Opportunity Information: Apply for CDC RFA DP18 1815PPHF18

The grant opportunity titled "Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke" (CDC RFA DP18-1815PPHF18) is a CDC-funded cooperative agreement designed to help every state and the District of Columbia expand proven public health approaches for diabetes and cardiovascular disease (CVD). It is financed in part by 2018 Prevention and Public Health Funds (PPHF) and is described as non-competitive, meaning the intent is to support broad, statewide implementation rather than to pit applicants against each other for a small number of awards. The overall goal is to strengthen state-level investments that both implement and evaluate evidence-based strategies, with the practical aim of improving measurable health outcomes related to diabetes, high blood pressure, and high cholesterol, and reducing complications such as heart disease and stroke.

A central feature of this opportunity is its focus on "high-burden" populations and communities within each state. In this context, high-burden refers to groups that experience disproportionately high rates of high blood pressure, high blood cholesterol, diabetes, or prediabetes due to socioeconomic or other structural factors. The description highlights common drivers of this disproportionate burden, such as inadequate access to health care, poor quality of care, and low income. Rather than treating chronic disease risk as evenly distributed, the program expects states to concentrate effort where the need is greatest and where barriers to prevention and disease management are most persistent.

The work is organized into two equally weighted strategy categories. Category A covers diabetes management and type 2 diabetes prevention, which typically includes improving care and self-management supports for people with diabetes while also expanding prevention approaches for people with prediabetes or at elevated risk. Category B covers CVD prevention and management, which centers on reducing risk factors and improving control of conditions like hypertension and high cholesterol to prevent heart attacks and strokes. Applicants are expected to choose their approaches from a defined menu of strategies and to select options that match their current capacity, expertise, and likelihood of achieving broad reach and meaningful impact. In other words, the program is designed to be evidence-based and results-oriented, but also realistic about the differences in infrastructure and readiness across jurisdictions.

An important expectation is coordination between the two categories so the work reinforces itself rather than operating in separate silos. Where it makes sense, states are encouraged to apply Category A and Category B strategies within the same targeted communities and settings so that prevention and management efforts for diabetes and CVD build on each other. The notice explicitly points to complementary design: activities should be structured so they benefit people with prediabetes or diabetes as well as people who have high blood pressure and those who have, or are at risk for, high blood cholesterol. This reflects how these conditions overlap in real life, including shared risk factors and the common need for consistent access to screening, care management, medication adherence support, lifestyle interventions, and community-clinical linkages.

The funding approach reinforces that balanced, integrated model. States are instructed to divide funding, resources, and level of effort equally between Category A and Category B. That requirement signals that the CDC does not want a state to concentrate nearly all work on only diabetes or only cardiovascular disease; instead, it wants parallel progress on both fronts, especially in high-burden populations where comorbidities are common and improvements in one area can support gains in the other.

Administratively, this is a discretionary funding opportunity using a cooperative agreement mechanism, which generally implies substantial federal involvement and technical collaboration during implementation rather than a hands-off grant. The awarding agency is the Department of Health and Human Services, Centers for Disease Control and Prevention, within NCCDPHP (the National Center for Chronic Disease Prevention and Health Promotion). The CFDA number listed is 93.426. Eligible applicants are state governments, with additional eligibility clarification referenced in the original announcement. The opportunity was created on April 9, 2018, with an original application deadline of June 11, 2018 (applications due by 11:59 p.m. Eastern Time). The award ceiling is listed as up to $3,000,000, and the CDC anticipated 51 awards, aligning with support for the 50 states plus the District of Columbia.

In practical terms, the opportunity is structured to help states scale what already works: selecting evidence-based interventions, aiming them at communities facing the greatest burden and barriers, integrating diabetes and CVD strategies so they amplify each other, and building in evaluation so states can measure reach, quality, and outcomes. The end result the program is pushing toward is not only more activity, but demonstrable improvements in prevention and management of diabetes, hypertension, and high cholesterol, ultimately reducing heart disease and stroke events and narrowing health gaps tied to income, access, and quality of care.

  • The Department of Health and Human Services, Centers for Disease Control - NCCDPHP in the health sector is offering a public funding opportunity titled "Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke-Financed in part by 2018 Prevention and Public Health Funds (PPHF)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.426.
  • This funding opportunity was created on Apr 09, 2018.
  • Applicants must submit their applications by Jun 11, 2018 Electronically submitted applications must be submitted no later than 1159 p.m., ET, on the listed application due date.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $3,000,000.00 in funding.
  • The number of recipients for this funding is limited to 51 candidate(s).
  • Eligible applicants include: State governments, Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for CDC RFA DP18 1815PPHF18

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