Activities to Support State, Tribal, Local and Territorial (STLT) Health Department Response to Public Health or Healthcare Crises
Active
- Assistance listing
- 93.391
- Agency
-
Centers for Disease Control and Prevention
Department of Health and Human Services
- 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
Latest 10 of 276 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | The Association Of State And Territorial Health Officials | $30,360,311 | 10% |
| 2 | Association Of Public Health Laboratories, Inc. (The) | $17,961,494 | 6% |
| 3 | National Foundation For The Centers For Disease Control & Prevention, Inc. | $15,027,961 | 5% |
| 4 | National Association Of County And City Health Officials | $13,024,201 | 4% |
| 5 | Dena Nena Henash | $12,228,312 | 4% |
| 6 | Heart To Heart International Inc. | $10,278,477 | 3% |
| 7 | National Network Of Public Health Institutes Inc. | $8,727,192 | 3% |
| 8 | National Environmental Health Association | $6,662,735 | 2% |
| 9 | Aleutian Pribilof Islands Association, Inc. | $5,828,312 | 2% |
| 10 | Maniilaq Association | $4,428,312 | 1% |
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
See this program's full record
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