Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)
Active
- Assistance listing
- 93.323
- Agency
-
Centers for Disease Control and Prevention
Department of Health and Human Services
- Grant awards
- 230 $6,729,308,979 in federal obligations
Program facts
- Also known as
- ELC Cooperative Agreement
- Assistance types
-
- Cooperative Agreement
- Block Grant
- Treasury account
-
- 56-2721-1-1-101
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Centers for Disease Control and Prevention (CDC) is funding epidemiology and laboratory capacity at state, local, and territorial health departments to detect, respond, prevent, and control known and emerging infectious diseases, with the most recent grant awards issued on September 30, 2024, under CFDA 93.323.
The program funds public health agency infrastructure across four core areas: strengthening epidemiologic capacity for disease surveillance and outbreak investigation; enhancing laboratory diagnostic capacity including advanced molecular detection; improving health information systems and data modernization; and fostering collaboration among epidemiology, laboratory, and informatics components. Recent funded work spans infectious disease surveillance and response (Wisconsin's ELC cooperative agreement), rural vaccination infrastructure (University of Massachusetts), childhood immunization program advancement (UI, AIRA coordination centers), school-based vaccination mandate compliance, vaccine hesitancy research, immunization information system (IIS) interoperability enhancements, vector-borne disease training and prevention, healthcare-associated infection surveillance, antimicrobial resistance monitoring, foodborne disease investigation, wastewater surveillance, and health equity initiatives across infectious disease programs.
Recipients are predominantly state health departments, the 51 U.S. territories and Pacific affiliates, and four large city health departments serving populations above 1.5 million (New York City, Chicago, Houston, Philadelphia). Cooperative Agreements account for 229 of 230 recent awards; one Block Grant appears in the portfolio. CDC has dominated funding, obligating $6.73 billion in combined federal dollars across 230 awards since 2014. Award activity has been volatile, ranging from 4 awards in 2022 to 49 in 2021, with 23 awards in 2024. Recent awards range from approximately $625 thousand to $20.4 million, with state-level ELC core agreements typically in the $1.8 million to $16 million range and five-year cooperative agreement periods standard.
The most recent NOFO (CDC-RFA-CK24-0002) closed on April 30, 2024. No current open solicitation is present in the source. Recipients may request supplemental funding for emerging issues at any time during the budget period, and continuation funding for years 2–5 follows non-competitive processes contingent on satisfactory progress. The program has operated continuously since 1995.
Objective and description
- Objective
The purpose of this program is to protect the public health and safety of the American people by enhancing the capacity of public health agencies to effectively detect, respond, prevent and control known and emerging (or re-emerging) infectious disea
- Description
The ultimate goal of the ELC is to prevent the transmission of future outbreaks of known and emerging (or re‐emerging) infectious diseases while reducing the exposure to current infectious disease threats. This is achieved by enhancing the capacity of public health agencies to effectively detect, respond to, control, and prevent known and emerging (or re‐emerging) infectious disease threats.
Eligibility
- Applicant eligibility
To maximize the impact of available funding, the ELC program has chosen to leverage the legislative authorities associated with this funding to limit recipients to those meeting the population thresholds described below. Working with recipients of sizeable populations allows ELC to take advantage of economy of scale in implementing programs and reducing the marginal cost of additional resources added per population served. This strategy allows ELC to reach the greatest number of people for its budget while also balancing the need for direct support to some of the United States' largest cities and counties. Pursuant to 42 USC 300hh-31, eligible applicants include: 1. The 51 State health departments or their bona fide agents, including the District of Columbia. 2. Local health agencies or their bona fide agents, if they serve a city population of 1.5M or more (i.e., Chicago, Houston, New York City, Philadelphia). If the city does not have a public health department, then the county covering the jurisdiction may apply (i.e., Los Angeles, CA covered by Los Angeles County and Phoenix, AZ covered by Maricopa County). 3. All U.S. territories and affiliates in the Caribbean and Pacific (American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Guam, Puerto Rico, Republic of Palau, Republic of the Marshall Islands, and U.S. Virgin Islands). *Population for county and city jurisdictions. Source: U.S. Census Bureau, Population Division - Annual Estimates of the Resident Population for Counties in the United States: April 1, 2020, to July 1, 2021 - Release Date: March 2022.
- Beneficiary eligibility
Direct beneficiaries include all 50 states, Washington, D.C., 6 largest local health departments (Chicago, Illinois; Houston, Texas; Los Angeles, California; Maricopa County, Arizona; New York City, New York; Philadelphia, Pennsylvania;), the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Mariana Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau or their bona fide agents.
- Uses of assistance
Financial and technical resources are intended to be utilized for non-research activities that (1) strengthen epidemiologic capacity; (2) enhance laboratory capacity; (3) improve information systems; and (4) enhance collaboration among epidemiology, laboratory, and information systems components of public health departments. Activities may include those that enable a public health organization to establish and maintain a capable and qualified workforce, achieve modern and well-equipped public health laboratories, implement up-to-date health information systems, and institute systems that foster communication and appropriate integration across epidemiology, laboratory, and health information systems. Federal Financial Assistance (FA) and Direct Assistance (DA) are authorized.
- Use restrictions
Funds may not be used for research or clinical care. Funds may not be used for construction-related costs. Other than for normal and recognized executive-legislative relationships, no funds may be used for (1) publicity or propaganda purposes, for the preparation, distribution, or use of any material designed to support or defeat the enactment of legislation before any legislative body; or (2) the salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before any legislative body. (See Additional Requirement (AR) 12 for detailed guidance on this prohibition and additional guidance on lobbying for CDC awardees). Funds awarded to recipients are fully discretionary and funding levels are determined each fiscal year, subject to the availability of funds.
- Length and time phasing of assistance
Financial assistance is provided for a 12-month budget period with a period of performance of up to five years subject to the availability of funds and satisfactory progress of the recipient.
How to apply
- Criteria for selecting proposals
Applications will be evaluated based on: (1) strength of the proposed work plan that includes quantitative process and outcome measures; (2) adequate and clear information to enable the reviewer to gain a reasonable understanding of the applicant's recent and current efforts to address the issues; and (3) provide a realistic plan with activities that can be achieved in the budget period. Other criteria will be listed in the program and project sections within the funding opportunity announcement.
- Award procedure
Applications that are complete and responsive will be evaluated for scientific and technical merit and receive support. CDC will not review incomplete and non-responsive applications. Applications that are complete and responsive will undergo an objective/technical review process, receive a written critique and be scored according to the published review criteria. Successful applicants will receive a Notice of Award (NOA) from the CDC Office of Grants Services (OGS). The NOA shall be the only binding, authorizing document between the recipient and CDC. The NOA will be signed by an authorized OGS Grants Management Officer. Initial award provides funds for the first budget period (usually 12 months) and the NOA will indicate support recommended for the remainder of the project period, allocation of Federal funds by budget categories, and special conditions, if any.
- Deadlines
Check Grants.gov for any relevant NOFO information regarding processes for applying for assistance.
- Time to approval or disapproval
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Notice of Funding Opportunities (NOFO) for this listing will be posted on Grants.gov (opens in new window)(opens in new window). 1. For the first year of the 5-year period of performance, the Notice of Funding Opportunity (NOFO) is published on Grants.gov. Recipients must complete an application and submit in Grants.gov by the posted deadline. 2. For years 2 through 5, also referred to as continuation funding years, the continuation guidance is published in GrantSolutions for ELC recipients to request financial assistance for the upcoming budget period. The deadline for application is posted in the guidance. 3. ELC recipients may also request additional funds to address emerging issues (e.g., outbreaks) by submitting a recipient-initiated request for supplemental funding at any time during the current budget period.
- Renewals
Cooperative agreement period of performance is 5 years. After initial awards, and subject to availability of funds, projects may be continued non-competitively contingent upon satisfactory progress by the recipient (as documented in required reports) and the determination that continued funding is in the best interest of the Federal government.
Grant opportunities
Grant awards
Latest 10 of 230 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | County Of LOS Angeles | $1,914,337,974 | 28% |
| 2 | Ohio Department Of Health | $867,564,476 | 13% |
| 3 | South Carolina Department Of Public Health | $643,258,002 | 10% |
| 4 | Tennessee Department Of Health | $567,859,445 | 8% |
| 5 | Executive Office Of The Governor Of Delaware | $352,402,302 | 5% |
| 6 | State Of Georgia Department Of Public Health | $345,943,160 | 5% |
| 7 | Department Of Public Health Illinois | $345,047,501 | 5% |
| 8 | Colorado Department Of Public Health & Environment | $187,903,640 | 3% |
| 9 | Department Of Public Health Connecticut | $143,798,390 | 2% |
| 10 | Florida Department Of Health | $64,839,343 | 1% |
10 of 120 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | -$1,479,516,799 |
| FY2025 | -$9,717,595,659 |
| FY2024 | -$3,386,505,420 |
| FY2023 | $914,227,402 |
| FY2022 | $345,051,336 |
| FY2021 | $30,648,639,193 |
| FY2020 | $28,180,513,511 |
| FY2019 | $233,219,198 |
| FY2018 | $159,748,169 |
| FY2017 | $259,572,657 |
| FY2016 | $176,100,620 |
| FY2015 | $63,239,789 |
| FY2014 | $52,155,101 |
Show all 13
Quick answers
What is Assistance Listing 93.323?
Assistance Listing 93.323 is Epidemiology and Laboratory Capacity for Infectious Diseases (ELC), a federal grant program run by Centers for Disease Control and Prevention (Department of Health and Human Services).
What is the CFDA number for Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)?
Its CFDA number is 93.323: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.323 awarded?
230 grant awards under 93.323 have obligated $6,729,308,979 in federal funds to 120 recipients.
Who receives the most funding from 93.323?
The recipients obligated the most under Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) are County Of LOS Angeles ($1,914,337,974), Ohio Department Of Health ($867,564,476) and South Carolina Department Of Public Health ($643,258,002).
How much did 93.323 obligate in fiscal year 2025?
Grants under 93.323 obligated -$9,717,595,659 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.323?
No opportunity listed under 93.323 is open now. The latest, Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases (ELC), was posted on May 31, 2023.
On GovTribe
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