commitment overlap occurs when an individual’s time commitment exceeds 100 percent, whether or not salary support is requested in the application. Overlap, whether programmatic, budgetary, or commitment of an individual’s effort greater than 100 percent, is not permitted.

Any overlap will be resolved by the CDC with the applicant and the PD/PI prior to award.

Report Submission: The applicant must upload the report in Grants.gov under “Other Attachment Forms.” The document should be labeled: "Report on Programmatic, Budgetary, and Commitment Overlap.”

Submission Dates and Times This announcement is the definitive guide on application content, submission, and deadline. It supersedes information provided in the application instructions. If the application submission does not meet the deadline published herein, it will not be eligible for review and the recipient will be notified the application did not meet the submission requirements.

This section provides applicants with submission dates and times. Applications that are submitted after the deadlines will not be processed.

If Grants.gov is inoperable and cannot receive applications, and circumstances preclude advance notification of an extension, then applications must be submitted by the first business day on which grants.gov operations resume.

Application Deadline Date Due Date for Applications: 04/09/2018

Explanation of Deadlines: Application must be successfully submitted to Grants.gov by 11:59pm Eastern Standard Time on the deadline date.

Intergovernmental Review Executive Order 12372 does not apply to this program.

Pilot Program for Enhancement of Employee Whistleblower Protections All applicants will be subject to a term and condition that applies the terms of 48 CFR section

3.908 to the award and requires that recipients inform their employees in writing (in the predominant native language of the workforce) of employee whistleblower rights and protections under 41 U.S.C 4712.

Copyright Interest Provisions This provision is intended to ensure that the public has access to the results and accomplishments of public health activities funded by CDC. Pursuant to applicable grant regulations and CDC’s Public Access Policy, Recipient agrees to submit into the National Institutes of Health (NIH) Manuscript Submission (NIHMS) system an electronic version of the final, peer-reviewed manuscript of any such work developed under this award upon acceptance for publication, to be made publicly available no later than 12 months after the official date of publication.