PREVENTION AND 

PUBLIC HEALTH 

FUND

Activities Funded in 

Fiscal Years 2010 and 

2011

Report to Congressional Requesters

September 2012

GAO-12-788

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United States Government Accountability Office

GAO
United States Government Accountability Office

Highlights of GAO-12-788, a report to 

congressional requesters

September 2012

PREVENTION AND PUBLIC HEALTH FUND

Activities Funded in Fiscal Years 2010 and 2011

Why GAO Did This Study

In March 2010, PPACA established the 

PPHF to provide for expanded and 

sustained national investment in 

prevention and public health programs, 

including prevention research, health 

screenings, and immunization 

programs. PPACA appropriated $500 

million for fiscal year 2010, $750 

million for fiscal year 2011, and 

additional amounts for future fiscal 

years to operationalize the PPHF.

HHS allocates funding from the PPHF 

for specific prevention and public 

health activities administered by HHS 

agencies. The agencies, once funds 

are transferred to them, use the PPHF 

funds to support individual projects 

through, for example, grants and 

contracts. GAO was asked to provide 

information on how PPHF funds were 

allocated for fiscal years 2010 and 

2011. This report describes, for those 

fiscal years, (1) the HHS agencies and 

activities for which PPHF allocations 

were made, (2) the process and criteria 

HHS used to allocate PPHF funds, and 

(3) HHS reporting of the outcomes of 

activities receiving PPHF funding. GAO 

reviewed agency documents, including 

budget justifications, funding 

announcements, data on PPHF 

allocations and awards of PPHFfunded grants, contracts, and 

interagency agreements; examined 

agency websites; and interviewed HHS 

officials.

HHS provided technical comments on 

a draft of this report, which were

incorporated as appropriate.

What GAO Found

For fiscal years 2010 and 2011, the Department of Health and Human Services 

(HHS) allocated funds from the Prevention and Public Health Fund (PPHF) for 43 

activities in five agencies. These activities—which include HHS programs and 

initiatives—were administered by HHS’s Agency for Healthcare Research and 

Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Health 

Resources and Services Administration (HRSA), Substance Abuse and Mental 

Health Services Administration (SAMHSA), and the Office of the Secretary (OS). 

Most of the $500 million available for fiscal year 2010 was allocated for activities 

administered by HRSA, and most of the $750 million available for fiscal year 

2011 was allocated for activities administered by CDC (see fig.). HHS agencies 

funded individual projects with PPHF funds through grants, contracts, and 

interagency agreements.

Prevention and Public Health Fund (PPHF) Allocations by HHS Agency, Fiscal Years 2010 and 

2011

54%

FY 2010 ($500 million)

38%

4% SAMHSA

2% OS

1% AHRQ

HRSA

CDC

FY 2011 ($750 million)

81%

3% HRSA

CDC

12%

SAMHSA

2% AHRQ

3% OS

Note: Percentages do not total to 100% due to rounding.

Because the PPHF was established midway through fiscal year 2010 and after 

the President had submitted the fiscal year 2011 budget request, for the fund’s 

first 2 years HHS used an abbreviated process to allocate PPHF funds. Instead 

of developing HHS-wide written criteria, HHS requested that its agencies 

propose activities for PPHF funding based on language in the Patient Protection 

and Affordable Care Act (PPACA) provision establishing the PPHF. According to 

HHS, the proposed activities were also aligned with existing departmental 

priorities. 

HHS has relied on its agencies to establish performance measures and targets 

and to track outcomes (the results) of the PPHF-funded activities. Agency 

officials reported that for many activities, it is too early to report outcomes 

because many projects receiving PPHF funding in fiscal years 2010 and 2011 

are multiyear projects or have not yet completed evaluations.

View GAO-12-788. For more information, 

contact Katherine Iritani at (202) 512-7114 or 

iritanik@gao.gov.
Page i GAO-12-788 Prevention and Public Health Fund

Letter 1 

Background 3

HHS Agencies and Activities for Which PPHF Funds Were 

Allocated and Entities That Received PPHF Funding, Fiscal 

Years 2010 and 2011 7

Process and Criteria for Allocating and Awarding PPHF Funds for 

Fiscal Years 2010 and 2011 15

HHS Reporting of Performance Measures, Targets, and Outcomes 

of Activities and Projects Receiving PPHF Funding 20

Agency Comments 22

Appendix I Agency for Healthcare Research and Quality—Prevention and 

Public Health Fund Awards by Activity 24

Appendix II Centers for Disease Control and Prevention—Prevention and 

Public Health Fund Awards by Activity 28

Appendix III Health Resources and Services Administration—Prevention and 

Public Health Fund Awards by Activity 98

Appendix IV Office of the Secretary—Prevention and Public Health Fund 

Awards by Activity 112

Appendix V Substance Abuse and Mental Health Services Administration— 

Prevention and Public Health Fund Awards by Activity 117

Appendix VI GAO Contact and Staff Acknowledgments 126

Contents
Page ii GAO-12-788 Prevention and Public Health Fund

Tables

Table 1: PPACA Appropriations to the PPHF, Fiscal Years 2010-

2022 5

Table 2: PPHF Allocations, by HHS Agency and Activity, Fiscal 

Years 2010 and 2011 10

Table 3: PPHF-Funded Awards by Funding Mechanism, Fiscal 

Years 2010 and 2011 12

Table 4: Types of Entities Eligible for PPHF-Funded Grants 

Awarded in Fiscal Years 2010 and 2011 13

Table 5: Number of Funding Opportunity Announcements and 

PPHF-Funded Grants, by Type of Grant, Fiscal Years 2010 

and 2011 14

Table 6: HHS Process for Allocating and Awarding PPHF Funds, 

Fiscal Years 2010 and 2011 18

Table 7: Overall Performance Measures, Targets, and Outcome 

Information for the Three Activities for Which HHS 

Allocated the Most PPHF Funding, Fiscal Years 2010 and 

2011 21

Table 8: FY 2010 Contracts, Clinical Preventive Services Task 

Force 25

Table 9: FY 2011 Contracts, Clinical Preventive Services Task 

Force 25

Table 10: FY 2011 Grants, Clinical Preventive Services Research 26

Table 11: FY 2011 Contract, Clinical Preventive Services Research 27

Table 12: FY 2010 Contract, Healthy Weight Practice-Based 

Research Networks 27

Table 13: FY 2011 Grants, Community Transformation Grants 

Program 29

Table 14: FY 2011 Contracts, Community Transformation Grants 

Program 32

Table 15: FY 2011 Grants, Section 317 Immunization Program 33

Table 16: FY 2011 Contracts, Section 317 Immunization Program 37

Table 17: FY 2010 Grants, National Public Health Improvement 

Initiative 39

Table 18: FY 2010 Contracts, National Public Health Improvement 

Initiative 42

Table 19: FY 2011 Grants, National Public Health Improvement 

Initiative 43

Table 20: FY 2011 Contracts, National Public Health Improvement 

Initiative 46

Table 21: FY 2010 Grants, Tobacco Prevention (Media and 

Quitlines) 47
Page iii GAO-12-788 Prevention and Public Health Fund

Table 22: FY 2010 Contracts, Tobacco Prevention (Media and 

Quitlines) 49

Table 23: FY 2011 Grants, Tobacco Prevention (Media and 

Quitlines) 50

Table 24: FY 2011 Contracts, Tobacco Prevention (Media and 

Quitlines) 52

Table 25: FY 2010 Grants, Epidemiology and Laboratory Capacity 

Grants 53

Table 26: FY 2011 Grants, Epidemiology and Laboratory Capacity 

Grants 56

Table 27: FY 2011 Contracts, Epidemiology and Laboratory 

Capacity Grants 58

Table 28: FY 2011 Grants, Coordinated Chronic Disease Prevention 

Program 59

Table 29: FY 2011 Contracts, Coordinated Chronic Disease 

Prevention Program 62

Table 30: FY 2010 Grants, CDC Healthcare Surveillance and 

Statistics 63

Table 31: FY 2010 Contracts, CDC Healthcare Surveillance and 

Statistics 64

Table 32: FY 2011 Contracts, CDC Healthcare Surveillance and 

Statistics 65

Table 33: FY 2010 Grants, ARRA: Communities Putting Prevention 

to Work 66

Table 34: FY 2010 Contracts, ARRA: Communities Putting 

Prevention to Work 67

Table 35: FY 2011 Grants, Environmental Public Health Tracking 68

Table 36: FY 2011 Contracts, Environmental Public Health 

Tracking 70

Table 37: FY 2010 Grants, Public Health Workforce 71

Table 38: FY 2010 Contracts, Public Health Workforce 72

Table 39: FY 2011 Grants, Public Health Workforce 73

Table 40: FY 2011 Contracts, Public Health Workforce 74

Table 41: FY 2010 Grants, HIV/AIDS 75

Table 42: FY 2010 Contracts, HIV/AIDS 78

Table 43: FY 2011 Grants, Racial and Ethnic Approaches to 

Community Health (REACH) 79

Table 44: FY 2011 Contract, Racial and Ethnic Approaches to 

Community Health (REACH) 82

Table 45: FY 2011 Grants, Public Health Research 83

Table 46: FY 2011 Contracts, Public Health Research 84
Page iv GAO-12-788 Prevention and Public Health Fund

Table 47: FY 2010 Grants, Community Guide/Community 

Preventive Services Task Force 85

Table 48: FY 2010 Contracts, Community Guide/Community 

Preventive Services Task Force 85

Table 49: FY 2011 Grants, Community Guide/Community 

Preventive Services Task Force 86

Table 50: FY 2011 Contracts, Community Guide/Community 

Preventive Services Task Force 87

Table 51: FY 2011 Grants, Healthcare-Associated Infections 88

Table 52: FY 2011 Contracts, Healthcare-Associated Infections 90

Table 53: FY 2011 Grants, Prevention Research Centers 91

Table 54: FY 2011 Contracts, Workplace Wellness 92

Table 55: FY 2011 Contracts, National Youth Fitness Survey 92

Table 56: FY 2010 Grants, ARRA: Evaluation 93

Table 57: FY 2010 Contracts, ARRA: Evaluation 94

Table 58: FY 2010 Contracts, ARRA: Media 95

Table 59: FY 2011 Contracts, Education and Outreach Campaign 

Regarding Preventive Benefits 96

Table 60: FY 2010 Contract, National Prevention Strategy 96

Table 61: FY 2011 Contracts, National Prevention Strategy 97

Table 62: FY 2011 Contracts, Promoting Obesity Prevention in 

Early Childhood Programs 97

Table 63: FY 2010 Grants, Primary Care Training and Enhancement 99

Table 64: FY 2010 Grants, Public Health Workforce Development 103

Table 65: FY 2011 Grants, Public Health Workforce Development 104

Table 66: FY 2010 Grants, Advanced Nursing Education 105

Table 67: FY 2010 Grants, Nurse Managed Care Centers 107

Table 68: FY 2010 Grants, State Health Workforce Development 

Grants for Primary Care 108

Table 69: FY 2010 Grants, HRSA Healthy Weight Collaborative 110

Table 70: FY 2010 Grant, Nutrition, Physical Activity, and Screen 

Time Standards in Child Care Settings 111

Table 71: FY 2010 Contracts, Obesity Media Activities 113

Table 72: FY 2011 Contracts, Obesity Media Activities 113

Table 73: FY 2011 Contracts, Tobacco Prevention Media 114

Table 74: FY 2010 Contracts, National Prevention, Health 

Promotion, and Public Health Council Planning 115

Table 75: FY 2010 Contracts, President’s Council on Fitness, 

Sports, and Nutrition 115

Table 76: FY 2010 Contracts, Tobacco Cessation 116

Table 77: FY 2010 Contract, Healthy Living Innovations Awards 116
Page v GAO-12-788 Prevention and Public Health Fund

Table 78: FY 2010 Grants, Primary and Behavioral Health Care 

Integration 118

Table 79: FY 2011 Grants, Primary and Behavioral Health Care 

Integration 120

Table 80: FY 2011 Grants, Screening, Brief Intervention, and 

Referral to Treatment 122

Table 81: FY 2011 Contracts, SAMHSA Health Surveillance 123

Table 82: FY 2011 Grants, Suicide Prevention 124

Table 83: FY 2011 Contract, Suicide Prevention 125

Figures

Figure 1: PPHF Allocations by HHS Agency, Fiscal Years 2010 and 

2011 8

Figure 2: PPHF Key Event Timeline, Fiscal Years 2010 and 2011 16

Abbreviations

AHRQ Agency for Healthcare Research and Quality

ASFR Office of the Assistant Secretary for Financial Resources

CDC Centers for Disease Control and Prevention

FOA funding opportunity announcement

GPRA Government Performance and Results Act

HHS Department of Health and Human Services

HRSA Health Resources and Services Administration

OS Office of the Secretary

PPACA Patient Protection and Affordable Care Act

PPHF Prevention and Public Health Fund

SAMHSA Substance Abuse and Mental Health Services 

 Administration

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Page 1 GAO-12-788 Prevention and Public Health Fund

United States Government Accountability Office

Washington, DC 20548

September 13, 2012

The Honorable Orrin G. Hatch

Ranking Member

Committee on Finance

United States Senate

The Honorable Tom Coburn

Ranking Member

Permanent Subcommittee on Investigations

Committee on Homeland Security and Governmental Affairs

United States Senate

In March 2010, the Patient Protection and Affordable Care Act (PPACA) 

established the Prevention and Public Health Fund (PPHF) to provide for 

expanded and sustained national investment in prevention and public 

health programs, such as prevention research, health screenings, and 

immunization programs.1 PPACA appropriated $500 million to the fund for 

fiscal year 2010, $750 million for fiscal year 2011, a total of $3.75 billion 

for fiscal years 2012 through 2014, and $2 billion for fiscal year 2015 and 

each subsequent fiscal year.2

For each fiscal year since the passage of PPACA, the Department of 

Health and Human Services (HHS) has allocated PPHF funds—that is, 

established a plan for funding specific prevention and public healthrelated activities—for that year and then transferred funds from the PPHF 

to the appropriation accounts for the HHS agencies that administer these 

 

1

Pub. L. No. 111-148, §§ 4002, 10401(b). 124 Stat. 119, 541, 974 (2010).

2

More recently, the Middle Class Tax Relief and Job Creation Act of 2012 amended this 

provision, reducing the annual amounts appropriated for the PPHF in fiscal years 2013-

2021. Pub. L. No. 112-96, § 3205, 126 Stat. 156, 194.

 
 

Page 2 GAO-12-788 Prevention and Public Health Fund

activities.3 Once HHS has allocated and transferred PPHF funds, HHS 

agencies use PPHF funding for individual projects to carry out the 

activities through, for example, grant and contract awards.4

You asked us to provide detailed information on the allocation of PPHF 

funding for fiscal years 2010 and 2011, including how decisions were 

made to allocate PPHF funding for specific HHS activities, the entities 

receiving PPHF funding, and the outcomes—that is, the results—of those 

activities. This report describes (1) the HHS agencies and activities for 

which PPHF funding was allocated for fiscal years 2010 and 2011 and the 

entities receiving PPHF funding, (2) the process and criteria HHS used to 

allocate and award PPHF funds for fiscal years 2010 and 2011, and 

(3) HHS reporting of the performance measures, targets, and outcomes 

of activities and projects receiving PPHF funding.

To describe the HHS agencies and activities for which PPHF funding was 

allocated and for which awards were made for fiscal years 2010 and 

2011, we reviewed documents, such as budget justifications, funding 

opportunity announcements, and data on PPHF allocations and recipients 

of PPHF-funded grants, contracts, and interagency agreements provided 

by HHS agencies. We also interviewed officials from the Office of the 

Assistant Secretary for Financial Resources (ASFR) within the HHS 

Office of the Secretary (OS), which is involved in the allocation of PPHF 

funds, and HHS agencies and the OS (hereafter collectively referred to as 

 

3

Such activities include the Community Transformation Grants program and the National

Prevention Strategy. The Community Transformation Grants program, established under 

PPACA and administered by HHS’s Centers for Disease Control and Prevention (CDC), 

awards competitive grants to state and local governmental agencies and communitybased organizations for activities that reduce chronic disease rates, prevent the 

development of secondary conditions, address health disparities, and develop a stronger 

evidence base of effective prevention programming. Pub. L. No. 111-148, §§ 4201, 10403,

124 Stat. 564, 975 (2010). Because CDC refers to this program as the “Community 

Transformation Grants program”, we use that name in referring to the program in this 

report. The National Prevention Strategy was developed by the National Prevention 

Council, which is composed of the heads of 17 federal agencies that consulted with 

outside experts and stakeholders. The strategy, released in June 2011, includes actions 

that public and private partners can take to help Americans stay healthy and fit.

4

Throughout this report we use the following terms: “agency” to refer to agencies within 

HHS and the Office of the Secretary; “activity” to refer to HHS programs and initiatives, 

such as the National Prevention Strategy; “project” to refer to the specific grants, 

contracts, or interagency agreements made by a given activity, such as grants for tobacco 

prevention projects; and “award recipient” to refer to those awarded grants, contracts, and 

cooperative agreements, such as a state or local government.
 

Page 3 GAO-12-788 Prevention and Public Health Fund

HHS agencies) that administered activities that received PPHF funding in 

fiscal years 2010 and 2011. We summarized funding data HHS reported 

to us and did not independently verify the reported data. Through our 

review of the relevant documentation, our discussions with HHS officials, 

and quality control checks we performed on the data, we determined that 

the data provided were sufficiently reliable for our purposes. To describe 

the criteria and processes HHS used to allocate PPHF funds we 

interviewed HHS and agency officials who were knowledgeable about the 

decision-making process and reviewed available documentation, 

including HHS websites. When documentation of the criteria and 

processes was not available, we report HHS officials’ descriptions. To 

describe how HHS and agencies reported the performance measures, 

targets, and outcomes of activities and projects receiving PPHF funding, 

we reviewed HHS’s websites, budget justifications, and other documents 

and interviewed HHS and agency officials. We examined performance 

measures that HHS established for PPHF-funded activities, the targets 

set for those activities, and the available information from HHS on 

outcomes. For all three objectives we also examined relevant laws and 

other documents related to PPHF allocations and oversight.

We conducted this performance audit from December 2011 to September

2012 in accordance with generally accepted government auditing 

standards. Those standards require that we plan and perform the audit to 

obtain sufficient, appropriate evidence to provide a reasonable basis for 

our findings and conclusions based on our audit objectives. We believe 

that the evidence obtained provides a reasonable basis for our findings 

and conclusions based on our audit objectives.

PPACA established the PPHF to provide for expanded and sustained 

national investment in prevention and public health programs to improve 

health and help restrain the rate of growth in private and public sector 

health care costs.

5

 

5

Pub. L. No. 111-148, § 4002(a), 124 Stat. 541.

For this purpose, the Secretary of Health and Human 

Services is required to transfer amounts from the PPHF to HHS accounts 

to increase funding, over the fiscal year 2008 level, for programs 

authorized by the Public Health Service Act, “for prevention, wellness, 

and public health activities including prevention research, health 

screenings, and initiatives, such as the Community Transformation grant 

Background 
 

Page 4 GAO-12-788 Prevention and Public Health Fund

program, the Education and Outreach Campaign Regarding Preventive 

Benefits, and immunization programs.”6

PPACA appropriated $5 billion to the PPHF for fiscal years 2010 through 

2014, and $2 billion for each fiscal year thereafter.

Within HHS, agencies including 

the Agency for Healthcare Research and Quality (AHRQ), the Centers for 

Disease Control and Prevention (CDC), the Health Resources and 

Services Administration (HRSA), the Substance Abuse and Mental Health 

Services Administration (SAMHSA), and the OS administer programs 

authorized by the Public Health Service Act.

7 In February 2012, the 

Middle Class Tax Relief and Job Creation Act of 20128 amended PPACA, 

reducing the amounts appropriated to the PPHF for fiscal years 2013 

through 2021 by a total of $6.25 billion (see table 1).

 

6

Pub. L. No 111-148, §§ 4002 (c), 10401(b), 124 Stat. 541, 974. Because CDC 

refers to the “Community Transformation Grants program”, we use that name in 

referring to the program in this report. PPACA provided for the implementation of 

the Education and Outreach Campaign Regarding Preventive Benefits—a 

national public-private partnership for a prevention and health promotion 

outreach and education campaign to raise public awareness of health 

improvement across the lifespan. Pub. L. No. 111-148, § 4004, 124 Stat. 544 

(2010).

7

Pub. L. No. 111-148, § 4002(b), 124 Stat. 541.

8

Pub. L. No. 112-96, § 3205, 126 Stat. 156, 194.
 

Page 5 GAO-12-788 Prevention and Public Health Fund

Table 1: PPACA Appropriations to the PPHF, Fiscal Years 2010-2022

Fiscal year

PPACA 

March 2010a

(in millions)

PPACA as amended

February 2012b

(in millions)

Decrease

(in millions)

2010 $500 $500 — 

2011 750 750 — 

2012 1,000 1,000 — 

2013 1,250 1,000 $250

2014 1,500 1,000 500

2015 2,000 1,000 1,000

2016 2,000 1,000 1,000

2017 2,000 1,000 1,000

2018 2,000 1,250 750

2019 2,000 1,250 750

2020 2,000 1,500 500

2021 2,000 1,500 500

2022 + annually 2,000 2,000 — 

Total fiscal years 2010-2022 $21,000 $14,750 $6,250c

Source: GAO analysis.

a

Amounts appropriated by PPACA, Pub. L. No. 111-148, § 4002(b).

b

Amounts appropriated by PPACA, as amended by Pub. L. No. 112-96, § 3205.

c

$6.25 billion represents a 37 percent reduction of the amount appropriated to the PPHF for fiscal 

years 2013 through 2021.

When appropriations are made available, an agency may obligate funds 

through such actions as awarding discretionary grants, cooperative 

agreements,9 or contracts, or through entering into interagency 

agreements.10 For discretionary grants,11

 

9

A cooperative agreement is an arrangement that has greater agency involvement than a 

grant. For the purposes of this report, the term grant is used to mean both grants and 

cooperative agreements. See 31 U.S.C. §§ 6304 (using grant agreements) and 6305 

(using cooperative agreements).

agencies announce the 

availability of funds through a publicly available notice called a funding 

10In this report we refer to the amount obligated under a grant, cooperative agreement, 

contract, or interagency agreement as the “amount awarded.”

11Unlike a formula grant that is based on a precise formula specified in legislation, an 

agency makes discretionary grant awards on the basis of a competitive process.
 

Page 6 GAO-12-788 Prevention and Public Health Fund

opportunity announcement.

12

An agency may also provide federal funding pursuant to a contract, a 

legal instrument that establishes a binding relationship between the 

agency and another entity for acquisition of property or services.

The funding announcements provide 

guidance on how to apply for available funding and often identify 

restrictions on eligibility, such as limiting applicants to states, local 

governments, tribal organizations, or academic institutions. Funding 

opportunity announcements also indicate the type of grant award, such as 

new, continuation, or supplemental. A new grant provides funding for a 

project that is currently not receiving financial support, a continuation 

grant provides additional funding for one or more budget periods to a 

project that would otherwise end, and a supplemental grant increases 

funding for an approved project during a current budget period.

13

Agencies can also enter into interagency agreements to carry out projects 

when, for example, another agency has expertise in an area or has 

additional capacity to do the work.

 

12HHS agencies typically publically announce funding opportunities on www.grants.gov. 

Each funding announcement is identified by a number assigned by the agency and 

provides such information as the project purpose, eligibility, evaluation criteria, funding 

preferences or priorities, and legislative authority. Funding opportunity announcements

may also be referred to as request for applications, program announcements, notices of 

funding availability, or solicitations depending on the agency and type of program—we 

refer to all types of funding announcements as funding opportunity announcements in this 

report.

13See 31 U.S.C. § 6303. HHS agencies typically publically announce contract solicitations 

on www.fbo.gov.
 

Page 7 GAO-12-788 Prevention and Public Health Fund

The Consolidated Appropriations Act, 2012 required HHS to establish a 

website that provides information on the use of PPHF funds. Specifically, 

it required HHS to post on a website specific information relating to use of 

fiscal year 2012 PPHF funds.14

HHS allocated PPHF funds for 43 activities in five HHS agencies—

AHRQ, CDC, HRSA, OS, and SAMHSA—in the first 2 years of the fund.15

 

14Pub. L. No. 112-74, § 220, 125 Stat. 786, 1085-6 (2011). The provision required HHS to 

post on the PPHF website specific information on fiscal year 2012 PPHF funds including 

information on the program or activity receiving funds (to be posted no later than the day 

after the transfer is made), identification of each grant, cooperative agreement, or contract 

with a value of $25,000 or more awarded using PPHF funds (to be posted no later than 

5 days of the award), as well as annual and semiannual reporting requirements. The 

President’s budget request for fiscal year 2013 requested that the PPHF reporting 

requirements be rescinded, but as of May 25, 2012, legislation had not been introduced to 

do so. The Consolidated Appropriations Act, 2012, also contained a provision specifically 

prohibiting the use of PPHF funds for publicity or propaganda or other expenses related to 

activities designed to influence the enactment of legislation, regulations, administrative 

actions, or executive orders before Congress or state or local bodies. See Pub. L. 

No. 112-74, § 503, 125 Stat. 1110.

The majority of the $500 million in PPHF funding available for fiscal year 

2010 was allocated for activities administered by HRSA, while the 

majority of the $750 million in PPHF funding available for fiscal year 2011 

was allocated for activities administered by CDC (see fig. 1).

15According to HHS officials, an activity can consist of a single program, such as CDC’s 

Community Transformation Grants program, or multiple programs, such as SAMHSA’s 

Suicide Prevention activity, which consists of four suicide prevention programs.

HHS Agencies and 

Activities for Which 

PPHF Funds Were 

Allocated and Entities 

That Received PPHF 

Funding, Fiscal Years 

2010 and 2011
 

Page 8 GAO-12-788 Prevention and Public Health Fund

Figure 1: PPHF Allocations by HHS Agency, Fiscal Years 2010 and 2011

Note: This figure summarizes HHS information on fiscal year (FY) 2010 and 2011 PPHF allocations 

to activities administered by five HHS agencies—the Agency for Healthcare Research and Quality 

(AHRQ), the Centers for Disease Control and Prevention (CDC), the Health Resources and Services 

Administration (HRSA), the Substance Abuse and Mental Health Services Administration (SAMHSA), 

and the Office of the Secretary (OS). Percentages do not total to 100% due to rounding.

According to information provided by HHS, of the 43 activities for which 

PPHF allocations were made for fiscal years 2010 and 2011, about half 

(23 activities accounting for 72 percent of total fiscal year 2010 and 2011 

allocations) received funding from regular (that is, non-PPHF) 

appropriations;16 the remainder (20 activities accounting for 28 percent of 

total fiscal year 2010 and 2011 allocations) were funded solely from the

PPHF during those 2 fiscal years. In fiscal year 2010, the three activities 

for which the largest PPHF allocations were made were:

 

16According to HHS, these 23 activities also received funding from HHS’s regular 

appropriations in fiscal year 2010, 2011, or both. We use the term “regular appropriations” 

to refer to funding that is a product of the annual budget and appropriations process.
 

Page 9 GAO-12-788 Prevention and Public Health Fund

• HRSA’s Primary Care Training and Enhancement ($198.1 million),

• CDC’s National Public Health Improvement Initiative17 ($50.0 million), 

and

• CDC’s ARRA: Communities Putting Prevention to Work ($36.4 

million).

In fiscal year 2011, the three activities for which the largest PPHF 

allocations were made were funded by CDC:

• Community Transformation Grants program ($146.3 million),

• Section 317 Immunization program ($100.0 million), and

• Coordinated Chronic Disease Prevention program ($51.7 million).

Activities for which the largest allocations were made in the three other 

HHS agencies during this 2-year period included AHRQ’s support of the 

U.S. Preventive Services Task Force, SAMHSA’s Primary and Behavioral 

Health Care Integration, and OS’s Obesity Media Activities (see table 2).

 

17According to HHS officials, this activity was called Public Health Infrastructure in fiscal 

year 2010.
 

Page 10 GAO-12-788 Prevention and Public Health Fund

Table 2: PPHF Allocations, by HHS Agency and Activity, Fiscal Years 2010 and 2011

Agency and activity

Fiscal year 2010

(in millions)

Fiscal year 2011

(in millions)

Total

(in millions)

Centers for Disease Control and Prevention (CDC)

Community Transformation Grants Program — $146.3 $146.3

Section 317 Immunization Programa — 100.0 100.0

National Public Health Improvement Initiativeb $50.0 40.2 90.2

Tobacco Prevention (Media and Quitlines)a 14.5 50.0 64.5

Epidemiology and Laboratory Capacity Grantsa 20.0 40.0 60.0

Coordinated Chronic Disease Prevention Programa — 51.7 51.7

CDC Healthcare Surveillance and Statisticsa 19.9 30.0 49.9

ARRA: Communities Putting Prevention to Work 36.4 — 36.4

Environmental Public Health Trackinga — 35.0 35.0

Public Health Workforcea 7.5 25.0 32.5

HIV/AIDSa 30.4 — 30.4

Racial and Ethnic Approaches to Community Health (REACH)a — 25.0 25.0

Public Health Researcha — 20.0 20.0

Community Guide/Community Preventive Services Task Forcea 5.0 7.0 12.0

Healthcare-Associated Infectionsa — 11.8 11.8

Prevention Research Centersa — 10.0 10.0

Workplace Wellness — 9.3 9.3

National Youth Fitness Survey — 6.0 6.0

ARRA: Evaluation 4.0 — 4.0

ARRA: Media 4.0 — 4.0

Education and Outreach Campaign Regarding Preventive Benefits — 2.0 2.0

National Prevention Strategy 0.1 1.0 1.1

Promoting Obesity Prevention in Early Childhood Programs — 0.7 0.7

Agency subtotal 191.8 610.9 802.7

Health Resources and Services Administration (HRSA)

Primary Care Training and Enhancementa 198.1 — 198.1

Public Health Workforce Developmenta 14.8 20.0 34.8

Advanced Nursing Educationa 31.4 — 31.4

Nurse Managed Care Centers 15.3 — 15.3

State Health Workforce Development Grants for Primary Care 5.8 — 5.8

HRSA Healthy Weight Collaborative and Activities 5.0 — 5.0

Nutrition, Physical Activity, and Screen Time Standards in Child Care Settingsa 0.3 — 0.3

Agency subtotal 270.7 20.0 290.7
 

Page 11 GAO-12-788 Prevention and Public Health Fund

Agency and activity

Fiscal year 2010

(in millions)

Fiscal year 2011

(in millions)

Total

(in millions)

Substance Abuse and Mental Health Services Administration (SAMHSA)

Primary and Behavioral Health Care Integrationa 20.0 35.0 55.0

Screening, Brief Intervention and Referral to Treatmenta — 25.0 25.0

SAMHSA Health Surveillancea — 18.0 18.0

Suicide Preventiona — 10.0 10.0

Agency subtotal 20.0 88.0 108.0

Office of the Secretary (OS)

Obesity Media Activities 9.1 9.1 18.2

Tobacco Prevention Media — 10.0 10.0

National Prevention, Health Promotion, and Public Health Council Planning 1.0 — 1.0

President’s Council on Fitness, Sports, and Nutritiona 0.9 — 0.9

Tobacco Cessation 0.9 — 0.9

Healthy Living Innovations Awards 0.1 — 0.1

Agency subtotal 12.0 19.1 31.1

Agency for Healthcare Research and Quality (AHRQ)

Clinical Preventive Services Task Forcea 5.0 7.0 12.0

Clinical Preventive Services Research — 5.0 5.0

Healthy Weight Practice-Based Research Networks 0.5 — 0.5

Agency subtotal 5.5 12.0 17.5

Total PPHF allocations for all activities $500.0 $750.0 $1,250.0

Source: GAO analysis of HHS information.

Notes: Total reported allocations from the PPHF in this table may not match—for example, they may 

be higher than—the total amounts awarded in grants or contracts (reported obligations) for each 

agency or activity. According to HHS officials, to carry out an activity, an agency may incur 

administrative expenses, including an agency’s internal costs associated with managing and 

overseeing grants and contracts, not reflected in award amounts. Further, to the extent that an 

appropriation has not identified a particular amount for a specific activity, an agency may reallocate 

unobligated funds from that activity to another during the course of a fiscal year.

a

In addition to PPHF funding, these 23 activities also received funding from regular appropriations. 

We use the term “regular appropriations” to refer to funding that is a product of the annual budget and 

appropriations process.

b

According to HHS officials, this activity was called Public Health Infrastructure in fiscal year 2010.

For the 43 activities for which HHS allocated PPHF funds for fiscal years 

2010 and 2011, HHS agencies awarded grants and contracts, and 

entered into interagency agreements, with the majority of funding 
 

Page 12 GAO-12-788 Prevention and Public Health Fund

awarded through grants (see table 3).18

Table 3: PPHF-Funded Awards by Funding Mechanism, Fiscal Years 2010 and 2011

The number of award recipients 

for each activity ranged from 1 contractor for the AHRQ Healthy Weight 

Practice-Based Research Networks to 110 grantees receiving PPHF 

funding under HRSA’s Primary Care Training and Enhancement activity. 

Recipients of PPHF funds were located in all 50 states, the District of 

Columbia, and 8 U.S. territories. (See apps. I-V for listings of recipients of 

PPHF funds and their locations.)

Fiscal year 2010 Fiscal year 2011

Funding mechanism

Number of 

awards

Amount 

awarded 

(in millions)

Number of 

awards

Amount 

awarded 

(in millions)

Grants 545 $416 663 $463

Contracts 66 52 154 223

Interagency agreements 14 20 29 41

Total 625 $488 846 $727

Source: GAO analysis of HHS information.

Notes: This table presents the total amounts of PPHF funding awarded (reported as obligations) by 

HHS agencies through grants, contracts, and interagency agreements for fiscal years 2010 and 2011. 

Total amounts awarded (reported obligations) in this table may not match—for example, they may be 

lower than—the total amounts allocated for each fiscal year. According to HHS officials, to carry out 

an activity, an agency may incur administrative expenses, including an agency’s internal costs 

associated with managing and overseeing grants and contracts, not reflected in award amounts. 

Further, to the extent that an appropriation has not identified a particular amount for a specific activity, 

an agency may reallocate unobligated funds from that activity to another during the course of a fiscal 

year.

PPHF-funded grants were awarded to state and local governments, tribal 

organizations, academic institutions, as well as national organizations and 

hospitals; eligibility for these awards was often limited to a certain type or 

types of entity. Our review of 58 funding opportunity announcements for 

PPHF-funded grants for fiscal years 2010 and 2011 found that state, 

local, territory, or tribal governments were eligible for the most grant 

opportunities in those years. While many funding opportunity 

 

18Total amounts awarded (reported obligations) may not match—for example, they may 

be lower than—the total amounts allocated from the PPHF for each fiscal year. According 

to HHS, to carry out an activity, an agency may incur administrative expenses, including 

an agency’s internal costs associated with managing and overseeing grants and 

contracts, not reflected in award amounts. Further, to the extent that an appropriation has 

not identified a particular amount for a specific activity, an agency may reallocate 

unobligated funds from that activity to another during the course of a fiscal year. 
 

Page 13 GAO-12-788 Prevention and Public Health Fund

announcements limited eligibility to one type of entity, others—including 

the funding opportunity announcement for the Community Transformation 

Grants program—listed multiple types of entities as eligible to apply for 

the PPHF-funded grants (see table 4).

Table 4: Types of Entities Eligible for PPHF-Funded Grants Awarded in Fiscal Years 2010 and 2011 

Fiscal year 2010 Fiscal year 2011 Total

Type of entity

Number of 

funding 

opportunities

Amount 

awarded 

(in millions)

Number of 

funding 

opportunities

Amount 

awarded 

(in millions)

Number of 

funding 

opportunities

Amount 

awarded 

(in millions)

Limited to state, local, territory, 

or tribal governmentsa 13 $125 13 $228 26 $353

Limited to academic institutions 

or physician training programsb 4 243 5 41 9 285

Limited to national organizationsc 2 8 6 15 8 23

Not limited to one type of recipientd 5 40 8 168 11e 208

Otherf 0 0 4 10 4 10

Total 24 $416 36 $463 58e $879

Source: GAO analysis of HHS information.

Note: This table presents information on the types of entities eligible to receive PPHF funded grants 

in fiscal years 2010 and 2011, including the total amounts of PPHF funding awarded (reported as 

obligated) by HHS agencies as a result of grants for fiscal years 2010 and 2011. Rows and columns 

may not total due to rounding. 

a

Includes grant funding opportunities that were limited to state, local, tribal, or territorial governments, 

or their bona fide agents, as well as tribal organizations and state partnerships such as a state 

workforce investment board.

b

Includes grant funding opportunities that were limited to private and public educational institutions, as 

well as hospitals and other organizations that train providers.

c

Includes grant funding opportunities that were limited to national, nonprofit, and public health 

organizations.

d

Includes grant funding opportunities that were not limited to one type of entity—for example, multiple 

types of entities, including state, local, or tribal governments as well as nonprofit organizations were 

eligible to apply.

e

Two funding announcements supported projects in both fiscal years 2010 and 2011. We examined 

58 unique funding announcements.

f

Includes funding opportunities limited to other types of organizations—for example, one that was 

limited to prevention epicenters and one that was limited to publicly funded community mental health 

and other community-based behavioral health agencies.

As reported by HHS, most PPHF-funded grants for fiscal years 2010 and 

2011 were new grants, followed by supplemental and continuation grants 

(see table 5).
 

Page 14 GAO-12-788 Prevention and Public Health Fund

Table 5: Number of Funding Opportunity Announcements and PPHF-Funded Grants, by Type of Grant, Fiscal Years 2010 and 

2011

Fiscal year 2010 Fiscal year 2011

Type of grant in funding 

opportunity announcementa Number of funding opportunities Number of grants

Number of funding 

opportunities Number of grants 

New 17 419 17 202

Supplemental 7 126 11 218

Continuation 0 0 10 243

Total 24 545 36b 663

Source: GAO analysis of HHS funding opportunity announcements. 

Note: This table presents the types of PPHF funded grants based on a review of 58 funding 

opportunity announcements identified by HHS for fiscal years 2010 and 2011. Two funding 

announcements supported projects in both fiscal years 2010 and 2011.

a

A new grant provides funding for a project that is not currently receiving financial support, a 

continuation grant provides additional funding for one or more budget periods to a project for which 

financial support would otherwise end, and a supplemental grant increases funding for an approved 

project during a current budget period.

b

The number of funding opportunities for each type do not sum to the column total because two 

funding announcements were used to make both new and continuation awards in fiscal year 2011. 

We examined 58 unique funding announcements.

HHS has not published a comprehensive list of agencies and activities for 

which PPHF funding was allocated and has not published a 

comprehensive list of all of the entities receiving PPHF funding in fiscal 

years 2010 and 2011; PPACA did not require HHS to do so.19 For PPHF 

funding in fiscal year 2012, HHS established a website to provide 

information on activities supported from the PPHF, in response to 

provisions in the Consolidated Appropriations Act, 2012.20

 

19Some information on activities and award recipients was reported in numerous press 

releases about activities funded by the PPHF in fiscal years 2010 and 2011 and on HHS 

and agency websites. For example, HHS issued press releases announcing some PPHFfunded awards with hyperlinks listing projects funded by the PPHF. In addition, a HHS 

website shows PPHF funding amounts by state and type of effort, such as community 

prevention, clinical prevention, or research and data collection. See 

According to 

HHS officials, HHS does not plan to include information on activities 

http://www.healthcare.gov/news/factsheets/2011/02/prevention02092011a.html

(accessed Aug. 6, 2012).

20According to HHS, this website will provide information on the fiscal year 2012 planned 

allocation of PPHF funds, funding opportunities, and the recipients of awards, with 

information to be posted as it becomes available. See 

http://www.hhs.gov/open/recordsandreports/prevention/ (accessed June 12, 2012).
 

Page 15 GAO-12-788 Prevention and Public Health Fund

funded in fiscal years 2010 and 2011 on this website, and as of May 

2012, was still evaluating how it will use the website in fiscal year 2013.

HHS implemented an abbreviated process to allocate PPHF funds for 

fiscal years 2010 and 2011 because of the timing when PPACA was 

enacted, according to HHS. PPACA was signed into law on March 23, 

2010, 1 week before the midpoint of fiscal year 2010 and over a month 

after the President had released his fiscal year 2011 budget request. (See 

fig. 2 for a timeline of key events.)

Process and Criteria 

for Allocating and 

Awarding PPHF 

Funds for Fiscal Years 

2010 and 2011 
 

Page 16 GAO-12-788 Prevention and Public Health Fund

Figure 2: PPHF Key Event Timeline, Fiscal Years 2010 and 2011
 

Page 17 GAO-12-788 Prevention and Public Health Fund

HHS implemented an abbreviated process for allocating PPHF funds for 

fiscal years 2010 and 2011 due to the timing of PPACA in relation to the 

budget formulation process for those years.21 That is, because the 

President’s budget request, along with agency justifications, had already 

been submitted, HHS did not have the opportunity to lay out its plans for 

how PPHF funds would be spent for fiscal years 2010 and 2011. 

According to ASFR officials, for fiscal years 2012 and 2013 HHS 

considered which activities to support with PPHF funding through the 

annual budget formulation process.22

In its abbreviated process, HHS requested proposals for PPHF funding 

from agencies. HHS did not develop HHS-wide criteria for fiscal years 

2010 and 2011; instead HHS instructed agencies to use activities cited in 

the PPACA provisions establishing the PPHF as guidance for developing 

proposals for activities for which HHS could allocate PPHF funding. 

According to HHS, the proposed activities were also aligned with existing 

departmental priorities. HHS then evaluated agency proposals and 

allocated and transferred PPHF funds to the corresponding 

appropriations accounts, guided in fiscal year 2011 by proposed 

legislative language. Agencies then evaluated applications and selected 

projects to fund with their available PPHF funds. Table 6 provides a 

description of actions taken in each step for allocating and awarding 

PPHF funds for fiscal years 2010 and 2011, as reported by HHS and 

agency officials.

 

21Federal agencies typically begin developing their budget requests in the spring (or 

earlier) each year, at least 9 months before the President submits his budget request to 

Congress, and about 17 months before the start of the fiscal year to which the budget 

requests pertains. For fiscal year 2010 that started on October 1, 2009, the President

released his budget request in February 2009, and agencies would have begun work on 

their budgets in spring 2008. For fiscal year 2011, agencies would have begun work on 

their budgets in spring 2009. As part of this budget and appropriations process for regular 

appropriations, agencies prepare and submit materials (budget justifications) to 

accompany the President’s budget that lay out their plans for how funds would be spent. 

Because of the timing of PPACA, HHS did not have the opportunity to include PPHF funds 

in its submissions for fiscal years 2010 and 2011.

22HHS’s congressional budget justifications for fiscal years 2012 and 2013 identified the 

activities for which HHS proposed allocating PPHF funds in those years. According to 

HHS, the department’s annual budget formulation process includes participation of the 

Secretary’s Budget Council, which consists of the HHS Deputy Secretary, the Secretaryappointed policy counselors, and other select leadership within the Office of the Secretary 

who advise the Secretary on departmental issues, including the annual HHS budget. 
 

Page 18 GAO-12-788 Prevention and Public Health Fund

Table 6: HHS Process for Allocating and Awarding PPHF Funds, Fiscal Years 2010 and 2011

Step HHS/Agency action

1. Agencies develop PPHF 

proposals

In late March to early April 2010, HHS requested agencies to submit proposals for fiscal years 2010 

and 2011 PPHF funding. HHS officials reported that the shortened time frames did not allow for 

development of HHS-wide written criteria for developing PPHF proposals. In lieu of HHS-wide criteria, 

agencies were referred to the activities cited in PPACA related to PPHF funding as guiding principles 

in developing agency proposals—specifically, that PPHF is “for programs authorized by the Public 

Health Service Act, for prevention, wellness, and public health activities including prevention research, 

health screenings, and initiatives, such as the Community Transformation grant program, the 

Education and Outreach Campaign Regarding Preventive Benefits, and immunization programs.”a

HHS also requested that agency proposals focus on existing programs or programs that could be 

implemented in a short time frame. For example:

• AHRQ officials reported using existing criteria for its Prevention and Care Management program, 

including improving primary care and clinical outcomes through health care redesign, clinicalcommunity linkages, self-management support, integration of health information technology, and 

care coordination, to identify activities to propose for PPHF funding.

• SAMHSA officials reported proposing funding for additional grants under existing activities, 

including additional grants for suicide prevention.

2. HHS allocates PPHF 

funds to agencies and 

activities

After receiving proposals from agencies for fiscal year 2010 PPHF funding, HHS officials allocated and 

provided for the transfer of funds so that funds could be obligated before the end of the fiscal year. For 

example, they did this by allocating PPHF funds for activities that had existing mechanisms in place for 

implementation. In fiscal year 2010, HHS made the largest PPHF allocation for HRSA’s Primary Care 

Training and Enhancement activity as part of an initiative to increase the nation’s supply of primary 

care providers.

According to HHS officials, for allocation decisions for both fiscal years 2010 and 2011, HHS 

leadership, including members of the Secretary’s Budget Council,b reviewed and evaluated PPHF 

proposals, and developed final allocations. For fiscal year 2011, HHS also used proposed legislative 

language as guidance for allocating PPHF funds.

3. Agencies select PPHF 

projects for funding

In general, each agency administering activities for which PPHF allocations and transfers were made 

issued funding announcements and many agencies reported using their regular review process to 

select project applications for PPHF funding. Agencies also reported using existing criteria—and in 

some cases language from PPACA as additional criteria—to select grants and contracts. For example:

• AHRQ officials reported that fiscal year 2010 and 2011 PPHF-funded grants and contracts, as 

well as non-PPHF awards, were competitively selected based on peer reviews and scoring.

• CDC officials reported that the specific criteria used to evaluate proposals were tailored to each 

funding announcement—common rating criteria included demonstration of public health need; 

feasibility and effectiveness of activities, staffing plan, and budget; defined, measurable, and 

achievable goals; and efficient and effective use of resources. CDC officials reported that they 

also used language from PPACA as criteria for rating applications for PPHF funds for fiscal years 

2010 and 2011.

• HRSA officials told us that they generally invest funding (including PPHF funds) in programs that 

have the potential of having a national impact. According to HRSA, individual projects, or grants, 

are selected using a competitive process, are independently reviewed, and generally reflect 

geographic distribution.

Source: GAO summary of HHS information.

a

Because CDC refers to the “Community Transformation Grants program”, we use that name in 

referring to the program in this report.

b

The Secretary’s Budget Council consists of the HHS Deputy Secretary, the Secretary-appointed 

policy counselors, and other select leadership within the Office of the Secretary who advise the 

Secretary on departmental issues, including the annual HHS budget.
 

Page 19 GAO-12-788 Prevention and Public Health Fund

As part of the abbreviated process HHS used for fiscal years 2010 and 

2011, following the enactment of PPACA, HHS developed a PPHF 

allocation plan then consulted with staff from the authorizing and 

appropriations committees prior to transferring the funds. Specifically, 

HHS told us that prior to transferring PPHF funds within HHS for fiscal 

years 2010 and 2011, officials notified minority and majority staff from 

authorizing and appropriations committees including: the House 

Appropriations Subcommittee on Labor, Health and Human Services, 

Education, and Related Agencies; the Senate Appropriations 

Subcommittee on Labor, Health and Human Services, Education, and 

Related Agencies; the House Energy and Commerce Committee; and, 

the Senate Committee on Health, Education, Labor and Pensions. In 

addition, for fiscal year 2011, HHS told us that the department used 

language for the proposed allocation in the fiscal year HHS 

appropriation23

For fiscal years 2010 and 2011, HHS did not formally solicit input from 

outside stakeholders on the PPHF allocation process, according to HHS 

officials. But HHS officials reported that a wide range of stakeholders, 

including states, nonprofit organizations, community-based organizations, 

and coalitions, proactively provided HHS and agencies with input on the 

use of PPHF funds, which was considered by HHS leadership during the 

decision-making process.

as a guide for allocating the $750 million available from 

the PPHF that year. HHS also reported consulting with the authorizing 

and appropriations committees prior to executing the transfer of funds for 

the fiscal year 2011 allocation.

 

23156 Cong. Rec. S9026 (daily ed. Dec. 14, 2010) (section 4 of proposed S. Amdt. 4805

to H. R. 3082 provided that the explanatory statement by the Chairman of the Senate 

Committee on Appropriations, which specified amounts to be transferred from the PPHF 

to HHS agencies for specific activities administered by those agencies, was to have the 

same effect with respect to the allocation of funds as if it were a joint explanatory 

statement of a committee of conference) (the amendment was not agreed to and the 

proposed language did not become law); 156 Cong. Rec. S9799 (explanatory statement 

by the Chairman of the Senate Committee on Appropriations for proposed fiscal year 2011 

HHS appropriation); S9849 (daily ed. Dec. 14, 2010 (portion of explanatory statement 

providing for transfers from the PPHF)).
 

Page 20 GAO-12-788 Prevention and Public Health Fund

HHS has relied on its agencies to establish performance measures and 

targets and to track outcomes of PPHF activities. For the 23 activities for 

which PPHF allocations were made and that received funding through 

regular appropriations, performance measures, targets, and outcomes 

data were generally not specific to PPHF-funded projects, but applied to 

the entire activity regardless of the funding source. For example, 

SAMHSA used both regular appropriations and PPHF funds for existing 

activities, such as suicide prevention. Moreover, SAMHSA evaluates the 

performance of the suicide prevention activities as a whole and does not 

have separate performance measures for the PPHF-funded projects. For 

individual projects receiving PPHF funding, performance measures were 

frequently established in funding opportunity announcements. 

HHS agency officials told us that it is too early to report outcomes for 

many activities for which PPHF funding was allocated because many 

projects receiving PPHF funding in fiscal year 2010, 2011, or both are 

multiyear projects or have not yet completed project evaluations, and 

outcomes have not been measured or reported.24

 

24Agency officials said that some performance measures and outcomes for activities 

receiving PPHF funding will be reported as part of their agencies’ routine Government 

Performance and Results Act (GPRA) performance reporting. Pub. L. No. 103-62, 107 

Stat. 285 (1993). GPRA, which was recently amended by the GPRA Modernization Act of 

2010, requires agencies to establish outcome-oriented goals and performance indicators 

to measure overall progress toward these goals. See Pub. L. No. 111-352, 124 Stat. 3866 

(2011); GAO, Managing for Results: Opportunities for Congress to Address Government 

Performance Issues,

For example, one 

performance measure of HRSA’s Primary Care Training and 

Enhancement activity—an activity that received PPHF funding in fiscal 

year 2010—is the number of primary care physicians supported with 

PPHF funding who complete their education; however, while data on the 

number of individuals training to be physicians who are supported with 

PPHF funding are available, outcome data on the numbers completing 

their programs will not be available until fiscal year 2014, the year the first 

cohort of physicians supported by fiscal year 2010 PPHF funding will 

finish their training. Table 7 presents information on performance 

measures and available information on targets and outcomes for the 

three HHS activities for which the largest PPHF allocations were made for 

fiscal years 2010 and 2011. Collectively, HHS allocated a total of 

$198.1 million for fiscal year 2010 and $246.3 million for fiscal year 2011

for these three activities.

GAO-12-215R (Washington, D.C.: Dec. 9, 2011).

HHS Reporting of 

Performance 

Measures, Targets, 

and Outcomes of 

Activities and 

Projects Receiving 

PPHF Funding
 

Page 21 GAO-12-788 Prevention and Public Health Fund

Table 7: Overall Performance Measures, Targets, and Outcome Information for the Three Activities for Which HHS Allocated 

the Most PPHF Funding, Fiscal Years 2010 and 2011 

Activity (agency) and PPHF 

allocation amounts Performance measures, targets, and outcomesa

Primary Care Training and 

Enhancement (HRSA)

Fiscal year 2010: $198.1 million

Under this activity, which includes HRSA’s Expansion of Physician Assistant Training program 

and Primary Care Residency Expansion program, HRSA performance measures and targets 

include the following:

• Number of physician assistants who complete their education supported by PPHF 

funding. (Target of 140 for fiscal year 2012.)

• Number of primary care physicians who complete their education supported by PPHF 

funding. (Target of 172 for fiscal year 2014.)

According to HRSA, outcome data for these performance measure are not yet available, 

because students initially funded with PPHF funding in fiscal year 2010 will complete their 

training programs in fiscal years 2012 (physician assistants) and 2014 (physicians).

Community Transformation Grants 

Program (CDC)

Fiscal year 2011: $146.3 million

As of May 14, 2012, CDC had not finalized performance measures or targets for this activity. 

CDC’s draft performance measures, for which CDC estimated that targets will be available 

around October 2012, include the following:

• Number of people with increased access to smoke-free or tobacco-free environments in 

settings such as workplaces, restaurants, campuses, and outdoor places.

• Number of people with increased access to environments with healthy food or beverage 

options, including in schools, workplaces, and other community settings.

• Number of people with increased access to physical activity opportunities, including in 

schools, workplaces, and other community settings.

• Number of people with increased access to systems that support control of high blood 

pressure and of high cholesterol in health care and other community settings.

CDC had not reported data on outcomes as of May 2012.

Section 317 Immunization Program 

(CDC)

Fiscal year 2011: $100.0 million

To ensure that children and adolescents are appropriately vaccinated, CDC performance 

measures and targets for this activity include the following:b

• Sustain immunization coverage in children 19-35 months of age for one dose of measles, 

mumps, and rubella vaccine. (Target of at least 90 percent for fiscal year 2011.)

• Achieve immunization coverage of at least 90 percent in children 19-35 months of age for 

at least four doses of pneumococcal conjugate vaccine. (Target of at least 87 percent for

fiscal year 2011.)

• Achieve immunization coverage of at least 60 percent in children 19-35 months of age for 

two to three doses of rotavirus vaccine. (Target of at least 52 percent for fiscal year 2011.)

• Achieve or sustain immunization coverage of at least 70 percent in adolescents 13 to 

15 years of age for one dose Tdap (tetanus and diphtheria toxoids and acellular 

pertussis). (Target of at least 67 percent for fiscal year 2011.)

• Achieve or sustain immunization coverage of at least 70 percent in adolescents 13 to 

15 years of age for one dose meningococcal conjugate vaccine. (Target of at least 

66 percent for fiscal year 2011.)

According to CDC, data on outcomes for fiscal year 2011 will be available by September 30, 

2012.

Source: GAO analysis of HRSA and CDC information.
 

Page 22 GAO-12-788 Prevention and Public Health Fund

a

Some of these targets are consistent with objectives in Health People 2020, which provides a 

comprehensive set of 10-year national goals and objectives for improving the health of all Americans. 

For example, Health People 2020 includes objectives to “increase tobacco-free environments in 

schools” and to “achieve and maintain effective vaccination coverage levels for universally 

recommended vaccines among young children.” For more information, see 

http://www.healthypeople.gov/2020/about/default.aspx. 

b

According to CDC, the targets reflect the impact of funding from both regular appropriations and 

PPHF funds.

As of July 2012, information was available on some projects receiving 

PPHF funding in fiscal years 2010 and 2011—for example, CDC posted 

information on activities planned by individual projects funded by its 

Community Transformation Grants program, which was initiated in late 

fiscal year 2011.25 At the same time, however, information on all fiscal 

year 2010 and 2011 outcomes was not reported.26

HHS reviewed a draft of this report and provided technical comments, 

which we incorporated as appropriate.

As arranged with your offices, unless you publicly announce its contents 

earlier, we plan no further distribution of this report until 30 days after its 

issue date. At that time, we will send copies of this report to the Secretary 

of Health and Human Services and interested congressional committees. 

In addition, the report will be available at no charge on the GAO website 

at http://www.gao.gov. 

 

25See http://www.cdc.gov/communitytransformation/index.htm (accessed July 23, 

2012).

26For fiscal year 2012, HHS is required to report on PPHF-funded projects valued at 

$25,000 or more. The Consolidated Appropriations Act, 2012 requires HHS to post on its 

website semiannual reports summarizing the activities undertaken for each PPHF-funded 

grant or contract of $25,000 or more (to be posted no later than 30 days after the end of 

each 6-month period). Pub. L. No. 112-74, § 220, 125 Stat. 1085-1086. As of July 23, 

2012, no semiannual reports had been posted on the website. See 

http://www.hhs.gov/open/recordsandreports/prevention/ (accessed July 23, 2012).

Agency Comments
 

Page 23 GAO-12-788 Prevention and Public Health Fund

If you or your staff have any questions regarding this report, please 

contact me at (202) 512-7114 or iritanik@gao.gov. Contact points for our 

Office of Congressional Relations and Public Affairs may be found on the 

last page of this report. GAO staff who made key contributions to this 

report are listed in appendix VI.

Katherine Iritani

Director, Health Care
Appendix I: Agency for Healthcare Research 

and Quality—Prevention and Public Health 

Fund Awards by Activity

Page 24 GAO-12-788 Prevention and Public Health Fund

This appendix presents information on awards made by the Agency for 

Healthcare Research and Quality (AHRQ) for Prevention and Public 

Health Fund (PPHF) activities with funds allocated and transferred from 

the PPHF for fiscal years (FY) 2010 and 2011. For each AHRQ activity 

that received PPHF funding, tables 8 through 12 summarize information 

on awards made with those funds through grants and contracts for each 

fiscal year.1

The information presented in this appendix, including the purpose of the 

PPHF-funded activity, was obtained from HHS. Due to the large number 

of awards, we did not edit the award recipient information to correct 

typographical or grammatical errors, or clarify the information provided. In 

general, we reprinted the abbreviations and acronyms provided by HHS 

and the legislative authority cited in the FOA or otherwise provided by 

HHS. We did not independently verify the legislative authority. Totals in 

this appendix (reported obligations) may not match—for example, they 

may be lower than—the amounts in table 2 (reported allocations). 

According to HHS officials, to carry out an activity, an agency may incur 

administrative expenses, including an agency’s internal costs associated 

with managing and overseeing grants and contracts, not reflected in 

award amounts. Further, to the extent that an appropriation has not 

identified a particular amount for a specific activity, an agency may 

reallocate unobligated funds from that activity to another during the 

course of a fiscal year.

Award information was provided by the Department of Health 

and Human Services’ (HHS) Assistant Secretary for Financial Resources, 

AHRQ, or reported in the funding opportunity announcements (FOA) HHS 

identified as being associated with the activity and awards.

Activity: Clinical Preventive Services Task Force

The purpose of this activity is to support the U.S. Preventive Services 

Task Force (USPSTF), an independent panel of private-sector experts in 

prevention and primary care, including support for a Scientific Resource 

Center, a preventive medicine residency rotation program, staff support, 

and to develop and finalize updated evidence reports.

 

1

The tables present information on cooperative agreements with grants, and include 

information on interagency agreements with contracts.

Appendix I: Agency for Healthcare Research 

and Quality—Prevention and Public Health 

Fund Awards by Activity
Appendix I: Agency for Healthcare Research 

and Quality—Prevention and Public Health 

Fund Awards by Activity

Page 25 GAO-12-788 Prevention and Public Health Fund

• Fiscal year 2010: $5.0 million (2 contracts)

• Fiscal year 2011: $6.8 million (2 contracts)

Table 8: FY 2010 Contracts, Clinical Preventive Services Task Force

Recipient Purpose State Award (dollars)

ABT Associates, Inc. Specialized Communications for USPSTF MA $4,000,000

Oregon Evidence-based Practice Center (EPC) for 

USPSTF Reviews

USPSTF Reviews OR 1,010,937

Total (2 awards) $5,010,937

Source: GAO analysis of HHS information.

Table 9: FY 2011 Contracts, Clinical Preventive Services Task Force

Recipient Purpose State Award (dollars)

ABT Associates, Inc. Specialized Communications for USPSTF MA $3,776,974

Oregon Evidence-based Practice Center (EPC) for 

USPSTF Reviews

USPSTF Reviews OR 3,000,000

Total (2 awards) $6,776,974

Source: GAO analysis of HHS information.

Activity: Clinical Preventive Services Research

The purpose of this activity is to support integrated, multiproject research 

programs that will work with a well-defined, central research focus to 

contribute to addressing the research and implementation gaps identified 

as part of the development of the HHS National Prevention and National 

Quality Strategies.

• Fiscal year 2010: None

• Fiscal year 2011: $4.8 million (3 grants totaling $4.3 million and 

1 contract for $0.5 million)
Appendix I: Agency for Healthcare Research 

and Quality—Prevention and Public Health 

Fund Awards by Activity

Page 26 GAO-12-788 Prevention and Public Health Fund

Table 10: FY 2011 Grants, Clinical Preventive Services Research

Announcement Recipient State Award (dollars)

Research Centers for Excellence in Clinical Preventive 

Services (RFA-HS-11-005)

Purpose (award type): To support Research Centers for 

Excellence in Clinical Preventive Services to conduct 

research and development activities in order to generate 

new knowledge and develop tools and resources to improve 

health and health care through clinical preventive services. 

Core infrastructure should include: training, education, and 

robust dissemination capabilities, and may, in addition, focus 

on the provision of specific methodologic support to the 

Center. Each Research Center application must propose a 

body of work addressing one of three programmatic areas: 

(1) patient safety; (2) health equity; or, (3) health care 

system implementation. (New)

Legislative Authority: 42 U.S.C. 299a(a), which authorizes 

AHRQ to conduct and support research, support 

demonstration projects, and disseminate information on 

health care and on systems for the delivery of such care, 

including activities with respect to clinical practice, including 

primary care and practice-oriented research. See 42 U.S.C. 

299a(a)4.

Eligibility: Public or non-profit private institution, such as a 

university, college, or a faith-based or community-based 

organization; Units of local or State government; Eligible 

agencies of the Federal government; Indian/Native American 

Tribal Government (Federally Recognized); Indian/Native 

American Tribal Government (Other than Federally 

Recognized); and Indian/Native American Tribally 

Designated Organizations.

University of North Carolina, Chapel Hill NC $1,500,000

University of Colorado, Denver CO 1,483,338

Northwestern University IL 1,365,757

Total (3 awards) $4,349,095

Source: GAO analysis of HHS information.
Appendix I: Agency for Healthcare Research 

and Quality—Prevention and Public Health 

Fund Awards by Activity

Page 27 GAO-12-788 Prevention and Public Health Fund

Table 11: FY 2011 Contract, Clinical Preventive Services Research

Recipient Purpose State Award (dollars)

Abt Associates, Inc. Technical assistance and evaluation of grant program. MD $484,986

Total (1 award) $484,986

Source: GAO analysis of HHS information.

Activity: Healthy Weight Practice-Based Research Networks

The purpose of this activity is to promote innovative efforts to improve the 

management of obese patients in primary care by (1) supporting the 

development and evaluation of scalable and sustainable linkages 

between primary care practices and community-based resources to 

support obesity treatment and management across the lifespan; and 

(2) creating an implementation guide on obesity management to be 

disseminated widely to diverse primary care settings that describes 

optimal processes for developing, assessing, and maintaining effective 

linkages with community-based programs.

• Fiscal year 2010: $0.5 million (1 contract)

• Fiscal year 2011: None

Table 12: FY 2010 Contract, Healthy Weight Practice-Based Research Networks

Recipient Purpose State Award (dollars)

Colorado Practice-based Research Network 

(PBRN) Healthy Weight

To create a guide for primary care practices to build 

linkages with community based organizations in support 

of healthy weight programs. 

CO $489,063

Total (1 award) $489,063

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 28 GAO-12-788 Prevention and Public Health Fund

This appendix presents information on awards made by the Centers for 

Disease Control and Prevention (CDC) for Prevention and Public Health 

Fund (PPHF) activities with funds allocated and transferred from the 

PPHF for fiscal years (FY) 2010 and 2011. For each CDC activity that 

received PPHF funding, tables 13 through 62 summarize information on 

awards made with those funds through grants and contracts for each 

fiscal year.1

The information presented in this appendix, including the purpose of the 

PPHF-funded activity, was obtained from HHS. Due to the large number 

of awards, we did not edit the award recipient information to correct 

typographical or grammatical errors, or clarify the information provided. In 

general, we reprinted the abbreviations and acronyms provided by HHS 

and the legislative authority cited in the FOA or otherwise provided by 

HHS. We did not independently verify the legislative authority. Totals in 

this appendix (reported obligations) may not match—for example, they 

may be lower than—the amounts in table 2 (reported allocations). 

According to HHS officials, to carry out an activity, an agency may incur 

administrative expenses, including an agency’s internal costs associated 

with managing and overseeing grants and contracts, not reflected in 

award amounts. Further, to the extent that an appropriation has not 

identified a particular amount for a specific activity, an agency may 

reallocate unobligated funds from that activity to another during the 

course of a fiscal year.

Award information was provided by HHS’s Assistant 

Secretary for Financial Resources, CDC, or reported in the funding 

opportunity announcements (FOA) HHS identified as being associated 

with the activity and awards.

Activity: Community Transformation Grants Program

The purpose of this activity is to support community-level efforts to reduce 

chronic diseases such as heart disease, cancer, stroke, and diabetes. By 

promoting healthy lifestyles, especially among population groups 

experiencing the greatest burden of chronic disease, these funded 

projects are designed to help improve health, reduce health disparities, 

and control health care spending.

 

1

The tables present information on cooperative agreements with grants, and include 

information on interagency agreements with contracts.

Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 29 GAO-12-788 Prevention and Public Health Fund

• Fiscal year 2010: None

• Fiscal year 2011: $139.3 million (68 grants in three funding 

announcements totaling $107.9 million and contracts totaling 

$31.4 million)

Table 13: FY 2011 Grants, Community Transformation Grants Program

Announcements (3) Recipient State Award (dollars)

1. Public Prevention Health Fund: Community 

Transformation Grants 

(CDC-RFA-DP11-1103PPHF11)

Purpose (award type): To create healthier

communities by (1) building capacity to implement 

broad evidence and practice-based policy, 

environmental, programmatic and infrastructure 

changes, as appropriate, in large counties, and in 

states, tribes and territories, including in rural and 

frontier areas; and (2) supporting implementation of 

such interventions in five strategic areas (1) tobaccofree living, (2) active living and healthy eating, (3) high 

impact evidence-based clinical and other preventive 

services, (4) social and emotional wellness, and 

(5) healthy and safe physical environment. (New)

Legislative Authority: Sections 4002 and 4201 of 

the Affordable Care Act.

Eligibility: Limited to state and local governmental 

agencies, or their Bona Fide Agent or the equivalent, 

as well as, state and local nonprofit organizations, 

federally recognized American Indian Tribes and 

Alaska Native Villages, tribal organizations, and 

Urban Indian Health programs.

Texas State Dept of Health Services TX $10,000,000

Los Angeles County Health Services Dept CA 9,848,011

New York State Dept of Health NY 8,391,881

NC State Dept/Hlth & Human Services NC 7,466,092

Public Health Institute CA 5,926,365

Illinois State Dept of Public Health IL 4,781,121

University of Wisconsin-Madison WI 4,700,000

South Carolina State Dept of Hlth/Env SC 4,624,724

Minnesota State Dept of Health MN 3,603,724

Washington State Department of Health WA 3,256,347

Massachusetts State Dept of Pub Health MA 3,079,988

County/San Diego Health/Human Ser/Ag CA 3,053,793

Iowa State Dept of Public Health IA 3,007,856

Maryland State Dept of Hlth/Mtl Hygiene MD 1,945,289

WV State Dept Hlth/Human Rscs WV 1,883,603

Broward Regional Health Planning Council FL 1,766,476

City of Philadelphia Public Health Dept PA 1,547,297

New Mexico State Department of Health NM 1,500,000

Maine State Dept/Health/Human Servs ME 1,318,301

Hennepin County Health and Human Services MN 1,156,212

Austin Health and Human Services Department TX 1,026,158

San Francisco Dept of Public Health CA 815,358

South Dakota State Dept of Health SD 812,383

Tacoma-Pierce County Health Department WA 796,836

Montana State Dept/Pub Hlth & Human Srvs MT 769,195

University of Rochester NY 733,703

Louisville Metro Department of Health KY 721,594

OK City County Health Department OK 716,704

Mid-American Regional Council Comm. Services MO 705,708
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 30 GAO-12-788 Prevention and Public Health Fund

Announcements (3) Recipient State Award (dollars)

Vermont Department of Health VT 621,760

Denver Health and Hospital Authority CO 610,345

Douglas County Health Department NE 510,199

My Brother’s Keeper MS 500,000

Sault St. Marie Tribe of Chippewa Indians MI 500,000

Houston City Health & Human Services TX 500,000

Operation Unite KY 500,000

Louisiana State Dept of Hlth & Hospitals LA 500,000

Austen Bioinnovation Institute In Akron OH 500,000

Toyiabe Indian Health Project CA 500,000

New Jersey State Dept/Health/Senior Srvs NJ 500,000

Great Lakes Inter-Tribal Council WI 499,982

Fresno County Department of Public Health CA 499,695

Southeast Alaska Reg Hlth Consortium AK 499,588

Fairfax County Neighborhood And Comm. Srvcs VA 499,559

Utah State Department of Health UT 499,366

Sierra Health Foundation CA 499,229

Cobb Public Health GA 499,000

Confederated Tribes of the Chehalis Reservation WA 498,663

Bernalillo County Office of Environmental Health NM 497,353

Connecticut State Dept of Public Health CT 493,891

Ventura County CA 481,036

County of Kern Public Health Services Dept CA 416,577

North Dakota State Department of Health ND 370,684

Spectrum Health Hospitals MI 333,321

Stanislaus County Health Services Agency CA 293,899

Lancaster General Health PA 233,577

Sophie Trettevick Indian Health Center WA 218,929

Yukon-Kuskokwim Health Corporation AK 193,340

Public Health - Dayton And Montgomery County OH 180,246

Ulkerreuil A. Klengar PW 147,106

Total (60 awards) $103,552,064
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 31 GAO-12-788 Prevention and Public Health Fund

Announcements (3) Recipient State Award (dollars)

2. Public Prevention Health Fund: National 

Dissemination and Support for Community 

Transformation Grants 

(CDC-RFA-DP11-1115PPHF11)

Purpose (award type): To support the efforts of the 

Community Transformation Grants program 

(CDC-RFA-DP11-1103PPHF11) by funding national 

network(s) of community-based organizations. Also to 

support, disseminate and amplify successful program 

models and activities as prescribed under statutory 

authority [Section 4201 (c) (5) of ACA]. (New)

Legislative Authority: Sections 4002 and 4201 of 

the Patient Protection and Affordable Care Act (ACA).

Eligibility: National network(s) of community based 

organizations.

National Council of the Young Men’s Christian 

Association

IL $1,300,000

National REACH Coalition CA 900,000

American Lung Association DC 800,000

Community Anti-Drug Coalitions of America VA 300,000

American Public Health Association DC 300,000

Occidental College CA 300,000

Asian Pacific Partners for Empowerment, 

Advocacy and Leadership

CA 300,000

Total (7 awards) $4,200,000

3. Competitive Program Expansion Supplement for 

CDC-RFA-HM08-805: Strengthen and Improve 

the Nation’s Capacity through National, Nonprofit, Professional Public Health Organizations to 

Increase Health Protection and Health Equity 

(CDC-RFA-HM08-8050402PHFF11)

Purpose (award type): To support the provision of 

capacity building assistance to state, tribal, local and 

territorial health departments that ensures 

performance improvement and successful adoption of 

best or promising practices to address key areas of 

public health infrastructure investments. (Supplement)

Legislative Authority: Sections 301 and 317 of the 

Public Health Service Act (PHS Act), 42 USC, 241 

and 247b as amended. Funding is appropriated under 

the Affordable Care Act (PL 111-148), Title IV, 

Section 4002 (Prevention and Public Health Fund).

Eligibility: Limited to specific national, non-profit, 

public health professional organizations funded 

through the competitive funding opportunity 

announcement CDC-RFA-HM08-805.

National Association of City/County Health 

Officials

DC 140,000 

Total (1 award) $140,000

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 32 GAO-12-788 Prevention and Public Health Fund

Table 14: FY 2011 Contracts, Community Transformation Grants Program

Recipient Purpose State 

Award

(dollars)

ICF Macro, Inc TA and Training Contract GA $6,035,730

Research Triangle Institute Community Transformation Grants – Evaluation Technical 

Assistance, Training Services, and Performance Monitoring

GA 5,835,132

FHI Development 360 LLC Community Transformation Grants Program Evaluation – Enhanced 

Evaluation Techniques

GA 5,396,166

Four Seasons Environmental, Inc. CDC Program Oversight & Implementation GA 4,430,683

Research Triangle Institute Social Media Contract GA 4,319,460

ICF Macro, Inc Modeling and Cost Benefit Analysis Contract GA 3,281,366

Global Evaluation & Applied Research 

Solutions (GEARS)

Extramural Staffing Contract GA 678,033

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 477,725

Dell Services Federal Government, Inc. CDC Program Oversight & Implementation GA 375,000

Deloitte Consulting, LLP Project Management Contract Support GA 200,000

Northrop Grumman Community Transformation Grants – Program Management GA 200,000

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 103,286

Various – Emory University, JP Morgan 

Chase, Northrop Grumman

Contracts < $25K GA 19,489

DOE IAA CDC Program Oversight & Implementation GA 12,000

Total $31,364,071

Source: GAO analysis of HHS information.

Activity: Section 317 Immunization Program

The purpose of this activity is to provide funding for immunization 

operations and infrastructure necessary to implement a comprehensive 

immunization program at the federal, state, and local levels.

• Fiscal year 2010: None

• Fiscal year 2011: $99.8 million (73 grants in six funding 

announcements totaling $46.5 million and contracts totaling 

$53.3 million)
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 33 GAO-12-788 Prevention and Public Health Fund

Table 15: FY 2011 Grants, Section 317 Immunization Program

Announcements (6) Recipient State Award (dollars)

1. Competitive Program Expansion Supplement 

for CDC-RFA-HM08-805: Strengthen 

and Improve the Nation’s Capacity through 

National, Non-profit, Professional Public 

Health Organizations to Increase 

Health Protection and Health Equity 

(CDC-RFA-HM08-8050402PHFF11)

Purpose (award type): To support the provision 

of capacity building assistance to state, tribal, local 

and territorial health departments that ensures 

performance improvement and successful 

adoption of best or promising practices to address 

key areas of public health infrastructure 

investments. (Supplement)

Legislative Authority: Sections 301 and 317 of 

the Public Health Service Act (PHS Act), 

42 USC, 241 and 247b as amended. Funding is 

appropriated under the Affordable Care Act 

(PL 111-148), Title IV, Section 4002 (Prevention 

and Public Health Fund).

Eligibility: Limited to specific national, non-profit, 

public health professional organizations funded 

through the competitive funding opportunity 

announcement CDC-RFA-HM08-805.

National Association of City/County Health Officials DC $200,000

Total (1 award) $200,000

2. Prevention and Public Health Fund: Capacity 

Building Assistance to Strengthen Public 

Health Immunization Infrastructure and 

Performance (CDC-RFA-IP11-1107PPHF11)

Purpose (award type): To assist Section 317 

grantees’ transitions into a health care 

environment that is being transformed by the 

Affordable Care Act. (New)

Legislative Authority: Sections 301 and 317 of 

the Public Health Service Act (PHS Act), 

42 USC, 241 and 247b as amended and the 

Patient Protection and Affordable Care Act 

(PL 111-148).

Eligibility: Limited to grantees that are currently 

funded under funding announcement 

RFP IP08-803 because they have the necessary 

infrastructure in place to perform the activities 

required and have the experience needed to 

successfully complete the required functions.

Arkansas State Dept of Health AR $3,586,942

Kansas State Dept of Hlth and Environmnt KS 3,115,885

New York State Dept of Health NY 2,573,336

Massachusetts State Dept of Pub Health MA 2,570,827

Colorado State Dept/Pub Hlth & Environmt CO 1,800,000

Washington State Department of Health WA 1,736,427

Connecticut State Dept of Public Health CT 1,611,744

Alabama State Dept of Public Health AL 1,438,016

Missouri State Dept/Health & Senior Srv MO 1,397,940

West Virginia State Dept Hlth/Human Rscs WV 1,317,124

Maryland State Dept of Hlth/Mtl Hygiene MD 1,297,548

Minnesota State Dept of Health MN 1,261,172

Maine State Dept/Health/Human Servs ME 1,256,896

Michigan State Dept of Community Health MI 1,235,590

Arizona State Department of Hlth Srvcs AZ 1,162,818

Oklahoma State Department of Health OK 1,046,675

Georgia Department of Community Health GA 1,036,494

North Carolina State Dept/Hlth & Human Services NC 1,023,484
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 34 GAO-12-788 Prevention and Public Health Fund

Announcements (6) Recipient State Award (dollars)

Hawaii State Department of Health HI 933,189

Iowa State Dept of Public Health IA 900,000

New Jersey State Dept/Health/Senior Srvs NJ 876,197

Vermont Department of Health VT 792,138

California Department of Public Health CA 765,000

Wisconsin Department of Health Services WI 756,548

Florida State Department of Health FL 718,920

South Carolina State Dept of Hlth/Env SC 654,034

Oregon State Public Health Division OR 639,590

Texas State Dept of Health Services TX 540,000

Nevada State Dept of Hlth/Human Svcs NV 539,989

Utah State Department of Health UT 515,979

Nebraska St Dept of Health & Human Servs NE 492,300

Wyoming State Department of Health WY 485,906

Mississippi State Department of Health MS 484,195

Virginia State Dept of Health VA 452,061

Indiana State Department of Health IN 271,141

Ohio State Department of Health OH 252,275

North Dakota State Department of Health ND 226,418

Houston City Health & Human Services TX 134,842

Total (38 awards) $41,899,640

3. Enhanced Surveillance for New Vaccine 

Preventable Disease (RFA-IP-11-010)

Purpose (award type): To establish surveillance 

and evaluation sites that will collaborate as a 

larger network as the New vaccine Surveillance 

Network to conduct multi-site and individual 

projects to assess the impact of new vaccines and 

vaccine policies for diseases among children that 

are currently vaccine-preventable and those that 

are potentially vaccine preventable in the future. 

(New)

Legislative Authority: Sections 317(k)(1) of the 

Public Health Service Act as amended 

(42 U.S.C. 247b(k)(1)).

University of Rochester NY $201,220

The Children’s Mercy Hospital MO 201,220

Cincinnati Children’s Hospital OH 201,220 

Vanderbilt University Medical Center TN 201,220

Seattle Children’s Hospital WA 201,220

Total (5 awards) $1,006,100
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 35 GAO-12-788 Prevention and Public Health Fund

Announcements (6) Recipient State Award (dollars)

Eligibility: Eligible applicants include higher 

education institutions, nonprofits, independent 

school districts, housing authorities, faith-based, 

community-based, and regional organizations, 

Bona Fide agents, and state, county, city or 

township, special districts, federally and 

nonfederally recognized tribal, and U.S. territory or 

possession governments. Entities must be states 

(or bona fide agents to states), political 

subdivisions of states, or other public or non-profit 

private entities.

4. Patient Protection and Affordable Care Act 

(ACA), Emerging Infections Programs (EIP), 

Enhancing Epidemiology and Laboratory 

Capacity (CDC- RFA-CI10-00302PPHF11)

Purpose (award type): The purpose of the 

EIP-ACA cooperative agreement is to support 

state and local health departments’ surveillance 

infrastructure through enhancement of the 

epidemiology and laboratory capacity of the 

existing EIP network. (Continuation)

Legislative Authority: Sections 301(a) 

[42 U.S.C. 241(a)] and 317(k) (2) [42 U.S.C. 

247b (k) (2)] of the Public Health Service Act, 

as amended and the Patient Protection and 

Affordable Care Act (PPACA) (Public Law 111-

148), Title IV, Sections 4002 and 4304 

(Prevention and Public Health Fund).

Eligibility: Limited to health departments of states 

(or bona fide agents) currently funded under 

funding announcement CI10-003.

New York State Dept of Health NY $409,254

California Department of Public Health CA 381,103

Minnesota State Dept of Health MN 328,791

Georgia Department of Community Health GA 212,612

Connecticut State Dept of Public Health CT 199,515

Colorado State Dept/Pub Hlth & Environmt CO 191,878

Oregon State Public Health Division OR 167,139

Tennessee State Department of Health TN 162,890

New Mexico State Department of Health NM 162,131

Maryland State Dept of Hlth/Mtl Hygiene MD 145,460

Total (10 awards) $2,360,773

5. Patient Protection and Affordable Care Act

(ACA), Emerging Infections Programs (EIP) 

(CI05-0026)

Purpose (award type): To provide continued 

support to Emerging Infections Programs. 

(Continuation)

Legislative Authority: Sections 301(a) 

[42 U.S.C. 241(a)], 317(k) (1) [42 U.S.C. 247b (k) 

(1)], and 317 (k) (2) [42 U.S.C. 247b (k) (2)], as 

amended.

Eligibility: Limited to state governments or their 

bona fide agents.

Georgia Department of Public Health GA $253,635

CT ST Dept of Public Health CT 154,877

Total (2 awards) $408,512
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 36 GAO-12-788 Prevention and Public Health Fund

Announcements (6) Recipient State Award (dollars)

6. Patient Protection and Affordable Care Act 

Epidemiology and Laboratory Capacity for 

Infectious Diseases (ELC) Building and 

Strengthening Epidemiology, Laboratory 

and Health Information Systems Capacity in 

State and Local Health Departments 

(CDC-RFA-CI10–101202PPHF11)

Purpose (award type): To enhance public health 

programs to improve health and help restrain the 

rate of growth of health care costs through 

building epidemiology, laboratory, and health 

information systems capacity in state and local 

public health departments. (Continuation)

Legislative Authority: Sections 301(a) 

[42 U.S.C. 241(a)] and 317(k) (2) 

[42 U.S.C. 247b (k) (2)] of the Public Health 

Service Act, as amended and the Patient 

Protection and Affordable Care Act (PL 111-148), 

Title IV, Sections 4002 and 4304 (Prevention and 

Public Health Fund).

Eligibility: Limited to 58 current Epidemiology 

and Laboratory Capacity for Infectious Disease 

Affordable Care Act state and local public health 

department grantees or their bona fide agents of 

funding announcement CI10-1012.

Los Angeles County Health Services Dept CA $124,611

Utah State Department of Health UT 63,409

New York City Health/Mental Hygiene NY 39,963

Maine State Dept/Health/Human Servs ME 35,624

Iowa State Dept of Public Health IA 35,000

Washington State Department of Health WA 34,659

Massachusetts State Dept of Pub Health MA 32,450

Arizona State Department of Hlth Srvcs AZ 26,996

NC State Dept/Hlth & Human Services NC 26,798

South Carolina State Dept of Hlth/Env SC 26,624

Florida State Department of Health FL 26,190

Houston City Health & Human Services TX 26,000

Wisconsin Department of Health Services WI 25,744

Tennessee State Department of Health TN 23,943

Alabama State Dept of Public Health AL 23,340

Oklahoma State Department of Health OK 17,016

City of Philadelphia Public Health Dept PA 17,000

Total (17awards) $605,367

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 37 GAO-12-788 Prevention and Public Health Fund

Table 16: FY 2011 Contracts, Section 317 Immunization Program

Recipient Purpose State Award (dollars)

Merck Sharp & Dohme Corp. Vaccine Supplies GA $20,523,444

Pfizer Inc. Vaccine Supplies GA 6,817,823

Sanofi Pasteur Inc. Vaccine Supplies GA 5,751,222

Glaxosmithkline LLC Vaccine Supplies GA 4,843,178

Merck Sharp & Dohme Corp. Vaccine Supplies GA 4,413,348

Deloitte Consulting, LLP Barcoding - Implementation Pilot for 

Two-Dimensional Vaccine Barcode Utilization

GA 2,907,887

Glaxosmithkline LLC Vaccine Supplies GA 2,858,200

Four Seasons Environmental, Inc. CDC Program Oversight & Implementation GA 2,149,345

Novartis Vaccines and Diagnostics, Inc. Vaccine Supplies GA 565,969

Northrup Grumman Systems Corporation IIS-TIPS GA 446,831

The Cadence Group, Inc. PPHF project management GA 415,758

Carter Consulting, Inc. VTrckS-IIS interface GA 410,363

Carter Consulting, Inc. Billing Planning and Implementation - Technical 

Assistance Management of NCIRD funded grants 

Support for the Education, Information, and 

Partnership Branch (EIPB), Immunization 

Services Division (ISD), National Center for 

Immunization and Respiratory Diseases (NCIRD)

GA 340,952

P3S Corporation Evaluation of PCV 13 Vaccine - RBD Contractors GA 263,017

Novartis Vaccines and Diagnostics, Inc. Vaccine Supplies GA 190,861

P3S Corporation Enhanced Pertussis Surveillance and Eval of 

Acellular VE

GA 164,044

P3S Corporation Strengthening the Evidence Base - MCV 

Evaluation - MVDB Contractors

GA 81,820

Agilent Technologies, Applied Biosystems Bio-Rad 

Laboratories, Caliper Life Sciences, J P Morgan 

Chase Bank, Roche Diagnostics Corporation

Contracts < $25K N/A 73,165

GSA Federal Telecommunication Service Evaluation Impact and Effectiveness of Rotavirus 

Vaccine

GA 50,200

MA Biological Laboratory Vaccine Supplies GA 35,955

Southeast Scientific Maintenance of 35 freezers GA 33,557 

Goodwill Industries of North GA CDC Program Oversight & Implementation GA 10,655

Total $53,347,594

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 38 GAO-12-788 Prevention and Public Health Fund

Activity: National Public Health Improvement Initiative

The purpose of this activity2

• Fiscal year 2010: $47.9 million (80 grants in two funding 

announcements totaling $46.4 million and three contracts totaling 

$1.5 million)

is to systematically increase the capacity of 

public health departments to detect and respond to public health events 

requiring highly coordinated interventions to improve and/or sustain the 

performance (efficiency/effectiveness) of public health organizations, 

systems, practices, and essential services. It is intended to promote the 

development, dissemination, and adoption of evidence-based practices.

• Fiscal year 2011: $40.2 million (80 grants in three funding 

announcements totaling $36.7 million and four contracts totaling 

$3.5 million)

 

2

According to HHS, this activity was called Public Health Infrastructure in fiscal year 2010.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 39 GAO-12-788 Prevention and Public Health Fund

Table 17: FY 2010 Grants, National Public Health Improvement Initiative

Announcements (2) Recipient State 

Award

(dollars)

1. Strengthening Public Health Infrastructure for 

Improved Health Outcomes (CDC-RFA-CD10-1011)

Purpose (award type): To support innovative changes 

in key areas that improve the quality, effectiveness and 

efficiency of the public health infrastructure that will 

support the delivery of public health services and 

programs as specified within the Affordable Care Act. 

(New)

Legislative Authority: Sections 301 and 317 of the 

Public Health Service Act (PHS Act), 42 USC, 241 and 

247b as amended. Funding is appropriated under the 

Affordable Care Act (PL 111-148), Title IV, Section 4002 

(Prevention and Public Health Fund).

Eligibility: All 50 states, Washington D.C., 9 large local 

health departments supporting cities with populations of 

1 million or more inhabitants, 5 U.S. Territories, 3 U.S. 

Affiliated Pacific Islands and up to 7 federally recognized 

tribes (or their equivalent) with an established public 

health department structure that provide public health 

services.

California Department of Public Health CA $2,060,128

Florida State Department of Health FL 2,060,128

New York City Health/Mental Hygiene NY 2,060,128

Wisconsin Department of Health Services WI 1,960,129

Massachusetts State Dept of Pub Health MA 1,960,128

Minnesota State Dept of Health MN 1,960,128

North Carolina State Dept/Hlth & Human Services NC 1,903,858

Oregon State Public Health Division OR 1,860,128

Los Angeles County Health Services Dept CA 1,859,950

Cherokee Nation OK 1,760,128

Maine State Dept/Health/Human Servs ME 1,758,786

Pacific Islands Health Officers Assn HI 1,660,128

New Jersey State Dept/Health/Senior Srvs NJ 1,638,751

Tennessee State Department of Health TN 1,296,995

Nebraska St Dept of Health & Human Servs NE 1,200,000

West Virginia State Dept Hlth/Human Rscs WV 1,200,000

City of Philadelphia Public Health Dept PA 1,118,493

Hawaii State Department of Health HI 1,100,000

Vermont Department of Health VT 1,100,000

Illinois State Dept of Public Health IL 400,000

Michigan State Dept of Community Health MI 400,000

New York State Dept of Health NY 400,000

Pennsylvania State Dept of Health PA 400,000

Texas State Dept of Health Services TX 400,000

Georgia Department of Community Health GA 399,836

Ohio State Department of Health OH 394,111

Colorado State Dept/Pub Hlth & Environmt CO 300,000

Indiana State Department of Health IN 300,000

Maryland State Dept of Hlth/Mtl Hygiene MD 300,000

Missouri State Dept/Health & Senior Srv MO 300,000

Virginia State Dept of Health VA 300,000

Washington State Department of Health WA 299,981

Arizona State Department of Hlth Srvcs AZ 289,586

Alabama State Dept of Public Health AL 200,000

Arkansas State Dept of Health AR 200,000
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 40 GAO-12-788 Prevention and Public Health Fund

Announcements (2) Recipient State 

Award

(dollars)

Connecticut State Dept of Public Health CT 200,000

Idaho State Dept of Health and Welfare ID 200,000

City of Chicago IL 200,000

Iowa State Dept of Public Health IA 200,000

Kansas State Dept of Hlth and Environmnt KS 200,000

KY Cabinet for Health and Family Services KY 200,000

Louisiana State Dept of Hlth & Hospitals LA 200,000

Nevada State Dept of Hlth/Human Svcs NV 200,000

Oklahoma State Department of Health OK 200,000

Puerto Rico Department of Health PR 200,000

South Carolina State Dept of Hlth/Env SC 200,000

Houston City Health & Human Services TX 200,000

Utah State Department of Health UT 200,000

New Mexico State Department of Health NM 199,877

Mississippi State Department of Health MS 199,585

County of Maricopa AZ 199,434

Alaska State Department of Hlth-Soc Svcs AK 100,000

Alaska Native Tribal Health Consortium AK 100,000

Southeast Alaska Reg Hlth Consortium AK 100,000

American Samoa Department of Health AS 100,000

Gila River Indian Community AZ 100,000

Navajo Nation Division of Health AZ 100,000

County/San Diego Health / Human Ser/Ag CA 100,000

DC Department of Health DC 100,000

Delaware State Dept of Hlth & Soc Srvs DE 100,000

Federated States Micronesia FM 100,000

Guam Department of Public Health-Soc Svc GU 100,000

Republic/Marshall Island Mnstry of Hlth MH 100,000

Montana State Dept/Pub Hlth & Human Srvs MT 100,000

Montana-Wyoming Tribal Leaders Council MT 100,000

Commonwealth N Mariana Is Dept Pub Hlth MP 100,000

NH State Dept of Health and Human Sers NH 100,000

Northwest Portland Area Indian Hlth Bd OR 100,000

City of San Antonio Metro Health Dist TX 100,000

Dallas County Dept/Hlth/Human Srvs TX 100,000

Virgin Islands Department of Health VI 100,000
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 41 GAO-12-788 Prevention and Public Health Fund

Announcements (2) Recipient State 

Award

(dollars)

Wyoming State Department of Health WY 100,000

Republic/Marshall Island Mnstry of Hlth MH 100,000

Mille Lacs Band of Ojibwe Indians MN 99,866

Rhode Island State Dept of Health RI 99,738

Total (75 awards) $42,400,000

2. Competitive Supplement to CDC-RFA-HM08-805: 

Strengthen and Improve the Nation’s Capacity 

through National, Non-profit, Professional 

Public Health Organizations to Increase 

Health Protection and Health Equity 

(CDC-RFA-HM08-8050301SUPP10)

Purpose (award type): To support the provision of 

capacity building assistance to state, tribal, local 

and territorial health departments that ensures 

successful adoption of best or promising practices to 

address key areas of public health infrastructure 

investments. (Supplement)

Legislative Authority: Sections 301 and 317 of the 

Public Health Service Act (PHS Act), 42 USC, 241 and 

247b as amended. Funding is appropriated under the 

Affordable Care Act (PL 111-148), Title IV, Section 4002 

(Prevention and Public Health Fund).

Eligibility: Limited to specific national, non-profit, public 

health professional organizations funded through the 

funding announcement CDC-RFA-HM08-805.

National Network of Public Health Institutes LA $1,000,000

American Public Health Association DC 750,000

National Association of City/County Health Officials DC 750,000

Public Health Foundation DC 750,000

Association of State and Territorial Health Officials VA 750,000

Total (5 awards) $4,000,000

Source: GAO analysis of HHS information.

Note: In fiscal year 2010, this activity was referred to as Public Health Infrastructure.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 42 GAO-12-788 Prevention and Public Health Fund

Table 18: FY 2010 Contracts, National Public Health Improvement Initiative

Recipient Purpose State Award (dollars)

Office of Personnal Management Competencies necessary for Workforce GA $1,500,000

Deloitte Consulting, LLP Business services support - Health Reform Implementation Office GA 12,358

Northrop Grumman Support all aspects of full lifecycle application systems development 

and maintenance on a variety of platforms including mainframe, 

client server, and web; architecture and infrastructure design to 

support enterprise application software services including 

hardware/software/network design and implementation; database 

design, application development and support; data management 

and security controls; quality assurance, test and control functions; 

and technical communication, consultation and information support.

GA 7,000

Total (3 awards) $1,519,358

Source: GAO analysis of HHS information.

Note: In fiscal year 2010, this activity was referred to as Public Health Infrastructure.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 43 GAO-12-788 Prevention and Public Health Fund

Table 19: FY 2011 Grants, National Public Health Improvement Initiative

Announcements (3) Recipient State Award (dollars)

1. Public Prevention Health Fund: Strengthening 

Public Health Infrastructure for Improved Health 

Outcomes (CDC-RFA-CD10-101101PPHF11)

Purpose (award type): To provide support for 

accelerating public health accreditation readiness 

activities; to provide additional support for 

performance management and improvement 

practices; and, for the development, identification 

and dissemination of evidence-based policies and 

practices. (Supplement)

Legislative Authority: Sections 301 and 317 of the 

Public Health Service Act (PHS Act), 42 USC, 241 

and 247b as amended. Funding is appropriated 

under the Affordable Care Act (PL 111-148), Title IV, 

Section 4002 (Prevention and Public Health Fund).

Eligibility: Limited to 76 official public health 

agencies that are current recipients of project grants 

for Strengthening Public Health Infrastructure for 

Improved Health Outcomes under funding 

opportunity CDC-RFA-CD10-1011.

New York City Health/Mental Hygiene NY $1,093,662

Florida State Department of Health FL 1,093,662

California Department of Public Health CA 1,093,662

NC State Dept/Hlth & Human Services NC 1,037,779

Minnesota State Dept of Health MN 993,662

Wisconsin Department of Health Services WI 993,662

Massachusetts State Dept of Pub Health MA 993,662

New Jersey State Dept/Health/Senior Srvs NJ 950,791

Oregon State Public Health Division OR 893,662

Los Angeles County Health Services Dept CA 893,598

Cherokee Nation OK 843,662

Maine State Dept/Health/Human Servs ME 843,182

Tennessee State Department of Health TN 757,600

City of Philadelphia Public Health Dept PA 664,213

Nebraska St Dept of Health & Human Servs NE 657,600

West Virginia State Dept Hlth/Human Rscs WV 657,600

Hawaii State Department of Health HI 607,600

Vermont Department of Health VT 607,600

Pacific Islands Health Officers Assn HI 593,662

Pennsylvania State Dept of Health PA 500,000

New York State Dept of Health NY 500,000

Illinois State Dept of Public Health IL 500,000

Michigan State Dept of Community Health MI 500,000

Ohio State Department of Health OH 500,000

Texas State Dept of Health Services TX 500,000

Georgia Department of Community Health GA 499,738

Maryland State Dept of Hlth/Mtl Hygiene MD 400,000

Missouri State Dept/ Health & Senior Srv MO 400,000

Indiana State Department of Health IN 400,000

Washington State Department of Health WA 400,000

Colorado State Dept/Pub Hlth & Environmt CO 400,000

Arizona State Department of Hlth Srvcs AZ 400,000

Virgnia State Dept of Health VA 399,859

Arkansas State Dept of Health AR 300,000

City of Chicago IL 300,000
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 44 GAO-12-788 Prevention and Public Health Fund

Announcements (3) Recipient State Award (dollars)

Houston City Health & Human Services TX 300,000

Alabama State Dept of Public Health AL 300,000

County of Maricopa AZ 300,000

Kansas State Dept of Hlth and Environmnt KS 300,000

KY Cabinet for Health and Family Services KY 300,000

Louisiana State Dept of Hlth & Hospitals LA 300,000

Nevada State Dept of Hlth/Human Svcs NV 300,000

Idaho State Dept of Health and Welfare ID 300,000

Oklahoma State Department of Health OK 300,000

Utah State Department of Health UT 300,000

Connecticut State Dept of Public Health CT 300,000

Iowa State Dept of Public Health IA 300,000

New Mexico State Department of Health NM 300,000

Puerto Rico Department of Health PR 300,000

South Carolina State Dept of Hlth/Env SC 300,000

Mississippi State Department of Health MS 299,585 

County/San Diego Health / Human Ser/Ag CA 250,000

DC Department of Health DC 250,000

Delaware State Dept of Hlth & Soc Srvs DE 250,000

NH State Dept of Health and Human Sers NH 250,000

Northwest Portland Area Indian Hlth Bd OR 250,000

City of San Antonio Metro Health Dist TX 250,000

Alaska State Department of Hlth-Soc Svcs AK 250,000

Rhode Island State Dept of Health RI 250,000

Navajo Nation Division of Health AZ 250,000

Alaska Native Tribal Health Consortium AK 250,000

American Samoa Department of Health AS 250,000

Federated States Micronesia FM 250,000

Guam Department of Public Health-Soc Svc GU 250,000

Mille Lacs Band of Ojibwe Indians MN 250,000

Republic/Marshall Island Mnstry of Hlth MH 250,000

Montana WY Tribal Leaders Council MT 250,000

MT State Dept/Pub Hlth & Human Srvs MT 250,000

Republic of Palau Ministry of Health PW 250,000

Southeast Alaska Reg Hlth Consortium AK 250,000

Dallas County Dept/Hlth/Human Srvs TX 249,998

Commonwealth N Mariana Is Dept Pub Hlth MP 249,993
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 45 GAO-12-788 Prevention and Public Health Fund

Announcements (3) Recipient State Award (dollars)

Wyoming State Department of Health WY 248,838

Gila River Indian Community AZ 100,000

Total (74 awards) $33,568,532

2. Competitive Program Expansion Supplement for 

CDC-RFA-HM08-805: Strengthen and Improve 

the Nation’s Capacity through National, Nonprofit, Professional Public Health Organizations 

to Increase Health Protection and Health Equity 

(CDC-RFA-HM08-8050402PHFF11)

Purpose (award type): To support the provision of 

capacity building assistance to state, tribal, local and 

territorial health departments that ensures 

performance improvement and successful adoption 

of best or promising practices to address key areas 

of public health infrastructure investments. 

(Supplement)

Legislative Authority: Sections 301 and 317 of the 

Public Health Service Act (PHS Act), 42 USC, 241 

and 247b as amended. Funding is appropriated 

under the Affordable Care Act (PL 111-148), Title IV, 

Section 4002 (Prevention and Public Health Fund).

Eligibility: Limited to specific national, non-profit, 

public health professional organizations funded 

through the competitive funding opportunity 

announcement CDC-RFA-HM08-805.

National Association of City/County Health Officials DC $300,000

Total (1 award) $300,000

3. Non-Competitive 12-month Cost Extension 

Supplement for CDC-RFA-HM08-

8050301SUPP10: Affordable Care Act (ACA): 

Capacity Building Assistance to Strengthen 

Public Health Infrastructure and Performance 

(CDC-RFA-HM08-8050401PPHF11)

Purpose (award type): To support the provision of 

capacity building assistance to state, tribal, local and 

territorial health departments that ensures 

performance improvement and successful adoption 

of best or promising practices to address key areas 

of public health infrastructure investments. 

(Supplement)

Legislative Authority: Sections 301 and 317 of the 

Public Health Service Act (PHS Act), 42 USC, 241 

and 247b as amended. Funding is appropriated 

under the Affordable Care Act (PL 111-148), Title IV, 

Section 4002 (Prevention and Public Health Fund).

Eligibility: Limited to specific national, non-profit, 

public health professional organizations funded 

under CDC-RFA-HM08-8030301SUPP10 funding 

opportunity announcement.

National Association of City/County Health Officials DC $999,400

American Public Health Association DC 464,400

Public Health Foundation DC 464,400

National Network of Public Health Institutes LA 464,400

Association of State and Territorial Health Officials VA 464,400

Total (5 awards) $2,857,000

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 46 GAO-12-788 Prevention and Public Health Fund

Table 20: FY 2011 Contracts, National Public Health Improvement Initiative

Recipient Purpose State Award (dollars)

Deloitte Consulting, LLP National Public Health Improvement Initiative (NPHII) 

Implementation Support

GA $1,751,979

Goodwill Industries of North Georgia CDC Program Oversight & Implementation GA 1,407,000

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 201,000

Total Solutions, Inc. Administrative Support GA 114,489

Total (4 awards) $3,474,468

Source: GAO analysis of HHS information.

Activity: Tobacco Prevention (Media and Quitlines)

The purpose of this activity is to raise awareness and shift key attitudes 

and beliefs about the harms of tobacco use and exposure to secondhand 

smoke in areas of the country with some of the highest rates of tobacco 

use prevalence.

• Fiscal year 2010: $14.1 million (46 grants in two funding 

announcements totaling $3.9 million and seven contracts totaling 

$10.2 million)

• Fiscal year 2011: $49.1 million (43 grants in two funding 

announcements totaling $5.0 million and 11 contracts totaling 

$44.1million)
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 47 GAO-12-788 Prevention and Public Health Fund

Table 21: FY 2010 Grants, Tobacco Prevention (Media and Quitlines)

Announcements (2) Recipient State Award (dollars)

1. Patient Protection and Affordable Care Act: State 

Supplemental Funding for Healthy Communities, 

Tobacco Prevention and Control, Diabetes Prevention 

and Control, and Behavioral Risk Factor Surveillance 

System (RFA-DP09-90101SUPP10)

Purpose (award type): To provide additional financial 

and programmatic assistance to strengthen the abilities 

of States, the District of Columbia, and eligible U.S. 

Territories to move towards implementing a plan to 

reduce tobacco use through legislative, regulatory, and 

educational arenas, as well as enhance and expand the 

national network of tobacco cessation quitlines to 

significantly increase the number of tobacco users who 

quit each year to reduce mortality and morbidity from 

tobacco use, and associated health care costs. 

(Supplement)

Legislative Authority: Sections 301, 307, 310, and 311 

of the Public Health Service Act, as amended, and the 

Comprehensive Smoking Education Act of 1984, 

Comprehensive Smokeless Tobacco Health Education 

Act of 1986, and the American Recovery and 

Reinvestment Act of 2009 (Recovery Act) 

[Public Law 111-5].

Eligibility: Eligibility is limited to state agencies, the 

District of Columbia, and U.S. Territories that are 

funded under funding announcement DP09-901.

California Department of Public Health CA $240,173

NC State Dept/Hlth & Human Services NC 198,758

New York State Dept of Health NY 150,543

Florida State Department of Health FL 145,380

Illinois State Dept of Public Health IL 116,426

Pennsylvania State Dept of Health PA 114,853

Ohio State Department of Health OH 109,388

Texas State Dept of Health Services TX 102,360

Michigan State Dept of Community Health MI 101,296

Georgia Department of Community Health GA 100,573

New Jersey State Dept/Health/Senior Srvs NJ 94,802

Virginia State Dept of Health VA 90,557

Washington State Department of Health WA 84,288

Arizona State Department of Hlth Srvcs AZ 83,936

Massachusetts State Dept of Pub Health MA 83,924

Indiana State Department of Health IN 83,048

Tennessee State Department of Health TN 82,395

Missouri State Dept/ Health & Senior Srv MO 80,807

Maryland State Dept of Hlth/Mtl Hygiene MD 79,325

Wisconsin Department of Health Services WI 79,095

Minnesota State Dept of Health MN 77,095

Alabama State Dept of Public Health AL 74,227

Colorado State Dept/Pub Hlth & Environmt CO 73,927

South Carolina State Dept of Hlth/Env SC 73,468

Louisiana State Dept of Hlth & Hospitals LA 73,112

KY Cabinet for Health and Family Services KY 72,033

Puerto Rico Department of Health PR 70,412

Oregon State Public Health Division OR 69,683

Oklahoma State Department of Health OK 68,970

Connecticut State Dept of Public Health CT 68,102

Iowa State Dept of Public Health IA 65,476

Arkansas State Dept of Health AR 64,867

Kansas State Dept of Hlth And Environmnt KS 64,045

Utah State Department of Health UT 63,874

Nevada State Dept of Hlth/Human Svcs NV 63,169
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 48 GAO-12-788 Prevention and Public Health Fund

Announcements (2) Recipient State Award (dollars)

New Mexico State Department of Health NM 60,340

West Virginia State Dept Hlth/Human Rscs WV 59,363

Nebraska St Dept of Health & Human Servs NE 59,244

Idaho State Dept of Health And Welfare ID 57,953

NH State Dept of Health And Human Sers NH 56,815

Delaware State Dept of Hlth & Soc Srvs DE 54,445

South Dakota State Dept of Health SD 54,180

Maine State Dept/Health/Human Servs ME 53,098

DC Department of Health DC 53,080

Wyoming State Department of Health WY 52,800

Total (45 awards) $3,825,705

2. Patient Protection and Affordable Health Care Act 

(Affordable Care Act): Pacific Islands Supplemental 

Funding for Five-Year US Affiliated Pacific Island 

Collaborative Performance Agreement for Tobacco 

Control, Diabetes Prevention and Control, and the 

Behavioral Risk Factor Surveillance System 

(RFA-DP09-90201SUPP10).

Purpose (award type): To strengthen Guam’s ability to 

move towards implementing a comprehensive plan to 

reduce tobacco use through legislative, regulatory, and 

educational arenas, as well to contribute to the 

enhancement and expansion of the national network of 

tobacco cessation quitlines to significantly increase the 

number of tobacco users who quit each year in order to 

reduce mortality and morbidity from tobacco use, and 

associated health care costs. (Supplement)

Legislative Authority: Section 301 (a), and 317 (k) (2) of 

the Public Health Service Act, [42 U.S.C. section 241 (a) 

and 247b (k) (2), as amended], and the Comprehensive 

Smoking Education Act of 1984, Comprehensive 

Smokeless Tobacco Health Education Act of 1986, and the 

American Recovery and Reinvestment Act of 2009 

(Recovery Act) [Public Law 111-5]. 

Eligibility: Limited to Guam, which was funded under 

funding announcement DP09-902.

Guam Department of Public Health-Soc Svc GU $50,000

Total (1 award) $50,000

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 49 GAO-12-788 Prevention and Public Health Fund

Table 22: FY 2010 Contracts, Tobacco Prevention (Media and Quitlines)

Recipient Purpose State Award (dollars)

Plowshare Group Develop and implement a comprehensive communication 

and marketing plan to deliver actionable tobacco prevention 

information, messages, and interventions to the identified 

audience segments. 

GA $8,080,000

MACRO To provide health communications and integrated marketing 

strategies and database support to the Health 

Communications Branch, Office on Smoking and Health, 

NCCDPHP.

GA 1,050,000

Department of Health and Human Services Plan, coordinate and deliver training and technical 

assistance to state and community health department staff 

and partners to support the implementation of policies 

leading to tobacco prevention and cessation.

MO 539,344

Plowshare Group Develop and implement a comprehensive communication 

and marketing plan to deliver actionable tobacco prevention 

information, messages, and interventions to the identified 

audience segments. 

GA 347,044

Deloitte Consulting, LLP Business services support - Financial Management Office GA 180,000

Deloitte Consulting, LLP Business services support - Health Reform Implementation 

Office

GA 30,000

Deloitte Consulting, LLP Business services support - Health Reform Implementation 

Office

GA 20,000 

Total (7 awards) $10,246,388

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 50 GAO-12-788 Prevention and Public Health Fund

Table 23: FY 2011 Grants, Tobacco Prevention (Media and Quitlines)

Announcements (2) Recipient State Award (dollars)

1. State Supplemental Funding for Healthy Communities, 

Tobacco Prevention and Control, Diabetes Prevention 

and Control (CDC-RFA-DP09-9010201PPHF11)

Purpose: To provide additional financial and 

programmatic assistance to strengthen the abilities of 

states, the District of Columbia, and eligible U.S. 

Territories that were funded under Funding 

Announcement DP09-901 to reduce tobacco use through 

legislative, regulatory, and educational arenas, as well as 

enhance and expand the national network of tobacco 

cessation quitlines to significantly increase the number of 

tobacco users who quit each year to reduce mortality and 

morbidity from tobacco use, and associated health care 

costs. (Supplement)

Legislative Authority: Sections 301, 307, 310, and 

311 of the Public Health Service Act, as amended, 

and the Comprehensive Smoking Education Act of 

1984, Comprehensive Smokeless Tobacco Health 

Education Act of 1986, and the American Recovery 

and Reinvestment Act of 2009 (Recovery Act) 

[Public Law 111-5].

Eligibility: Eligibility is limited to State agencies, including 

the District of Columbia and U.S. Territories funded under 

announcement (DP09-901).

California Department of Public Health CA $340,245

Texas State Dept of Health Services TX 251,470

New York City Health/Mental Hygiene NY 213,269

Florida State Department of Health FL 205,000

Pennsylvania State Dept of Health PA 162,708

Ohio State Department of Health OH 154,966

Michigan State Dept of Community Health MI 143,503

NC State Dept/Hlth & Human Services NC 139,210

Virginia State Dept of Health VA 128,289

Washington State Department of Health WA 119,408

Arizona State Department of Hlth Srvcs AZ 118,909

Massachusetts State Dept of Pub Health MA 118,894

Indiana State Department of Health IN 117,651

Tennessee State Department of Health TN 116,726

Missouri State Dept/ Health & Senior Srv MO 114,477

Maryland State Dept of Hlth/Mtl Hygiene MD 112,377

Wisconsin Department of Health Services WI 112,051

Minnesota State Dept of Health MN 109,218

Colorado State Dept/Pub Hlth & Environmt CO 107,458

Alabama State Dept of Public Health AL 105,155

Louisiana State Dept of Hlth & Hospitals LA 103,575

KY Cabinet for Health and Family Services KY 102,279

Puerto Rico Department of Health PR 99,750

Oregon State Public Health Division OR 98,711

Oklahoma State Department of Health OK 97,707

Connecticut State Dept of Public Health CT 96,478

Iowa State Dept of Public Health IA 92,758

Arkansas State Dept of Health AR 91,895

Kansas State Dept of Hlth and Environmnt KS 91,379

Utah State Department of Health UT 91,130

Nevada State Dept of Hlth/Human Svcs NV 90,099

New Jersey State Dept/Health/Senior Srvs NJ 85,482

West Virginia State Dept Hlth/Human Rscs WV 84,098

Idaho State Dept of Health and Welfare ID 82,100

NH State Dept of Health and Human Sers NH 80,488
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 51 GAO-12-788 Prevention and Public Health Fund

Announcements (2) Recipient State Award (dollars)

Maine State Dept/Health/Human Servs ME 80,443

Hawaii State Department of Health HI 80,274

Rhode Island State Dept of Health RI 78,510

Montana State Dept/Pub Hlth & Human Srvs MT 77,939

Delaware State Dept of Hlth & Soc Srvs DE 77,285

Vermont Department of Health VT 75,365

Wyoming State Department of Health WY 74,800

Total (42 awards) $4,923,529

2. Pacific Islands Supplemental Funding for Five-Year 

US Affiliated Pacific Island Collaborative Performance 

Agreement for Tobacco Control, Diabetes Prevention 

and Control (CDC-RFA-DP09-9020302PPHF11)

Purpose (award type): To create additional tobacco 

quitters, beyond what Guam has projected to achieve in 

Recovery Act funded programs. (Supplement)

Legislative Authority: Sections 301, 307, 310, and 311 

of the Public Health Service Act, as amended, and the 

Comprehensive Smoking Education Act of 1984, 

Comprehensive Smokeless Tobacco Health Education Act 

of 1986, and the American Recovery and Reinvestment 

Act of 2009 (Recovery Act) [Public Law 111-5].

Eligibility: Limited to Guam health department.

Guam Department of Public Health-Soc Svc GU $50,000

Total (1 award) $50,000

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 52 GAO-12-788 Prevention and Public Health Fund

Table 24: FY 2011 Contracts, Tobacco Prevention (Media and Quitlines)

Recipient Purpose State Award (dollars)

Plowshare Group, Inc. CDC’s National Tobacco Prevention and Control Public Education 

Campaign 

GA $34,313,221

Plowshare Group, Inc CDC’s National Tobacco Prevention and Control Public Education 

Campaign 

GA 3,330,978

Research Triangle Institute Evaluation of the National Tobacco Prevention and Control Public 

Education Campaign

GA 2,935,310

Four Seasons Environmental, Inc. CDC Program Oversight & Implementation GA 816,000

Macro International Inc. Communication, Marketing, and Database Strategies, Services 

and Support to the Office on Smoking and Health, Health 

Communications Branch

GA 702,448

Northrop Grumman CDC Program Oversight & Implementation GA 584,000

HHS Program Support Center CASU Tobacco Prevention Activities GA 527,053

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 344,355

North American Quitline Consortium North American Quitline GA 263,000

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 250,000

Emory University TTAC – Competency Development Task 9 GA 37,962

Total (11 awards) $44,104,327

Source: GAO analysis of HHS information.

Activity: Epidemiology and Laboratory Capacity Grants

The purpose of this activity is to enhance the ability of state, local, and 

territorial Epidemiology and Laboratory Capacity (ELC) and EIP grantees 

to strengthen and integrate capacity for detecting and responding to 

infectious diseases and other public health threats.

• Fiscal year 2010: $19.2 million (68 grants in two funding 

announcements)

• Fiscal year 2011: $40.0 million (68 grants in two funding 

announcements totaling $38.4 million and two contracts totaling 

$1.6 million)
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 53 GAO-12-788 Prevention and Public Health Fund

Table 25: FY 2010 Grants, Epidemiology and Laboratory Capacity Grants

Announcements (2) Recipient State Award (dollars)

1. Patient Protection and Affordable Care Act, 

Epidemiology and Laboratory Capacity for 

Infectious Diseases, Building and Strengthening 

Epidemiology, Laboratory and Health Information 

Systems Capacity in State and Local Health 

Departments (CDC-RFA-CI10-1012)

Purpose (award type): To assist state public health 

agencies improve surveillance for, and response to, 

infectious diseases and other public health threats by 

(1) strengthening epidemiologic capacity; (2) enhancing 

laboratory practice; (3) improving information systems; 

and (4) developing and implementing prevention and 

control strategies. (New)

Legislative Authority: Sections 301(a) 

[42 U.S.C. 241(a)] and 317(k) (2) [42 U.S.C. 247b (k) 

(2)] of the Public Health Service Act, as amended 

and the Patient Protection and Affordable Care Act 

(PL 111-148), Title IV, Sections 4002 and 4304 

(Prevention and Public Health Fund).

Eligibility: Limited to 58 state and local public health 

agencies grantees who received funding through the 

Epidemiology and Laboratory Capacity for Infectious 

Diseases funding announcement CI04-040.

California Department of Public Health CA $677,043

Massachusetts State Dept of Pub Health MA 598,230

Illinois State Dept of Public Health IL 586,815

Texas State Dept of Health Services TX 544,902

Washington State Department of Health WA 510,120

Indiana State Department of Health IN 493,938

Arkansas State Dept of Health AR 442,594

Florida State Department of Health FL 423,403

Alaska State Department of Hlth-Soc Svcs AK 413,558

Los Angeles County Health Services Dept CA 412,980

Iowa State Dept of Public Health IA 407,337

Wisconsin Department of Health Services WI 395,014

KY Cabinet for Health and Family Services KY 389,385

New York State Dept of Health NY 374,166

Alabama State Dept of Public Health AL 361,795

Utah State Department of Health UT 352,662

New Jersey State Dept/Health/Senior Srvs NJ 346,382

New York City Health/Mental Hygiene NY 340,392

Colorado State Dept/Pub Hlth & Environmt CO 327,908

New Mexico State Department of Health NM 326,168

Montana State Dept/Pub Hlth & Human Srvs MT 312,811

Tennessee State Department of Health TN 308,225

Delaware State Dept of Hlth & Soc Srvs DE 307,243

Minnesota State Dept of Health MN 304,209

MS State Department of Health MS 302,720

Ohio State Department of Health OH 298,394

Rhode Island State Dept of Health RI 296,803

Louisiana State Dept of Hlth & Hospitals LA 289,273

NC State Dept/Hlth & Human Services NC 281,894

Maine State Dept/Health/Human Servs ME 273,410

NH State Dept of Health And Human Sers NH 266,217

Missouri State Dept/ Health & Senior Srv MO 263,260

Kansas State Dept of Hlth and Environmnt KS 259,936

Idaho State Dept of Health and Welfare ID 254,056

Virginia State Dept of Health VA 251,035
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 54 GAO-12-788 Prevention and Public Health Fund

Announcements (2) Recipient State Award (dollars)

Michigan State Dept of Community Health MI 243,670

Hawaii State Department of Health HI 240,142

Oklahoma State Department of Health OK 232,165

Maryland State Dept of Hlth/Mtl Hygiene MD 231,600

South Carolina State Dept of Hlth/Env SC 231,176

Georgia Department of Community Health GA 223,117

Vermont Department of Health VT 219,273

Oregon State Public Health Division OR 212,318

City of Philadelphia Public Health Dept PA 183,688

Pennsylvania State Dept of Health PA 166,089

Wyoming State Department of Health WY 163,444

Puerto Rico Department of Health PR 156,230

Nebraska St Dept of Health & Human Servs NE 148,500

Connecticut State Dept of Public Health CT 145,694

South Dakota State Dept of Health SD 145,267

North Dakota State Department of Health ND 138,776

City of Chicago IL 136,789

Arizona State Department of Hlth Srvcs AZ 117,120

West Virginia State Dept Hlth/Human Rscs WV 96,448

NV State Dept of Hlth/Human Svcs NV 90,000

Houston City Health & Human Services TX 89,443

Republic of Palau Ministry of Health PW 84,773

DC Department of Health DC 10,000

Total (58 awards) $16,700,000

2. Patient Protection and Affordable Care Act 

(PPACA); Emerging Infections Program (EIP); 

Enhancing Epidemiology and Laboratory Capacity 

(U01) (RFA-CI-10-003)

Purpose (award type): To support state and local 

health departments’ surveillance infrastructure through 

enhancement of the epidemiology and laboratory 

capacity of the existing Emerging Infections Program 

network. (New)

Minnesota State Dept Of Health MN $322,544

Georgia Department of Community Health GA 309,358

Colorado State Dept/Pub Hlth & Environmt CO 295,655

New Mexico State Department of Health NM 256,398

Oregon State Public Health Division OR 255,704

Connecticut State Dept of Public Health CT 247,028

Maryland State Dept of Hlth/Mtl Hygiene MD 230,728

New York State Dept of Health NY 202,009

California Department of Public Health CA 198,869

Tennessee State Department of Health TN 181,707
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 55 GAO-12-788 Prevention and Public Health Fund

Announcements (2) Recipient State Award (dollars)

Legislative Authority: Sections 301(a) [42 U.S.C. 

241(a)] and 317(k) (2) [42 U.S.C. 247b (k) (2)] of the 

Public Health Service Act, as amended and the Patient 

Protection and Affordable Care Act (PPACA) of 2010 

(Public Law 111-148).

Eligibility: Limited to ten state health departments or 

their bona fide agents also funded through the 

Emerging Infections Program funding announcements 

CI02-174 and CI05-026 in order to build upon the 

existing Emerging Infections Program infrastructure, 

capabilities, and activities.

Total (10 awards) $2,500,000

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 56 GAO-12-788 Prevention and Public Health Fund

Table 26: FY 2011 Grants, Epidemiology and Laboratory Capacity Grants

Announcements (2) Recipient State Award (dollars)

1. Patient Protection and Affordable Care Act 

Epidemiology and Laboratory Capacity for 

Infectious Diseases Building and Strengthening 

Epidemiology, Laboratory and Health Information 

Systems Capacity in State and Local Health 

Departments (CDC-RFA-CI10–101202PPHF11) 

Purpose (award type): To enhance public health 

programs to improve health and help restrain the rate 

of growth of health care costs through building 

epidemiology, laboratory, and health information 

systems capacity in state and local public health 

departments. (Continuation)

Legislative Authority: Public Health Service Act 

Sections 301(a) [42 U.S.C. 241(a)] and 317(k) (2) 

[42 U.S.C. 247b (k) (2)], as amended and the Patient 

Protection and Affordable Care Act (PL 111-148), 

Title IV, Sections 4002 and 4304 (Prevention and 

Public Health Fund).

Eligibility: Limited to 58 state and local public health 

departments (or their established bona fide agents) that 

were 2010 grantees of Epidemiology and Laboratory 

Capacity for Infectious Diseases CI10-1012 funding 

announcement.

Iowa State Dept of Public Health IA $1,553,629

Utah State Department of Health UT 1,483,303

New York City Health/Mental Hygiene NY 1,342,974

Indiana State Department of Health IN 1,250,965

Michigan State Dept of Community Health MI 1,088,593

Massachusetts State Dept of Pub Health MA 1,073,121

Wisconsin Department of Health Services WI 1,053,518

NC State Dept/Hlth & Human Services NC 1,015,354

Alabama State Dept of Public Health AL 987,592

Houston City Health & Human Services TX 930,520

Alaska State Department of Hlth-Soc Svcs AK 927,070

Texas State Dept of Health Services TX 904,754

West Virginia State Dept Hlth/Human Rscs WV 901,911

Minnesota State Dept of Health MN 860,220

Florida State Department of Health FL 814,429

IL State Dept of Public Health IL 744,130

New Mexico State Department of Health NM 739,137

Los Angeles County Health Services Dept CA 727,894

Colorado State Dept/Pub Hlth & Environmt CO 725,559

Virginia State Dept of Health VA 694,767

Maine State Dept/Health/Human Servs ME 692,911

Rhode Island State Dept of Health RI 666,375

Washington State Department of Health WA 663,520

NH State Dept of Health and Human Sers NH 654,040

Georgia Department of Community Health GA 636,979

Kansas State Dept of Hlth and Environmnt KS 633,447

Nebraska St Dept of Health & Human Servs NE 622,123

Ohio State Department of Health OH 617,083

Vermont Department of Health VT 602,431

Arkansas State Dept of Health AR 575,549

Tennessee State Department of Health TN 570,146

Mississippi State Department of Health MS 558,601

KY Cabinet for Health and Family Services KY 540,272

New Jersey State Dept/Health/Senior Srvs NJ 507,324

NY State Dept of Health NY 487,947
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 57 GAO-12-788 Prevention and Public Health Fund

Announcements (2) Recipient State Award (dollars)

MT State Dept/Pub Hlth & Human Srvs MT 462,058

NV State Dept of Hlth/Human Svcs NV 461,153

South Caronia State Dept of Hlth/Env SC 459,589

South Dakota State Dept of Health SD 444,845

Maryland State Dept of Hlth/Mtl Hygiene MD 441,204

Delaware State Dept of Hlth & Soc Srvs DE 427,619

Arizona State Department of Hlth Srvcs AZ 422,586

Oregon State Public Health Division OR 414,936

Connecticut State Dept of Public Health CT 406,836

Louisiana State Dept of Hlth & Hospitals LA 398,630

City of Philadelphia Public Health Dept PA 355,230

DC Department of Health DC 346,006

Oklahoma State Department of Health OK 295,015

Puerto Rico Department of Health PR 294,511

Missouri State Dept/ Health & Senior Srv MO 291,326

Wyoming State Department of Health WY 229,436

Idaho State Dept of Health and Welfare ID 228,448

CA Department of Public Health CA 156,034

Pennsylvania State Dept of Health PA 159,835

North Dakota State Department of Health ND 108,848

Republic of Palau Ministry of Health PW 69,283

Hawaii State Department of Health HI 40,000

City of Chicago IL 38,383

Total (58 awards) $35,799,999

2. Patient Protection and Affordable Care Act, 

Emerging Infections Programs, Enhancing 

Epidemiology and Laboratory Capacity 

(CDC-RFA-CI10-00302PPHF11)

Purpose (award type): To support state and local 

health departments’ surveillance infrastructure through 

enhancement of the epidemiology and laboratory 

capacity of the existing EIP network. (Continuation)

Legislative Authority: Public Health Service Act 

Sections 301(a) [42 U.S.C. 241(a)] and 317(k) (2) 

[42 U.S.C. 247b (k) (2)], as amended and the Patient 

Protection and Affordable Care Act (PPACA) (Public 

Law 111-148), Title IV, Sections 4002 and 4304 

(Prevention and Public Health Fund).

Eligibility: Limited to state health department (or their 

bona fide agents) grantees funded under funding 

announcement CI10-003.

Minnesota State Dept of Health MN $313,593

Tennessee State Department of Health TN 307,413

New York State Dept of Health NY 300,477

Connecticut State Dept of Public Health CT 296,877

Oregon State Public Health Division OR 268,693

New Mexico State Department of Health NM 254,826

Maryland State Dept of Hlth/Mtl Hygiene MD 239,195

Georgia Department of Community Health GA 235,911

Public Health Foundation Enterprises, Inc CA 216,149

Colorado State Dept/Pub Hlth & Environmt CO 166,864

Total (10 awards) $2,599,998

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 58 GAO-12-788 Prevention and Public Health Fund

Table 27: FY 2011 Contracts, Epidemiology and Laboratory Capacity Grants

Recipient Purpose State Award (dollars)

Booz Allen Hamilton Inc. CDC Program Oversight & Implementation GA $1,400,000

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 200,000

Total (2 awards) $1,600,000

Source: GAO analysis of HHS information.

Activity: Coordinated Chronic Disease Prevention Program

The purpose of this activity is to establish or strengthen Chronic Disease 

Prevention and Health Promotion programs within state health 

departments, to provide leadership and coordination, support 

development, implementation, and evaluation of CDC funded Chronic 

Disease and Health Promotion programs. The focus is on the top five 

leading chronic disease causes of death and disability (i.e., heart disease, 

cancer, stroke, diabetes, and arthritis) and their associated risk factors.

• Fiscal year 2010: None

• Fiscal year 2011: $51.5 million (75 grants in three funding 

announcements totaling $49.8 million and two contracts totaling 

$1.7 million)
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 59 GAO-12-788 Prevention and Public Health Fund

Table 28: FY 2011 Grants, Coordinated Chronic Disease Prevention Program

Announcements (3) Recipient State Award (dollars)

1. Prevention and Public Health Fund Coordinated 

Chronic Disease Prevention and Health Promotion 

Program (CDC-RFA-DP09-9010301PPHF11)

Purpose (award type): To establish or strengthen 

Chronic Disease Prevention and Health Promotion 

Programs within State Health Departments, to provide 

leadership and coordination, support development, 

implementation and evaluation of CDC funded Chronic 

Disease Prevention and Health Promotion programs, 

focusing on the top five leading chronic disease causes 

of death and disability (e.g. heart disease, cancer, stroke, 

diabetes, and arthritis) and their associated risk factors, 

in order to increase efficiency and impact of categorical 

diseases and risk factor prevention programs, including, 

but not limited to heart disease, cancer prevention and 

control, stroke, arthritis, diabetes, nutrition, physical 

activity and obesity. (Supplement)

Legislative Authority: Sections 4002 of the Affordable 

Care Act and 301(a) and 317(k) (2) of the Public Health 

Service Act (PHS Act), 42 U.S.C. 241(a) and 247b (k)(2).

Eligibility: Limited to States, District of Columbia and 

Territorial (Puerto Rico and Virgin Islands) health 

departments or their Bona Fide Agent. Eligibility is also 

limited to grantees currently funded under DP09-901 

Collaborative Chronic Disease, Health Promotion, and 

Surveillance Program Announcement: Tobacco Control, 

Diabetes Prevention and Control, and Behavioral Risk 

Factor Surveillance System, National Center for Chronic 

Disease Prevention and Health Promotion.

California Department of Public Health CA $1,915,243

Texas State Dept of Health Services TX 1,509,549

New York State Dept of Health NY 1,290,563

Florida State Department of Health FL 1,182,915

ASTDHPPHE DC 1,128,816

Ohio State Department of Health OH 933,930

Pennsylvania State Dept of Health PA 930,987

NC State Dept/Hlth & Human Services NC 911,104

Georgia Department of Community Health GA 898,871

Michigan State Dept of Community Health MI 883,445

Arizona State Department of Hlth Srvcs AZ 842,629

Missouri State Dept/ Health & Senior Srv MO 784,312

Mississippi State Department of Health MS 778,962

Illinois State Dept of Public Health IL 778,232

Tennessee State Department of Health TN 775,664

Louisiana State Dept of Hlth & Hospitals LA 763,822

Virginia State Dept of Health VA 763,407

Massachusetts State Dept of Pub Health MA 757,121

New Jersey State Dept/Health/Senior Srvs NJ 748,849

KY Cabinet For Health and Family Services KY 748,295

Washington State Department of Health WA 748,177

Alabama State Dept of Public Health AL 715,499

Wisconsin Department of Health Services WI 697,830

South Carolina State Dept of Hlth/Env SC 690,357

Oklahoma State Department of Health OK 682,853

Oregon State Public Health Division OR 682,598

Maryland State Dept of Hlth/Mtl Hygiene MD 673,446

Arkansas State Dept of Health AR 672,980

Colorado State Dept/Pub Hlth & Environmt CO 672,949

New Mexico State Department of Health NM 665,704

Minnesota State Dept of Health MN 651,463

Kansas State Dept of Hlth And Environmnt KS 639,334

DC Department of Health DC 626,219

Indiana State Department of Health IN 600,000

Iowa State Dept of Public Health IA 600,000
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 60 GAO-12-788 Prevention and Public Health Fund

Announcements (3) Recipient State Award (dollars)

West Virginia State Dept Hlth/Human Rscs WV 600,000

Nevada State Dept of Hlth/Human Svcs NV 583,865

Connecticut State Dept of Public Health CT 569,287

Rhode Island State Dept of Health RI 559,000

Montana State Dept/Pub Hlth & Human Srvs MT 554,321

Utah State Department of Health UT 552,360

Maine State Dept/Health/Human Servs ME 551,920

Nebraska St Dept of Health & Human Servs NE 534,440

Idaho State Dept of Health And Welfare ID 530,612

Delaware State Dept of Hlth & Soc Srvs DE 505,981

North Dakota State Department of Health ND 502,238

Puerto Rico Department of Health PR 491,271

Vermont Department of Health VT 479,632

Alaska State Department of Hlth-Soc Svcs AK 479,112

NH State Dept of Health and Human Sers NH 463,729

South Dakota State Dept of Health SD 453,480

Hawaii State Department of Health HI 445,130

Wyoming State Department of Health WY 411,507

Total (53 awards) $38,614,010

2. Prevention and Public Health Fund Pacific Islands 

Coordinated Chronic Disease Prevention and Health 

Promotion Program (CDC-RFA-DP09-

9020303PPHF-11)

Purpose (award type): To establish or strengthen 

Chronic Disease Prevention and Health Promotion 

Programs within Territory Health Departments, to provide 

leadership and coordination, support development, 

implementation and evaluation of CDC funded Chronic 

Disease Prevention and Health Promotion programs, 

focusing on the top five leading chronic disease causes 

of death and disability (e.g. heart disease, cancer, stroke, 

diabetes, and arthritis) and their associated risk factors, 

in order to increase efficiency and impact of categorical 

diseases and risk factor prevention programs, including, 

but not limited to heart disease, cancer prevention and 

control, stroke, arthritis, diabetes, nutrition, physical 

activity and obesity. (Supplement)

Legislative Authority: Sections 4002 of the Affordable 

Care Act and 301(a) and 317(k) (2) of the Public Health 

Service Act (PHS Act), 42 U.S.C. 241(a) and 247b (k)(2).

Guam Department of Public Health-Soc Svc GU $213,280

American Samoa Department of Health AS 204,846

Federated States Micronesia FM 207,868

Republic/Marshall Island Mnstry of Hlth MH 204,836

Commonwealth N Mariana Is Dept Pub Hlth MP 203,745

Republic of Palau Ministry of Health PW 199,599

Total (6 awards) $1,234,174 
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 61 GAO-12-788 Prevention and Public Health Fund

Announcements (3) Recipient State Award (dollars)

Eligibility: Limited to health departments of U.S. 

Territories or their Bona Fide Agent, American Samoa, 

Federated States of Micronesia, Guam, Marshall Islands, 

Palau and Northern Mariana Islands. Eligibility is also 

limited to Grantees currently funded under DP09-902 

Affiliated Pacific Island Collaborative Performance 

Agreement.

3. Nutrition, Physical Activity and Obesity Program 

(CDC-RFA-DP08-805)

Purpose (award type): To improve healthful eating and 

physical activity to prevent and control obesity and other 

chronic diseases by building and sustaining statewide 

capacity, and implementing population based strategies 

and interventions. (New)

Legislative Authority: Section 317 (k)(2) of the Public 

Health Service Act, [42 U.S.C. section 247b(k)(2), as 

amended].

Eligibility: State health departments and their bona fide 

agents (this includes the District of Columbia, 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).

Massachusetts State Dept of Pub Health MA $900,137

Washington State Department of Health WA 842,927

Iowa State Dept of Public Health IA 782,031

Rhode Island State Dept of Health RI 735,819

New Jersey State Dept/Health/Senior Srvs NJ 726,377

South Carolina State Dept of Hlth/Env SC 695,145

Wisconsin Department of Health Services WI 683,659

California Department of Public Health CA 657,358

Nebraska St Dept of Health & Human Servs NE 653,178

Texas State Dept of Health Services TX 631,161

Georgia Department of Community Health GA 597,369

Arizona State Dept of Health AR 579,957

NH State Dept of Health and Human Sers NH 445,500

Utah State Department of Health UT 416,324

Tennessee State Department of Health TN 335,754

Indiana State Department of Health IN 317,304

Total (16 awards) $10,000,000

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 62 GAO-12-788 Prevention and Public Health Fund

Table 29: FY 2011 Contracts, Coordinated Chronic Disease Prevention Program

Recipient Purpose State Award (dollars)

Four Seasons Environmental CDC Program Oversight & Implementation GA $1,490,000 

Deloitte Consulting CDC Program Oversight & Implementation GA 200,000 

Total (2 awards) $1,690,000

Source: GAO analysis of HHS information.

Activity: CDC Healthcare Surveillance and Statistics

The purpose of this activity is to support the efforts of CDC programs 

including: Health Information Exchange, Enhancing Healthcare Data 

Access and Use and Health Service Research Capacity, National Health 

and Nutrition Examination Survey, Public Health Surveillance Program 

Office—National Center for Health Statistics Centers for Medicare and 

Medicaid Services Data Project, National Health Interview Survey, 

National Youth Fitness Survey, and Behavioral Risk Factor Surveillance 

System.

• Fiscal year 2010: $19.4 million (two grants in two funding 

announcements totaling $0.7 million and 12 contracts totaling 

$18.7 million)

• Fiscal year 2011: $29.5 million (13 contracts)
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 63 GAO-12-788 Prevention and Public Health Fund

Table 30: FY 2010 Grants, CDC Healthcare Surveillance and Statistics

Announcements (2) Recipient State Award (dollars)

1. American Recovery and Reinvestment Act of 2009: 

Communities Putting Prevention to Work 

(CDC-RFA-DP09-912ARRA09)

Purpose (award type): To create healthier communities through 

sustainable, proven, population-based approaches such as 

broad-based policy, systems, organizational and environmental 

changes in communities and schools. (New)

Legislative Authority: Section 311 and 317(k)(2) of the Public 

Health Service Act, 42 U.S. Code 243 and 247b(k)2.

Eligibility: State and local health departments or bona fide 

agencies, federally recognized tribal governments, regional area 

Indian health boards, urban Indian organizations, and inter-tribal 

councils. For this funding announcement, the term “states” 

includes the 50 states, the Commonwealth of Puerto Rico, the 

Virgin Islands, and 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.

Arkansas State Dept of Health AR $200,770

Total (1 award) $200,770

2. Cancer Prevention and Control Activities 

(CDC-RFA-DP08-814)

Purpose (award type): To assist with developing and 

disseminating current national, state, and community-based 

comprehensive information on cancer prevention, early 

detection, diagnosis, treatment, and survivorship; developing and 

disseminating professional education programs; promoting the 

analysis and development of evaluation, surveillance and 

research data, and its translation into public health messages, 

practice and programs; and, facilitating the exchange of expertise 

and coordination of programmatic efforts related to cancer 

prevention and control among a variety of public, private, and 

not-for-profit agencies at the national, state, tribal, territory and 

community level. (New)

Legislative Authority: Sections 301(a), 317(k)(2) of the Public 

Health Service Act, [42 U.S.C. 241(a) and 247b(k)(2)], as 

amended.

Eligibility: National public and private nonprofit organizations 

and faith based organizations.

American Cancer Society GA $499,582

Total (1 award) $499,582

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 64 GAO-12-788 Prevention and Public Health Fund

Table 31: FY 2010 Contracts, CDC Healthcare Surveillance and Statistics

Recipient Purpose State Award (dollars)

US Census Bureau Enhancing National Ambulatory Medical Care Survey (NAMCS) and 

National Hospital Ambulatory Medical Care Survey (NHAMCS) data on 

preventive services through computerized collection of NAMCS and 

NHAMCS data through induction interviews for providers.

MD $5,782,500

US Census Bureau Enhancing National Ambulatory Medical Care Survey (NAMCS) and 

National Hospital Ambulatory Medical Care Survey (NHAMCS) data on 

preventive services through computerized collection of NAMCS and 

NHAMCS data through induction interviews for providers.

MD 4,053,529

US Census Bureau Conduct the National Health Interview Survey 2010 through data 

collection of approximately 64,000 assigned households using trained 

National Health Interview Survey field representatives.

MD 2,975,000

SciMetricka Demonstrating public health utility of health data sources through a 

2-yr research study to establish utility of healthcare surveillance 

purposes of alternative health data sources

GA 1,976,536

Agilex Technologies Conduct a 2-year research study to estimate the relative or cumulative 

value of improvement in morbidity or deaths prevented by increasing 

the use of clinical preventive services in entire populations

GA 850,696

SciMetricka Demonstrating public health utility of health data sources through a 

2-yr research study to establish utility of healthcare surveillance 

purposes of alternative health data sources

GA 745,000

Buccaneer Computer Systems Expand the analytic utility of CMS data for research at NCHS to support 

newly emerging health care reform priorities, and expand the availability 

of CMS data for tracking the provision, use, effectiveness, and impact of 

primary and secondary preventative healthcare services and 

surveillance of selected health outcomes

VA 649,710

Westat Inc. Provide services to complete all activities required for data collection at 

a primary sampling unit (PSU) component of the National Health and 

Nutrition Examination Survey program during Partition 4 of the data 

collection plan.

MD 596,000

Deloitte Consulting, LLP Business services support - Financial Management Office GA 499,982

Global Evaluation & Applied 

Research Solutions

Support for National Ambulatory Medical Care Survey (NAMCS) and 

National Hospital Ambulatory Medical Care Survey (NHAMCS) through 

data programming and processing tasks in conjunction with the 

development, implementation, and maintenance of computerized data 

collection systems for NAMCS and NHAMCS in the Division of Health 

Care Statistics (DHCS)

GA 296,472

Global Evaluation & Applied 

Research Solutions

Support for National Ambulatory Medical Care Survey (NAMCS) and 

National Hospital Ambulatory Medical Care Survey (NHAMCS) through 

data programming and processing tasks in conjunction with the 

development, implementation, and maintenance of computerized data 

collection systems for NAMCS and NHAMCS in the Division of Health 

Care Statistics (DHCS)

GA 217,500

Deloitte Consulting, LLP Business services support - Health Reform Implementation Office GA 61,235

Total (12 awards) $18,704,160

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 65 GAO-12-788 Prevention and Public Health Fund

Table 32: FY 2011 Contracts, CDC Healthcare Surveillance and Statistics

Recipient Purpose State Award (dollars)

US Census Bureau, Demographic Surveys 

Division

NHIS Healthcare Reform Monitoring GA $10,900,000

US Census Bureau Support Services for the National Health Care 

Surveys – Census

MD 10,571,195

Agilex Technologies, Inc. States, Communities, and Health Information 

Exchanges for Prevention and Public Health

GA 2,789,133

Research Triangle Institute Leveraging Beacon Communities’ Experience in 

Health Information Exchange for Public and 

Population Health

GA 1,417,390

Goodwill Industries of North Georgia CDC Program Oversight & Implementation GA 1,050,000

Johns Hopkins University Applied Physics 

Laboratory

Enhancing Healthcare Data Access and Use and 

Health Service Research Capacity

GA 598,523

Global Evaluation & Applied Research Solutions 

(GEARS) 

Support Services for the National Health Care 

Surveys – GEARS 

MD 531,795

International Society for Disease Developing Business and Infrastructure 

Requirements for Syndromic Surveillance using 

Clinical Data from Health Information Exchanges

GA 449,934

Social & Scientific Systems, Inc. Health Indicators Warehouse MD 291,000

Systems Research and Applications Corporation Support Services for the National Health Care 

Surveys – SRA

MD 287,010

Westat, Inc. Trailer refurbishment MD 250,000

Westat, Inc. Physical Activity and Fitness Feasibility Study MD 240,000

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 150,000

Total (13 awards) $29,525,980

Source: GAO analysis of HHS information.

Activity: ARRA: Communities Putting Prevention to Work

The purpose of this activity is to address two of the leading preventable 

causes of death and disability, obesity and tobacco use, through the 

locally driven initiative Communities Putting Prevention to Work.

• Fiscal year 2010: $35.0 million (nine grants in one funding 

announcement totaling $29.0 million and eight contracts totaling 

$6.0 million)

• Fiscal year 2011: None
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 66 GAO-12-788 Prevention and Public Health Fund

Table 33: FY 2010 Grants, ARRA: Communities Putting Prevention to Work

Announcement Recipients State Award (dollars)

American Recovery and Reinvestment Act (Recovery Act): 

Communities Putting Prevention to Work: State Competitive 

Supplemental Funding for Behavioral Risk Factor Surveillance 

System (CDC-RFA-DP09-90102-ARRA09)

Purpose (award type): To provide state health departments 

with resources to collect BRFSS baseline and follow up data 

from communities funded under Communities Putting 

Prevention to Work funding announcement,

CDC-RFA-DP09-912ARRA09. (Supplement)

Legislative Authority: Sections 301, 307, 310, and 311 of the 

Public Health Service Act, as amended, and the 

Comprehensive Smoking Education Act of 1984, 

Comprehensive Smokeless Tobacco Health Education Act of 

1986, and the American Recovery and Reinvestment Act of 

2009 (Recovery Act) Public Law 111-5.

Eligibility: Limited to 30 state health departments and the 

District of Columbia that are funded under Communities 

Putting Prevention to Work funding announcement, 

CDC-RFA-DP09-912ARRA09.

City of Chicago IL $5,800,000 

Pinellas County Health Dept FL 4,350,000 

Southern Nevada Health District NV 3,800,000 

County of Santa Clara CA 3,600,000 

NC State Dept/Hlth & Human Services NC 3,200,000 

Alabama State Dept of Public Health AL 2,500,000 

Dekalb County Board of Public Health GA 2,350,000 

Arkansas State Dept of Health AR 1,800,000 

South Carolina State Dept of Hlth/Env SC 1,606,981 

Total (9 awards) $29,006,981

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 67 GAO-12-788 Prevention and Public Health Fund

Table 34: FY 2010 Contracts, ARRA: Communities Putting Prevention to Work

Recipient Purpose State Award (dollars)

MACRO Training Resource Center for community action GA $2,584,665

MACRO Support multiple evaluation components of the Communities 

Putting Prevention to Work initiative in communities and states. 

GA 1,748,195

Northrop Grumman Software development, integration of applications, web 

development, and maintenance of the infrastructure to support 

systems. The contractor will provide systems support and studies 

for research activities related to public health practice and 

research.

GA 500,000

Research Triangle Institute Communities Putting Prevention to Work (CPPW) is to implement 

supportive policies, systems, and environments that will drive 

changes in behaviors to reduce risk factors, prevent/delay chronic 

diseases, promote wellness in children and adults, and provide 

positive sustainable health changes in communities.

GA 398,900

McKing Consulting Management Consultation and Technical Assistance Services in 

Support 

of the Nutrition, Physical Activity and Obesity Programs.

GA 349,993

Research Triangle Institute To customize a system dynamic evaluation model to project the 

impact policy, systems, and governmental changes in the 

approximately 44 Communities Putting Prevention to Work (CPPW) 

initiative and the 8 additional communities funded through the 

Affordable Care Act. 

GA 195,488

GMI & DESA JOINT VENTURE Contribute to the national agenda for obesity prevention and control GA 190,000

Northrop Grumman Support all aspects of full lifecycle application systems 

development and maintenance on a variety of platforms including 

mainframe, client server, and web; architecture and infrastructure 

design to support enterprise application software services including 

hardware/software/network design and implementation; database 

design, application development and support; data management 

and security controls; quality assurance, test and control functions; 

and technical communication, consultation and information support.

GA 9,000

Total (8 awards) $5,976,241

Source: GAO analysis of HHS information.

Activity: Environmental Public Health Tracking

The purpose of this activity is to establish and maintain a nationwide 

tracking network to collect, integrate, analyze, and translate health and 

environmental data for use in public health practice and policy 

development. This activity is designed to build environmental public 

health surveillance (tracking) capacity in additional state and local health 

departments by enhancing infrastructure, data, partnerships, and 

workforce.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 68 GAO-12-788 Prevention and Public Health Fund

• Fiscal year 2010: None

• Fiscal year 2011: $30.8 million (30 grants in five funding 

announcements totaling $22.8 million and contracts totaling 

$8.0 million)

Table 35: FY 2011 Grants, Environmental Public Health Tracking

Announcements (5) Recipient State Award (dollars)

1. National Environmental Public Health Tracking 

Program (CDC-RFA-EH09-907)

2. National Environmental Public Health Tracking 

Program-Network Implementation 

(CDC-RFA-EH11-1103)

Purpose (award type): To establish and maintain a 

nationwide tracking network to obtain integrated 

health and environmental data and use it to provide 

information in support of actions that improve the 

health of communities. The program also aims to build 

state and local public health capacity in the area of 

environmental health surveillance. (New and 

Continuation)

Legislative Authority: Sections 311 and 317(k)(2) of 

the Public Health Service Act, [42 U.S.C. Sections 243 

and 247b(k)(2)] as amended.

Eligibility: For CDC-RFA-EH09-907, federally 

recognized or state-recognized American Indian/Alaska 

Native tribal governments, state and local governments 

or their Bona Fide Agents, and political subdivisions of 

states; and for CDC-RFA-EH11-1103, state and local 

government health departments, or their Bona Fide 

Agents, which were originally selected through a 

competitive award process under CDC Program 

Announcement CDC-RFA-EH06-601 of 2006 – 

National Environmental Public Health Tracking 

Program- Network Implementation.

Missouri State Dept/ Health & Senior Srv MO $1,100,000

New Mexico State Department of Health NM 1,100,000

Oregon State Public Health Division OR 1,100,000

Utah State Department of Health UT 1,100,000

Wisconsin Department of Health Services WI 1,100,000

California Department of Public Health CA 1,099,998

New York State Dept of Health NY 1,099,995

New York City Health/Mental Hygiene NY 1,099,894

Washington State Department of Health WA 1,099,121

Massachusetts State Dept of Pub Health MA 1,073,968

Maryland State Dept of Hlth/Mtl Hygiene MD 1,047,251

Maine State Dept/Health/Human Servs ME 1,004,719

Florida State Department of Health FL 963,629

Minnesota State Dept of Health MN 875,000

South Carolina State Dept of Hlth/Env SC 862,000

Pennsylvania State Dept of Health PA 815,858

New Jersey State Dept/Health/Senior Srvs NJ 795,691

Vermont Department of Health VT 753,411

Connecticut State Dept of Public Health CT 722,000

NH State Dept of Health and Human Sers NH 715,892

Louisiana State Dept of Hlth & Hospitals LA 678,510

Colorado State Dept/Pub Hlth & Environmt CO 656,802

Kansas State Dept of Hlth and Environmnt KS 577,596

Iowa State Dept of Public Health IA 370,273

Total (24 awards) $21,811,608
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 69 GAO-12-788 Prevention and Public Health Fund

Announcements (5) Recipient State Award (dollars)

3. Non-Competitive 12-month Cost Extension 

Supplement for CDC-RFA-HM08-8050301SUPP10: 

Affordable Care Act (ACA): Capacity Building 

Assistance to Strengthen Public Health 

Infrastructure and Performance 

(CDC-RFA-HM08-8050401PPHF11)

Purpose (award type): To support the provision of 

capacity building assistance to state, tribal, local and 

territorial health departments that ensures performance 

improvement and successful adoption of best or 

promising practices to address key areas of public 

health infrastructure investments. (Supplement)

Legislative Authority: Sections 301 and 317 of the 

Public Health Service Act (PHS Act), 42 USC, 241 and 

247b as amended. Funding is appropriated under the 

Affordable Care Act (PL 111-148), Title IV, Section 4002 

(Prevention and Public Health Fund).

Eligibility: Limited to specific national, non-profit, public 

health professional organizations funded through the 

competitive funding opportunity, 

CDC-RFA-HM08-8030301SUPP10.

Council of State and Territorial Epidemiologists GA $250,000

Association of State and Territorial Health 

Officials

VA 235,000

National Association of City/County Health 

Officials

DC 150,400

American Public Health Association DC 100,000

Total (4 awards) $735,400

4. National Environmental Public Health Tracking 

Program National Association for Health Data 

Organizations (CDC-RFA-EH10-1003)

Purpose (award type): To continue a partnership with 

the National Association of Health Data Organizations. 

(Continuation)

Legislative Authority: Section 317(k) (2) of the Public 

Health Service Act, [42 U.S.C Section 247b(k)(2)], as 

amended.

Eligibility: Limited to the National Association of Health 

Data Organizations.

Nat. Assoc. of Health Data Orgs. UT $124,995

Total (1 award) $124,995

5. National Environmental Public Health Tracking 

Program National Association for Public Health 

Statistics and Information Systems 

(CDC-RFA-EH10-1004)

Purpose (award type): To promote collaboration 

among vital records, health statistics, and health 

information systems professionals to provide 

environmental and health data information to public 

health practitioners, policy makers, and the public. 

(Continuation)

Legislative Authority: Section 311 and 317 (k)(2) of 

the Public Health Service Act, [42 U. S. C. Section 243 

and 247b(k)(2)] as amended.

Eligibility: Limited to the National Association for Public 

Health Statistics and Information Systems.

NAPHSIS MD $125,000

Total (1 award) $125,000

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 70 GAO-12-788 Prevention and Public Health Fund

Table 36: FY 2011 Contracts, Environmental Public Health Tracking

Recipient Purpose State Award (dollars)

TKC Global IT Support - TKC Global GA $1,489,663

Battelle IT Support - Battelle IT GA 1,260,000

Battelle memorial Institute IT Support - Battelle (DM) GA 808,600

University of California, Berkeley Environmental Public Health Tracking Program CA 612,144

GSA/FAS/4TRE Information technology, data management, and 

support services for surveillance public health activities

GA 574,869

Healthy Housing Solutions, Inc. Tobacco Control: Adoption, Health Impact GA 399,999

University of Illinois-Chicago Environmental Public Health Tracking Program IL 353,354

University of Medicine and Dentistry – 

New Jersey

Environmental Public Health Tracking Program NJ 297,197

The Regents of The University of California Environmental Public Health Tracking Program CA 292,318

GSA/FAS/4TRE Development of a Climate Change Module to track 

predictors, responses and public health consequences 

of climate

GA 263,895

NASA Return On Investment GA 225,000

University of Pittsburgh Environmental Public Health Tracking Program PA 223,838

University of Utah Academic Partners - Schools of Public Health UT 221,721

University of Pittsburgh Environmental Public Health Tracking Program PA 197,022

Booz Allen Hamilton Inc. GRASP GA 185,000

GSA/FAS/4TRE Air Pollution and Respiratory Health Branch National 

Asthma Control Program Workgroups

GA 154,225

SMITHKLINE BEECHAM CORPORATION Environmental Tracking GA 153,607

Emory University Field Test/Training Exercise GA 146,394

PRR, Inc. Health Marketing Communication GA 96,075

Various - Emory University, JP Morgan Chase, 

Northrop Grumman

Contracts <$25K GA 65,101

Total $8,020,022

Source: GAO analysis of HHS information.

Activity: Public Health Workforce

The purpose of this activity is to help ensure a prepared, diverse, 

sustainable public health workforce. PPHF funding leverages critical 

workforce development activities supported with CDC’s core budget.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 71 GAO-12-788 Prevention and Public Health Fund

• Fiscal year 2010: $ 4.7 million (four grants in one funding 

announcement totaling $0.8 million and 17 contracts totaling 

$3.8 million)

• Fiscal year 2011: $18.5 million (four grants in two funding 

announcements totaling $4.7 million and 27 contracts totaling 

$13.8 million)

Table 37: FY 2010 Grants, Public Health Workforce

Announcement Recipient State Award (dollars)

Competitive Supplement to CDC-RFA-HM08-805: 

Strengthen and Improve the Nation’s Capacity 

through National, Non-profit, Professional 

Public Health Organizations to Increase Health 

Protection and Health Equity 

(CDC-RFA-HM08-8050301SUPP10)

Purpose (award type): To support the provision 

of capacity building assistance to state, tribal, local 

and territorial health departments that ensures 

successful adoption of best or promising practices to 

address key areas of public health infrastructure 

investments. (Supplement)

Legislative Authority: Sections 301 and 317 of the 

Public Health Service Act (PHS Act), 42 USC, 241 

and 247b as amended. Funding is appropriated 

under the Affordable Care Act (PL 111-148), Title IV, 

Section 4002 (Prevention and Public Health Fund).

Eligibility: Limited to national, non-profit, and public 

health professional organizations funded through the 

competitive funding announcement 

CDC-RFA-HM08-805.

Council of State and Territorial Epidemiologists GA $335,000

Dekalb County Board of Public Health GA 250,000

Public Health Foundation DC 172,000

Association of State and Territorial Health Officials VA 75,000

Total (4 awards) $832,000

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 72 GAO-12-788 Prevention and Public Health Fund

Table 38: FY 2010 Contracts, Public Health Workforce

Recipient Purpose State 

Award

(dollars)

Office of Personnal Management PHAP Management & Operations Support GA $1,700,860

Deloitte Consulting, LLP Evaluation/Education/Curriculum Development (All Fellowships) GA 912,705

Chickasaw Adv IT/informatics Nees/EIS Secure Website GA 264,220

Deloitte Consulting, LLP Evaluation/Education/Curriculum Development (All Fellowships) GA 199,605

Chickasaw Adv Sr. Health Communication Specialist GA 118,694

Chickasaw Adv Public Health Analyst (All Fellowships) GA 116,274

Chickasaw Adv Public Health Advisor (PHPS) GA 107,192

Annual EIS Conference Support Administrative and Logistical Support to the Public Health Apprentice 

Program 

GA 70,000

Chickasaw Adv Health Comm Specialist I (All Fellowships) GA 56,371

Chickasaw Adv Web Developer I (All Fellowships) GA 54,428

Midtown Personnel Administrative Assistant III (PHPS) GA 42,148

Emory University Public Health Instructor GA 39,798

Chickasaw Adv Health Comm Specialist I (All Fellowships) GA 37,079

Chickasaw Adv Health Comm Specialist II (All Fellowships) GA 35,015

Deloitte Consulting, LLP Business services support - Health Reform Implementation Office GA 30,000

Deloitte Consulting, LLP Web Developer II (All Fellowships) GA 29,530

Chickasaw Adv Program Assistant (EIS) GA 14,564

Total (17 awards) $3,828,483

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 73 GAO-12-788 Prevention and Public Health Fund

Table 39: FY 2011 Grants, Public Health Workforce

Announcements (2) Recipient State 

Award

(dollars)

1. Association of Public Health Laboratories 

Cooperative Agreement (CDC-RFA-HM10-1001)

Purpose (award type): To enhance the work of public 

health laboratories in the U.S. and abroad, to promote 

quality public health laboratory practice, improve public 

health laboratory infrastructure, strengthen the public 

health laboratory system, and to develop a well-trained 

public health laboratory workforce in the U.S. and globally. 

Also, to ensure laboratory preparedness for emerging 

infectious diseases or other biologic and chemical public 

health threats, promote technology transfer to ensure upto-date technologies for the testing laboratory, and 

enhance communication linkages between state and local 

public health laboratories and the clinical laboratory testing 

community. (New)

Legislative Authority: Sections 307 and 317(k)(2) of the 

Public Health Service Act, [42 U.S.C. 242l and 247b (k)(2), 

as amended].

Eligibility: Limited to the Association of Public Health 

Laboratories.

Association of Public Health Laboratories MD $1,000,000

Total (1 award) $1,000,000

2. Non-Competitive 12-month Cost Extension 

Supplement for CDC-RFA-HM08-8050301SUPP10: 

Affordable Care Act (ACA): Capacity Building 

Assistance to Strengthen Public Health Infrastructure 

and Performance (CDC-RFA-HM08-

8050401PPHF11) and Competitive Program 

Expansion Supplement for CDC-RFA-HM08-805: 

Strengthen and Improve the Nation’s Capacity 

through National, Non-profit, Professional Public 

Health Organizations to Increase Health Protection 

and Health Equity (CDC-RFA-HM08-

8050402PHFF11)

Purpose (award type): To support the provision of 

capacity building assistance to state, tribal, local and 

territorial health departments that ensures performance 

improvement and successful adoption of best or promising 

practices to address key areas of public health 

infrastructure investments. (Supplement)

Legislative Authority: Sections 301 and 317 of the Public 

Health Service Act (PHS Act), 42 USC, 241 and 247b as 

amended. Funding is appropriated under the Affordable 

Care Act (PL 111-148), (Prevention and Public Health 

Fund).

Eligibility: Limited to specific national, non-profit, public 

health professional organizations also funded through the 

funding opportunity CDC-RFA-HM08-80301SUPP10 and 

the competitive funding opportunityCDC-RFA-HM08-805.

Council of State And Territorial 

Epidemiologists

GA $3,096,706

Association of State and Territorial Health 

Officials

VA 412,920

Public Health Foundation DC 172,000 

Total (3 awards) $3,681,626

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 74 GAO-12-788 Prevention and Public Health Fund

Table 40: FY 2011 Contracts, Public Health Workforce

Recipient Purpose State Award (dollars)

Scimetrika, LLC PHPS Field Residency and Expanded Training GA $2,531,027

Emory University Southeastern Institute 

for Training and Evaluation

Program Management Support – OPM IAA Strategic Human 

Resource Planning and Implementation to Improve Human 

Capital and Enterprise

GA 2,357,192

Scimetrika, LLC Post EIS Practicum (PEP) GA 1,759,097

Deloitte Consulting LLP Education and Evaluation Consultation for SEPDPO 

Fellowship Programs

GA 1,641,587

Deloitte Consulting LLP Fellowship Management System GA 1,361,629

Emergint Technologies, Inc. IT Support for SEPDPO GA 766,612

Chickasaw Advisory Services, LLC E Learning Expansion (Training, Education and 

Communication Support)

GA 739,599

Booz Allen Hamilton Inc. CDC Program Oversight & Implementation GA 500,000

Deloitte Consulting, LLP CIMS Task Order Fellowship Management System GA 205,000

DB Consulting Group, Inc. Workforce Enumeration Project GA 197,222

Chickasaw Advisory Services, LLC Contractor for Informatician Job Classification Project GA 148,845

Emergint Technologies, Inc. Online Learning Development GA 142,196

Chickasaw Advisory Services, LLC Management Analyst GA 134,880

Total Solutions, Inc. Administrative Assistant GA 126,917

Chickasaw Advisory Services, LLC Web Developer/Master II GA 124,937

Chickasaw Advisory Services, LLC Half-time Health Communication Specialist II (1/2 time) (SW) GA 124,937

Dell Services Federal Government, Inc. IT Support GA 120,000

Chickasaw Advisory Services, LLC Web Developer GA 116,858

Chickasaw Advisory Services, LLC Health Communication Specialist I (MPR) GA 116,758

Chickasaw Advisory Services, LLC Health Communication Specialist I (SN) GA 112,781

Chickasaw Advisory Services, LLC Public Health Advisor GA 111,165

Chalk And Wire Commercial software for assessment of learning outcome 

(COTS Portfolio)

GA 82,915

Corporate Temps Inc Administrative Assistant II GA 79,738

Chickasaw Advisory Services, LLC Program Assistant GA 78,519

Chickasaw Advisory Services, LLC Half-time Health Communication Specialist II GA 62,452

Ashlin Management Group, Inc. Tech Support for SEPDPO GA 28,954

Professional and Scientific Associates, 

Inc.

PSA Training Order - Emory University Southeastern Institute 

for Training and Evaluation

GA 24,631

Total (27 awards) $13,796,447

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 75 GAO-12-788 Prevention and Public Health Fund

Activity: HIV/AIDS

The purpose of this activity is to support demonstration projects to identify 

and implement a “combination approach” to enhance effective HIV 

prevention programming in hard-hit areas across the country. These 

efforts are designed to both supplement existing programs in these 

communities and help jurisdictions to better focus efforts on key at-risk 

populations and fulfill unmet needs.

• Fiscal year 2010: $ 29.2 million (88 grants in three funding 

announcements totaling $21.6 million and six contracts totaling 

$7.6 million)

• Fiscal year 2011: None

Table 41: FY 2010 Grants, HIV/AIDS

Announcements (3) Recipient State Award (dollars)

1. HIV/AIDS Surveillance: Enhancing Laboratory 

Reporting (CDC-RFA-PS08-8020302SUPP10)

Purpose (award type): To enable state and local 

health departments to improve the reporting of HIV 

laboratory data from private and public laboratories to 

state and local health departments and CDC. 

(Supplement)

Legislative Authority: Sections 317 and 318B of the 

Public Health Service Act (42 U.S.C. Sections 247b 

and 247c-2), as amended and the Patient Protection 

and Affordable Care Act (PL 111-148), Title IV, 

Section 4002 (Prevention and Public Health Fund).

Eligibility: Limited to state and local territorial health 

departments that are currently grantees under the 

funding announcement PS08-802, HIV/AIDS 

Surveillance.

California Department of Public Health CA $415,593

Florida State Department of Health FL 400,000

New York City Health/Mental Hygiene NY 393,380

New York State Dept of Health NY 307,033

Maryland State Dept of Hlth/Mtl Hygiene MD 229,857

Virginia State Dept of Health VA 200,000

Los Angeles County Health Services Dept CA 190,581

Houston City Health & Human Services TX 184,076

DC Department of Health DC 183,595

San Francisco Dept of Public Health CA 171,081

New Jersey State Dept/Health/Senior Srvs NJ 169,050

Texas State Dept of Health Services TX 142,681

Alabama State Dept of Public Health AL 136,711

City of Philadelphia Public Health Dept PA 136,330

Michigan State Dept of Community Health MI 135,438

Oklahoma State Department of Health OK 122,817

Minnesota State Dept of Health MN 117,953

Arkansas State Dept of Health AR 114,182

Washington State Department of Health WA 104,993

Utah State Department of Health UT 104,114

Iowa State Dept of Public Health IA 101,668

Louisiana State Dept of Hlth & Hospitals LA 97,517
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 76 GAO-12-788 Prevention and Public Health Fund

Announcements (3) Recipient State Award (dollars)

Wisconsin Department of Health Services WI 96,639

Tennessee State Department of Health TN 93,161

Arizona State Department of Hlth Srvcs AZ 90,262

Massachusetts State Dept of Pub Health MA 89,268

South Carolina State Dept of Hlth/Env SC 87,900

Oregon State Public Health Division OR 82,180

Connecticut State Dept of Public Health CT 79,714

Mississippi State Department of Health MS 79,020

Nevada State Dept of Hlth/Human Svcs NV 75,576

KY Cabinet for Health and Family Services KY 72,899

Illinois State Dept of Public Health IL 72,489

Colorado State Dept/Pub Hlth & Environmt CO 68,390

Nebraska St Dept of Health & Human Servs NE 67,735

Maine State Dept/Health/Human Servs ME 60,000

Delaware State Dept of Hlth & Soc Srvs DE 51,218

Virgin Islands Department of Health VI 49,750

Alaska State Department of Hlth-Soc Svcs AK 41,909

Hawaii State Department of Health HI 41,848

Georgia Department of Community Health GA 35,431

Puerto Rico Department of Health PR 29,565

Guam Department of Public Health-Soc Svc GU 25,000

Idaho State Dept of Health And Welfare ID 24,658

City of Chicago IL 16,941

American Samoa Department of Health AS 9,797

Total (46 awards) $5,600,000

2. Expanded Human Immunodeficiency Virus (HIV) 

Testing for Disproportionately Affected Populations 

(CDC-RFA-PS10-10138)

Purpose (award type): To increase HIV testing 

opportunities for populations disproportionately affected 

by HIV; increase the proportion of HIV-infected persons 

in these populations who are aware of their infection 

and are linked to appropriate services; and identify 

strategies for leveraging resources to maximize the 

yield and sustainability of routine HIV screening 

programs in healthcare settings. (New)

Legislative Authority: Sections 301 and 318 of the 

Public Health Service Act (42 U.S.C. Section 241 and 

247c), as amended.

Alabama State Dept of Public Health AL $145,567

Arizona State Department of Hlth Srvcs AZ 145,567

California Department of Public Health CA 145,567

Los Angeles County Health Services Dept CA 145,567

San Francisco Dept of Public Health CA 145,567

Connecticut State Dept of Public Health CT 145,567

DC Department of Health DC 145,567

Florida State Department of Health FL 145,567

Georgia Department of Community Health GA 145,567

Illinois State Dept of Public Health IL 145,567
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 77 GAO-12-788 Prevention and Public Health Fund

Announcements (3) Recipient State Award (dollars)

Eligibility: Limited to health department jurisdictions 

with at least 175 estimated combined AIDS diagnoses 

among Blacks/African Americans and Hispanics/

Latinos in 2007.

City of Chicago IL 145,567

Louisiana State Dept of Hlth & Hospitals LA 145,567

Maryland State Dept of Hlth/Mtl Hygiene MD 145,567

Massachusetts State Dept of Pub Health MA 145,567

Michigan State Dept of Community Health MI 145,567

Mississippi State Department of Health MS 145,567

Missouri State Dept/ Health & Senior Srv MO 145,567

New Jersey State Dept/Health/Senior Srvs NJ 145,567

New York State Dept of Health NY 145,567

New York City Health/Mental Hygiene NY 145,557

NC State Dept/Hlth & Human Services NC 145,567

Ohio State Department of Health OH 145,567

City of Philadelphia Public Health Dept PA 145,567

Hershey Milton S Medical Center PA 145,567

Puerto Rico Department of Health PR 145,567

South Carolina State Dept of Hlth/Env SC 145,567

Tennessee State Department of Health TN 145,567

Texas State Dept of Health Services TX 145,567

Houston City Health & Human Services TX 145,567

Virginia State Dept of Health VA 145,567

Total (30 awards) $4,367,000

3. Enhanced Comprehensive HIV Prevention 

Planning and Implementation for Metropolitan 

Statistical Areas Most Affected by HIV/AIDS 

(CDC-RFA-PS10-10181)

Purpose (award type): To facilitate the development 

and implementation of Enhanced Comprehensive HIV 

Prevention Plans (ECHPPs) for geographic areas most 

affected by the HIV epidemic in order to reduce HIV risk 

and incidence in those areas. (New)

Legislative Authority: Sections 317(k)(2) and 318 of 

the Public Health Service Act (42 U.S.C. Sections 

247b(k)(2) and 247c), as amended, and Section 4002 

of the Patient Protection and Affordable Care Act 

(PL 111-148).

Eligibility: Limited to twelve (12) state and local 

governments or bona fide agencies/organizations in 

specific Metropolitan Statistical Areas or specified 

Metropolitan Divisions that have the highest estimated 

AIDS prevalence at the end of 2007.

New York City Health/Mental Hygiene NY $1,581,184

Los Angeles County Health Services Dept CA 1,059,407

DC Department of Health DC 946,403

City of Chicago IL 927,371

Georgia Department of Community Health GA 913,982

Florida State Department of Health FL 909,315

City of Philadelphia Public Health Dept PA 906,024

Houston City Health & Human Services TX 891,108

San Francisco Dept of Public Health CA 887,968

Maryland State Dept of Hlth/Mtl Hygiene MD 878,896

Texas State Dept of Health Services TX 850,016

Puerto Rico Department of Health PR 848,326

Total (12 awards) $11,600,000

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 78 GAO-12-788 Prevention and Public Health Fund

Table 42: FY 2010 Contracts, HIV/AIDS

Recipient Purpose State Award (dollars)

Scimetrika, LLC Comprehensive HIV Prevention through the evaluation of 

Enhanced Comprehensive HIV Prevention Planning and 

Implementation for Metropolitan Statistical Areas most 

affected by HIV

NC $3,164,520

Manila Consulting Group, Inc Web-based HIV behavioral trend analysis among men who 

have sex with men (MSM)

VA 3,106,740

Office of Clinical and Preventive 

Service Indian Health Services

To utilize interagency resources to reduce the incidence 

and burden of HIV and other STDs and hepatitis in the 

AI/AN population

MD 1,000,000

Professional & Scientific Assoc Meeting & Conference Support for Consultation meetings for 

grantees of PS10-10181: “Enhanced Comprehensive HIV 

Prevention Planning and Implementation for Metropolitan 

Statistical Areas Most Affected by HIV/AIDS.”

VA 203,865

Professional & Scientific Assoc Meeting & Conference support for Consultation on 

Monitoring of CD4 and Viral Load Test Results In The 

National HIV Surveillance System

GA 109,875

Northrop Grumman Support all aspects of full lifecycle application systems 

development and maintenance on a variety of platforms 

including mainframe, client server, and web; architecture 

and infrastructure design to support enterprise application 

software services including hardware/software/network 

design and implementation; database design, application 

development and support; data management and security 

controls; quality assurance, test and control functions; and 

technical communication, consultation and information 

support.

GA 40,500

Total (6 awards) $7,625,500

Source: GAO analysis of HHS information.

Activity: Racial and Ethnic Approaches to Community Health (REACH)

The purpose of this activity is to serve as the cornerstone of CDC’s efforts 

to eliminate racial and ethnic disparities in health. REACH supports 

community coalitions that design, implement, evaluate, and disseminate 

community-driven strategies to eliminate health disparities in key health 

areas, such as heart disease, diabetes, breast and cervical cancer, 

immunization, asthma, hepatitis B, and infant mortality.

• Fiscal year 2010: None

• Fiscal year 2011: $24.6 million (43 grants in three funding 

announcements totaling $24.5 million and one contract totaling 

$0.1 million)
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 79 GAO-12-788 Prevention and Public Health Fund

Table 43: FY 2011 Grants, Racial and Ethnic Approaches to Community Health (REACH)

Announcements (3) Recipient State Award (dollars)

1. Racial and Ethnic Approaches to 

Community Health across the US 

(CDC-RFA-DP07-707)

Purpose (award type): To advance evidenceand practice-based programs and culturally 

based community practices to eliminate racial 

and ethnic health disparities through 

implementation, evaluation, and dissemination 

of state of the art knowledge. (New)

Legislative Authority: Section 301(a) and 

317(k) (2) of the Public Health Service Act, 

42 U.S. Code 241(a) and 247b(k)2.

Eligibility: Public and private nonprofit 

organizations; for profit organizations; small, 

minority women-owned businesses; 

universities and colleges; hospitals; 

community-based and faith-based 

organizations; American Indian/Alaska Native 

tribal governments and American 

Indian/Alaska Native tribally designated 

organizations; Alaska Native health 

corporations; Urban Indian health 

organizations; tribal epidemiology centers; 

state and local governments or their Bona 

Fide agents, and political subdivisions of 

states.

Public Health Institute CA $893,128

Hildalgo Medical Services NM 874,499

University of Colorado At Denver And Hsc CO 865,189

University of Illinois At Chicago IL 852,874

Boston Public Health Commission MA 850,040

Medical University of South Carolina SC 850,001

University of Alabama at Birmingham AL 850,000

University of California, Los Angeles CA 850,000

University of Hawaii HI 850,000

Genesee County Health Department MI 850,000

Institute for Urban Family Health NY 850,000

Oklahoma State Department of Health OK 850,000

Greater Lawrence Family Health Center, Inc MA 849,999

Mount Sinai School of Medicine NY 849,999

Orange Co. Asian and Pacific Islander Community 

Alliance

CA 844,285

New York University School of Medicine NY 844,248

Khmer Health Advocates, Inc. CT 844,243

Southeast Chicago Development Commission IL 427,891

Seattle-King County Department of Public Health WA 415,391

LA Biomedical Research Institute at Harbor CA 415,390

Special Services for Groups CA 415,390

City of Chicago IL 415,390

Health Visions Midwest, Inc. IN 415,390

Center for Comm. Health, Education and Research MA 415,390

Eastern Band of Cherokee Indians NC 415,390

YMCA of Greater Cleveland OH 415,390

Choctaw Nation of Okahoma OK 415,390

Virginia Commonwealth University VA 415,390

Inter-Tribal Council of MI MI 415,390

West Virginia State Dept Hlth/Human Rscs WV 415,387

University of Arizona AZ 412,890

Community Health Councils, Inc. CA 411,370

Wai’Anac District Health and Hosp. Board HI 402,075

To Our Children’s Future With Health, Inc PA 400,031

YMCA of Santa Clara Valley CA 400,000
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 80 GAO-12-788 Prevention and Public Health Fund

Announcements (3) Recipient State Award (dollars)

Children’s Hospital Corporation MA 400,000

Brooklyn Perinatal Network NY 400,000

Northern Arapaho Tribe WY 397,808

Vernon J. Harris East End Community H Center VA 396,052

Total (39 awards) $23,551,300

2. Racial and Ethnic Approaches to 

Community Health for Communities 

Organized to Respond and Evaluate 

(REACH) (CDC-RFA-DP10-1014)

Purpose (award type): To support local 

communities to strategically organize, 

implement and evaluate evidence-based 

policy, system, and environmental change 

interventions that eliminate racial and ethnic 

health disparities in chronic diseases. In 

addition this announcement will support the 

transition of communities from the analysis of 

intervention results to the use of these results 

in facilitating health equity and policy change. 

(New)

Legislative Authority: Section 301(a) and 

317(k) (2) of the Public Health Service Act, 

42 U.S. Code 241(a) and 247b(k)2.

Eligibility: With the exception of current Racial 

and Ethnic Approaches to Community Health 

for Communities grantees, eligible applicants 

include: nonprofit and for-profit organizations 

(other than small business); small, minority 

women-owned businesses; universities, 

colleges and research institutions; hospitals; 

community-based and faith-based 

organizations; American Indian/Alaska native 

tribal governments and American 

Indian/Alaska native tribally designated 

organizations; Alaska Native health 

corporations; Urban Indian health 

organizations; tribal epidemiology centers, 

state and local governments or their Bona Fide

agents, and political subdivisions of states.

Schenectady Co. Public Health Services NY $199,700

Total (1 award) $199,700
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 81 GAO-12-788 Prevention and Public Health Fund

Announcements (3) Recipient State Award (dollars)

3. National Organizations that Serve Minority 

Communities Initiative to Share Racial and 

Ethnic Approaches to Eliminate Health 

Disparities with Local Affiliates & Chapters 

(CDC-RFA-DP09-905)

Purpose (award type): To support national 

minority organizations to (1) disseminate 

evidence-based strategies, tools and best 

practices to their local affiliates and chapters; 

and (2) to provide capacity-building technical 

assistance to local affiliates and chapters to 

address the growing health disparities among 

their constituents. (New)

Legislative Authority: Section 301(a) and 

317(k) (2) of the Public Health Service Act, 42 

U.S. Code 241(a) and 247b(k)(2). 

Eligibility: Limited to established national 

nonprofit and Urban Indian health 

organizations and federally recognized 

American Indian/Alaska Native tribal 

governments that can demonstrate experience 

working in the health arena and specifically on 

issues related to health disparities.

Asian Pacific Partners For Empowerment, Advocacy And 

Leadership

CA $250,000

Inter-Tribal Council of Michigan MI 250,000

Joint Center For Political And Economic Studies DC 250,000

Total (3 awards) $750,000

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 82 GAO-12-788 Prevention and Public Health Fund

Table 44: FY 2011 Contract, Racial and Ethnic Approaches to Community Health (REACH)

Recipient Purpose State Award (dollars)

Planning Professionals, LTD. Racial and Ethnic Health Disparities Action Institute (REHDAI) Workshop GA $98,792 

Total (1 award) $98,792

Source: GAO analysis of HHS information.

Activity: Public Health Research

The purpose of this activity is to fund research projects through the ACA 

Prevention and Public Health Fund that investigate the effectiveness of 

public health services and systems in real world settings. The specific 

requirements for projects to be supported within this initiative are to 

(1) examine evidence-based practices related to prevention, with a 

particular focus on high-priority areas consistent with the National 

Prevention Strategy and Healthy People 2020, including comparisons of 

community-based public health interventions in terms of effectiveness 

and cost; (2) analyze the effective translation of interventions from 

academic settings to real world settings; and (3) identify effective 

strategies to organize, finance, or deliver public health services in real 

world community settings, including comparisons of state and local health 

department structures and systems in terms of effectiveness and cost.

• Fiscal year 2010: None

• Fiscal year 2011: $19.9 million (12 grants in three funding 

announcements totaling $11.5 million and 12 contracts totaling 

$8.4 million)
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 83 GAO-12-788 Prevention and Public Health Fund

Table 45: FY 2011 Grants, Public Health Research

Announcements (3) Recipient State Award (dollars)

1. Public Health Prevention Fund: Streamlined 

Surveillance for Ventilator-Associated Pneumonia: 

Reducing Burden and Demonstrating Preventability 

(RFA-CK11-001010PPHF11)

Purpose (award type): To evaluate the performance 

characteristics of streamlined ventilator associated 

pneumonia and evaluate the extent to which it can be 

prevented through adherence to process measures 

outlined in the HHS Action Plan. (Supplement)

Legislative Authority: Section 307 of the Public Health 

Service Act as amended (42 U.S.C. 242l).

Eligibility: Applicants selected as a Prevention Epicenter 

under FOA CK 11-001. 

Harvard Pilgrim Health Care MA $1,544,184

Total (1 award) $1,544,184

2. Preparedness and Emergency Response Research 

Centers: A Public Health Systems Approach 

(RFA-TP-08-001)

Purpose (award type): To fund research for promoting 

and enhancing the preparedness and emergency 

response capabilities of the public health infrastructure at 

the federal, state, local, and tribal levels. (New)

Legislative Authority: Section 319F(d)(7) of the Public 

Health Service Act, 42 U.S.C. 247d-6(d)(7). 

Eligibility: Accredited Schools of Public Health, as required 

by section 319F-2(d) of the Public Health Service Act. Only 

schools accredited by the Council on Education for Public 

Health are eligible 

University of California, Berkeley CA $1,509,000

University of California, Los Angeles CA 1,197,000

University of Minnesota MN 1,147,000

University of North Carolina, Chapel Hill NC 1,147,000

Total (4 awards) $5,000,000

3. Preparedness and Emergency Response Learning 

Centers (CDC-RFA-TP10-100102CONT11)

Purpose (award type): To address legislative 

requirements, as stated in section 319F(d) of the Public 

Health Service (PHS) Act (42 USC § 247d-6(d), as part of 

a plan to improve the nation’s public health and medical 

preparedness and response capabilities for emergencies, 

whether deliberate, accidental, or natural. (New)

Legislative Authority: Section 319F(d) of the Public 

Health Service (PHS) Act (42 USC § 247d-6(d)). 

Eligibility: Accredited Schools of Public Health that 

received their accreditation from the Council on 

Education for Public Health.

University of South Florida FL $714,285

Johns Hopkins University MD 714,286

University of Albany, SUNY NY 714,286

Columbia University NY 714,286

University of Oklahoma OK 714,286

Texas A & M University TX 714,286

University of Washington WA 714,285

Total (7 awards) $5,000,000

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 84 GAO-12-788 Prevention and Public Health Fund

Table 46: FY 2011 Contracts, Public Health Research

Recipient Purpose State Award (dollars)

Healthy Housing Solutions Inc Tobacco Control: Adoption, Health Impact and Cost of 

Smoke-Free Multi-Unit Housing Policies

GA $2,210,000

Research Service, Hines VA Hospital Evaluating the impact of a treatment intervention to reduce 

Clostridium difficile transmission from asymptomatic C. 

difficile carriers in VA Community Living Centers

GA 1,846,000

The Johns Hopkins University Center of Excellence for Measuring the Health and Social 

Impacts of Changes in State Alcohol Prices

GA 1,636,598

University of North Carolina at Chapel Hill The Effectiveness of extending a “Consistent Care” program 

aimed to prevent prescription drug overdoses

NC 745,000

Washington State University A randomized controlled trial of proactive reporting by 

prescription drug monitoring programs (PDMP)

WA 550,587

ABT Associates Inc. A randomized controlled trial of proactive reporting by 

prescription drug monitoring programs (PDMP)

MD 505,514

Emergint Technologies, Inc. Promoting DVT/PE prevention through monitoring practices 

and health outcomes

GA 321,045

Goodwill Industries of North Georgia CDC Program Oversight & Implementation GA 250,000

Lantana Consulting Group HL7 Implementation Guidance Development and 

Maintenance 

GA 128,955

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 100,000

Avaris Concepts, LLC Logistical support of the s-VAP workgroup meeting GA 54,998

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 50,000

Total (12 awards) $8,398,697

Source: GAO analysis of HHS information.

Activity: Community Guide/Community Preventive Services Task Force

The purpose of this activity is to help people choose programs and 

policies to improve health and prevent disease in communities using the 

Community Guide, a free resource. The activity’s findings are used by 

partners at federal, state, and local levels within governments, health 

departments, worksites, community-based organizations, and elsewhere 

to guide and improve public health programs, policies, and research.

• Fiscal year 2010: $5.0 million (six grants in one funding 

announcement totaling $2.2 million and six contracts totaling 

$2.8 million)

• Fiscal year 2011: $6.0 million (six grants in one funding 

announcement totaling $1.3 million and seven contracts totaling 

$4.7 million)
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 85 GAO-12-788 Prevention and Public Health Fund

Table 47: FY 2010 Grants, Community Guide/Community Preventive Services Task Force

Announcement Recipient State Award (dollars)

Affordable Care Act: Capacity Building Assistance to 

Strengthen Public Health Infrastructure and 

Performance (CDC-RFA-HM08-8050301SUPP10)

Purpose (award type): To expand funding 

announcement CDC-RFA-HM08-805 by supporting the 

provision of capacity building assistance to state, tribal, 

local and territorial health departments that ensures 

successful adoption of best or promising practices to 

address key areas of public health infrastructure 

investments. (Supplement)

Legislative Authority: Sections 301 and 317 of the 

Public Health Service Act (PHS Act), 42 USC, 241 and 

247b as amended. Funding is appropriated under the 

Affordable Care Act (PL 111-148), Title IV, Section 4002 

(Prevention and Public Health Fund).

Eligibility: Limited to specific national, non-profit, public 

health professional organizations funded through the 

competitive funding announcement 

CDC-RFA-HM08-805.

National Association of City/County Health 

Officials 

DC $500,000

Association of State and Territorial Health 

Officials 

VA 500,000

National Network of Public Health Institutes LA 450,000

Public Health Foundation DC 350,000

National Association of Local Boards of Health OH 300,000

Association of Maternal and Child Health 

Programs 

DC 100,000

Total (6 awards) $2,200,000

Source: GAO analysis of HHS information.

Table 48: FY 2010 Contracts, Community Guide/Community Preventive Services Task Force

Recipient Purpose State 

Award

(dollars)

Dept of Energy/Oak Ridge Ops Collection, Review & Analysis of Data GA $1,300,000

Westat Community Guide Communication Technical Assistance and Support MD 1,054,685

Deloitte Consulting, LLP Business services support - Financial Management Office GA 180,000

Chickasaw Advisory Services, LLC Provide analytical epidemiology support GA 122,500

Chickasaw Advisory Services, LLC Provide analytical epidemiology support GA 122,500

Deloitte Consulting, LLP Business services support - Health Reform Implementation Office GA 20,000

Total (6 awards) $2,799,685

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 86 GAO-12-788 Prevention and Public Health Fund

Table 49: FY 2011 Grants, Community Guide/Community Preventive Services Task Force

Announcement Recipient State Award (dollars)

Non-Competitive 12-month Cost Extension 

Supplement for CDC-RFA-HM08-

8050301SUPP10: Affordable Care Act (ACA): 

Capacity Building Assistance to Strengthen 

Public Health Infrastructure and Performance 

(CDC-RFA-HM08-8050401PPHF11)

Purpose (award type): To expand funding 

announcement CDC-RFA-HM08-805 by 

supporting the provision of capacity building 

assistance to state, tribal, local and territorial 

health departments that ensures performance 

improvement and successful adoption of best or 

promising practices to address key areas of public 

health infrastructure investments. (Supplement)

Legislative Authority: Sections 301 and 317 of 

the Public Health Service Act (PHS Act), 42 USC, 

241 and 247b as amended. Funding is 

appropriated under the Affordable Care Act 

(PL 111-148), Title IV, Section 4002 (Prevention 

and Public Health Fund)

Eligibility: Eligibility is limited to specific national, 

non-profit, public health professional organizations 

funded through the funding announcement 

CDC-RFA-HM08-8030301SUPP10.

Association of State and Territorial Health Officials VA $305,682

Public Health Foundation DC 296,329

National Association of City/County Health Officials DC 266,821

National Network of Public Health Institutes LA 249,582

National Association of Local Boards of Health OH 165,449

Association of Maternal and Child Health Programs DC 61,137

Total (6 awards) $1,345,000

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 87 GAO-12-788 Prevention and Public Health Fund

Table 50: FY 2011 Contracts, Community Guide/Community Preventive Services Task Force

Recipient Purpose State Award (dollars)

Cloudburst Consulting Group, INC. Programmatic Management/ Intramural HR GA $1,499,286

Department of Energy ORISE Fellows GA 1,300,000

University of Manchester Low Complexity Community Guide Reviews GA 886,350

Westat, Inc. Communications Support Contract GA 629,976

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 245,000

Chickasaw Advisory Services, LLC Health Scientist GA 99,809

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 35,000

Total (7 awards) $4,695,421

Source: GAO analysis of HHS information.

Activity: Healthcare-Associated Infections (HAI)

The purpose of this activity is to expand state prevention activities 

through funding to health departments that have already demonstrated 

successes and capacity to implement HAI prevention programs and to 

build upon advances made through Recovery Act investments. This 

program is designed to accelerate electronic reporting to detect HAIs at 

the state level by decreasing data entry burden. Electronic reporting will 

increase validation of data and the ability of states and healthcare 

facilities to measure the impact of prevention efforts.

• Fiscal year 2010: None

• Fiscal year 2011: $11.4 million (54 grants in two funding 

announcements totaling $9.4 million and four contracts totaling 

$2.0 million)
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 88 GAO-12-788 Prevention and Public Health Fund

Table 51: FY 2011 Grants, Healthcare-Associated Infections

Announcements (2) Recipient State Award (dollars)

1. Patient Protection and Affordable Care Act 

Epidemiology and Laboratory Capacity for 

Infectious Diseases Building and 

Strengthening Epidemiology, Laboratory and 

Health Information Systems Capacity in State 

and Local Health Departments 

(CDC-RFA-CI10-101202PPHF11)

Purpose (award type): To enhance public health 

programs that focus on improving health and 

helping restrain the rate of growth of health care 

costs through building epidemiology, laboratory, 

and health information systems capacity in state 

and local public health departments. 

(Continuation)

Legislative Authority: Public Health Service Act 

Sections 301(a) [42 U.S.C. 241(a)] and 317(k) (2) 

[42 U.S.C. 247b (k) (2)], as amended and the 

Patient Protection and Affordable Care Act 

(PL 111-148), Title IV, Sections 4002 and 4304 

(Prevention and Public Health Fund).

Eligibility: Limited to 58 state and local public 

health departments or their established bona fide 

agents that were 2010 grantees of Epidemiology 

and Laboratory Capacity for Infectious Diseases 

CI10-1012 funding announcement.

Michigan State Dept of Community Health MI $782,173

Illinois State Dept of Public Health IL 779,616

California Department of Public Health CA 771,473

Tennessee State Department of Health TN 768,006

New York State Dept of Health NY 621,473

Massachusetts State Dept of Pub Health MA 521,473

Oregon State Public Health Division OR 426,523

Florida State Department of Health FL 421,472

Colorado State Dept/Pub Hlth & Environmt CO 363,303

Arizona State Department of Hlth Srvcs AZ 316,078

Nevada State Dept of Hlth/Human Svcs NV 296,516

KY Cabinet for Health and Family Services KY 274,784

Minnesota State Dept of Health MN 71,474

Mississippi State Department of Health MS 71,473

Montana State Dept/Pub Hlth & Human Srvs MT 71,473

NH State Dept of Health and Human Sers NH 71,473

New Jersey State Dept/Health/Senior Srvs NJ 71,473

New Mexico State Department of Health NM 71,473

Ohio State Department of Health OH 71,473

Pennsylvania State Dept of Health PA 71,473

Virginia State Dept of Health VA 71,473

Alabama State Dept of Public Health AL 71,472

Alaska State Department of Hlth-Soc Svcs AK 71,472

Georgia Department of Community Health GA 71,472

Indiana State Department of Health IN 71,472

Iowa State Dept of Public Health IA 71,472

Kansas State Dept of Hlth and Environmnt KS 71,472

Maine State Dept/Health/Human Servs ME 71,472

NC State Dept/Hlth & Human Services NC 71,472

Oklahoma State Department of Health OK 71,472

Wisconsin Department of Health Services WI 71,472

Arkansas State Dept of Health AR 71,471

South Carolina State Dept of Hlth/Env SC 71,252

Hawaii State Department of Health HI 70,992

Connecticut State Dept of Public Health CT 69,980
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 89 GAO-12-788 Prevention and Public Health Fund

Announcements (2) Recipient State Award (dollars)

Vermont Department of Health VT 67,236

Maryland State Dept of Hlth/Mtl Hygiene MD 66,852

Delaware State Dept of Hlth & Soc Srvs DE 66,760

Nebraska St Dept of Health & Human Servs NE 66,300

Puerto Rico Department of Health PR 66,154

Washington State Department of Health WA 66,153

Rhode Island State Dept of Health RI 66,147

Missouri State Dept/ Health & Senior Srv MO 66,121

South Dakota State Dept of Health SD 63,945

DC Department of Health DC 63,342

West Virginia State Dept Hlth/Human Rscs WV 62,760

Idaho State Dept of Health And Welfare ID 58,617

Utah State Department of Health UT 55,647

North Dakota State Department of Health ND 48,611

Louisiana State Dept of Hlth & Hospitals LA 47,553

Wyoming State Department of Health WY 23,239

Total (51 awards) $8,939,999a

2. Competitive Program Expansion Supplement 

for CDC-RFA-HM08-805: Strengthen and 

Improve the Nation’s Capacity through 

National, Non-profit, Professional Public 

Health Organizations to Increase Health 

Protection and Health Equity 

(CDC-RFA-HM08-8050402PHFF11)

Purpose (award type): Support the provision of 

capacity building assistance to state, tribal, local 

and territorial health departments that ensures 

performance improvement and successful 

adoption of best or promising practices to address 

key areas of public health infrastructure 

investments. (Supplement)

Legislative Authority: Sections 301 and 317 of 

the Public Health Service Act (PHS Act), 42 USC, 

241 and 247b as amended. Funding is 

appropriated under the Affordable Care Act 

(PL 111-148), Title IV, Section 4002 (Prevention 

and Public Health Fund).

Eligibility: Limited to specific national, non-profit, 

public health professional organizations funded 

through the competitive funding opportunity 

announcement CDC-RFA-HM08-805.

Council of State and Territorial Epidemiologists GA $290,000

National Association of City/County Health Officials DC 100,000

Association of State and Territorial Health Officials VA 100,000

Total (3 awards) $490,000

Source: GAO analysis of HHS information.

a

Column does not total due to rounding.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 90 GAO-12-788 Prevention and Public Health Fund

Table 52: FY 2011 Contracts, Healthcare-Associated Infections

Recipient Purpose State 

Award

(dollars)

Science Applications International Corporation (SAIC) National Healthcare Safety Network (NHSN) 

development and infrastructure requirements for 

surveillance of HAIs

VA $1,065,693

Four Seasons Environmental, Inc. CDC Program Oversight & Implementation GA 470,000

Lantana Consulting Group HL7 Implementation Guidance Development and 

Maintenance 

GA 434,307

Avaris Concepts, LLC DHQP’s State-based Training Activity & Resource 

Support (STARS) Training and Resource Initiative

GA 50,000

Total (4 awards) $2,020,000

Source: GAO analysis of HHS information.

Activity: Prevention Research Centers

The purpose of this activity is to help alter the individual behaviors and 

community environmental factors that put people at risk for the leading 

causes of death and disability—chronic diseases, such as cancer, heart 

disease, and diabetes. Centers may also address risks for injury, 

infectious disease, mental health, global health, and the health effects of 

impairments such as deafness. The activity is designed to bridge gaps 

between research findings and the translation of those findings into public 

health practice and policy.

• Fiscal year 2010: None

• Fiscal year 2011: $10.0 million (15 grants in one funding 

announcement)
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 91 GAO-12-788 Prevention and Public Health Fund

Table 53: FY 2011 Grants, Prevention Research Centers

Announcement Recipient State Award (dollars)

Health Promotion and Disease Prevention Research 

Centers (RFA-DP09-00103SUPP11)

Purpose (award type): To support a network of 

Health Promotion and Disease Prevention Research 

Centers that: (1) focus on the major causes of disease 

and disability, with an emphasis on underserved and 

minority populations; (2) improve public health practice 

through a community-based participatory research 

process; and (3) design, test, disseminate, or translate 

effective public health programs at the state and 

community levels. Funded centers will also function 

as a part of a networked environment to support and 

advance health promotion and disease prevention 

research and serve as a national resource for 

developing and applying effective public health 

programs at the state or community level. (New)

Legislative Authority: Section 1706 of the Public 

Health Service Act (PHS Act), 42 U.S.C. 300u-5,

as amended.

Eligibility: Accredited schools of public health and 

accredited schools of osteopathy and accredited 

schools of medicine that offer an accredited Preventive 

Medicine Residency program. Osteopathy and medicine 

schools in the process of obtaining accreditation for a 

Preventive Medicine Residency program are also 

eligible.

University of Arizona AZ $1,015,000

San Diego State University with (UCSD) CA 965,000

Morehouse School of Medicine GA 894,500

NYU Medical Center NY 785,999

University of Rochester NY 744,501

West Virginia University Research Corporation WV 690,000

Yale University CT 615,000

University of South Florida FL 615,000

Johns Hopkins University MD 615,000

Boston University MA 615,000

University of New Mexico NM 615,000

Case Western Reserve University OH 615,000

Oregon Health and Science University OR 615,000

University of Maryland MD 300,000

Dartmouth College NH 300,000

Total (15 awards) $10,000,000

Source: GAO analysis of HHS information.

Activity: Workplace Wellness

The purpose of this activity is to engage and recruit through a national 

organization, groups of 10-15 employers and lead them through the 

process of building a core workplace health program.

• Fiscal year 2010: None

• Fiscal year 2011: $9.2 million (six contracts)
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 92 GAO-12-788 Prevention and Public Health Fund

Table 54: FY 2011 Contracts, Workplace Wellness

Recipient Purpose State Award (dollars)

Viridian Health Management Worksite Wellness Program Contract GA $7,769,250

Research Triangle Institute Program Evaluation GA 537,824

Carter Consulting, Inc. Management Consultation and Technical Assistance Services GA 360,501

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 350,000

Dell Services Federal Government, Inc. IT Support GA 100,000

Four Seasons Environmental, Inc. CDC Program Oversight & Implementation GA 50,000

Total (6 awards) $9,167,575

Source: GAO analysis of HHS information.

Activity: National Youth Fitness Survey

The purpose of this activity is to gather data on physical activity and 

fitness in children and teens through the National Youth Fitness Survey. 

The survey is conducted by the National Center for Health Statistics, part 

of the Centers for Disease Control and Prevention.

• Fiscal year 2010: None

• Fiscal year 2011: $5.9 million (four contracts)

Table 55: FY 2011 Contracts, National Youth Fitness Survey

Recipient Purpose State Award (dollars)

Westat National Youth Fitness Survey Activities MD $5,305,291

Westat Trailer refurbishment MD 354,709

Four Seasons Environmental CDC Program Oversight & Implementation GA 210,000

Deloitte Consulting CDC Program Oversight & Implementation GA 30,000

Total (4 awards) $5,900,000

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 93 GAO-12-788 Prevention and Public Health Fund

Activity: ARRA: Evaluation

The purpose of this activity is to support the Behavioral Risk Factor 

Surveillance System (BRFSS) in tracking health conditions and risk 

behaviors in the United States.

• Fiscal year 2010: $4.0 million (nine grants in one funding 

announcement totaling $3.6 million and five contracts totaling 

$0.4 million)

• Fiscal year 2011: None

Table 56: FY 2010 Grants, ARRA: Evaluation

Announcement Recipient State Award (dollars)

Patient Protection and Affordable Care Act 

(Affordable Care Act) State Competitive 

Supplemental Funding for Behavioral Risk 

Factor Surveillance System 

(CDC-RFA-DP09-90103-SUPP10) 

Purpose (award type): To provide State Health 

Departments with resources to maintain previous 

projections in sample size, enhance and expand 

the utility of Behavioral Risk Factor Surveillance 

System, and support ongoing state-based public 

health surveillance infrastructure. (Supplement)

Legislative Authority: Sections 301, 307, 310, 

and 311 of the Public Health Service Act, as 

amended, and the Comprehensive Smoking 

Education Act of 1984, Comprehensive 

Smokeless Tobacco Health Education Act of 1986, 

and Patient Protection and Affordable Care Act 

(Affordable Care Act).

Eligibility: All 50 states, the District of Columbia, 

Puerto Rico and U.S. Virgin Islands. Eligibility for 

the evaluation of Communities Putting Prevention 

to Work component is limited to state health 

departments in which a Communities Putting 

Prevention to Work grantee resides within the state 

health agency jurisdiction boundary.

Arkansas State Dept of Health AR $892,025

North Carolina State Dept/Hlth & Human Services NC 772,104

Alabama State Dept of Public Health AL 749,995

Pinellas County Health Dept FL 500,000

Florida State Department of Health FL 326,905

Georgia Department of Community Health GA 109,533

Illinois State Dept of Public Health IL 99,845

Texas State Dept of Health Services TX 75,148

Dekalb County Board of Public Health GA 61,000

Total (9 awards) $3,586,555

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 94 GAO-12-788 Prevention and Public Health Fund

Table 57: FY 2010 Contracts, ARRA: Evaluation

Recipient Purpose State Award (dollars)

Denali Corporation DBA Denali Technologies BRFSS data evaluation GA $120,132

WESTAT Fund the sampling and weighting of BRFSS data once it 

has been collected by ARRA/CPPW communities through 

this point in time surveys.

GA 106,171

Deloitte Consulting, LLP Business services support - Financial Management Office GA 70,296

Northrop Grumman Support all aspects of full lifecycle application systems 

development and maintenance on a variety of platforms 

including mainframe, client server, and web; architecture 

and infrastructure design to support enterprise application 

software services including hardware/software/network 

design and implementation; database design, application 

development and support; data management and security 

controls; quality assurance, test and control functions; and 

technical communication, consultation and information 

support.

GA 59,209

Deloitte Consulting, LLP Business services support - Health Reform Implementation 

Office

GA 10,000

Total (5 awards) $365,808

Source: GAO analysis of HHS information.

Activity: ARRA: Media

The purpose of this activity is to provide enhanced media 

buying/placement support to the National Prevention Media Initiative to 

increase exposure of audiences to campaign messages in communities 

that received Communities Putting Prevention to Work awards. The goal 

of this activity is to achieve maximum additional exposure of existing/indevelopment creative campaign materials.

• Fiscal year 2010: $3.9 million (three contracts)

• Fiscal year 2011: None
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 95 GAO-12-788 Prevention and Public Health Fund

Table 58: FY 2010 Contracts, ARRA: Media

Recipient Purpose State Award (dollars)

CAMPBELL-EWALD COMPANY Advertising and marketing services for planning and 

execution of paid-media strategies in support of the National 

Prevention Media Initiative.

GA $3,730,000

Department of Health and Human Services Provide publication development and management, Web 

development and maintenance, and other presentation and 

communication support

MO 110,000

Deloitte Consulting, LLP Business services support - Health Reform Implementation 

Office

GA 10,000

Total (3 awards) $3,850,000

Source: GAO analysis of HHS information.

Activity: Education and Outreach Campaign Regarding Preventive 

Benefits

The purpose of this activity is to support the Pharmacy Outreach Project 

to increase pharmacists’ capacity and interest in providing over-thecounter advice to patients with high blood pressure, especially 

encouraging medication adherence and the use of available preventive 

clinical services.

• Fiscal year 2010: None

• Fiscal year 2011: $1.8 million (four contracts)
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 96 GAO-12-788 Prevention and Public Health Fund

Table 59: FY 2011 Contracts, Education and Outreach Campaign Regarding Preventive Benefits

Recipient Purpose State Award (dollars)

Ogilvy Public Relations Worldwide Inc. Communications Support for Pharmacists Partnership 

and Cardiovascular Disease Prevention Activities

GA $1,696,945

Four Seasons Environmental, Inc. CDC Program Oversight & Implementation GA 70,000

Northrup Grumman Systems Corporation CDC Program Oversight & Implementation GA 15,000

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 10,000

Total (4 awards) $1,791,945

Source: GAO analysis of HHS information.

Activity: National Prevention Strategy

The purpose of this activity is to guide our nation in the most effective and 

achievable way to improve health and well being; the National Prevention 

Strategy prioritizes prevention by integrating recommendations and 

actions across multiple settings to improve health and save lives.

• Fiscal year 2010: $0.01 million (one contract)

• Fiscal year 2011: $0.7 million (four contracts)

Table 60: FY 2010 Contract, National Prevention Strategy

Recipient Purpose State Award (dollars)

Northrop Grumman Support all aspects of full lifecycle application systems development and 

maintenance on a variety of platforms including mainframe, client server, and web; 

architecture and infrastructure design to support enterprise application software 

services including hardware/software/network design and implementation; database 

design, application development and support; data management and security 

controls; quality assurance, test and control functions; and technical communication, 

consultation and information support.

GA $14,500

Total (1 award) $14,500

Source: GAO analysis of HHS information.
Appendix II: Centers for Disease Control and 

Prevention—Prevention and Public Health 

Fund Awards by Activity

Page 97 GAO-12-788 Prevention and Public Health Fund

Table 61: FY 2011 Contracts, National Prevention Strategy

Recipient Purpose State Award (dollars)

Deloitte Consulting, LLP Strategic & Tactical Planning, Workforce Development and 

other Related Transformation Initiatives

GA $529,525

Department of Energy Research Participation Program GA 98,000

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 35,000

Goodwill Industries of North GA CDC Program Oversight & Implementation GA 5,000

Total (4 awards) $667,525

Source: GAO analysis of HHS information.

Activity: Promoting Obesity Prevention in Early Childhood Programs

The purpose of this activity is to encourage child care providers across 

the nation to adopt healthier policies and practices around physical 

activity and nutrition, including limiting screen time and supporting 

breastfeeding.

• Fiscal year 2010: None

• Fiscal year 2011: $0.7 million (seven contracts)

Table 62: FY 2011 Contracts, Promoting Obesity Prevention in Early Childhood Programs 

Recipient Purpose State Award (dollars)

National Institutes of Health CDC support for NCCOR coordinating and collaborating projects GA $200,000

McKing Consulting Corporation Management Consultation and Technical Assistance GA 194,969

The Regents of the University of 

Colorado

Development of a comprehensive state policy evaluation for 

nutrition, physical activity and obesity (University of Colorado, 

Denver)

CO 150,000

Department of Energy Collaborative efforts to prevent obesity in early childhood GA 93,031

FHI Development 360 LLC ORISE: Nutrition and Physical Activity Research GA 80,001

Deloitte Consulting, LLP CDC Program Oversight & Implementation GA 28,000

Four Seasons Environmental, Inc. CDC Program Oversight & Implementation GA 2,000

Total (7 awards) $748,001

Source: GAO analysis of HHS information.
Appendix III: Health Resources and Services 

Administration—Prevention and Public Health 

Fund Awards by Activity

Page 98 GAO-12-788 Prevention and Public Health Fund

This appendix presents information on awards made by the Health 

Resources and Services Administration (HRSA) for Prevention and Public 

Health Fund (PPHF) activities with funds allocated and transferred from 

the PPHF for fiscal years (FY) 2010 and 2011. For each HRSA activity 

that received PPHF funding, tables 63 through 70 summarize information 

on awards made with those funds through grants and contracts for each 

fiscal year.1

The information presented in this appendix, including the purpose of the 

PPHF-funded activity, was obtained from HHS. Due to the large number 

of awards, we did not edit the award recipient information to correct 

typographical or grammatical errors, or clarify the information provided. In 

general, we reprinted the abbreviations and acronyms provided by HHS 

and the legislative authority cited in the FOA or otherwise provided by 

HHS. We did not independently verify the legislative authority. Totals in 

this appendix (reported obligations) may not match—for example, they 

may be less than—the amounts in table 2 (reported allocations). 

According to HHS officials, to carry out an activity, an agency may incur 

administrative expenses, including internal costs associated with 

managing and overseeing grants and contracts, not reflected in award 

amounts. Further, to the extent that an appropriation has not identified a 

particular amount for a specific activity, an agency may reallocate 

unobligated funds from that activity to another during the course of a 

fiscal year.

Award information was provided by HHS’s Assistant 

Secretary for Financial Resources, HRSA, or reported in the funding 

opportunity announcements (FOA) HHS identified as being associated 

with the activity and awards.

Activity: Primary Care Training and Enhancement

The purpose of this activity is to support and develop primary care 

physician and physician assistant programs. The program deploys its 

resources to strengthen medical education for physician and physician 

assistants to improve the quantity, quality, distribution, and diversity of the 

primary care workforce.

 

1

The tables present information on cooperative agreements with grants, and include 

information on interagency agreements with contracts.

Appendix III: Health Resources and Services 

Administration—Prevention and Public 

Health Fund Awards by Activity
Appendix III: Health Resources and Services 

Administration—Prevention and Public Health 

Fund Awards by Activity

Page 99 GAO-12-788 Prevention and Public Health Fund

• Fiscal year 2010: $197.5 million (110 grants in two funding 

announcements)

• Fiscal year 2011: None

Table 63: FY 2010 Grants, Primary Care Training and Enhancement

Announcements (2) Recipienta State Award (dollars) 

1. Primary Care Residency Expansion 

Program (HRSA-10-277)

Purpose (award type): To increase the 

number of primary care physicians by 

expanding enrollment in accredited primary 

care residency programs, including family 

medicine, general internal, and general 

pediatric medicine. The program funds 

resident support of $80,000 per resident per 

year for a total of three years per resident. 

(New)

Legislative Authority: Section 747 of the 

Public Health Service Act (42 U.S.C. 293k), 

as amended by section 5301 of the Patient 

Protection and Affordable Care Act 

(Pub. L. 111-148), and section 4002 of the 

Patient Protection and Affordable Care Act 

(Publ. L. 111-148).

Eligibility: Public or nonprofit private 

hospitals, schools of medicine or osteopathic 

medicine, or a public or private nonprofit 

entity which the Secretary has determined is 

capable of carrying out such grants. An 

applicant must be accredited as a residency 

training program in family medicine, general 

internal medicine, and/or general pediatrics 

by the Accreditation Council for Graduate 

Medical Education (ACGME) or by the 

American Osteopathic Association (AOA).

Children’s Hospital & Research Center at Oakland CA $3,840,000

Children’s National Medical Center DC 3,840,000

Boston Medical Center MA 3,840,000

Baystate Medical Center MA 3,840,000

The Ohio State University OH 3,840,000

Johns Hopkins University MD 3,839,998

University of North Carolina At Chapel Hill NC 3,715,684

Spectrum Health Hospitals MI 3,490,659

Danbury Hospital CT 3,360,000

Louisiana State University Health Science Center LA 3,120,000

Regents of University of California CA 2,880,000

Baystate Medical Center MA 2,880,000

Bronx-Lebanon Hosp Ctr NY 2,880,000

Bronx-Lebanon Hosp Ctr NY 2,880,000

Kingsbrook Jewish Medical Center NY 2,880,000

Richmond Medical Center NY 2,880,000

The Reading Hospital And Medical Center PA 2,880,000

Meharry Medical College TN 2,880,000

Mount Auburn Hospital MA 2,879,998

Variety Children’s Hospital dba Miami Children’s Hospital FL 2,861,568

University of Pennsylvania PA 2,777,757

Tulane University, School of Medicine LA 2,472,964

Texas Tech University Health Sciences Center TX 1,920,001

Regents of the University of California CA 1,920,000

Catholic Healthcare West/St. Mary Medical Center CA 1,920,000

The Regents of the University of California, Los Angeles CA 1,920,000

Regents of the University of California CA 1,920,000

The Regents of the University of California, San Francisco CA 1,920,000

The Regents of the University of California, San Francisco CA 1,920,000
Appendix III: Health Resources and Services 

Administration—Prevention and Public Health 

Fund Awards by Activity

Page 100 GAO-12-788 Prevention and Public Health Fund

Announcements (2) Recipienta State Award (dollars) 

Regents of the University of Colorado CO 1,920,000

University of Colorado Denver CO 1,920,000

University of Florida FL 1,920,000

The University of Illinois At Chicago IL 1,920,000

Central Iowa Hospital Corporation IA 1,920,000

Curators, University of Missouri on behalf of UMKC MO 1,920,000

Curators, University of Missouri On Behalf of UMKC MO 1,920,000

Cooper Health System D/B/A Cooper University Hospital NJ 1,920,000

Cooper Health System D/B/A Cooper University Hospital NJ 1,920,000

Newark Beth Israel Medical Center NJ 1,920,000

Newark Beth Israel Medical Center NJ 1,920,000

University of Medicine and Dentistry of New Jersey NJ 1,920,000

St. Elizabeth Medical Center NY 1,920,000

Crozer-Chester Medical Center PA 1,920,000

Albert Einstein Healthcare Network PA 1,920,000

Children’s Hospital of Pittsburgh of the UPMC Health 

System

PA 1,920,000

Medical University of South Carolina SC 1,920,000

The University of Texas Southwestern Medical Center At 

Dallas

TX 1,920,000

Baylor College of Medicine TX 1,920,000

Carilion Medical Center VA 1,920,000

Community Health of Central Washington WA 1,920,000

Marshfield Clinic Research Foundation WI 1,920,000

Marshfield Clinic Research Foundation WI 1,920,000

Hennepin Healthcare System, Inc/Hennepin County 

Medical Center

MN 1,918,827

Sisters of Charity Hospital NY 1,912,499

Variety Children’s Hospital Doing dba Miami Children’s 

Hospital

FL 1,907,712

Freeman Oak Hill Health System MO 1,907,712

University of Connecticut Health Center CT 1,890,723

University of Rochester NY 1,887,125

Cincinnati Children’s Hospital Medical Center OH 1,872,024

Board of Trustees of Southern Illinois University IL 1,869,763

New Hanover Regional Medical Center NC 1,795,571

Virginia Commonwealth University VA 1,585,520

University of Arkansas for Medical Sciences AR 1,520,001
Appendix III: Health Resources and Services 

Administration—Prevention and Public Health 

Fund Awards by Activity

Page 101 GAO-12-788 Prevention and Public Health Fund

Announcements (2) Recipienta State Award (dollars) 

University of Arkansas for Medical Sciences-Cancer 

Research Center

AR 1,520,001

Montefiore Medical Center NY 1,490,111

Yellowstone City & County Health Department/Riverstone 

Health

MT 960,003

The Family Medicine Residency of Idaho, Inc. ID 960,000

The Family Medicine Residency of Idaho, Inc. ID 960,000

Idaho State University ID 960,000

Swedish Covenant Hospital IL 960,000

Community Hospitals Foundation IN 960,000

Univ. of Mass. Medical School MA 960,000

The Regents of the University of Michigan MI 960,000

Board of Regents, University of Nevada, Reno NV 960,000

UMDNJ – Robert Wood Johnson Medical School NJ 960,000

UPMC Presbyterian Shadyside PA 960,000

Baylor Research Institute TX 960,000

Texas Tech Univ Health Sciences Center TX 960,000

Providence St Peter Hospital WA 960,000

Group Health Cooperative WA 960,000

University of Arkansas AR 759,999

University of Arkansas for Medical Sciences-Cancer 

Research Center

AR 759,999

Total (82 awards) $167,356,219

2. Expansion of Physician Assistant 

Training (EPAT) Program 

(HRSA-10-278)

Purpose (award type): To increase student 

enrollment in primary care Physician 

Assistant programs and graduates planning to 

practice primary care specialties. The 

program funds physician assistant student 

stipends, educational expenses, reasonable 

living expenses and indirect costs for a total 

of $22,000 per student, for a maximum of two 

years per student, plus indirect costs. (New)

Riverside Community College District/Moreno Valley 

Campus

CA $2,117,808

The Research Foundation of SUNY NY 2,046,528

University of Texas-Pan American TX 1,980,000

University of Washington WA 1,980,000

Lincoln Memorial University TN 1,900,800

Grand Valley State University MI 1,791,720

Duke University Medical Center NC 1,320,000

Samuel Merritt College CA 1,232,000
Appendix III: Health Resources and Services 

Administration—Prevention and Public Health 

Fund Awards by Activity

Page 102 GAO-12-788 Prevention and Public Health Fund

Announcements (2) Recipienta State Award (dollars) 

Legislative Authority: Section 747 of the

Public Health Service Act (42 U.S.C. 293k), 

as amended by section 5301 of the Patient 

Protection and Affordable Care Act 

(Pub. L. 111-148), and section 4002 of the 

Patient Protection and Affordable Care Act 

(Pub. L. 111-148).

Eligibility: Public or private academically 

affiliated physician assistant training 

programs that have as their objective the 

education of individuals who, upon completion 

of their studies in the program, will be 

qualified to provide primary care medical 

services with the supervision of a physician.

Methodist University, Inc. NC 1,188,000

Shenandoah University VA 1,069,200

LeMoyne College NY 1,056,000

The University of Toledo Health Science Campus OH 1,009,880

University of New England ME 990,000

King’s College PA 990,000

University of Nebraska Medical Center NE 924,000

Chatham University PA 880,000

University of Colorado Denver CO 855,360

New York Institute of Technology NY 855,360

Union College NE 792,000

University of Southern California CA 704,000

Desales University PA 704,000

Marywood University PA 704,000

University of Utah UT 704,000

Pace University NY 660,000

Miami Dade College Medical Center Campus FL 641,520

The Univ. of Oklahoma Health Sciences Center OK 418,171

State of Colorado for Red Rocks Community College CO 399,495

University of New Mexico Health Sciences Center NM 204,239

Total (28 awards) $30,118,081

Source: GAO analysis of HHS information.

a

According to HRSA officials, applicants could submit applications for each accredited family 

medicine, general internal medicine, or general pediatric residency program in primary care provided 

by the institution, and could receive multiple awards. 

Activity: Public Health Workforce Development

The purpose of this activity is to support the training of public health 

workers. Public health workers protect and improve the health of 

communities through education, disease prevention and health 

promotion, and monitoring, diagnosis, research, and provision of services 

to address community health problems.

• Fiscal year 2010: $14.8 million (24 grants in one funding 

announcement)

• Fiscal year 2011: $20.0 million (32 grants in one funding 

announcement)
Appendix III: Health Resources and Services 

Administration—Prevention and Public Health 

Fund Awards by Activity

Page 103 GAO-12-788 Prevention and Public Health Fund

Table 64: FY 2010 Grants, Public Health Workforce Development

Announcement Recipient State Award (dollars)

Public Health Training Centers Program 

(HRSA-10-270)

Purpose (award type): To improve the nation’s 

public health system by strengthening the 

technical, scientific, managerial, and leadership 

competence of the current and future public 

health workforce. A public health training center 

plans, develops, operates, and evaluates 

projects that are in furtherance of the goals 

established by the Secretary in the areas of 

preventive medicine, health promotion and 

disease prevention, or improving access to and 

quality of health services in medically 

underserved communities. (New)

Legislative Authority: Section 765 of the 

Public Health Service Act (42 U.S.C. 295), 

as amended by section 5206 of the Patient 

Protection and Affordable Care Act 

(Pub. L. 111-148), and section 766 of the 

Public Health Service Act (42 U.S.C. 295a), and 

section 4002 of the Patient Protection and 

Affordable Care Act (Publ. L. 111-148).

Eligibility: A Council on Education for Public 

Health (CEPH) accredited school of public 

health or another public or nonprofit private 

institution accredited for the provision of 

graduate or specialized training in public health.

Regents of the University of California, Los Angeles CA $650,000

University of South Florida FL 650,000

Emory University GA 650,000

The Regents of the Univ of Michigan MI 650,000

University of Puerto Rico Medical Sciences Campus PR 650,000

University of South Carolina SC 650,000

East Tennessee State Univ TN 650,000

University of Washington WA 650,000

Univ of Pittsburgh PA 649,994

Trustees of Boston University, BUMC MA 649,977

The Research Foundation of SUNY NY 649,921

The Regents of the University of California CA 649,819

The Univ of Texas Health Science Center At Houston TX 649,801

The University of Oklahoma Health Sciences Center OK 649,750

University of Colorado Denver CO 649,497

UMDNJ-School of Public Health NJ 647,654

Arizona Board of Regents AZ 647,637

University of Kentucky Research Foundation KY 647,307

Univ of North Carolina at Chapel Hill NC 643,004

The University of Georgia GA 630,032

Board of Regents of the University of Wisconsin System WI 628,480

Trustees of Dartmouth College NH 618,734

Eastern Virginia Medical School VA 488,360

Indiana University IN 129,267

Total (24 awards) $14,829,234

Source: GAO analysis of HHS information.
Appendix III: Health Resources and Services 

Administration—Prevention and Public Health 

Fund Awards by Activity

Page 104 GAO-12-788 Prevention and Public Health Fund

Table 65: FY 2011 Grants, Public Health Workforce Development

Announcement Recipient State Award (dollars)

Public Health Training Centers Program 

(HRSA-11-142)

Purpose (award type): To improve the 

nation’s public health system by 

strengthening the technical, scientific, 

managerial, and leadership competence of 

the current and future public health 

workforce. A public health training center 

plans, develops, operates, and evaluates 

projects that are in furtherance of the goals 

established by the Secretary in the areas of 

preventive medicine, health promotion and 

disease prevention, or improving access to 

and quality of health services in medically 

underserved communities. (New and 

Continuation)

Legislative Authority: Section 765 of the 

Public Health Service Act (42 U.S.C. 295), 

as amended by section 5206 of the Patient 

Protection and Affordable Care Act 

(Pub. L. 111-148), and section 766 of the 

Public Health Service Act (42 U.S.C. 295a), 

and section 4002 of the Patient Protection 

and Affordable Care Act (Pub. L. 111-148).

Eligibility: A Council on Education for Public 

Health (CEPH) accredited school of public 

health or another public or nonprofit private 

institution accredited for the provision of 

graduate or specialized training in public 

health.

Regents of the University of California, Los Angeles CA $650,000

University of South Florida FL 650,000

Emory University GA 650,000

The Board of Trustees of the University of Illinois IL 650,000

University of Iowa IA 650,000

The Regents of the University of Michigan MI 650,000

Regents of the University of Minnesota MN 650,000

Board of Regents of the University of Nebraska, UNMCa NE 650,000

University of South Carolina SC 650,000

East Tennessee State University TN 650,000

University of Washington WA 650,000

Yale Universitya CT 649,998

University of Pittsburgh PA 649,995

University of Colorado Denver CO 649,990

University of Alabama at Birminghama AL 649,981

Trustees of Boston University, BUMC MA 649,972

The Regents of the University of California CA 649,905

The University of Texas Health Science Center at Houston TX 649,819

The Research Foundation of SUNY NY 649,496

Board of Regents of the University of Wisconsin System WI 647,154

University of Floridaa FL 645,158

Arizona Board of Regents AZ 645,038

UMDNJ-New Jersey-School of Public Health NJ 644,441

The University of Oklahoma Health Sciences Center OK 642,064

University of Puerto Rico Medical Sciences Campus PR 640,879

University of North Carolina at Chapel Hill NC 639,004

The University of Georgia GA 633,022

Trustees of Dartmouth College NH 619,090

University of Massachusetts Amhersta MA 614,589

University of Kentucky Research Foundation KY 610,781

Eastern Virginia Medical School VA 491,849

Indiana University IN 129,748

Total (32 awards) $19,951,973

Source: GAO analysis of HHS information.

a

Indicates new awards for five recipients, remainder are continuation awards.
Appendix III: Health Resources and Services 

Administration—Prevention and Public Health 

Fund Awards by Activity

Page 105 GAO-12-788 Prevention and Public Health Fund

Activity: Advanced Nursing Education

The purpose of this activity is to build and enhance advanced nursing 

education programs, including grants to schools of nursing to accelerate 

the education of primary care advanced practice nurses.

• Fiscal year 2010: $31 million (26 grants in one funding 

announcement)

• Fiscal year 2011: None

Table 66: FY 2010 Grants, Advanced Nursing Education

Announcement Recipient State Award (dollars)

Advanced Nursing Education Expansion 

(HRSA-10-281)

Purpose (award type): To increase the 

number of students enrolled full time in 

accredited primary care Nurse Practitioner 

and Nurse Midwifery programs and to 

accelerate the graduation of part time 

students in such programs by encouraging 

full time enrollment. The program provides 

master’s, post master’s, and, on a limited 

basis, doctor of nursing practice students 

with stipends, educational expenses, or 

other reasonable living expenses for 

$22,000 per year, for a maximum of two 

years per student, plus indirect costs. 

(New)

Legislative Authority: Section 811(a)(1) of 

the Public Health Service Act (42 U.S.C. 

296j(a)(1), as amended by section 5308 of 

the Affordable Care Act (Pub. L. 111-148), 

and section 4002 of the Patient Protection 

and Affordable Care Act (Pub. L. 111-148). 

Eligibility: Collegiate schools of nursing, 

academic health centers, and other private 

or public entities accredited by a national 

nursing accrediting agency recognized by 

the Secretary of the U.S. Department of 

Education that offer and have students 

enrolled in a primary care nurse practitioner 

program and/or an accredited nursemidwifery program. 

Florida State University FL $1,425,600

University of Illinois at Chicago/The Board of Trustees of 

the University of Illinois

IL 1,425,600

Michigan State University MI 1,425,600

The University of Michigan-Flint MI 1,425,600

Daemen College NY 1,425,600

Pace University NY 1,425,600

Case Western Reserve Univ OH 1,425,600

Medical Univ of South Carolina SC 1,425,600

East Tennessee State University TN 1,425,600

University of Texas Health Science Center at San Antonio TX 1,425,600

Univ of Utah UT 1,425,600

The Pennsylvania State Univ PA 1,335,840

College of St. Scholastica MN 1,330,560

Wayne State University MI 1,320,000

Oregon Health & Science University OR 1,283,040

Duke Univ School of Nursing NC 1,276,000

Shenandoah Univ VA 1,188,000

Western Univ of Health Sciences CA 1,056,000

Trustees of the Univ of Pennsylvania PA 950,400

West Virginia University Rsch Corporation WV 950,400

Georgia State Univ Research Foundation, Inc. GA 831,600

Rutgers, The State University NJ 807,840

Univ of Oklahoma Health Sciences Center OK 807,840

Univ of Massachusetts Medical School MA 760,816
Appendix III: Health Resources and Services 

Administration—Prevention and Public Health 

Fund Awards by Activity

Page 106 GAO-12-788 Prevention and Public Health Fund

Announcement Recipient State Award (dollars)

Univ of Detroit Mercy MI 760,320

University of Miami FL 704,000

Total (26 awards) $31,044,256

Source: GAO analysis of HHS information.

Activity: Nurse Managed Care Centers

The purpose of this activity is to support nurse managed clinics which 

improve access to primary care, enhance nursing practice by increasing 

the number of clinical teaching sites for primary care and community 

health nursing students, and develop electronic processes for 

establishing effective patient and workforce data collection systems.

• Fiscal year 2010: $14.8 million (10 grants in one funding 

announcement)

• Fiscal year 2011: None
Appendix III: Health Resources and Services 

Administration—Prevention and Public Health 

Fund Awards by Activity

Page 107 GAO-12-788 Prevention and Public Health Fund

Table 67: FY 2010 Grants, Nurse Managed Care Centers

Announcement Recipient State 

Award 

(dollars)

Nurse Managed Health Clinics (HRSA-10-282)

Purpose (award type): To support the 

development and operation of Nurse-Managed 

Health Clinics (NMHC) to: (1) improve access to 

comprehensive primary health care and/or wellness 

services (disease prevention and health promotion) 

across the lifespan, (2) provide services in 

medically underserved areas and/or for vulnerable 

populations; (3) serve as clinical training sites for 

students in primary care and specifically, enhance 

nursing practice by increasing the number of 

structured clinical teaching sites for primary and 

community health graduate nursing students; and 

(4) establish or enhance electronic processes for 

establishing effective patient and workforce data 

collection systems. (New)

Legislative Authority: Section 330A-1 of the 

Public Health Service Act (42 U.S.C. 254c-1a) 

as added by Section 5208 of the Patient Protection 

and Affordable Care Act (Pub. L. 111-148), and 

section 4002 of the Patient Protection and 

Affordable Care Act (Pub. L. 111-148).

Eligibility: Nurse-managed health clinics (NMHC) 

that are associated with an accredited school, 

college, university, or department of nursing, 

federally qualified health center or independent 

nonprofit health or social services agency. 

Applicants must provide primary care or wellness 

services to vulnerable and/or underserved 

populations.

Fair Haven Community Health Clinic, Inc. CT $1,500,000

University of Mississippi Medical Center MS 1,500,000

The University of Texas Medical Branch at Galveston TX 1,500,000

University of Illinois at Chicago/The Board of Trustees 

of the University of Illinois

IL 1,499,995

Regents of the Univ of Michigan MI 1,498,577

University of Colorado, Denver CO 1,498,206

The Regents of the University of California, San 

Francisco

CA 1,497,320

St. Mary’s Health Wagon, Inc. VA 1,493,634

Tides Center–Women’s Community Clinic CA 1,459,366

East Tennessee State University TN 1,400,998

Total (10 awards) $14,848,096

Source: GAO analysis of HHS information.

Activity: State Health Workforce Development Grants for Primary Care

The purpose of this activity is to provide support to states in expanding 

their health care workforce by enabling state partnerships (generally the 

State Workforce Investment Board) to complete comprehensive planning 

and to carry out activities leading to coherent and comprehensive health 

care workforce development strategies at the state and local levels, with 

particular emphasis on primary care.

• Fiscal Year 2010: $5.6 million (26 grants in two funding 

announcements)

• Fiscal Year 2011: None
Appendix III: Health Resources and Services 

Administration—Prevention and Public Health 

Fund Awards by Activity

Page 108 GAO-12-788 Prevention and Public Health Fund

Table 68: FY 2010 Grants, State Health Workforce Development Grants for Primary Care

Announcements (2) Recipient State 

Award

(dollars)

1. State Health Care Workforce Planning Grants 

(HRSA-10-284)

Purpose (award type): To enable State 

partnerships to complete comprehensive health 

care workforce development planning to address 

current and projected workforce demands within 

the State. (New)

Legislative Authority: Section 5102 of the 

Affordable Care Act; and section 4002 of the 

Patient Protection and Affordable Care Act, 

Public Law 111-148.

Eligibility: Limited to eligible State partnerships 

(generally a State Workforce Investment Board) 

that includes, or modifies the members to include, 

at least one representative from each of the 

following: health care employer, labor 

organization, a public 2-year institution of 

higher education, a public 4-year institution of 

higher education, the recognized State federation 

of labor, the State public secondary education 

agency, the State P-16 or P-20 Council 

(statewide assemblies of education, business, and 

community leaders charged with developing 

strategies to better coordinate, integrate, and 

improve education for preschool through college 

students), if such a council exists, and a 

philanthropic organization that is actively engaged 

in providing learning, mentoring, and work 

opportunities to recruit, educate, and train 

individuals for, and retain individuals in, careers in 

health care and related industries. 

California Department of Employment Development CA $150,000

Colorado Department of Public Health and Environment CO 150,000

Connecticut Employment & Training Commission CT 150,000

Hawaii Department of Labor and Industrial Relations HI 150,000

Idaho Department of Labor ID 150,000

Kansas Department of Commerce KS 150,000

Maine Jobs Council ME 150,000

Maryland Governor’s Workforce Investment Board MD 150,000

Montana State University MT 150,000

NJ Department of Labor and Workforce NJ 150,000

New Mexico Department of Labor NM 150,000

New York State Department of Labor NY 150,000

University of North Dakota ND 150,000

Alaska Department of Labor And Workforce Development, 

ESD 

AK 150,000

State of Ohio – Department of Health OH 150,000

Pennsylvania Department of Labor & Industry PA 150,000

University of Wisconsin –Madison WI 150,000

Nevada Dept of Employment, Training, and Rehabilitation NV 149,999

MN Department of Employment and Economic 

Development

MN 149,599

Wyoming Department of Workforce Services WY 149,396

Commonwealth Corporation MA 149,271

District of Columbia Department of Employment Services DC 149,250

North Carolina Department of Commerce Division of 

Workforce Development

NC 144,595

University of Vermont VT 131,786

South Carolina Department of Employment and Workforce SC 114,604

Total (25 awards) $3,688,500
Appendix III: Health Resources and Services 

Administration—Prevention and Public Health 

Fund Awards by Activity

Page 109 GAO-12-788 Prevention and Public Health Fund

Announcements (2) Recipient State 

Award

(dollars)

2. State Health Care Workforce Implementation 

Grants (HRSA-10-285)

Purpose (award type): To enable State 

partnerships to implement workforce development

plans or carry out activities as defined by the State 

application in order to address current and 

projected workforce demands within the 

State.(New)

Legislative Authority: Section 5102 of the 

Affordable Care Act; and section 4002 of the 

Patient Protection and Affordable Care Act, Public 

Law 111-148.

Eligibility: A State partnership shall have 

(1) received a planning grant as specified under 

subsection c of Section 5102, P.L. 111-148 and 

completed all requirements of such grant; or 

(2) completed a satisfactory application, including 

a plan to coordinate with required partners and 

complete the required activities during the two 

year period of the implementation grant.

Virginia State Department of Health VA $1,935,137

Total (1 award) $1,935,137

Source: GAO analysis of HHS information.

Activity: HRSA Healthy Weight Collaborative and Activities

The purpose of this activity is to integrate primary care, public health, and 

the community by using quality improvement science to identify, test, and 

disseminate evidence-based interventions to prevent and treat obesity in 

children and families.

• Fiscal year 2010: $5.0 million (one grant in one funding 

announcement)

• Fiscal year 2011: None
Appendix III: Health Resources and Services 

Administration—Prevention and Public Health 

Fund Awards by Activity

Page 110 GAO-12-788 Prevention and Public Health Fund

Table 69: FY 2010 Grants, HRSA Healthy Weight Collaborative

Announcement Recipient State Award (dollars) 

Prevention Center For Healthy Weight 

(HRSA-10-303)

Purpose (award type): To support a Prevention 

Center for Healthy Weight (PC) to plan, implement, 

and manage a nation-wide Healthy Weight 

Collaborative (HWC) as well as recruit and support 

communities and teams participating in the HWC. 

The PC will also serve as a gateway to quality 

information on the prevention and treatment of 

overweight and obesity in the context of integration 

of public and community health and primary care. 

(New)

Legislative Authority: Title V, Section 501(a)(2) 

Social Security Act (42 U.S.C. 701) and Section 

4002 of the Patient Protection and Affordable Care 

Act (P.L. 111-148).

Eligibility: Any public or private nonprofit entity, 

including state and local government agencies, 

institutions of higher education, and an Indian tribe 

or tribal organization. Applicants must have at least 

four years experience in the fields of quality 

management, quality improvement, developing and 

disseminating informational materials, and 

providing training or technical assistance related to 

the prevention and treatment of overweight and 

obesity on a national level. The applicant should 

have experience working with public health, 

community-based organizations, primary care, 

behavioral health, and academic institutions in 

addressing these concerns. The Prevention Center 

may be a consortium of organizations composed of 

more than one eligible entity, but only one entity 

can be the official applicant for funding. All other 

organizations are members of the consortium or 

partnership.

National Initiative For Children’s Healthcare Quality MA $4,983,638

Total (1 award) $4,983,638

Source: GAO analysis of HHS information.

Activity: Nutrition, Physical Activity, and Screen Time Standards in Child 

Care Settings

The purpose of this activity is to enhance the quality of out-of-home child 

care by supporting the state and local health departments, early care and 

education regulatory agencies, early care and education providers, and 

parents in their efforts to identify and promote healthy and safe early care.
Appendix III: Health Resources and Services 

Administration—Prevention and Public Health 

Fund Awards by Activity

Page 111 GAO-12-788 Prevention and Public Health Fund

• Fiscal year 2010: $0.2 million (one grant in one funding 

announcement)

• Fiscal year 2011: None

Table 70: FY 2010 Grant, Nutrition, Physical Activity, and Screen Time Standards in Child Care Settings

Announcement Recipient State Award (dollars)

National Resource Center for Health and Safety 

in Child Care Settings (HRSA-05-058)

Purpose (award type): The National Resource 

Center (NRC) In partnership with national experts 

(American Academy of Pediatrics and American 

Public Health Association), coordinates the 

development, updating and promotion of voluntary 

national evidence-based health and safety 

standards for child care programs—commonly 

referred to as Caring for Our Children. 

(Supplement)

Legislative Authority: Title V, Section 501(a)(2-3) 

Social Security Act (42 U.S.C. 701) and 

Section 4002 of the Patient Protection and 

Affordable Care Act (P.L. 111-148).

Eligibility: Supplemental funding to the National 

Resource Center for Health and Safety in Child 

Care, University of Colorado, Denver, College of 

Nursing. 

University of Colorado, Denver, College of Nursing CO $249,000

Total (1 award) $249,000

Source: GAO analysis of HHS information.
Appendix IV: Office of the Secretary—

Prevention and Public Health Fund Awards by 

Activity

Page 112 GAO-12-788 Prevention and Public Health Fund

This appendix presents information on awards made by the Office of the 

Secretary (OS) for Prevention and Public Health Fund (PPHF) activities 

with funds allocated and transferred from the PPHF for fiscal years (FY) 

2010 and 2011. For each OS activity that received PPHF funding, tables 

71 through 77 summarize information on awards made with those funds 

through grants and contracts for each fiscal year.1

The information presented in this appendix, including the purpose of the 

PPHF-funded activity, was obtained from HHS. Due to the large number 

of awards, we did not edit the award recipient information to correct 

typographical or grammatical errors, or clarify the information provided. In 

general, we reprinted the abbreviations and acronyms provided by HHS. 

Totals in this appendix (reported obligations) may not match—for 

example, they may be lower than—the amounts in table 2 (reported 

allocations). According to HHS officials, to carry out an activity, an agency 

may incur administrative expenses, including an agency’s internal costs 

associated with managing and overseeing grants and contracts, not 

reflected in award amounts. Further, to the extent that an appropriation 

has not identified a particular amount for a specific activity, an agency 

may reallocate unobligated funds from that activity to another during the 

course of a fiscal year.

Award information was 

provided by HHS’s Assistant Secretary for Financial Resources and OS 

officials.

Activity: Obesity Media Activities

The purpose of this activity is to develop and execute innovative 

communication campaigns, including both print and online materials 

development for anti-obesity and healthy lifestyle initiatives.

• Fiscal year 2010: $9.1 million (one contract)

• Fiscal year 2011: $8.6 million (two contracts)

 

1

The tables present information on cooperative agreements with grants, and include 

information on interagency agreements with contracts.

Appendix IV: Office of the Secretary—

Prevention and Public Health Fund Awards 

by Activity
Appendix IV: Office of the Secretary—

Prevention and Public Health Fund Awards by 

Activity 

Page 113 GAO-12-788 Prevention and Public Health Fund

Table 71: FY 2010 Contracts, Obesity Media Activities

Recipient Purpose State Award (dollars)

Oglivy Public Relations Develop strategic outreach plans NY $9,100,000

Total (1 award) $9,100,000

Source: GAO analysis of HHS information.

Table 72: FY 2011 Contracts, Obesity Media Activities

Recipient Purpose State Award (dollars)

Oglivy Public Relations Public awareness campaigns NY $5,993,740

Ad Council Public awareness campaigns NY 2,650,000

Total (2 awards) $8,643,740

Source: GAO analysis of HHS information.

Activity: Tobacco Prevention Media

The purpose of this activity is to launch a mass-media countermarketing 

campaign to prevent youth initiation, promote cessation among adults, 

and change social norms, using social media initiatives, a website, and 

smart phone applications.

• Fiscal year 2010: None

• Fiscal year 2011: $10.1 million (12 contracts)
Appendix IV: Office of the Secretary—

Prevention and Public Health Fund Awards by 

Activity

Page 114 GAO-12-788 Prevention and Public Health Fund

Table 73: FY 2011 Contracts, Tobacco Prevention Media

Recipient Purpose State 

Award

(dollars)

PlowShare Group Inc Smoking Cessation campaign CT $4,000,000

Aquilent Web development MD 2,052,116

Matthews Media Group Smoking Cessation campaign MD 2,000,000

Aquilent Web development MD 494,224

American Independent Media Studio activities in support of tobacco related messaging MD 425,000

Communication Training Analysis Corporation Research and database VA 298,939

Communication Training Analysis Corporation Research and database VA 229,960

Aquilent Web development MD 221,064

Intelligent Enterprise Solutions Develop engine to syndicate content MD 200,000

Interagency Agreement with OASH Content support 125,000

PSC Various processing fees 21,943

Web Training Web training 3,500

Total (12 awards) $10,071,746

Source: GAO analysis of HHS information.

Activity: National Prevention, Health Promotion, and Public Health 

Council Planning

The purpose of this activity is to support the National Prevention Council, 

including a national conference that will bring together individuals, 

agencies, organizations, and programs that are putting into practice 

activities that will advance prevention per the Healthy People 2020 

initiative.

• Fiscal year 2010: $1.1 million (one grant for $0.1 million2 and three 

contracts totaling $1.0 million)

• Fiscal year 2011: None

 

2

HHS did not provide a funding announcement for this award. According to HHS officials, 

OS awarded $138,000 to the Association for Prevention Teaching Workshop for fiscal 

year 2010.
Appendix IV: Office of the Secretary—

Prevention and Public Health Fund Awards by 

Activity

Page 115 GAO-12-788 Prevention and Public Health Fund

Table 74: FY 2010 Contracts, National Prevention, Health Promotion, and Public Health Council Planning

Recipient Purpose State 

Award

(dollars)

IQ Solutions, Inc. Contracts to support strategic planning within the Office of Public 

Health and Science, such as support for the National Prevention, 

Health Promotion, and Public Health Council and Advisory Group 

in section 4001 of the Affordable Care Act.

$620,000

American Institutes For Research 66,000

National Opinion Research Center 300,000

Total (3 awards) $986,000

Source: GAO analysis of HHS information.

Activity: President’s Council on Fitness, Sports, and Nutrition

The purpose of this activity is to coordinate obesity activities, including the 

Let’s Move Ambassador Program; the President’s Active Lifestyle Awards 

Program; the Youth Empowerment Program, and support for a 

Leadership Development Series for the Council.

• Fiscal year 2010: $0.8 million (two contracts)

• Fiscal year 2011: None

Table 75: FY 2010 Contracts, President’s Council on Fitness, Sports, and Nutrition

Recipient Purpose State 

Award

(dollars)

National Initiative on Physical Fitness for Children and 

Youth with Disabilities (OPHS-10-239)

Interagency agreements to coordinate obesity, including 

the Let’s Move Ambassador Program; the President’s 

Active Lifestyle Awards Program; the Youth 

Empowerment Program, and support for a Leadership 

Development Series for the Council. 

$500,000

Research Participation Program (OPHS-10-228) 292,000

Total (2 awards) $792,000

Source: GAO analysis of HHS information.

Activity: Tobacco Cessation

The purpose of this activity is to implement tobacco cessation activities, 

such as reducing tobacco use among low social economic status women 

of childbearing age, reducing the impact of tobacco use on their children, 

and other outreach efforts.

• Fiscal year 2010: $0.7 million (three contracts)

• Fiscal year 2011: None
Appendix IV: Office of the Secretary—

Prevention and Public Health Fund Awards by 

Activity

Page 116 GAO-12-788 Prevention and Public Health Fund

Table 76: FY 2010 Contracts, Tobacco Cessation

Recipient Purpose State 

Award

(dollars)

Tobacco and Young, Low-SES Women Federal 

Collaboration Smoking Cessation and Prevention 

Program (OPHS-10-213)

Contract and interagency agreements to implement 

tobacco cessation activities, such as reducing tobacco 

use among low social economic status women of 

childbearing age, reducing the impact of tobacco use on 

their children, and other outreach efforts.

$285,000

American Institutes for Research 226,000

LSES Women and Tobacco Collaborative 

Demonstration Project (OPHS-10-231)

150,000

Total (3 awards) $661,000

Source: GAO analysis of HHS information.

Activity: Healthy Living Innovations Awards

The purpose of this activity is to create a public challenge project that 

would address three health promotion areas: healthy weight, physical 

activity, and nutrition. Project funds were used to develop the website, 

market the challenge, coordinate the review process for 250 applications, 

develop a monthly report on the website analytics, and manage the 

logistics of bringing the challenge winners to Washington, D.C. to 

received an award (plaques) and present on their projects at a national 

conference. The contractor also developed a final report documenting the 

process and highlighting areas of improvement.

• Fiscal year 2010: $0.1 million (one contract)

• Fiscal year 2011: None

Table 77: FY 2010 Contract, Healthy Living Innovations Awards

Recipient Purpose State Award (dollars)

NORC at the University of Chicago Administer awards program MD $100,000

Total (1 award) $100,000

Source: GAO analysis of HHS information.
Appendix V: Substance Abuse and Mental 

Health Services Administration—Prevention 

and Public Health Fund Awards by Activity

Page 117 GAO-12-788 Prevention and Public Health Fund

This appendix presents information on awards made by the Substance 

Abuse and Mental Health Services Administration (SAMHSA) for 

Prevention and Public Health Fund (PPHF) activities with funds allocated 

and transferred from the PPHF for fiscal years (FY) 2010 and 2011. For 

each SAMHSA activity that received PPHF funding, tables 78 through 83 

summarize information on awards made with those funds through grants 

and contracts for each fiscal year.1

The information presented in this appendix, including the purpose of the 

PPHF-funded activity, was obtained from HHS. Due to the large number 

of awards, we did not edit the award recipient information to correct 

typographical or grammatical errors, or clarify the information provided. In 

general, we reprinted the abbreviations and acronyms provided by HHS 

and the legislative authority cited in the FOA or otherwise provided by 

HHS. We did not independently verify the legislative authority. Totals in 

this appendix (reported obligations) may not match—for example, they 

may be lower than—the amounts in table 2 (reported allocations). 

According to HHS officials, to carry out an activity, an agency may incur 

administrative expenses, including an agency’s internal costs associated 

with managing and overseeing grants and contracts, not reflected in 

award amounts. Further, to the extent that an appropriation has not 

identified a particular amount for a specific activity, an agency may 

reallocate unobligated funds from that activity to another during the 

course of a fiscal year.

Award information was provided by 

HHS’s Assistant Secretary for Financial Resources, SAMHSA, or 

reported in the funding opportunity announcements (FOA) HHS identified 

as being associated with the activity and awards.

Activity: Primary and Behavioral Health Care Integration

The purpose of this activity is to improve the physical health status of 

people with serious mental illnesses by supporting communities to 

coordinate and integrate primary care services in community mental 

health and other community-based behavioral health settings.

 

1

The tables present information on cooperative agreements with grants, and include 

information on interagency agreements with contracts.

Appendix V: Substance Abuse and Mental 

Health Services Administration—Prevention 

and Public Health Fund Awards by Activity
Appendix V: Substance Abuse and Mental 

Health Services Administration—Prevention 

and Public Health Fund Awards by Activity

Page 118 GAO-12-788 Prevention and Public Health Fund

• Fiscal year 2010: $20.0 million (35 grants in two funding 

announcements)

• Fiscal year 2011: $35.0 million (43 grants in two funding 

announcements)

Table 78: FY 2010 Grants, Primary and Behavioral Health Care Integration

Announcements (2) Recipient State Award (dollars)

1. Grants for Primary and Behavioral Health Care 

Integration (SM-09-011)

Purpose (award type): To improve the overall 

wellness and physical health status of people with 

serious mental illnesses by making available 

coordinated primary care services in community 

mental health and other community-based 

behavioral health settings. SAMHSA expects that 

people with serious mental illnesses will show 

improvement in their physical health status through 

participation in the programs associated with this 

grant. PBHCI also includes a focus on providing 

wellness education and support services. This grant 

program supports SAMHSA’s Pledge for Wellness 

10 by 10 Campaign to prevent and reduce early 

mortality among people with mental illness by 

10 years over the next 10 years. It is projected that 

better coordination and integration of primary and 

behavioral health care should lead to outcomes such 

as improved access to primary care services; 

improved prevention, early identification and 

intervention to avoid serious health issues including 

chronic diseases; enhanced capacity to holistically 

serve those with mental and/or substance use 

disorders; and better overall health status of clients. 

(New)

Legislative Authority: Section 520A of the Public 

Health Service Act, as amended.

Eligibility: Limited to publicly funded community 

mental health and other community-based 

behavioral health agencies. For the purposes of this 

announcement, community mental health and other 

behavioral health agencies are defined as the 

following: (1) an entity that meets applicable 

licensing or certification requirements in the State in 

which it is located; and (2) provides outpatient 

mental health and/or other behavioral health 

services for individuals with serious mental illness. 

Community Mental Health Affiliates, Inc. CT $496,863

Asian Community Mental Health Board CA 496,863

Glenn County Health Services Agency CA 496,863

Apalachee Center, Inc. FL 496,863

Coastal Behavioral Healthcare, Inc. FL 496,863

Miami Behavioral Health Center, Inc. FL 496,863

Heritage Behavioral Health Center, Inc. IL 496,863

St. Barnabas Hospital NY 496,863

North Oklahoma County Mental Health Center OK 496,863

Asian Counseling and Referral Services WA 496,863

Tarzana Treatment Centers, Inc. CA 496,862

Community Rehab Center (CRC), Inc. FL 496,862

LifeStream Behavioral Center FL 496,862

Washtenaw Community Health Organization MI 496,862

Catholic Charities, Diocese of Trenton NJ 496,862

Weber Human Services UT 496,862

Cobb County Community Services Board GA 496,825

Community Health and Counseling Services ME 496,820

Kent Center for Human and Organizational 

Development

RI 496,636

Postgraduate Center for Mental Health NY 496,372

County of San Mateo CA 496,307

Bronx Lebanon Hospital Center NY 496,135

Adult and Child Mental Health Center, Inc. IN 495,189

Austin Travis County MH/MR Center TX 494,900

Greater Cincinnati Behavioral Health Services OH 492,511

Family Services, Inc. MD 490,868

Downtown Emergency Services Center WA 482,394

Horizon House, Inc. PA 481,562

South Carolina Department of Mental Health SC 471,654
Appendix V: Substance Abuse and Mental 

Health Services Administration—Prevention 

and Public Health Fund Awards by Activity

Page 119 GAO-12-788 Prevention and Public Health Fund

Announcements (2) Recipient State Award (dollars)

Community Healthlink, Inc. MA 460,690

Lakeside Behavioral Healthcare, Inc. FL 448,343

Prestera Center for Mental Health Services, Inc. WV 438,513

Trilogy, Inc. IL 421,263

Alaska Island Community Services AK 296,836

Total (34 awards) $16,403,620

2. Training and Technical Assistance Center for 

Primary and Behavioral Health Care Integration 

(TTA-PBHCI) (SM-10-011)

Purpose (award type): To provide technical 

assistance support for up to 30 additional grantees, 

support a coordinated approach to address 

workforce development issues affecting the 

behavioral health service delivery community, and 

promote the training and use of behavioral health 

screening, brief intervention and referral for 

treatment in primary care settings. (New)

Legislative Authority: Section 520A (SAMHSA) 

and 330(1) (HRSA) of the Public Health Service Act, 

as amended.

Eligibility: Eligible applicants are domestic public 

and private nonprofit entities. For example, State 

and local governments, federally recognized 

American Indian/Alaska Native Tribes and tribal 

organizations, urban Indian organizations, public or 

private universities and colleges; and communityand faith-based organizations may apply. Tribal 

organization means the recognized body of any 

AI/AN Tribe; any legally established organization of 

American Indians/Alaska Natives which is controlled, 

sanctioned, or chartered by such governing body or 

which is democratically elected by the adult 

members of the Indian community to be served by 

such organization and which includes the maximum 

participation of American Indians/Alaska Natives in 

all phases of its activities. Consortia of tribal 

organizations are eligible to apply, but each 

participating entity must indicate its approval.

National Council for Community Behavioral 

Healthcare

DC $3,596,380

Total (1 award) $3,596,380

Source: GAO analysis of HHS information.
Appendix V: Substance Abuse and Mental 

Health Services Administration—Prevention 

and Public Health Fund Awards by Activity

Page 120 GAO-12-788 Prevention and Public Health Fund

Table 79: FY 2011 Grants, Primary and Behavioral Health Care Integration

Announcements (2) Recipient State 

Award

(dollars)

1. Grants for Primary and Behavioral Health Care 

Integration (SM-09-011)

Purpose (award type): To improve the overall wellness 

and physical health status of people with serious mental 

illnesses by making available coordinated primary care 

services in community mental health and other 

community-based behavioral health settings. (New and 

Continuation)

Legislative Authority: Section 520A of the Public Health 

Service Act, as amended.

Eligibility: Limited to publicly funded community mental 

health and other community-based behavioral health 

agencies. For the purposes of this announcement, 

community mental health and other behavioral health 

agencies are defined as the following: (1) an entity that 

meets applicable licensing or certification requirements in 

the State in which it is located; and (2) provides outpatient 

mental health and/or other behavioral health services for 

individuals with serious mental illness.

Capital Area Human Services Districta LA $1,893,939

Catholic Charities of Santa Clara Countya CA 1,893,939

Highline West Seattle Mental Healtha WA 1,893,939

Norfolk Community Services Boarda VA 1,893,939

San Francisco Department of Public Healtha CA 1,893,939

SouthCentral Foundationa AK 1,893,939

Community Support Services Inc.a OH 1,836,954

Health and Hospital Corp of Marion Countya IN 1,834,412

Apalachee Center, Inc. FL 500,000

Asian Community Mental Health Board CA 500,000

Asian Counseling and Referral Services WA 500,000

Catholic Charities, Diocese of Trenton NJ 500,000

Coastal Behavioral Healthcare, Inc. FL 500,000

Community Mental Health Affiliates, Inc. CT 500,000

Community Rehab Center (CRC), Inc. FL 500,000

Family Services, Inc. MD 500,000

Glenn County Health Services Agency CA 500,000

Heritage Behavioral Health Center, Inc. IL 500,000

LifeStream Behavioral Center FL 500,000 

Miami Behavioral Health Center, Inc. FL 500,000

North Oklahoma County Mental Health Center OK 500,000

Tarzana Treatment Centers, Inc. CA 500,000

Washtenaw Community Health Organization MI 500,000

Community Health and Counseling Services ME 499,957

Postgraduate Center for Mental Health NY 499,510

County of San Mateo CA 499,444

Bronx Lebanon Hospital Center NY 499,272

Cobb County Community Services Board GA 498,825

Adult and Child Mental Health Center, Inc. IN 498,061

Austin Travis County MH/MR Center TX 498,037

St. Barnabas Hospital NY 496,863

Kent Center for Human and Organizational 

Development

RI 492,281

Downtown Emergency Services Center WA 485,531

Community Healthlink, Inc. MA 484,964
Appendix V: Substance Abuse and Mental 

Health Services Administration—Prevention 

and Public Health Fund Awards by Activity

Page 121 GAO-12-788 Prevention and Public Health Fund

Announcements (2) Recipient State 

Award

(dollars)

Greater Cincinnati Behavioral Health Services OH 483,637

Prestera Center for Mental Health Services, Inc. WV 481,091

South Carolina Department of Mental Health SC 478,049

Horizon House, Inc. PA 467,609

Lakeside Behavioral Healthcare, Inc. FL 455,033

Trilogy, Inc. IL 387,218

Weber Human Services UT 365,000

Alaska Island Community Services AK 300,000

Total (42 awards) $31,405,382

2. Continuation to the Training and Technical 

Assistance Center for Primary and Behavioral Health 

Care Integration (TTA-PBHCI)(SM-10-011)

Purpose (award type): To provide technical assistance 

support for a coordinated approach to address workforce 

development issues affecting the behavioral health 

service delivery community, and promote the training and 

use of behavioral health screening, brief intervention and 

referral for treatment in primary care settings. 

(Continuation)

Legislative Authority: Section 520A (SAMHSA) and 

330(1) (HRSA) of the Public Health Service Act, as 

amended.

Eligibility: Limited to the National Council for Community 

Behavioral Healthcare (NCCBH), based on the Council’s 

expertise and relationship with the PBHCI grantees.

National Council for Community Behavioral 

Healthcare

DC $3,594,045

Total (1 award) $3,594,045

Source: GAO analysis of HHS information.

a

Indicates new awards for eight recipients, remainder are continuation awards.

Activity: Screening, Brief Intervention, and Referral to Treatment

The purpose of this activity is to implement screening, brief intervention, 

and referral to treatment services for adults in primary care and 

community health settings, for substance misuse and substance use 

disorders. This program is designed to expand/enhance the state and 

tribal continuum of care for substance misuse services and reduce 

alcohol and drug consumption and its negative health impact; increase 

abstinence and reduce costly health care utilization; and promote 

sustainability and behavioral health information technology.
Appendix V: Substance Abuse and Mental 

Health Services Administration—Prevention 

and Public Health Fund Awards by Activity

Page 122 GAO-12-788 Prevention and Public Health Fund

• Fiscal year 2010: None

• Fiscal year 2011: $25.0 million (three grants in one funding 

announcement)

Table 80: FY 2011 Grants, Screening, Brief Intervention, and Referral to Treatment

Announcement Recipient State 

Award

(dollars)

Cooperative Agreements for Screening, Brief 

Intervention and Referral to Treatment (SBIRT) 

(TI-11-005)

Purpose (award type): To expand/enhance the 

State/Tribe’s continuum of care to include 

universal, adult SBIRT services in primary 

care and a mix of other community settings 

(e.g., health centers, nursing homes, university 

health centers, employee assistance and job 

training sites, hospitals, emergency departments, 

office-based practices and Military, Reserve and 

Guard units) and supports clinically appropriate 

services for persons at risk (asymptomatic) for, or 

diagnosed with, a substance use disorder (SUD). 

It also seeks to identify and sustain systems and 

policy changes to increase access to treatment in 

generalist and specialist settings. (New)

Legislative Authority: Section 509 of the Public 

Health Service Act, as amended.

Eligibility: The immediate office of the Chief 

Executive (e.g., Governor) in the States, 

Territories, and District of Columbia; and the 

highest ranking official and/or the duly authorized 

official of a federally recognized American 

Indian/Alaska Native Tribe or tribal organization.

North Carolina Department of Health and Human Services NC $8,330,000

State of Connecticut CT 8,330,000

State of Indiana IN 8,329,906

Total (3 awards) $24,989,906

Source: GAO analysis of HHS information.

Activity: SAMHSA Health Surveillance

The purpose of this activity is to support a number of federal, state, local, 

and tribal governments, as well as researchers and nongovernmental 

organizations, to develop timely and credible data and statistical 

information to improve the quality and outcomes of services provided to 

individuals, families, communities, and tribal communities.

• Fiscal year 2010: None

• Fiscal year 2011: $17.9 million (seven contracts)
Appendix V: Substance Abuse and Mental 

Health Services Administration—Prevention 

and Public Health Fund Awards by Activity

Page 123 GAO-12-788 Prevention and Public Health Fund

Table 81: FY 2011 Contracts, SAMHSA Health Surveillance

Recipient Purpose State 

Award

(dollars)

Westat DAWN Operations and Emergency room data collection MD $8,804,701

Manila Consulting Expansion of NREPP VA 3,547,794

Synectics for Management Decisions Expansion of Mental Health inventories VA 2,400,704

RTI International DAWN Analysis contract modification NC 1,503,561

The Mitre Corporation MITRE FFRDC VA 757,272

RTI International Analysis on NSDUH data system NC 690,412

Manila Consulting SAMHSA Data Users Conference on prevention research VA 200,000

Total (7 awards) $17,904,444

Source: GAO analysis of HHS information.

Activity: Suicide Prevention

The Garrett Lee Smith (GLS) Memorial Act authorizes SAMHSA to 

manage two significant youth suicide prevention programs and a resource 

center. The GLS State/Tribal Youth Suicide Prevention and Early 

Intervention Grant Program supports the development and 

implementation of youth suicide prevention and early intervention 

strategies involving public-private collaborations among youth-serving 

institutions. The GLS Campus Suicide Prevention program provides 

funding to institutions of higher education to prevent suicide and suicide 

attempts. The Suicide Prevention Resource Center (SPRC) develops 

effective strategies and best practices to ensure the field has access to 

the most crucial information.

• Fiscal year 2010: None

• Fiscal year 2011: $10.1 million (11 grants in four funding 

announcements totaling $10.0 million and one contract for 

$0.1 million)
Appendix V: Substance Abuse and Mental 

Health Services Administration—Prevention 

and Public Health Fund Awards by Activity

Page 124 GAO-12-788 Prevention and Public Health Fund

Table 82: FY 2011 Grants, Suicide Prevention

Announcements (4) Recipient State Award (dollars)

1. State and Tribal Youth Suicide Prevention Grants 

(SM-11-001)

Purpose (award type): To support States and tribes in 

developing and implementing statewide and/or tribal youth 

suicide prevention and early intervention strategies, grounded 

in public/private collaboration. Such efforts must involve

public/private collaboration among youth serving institutions 

and agencies and should include schools, educational 

institutions, juvenile justice systems, foster care systems, 

substance abuse and mental health programs, and other 

child and youth supporting organizations. (New)

Legislative Authority: The Garrett Lee Smith Memorial Act 

(Section 520E-1 of the Public Health Service Act, as 

amended).

Eligibility: (1) States (Including D.C. and the Territories); 

(2) Federally recognized Indian tribes, tribal organizations (as 

defined in the Indian Self-Determination and Educational 

Assistance Act), or urban Indian organizations (as defined in 

the Indian Health Care Improvement Act) that are actively 

involved in the development and continuation of a tribal youth 

suicide early intervention and prevention strategy; and 

(3) Public or private non-profit organizations designated by a 

State, federally recognized Indian tribe, tribal organization, or 

urban Indian organization, to develop or direct the 

State/tribal-sponsored youth suicide prevention and early 

intervention strategy.

Pueblo of San Felipe - GLS States NM $1,440,000

Muscogee Creek Nation - GLS States OK 1,440,000

Native American Rehabilitation Assn - 

GLS States

OR 1,440,000

Tohono O’Odham Nation - GLS States AZ 1,440,000

Total (4 awards) $5,760,000

2. Campus Suicide Prevention Grants (SM-11-002)

Purpose (award type): To assist colleges and universities in 

their efforts to prevent suicide attempts and completions and 

to enhance services for students with mental and behavioral 

health problems, such as depression and substance 

use/abuse that put them at risk for suicide and suicide 

attempts. (New)

Legislative Authority: The Garrett Lee Smith Memorial Act 

(Section 520E-2 of the Public Health Service Act, as 

amended).

Eligibility: Limited to institutions of higher education as a 

statutory requirement (per Section 520E-2 of the Public 

Health Service Act, as amended). Applicants from both public 

and private institutions may apply, including State 

universities, private four-year colleges and universities 

(including those with religious affiliations), Minority Serving 

Institutions of higher learning, and community colleges. 

Entities that have previously been awarded a Campus 

Suicide Prevention Grant are not eligible. SAMHSA is further 

limiting the eligibility to applicants who have not previously 

received an award in order to allow for a broader distribution 

of the limited funds across campuses and universities.

University of Puerto Rico Rio Piedras - 

GLS Campus

PR $306,000

Thomas Jefferson University - GLS 

Campus

PA 306,000

University of Arizona - GLS Campus AZ 306,000

University of Alaska Anchorage - GLS 

Campus

AL 306,000

Jackson State University - GLS Campus MS 306,000

Total (5 awards) $1,530,000
Appendix V: Substance Abuse and Mental 

Health Services Administration—Prevention 

and Public Health Fund Awards by Activity

Page 125 GAO-12-788 Prevention and Public Health Fund

Announcements (4) Recipient State Award (dollars)

3. Program Supplement for the National Suicide Prevention 

Lifeline (SM-11-003)

Purpose (award type): To expand/enhance grant activities 

funded under the Cooperative Agreement for Networking, 

Certifying, and Training Suicide Prevention Hotlines grant 

announcement. Supplemental funding is being provided as a 

result of increased demand and challenges posed by the 

current economic environment. (Supplement)

Legislative Authority: Section 520A of the Public Health 

Service Act, as amended.

Eligibility: Limited to the current grantee, Link2Health 

Solutions, Inc.. The grantee was awarded the cooperative 

agreement following a competitive application process.

Link2Health Solutions, Inc. - Suicide 

Hotline Supplement

NY $1,705,000

Total (1 award) $1,705,000

4. Program Supplement for the Suicide Prevention 

Resource Center (SPRC) (SM-11-014)

Purpose (award type): To expand and enhance grant 

activities funded under the Suicide Prevention Resource 

Center (SPRC) grant announcement. This one-year 

supplement to the SPRC is to expand and enhance the level 

of support provided to the National Action Alliance for Suicide 

Prevention. (Supplement)

Legislative Authority: Section 520C of the Public Health 

Service Act, as amended.

Eligibility: Limited to the Education Development Center, Inc. 

Eligibility for this one-year supplemental agreement is being 

limited because SPRC is currently providing the infrastructure 

for the Action Alliance and this is the most efficient and 

effective way to accomplish the goals of advancing the 

National Strategy for Suicide Prevention.

Education Development Center, Inc. MA $999,993

Total (1 award) $999,993

Source: GAO analysis of HHS information.

Table 83: FY 2011 Contract, Suicide Prevention

Recipient Purpose State Award (dollars)

Westover Consultants INC Meeting support MD $110,656

Total (1 award) $110,656

Source: GAO analysis of HHS information.
Appendix VI: GAO Contact and Staff 

Acknowledgments

Page 126 GAO-12-788 Prevention and Public Health Fund

Katherine Iritani, (202) 512-7114 or iritanik@gao.gov

In addition to the contact named above, Kim Yamane, Assistant Director; 

George Bogart; Carolyn Garvey; Laurie Pachter; and Terry Saiki made 

key contributions to this report.

Appendix VI: GAO Contact and Staff 

Acknowledgments 

GAO Contact

Staff 

Acknowledgments 

(291001)
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