CDC Fiscal Year 2018: Funding Profile for American Indian and Alaska Native Tribes and Tribal Organizations

February 2019

Center for State, Tribal, Local, and Territorial Support

Centers for Disease Control and Prevention

Centers for Disease Control and Prevention

Office of the Chief Financial Officer

Centers for Disease Control and Prevention

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About the Funding Profile Data

Includes funding for the Centers for Disease Control and Prevention (CDC) and the Agency for Toxic Substances and Disease Registry (ATSDR)

Obligated* and provided to tribes and tribal organizations as primary grantees through cooperative agreements and grants in fiscal year (FY) 2018 (October 1, 2017–September 30, 2018)

Awarded to American Indian/Alaska Native (AI/AN) tribes or tribal organizations through contracts

*Obligated refers to new funding only (no funding carried over from a previous FY is included)

About the Funding Profile Data (cont.)

Excludes

The value of vaccines purchased by CDC and delivered through the Vaccines for Children program

Any funds transferred to CDC or ATSDR from other federal agencies or entities (i.e., funds that are not part of CDC/ATSDR’s appropriations)

|                                                               | FY 2016            | FY 2017           | FY 2018         | +/- FY2017   |
|---------------------------------------------------------------|--------------------|-------------------|-----------------|--------------|
| All Funding (grants, cooperative agreements, & contracts) | $164,944,184       | $179,896,649      | $395,341,923    | +215,445,274 |
| Cooperative Agreement and Grant Funding                       | $34,851,899        | $43,923,265       | $66,553,180     | +22,629,915  |
| Contract Funding                                              | $130,092,285       | $135,973,384      | $328,788,743    | +292,815,359 |
| Number of Grantees Funded                                     | 56                 | 60                | 82              | +22          |
| Funding Mechanisms                                            | 12 NOFOs*; 1 grant | 10 NOFOs; 1 grant | 12 NOFOs1 grant | +2 NOFOs     |

CDC FY 2018 Funding to Tribes and Tribal Organizations

*Notice of Funding Opportunity (NOFO)

CDC FY 18 Grant and Cooperative Agreement Funding to Tribes and Tribal Organizations by Funding Center
| Funding CDC Center                                                    | Total FY 18 Funding |
|-----------------------------------------------------------------------|---------------------|
| National Center for Chronic Disease Prevention and Health Promotion   | $50,666,738         |
| National Center for Emerging and Zoonotic Infectious Diseases         | $116,027            |
| National Center for Environmental Health                              | $975,000            |
| National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention | $707,198            |
| National Center for Injury Prevention and Control                     | $12,686,643         |
| Office of the Associate Director for Policy and Strategy              | $50,000             |
| Center for Preparedness and Response                                  | $50,000             |
| Center for State, Tribal, Local, and Territorial  Support             | $1,301,574          |
| Grand Total                                                           | $66,553,180         |

CDC FY 2018 Funding to Tribal Grantees 		              by Funding Mechanism (1 of 2)
| Notice of Funding Opportunity or Grant                                                                                                                    | FY 2018 Funding |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------|
| DP14-1421 Prevention and Public Health Fund (PPHF) 2014: A Comprehensive Approach to Good Health and Wellness in Indian Country (financed solely by PPHF) | $13,194,966     |
| DP15-1502: Organized Approaches to Increase Colorectal Cancer Screening                                                                                   | $732,400        |
| DP18-1813: Racial and Ethnic Approaches to Community Health (REACH) - PPHF                                                                                | $792,000        |
| DP17-1701: Cancer Prevention and Control Programs for State, Territorial, and Tribal Organizations                                                        | $12,893,512     |
| DP17-1704: Building Public Health Infrastructure in Tribal Communities to Accelerate Disease Prevention and Health Promotion in Indian Country (PPHF)     | $12,923,995     |
| DP18-1816: Well Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN)                                                               | $1,650,000      |
| DP18-1808: Consortium of National Networks to Impact Populations Experiencing Tobacco-Related and Cancer Health Disparities                               | $500,000        |

CDC FY 2018 Funding to Tribal Grantees 		              by Funding Mechanism (2 of 2)
| Notice of Funding Opportunity or Grant                                                                                                 | FY 2018 Funding |
|----------------------------------------------------------------------------------------------------------------------------------------|-----------------|
| DP18-1812: Tribal Practices for Wellness in Indian Country                                                                             | $5,186,089      |
| PS15-1502: Comprehensive High-Impact HIV Prevention Projects                                                                           | $695,198        |
| PS18-1807: Promoting Adolescent Health Through School-Based HIV Prevention                                                             | $12,000         |
| OT18-1802: Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health   | $1,890,000      |
| OT18-1803: Tribal Public Health Capacity Building and Quality Improvement                                                              | $15,981,446     |
| OT18-1805: PPHF 2018: Preventive Health and Health Services Block Grant - financed solely by 2018 Prevention and Public Health Fund    | $101,574        |
| Grand Total                                                                                                                            | $66,553,180     |

CDC FY 2018 Funding to Tribal Recipients 		             by Public Health Focus (1 of 2)
| Public Health Focus*                                                                                        | FY 2018 Funding |
|-------------------------------------------------------------------------------------------------------------|-----------------|
| Chronic Disease Prevention and Health Promotion                                                             | $50,666,738     |
| Cancer - $13,393,512                                                                                        |                 |
| Good Health and Wellness in Indian Country (GHWIC) (e.g., diabetes, obesity, and tobacco use) - $13,194,966 |                 |
| Racial & Ethnic Approaches to Community Health (REACH)** - $792,000                                     |                 |
| Tribal Wellness Practices - $5,186,089                                                                      |                 |
| Public Health Infrastructure/Capacity Building - $16,450,171                                                |                 |
| WISEWOMAN - $1,650,000                                                                                      |                 |
| Injury Prevention and Control                                                                               | $12,686,643     |
| Opioid Overdose Prevention and Surveillance - $12,221,643                                                   |                 |
| National Violent Death Reporting System - $35,000                                                           |                 |
| Other Injury Prevention and Control Activities - $430,000                                                   |                 |

*Focus areas can include funding from multiple cooperative agreements and programs. 

**Amount provided through the REACH cooperative agreement. The majority of REACH budget line funds provided to tribes were provided through other cooperative agreements, such as GHWIC. 

CDC FY 2018 Funding to Tribal Recipients 		             by Public Health Focus (2 of 2)

*Focus areas can include funding from multiple cooperative agreements and programs. 
| Public Health Focus*                                            | FY 2018 Funding |
|-----------------------------------------------------------------|-----------------|
| Emergency Preparedness and Response (excluding opioid response) | $50,000         |
| Environmental Health                                            | $975,000        |
| HIV/AIDS                                                        | $707,198        |
| 6|18 Initiative – Accelerating Evidence into Action             | $50,000         |
| Public Health Capacity Building – General                       | $1,200,000      |
| Preventive Health and Health Services Block Grant               | $101,574        |
| Vector-borne Diseases                                           | $116,027        |
| Grand Total                                                     | $66,553,180     |

| Funding Mechanism                                                                                                                       | Funding Center | Grantee                                              | Project                                                                                                     | Amount   |
|-----------------------------------------------------------------------------------------------------------------------------------------|----------------|------------------------------------------------------|-------------------------------------------------------------------------------------------------------------|----------|
| OT18-1802 - Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health   | NCEH           | American Public Health Association                   | Tribal Environment Health (TEH) – A Capacity Building Initiative                                            | $138,000 |
|                                                                                                                                         | CSTLTS         | Changelab Solutions                                  | Tribal Legal Preparedness: Building Upon the Existing On-Line Course to Develop a Train the Trainer Program | $85,000  |
|                                                                                                                                         | NCCDPHP        | National Association of Chronic Disease Directors    | Capacity Building Training for Tribal and Territorial Cancer Prevention Programs                            | $350,000 |
|                                                                                                                                         | NCIPC          | National Network of Public Health Institutes (NNPHI) | Opioid Overdose Prevention in Tribes:  Technical Assistance through Public Health Institutes                | $500,000 |
|                                                                                                                                         | CSTLTS         | NNPHI                                                | Tribal Public Health Capacity Recipient Support                                                             | $250,000 |
|                                                                                                                                         | CSTLTS         | NNPHI                                                | Indigenous Social Determinants of Health                                                                    | $100,000 |

CDC FY 2018 Additional Tribal Projects* (1 of 2)

*Tribal-focused projects not included in direct funding to tribes and tribal organizations

| Funding Mechanism                                                                             | Funding Center | Grantee                                                                      | Project                                                                                | Amount     |
|-----------------------------------------------------------------------------------------------|----------------|------------------------------------------------------------------------------|----------------------------------------------------------------------------------------|------------|
| Through Interagency Agreement (IAA) with Indian Health Service (includes administrative fees) | NCCDPHP        | Albuquerque Area Indian Health Board's Southwest Tribal Epidemiology Center  | Colorectal Cancer Screening among Diabetic American Indians and Alaska Natives Project | $150,000   |
|                                                                                               | NCCDPHP        | Tribal Chairman’s Health Board’s Great Plains Tribal Epidemiology Center     | Cancer Survivor Group Leadership Trainings                                             | $93,500    |
| Grand Total                                                                                   |                |                                                                              |                                                                                        | $1,666.500 |

CDC FY 2018 Additional Tribal Projects* (2 of 2)

*Tribal-focused projects not included in direct funding to tribes and tribal organizations

CDC FY 2018 Additional Tribal Projects* (2 of 2)

*Tribal-focused projects not included in direct funding to tribes and tribal organizations 
| Funding Mechanism                                                                             | Funding CDC Center | Grantee                                                                      | Project                                                                                | Amount              |
|-----------------------------------------------------------------------------------------------|--------------------|------------------------------------------------------------------------------|----------------------------------------------------------------------------------------|---------------------|
| Through Interagency Agreement (IAA) with Indian Health Service (includes administrative fees) | NCCDPHP            | Albuquerque Area Indian Health Board's Southwest Tribal Epidemiology Center  | Colorectal Cancer Screening among Diabetic American Indians and Alaska Natives Project | $          150,000  |
|                                                                                               | NCCDPHP            | Tribal Chairman’s Health Board’s Great Plains Tribal Epidemiology Center     | Cancer Survivor Group Leadership Trainings                                             | $            93,500 |
|                                                                                               |                    |                                                                              | Grand Total                                                                            | $      1,666,500    |

Thank You!

For more information, contact CDC1-800-CDC-INFO (232-4636)TTY:  1-888-232-6348    www.cdc.govThe findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

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