Activities to Support State, Tribal, Local and Territorial (STLT) Health Department Response to Public Health or Healthcare Crises

Active

Assistance listing
93.391
Agency
Grant awards
276 $299,349,203 in federal obligations

Program facts

Also known as
CDC Partner Crisis Response NOFO
Assistance types
  • Project Grant
  • Cooperative Agreement
Treasury account
  • 75-0959-0-1-550
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) within the Department of Health and Human Services manages CFDA 93.391, Activities to Support State, Tribal, Local and Territorial (STLT) Health Department Response to Public Health or Healthcare Crises, with the most recent grant award issued on June 10, 2020.

The program funds specialized support to STLTs engaged in response to public health or healthcare crises. Recent activity has focused heavily on tribal public health capacity for coronavirus preparedness and response, including emergency operations centers, surveillance and epidemiology infrastructure, laboratory testing capacity, communications systems, personal protective equipment distribution, telemedicine platforms, contact tracing programs, and community mitigation measures. A companion component addresses COVID-19 health disparities in racial and ethnic minority populations and rural communities through testing expansion, health equity interventions, and contact tracing best practices delivered by state, local, territorial, and freely associated state health departments.

The program distributed 276 awards totaling $299.3 million in federal obligations between September 2018 and June 2020. Awards are predominantly Project Grants (93% of awards, 258 total) with a smaller share of Cooperative Agreements (7%, 18 awards). All funding has come from CDC; the five distinct federal agencies flagged in the portfolio appear to be internal CDC subdivisions. Recent awards range widely in magnitude—from zero-dollar entries and tens of thousands for specific supplies or vehicles to $2.5 million for establishing emergency operations centers across eight villages on Alaska's North Slope. Representative 2020 awards include $904,538 to the San Carlos Apache Tribe for contact tracing and epidemiology staffing; $1.55 million to a California tribal organization for telemedicine expansion and infection control; and $2.08 million to the Match-E-Be-Nash-She-Wish Band of Pottawatomi for facility retrofitting, protective equipment, and mitigation supplies.

The program operates partly through standing solicitations that collect proposals as "approved but unfunded" until a public health emergency occurs, at which point CDC selects specific applicants and application components for funding based on geographic need, disease transmission expectations, applicant capabilities, and national priorities. One open solicitation (CDC-RFA-OT21-2103, posted March 10, 2021, due May 3, 2021) targeted state, local, territorial, and freely associated state health departments to address COVID-19 disparities through testing and contact tracing. A second, now-closed solicitation (CDC-RFA-OT20-2004, posted March 31, 2020, due June 3, 2020) distributed at least $40 million to Title I and Title V tribal nations. A third framework NOFO (CDC-RFA-OT18-1804, posted January 16, 2018) funds nonprofits, higher-education institutions, and tribal organizations to provide rapid technical assistance and process support during crises and retains proposals as approved but unfunded pending emergency declaration. Eligible applicants are nonprofits with 501(c)(3) or 501(c)(6) status (excluding higher-education institutions), accredited higher-education institutions, and Native American tribal organizations other than federally recognized tribal governments, though beneficiaries include state and local health departments and the general public.

Objective and description

Objective

CDC will strengthen the U.S. public health system's response to public health or healthcare crises by providing specialized support to State, Tribal, Local and Territorial health departments (STLTs) when engaged in a response. Because STLTs vary wide

Description

The National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities provides funding to address COVID-19 and advance health equity (e.g., through strategies, interventions, and services that consider systemic barriers and potentially discriminatory practices that have put certain groups at higher risk for diseases like COVID-19) in racial and ethnic minority groups and racial populations within state, local, US territorial, and freely associated state health jurisdictions.

Eligibility

Applicant eligibility

Eligible applicants are limited to the following: 1. Nonprofits having a 501(c)(3) or 501(c)(6) status with the IRS, other than institutions of higher education. 2. Public and private institutions of higher education. 3. Native American tribal organizations (other than Federally-recognized tribal governments).

Beneficiary eligibility

Direct awards will be made to the non-governmental organizations described in the eligible applicant section. Beneficiaries of the support provided by those non-governmental organizations will include state health departments; tribal health organizations; local health departments; the District of Columbia; U.S. Territories; and other components of the public health system. The general public will also serve as beneficiaries.

Uses of assistance

Project funds will be used by non-governmental organizations (501c3s, 501c6s, public and private institutions of higher learning, and Native American tribal organizations) to provide emergency response assistance to State, Tribal, Local, and Territorial public health agencies and other components of the public health system. For the purposes of this program, "other components of the public health system" refers to specific professional constituencies (i.e., epidemiologists, community health nurses, health education and promotion specialists tribal health leaders, chronic disease directors, health information specialists, Medicaid/Medicare Directors, state/local public health financial officials, etc.) or key components of the public health system (i.e., community and neighborhood health centers, public health and primary care delivery systems, community and faith-based organizations, public health and accreditation boards, public health institutes, primary care residency programs, health insurance consortia, family/social services programs, maternal/child health associations, etc.).

Length and time phasing of assistance

One NOFO under this AL is designed to collect responsive proposals from eligible applicants and retain them as "approved but unfunded" (ABU) until a crisis occurs. The NOFO will only be funded upon occurrence of a particular public health or healthcare crisis. At that time, depending on the nature of the scenario, specific applicants and specific components of their applications will be selected for funding. These funding decisions will take into account various relevant factors such as geographic location, expectations of spread (e.g., with infectious disease-related emergencies), applicant's capabilities, national priorities, impact of the emergency on an eligible jurisdiction, and target populations, etc. Refer to the NOFOs listed under this AL on www.grants.gov for additional information.

How to apply

Criteria for selecting proposals

Applications will be evaluated on the review criteria described in the Notices of Funding Opportunity (NOFOs).

Award procedure

Notification is made in writing through a Notice of Grant Award issued from the program's Office of Grants Services (OGS).

Deadlines

Check www.grants.gov for any relevant NOFO information regarding processes for applying for assistance.

Renewals

Typically, cooperative agreement periods of performance are 5 years with 12-month budget periods.

Grant opportunities

Grant awards

Award Recipient Federal obligations Awarded
Supporting tribal public health capacity in coronavirus preparedness and response - 2020 NU1ROT000365 Iipay Nation Of Santa Ysabel $154,191
Supporting tribal public health capacity in coronavirus preparedness and response - 2020 NU1ROT000362 Mentasta Traditional Council $350,294
Supporting tribal public health capacity in coronavirus preparedness and response - 2020 NU1ROT000361 Quechan Indian Tribe $577,737
Supporting tribal public health capacity in coronavirus preparedness and response NU1ROT000355 White Mountain Apache Tribe $974,342
Supporting tribal public health capacity in coronavirus preparedness and response - 2020 NU1ROT000353 Sac & Fox Tribe Of The Mississippi In Iowa $490,582
Supporting tribal public health capacity in coronavirus preparedness and response ? 2020 NU1ROT000349 Karuk Tribe Of California $97,850
Supporting tribal public health capacity in coronavirus preparedness and response ? 2020 NU1ROT000348 Pueblo Of Isleta $1,008,082
Supporting tribal public health capacity in coronavirus preparedness and response ? 2020 NU1ROT000347 Eastern Shoshone Tribe $572,407
Supporting tribal public health capacity in coronavirus preparedness and response ? 2020 NU1ROT000345 Shoshone-Paiute Tribes $325,705
Supporting tribal public health capacity in coronavirus preparedness and response - 2020 NU1ROT000344 Quartz Valley Indian Reservation $420,926

Latest 10 of 276 listed here. See the rest on GovTribe.

Top recipients by federal obligations

10 of 271 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2025 -$2,453,879
FY2024 -$9,535,292
FY2023 -$12,232,187
FY2022 -$7,040,656
FY2021 $2,257,561,457
FY2020 $292,036,120
FY2019 $17,877,864
FY2018 $85,929,224

Quick answers

What is Assistance Listing 93.391?

Assistance Listing 93.391 is Activities to Support State, Tribal, Local and Territorial (STLT) Health Department Response to Public Health or Healthcare Crises, a federal grant program run by Centers for Disease Control and Prevention (Department of Health and Human Services).

What is the CFDA number for Activities to Support State, Tribal, Local and Territorial (STLT) Health Department Response to Public Health or Healthcare Crises?

Its CFDA number is 93.391: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.391 awarded?

276 grant awards under 93.391 have obligated $299,349,203 in federal funds to 271 recipients.

Who receives the most funding from 93.391?

The recipients obligated the most under Activities to Support State, Tribal, Local and Territorial (STLT) Health Department Response to Public Health or Healthcare Crises are The Association Of State And Territorial Health Officials ($30,360,311), Association Of Public Health Laboratories, Inc. (The) ($17,961,494) and National Foundation For The Centers For Disease Control & Prevention, Inc. ($15,027,961).

How much did 93.391 obligate in fiscal year 2025?

Grants under 93.391 obligated -$2,453,879 in federal funds in fiscal year 2025.

Are there open grant opportunities under 93.391?

No opportunity listed under 93.391 is open now. The latest, National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities, was posted on March 10, 2021.

On GovTribe

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