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United States Government Accountability Office: 
GAO: 

Report to Congressional Requesters: 

September 2012: 

Prevention and Public Health Fund: 

Activities Funded in Fiscal Years 2010 and 2011: 

GAO-12-788: 

GAO Highlights: 

Highlights of GAO-12-788, a report to congressional requesters. 

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 PPHF-funded 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 figure). HHS agencies funded individual 
projects with PPHF funds through grants, contracts, and interagency 
agreements. 

Figure: Prevention and Public Health Fund (PPHF) Allocations by HHS 
Agency, Fiscal Years 2010 and 2011: 

[Refer to PDF for image: 2 pie-charts] 

FY 2010 ($500 million): 
HRSA: 54%; 
CDC: 38%; 
SAMHSA: 4%; 
OS: 2%; 
AHRQ: 1%. 

FY 2011 ($750 million): 
CDC: 81%; 
SAMHSA: 12%; 
HRSA: 3%; 
OS: 3%; 
AHRQ: 2%. 

Source: GAO analysis of HHS information. 

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

[End of figure] 

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 [hyperlink, http://www.gao.gov/products/GAO-12-788]. For more 
information, contact Katherine Iritani at (202) 512-7114 or 
iritanik@gao.gov. 

[End of section] 

Contents: 

Letter: 

Background: 

HHS Agencies and Activities for Which PPHF Funds Were Allocated and 
Entities That Received PPHF Funding, Fiscal Years 2010 and 2011: 

Process and Criteria for Allocating and Awarding PPHF Funds for Fiscal 
Years 2010 and 2011: 

HHS Reporting of Performance Measures, Targets, and Outcomes of 
Activities and Projects Receiving PPHF Funding: 

Agency Comments: 

Appendix I: Agency for Healthcare Research and Quality-—Prevention and 
Public Health Fund Awards by Activity: 

Appendix II: Centers for Disease Control and Prevention--Prevention 
and Public Health Fund Awards by Activity: 

Appendix III: Health Resources and Services Administration--Prevention 
and Public Health Fund Awards by Activity: 

Appendix IV: Office of the Secretary--Prevention and Public Health 
Fund Awards by Activity: 

Appendix V: Substance Abuse and Mental Health Services Aministration--
Prevention and Public Health Fund Awards by Activity: 

Appendix VI: GAO Contact and Staff Acknowledgments: 

Tables: 

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

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

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

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

Table 5: Number of Funding Opportunity Announcements and PPHF-Funded 
Grants, by Type of Grant, Fiscal Years 2010 and 2011: 

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

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: 

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

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

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

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

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

Table 13: FY 2011 Grants, Community Transformation Grants Program: 

Table 14: FY 2011 Contracts, Community Transformation Grants Program: 

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

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

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

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

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

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

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

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

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

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

Table 25: FY 2010 Grants, Epidemiology and Laboratory Capacity Grants: 

Table 26: FY 2011 Grants, Epidemiology and Laboratory Capacity Grants: 

Table 27: FY 2011 Contracts, Epidemiology and Laboratory Capacity 
Grants: 

Table 28: FY 2011 Grants, Coordinated Chronic Disease Prevention 
Program: 

Table 29: FY 2011 Contracts, Coordinated Chronic Disease Prevention 
Program: 

Table 30: FY 2010 Grants, CDC Healthcare Surveillance and Statistics 63
Table 31: FY 2010 Contracts, CDC Healthcare Surveillance and 
Statistics: 

Table 32: FY 2011 Contracts, CDC Healthcare Surveillance and 
Statistics: 

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

Table 34: FY 2010 Contracts, ARRA: Communities Putting Prevention to 
Work: 

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

Table 36: FY 2011 Contracts, Environmental Public Health Tracking: 

Table 37: FY 2010 Grants, Public Health Workforce: 

Table 38: FY 2010 Contracts, Public Health Workforce: 

Table 39: FY 2011 Grants, Public Health Workforce: 

Table 40: FY 2011 Contracts, Public Health Workforce: 

Table 41: FY 2010 Grants, HIV/AIDS: 

Table 42: FY 2010 Contracts, HIV/AIDS: 

Table 43: FY 2011 Grants, Racial and Ethnic Approaches to Community 
Health (REACH): 

Table 44: FY 2011 Contract, Racial and Ethnic Approaches to Community 
Health (REACH): 

Table 45: FY 2011 Grants, Public Health Research: 

Table 46: FY 2011 Contracts, Public Health Research: 

Table 47: FY 2010 Grants, Community Guide/Community Preventive 
Services Task Force: 

Table 48: FY 2010 Contracts, Community Guide/Community Preventive 
Services Task Force: 

Table 49: FY 2011 Grants, Community Guide/Community Preventive 
Services Task Force: 

Table 50: FY 2011 Contracts, Community Guide/Community Preventive 
Services Task Force: 

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

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

Table 53: FY 2011 Grants, Prevention Research Centers: 

Table 54: FY 2011 Contracts, Workplace Wellness: 

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

Table 56: FY 2010 Grants, ARRA: Evaluation: 

Table 57: FY 2010 Contracts, ARRA: Evaluation: 

Table 58: FY 2010 Contracts, ARRA: Media: 

Table 59: FY 2011 Contracts, Education and Outreach Campaign Regarding 
Preventive Benefits: 

Table 60: FY 2010 Contract, National Prevention Strategy: 

Table 61: FY 2011 Contracts, National Prevention Strategy: 

Table 62: FY 2011 Contracts, Promoting Obesity Prevention in Early 
Childhood Programs: 

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

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

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

Table 66: FY 2010 Grants, Advanced Nursing Education: 

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

Table 68: FY 2010 Grants, State Health Workforce Development Grants 
for Primary Care: 

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

Table 70: FY 2010 Grant, Nutrition, Physical Activity, and Screen Time 
Standards in Child Care Settings: 

Table 71: FY 2010 Contracts, Obesity Media Activities: 

Table 72: FY 2011 Contracts, Obesity Media Activities: 

Table 73: FY 2011 Contracts, Tobacco Prevention Media: 

Table 74: FY 2010 Contracts, National Prevention, Health Promotion, 
and Public Health Council Planning: 

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

Table 76: FY 2010 Contracts, Tobacco Cessation: 

Table 77: FY 2010 Contract, Healthy Living Innovations Awards: 

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

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

Table 80: FY 2011 Grants, Screening, Brief Intervention, and Referral 
to Treatment: 

Table 81: FY 2011 Contracts, SAMHSA Health Surveillance: 

Table 82: FY 2011 Grants, Suicide Prevention: 

Table 83: FY 2011 Contract, Suicide Prevention: 

Figures: 

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

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

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: 

[End of section] 

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.[Footnote 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.[Footnote 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 health-
related activities--for that year and then transferred funds from the 
PPHF to the appropriation accounts for the HHS agencies that 
administer these activities.[Footnote 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.[Footnote 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 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. 

Background: 

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.[Footnote 5] 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 program, the Education and Outreach 
Campaign Regarding Preventive Benefits, and immunization programs." 
[Footnote 6] 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. 

PPACA appropriated $5 billion to the PPHF for fiscal years 2010 
through 2014, and $2 billion for each fiscal year thereafter.[Footnote 
7] In February 2012, the Middle Class Tax Relief and Job Creation Act 
of 2012[Footnote 8] 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). 

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

Fiscal year: 2010; 
PPACA March 2010[A]: $500 million; 
PPACA as amended February 2012[B: $500 million; 
Decrease: 0. 

Fiscal year: 2011; 
PPACA March 2010[A]: $750 million; 
PPACA as amended February 2012[B: $750 million; 
Decrease: 0. 

Fiscal year: 2012; 
PPACA March 2010[A]: $1.000 billion; 
PPACA as amended February 2012[B: $1.000 billion; 
Decrease: 0. 

Fiscal year: 2013; 
PPACA March 2010[A]: $1.250 billion; 
PPACA as amended February 2012[B: $1.000 billion; 
Decrease: $250 million. 

Fiscal year: 2014; 
PPACA March 2010[A]: $1.500 billion; 
PPACA as amended February 2012[B: $1.000 billion; 
Decrease: $500 million. 

Fiscal year: 2015; 
PPACA March 2010[A]: $2.000 billion; 
PPACA as amended February 2012[B]: $1.000 billion; 
Decrease: $1.000 billion. 

Fiscal year: 2016; 
PPACA March 2010[A]: $2.000 billion; 
PPACA as amended February 2012[B]: $1.000 billion; 
Decrease: $1.000 billion. 

Fiscal year: 2017; 
PPACA March 2010[A]: $2.000 billion; 
PPACA as amended February 2012[B]: $1.000 billion; 
Decrease: $1.000 billion. 

Fiscal year: 2018; 
PPACA March 2010[A]: $2.000 billion; 
PPACA as amended February 2012[B]: $1.250 billion; 
Decrease: $750 million. 

Fiscal year: 2019; 
PPACA March 2010[A]: $2.000 billion; 
PPACA as amended February 2012[B]: $1.250 billion; 
Decrease: $750 million. 

Fiscal year: 2020; 
PPACA March 2010[A]: $2.000 billion; 
PPACA as amended February 2012[B]: $1.500 billion; 
Decrease: $500 million. 

Fiscal year: 2021; 
PPACA March 2010[A: $2.000 billion; 
PPACA as amended February 2012[B]: $1.500 billion; 
Decrease: $500 million. 

Fiscal year: 2022 + annually; 
PPACA March 2010[A]: $2.000 billion; 
PPACA as amended February 2012[B]: $2.000 billion; 
Decrease: 0. 

Fiscal year: Total fiscal years 2010-2022; 
PPACA March 2010[A]: $21.000 billion; 
PPACA as amended February 2012[B]: $14.750 billion; 
Decrease: $6.250 billion[C]. 

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. 

[End of table] 

When appropriations are made available, an agency may obligate funds 
through such actions as awarding discretionary grants, cooperative 
agreements,[Footnote 9] or contracts, or through entering into 
interagency agreements.[Footnote 10] For discretionary grants, 
[Footnote 11] agencies announce the availability of funds through a 
publicly available notice called a funding opportunity announcement. 
[Footnote 12] 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. 

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. 
[Footnote 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. 

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.[Footnote 
14] 

HHS Agencies and Activities for Which PPHF Funds Were Allocated and 
Entities That Received PPHF Funding, Fiscal Years 2010 and 2011: 

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.[Footnote 
15] 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 
figure 1). 

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

[Refer to PDF for image: 2 pie-charts] 

FY 2010 ($500 million): 
HRSA: 54%; 
CDC: 38%; 
SAMHSA: 4%; 
OS: 2%; 
AHRQ: 1%. 

FY 2011 ($750 million): 
CDC: 81%; 
SAMHSA: 12%; 
HRSA: 3%; 
OS: 3%; 
AHRQ: 2%. 

Source: GAO analysis of HHS information. 

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. 

[End of figure] 

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;[Footnote 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: 

* HRSA's Primary Care Training and Enhancement ($198.1 million), 

* CDC's National Public Health Improvement Initiative[Footnote 17] 
($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). 

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

Agency: Centers for Disease Control and Prevention (CDC): 

Activity: Community Transformation Grants Program; 
Fiscal year 2010: 0; 
Fiscal year 2011: $146.3 million; 
Total: $146.3 million. 

Activity: Section 317 Immunization Program[A]; 
Fiscal year 2010: 0; 
Fiscal year 2011: $100.0 million; 
Total: $100.0 million. 

Activity: National Public Health Improvement Initiative[B]; 
Fiscal year 2010: $50.0 million; 
Fiscal year 2011: $40.2 million; 
Total: $90.2 million. 

Activity: Tobacco Prevention (Media and Quitlines)[A]; 
Fiscal year 2010: $14.5 million; 
Fiscal year 2011: $50.0 million; 
Total: $64.5 million. 

Activity: Epidemiology and Laboratory Capacity Grants[A]; 
Fiscal year 2010: $20.0 million; 
Fiscal year 2011: $40.0 million; 
Total: $60.0 million. 

Activity: Coordinated Chronic Disease Prevention Program[A]; 
Fiscal year 2010: 0; 
Fiscal year 2011: $51.7 million; 
Total: $51.7 million. 

Activity: CDC Healthcare Surveillance and Statistics[A]; 
Fiscal year 2010: $19.9 million; 
Fiscal year 2011: $30.0 million; 
Total: $49.9 million. 

Activity: ARRA: Communities Putting Prevention to Work; 
Fiscal year 2010: $36.4 million; 
Fiscal year 2011: 0; 
Total: $36 million. 

Activity: Environmental Public Health Tracking[A]; 
Fiscal year 2010: 0; 
Fiscal year 2011: $35 million; 
Total: $35 million. 

Activity: Public Health Workforce[A]; 
Fiscal year 2010: $7 million; 
Fiscal year 2011: $25 million; 
Total: $32 million. 

Activity: HIV/AIDS[A]; 
Fiscal year 2010: $30 million; 
Fiscal year 2011: 0; 
Total: $30 million. 

Activity: Racial and Ethnic Approaches to Community Health (REACH)[A]; 
Fiscal year 2010: 0; 
Fiscal year 2011: $25 million; 
Total: $25 million. 

Activity: Public Health Research[A]; 
Fiscal year 2010: 0; 
Fiscal year 2011: $20.0 million; 
Total: $20.0 million. 

Activity: Community Guide/Community Preventive Services Task Force[A]; 
Fiscal year 2010: $5.0 million; 
Fiscal year 2011: $7.0 million; 
Total: $12.0 million. 

Activity: Healthcare-Associated Infections[A]; 
Fiscal year 2010: 0; 
Fiscal year 2011: $11.8 million; 
Total: $11.8 million. 

Activity: Prevention Research Centers[A]; 
Fiscal year 2010: 0; 
Fiscal year 2011: $10.0 million; 
Total: $10.0 million. 

Activity: Workplace Wellness; 
Fiscal year 2010: 0; 
Fiscal year 2011: $9.3 million; 
Total: $9.3 million. 

Activity: National Youth Fitness Survey; 
Fiscal year 2010: 0; 
Fiscal year 2011: $6.0; 
Total: $6.0. 

Activity: ARRA: Evaluation; 
Fiscal year 2010: $4.0 million; 
Fiscal year 2011: 0; 
Total: $4.0 million. 

Activity: ARRA: Media; 
Fiscal year 2010: $4.0 million; 
Fiscal year 2011: 0; 
Total: $4.0 million. 

Activity: Education and Outreach Campaign Regarding Preventive 
Benefits; 
Fiscal year 2010: 0; 
Fiscal year 2011: $2.0 million; 
Total: $2.0 million. 

Activity: National Prevention Strategy; 
Fiscal year 2010: $0.1 million; 
Fiscal year 2011: $1.0 million; 
Total: $1.1 million. 

Activity: Promoting Obesity Prevention in Early Childhood Programs; 
Fiscal year 2010: 0; 
Fiscal year 2011: $0.7 million; 
Total: $0.7 million. 

Agency subtotal; 
Fiscal year 2010: $191.8 million; 
Fiscal year 2011: $610.9 million; 
Total: $802.7 million. 

Agency: Health Resources and Services Administration (HRSA): 

Activity: Primary Care Training and Enhancement[A]; 
Fiscal year 2010: $198.1 million; 
Fiscal year 2011: 0; 
Total: $198.1 million. 

Activity: Public Health Workforce Development[A]; 
Fiscal year 2010: $14.8 million; 
Fiscal year 2011: $20.0 million; 
Total: $34.8 million. 

Activity: Advanced Nursing Education[A]; 
Fiscal year 2010: $31.4 million; 
Fiscal year 2011: 0; 
Total: $31.4 million. 

Activity: Nurse Managed Care Centers; 
Fiscal year 2010: $15.3 million; 
Fiscal year 2011: 0; 
Total: $15.3 million. 

Activity: State Health Workforce Development Grants for Primary Care; 
Fiscal year 2010: $5.8 million; 
Fiscal year 2011: 0; 
Total: $5.8 million. 

Activity: HRSA Healthy Weight Collaborative and Activities; 
Fiscal year 2010: $5.0 million; 
Fiscal year 2011: 0; 
Total: $5 million. 

Activity: Nutrition, Physical Activity, and Screen Time Standards in 
Child Care Settings[A]; 
Fiscal year 2010: $0.3 million; 
Fiscal year 2011: 0; 
Total: $0.3 million. 

Agency subtotal; 
Fiscal year 2010: $270.7 million; 
Fiscal year 2011: $20.0 million; 
Total: $290.7 million. 

Agency: Substance Abuse and Mental Health Services Administration 
(SAMHSA): 

Activity: Primary and Behavioral Health Care Integration[A]; 
Fiscal year 2010: $20.0 million; 
Fiscal year 2011: $35.0 million; 
Total: $55.0 million. 

Activity: Screening, Brief Intervention and Referral to Treatment[A]; 
Fiscal year 2010: 0; 
Fiscal year 2011: $25.0 million; 
Total: $25.0 million. 

Activity: SAMHSA Health Surveillance[A]; 
Fiscal year 2010: 0; 
Fiscal year 2011: $18.0 million; 
Total: $18.0 million. 

Activity: Suicide Prevention[A]; 
Fiscal year 2010: 0; 
Fiscal year 2011: $10.0 million; 
Total: $10.0 million. 

Agency subtotal; 
Fiscal year 2010: $20.0 million; 
Fiscal year 2011: $88.0 million; 
Total: $108.0 million. 

Agency: Office of the Secretary (OS): 

Activity: Obesity Media Activities; 
Fiscal year 2010: $9.1 million; 
Fiscal year 2011: $9.1 million; 
Total: $18.2 million. 

Activity: Tobacco Prevention Media; 
Fiscal year 2010: 0; 
Fiscal year 2011: $10.0 million; 
Total: $10.0 million. 

Activity: National Prevention, Health Promotion, and Public Health 
Council Planning; 
Fiscal year 2010: $1.0 million; 
Fiscal year 2011: 0; 
Total: $1.0 million. 

Activity: President's Council on Fitness, Sports, and Nutrition[A]; 
Fiscal year 2010: $0.9 million; 
Fiscal year 2011: 0; 
Total: $0.9 million. 

Activity: Tobacco Cessation; 
Fiscal year 2010: $0.9 million; 
Fiscal year 2011: 0; 
Total: $0.9 million. 

Activity: Healthy Living Innovations Awards; 
Fiscal year 2010: $0.1 million; 
Fiscal year 2011: 0; 
Total: $0.1 million. 

Agency subtotal; 
Fiscal year 2010: $12.0 million; 
Fiscal year 2011: $19.1 million; 
Total: $31.1 million. 

Agency: Agency for Healthcare Research and Quality (AHRQ): 

Activity: Clinical Preventive Services Task Force[A]; 
Fiscal year 2010: $5.0 million; 
Fiscal year 2011: $7.0 million; 
Total: $12.0 million. 

Activity: Clinical Preventive Services Research; 
Fiscal year 2010: 0; 
Fiscal year 2011: $5.0 million; 
Total: $5.0 million. 

Activity: Healthy Weight Practice-Based Research Networks; 
Fiscal year 2010: $0.5 million; 
Fiscal year 2011: 0; 
Total: $0.5 million. 

Agency subtotal; 
Fiscal year 2010: $5.5 million; 
Fiscal year 2011: $12.0 million; 
Total: $17.5 million. 

Total PPHF allocations for all activities; 
Fiscal year 2010: $500.0 million; 
Fiscal year 2011: $750.0 million; 
Total: $1.250 billion. 

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. 

[End of table] 

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 
awarded through grants (see table 3).[Footnote 18] 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 
appendicies I-V for listings of recipients of PPHF funds and their 
locations.) 

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

Funding mechanism: Grants; 
Fiscal year 2010: Number of awards: 545; 
Fiscal year 2010: Amount awarded: $416 million; 
Fiscal year 2011: Number of awards: 663; 
Fiscal year 2011: Amount awarded: $463 million. 

Funding mechanism: Contracts; 
Fiscal year 2010: Number of awards: 66; 
Fiscal year 2010: Amount awarded: $52 million; 
Fiscal year 2011: Number of awards: 154; 
Fiscal year 2011: Amount awarded: $223 million. 

Funding mechanism: Interagency agreements; 
Fiscal year 2010: Number of awards: 14; 
Fiscal year 2010: Amount awarded: $20 million; 
Fiscal year 2011: Number of awards: 29; 
Fiscal year 2011: Amount awarded: $41 million. 

Funding mechanism: Total; 
Fiscal year 2010: Number of awards: 625; 
Fiscal year 2010: Amount awarded: $488 million; 
Fiscal year 2011: Number of awards: 846; 
Fiscal year 2011: Amount awarded: $727 million. 

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. 

[End of table] 

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 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: 

Type of entity: Limited to state, local, territory, or tribal 
governments[A]; 
Fiscal year 2010: Number of funding opportunities: 13; 
Fiscal year 2010: Amount awarded: $125 million; 
Fiscal year 2011: Number of funding opportunities: 13; 
Fiscal year 2011: Amount awarded: $228 million; 
Total: Number of funding opportunities: 26; 
Total: Amount awarded: $353 million. 

Type of entity: Limited to academic institutions or physician training 
programs[B]; 
Fiscal year 2010: Number of funding opportunities: 4; 
Fiscal year 2010: Amount awarded: $243 million; 
Fiscal year 2011: Number of funding opportunities: 5; 
Fiscal year 2011: Amount awarded: $41 million; 
Total: Number of funding opportunities: 9; 
Total: Amount awarded: $285 million. 

Type of entity: Limited to national organizations[C]; 
Fiscal year 2010: Number of funding opportunities: 2; 
Fiscal year 2010: Amount awarded: $8 million; 
Fiscal year 2011: Number of funding opportunities: 6; 
Fiscal year 2011: Amount awarded: $15 million; 
Total: Number of funding opportunities: 8; 
Total: Amount awarded: $23 million. 

Type of entity: Not limited to one type of recipient[D]; 
Fiscal year 2010: Number of funding opportunities: 5; 
Fiscal year 2010: Amount awarded: $40 million; 
Fiscal year 2011: Number of funding opportunities: 8; 
Fiscal year 2011: Amount awarded: $168 million; 
Total: Number of funding opportunities: 11[E]; 
Total: Amount awarded: $208 million. 

Type of entity: Other[F]; 
Fiscal year 2010: Number of funding opportunities: 0; 
Fiscal year 2010: Amount awarded: 0; 
Fiscal year 2011: Number of funding opportunities: 4; 
Fiscal year 2011: Amount awarded: $10 million; 
Total: Number of funding opportunities: 4; 
Total: Amount awarded: $10 million. 

Type of entity: Total; 
Fiscal year 2010: Number of funding opportunities: 24; 
Fiscal year 2010: Amount awarded: $416 million; 
Fiscal year 2011: Number of funding opportunities: 36; 
Fiscal year 2011: Amount awarded: $463 million; 
Total: Number of funding opportunities: 58[E]; 
Total: Amount awarded: $879 million. 

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. 

[End of table] 

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). 

Table 5: Number of Funding Opportunity Announcements and PPHF-Funded 
Grants, by Type of Grant, Fiscal Years 2010 and 2011: 

Type of grant in funding opportunity announcement[A]: New; 
Fiscal year 2010: Number of funding opportunities: 17; 
Fiscal year 2010: Number of grants: 419; 
Fiscal year 2011: Number of funding opportunities: 17; 
Fiscal year 2011: Number of grants: 202. 

Type of grant in funding opportunity announcement[A]: Supplemental; 
Fiscal year 2010: Number of funding opportunities: 7; 
Fiscal year 2010: Number of grants: 126; 
Fiscal year 2011: Number of funding opportunities: 11; 
Fiscal year 2011: Number of grants: 218. 

Type of grant in funding opportunity announcement[A]: Continuation; 
Fiscal year 2010: Number of funding opportunities: 0; 
Fiscal year 2010: Number of grants: 0; 
Fiscal year 2011: Number of funding opportunities: 10; 
Fiscal year 2011: Number of grants: 243. 

Type of grant in funding opportunity announcement[A]: Total; 
Fiscal year 2010: Number of funding opportunities: 24; 
Fiscal year 2010: Number of grants: 545; 
Fiscal year 2011: Number of funding opportunities: 36[B]; 
Fiscal year 2011: Number of grants: 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. 

[End of table] 

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. [Footnote 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.[Footnote 20] According to HHS 
officials, HHS does not plan to include information on activities 
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. 

Process and Criteria for Allocating and Awarding PPHF Funds for Fiscal 
Years 2010 and 2011: 

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 figure 2 for a timeline of key events.) 

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

[Refer to PDF for image: timeline] 

Fiscal Year 2010: 
  
October 1: 
Fiscal year begins. 

February 1: 
President issues FY 2011 budget request for HHS. 

March 23: 
PPACA establishes PPHF (appropriates $500 million for FY 2010 and $750 
million for FY 2011). 

Late March-Early April: 
HHS/ASFR requests and receives FY 2010 and FY 2011 PPHF proposals from 
HHS agencies.  

Early April-Early June: 
HHS/ASFR determines PPHF allocations. 

June 8: 
HHS/ASFR notifies agencies of their final FY 2010 PPHF allocations. 

September 30: 
Last day for agencies to obligate FY 2010 PPHF funds. 

Fiscal year 2011: 

October 1: 
Fiscal year begins. 

February 4: 
HHS/ASFR notifies agencies of their final FY 2011 PPHF allocations. 

April 15: 
Department of Defense and Full-Year Continuing Appropriations Act, 
2011 is enacted. 

September 30: 
Last day for agencies to obligate FY 2011 PPHF funds. 

ASFR: Office of the Assistant Secretary for Financial Resources. 
FY: Fiscal year. 
PPHF: Prevention and Public Health Fund. 

Source: GAO summary of HHS information.  

[End of figure] 

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.[Footnote 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.[Footnote 
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. 

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

Step: 1. Agencies develop PPHF proposals; 

HHS/Agency action: 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, clinical-community 
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. 

Step: 2. HHS allocates PPHF funds to agencies and activities; 

HHS/Agency action: 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. 

Step: 3. Agencies select PPHF projects for funding; 

HHS/Agency action: 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. 

[End of table] 

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 appropriation[Footnote 23] 
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. 

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. 

HHS Reporting of Performance Measures, Targets, and Outcomes of 
Activities and Projects Receiving PPHF Funding: 

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.[Footnote 24] 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. 

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: Primary Care Training 
and Enhancement (HRSA); 
Fiscal year 2010: $198.1 million; 
Performance measures, targets, and outcomes[A]: 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). 

Activity (agency) and PPHF allocation amounts: Community 
Transformation Grants Program (CDC); 
Fiscal year 2011: $146.3 million; 
Performance measures, targets, and outcomes[A]: 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. 

Activity (agency) and PPHF allocation amounts: Section 317 
Immunization Program (CDC); 
Fiscal year 2011: $100.0 million; 
Performance measures, targets, and outcomes[A]: 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. 

[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 [hyperlink, 
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. 

[End of table] 

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.[Footnote 25] At the same time, however, information 
on all fiscal year 2010 and 2011 outcomes was not reported.[Footnote 
26] 

Agency Comments: 

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 [hyperlink, 
http://www.gao.gov]. 

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: 

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.[Footnote 27] 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. 

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. 

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. 

* 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: ABT Associates, Inc; 
Purpose: Specialized Communications for USPSTF; 
State: Massachusetts; 
Award: $4,000,000. 

Recipient: Oregon Evidence-based Practice Center (EPC) for USPSTF 
Reviews; 
Purpose: USPSTF Reviews; 
State: Oregon; 
Award: $1,010,937. 

Recipient: Total (2 awards); 
Award: $5,010,937. 

Source: GAO analysis of HHS information. 

[End of table] 

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

Recipient: ABT Associates, Inc; 
Purpose: Specialized Communications for USPSTF; 
State: Massachusetts; 
Award: $3,776,974. 

Recipient: Oregon Evidence-based Practice Center (EPC) for USPSTF 
Reviews; 
Purpose: USPSTF Reviews; 
State: Oregon; 
Award: $3,000,000. 

Recipient: Total (2 awards); 
Award: $6,776,974. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

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

Announcement: 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; 

Recipient: University of North Carolina, Chapel Hill; 
State: North Carolina; 
Award: $1,500,000. 

Recipient: University of Colorado, Denver; 
State: Colorado; 
Award: $1,483,338. 

Recipient: Northwestern University; 
State: Illinois; 
Award: $1,365,757. 

Recipient: Total (3 awards); 
Award: $4,349,095. 

Source: GAO analysis of HHS information. 

[End of table] 

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

Recipient: Abt Associates, Inc; 
Purpose: Technical assistance and evaluation of grant program; 
State: Maryland; 
Award: $484,986. 

Recipient: Total (1 award); 
Award: $484,986. 

Source: GAO analysis of HHS information. 

[End of table] 

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: Colorado Practice-based Research Network (PBRN) Healthy 
Weight; 
Purpose: To create a guide for primary care practices to build 
linkages with community based organizations in support of healthy 
weight programs; 
State: Colorado; 
Award: $489,063. 

Recipient: Total (1 award); 
Award: $489,063. 

Source: GAO analysis of HHS information. 

[End of table] 

[End of section] 

Appendix II: Centers for Disease Control and Prevention--Prevention 
and Public Health Fund Awards by Activity: 

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.[Footnote 28] 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. 

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. 

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. 

* 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: 

Announcement: 
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) 
tobacco-free 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; 

Recipient: Texas State Dept of Health Services; 
State: TX; 
Award: $10,000,000. 

Recipient: Los Angeles County Health Services Dept; 
State: CA; 
Award: $9,848,011. 

Recipient: New York State Dept of Health; 
State: NY; 
Award: $8,391,881. 

Recipient: NC State Dept/Hlth & Human Services; 
State: NC; 
Award: $7,466,092. 

Recipient: Public Health Institute; 
State: CA; 
Award: $5,926,365. 

Recipient: Illinois State Dept of Public Health; 
State: IL; 
Award: $4,781,121. 

Recipient: University of Wisconsin-Madison; 
State: WI; 
Award: $4,700,000. 

Recipient: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $4,624,724. 

Recipient: Minnesota State Dept of Health; 
State: MN; 
Award: $3,603,724. 

Recipient: Washington State Department of Health; 
State: WA; 
Award: $3,256,347. 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $3,079,988. 

Recipient: County/San Diego Health/Human Ser/Ag; 
State: CA; 
Award: $3,053,793. 

Recipient: Iowa State Dept of Public Health; 
State: IA; 
Award: $3,007,856. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $1,945,289. 

Recipient: WV State Dept Hlth/Human Rscs; 
State: WV; 
Award: $1,883,603. 

Recipient: Broward Regional Health Planning Council; 
State: FL; 
Award: $1,766,476. 

Recipient: City of Philadelphia Public Health Dept; 
State: PA; 
Award: $1,547,297. 

Recipient: New Mexico State Department of Health; 
State: NM; 
Award: $1,500,000. 

Recipient: Maine State Dept/Health/Human Servs; 
State: ME; 
Award: $1,318,301. 

Recipient: Hennepin County Health and Human Services; 
State: MN; 
Award: $1,156,212. 

Recipient: Austin Health and Human Services Department; 
State: TX; 
Award: $1,026,158. 

Recipient: San Francisco Dept of Public Health; 
State: CA; 
Award: $815,358. 

Recipient: South Dakota State Dept of Health; 
State: SD; 
Award: $812,383. 

Recipient: Tacoma-Pierce County Health Department; 
State: WA; 
Award: $796,836. 

Recipient: Montana State Dept/Pub Hlth & Human Srvs; 
State: MT; 
Award: $769,195. 

Recipient: University of Rochester; 
State: NY; 
Award: $733,703. 

Recipient: Louisville Metro Department of Health; 
State: KY; 
Award: $721,594. 

Recipient: OK City County Health Department; 
State: OK; 
Award: $716,704. 

Recipient: Mid-American Regional Council Comm. Services; 
State: MO; 
Award: $705,708. 

Recipient: Vermont Department of Health; 
State: VT; 
Award: $621,760. 

Recipient: Denver Health and Hospital Authority; 
State: CO; 
Award: $610,345. 

Recipient: Douglas County Health Department; 
State: NE; 
Award: $510,199. 

Recipient: My Brother's Keeper; 
State: MS; 
Award: $500,000. 

Recipient: Sault St. Marie Tribe of Chippewa Indians; 
State: MI; 
Award: $500,000. 

Recipient: Houston City Health & Human Services; 
State: TX; 
Award: $500,000. 

Recipient: Operation Unite; 
State: KY; 
Award: $500,000. 

Recipient: Louisiana State Dept of Hlth & Hospitals; 
State: LA; 
Award: $500,000. 

Recipient: Austen Bioinnovation Institute In Akron; 
State: OH; 
Award: $500,000. 

Recipient: Toyiabe Indian Health Project; 
State: CA; 
Award: $500,000. 

Recipient: New Jersey State Dept/Health/Senior Srvs; 
State: NJ; 
Award: $500,000. 

Recipient: Great Lakes Inter-Tribal Council; 
State: WI; 
Award: $499,982. 

Recipient: Fresno County Department of Public Health; 
State: CA; 
Award: $499,695. 

Recipient: Southeast Alaska Reg Hlth Consortium; 
State: AK; 
Award: $499,588. 

Recipient: Fairfax County Neighborhood And Comm. Srvcs; 
State: VA; 
Award: $499,559. 

Recipient: Utah State Department of Health; 
State: UT; 
Award: $499,366. 

Recipient: Sierra Health Foundation; 
State: CA; 
Award: $499,229. 

Recipient: Cobb Public Health; 
State: GA; 
Award: $499,000. 

Recipient: Confederated Tribes of the Chehalis Reservation; 
State: WA; 
Award: $498,663. 

Recipient: Bernalillo County Office of Environmental Health; 
State: NM; 
Award: $497,353. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $493,891. 

Recipient: Ventura County; 
State: CA; 
Award: $481,036. 

Recipient: County of Kern Public Health Services Dept; 
State: CA; 
Award: $416,577. 

Recipient: North Dakota State Department of Health; 
State: ND; 
Award: $370,684. 

Recipient: Spectrum Health Hospitals; 
State: MI; 
Award: $333,321. 

Recipient: Stanislaus County Health Services Agency; 
State: CA; 
Award: $293,899. 

Recipient: Lancaster General Health; 
State: PA; 
Award: $233,577. 

Recipient: Sophie Trettevick Indian Health Center; 
State: WA; 
Award: $218,929. 

Recipient: Yukon-Kuskokwim Health Corporation; 
State: AK; 
Award: $193,340. 

Recipient: Public Health - Dayton And Montgomery County; 
State: OH; 
Award: $180,246. 

Recipient: Ulkerreuil A. Klengar; 
State: PW; 
Award: $147,106. 

Total (60 awards); 
Award: $103,552,064. 

Announcement: 
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; 

Recipient: National Council of the Young Men's Christian Association; 
State: IL; 
Award: $1,300,000. 

Recipient: National REACH Coalition; 
State: CA; 
Award: $900,000. 

Recipient: American Lung Association; 
State: DC; 
Award: $800,000. 

Recipient: Community Anti-Drug Coalitions of America; 
State: VA; 
Award: $300,000. 

Recipient: American Public Health Association; 
State: DC; 
Award: $300,000. 

Recipient: Occidental College; 
State: CA; 
Award: $300,000. 

Recipient: Asian Pacific Partners for Empowerment, Advocacy and 
Leadership; 
State: CA; 
Award: $300,000. 

Recipient: Total (7 awards); 
Award: $4,200,000. 

Announcement: 
3. 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; 

Recipient: National Association of City/County Health Officials; 
State: DC; 
Award: $140,000. 

Recipient: Total (1 award); 
Award: $140,000. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 14: FY 2011 Contracts, Community Transformation Grants Program: 

Recipient: ICF Macro, Inc; 
Purpose: TA and Training Contract; 
State: GA; 
Award: $6,035,730. 

Recipient: Research Triangle Institute; 
Purpose: Community Transformation Grants - Evaluation Technical 
Assistance, Training Services, and Performance Monitoring; 
State: GA; 
Award: $5,835,132. 

Recipient: FHI Development 360 LLC; 
Purpose: Community Transformation Grants Program Evaluation - Enhanced 
Evaluation Techniques; 
State: GA; 
Award: $5,396,166. 

Recipient: Four Seasons Environmental, Inc; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $4,430,683. 

Recipient: Research Triangle Institute; 
Purpose: Social Media Contract; 
State: GA; 
Award: $4,319,460. 

Recipient: ICF Macro, Inc; 
Purpose: Modeling and Cost Benefit Analysis Contract; 
State: GA; 
Award: $3,281,366. 

Recipient: Global Evaluation & Applied Research Solutions (GEARS); 
Purpose: Extramural Staffing Contract; 
State: GA; 
Award: $678,033. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $477,725. 

Recipient: Dell Services Federal Government, Inc; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $375,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Project Management Contract Support; 
State: GA; 
Award: $200,000. 

Recipient: Northrop Grumman; 
Purpose: Community Transformation Grants - Program Management; 
State: GA; 
Award: $200,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $103,286. 

Recipient: Various - Emory University, JP Morgan Chase, Northrop 
Grumman; 
Purpose: Contracts less than $25K; 
State: GA; 
Award: $19,489. 

Recipient: DOE IAA; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $12,000. 

Recipient: Total; 
Award: $31,364,071. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

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

(Continued From Previous Page) 

Announcements (6): 
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; 

Recipient: National Association of City/County Health Officials; 
State: DC; 
Award: $200,000. 

Recipient: Total (1 award); 
Award: $200,000. 

Announcements (6): 
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; 

Recipient: Arkansas State Dept of Health; 
State: AR; 
Award: $3,586,942. 

Recipient: Kansas State Dept of Hlth and Environmnt; 
State: KS; 
Award: $3,115,885. 

Recipient: New York State Dept of Health; 
State: NY; 
Award: $2,573,336. 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $2,570,827. 

Recipient: Colorado State Dept/Pub Hlth & Environmt; 
State: CO; 
Award: $1,800,000. 

Recipient: Washington State Department of Health; 
State: WA; 
Award: $1,736,427. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $1,611,744. 

Recipient: Alabama State Dept of Public Health; 
State: AL; 
Award: $1,438,016. 

Recipient: Missouri State Dept/Health & Senior Srv; 
State: MO; 
Award: $1,397,940. 

Recipient: West Virginia State Dept Hlth/Human Rscs; 
State: WV; 
Award: $1,317,124. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $1,297,548. 

Recipient: Minnesota State Dept of Health; 
State: MN; 
Award: $1,261,172. 

Recipient: Maine State Dept/Health/Human Servs; 
State: ME; 
Award: $1,256,896. 

Recipient: Michigan State Dept of Community Health; 
State: MI; 
Award: $1,235,590. 

Recipient: Arizona State Department of Hlth Srvcs; 
State: AZ; 
Award: $1,162,818. 

Recipient: Announcements (6)Recipient: Oklahoma State Department of 
Health; 
State: OK; 
Award: $1,046,675. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $1,036,494. 

Recipient: North Carolina State Dept/Hlth & Human Services; 
State: NC; 
Award: $1,023,484. 

Recipient: Announcements (6)Recipient: Hawaii State Department of 
Health; 
State: HI; 
Award: $933,189. 

Recipient: Iowa State Dept of Public Health; 
State: IA; 
Award: $900,000. 

Recipient: New Jersey State Dept/Health/Senior Srvs; 
State: NJ; 
Award: $876,197. 

Recipient: Announcements (6)Recipient: Vermont Department of Health; 
State: VT; 
Award: $792,138. 

Recipient: California Department of Public Health; 
State: CA; 
Award: $765,000. 

Recipient: Wisconsin Department of Health Services; 
State: WI; 
Award: $756,548. 

Recipient: Announcements (6)Recipient: Florida State Department of 
Health; 
State: FL; 
Award: $718,920. 

Recipient: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $654,034. 

Recipient: Oregon State Public Health Division; 
State: OR; 
Award: $639,590. 

Recipient: Announcements (6)Recipient: Texas State Dept of Health 
Services; 
State: TX; 
Award: $540,000. 

Recipient: Nevada State Dept of Hlth/Human Svcs; 
State: NV; 
Award: $539,989. 

Recipient: Utah State Department of Health; 
State: UT; 
Award: $515,979. 

Recipient: Nebraska St Dept of Health & Human Servs; 
State: NE; 
Award: $492,300. 

Recipient: Wyoming State Department of Health; 
State: WY; 
Award: $485,906. 

Recipient: Mississippi State Department of Health; 
State: MS; 
Award: $484,195. 

Recipient: Virginia State Dept of Health; 
State: VA; 
Award: $452,061. 

Recipient: Indiana State Department of Health; 
State: IN; 
Award: $271,141. 

Recipient: Ohio State Department of Health; 
State: OH; 
Award: $252,275. 

Recipient: North Dakota State Department of Health; 
State: ND; 
Award: $226,418. 

Recipient: Houston City Health & Human Services; 
State: TX; 
Award: $134,842. 

Recipient: Total (38 awards); 
Award: $41,899,640. 

Announcements (6): 
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)); 
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; 

Recipient: University of Rochester; 
State: NY; 
Award: $201,220. 

Recipient: The Children's Mercy Hospital; 
State: MO; 
Award: $201,220. 

Recipient: Cincinnati Children's Hospital; 
State: OH; 
Award: $201,220. 

Recipient: Vanderbilt University Medical Center; 
State: TN; 
Award: $201,220. 

Recipient: Seattle Children's Hospital; 
State: WA; 
Award: $201,220. 

Recipient: Total (5 awards); 
Award: $1,006,100. 

Announcements (6): 
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; 

Recipient: New York State Dept of Health; 
State: NY; 
Award: $409,254. 

Recipient: California Department of Public Health; 
State: CA; 
Award: $381,103. 

Recipient: Minnesota State Dept of Health; 
State: MN; 
Award: $328,791. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $212,612. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $199,515. 

Recipient: Colorado State Dept/Pub Hlth & Environmt; 
State: CO; 
Award: $191,878. 

Recipient: Oregon State Public Health Division; 
State: OR; 
Award: $167,139. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $162,890. 

Recipient: New Mexico State Department of Health; 
State: NM; 
Award: $162,131. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $145,460. 

Recipient: Total (10 awards); 
Award: $2,360,773. 

Announcements (6): 
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; 

Recipient: Georgia Department of Public Health; 
State: GA; 
Award: $253,635. 

Recipient: CT ST Dept of Public Health; 
State: CT; 
Award: $154,877. 

Recipient: Total (2 awards); 
Award: $408,512. 

Announcements (6): 
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; 

Recipient: Los Angeles County Health Services Dept; 
State: CA; 
Award: $124,611. 

Recipient: Utah State Department of Health; 
State: UT; 
Award: $63,409. 

Recipient: New York City Health/Mental Hygiene; 
State: NY; 
Award: $39,963. 

Recipient: Maine State Dept/Health/Human Servs; 
State: ME; 
Award: $35,624. 

Recipient: Iowa State Dept of Public Health; 
State: IA; 
Award: $35,000. 

Recipient: Washington State Department of Health; 
State: WA; 
Award: $34,659. 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $32,450. 

Recipient: Arizona State Department of Hlth Srvcs; 
State: AZ; 
Award: $26,996. 

Recipient: NC State Dept/Hlth & Human Services; 
State: NC; 
Award: $26,798. 

Recipient: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $26,624. 

Recipient: Florida State Department of Health; 
State: FL; 
Award: $26,190. 

Recipient: Houston City Health & Human Services; 
State: TX; 
Award: $26,000. 

Recipient: Wisconsin Department of Health Services; 
State: WI; 
Award: $25,744. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $23,943. 

Recipient: Alabama State Dept of Public Health; 
State: AL; 
Award: $23,340. 

Recipient: Oklahoma State Department of Health; 
State: OK; 
Award: $17,016. 

Recipient: City of Philadelphia Public Health Dept; 
State: PA; 
Award: $17,000. 

Recipient: Total (17awards); 
Award: $605,367. 

Source: GAO analysis of HHS information. 

[End of table] 

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

Recipient: Merck Sharp & Dohme Corp; 
Purpose: Vaccine Supplies; 
State: GA; 
Award: $20,523,444. 

Recipient: Pfizer Inc; 
Purpose: Vaccine Supplies; 
State: GA; 
Award: $6,817,823. 

Recipient: Sanofi Pasteur Inc; 
Purpose: Vaccine Supplies; 
State: GA; 
Award: $5,751,222. 

Recipient: Glaxosmithkline LLC; 
Purpose: Vaccine Supplies; 
State: GA; 
Award: $4,843,178. 

Recipient: Merck Sharp & Dohme Corp; 
Purpose: Vaccine Supplies; 
State: GA; 
Award: $4,413,348. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Barcoding - Implementation Pilot for Two-Dimensional Vaccine 
Barcode Utilization; 
State: GA; 
Award: $2,907,887. 

Recipient: Glaxosmithkline LLC; 
Purpose: Vaccine Supplies; 
State: GA; 
Award: $2,858,200. 

Recipient: Four Seasons Environmental, Inc; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $2,149,345. 

Recipient: Novartis Vaccines and Diagnostics, Inc; 
Purpose: Vaccine Supplies; 
State: GA; 
Award: $565,969. 

Recipient: Northrup Grumman Systems Corporation; 
Purpose: IIS-TIPS; 
State: GA; 
Award: $446,831. 

Recipient: The Cadence Group, Inc; 
Purpose: PPHF project management; 
State: GA; 
Award: $415,758. 

Recipient: Carter Consulting, Inc; 
Purpose: VTrckS-IIS interface; 
State: GA; 
Award: $410,363. 

Recipient: Carter Consulting, Inc; 
Purpose: 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); 
State: GA; 
Award: $340,952. 

Recipient: P3S Corporation; 
Purpose: Evaluation of PCV 13 Vaccine - RBD Contractors; 
State: GA; 
Award: $263,017. 

Recipient: Novartis Vaccines and Diagnostics, Inc; 
Purpose: Vaccine Supplies; 
State: GA; 
Award: $190,861. 

Recipient: P3S Corporation; 
Purpose: Enhanced Pertussis Surveillance and Eval of Acellular VE; 
State: GA; 
Award: $164,044. 

Recipient: P3S Corporation; 
Purpose: Strengthening the Evidence Base - MCV Evaluation - MVDB 
Contractors; 
State: GA; 
Award: $81,820. 

Recipient: Agilent Technologies, Applied Biosystems Bio-Rad 
Laboratories, Caliper Life Sciences, J P Morgan Chase Bank, Roche 
Diagnostics Corporation; 
Purpose: Contracts < $25K; 
State: N/A; 
Award: $73,165. 

Recipient: GSA Federal Telecommunication Service; 
Purpose: Evaluation Impact and Effectiveness of Rotavirus Vaccine; 
State: GA; 
Award: $50,200. 

Recipient: MA Biological Laboratory; 
Purpose: Vaccine Supplies; 
State: GA; 
Award: $35,955. 

Recipient: Southeast Scientific; 
Purpose: Maintenance of 35 freezers; 
State: GA; 
Award: $33,557. 

Recipient: Goodwill Industries of North GA; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $10,655. 

Recipient: Total; 
Award: $53,347,594. 

Source: GAO analysis of HHS information. 

[End of table] 

Activity: National Public Health Improvement Initiative: 

The purpose of this activity[Footnote 29] 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 2010: $47.9 million (80 grants in two funding 
announcements totaling $46.4 million and three contracts totaling $1.5 
million): 

* Fiscal year 2011: $40.2 million (80 grants in three funding 
announcements totaling $36.7 million and four contracts totaling $3.5 
million): 

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

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; 
Recipient: California Department of Public Health; 
State: CA; 
Award: $2,060,128. 

Recipient: Florida State Department of Health; 
State: FL; 
Award: $2,060,128. 

Recipient: New York City Health/Mental Hygiene; 
State: NY; 
Award: $2,060,128. 

Recipient: Wisconsin Department of Health Services; 
State: WI; 
Award: $1,960,129. 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $1,960,128. 

Recipient: Minnesota State Dept of Health; 
State: MN; 
Award: $1,960,128. 

Recipient: North Carolina State Dept/Hlth & Human Services; 
State: NC; 
Award: $1,903,858. 

Recipient: Oregon State Public Health Division; 
State: OR; 
Award: $1,860,128. 

Recipient: Los Angeles County Health Services Dept; 
State: CA; 
Award: $1,859,950. 

Recipient: Cherokee Nation; 
State: OK; 
Award: $1,760,128. 

Recipient: Maine State Dept/Health/Human Servs; 
State: ME; 
Award: $1,758,786. 

Recipient: Pacific Islands Health Officers Assn; 
State: HI; 
Award: $1,660,128. 

Recipient: New Jersey State Dept/Health/Senior Srvs; 
State: NJ; 
Award: $1,638,751. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $1,296,995. 

Recipient: Nebraska St Dept of Health & Human Servs; 
State: NE; 
Award: $1,200,000. 

Recipient: West Virginia State Dept Hlth/Human Rscs; 
State: WV; 
Award: $1,200,000. 

Recipient: City of Philadelphia Public Health Dept; 
State: PA; 
Award: $1,118,493. 

Recipient: Hawaii State Department of Health; 
State: HI; 
Award: $1,100,000. 

Recipient: Vermont Department of Health; 
State: VT; 
Award: $1,100,000. 

Recipient: Illinois State Dept of Public Health; 
State: IL; 
Award: $400,000. 

Recipient: Michigan State Dept of Community Health; 
State: MI; 
Award: $400,000. 

Recipient: New York State Dept of Health; 
State: NY; 
Award: $400,000. 

Recipient: Pennsylvania State Dept of Health; 
State: PA; 
Award: $400,000. 

Recipient: Texas State Dept of Health Services; 
State: TX; 
Award: $400,000. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $399,836. 

Recipient: Ohio State Department of Health; 
State: OH; 
Award: $394,111. 

Recipient: Colorado State Dept/Pub Hlth & Environmt; 
State: CO; 
Award: $300,000. 

Recipient: Indiana State Department of Health; 
State: IN; 
Award: $300,000. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $300,000. 

Recipient: Missouri State Dept/Health & Senior Srv; 
State: MO; 
Award: $300,000. 

Recipient: Virginia State Dept of Health; 
State: VA; 
Award: $300,000. 

Recipient: Washington State Department of Health; 
State: WA; 
Award: $299,981. 

Recipient: Arizona State Department of Hlth Srvcs; 
State: AZ; 
Award: $289,586. 

Recipient: Alabama State Dept of Public Health; 
State: AL; 
Award: $200,000. 

Recipient: Arkansas State Dept of Health; 
State: AR; 
Award: $200,000. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $200,000. 

Recipient: Idaho State Dept of Health and Welfare; 
State: ID; 
Award: $200,000. 

Recipient: City of Chicago; 
State: IL; 
Award: $200,000. 

Recipient: Iowa State Dept of Public Health; 
State: IA; 
Award: $200,000. 

Recipient: Kansas State Dept of Hlth and Environmnt; 
State: KS; 
Award: $200,000. 

Recipient: KY Cabinet for Health and Family Services; 
State: KY; 
Award: $200,000. 

Recipient: Louisiana State Dept of Hlth & Hospitals; 
State: LA; 
Award: $200,000. 

Recipient: Nevada State Dept of Hlth/Human Svcs; 
State: NV; 
Award: $200,000. 

Recipient: Oklahoma State Department of Health; 
State: OK; 
Award: $200,000. 

Recipient: Puerto Rico Department of Health; 
State: PR; 
Award: $200,000. 

Recipient: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $200,000. 

Recipient: Houston City Health & Human Services; 
State: TX; 
Award: $200,000. 

Recipient: Utah State Department of Health; 
State: UT; 
Award: $200,000. 

Recipient: New Mexico State Department of Health; 
State: NM; 
Award: $199,877. 

Recipient: Mississippi State Department of Health; 
State: MS; 
Award: $199,585. 

Recipient: County of Maricopa; 
State: AZ; 
Award: $199,434. 

Recipient: Alaska State Department of Hlth-Soc Svcs; 
State: AK; 
Award: $100,000. 

Recipient: Alaska Native Tribal Health Consortium; 
State: AK; 
Award: $100,000. 

Recipient: Southeast Alaska Reg Hlth Consortium; 
State: AK; 
Award: $100,000. 

Recipient: American Samoa Department of Health; 
State: AS; 
Award: $100,000. 

Recipient: Gila River Indian Community; 
State: AZ; 
Award: $100,000. 

Recipient: Navajo Nation Division of Health; 
State: AZ; 
Award: $100,000. 

Recipient: County/San Diego Health/Human Ser/Ag; 
State: CA; 
Award: $100,000. 

Recipient: DC Department of Health; 
State: DC; 
Award: $100,000. 

Recipient: Delaware State Dept of Hlth & Soc Srvs; 
State: DE; 
Award: $100,000. 

Recipient: Federated States Micronesia; 
State: FM; 
Award: $100,000. 

Recipient: Guam Department of Public Health-Soc Svc; 
State: GU; 
Award: $100,000. 

Recipient: Republic/Marshall Island Mnstry of Hlth; 
State: MH; 
Award: $100,000. 

Recipient: Montana State Dept/Pub Hlth & Human Srvs; 
State: MT; 
Award: $100,000. 

Recipient: Montana-Wyoming Tribal Leaders Council; 
State: MT; 
Award: $100,000. 

Recipient: Commonwealth N Mariana Is Dept Pub Hlth; 
State: MP; 
Award: $100,000. 

Recipient: NH State Dept of Health and Human Sers; 
State: NH; 
Award: $100,000. 

Recipient: Northwest Portland Area Indian Hlth Bd; 
State: OR; 
Award: $100,000. 

Recipient: City of San Antonio Metro Health Dist; 
State: TX; 
Award: $100,000. 

Recipient: Dallas County Dept/Hlth/Human Srvs; 
State: TX; 
Award: $100,000. 

Recipient: Virgin Islands Department of Health; 
State: VI; 
Award: $100,000. 

Recipient: Wyoming State Department of Health; 
State: WY; 
Award: $100,000. 

Recipient: Republic/Marshall Island Mnstry of Hlth; 
State: MH; 
Award: $100,000. 

Recipient: Mille Lacs Band of Ojibwe Indians; 
State: MN; 
Award: $99,866. 

Recipient: Rhode Island State Dept of Health; 
State: RI; 
Award: $99,738. 

Recipient: Total (75 awards); 
Award: $42,400,000. 

Announcements (2) 
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; 

Recipient: National Network of Public Health Institutes; 
State: LA; 
Award: $1,000,000. 

Recipient: American Public Health Association; 
State: DC; 
Award: $750,000. 

Recipient: National Association of City/County Health Officials; 
State: DC; 
Award: $750,000. 

Recipient: Public Health Foundation; 
State: DC; 
Award: $750,000. 

Recipient: Association of State and Territorial Health Officials; 
State: VA; 
Award: $750,000. 

Recipient: Total (5 awards); 
Award: $4,000,000. 

Source: GAO analysis of HHS information. 

Note: In fiscal year 2010, this activity was referred to as Public 
Health Infrastructure. 

[End of table] 

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

Recipient: Office of Personnel Management; 
Purpose: Competencies necessary for Workforce; 
State: GA; 
Award: $1,500,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Business services support - Health Reform Implementation 
Office; 
State: GA; 
Award: $12,358. 

Recipient: Northrop Grumman; 
Purpose: 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; 
State: GA; 
Award: $7,000. 

Recipient: Total (3 awards); 
Award: $1,519,358. 

Source: GAO analysis of HHS information. 

Note: In fiscal year 2010, this activity was referred to as Public 
Health Infrastructure. 

[End of table] 

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

Announcements (3): 
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; 

Recipient: New York City Health/Mental Hygiene; 
State: NY; 
Award: $1,093,662. 

Recipient: Florida State Department of Health; 
State: FL; 
Award: $1,093,662. 

Recipient: California Department of Public Health; 
State: CA; 
Award: $1,093,662. 

Recipient: NC State Dept/Hlth & Human Services; 
State: NC; 
Award: $1,037,779. 

Recipient: Minnesota State Dept of Health; 
State: MN; 
Award: $993,662. 

Recipient: Wisconsin Department of Health Services; 
State: WI; 
Award: $993,662. 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $993,662. 

Recipient: New Jersey State Dept/Health/Senior Srvs; 
State: NJ; 
Award: $950,791. 

Recipient: Oregon State Public Health Division; 
State: OR; 
Award: $893,662. 

Recipient: Los Angeles County Health Services Dept; 
State: CA; 
Award: $893,598. 

Recipient: Cherokee Nation; 
State: OK; 
Award: $843,662. 

Recipient: Maine State Dept/Health/Human Servs; 
State: ME; 
Award: $843,182. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $757,600. 

Recipient: City of Philadelphia Public Health Dept; 
State: PA; 
Award: $664,213. 

Recipient: Nebraska St Dept of Health & Human Servs; 
State: NE; 
Award: $657,600. 

Recipient: West Virginia State Dept Hlth/Human Rscs; 
State: WV; 
Award: $657,600. 

Recipient: Hawaii State Department of Health; 
State: HI; 
Award: $607,600. 

Recipient: Vermont Department of Health; 
State: VT; 
Award: $607,600. 

Recipient: Pacific Islands Health Officers Assn; 
State: HI; 
Award: $593,662. 

Recipient: Pennsylvania State Dept of Health; 
State: PA; 
Award: $500,000. 

Recipient: New York State Dept of Health; 
State: NY; 
Award: $500,000. 

Recipient: Illinois State Dept of Public Health; 
State: IL; 
Award: $500,000. 

Recipient: Michigan State Dept of Community Health; 
State: MI; 
Award: $500,000. 

Recipient: Ohio State Department of Health; 
State: OH; 
Award: $500,000. 

Recipient: Texas State Dept of Health Services; 
State: TX; 
Award: $500,000. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $499,738. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $400,000. 

Recipient: Missouri State Dept/Health & Senior Srv; 
State: MO; 
Award: $400,000. 

Recipient: Indiana State Department of Health; 
State: IN; 
Award: $400,000. 

Recipient: Washington State Department of Health; 
State: WA; 
Award: $400,000. 

Recipient: Colorado State Dept/Pub Hlth & Environmt; 
State: CO; 
Award: $400,000. 

Recipient: Arizona State Department of Hlth Srvcs; 
State: AZ; 
Award: $400,000. 

Recipient: Virginia State Dept of Health; 
State: VA; 
Award: $399,859. 

Recipient: Arkansas State Dept of Health; 
State: AR; 
Award: $300,000. 

Recipient: City of Chicago; 
State: IL; 
Award: $300,000. 

Recipient: Houston City Health & Human Services; 
State: TX; 
Award: $300,000. 

Recipient: Alabama State Dept of Public Health; 
State: AL; 
Award: $300,000. 

Recipient: County of Maricopa; 
State: AZ; 
Award: $300,000. 

Recipient: Kansas State Dept of Hlth and Environmnt; 
State: KS; 
Award: $300,000. 

Recipient: KY Cabinet for Health and Family Services; 
State: KY; 
Award: $300,000. 

Recipient: Louisiana State Dept of Hlth & Hospitals; 
State: LA; 
Award: $300,000. 

Recipient: Nevada State Dept of Hlth/Human Svcs; 
State: NV; 
Award: $300,000. 

Recipient: Idaho State Dept of Health and Welfare; 
State: ID; 
Award: $300,000. 

Recipient: Oklahoma State Department of Health; 
State: OK; 
Award: $300,000. 

Recipient: Utah State Department of Health; 
State: UT; 
Award: $300,000. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $300,000. 

Recipient: Iowa State Dept of Public Health; 
State: IA; 
Award: $300,000. 

Recipient: New Mexico State Department of Health; 
State: NM; 
Award: $300,000. 

Recipient: Puerto Rico Department of Health; 
State: PR; 
Award: $300,000. 

Recipient: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $300,000. 

Recipient: Mississippi State Department of Health; 
State: MS; 
Award: $299,585. 

Recipient: County/San Diego Health/Human Ser/Ag; 
State: CA; 
Award: $250,000. 

Recipient: DC Department of Health; 
State: DC; 
Award: $250,000. 

Recipient: Delaware State Dept of Hlth & Soc Srvs; 
State: DE; 
Award: $250,000. 

Recipient: NH State Dept of Health and Human Sers; 
State: NH; 
Award: $250,000. 

Recipient: Northwest Portland Area Indian Hlth Bd; 
State: OR; 
Award: $250,000. 

Recipient: City of San Antonio Metro Health Dist; 
State: TX; 
Award: $250,000. 

Recipient: Alaska State Department of Hlth-Soc Svcs; 
State: AK; 
Award: $250,000. 

Recipient: Rhode Island State Dept of Health; 
State: RI; 
Award: $250,000. 

Recipient: Navajo Nation Division of Health; 
State: AZ; 
Award: $250,000. 

Recipient: Alaska Native Tribal Health Consortium; 
State: AK; 
Award: $250,000. 

Recipient: American Samoa Department of Health; 
State: AS; 
Award: $250,000. 

Recipient: Federated States Micronesia; 
State: FM; 
Award: $250,000. 

Recipient: Guam Department of Public Health-Soc Svc; 
State: GU; 
Award: $250,000. 

Recipient: Mille Lacs Band of Ojibwe Indians; 
State: MN; 
Award: $250,000. 

Recipient: Republic/Marshall Island Mnstry of Hlth; 
State: MH; 
Award: $250,000. 

Recipient: Montana WY Tribal Leaders Council; 
State: MT; 
Award: $250,000. 

Recipient: MT State Dept/Pub Hlth & Human Srvs; 
State: MT; 
Award: $250,000. 

Recipient: Republic of Palau Ministry of Health; 
State: PW; 
Award: $250,000. 

Recipient: Southeast Alaska Reg Hlth Consortium; 
State: AK; 
Award: $250,000. 

Recipient: Dallas County Dept/Hlth/Human Srvs; 
State: TX; 
Award: $249,998. 

Recipient: Commonwealth N Mariana Is Dept Pub Hlth; 
State: MP; 
Award: $249,993. 

Recipient: Wyoming State Department of Health; 
State: WY; 
Award: $248,838. 

Recipient: Gila River Indian Community; 
State: AZ; 
Award: $100,000. 

Recipient: Total (74 awards); 
Award: $33,568,532. 

Announcements (3): 
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): 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; 

Recipient: National Association of City/County Health Officials; 
State: DC; 
Award: $300,000. 

Recipient: Total (1 award); 
Award: $300,000. 

Announcements (3): 
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; 

Recipient: National Association of City/County Health Officials; 
State: DC; 
Award: $999,400. 

Recipient: American Public Health Association; 
State: DC; 
Award: $464,400. 

Recipient: Public Health Foundation; 
State: DC; 
Award: $464,400. 

Recipient: National Network of Public Health Institutes; 
State: LA; 
Award: $464,400. 

Recipient: Association of State and Territorial Health Officials; 
State: VA; 
Award: $464,400. 

Recipient: Total (5 awards); 
Award: $2,857,000. 

Source: GAO analysis of HHS information. 

[End of table] 

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

Recipient: Deloitte Consulting, LLP; 
Purpose: National Public Health Improvement Initiative (NPHII) 
Implementation Support; 
State: GA; 
Award: $1,751,979. 

Recipient: Goodwill Industries of North Georgia; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $1,407,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $201,000. 

Recipient: Total Solutions, Inc; 
Purpose: Administrative Support; 
State: GA; 
Award: $114,489. 

Recipient: Total (4 awards); 
Award: $3,474,468. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

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

Announcements (2): 
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; 

Recipient: California Department of Public Health; 
State: CA; 
Award: $240,173. 

Recipient: NC State Dept/Hlth & Human Services; 
State: NC; 
Award: $198,758. 

Recipient: New York State Dept of Health; 
State: NY; 
Award: $150,543. 

Recipient: Florida State Department of Health; 
State: FL; 
Award: $145,380. 

Recipient: Illinois State Dept of Public Health; 
State: IL; 
Award: $116,426. 

Recipient: Pennsylvania State Dept of Health; 
State: PA; 
Award: $114,853. 

Recipient: Ohio State Department of Health; 
State: OH; 
Award: $109,388. 

Recipient: Texas State Dept of Health Services; 
State: TX; 
Award: $102,360. 

Recipient: Michigan State Dept of Community Health; 
State: MI; 
Award: $101,296. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $100,573. 

Recipient: New Jersey State Dept/Health/Senior Srvs; 
State: NJ; 
Award: $94,802. 

Recipient: Virginia State Dept of Health; 
State: VA; 
Award: $90,557. 

Recipient: Washington State Department of Health; 
State: WA; 
Award: $84,288. 

Recipient: Arizona State Department of Hlth Srvcs; 
State: AZ; 
Award: $83,936. 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $83,924. 

Recipient: Indiana State Department of Health; 
State: IN; 
Award: $83,048. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $82,395. 

Recipient: Missouri State Dept/Health & Senior Srv; 
State: MO; 
Award: $80,807. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $79,325. 

Recipient: Wisconsin Department of Health Services; 
State: WI; 
Award: $79,095. 

Recipient: Minnesota State Dept of Health; 
State: MN; 
Award: $77,095. 

Recipient: Alabama State Dept of Public Health; 
State: AL; 
Award: $74,227. 

Recipient: Colorado State Dept/Pub Hlth & Environmt; 
State: CO; 
Award: $73,927. 

Recipient: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $73,468. 

Recipient: Louisiana State Dept of Hlth & Hospitals; 
State: LA; 
Award: $73,112. 

Recipient: KY Cabinet for Health and Family Services; 
State: KY; 
Award: $72,033. 

Recipient: Puerto Rico Department of Health; 
State: PR; 
Award: $70,412. 

Recipient: Oregon State Public Health Division; 
State: OR; 
Award: $69,683. 

Recipient: Oklahoma State Department of Health; 
State: OK; 
Award: $68,970. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $68,102. 

Recipient: Iowa State Dept of Public Health; 
State: IA; 
Award: $65,476. 

Recipient: Arkansas State Dept of Health; 
State: AR; 
Award: $64,867. 

Recipient: Kansas State Dept of Hlth And Environmnt; 
State: KS; 
Award: $64,045. 

Recipient: Utah State Department of Health; 
State: UT; 
Award: $63,874. 

Recipient: Nevada State Dept of Hlth/Human Svcs; 
State: NV; 
Award: $63,169. 

Recipient: New Mexico State Department of Health; 
State: NM; 
Award: $60,340. 

Recipient: West Virginia State Dept Hlth/Human Rscs; 
State: WV; 
Award: $59,363. 

Recipient: Nebraska St Dept of Health & Human Servs; 
State: NE; 
Award: $59,244. 

Recipient: Idaho State Dept of Health And Welfare; 
State: ID; 
Award: $57,953. 

Recipient: NH State Dept of Health And Human Sers; 
State: NH; 
Award: $56,815. 

Recipient: Delaware State Dept of Hlth & Soc Srvs; 
State: DE; 
Award: $54,445. 

Recipient: South Dakota State Dept of Health; 
State: SD; 
Award: $54,180. 

Recipient: Maine State Dept/Health/Human Servs; 
State: ME; 
Award: $53,098. 

Recipient: DC Department of Health; 
State: DC; 
Award: $53,080. 

Recipient: Wyoming State Department of Health; 
State: WY; 
Award: $52,800. 

Recipient: Total (45 awards); 
Award: $3,825,705. 

Announcements (2): 
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; 

Recipient: Guam Department of Public Health-Soc Svc; 
State: GU; 
Award: $50,000. 

Recipient: Total (1 award); 
Award: $50,000. 

Source: GAO analysis of HHS information. 

[End of table] 

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

Recipient: Plowshare Group; 
Purpose: Develop and implement a comprehensive communication and 
marketing plan to deliver actionable tobacco prevention information, 
messages, and interventions to the identified audience segments; 
State: GA; 
Award: $8,080,000. 

Recipient: MACRO; 
Purpose: To provide health communications and integrated marketing 
strategies and database support to the Health Communications Branch, 
Office on Smoking and Health, NCCDPHP; 
State: GA; 
Award: $1,050,000. 

Recipient: Department of Health and Human Services; 
Purpose: 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; 
State: MO; 
Award: $539,344. 

Recipient: Plowshare Group; 
Purpose: Develop and implement a comprehensive communication and 
marketing plan to deliver actionable tobacco prevention information, 
messages, and interventions to the identified audience segments; 
State: GA; 
Award: $347,044. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Business services support - Financial Management Office; 
State: GA; 
Award: $180,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Business services support - Health Reform Implementation 
Office; 
State: GA; 
Award: $30,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Business services support - Health Reform Implementation 
Office; 
State: GA; 
Award: $20,000. 

Recipient: Total (7 awards); 
Award: $10,246,388. 

Source: GAO analysis of HHS information. 

[End of table] 

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

Announcements (2): 
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); 

Recipient: California Department of Public Health; 
State: CA; 
Award: $340,245. 

Recipient: Texas State Dept of Health Services; 
State: TX; 
Award: $251,470. 

Recipient: New York City Health/Mental Hygiene; 
State: NY; 
Award: $213,269. 

Recipient: Florida State Department of Health; 
State: FL; 
Award: $205,000. 

Recipient: Pennsylvania State Dept of Health; 
State: PA; 
Award: $162,708. 

Recipient: Ohio State Department of Health; 
State: OH; 
Award: $154,966. 

Recipient: Michigan State Dept of Community Health; 
State: MI; 
Award: $143,503. 

Recipient: NC State Dept/Hlth & Human Services; 
State: NC; 
Award: $139,210. 

Recipient: Virginia State Dept of Health; 
State: VA; 
Award: $128,289. 

Recipient: Washington State Department of Health; 
State: WA; 
Award: $119,408. 

Recipient: Arizona State Department of Hlth Srvcs; 
State: AZ; 
Award: $118,909. 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $118,894. 

Recipient: Indiana State Department of Health; 
State: IN; 
Award: $117,651. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $116,726. 

Recipient: Missouri State Dept/Health & Senior Srv; 
State: MO; 
Award: $114,477. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $112,377. 

Recipient: Wisconsin Department of Health Services; 
State: WI; 
Award: $112,051. 

Recipient: Minnesota State Dept of Health; 
State: MN; 
Award: $109,218. 

Recipient: Colorado State Dept/Pub Hlth & Environmt; 
State: CO; 
Award: $107,458. 

Recipient: Alabama State Dept of Public Health; 
State: AL; 
Award: $105,155. 

Recipient: Louisiana State Dept of Hlth & Hospitals; 
State: LA; 
Award: $103,575. 

Recipient: KY Cabinet for Health and Family Services; 
State: KY; 
Award: $102,279. 

Recipient: Puerto Rico Department of Health; 
State: PR; 
Award: $99,750. 

Recipient: Oregon State Public Health Division; 
State: OR; 
Award: $98,711. 

Recipient: Oklahoma State Department of Health; 
State: OK; 
Award: $97,707. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $96,478. 

Recipient: Iowa State Dept of Public Health; 
State: IA; 
Award: $92,758. 

Recipient: Arkansas State Dept of Health; 
State: AR; 
Award: $91,895. 

Recipient: Kansas State Dept of Hlth and Environmnt; 
State: KS; 
Award: $91,379. 

Recipient: Utah State Department of Health; 
State: UT; 
Award: $91,130. 

Recipient: Nevada State Dept of Hlth/Human Svcs; 
State: NV; 
Award: $90,099. 

Recipient: New Jersey State Dept/Health/Senior Srvs; 
State: NJ; 
Award: $85,482. 

Recipient: West Virginia State Dept Hlth/Human Rscs; 
State: WV; 
Award: $84,098. 

Recipient: Idaho State Dept of Health and Welfare; 
State: ID; 
Award: $82,100. 

Recipient: NH State Dept of Health and Human Sers; 
State: NH; 
Award: $80,488. 

Recipient: Maine State Dept/Health/Human Servs; 
State: ME; 
Award: $80,443. 

Recipient: Hawaii State Department of Health; 
State: HI; 
Award: $80,274. 

Recipient: Rhode Island State Dept of Health; 
State: RI; 
Award: $78,510. 

Recipient: Montana State Dept/Pub Hlth & Human Srvs; 
State: MT; 
Award: $77,939. 

Recipient: Delaware State Dept of Hlth & Soc Srvs; 
State: DE; 
Award: $77,285. 

Recipient: Vermont Department of Health; 
State: VT; 
Award: $75,365. 

Recipient: Wyoming State Department of Health; 
State: WY; 
Award: $74,800. 

Recipient: Total (42 awards); 
Award: $4,923,529. 

Announcements (2): 
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; 

Recipient: Guam Department of Public Health-Soc Svc; 
State: GU; 
Award: $50,000. 

Recipient: Total (1 award); 
Award: $50,000. 

Source: GAO analysis of HHS information. 

[End of table] 

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

Recipient: Plowshare Group, Inc; 
Purpose: CDC's National Tobacco Prevention and Control Public 
Education Campaign; 
State: GA; 
Award: $34,313,221. 

Recipient: Plowshare Group, Inc; 
Purpose: CDC's National Tobacco Prevention and Control Public 
Education Campaign; 
State: GA; 
Award: $3,330,978. 

Recipient: Research Triangle Institute; 
Purpose: Evaluation of the National Tobacco Prevention and Control 
Public Education Campaign; 
State: GA; 
Award: $2,935,310. 

Recipient: Four Seasons Environmental, Inc; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $816,000. 

Recipient: Macro International Inc; 
Purpose: Communication, Marketing, and Database Strategies, Services 
and Support to the Office on Smoking and Health, Health Communications 
Branch; 
State: GA; 
Award: $702,448. 

Recipient: Northrop Grumman; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $584,000. 

Recipient: HHS Program Support Center; 
Purpose: CASU Tobacco Prevention Activities; 
State: GA; 
Award: $527,053. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $344,355. 

Recipient: North American Quitline Consortium; 
Purpose: North American Quitline; 
State: GA; 
Award: $263,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $250,000. 

Recipient: Emory University; 
Purpose: TTAC - Competency Development Task 9; 
State: GA; 
Award: $37,962. 

Recipient: Total (11 awards); 
Award: $44,104,327. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

Table 25: FY 2010 Grants, Epidemiology and Laboratory Capacity Grants: 

Announcements (2): 
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; 

Recipient: California Department of Public Health; 
State: CA; 
Award: $677,043. 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $598,230. 

Recipient: Illinois State Dept of Public Health; 
State: IL; 
Award: $586,815. 

Recipient: Texas State Dept of Health Services; 
State: TX; 
Award: $544,902. 

Recipient: Washington State Department of Health; 
State: WA; 
Award: $510,120. 

Recipient: Indiana State Department of Health; 
State: IN; 
Award: $493,938. 

Recipient: Arkansas State Dept of Health; 
State: AR; 
Award: $442,594. 

Recipient: Florida State Department of Health; 
State: FL; 
Award: $423,403. 

Recipient: Alaska State Department of Hlth-Soc Svcs; 
State: AK; 
Award: $413,558. 

Recipient: Los Angeles County Health Services Dept; 
State: CA; 
Award: $412,980. 

Recipient: Iowa State Dept of Public Health; 
State: IA; 
Award: $407,337. 

Recipient: Wisconsin Department of Health Services; 
State: WI; 
Award: $395,014. 

Recipient: KY Cabinet for Health and Family Services; 
State: KY; 
Award: $389,385. 

Recipient: New York State Dept of Health; 
State: NY; 
Award: $374,166. 

Recipient: Alabama State Dept of Public Health; 
State: AL; 
Award: $361,795. 

Recipient: Utah State Department of Health; 
State: UT; 
Award: $352,662. 

Recipient: New Jersey State Dept/Health/Senior Srvs; 
State: NJ; 
Award: $346,382. 

Recipient: New York City Health/Mental Hygiene; 
State: NY; 
Award: $340,392. 

Recipient: Colorado State Dept/Pub Hlth & Environmt; 
State: CO; 
Award: $327,908. 

Recipient: New Mexico State Department of Health; 
State: NM; 
Award: $326,168. 

Recipient: Montana State Dept/Pub Hlth & Human Srvs; 
State: MT; 
Award: $312,811. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $308,225. 

Recipient: Delaware State Dept of Hlth & Soc Srvs; 
State: DE; 
Award: $307,243. 

Recipient: Minnesota State Dept of Health; 
State: MN; 
Award: $304,209. 

Recipient: MS State Department of Health; 
State: MS; 
Award: $302,720. 

Recipient: Ohio State Department of Health; 
State: OH; 
Award: $298,394. 

Recipient: Rhode Island State Dept of Health; 
State: RI; 
Award: $296,803. 

Recipient: Louisiana State Dept of Hlth & Hospitals; 
State: LA; 
Award: $289,273. 

Recipient: NC State Dept/Hlth & Human Services; 
State: NC; 
Award: $281,894. 

Recipient: Maine State Dept/Health/Human Servs; 
State: ME; 
Award: $273,410. 

Recipient: NH State Dept of Health And Human Sers; 
State: NH; 
Award: $266,217. 

Recipient: Missouri State Dept/Health & Senior Srv; 
State: MO; 
Award: $263,260. 

Recipient: Kansas State Dept of Hlth and Environmnt; 
State: KS; 
Award: $259,936. 

Recipient: Idaho State Dept of Health and Welfare; 
State: ID; 
Award: $254,056. 

Recipient: Virginia State Dept of Health; 
State: VA; 
Award: $251,035. 

Recipient: Michigan State Dept of Community Health; 
State: MI; 
Award: $243,670. 

Recipient: Hawaii State Department of Health; 
State: HI; 
Award: $240,142. 

Recipient: Oklahoma State Department of Health; 
State: OK; 
Award: $232,165. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $231,600. 

Recipient: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $231,176. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $223,117. 

Recipient: Vermont Department of Health; 
State: VT; 
Award: $219,273. 

Recipient: Oregon State Public Health Division; 
State: OR; 
Award: $212,318. 

Recipient: City of Philadelphia Public Health Dept; 
State: PA; 
Award: $183,688. 

Recipient: Pennsylvania State Dept of Health; 
State: PA; 
Award: $166,089. 

Recipient: Wyoming State Department of Health; 
State: WY; 
Award: $163,444. 

Recipient: Puerto Rico Department of Health; 
State: PR; 
Award: $156,230. 

Recipient: Nebraska St Dept of Health & Human Servs; 
State: NE; 
Award: $148,500. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $145,694. 

Recipient: South Dakota State Dept of Health; 
State: SD; 
Award: $145,267. 

Recipient: North Dakota State Department of Health; 
State: ND; 
Award: $138,776. 

Recipient: City of Chicago; 
State: IL; 
Award: $136,789. 

Recipient: Arizona State Department of Hlth Srvcs; 
State: AZ; 
Award: $117,120. 

Recipient: West Virginia State Dept Hlth/Human Rscs; 
State: WV; 
Award: $96,448. 

Recipient: NV State Dept of Hlth/Human Svcs; 
State: NV; 
Award: $90,000. 

Recipient: Houston City Health & Human Services; 
State: TX; 
Award: $89,443. 

Recipient: Republic of Palau Ministry of Health; 
State: PW; 
Award: $84,773. 

Recipient: DC Department of Health; 
State: DC; 
Award: $10,000. 

Recipient: Total (58 awards); 
Award: $16,700,000. 

Announcements (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); 

Recipient: Minnesota State Dept Of Health; 
State: MN; 
Award: $322,544. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $309,358. 

Recipient: Colorado State Dept/Pub Hlth & Environmt; 
State: CO; 
Award: $295,655. 

Recipient: New Mexico State Department of Health; 
State: NM; 
Award: $256,398. 

Recipient: Oregon State Public Health Division; 
State: OR; 
Award: $255,704. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $247,028. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $230,728. 

Recipient: New York State Dept of Health; 
State: NY; 
Award: $202,009. 

Recipient: California Department of Public Health; 
State: CA; 
Award: $198,869. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $181,707. 

Recipient: Total (10 awards); 
Award: $2,500,000. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 26: FY 2011 Grants, Epidemiology and Laboratory Capacity Grants: 

Announcements (2): 
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; 

Recipient: Iowa State Dept of Public Health; 
State: IA; 
Award: $1,553,629. 

Recipient: Utah State Department of Health; 
State: UT; 
Award: $1,483,303. 

Recipient: New York City Health/Mental Hygiene; 
State: NY; 
Award: $1,342,974. 

Recipient: Indiana State Department of Health; 
State: IN; 
Award: $1,250,965. 

Recipient: Michigan State Dept of Community Health; 
State: MI; 
Award: $1,088,593. 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $1,073,121. 

Recipient: Wisconsin Department of Health Services; 
State: WI; 
Award: $1,053,518. 

Recipient: NC State Dept/Hlth & Human Services; 
State: NC; 
Award: $1,015,354. 

Recipient: Alabama State Dept of Public Health; 
State: AL; 
Award: $987,592. 

Recipient: Houston City Health & Human Services; 
State: TX; 
Award: $930,520. 

Recipient: Alaska State Department of Hlth-Soc Svcs; 
State: AK; 
Award: $927,070. 

Recipient: Texas State Dept of Health Services; 
State: TX; 
Award: $904,754. 

Recipient: West Virginia State Dept Hlth/Human Rscs; 
State: WV; 
Award: $901,911. 

Recipient: Minnesota State Dept of Health; 
State: MN; 
Award: $860,220. 

Recipient: Florida State Department of Health; 
State: FL; 
Award: $814,429. 

Recipient: IL State Dept of Public Health; 
State: IL; 
Award: $744,130. 

Recipient: New Mexico State Department of Health; 
State: NM; 
Award: $739,137. 

Recipient: Los Angeles County Health Services Dept; 
State: CA; 
Award: $727,894. 

Recipient: Colorado State Dept/Pub Hlth & Environmt; 
State: CO; 
Award: $725,559. 

Recipient: Virginia State Dept of Health; 
State: VA; 
Award: $694,767. 

Recipient: Maine State Dept/Health/Human Servs; 
State: ME; 
Award: $692,911. 

Recipient: Rhode Island State Dept of Health; 
State: RI; 
Award: $666,375. 

Recipient: Washington State Department of Health; 
State: WA; 
Award: $663,520. 

Recipient: NH State Dept of Health and Human Sers; 
State: NH; 
Award: $654,040. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $636,979. 

Recipient: Kansas State Dept of Hlth and Environmnt; 
State: KS; 
Award: $633,447. 

Recipient: Nebraska St Dept of Health & Human Servs; 
State: NE; 
Award: $622,123. 

Recipient: Ohio State Department of Health; 
State: OH; 
Award: $617,083. 

Recipient: Vermont Department of Health; 
State: VT; 
Award: $602,431. 

Recipient: Arkansas State Dept of Health; 
State: AR; 
Award: $575,549. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $570,146. 

Recipient: Mississippi State Department of Health; 
State: MS; 
Award: $558,601. 

Recipient: KY Cabinet for Health and Family Services; 
State: KY; 
Award: $540,272. 

Recipient: New Jersey State Dept/Health/Senior Srvs; 
State: NJ; 
Award: $507,324. 

Recipient: NY State Dept of Health; 
State: NY; 
Award: $487,947. 

Recipient: MT State Dept/Pub Hlth & Human Srvs; 
State: MT; 
Award: $462,058. 

Recipient: NV State Dept of Hlth/Human Svcs; 
State: NV; 
Award: $461,153. 

Recipient: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $459,589. 

Recipient: South Dakota State Dept of Health; 
State: SD; 
Award: $444,845. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $441,204. 

Recipient: Delaware State Dept of Hlth & Soc Srvs; 
State: DE; 
Award: $427,619. 

Recipient: Arizona State Department of Hlth Srvcs; 
State: AZ; 
Award: $422,586. 

Recipient: Oregon State Public Health Division; 
State: OR; 
Award: $414,936. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $406,836. 

Recipient: Louisiana State Dept of Hlth & Hospitals; 
State: LA; 
Award: $398,630. 

Recipient: City of Philadelphia Public Health Dept; 
State: PA; 
Award: $355,230. 

Recipient: DC Department of Health; 
State: DC; 
Award: $346,006. 

Recipient: Oklahoma State Department of Health; 
State: OK; 
Award: $295,015. 

Recipient: Puerto Rico Department of Health; 
State: PR; 
Award: $294,511. 

Recipient: Missouri State Dept/Health & Senior Srv; 
State: MO; 
Award: $291,326. 

Recipient: Wyoming State Department of Health; 
State: WY; 
Award: $229,436. 

Recipient: Idaho State Dept of Health and Welfare; 
State: ID; 
Award: $228,448. 

Recipient: CA Department of Public Health; 
State: CA; 
Award: $156,034. 

Recipient: Pennsylvania State Dept of Health; 
State: PA; 
Award: $159,835. 

Recipient: North Dakota State Department of Health; 
State: ND; 
Award: $108,848. 

Recipient: Republic of Palau Ministry of Health; 
State: PW; 
Award: $69,283. 

Recipient: Hawaii State Department of Health; 
State: HI; 
Award: $40,000. 

Recipient: City of Chicago; 
State: IL; 
Award: $38,383. 

Recipient: Total (58 awards); 
Award: $35,799,999. 

Announcements (2): 
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; 

Recipient: Minnesota State Dept of Health; 
State: MN; 
Award: $313,593. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $307,413. 

Recipient: New York State Dept of Health; 
State: NY; 
Award: $300,477. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $296,877. 

Recipient: Oregon State Public Health Division; 
State: OR; 
Award: $268,693. 

Recipient: New Mexico State Department of Health; 
State: NM; 
Award: $254,826. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $239,195. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $235,911. 

Recipient: Public Health Foundation Enterprises, Inc; 
State: CA; 
Award: $216,149. 

Recipient: Colorado State Dept/Pub Hlth & Environmt; 
State: CO; 
Award: $166,864. 

Recipient: Total (10 awards); 
Award: $2,599,998. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 27: FY 2011 Contracts, Epidemiology and Laboratory Capacity 
Grants: 

Recipient: Booz Allen Hamilton Inc; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $1,400,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $200,000. 

Recipient: Total (2 awards); 
Award: $1,600,000. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

Table 28: FY 2011 Grants, Coordinated Chronic Disease Prevention 
Program:
Announcements (3): 
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; 

Recipient: California Department of Public Health; 
State: CA; 
Award: $1,915,243. 

Recipient: Texas State Dept of Health Services; 
State: TX; 
Award: $1,509,549. 

Recipient: New York State Dept of Health; 
State: NY; 
Award: $1,290,563. 

Recipient: Florida State Department of Health; 
State: FL; 
Award: $1,182,915. 

Recipient: ASTDHPPHE; 
State: DC; 
Award: $1,128,816. 

Recipient: Ohio State Department of Health; 
State: OH; 
Award: $933,930. 

Recipient: Pennsylvania State Dept of Health; 
State: PA; 
Award: $930,987. 

Recipient: NC State Dept/Hlth & Human Services; 
State: NC; 
Award: $911,104. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $898,871. 

Recipient: Michigan State Dept of Community Health; 
State: MI; 
Award: $883,445. 

Recipient: Arizona State Department of Hlth Srvcs; 
State: AZ; 
Award: $842,629. 

Recipient: Missouri State Dept/Health & Senior Srv; 
State: MO; 
Award: $784,312. 

Recipient: Mississippi State Department of Health; 
State: MS; 
Award: $778,962. 

Recipient: Illinois State Dept of Public Health; 
State: IL; 
Award: $778,232. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $775,664. 

Recipient: Louisiana State Dept of Hlth & Hospitals; 
State: LA; 
Award: $763,822. 

Recipient: Virginia State Dept of Health; 
State: VA; 
Award: $763,407. 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $757,121. 

Recipient: New Jersey State Dept/Health/Senior Srvs; 
State: NJ; 
Award: $748,849. 

Recipient: KY Cabinet For Health and Family Services; 
State: KY; 
Award: $748,295. 

Recipient: Washington State Department of Health; 
State: WA; 
Award: $748,177. 

Recipient: Alabama State Dept of Public Health; 
State: AL; 
Award: $715,499. 

Recipient: Wisconsin Department of Health Services; 
State: WI; 
Award: $697,830. 

Recipient: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $690,357. 

Recipient: Oklahoma State Department of Health; 
State: OK; 
Award: $682,853. 

Recipient: Oregon State Public Health Division; 
State: OR; 
Award: $682,598. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $673,446. 

Recipient: Arkansas State Dept of Health; 
State: AR; 
Award: $672,980. 

Recipient: Colorado State Dept/Pub Hlth & Environmt; 
State: CO; 
Award: $672,949. 

Recipient: New Mexico State Department of Health; 
State: NM; 
Award: $665,704. 

Recipient: Minnesota State Dept of Health; 
State: MN; 
Award: $651,463. 

Recipient: Kansas State Dept of Hlth And Environmnt; 
State: KS; 
Award: $639,334. 

Recipient: DC Department of Health; 
State: DC; 
Award: $626,219. 

Recipient: Indiana State Department of Health; 
State: IN; 
Award: $600,000. 

Recipient: Iowa State Dept of Public Health; 
State: IA; 
Award: $600,000. 

Recipient: West Virginia State Dept Hlth/Human Rscs; 
State: WV; 
Award: $600,000. 

Recipient: Nevada State Dept of Hlth/Human Svcs; 
State: NV; 
Award: $583,865. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $569,287. 

Recipient: Rhode Island State Dept of Health; 
State: RI; 
Award: $559,000. 

Recipient: Montana State Dept/Pub Hlth & Human Srvs; 
State: MT; 
Award: $554,321. 

Recipient: Utah State Department of Health; 
State: UT; 
Award: $552,360. 

Recipient: Maine State Dept/Health/Human Servs; 
State: ME; 
Award: $551,920. 

Recipient: Nebraska St Dept of Health & Human Servs; 
State: NE; 
Award: $534,440. 

Recipient: Idaho State Dept of Health And Welfare; 
State: ID; 
Award: $530,612. 

Recipient: Delaware State Dept of Hlth & Soc Srvs; 
State: DE; 
Award: $505,981. 

Recipient: North Dakota State Department of Health; 
State: ND; 
Award: $502,238. 

Recipient: Puerto Rico Department of Health; 
State: PR; 
Award: $491,271. 

Recipient: Vermont Department of Health; 
State: VT; 
Award: $479,632. 

Recipient: Alaska State Department of Hlth-Soc Svcs; 
State: AK; 
Award: $479,112. 

Recipient: NH State Dept of Health and Human Sers; 
State: NH; 
Award: $463,729. 

Recipient: South Dakota State Dept of Health; 
State: SD; 
Award: $453,480. 

Recipient: Hawaii State Department of Health; 
State: HI; 
Award: $445,130. 

Recipient: Wyoming State Department of Health; 
State: WY; 
Award: $411,507. 

Recipient: Total (53 awards); 
Award: $38,614,010. 

Announcements (3): 
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); 
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; 

Recipient: Guam Department of Public Health-Soc Svc; 
State: GU; 
Award: $213,280. 

Recipient: American Samoa Department of Health; 
State: AS; 
Award: $204,846. 

Recipient: Federated States Micronesia; 
State: FM; 
Award: $207,868. 

Recipient: Republic/Marshall Island Mnstry of Hlth; 
State: MH; 
Award: $204,836. 

Recipient: Commonwealth N Mariana Is Dept Pub Hlth; 
State: MP; 
Award: $203,745. 

Recipient: Republic of Palau Ministry of Health; 
State: PW; 
Award: $199,599. 

Recipient: Total (6 awards); 
Award: $1,234,174. 

Announcements (3): 
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); 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $900,137. 

Recipient: Washington State Department of Health; 
State: WA; 
Award: $842,927. 

Recipient: Iowa State Dept of Public Health; 
State: IA; 
Award: $782,031. 

Recipient: Rhode Island State Dept of Health; 
State: RI; 
Award: $735,819. 

Recipient: New Jersey State Dept/Health/Senior Srvs; 
State: NJ; 
Award: $726,377. 

Recipient: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $695,145. 

Recipient: Wisconsin Department of Health Services; 
State: WI; 
Award: $683,659. 

Recipient: California Department of Public Health; 
State: CA; 
Award: $657,358. 

Recipient: Nebraska St Dept of Health & Human Servs; 
State: NE; 
Award: $653,178. 

Recipient: Texas State Dept of Health Services; 
State: TX; 
Award: $631,161. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $597,369. 

Recipient: Arizona State Dept of Health; 
State: AR; 
Award: $579,957. 

Recipient: NH State Dept of Health and Human Sers; 
State: NH; 
Award: $445,500. 

Recipient: Utah State Department of Health; 
State: UT; 
Award: $416,324. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $335,754. 

Recipient: Indiana State Department of Health; 
State: IN; 
Award: $317,304. 

Recipient: Total (16 awards); 
Award: $10,000,000. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 29: FY 2011 Contracts, Coordinated Chronic Disease Prevention 
Program: 

Recipient: Four Seasons Environmental; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $1,490,000. 

Recipient: Deloitte Consulting; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $200,000. 

Recipient: Total (2 awards); 
Award: $1,690,000. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

Table 30: FY 2010 Grants, CDC Healthcare Surveillance and Statistics: 

Announcements (2): 
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; 

Recipient: Arkansas State Dept of Health; 
State: AR; 
Award: $200,770. 

Recipient: Total (1 award); 
Award: $200,770. 

Announcements (2): 
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; 

Recipient: American Cancer Society; 
State: GA; 
Award: $499,582. 

Recipient: Total (1 award); 
Award: $499,582. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 31: FY 2010 Contracts, CDC Healthcare Surveillance and 
Statistics: 

Recipient: US Census Bureau; 
Purpose: 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; 
State: MD; 
Award: $5,782,500. 

Recipient: US Census Bureau; 
Purpose: 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; 
State: MD; 
Award: $4,053,529. 

Recipient: US Census Bureau; 
Purpose: Conduct the National Health Interview Survey 2010 through 
data collection of approximately 64,000 assigned households using 
trained National Health Interview Survey field representatives; 
State: MD; 
Award: $2,975,000. 

Recipient: SciMetricka; 
Purpose: 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; 
State: GA; 
Award: $1,976,536. 

Recipient: Agilex Technologies; 
Purpose: 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; 
State: GA; 
Award: $850,696. 

Recipient: SciMetricka; 
Purpose: 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; 
State: GA; 
Award: $745,000. 

Recipient: Buccaneer Computer Systems; 
Purpose: 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; 
State: VA; 
Award: $649,710. 

Recipient: Westat Inc; 
Purpose: 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; 
State: MD; 
Award: $596,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Business services support - Financial Management Office; 
State: GA; 
Award: $499,982. 

Recipient: Global Evaluation & Applied Research Solutions; 
Purpose: 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); 
State: GA; 
Award: $296,472. 

Recipient: Global Evaluation & Applied Research Solutions; 
Purpose: 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); 
State: GA; 
Award: $217,500. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Business services support - Health Reform Implementation 
Office; 
State: GA; 
Award: $61,235. 

Recipient: Total (12 awards); 
Award: $18,704,160. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 32: FY 2011 Contracts, CDC Healthcare Surveillance and 
Statistics: 

Recipient: US Census Bureau, Demographic Surveys Division; 
Purpose: NHIS Healthcare Reform Monitoring; 
State: GA; 
Award: $10,900,000. 

Recipient: US Census Bureau; 
Purpose: Support Services for the National Health Care Surveys - 
Census; 
State: MD; 
Award: $10,571,195. 

Recipient: Agilex Technologies, Inc; 
Purpose: States, Communities, and Health Information Exchanges for 
Prevention and Public Health; 
State: GA; 
Award: $2,789,133. 

Recipient: Research Triangle Institute; 
Purpose: Leveraging Beacon Communities' Experience in Health 
Information Exchange for Public and Population Health; 
State: GA; 
Award: $1,417,390. 

Recipient: Goodwill Industries of North Georgia; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $1,050,000. 

Recipient: Johns Hopkins University Applied Physics Laboratory; 
Purpose: Enhancing Healthcare Data Access and Use and Health Service 
Research Capacity; 
State: GA; 
Award: $598,523. 

Recipient: Global Evaluation & Applied Research Solutions (GEARS); 
Purpose: Support Services for the National Health Care Surveys - GEARS; 
State: MD; 
Award: $531,795. 

Recipient: International Society for Disease; 
Purpose: Developing Business and Infrastructure Requirements for 
Syndromic Surveillance using Clinical Data from Health Information 
Exchanges; 
State: GA; 
Award: $449,934. 

Recipient: Social & Scientific Systems, Inc; 
Purpose: Health Indicators Warehouse; 
State: MD; 
Award: $291,000. 

Recipient: Systems Research and Applications Corporation; 
Purpose: Support Services for the National Health Care Surveys - SRA; 
State: MD; 
Award: $287,010. 

Recipient: Westat, Inc; 
Purpose: Trailer refurbishment; 
State: MD; 
Award: $250,000. 

Recipient: Westat, Inc; 
Purpose: Physical Activity and Fitness Feasibility Study; 
State: MD; 
Award: $240,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $150,000. 

Recipient: Total (13 awards); 
Award: $29,525,980. 

Source: GAO analysis of HHS information. 

[End of table] 

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: 

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

Announcement: 
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; 

Recipients: City of Chicago; 
State: IL; 
Award: $5,800,000. 

Recipients: Pinellas County Health Dept; 
State: FL; 
Award: $4,350,000. 

Recipients: Southern Nevada Health District; 
State: NV; 
Award: $3,800,000. 

Recipients: County of Santa Clara; 
State: CA; 
Award: $3,600,000. 

Recipients: NC State Dept/Hlth & Human Services; 
State: NC; 
Award: $3,200,000. 

Recipients: Alabama State Dept of Public Health; 
State: AL; 
Award: $2,500,000. 

Recipients: Dekalb County Board of Public Health; 
State: GA; 
Award: $2,350,000. 

Recipients: Arkansas State Dept of Health; 
State: AR; 
Award: $1,800,000. 

Recipients: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $1,606,981. 

Recipients: Total (9 awards); 
Award: $29,006,981. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 34: FY 2010 Contracts, ARRA: Communities Putting Prevention to 
Work: 

Recipient: MACRO; 
Purpose: Training Resource Center for community action; 
State: GA; 
Award: $2,584,665. 

Recipient: MACRO; 
Purpose: Support multiple evaluation components of the Communities 
Putting Prevention to Work initiative in communities and states; 
State: GA; 
Award: $1,748,195. 

Recipient: Northrop Grumman; 
Purpose: 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; 
State: GA; 
Award: $500,000. 

Recipient: Research Triangle Institute; 
Purpose: 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; 
State: GA; 
Award: $398,900. 

Recipient: McKing Consulting; 
Purpose: Management Consultation and Technical Assistance Services in 
Support of the Nutrition, Physical Activity and Obesity Programs; 
State: GA; 
Award: $349,993. 

Recipient: Research Triangle Institute; 
Purpose: 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; 
State: GA; 
Award: $195,488. 

Recipient: GMI & DESA Joint Venture; 
Purpose: Contribute to the national agenda for obesity prevention and 
control; 
State: GA; 
Award: $190,000. 

Recipient: Northrop Grumman; 
Purpose: 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; 
State: GA; 
Award: $9,000. 

Recipient: Total (8 awards); 
Award: $5,976,241. 

Source: GAO analysis of HHS information. 

[End of table] 

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. 

* 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): 
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; 

Recipient: Missouri State Dept/Health & Senior Srv; 
State: MO; 
Award: $1,100,000. 

Recipient: New Mexico State Department of Health; 
State: NM; 
Award: $1,100,000. 

Recipient: Oregon State Public Health Division; 
State: OR; 
Award: $1,100,000. 

Recipient: Utah State Department of Health; 
State: UT; 
Award: $1,100,000. 

Recipient: Wisconsin Department of Health Services; 
State: WI; 
Award: $1,100,000. 

Recipient: California Department of Public Health; 
State: CA; 
Award: $1,099,998. 

Recipient: New York State Dept of Health; 
State: NY; 
Award: $1,099,995. 

Recipient: New York City Health/Mental Hygiene; 
State: NY; 
Award: $1,099,894. 

Recipient: Washington State Department of Health; 
State: WA; 
Award: $1,099,121. 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $1,073,968. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $1,047,251. 

Recipient: Maine State Dept/Health/Human Servs; 
State: ME; 
Award: $1,004,719. 

Recipient: Florida State Department of Health; 
State: FL; 
Award: $963,629. 

Recipient: Minnesota State Dept of Health; 
State: MN; 
Award: $875,000. 

Recipient: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $862,000. 

Recipient: Pennsylvania State Dept of Health; 
State: PA; 
Award: $815,858. 

Recipient: New Jersey State Dept/Health/Senior Srvs; 
State: NJ; 
Award: $795,691. 

Recipient: Vermont Department of Health; 
State: VT; 
Award: $753,411. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $722,000. 

Recipient: NH State Dept of Health and Human Sers; 
State: NH; 
Award: $715,892. 

Recipient: Louisiana State Dept of Hlth & Hospitals; 
State: LA; 
Award: $678,510. 

Recipient: Colorado State Dept/Pub Hlth & Environmt; 
State: CO; 
Award: $656,802. 

Recipient: Kansas State Dept of Hlth and Environmnt; 
State: KS; 
Award: $577,596. 

Recipient: Iowa State Dept of Public Health; 
State: IA; 
Award: $370,273. 

Recipient: Total (24 awards); 
Award: $21,811,608. 

Announcements (5): 
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; 

Recipient: Council of State and Territorial Epidemiologists; 
State: GA; 
Award: $250,000. 

Recipient: Association of State and Territorial Health Officials; 
State: VA; 
Award: $235,000. 

Recipient: National Association of City/County Health Officials; 
State: DC; 
Award: $150,400. 

Recipient: American Public Health Association; 
State: DC; 
Award: $100,000. 

Recipient: Total (4 awards); 
Award: $735,400. 

Announcements (5): 
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; 

Recipient: Nat. Assoc. of Health Data Orgs; 
State: UT; 
Award: $124,995. 

Recipient: Total (1 award); 
Award: $124,995. 

Announcements (5): 
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; 

Recipient: NAPHSIS; 
State: MD; 
Award: $125,000. 

Recipient: Total (1 award); 
Award: $125,000. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 36: FY 2011 Contracts, Environmental Public Health Tracking: 

Recipient: TKC Global; 
Purpose: IT Support - TKC Global; 
State: GA; 
Award: $1,489,663. 

Recipient: Battelle; 
Purpose: IT Support - Battelle IT; 
State: GA; 
Award: $1,260,000. 

Recipient: Battelle memorial Institute; 
Purpose: IT Support - Battelle (DM); 
State: GA; 
Award: $808,600. 

Recipient: University of California, Berkeley; 
Purpose: Environmental Public Health Tracking Program; 
State: CA; 
Award: $612,144. 

Recipient: GSA/FAS/4TRE; 
Purpose: Information technology, data management, and support services 
for surveillance public health activities; 
State: GA; 
Award: $574,869. 

Recipient: Healthy Housing Solutions, Inc; 
Purpose: Tobacco Control: Adoption, Health Impact; 
State: GA; 
Award: $399,999. 

Recipient: University of Illinois-Chicago; 
Purpose: Environmental Public Health Tracking Program; 
State: IL; 
Award: $353,354. 

Recipient: University of Medicine and Dentistry - New Jersey; 
Purpose: Environmental Public Health Tracking Program; 
State: NJ; 
Award: $297,197. 

Recipient: The Regents of The University of California; 
Purpose: Environmental Public Health Tracking Program; 
State: CA; 
Award: $292,318. 

Recipient: GSA/FAS/4TRE; 
Purpose: Development of a Climate Change Module to track predictors, 
responses and public health consequences of climate; 
State: GA; 
Award: $263,895. 

Recipient: NASA; 
Purpose: Return On Investment; 
State: GA; 
Award: $225,000. 

Recipient: University of Pittsburgh; 
Purpose: Environmental Public Health Tracking Program; 
State: PA; 
Award: $223,838. 

Recipient: University of Utah; 
Purpose: Academic Partners - Schools of Public Health; 
State: UT; 
Award: $221,721. 

Recipient: University of Pittsburgh; 
Purpose: Environmental Public Health Tracking Program; 
State: PA; 
Award: $197,022. 

Recipient: Booz Allen Hamilton Inc; 
Purpose: GRASP; 
State: GA; 
Award: $185,000. 

Recipient: GSA/FAS/4TRE; 
Purpose: Air Pollution and Respiratory Health Branch National Asthma 
Control Program Workgroups; 
State: GA; 
Award: $154,225. 

Recipient: SMITHKLINE BEECHAM CORPORATION; 
Purpose: Environmental Tracking; 
State: GA; 
Award: $153,607. 

Recipient: Emory University; 
Purpose: Field Test/Training Exercise; 
State: GA; 
Award: $146,394. 

Recipient: PRR, Inc; 
Purpose: Health Marketing Communication; 
State: GA; 
Award: $96,075. 

Recipient: Various - Emory University, JP Morgan Chase, Northrop 
Grumman; 
Purpose: Contracts <$25K; 
State: GA; 
Award: $65,101. 

Recipient: Total; 
Award: $8,020,022. 

Source: GAO analysis of HHS information. 

[End of table] 

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. 

* 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: 
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; 

Recipient: Council of State and Territorial Epidemiologists; 
State: GA; 
Award: $335,000. 

Recipient: Dekalb County Board of Public Health; 
State: GA; 
Award: $250,000. 

Recipient: Public Health Foundation; 
State: DC; 
Award: $172,000. 

Recipient: Association of State and Territorial Health Officials; 
State: VA; 
Award: $75,000. 

Recipient: Total (4 awards); 
Award: $832,000. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 38: FY 2010 Contracts, Public Health Workforce: 

Recipient: Office of Personnel Management; 
Purpose: PHAP Management & Operations Support; 
State: GA; 
Award: $1,700,860. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Evaluation/Education/Curriculum Development (All Fellowships); 
State: GA; 
Award: $912,705. 

Recipient: Chickasaw Adv; 
Purpose: IT/informatics Nees/EIS Secure Website; 
State: GA; 
Award: $264,220. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Evaluation/Education/Curriculum Development (All Fellowships); 
State: GA; 
Award: $199,605. 

Recipient: Chickasaw Adv; 
Purpose: Sr. Health Communication Specialist; 
State: GA; 
Award: $118,694. 

Recipient: Chickasaw Adv; 
Purpose: Public Health Analyst (All Fellowships); 
State: GA; 
Award: $116,274. 

Recipient: Chickasaw Adv; 
Purpose: Public Health Advisor (PHPS); 
State: GA; 
Award: $107,192. 

Recipient: Annual EIS Conference Support; 
Purpose: Administrative and Logistical Support to the Public Health 
Apprentice Program; 
State: GA; 
Award: $70,000. 

Recipient: Chickasaw Adv; 
Purpose: Health Comm Specialist I (All Fellowships); 
State: GA; 
Award: $56,371. 

Recipient: Chickasaw Adv; 
Purpose: Web Developer I (All Fellowships); 
State: GA; 
Award: $54,428. 

Recipient: Midtown Personnel; 
Purpose: Administrative Assistant III (PHPS); 
State: GA; 
Award: $42,148. 

Recipient: Emory University; 
Purpose: Public Health Instructor; 
State: GA; 
Award: $39,798. 

Recipient: Chickasaw Adv; 
Purpose: Health Comm Specialist I (All Fellowships); 
State: GA; 
Award: $37,079. 

Recipient: Chickasaw Adv; 
Purpose: Health Comm Specialist II (All Fellowships); 
State: GA; 
Award: $35,015. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Business services support - Health Reform Implementation 
Office; 
State: GA; 
Award: $30,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Web Developer II (All Fellowships); 
State: GA; 
Award: $29,530. 

Recipient: Chickasaw Adv; 
Purpose: Program Assistant (EIS); 
State: GA; 
Award: $14,564. 

Recipient: Total (17 awards); 
Award: $3,828,483. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 39: FY 2011 Grants, Public Health Workforce: 

Announcements (2): 
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 up-to-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; 

Recipient: Association of Public Health Laboratories; 
State: MD; 
Award: $1,000,000. 

Recipient: Total (1 award); 
Award: $1,000,000. 

Announcements (2): 
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 opportunity CDC-
RFA-HM08-805; 

Recipient: Council of State And Territorial Epidemiologists; 
State: GA; 
Award: $3,096,706. 

Recipient: Association of State and Territorial Health Officials; 
State: VA; 
Award: $412,920. 

Recipient: Public Health Foundation; 
State: DC; 
Award: $172,000. 

Recipient: Total (3 awards); 
Award: $3,681,626. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 40: FY 2011 Contracts, Public Health Workforce: 

Recipient: Scimetrika, LLC; 
Purpose: PHPS Field Residency and Expanded Training; 
State: GA; 
Award: $2,531,027. 

Recipient: Emory University Southeastern Institute for Training and 
Evaluation; 
Purpose: Program Management Support - OPM IAA Strategic Human Resource 
Planning and Implementation to Improve Human Capital and Enterprise; 
State: GA; 
Award: $2,357,192. 

Recipient: Scimetrika, LLC; 
Purpose: Post EIS Practicum (PEP); 
State: GA; 
Award: $1,759,097. 

Recipient: Deloitte Consulting LLP; 
Purpose: Education and Evaluation Consultation for SEPDPO Fellowship 
Programs; 
State: GA; 
Award: $1,641,587. 

Recipient: Deloitte Consulting LLP; 
Purpose: Fellowship Management System; 
State: GA; 
Award: $1,361,629. 

Recipient: Emergint Technologies, Inc; 
Purpose: IT Support for SEPDPO; 
State: GA; 
Award: $766,612. 

Recipient: Chickasaw Advisory Services, LLC; 
Purpose: E Learning Expansion (Training, Education and Communication 
Support); 
State: GA; 
Award: $739,599. 

Recipient: Booz Allen Hamilton Inc; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $500,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CIMS Task Order Fellowship Management System; 
State: GA; 
Award: $205,000. 

Recipient: DB Consulting Group, Inc; 
Purpose: Workforce Enumeration Project; 
State: GA; 
Award: $197,222. 

Recipient: Chickasaw Advisory Services, LLC; 
Purpose: Contractor for Informatician Job Classification Project; 
State: GA; 
Award: $148,845. 

Recipient: Emergint Technologies, Inc; 
Purpose: Online Learning Development; 
State: GA; 
Award: $142,196. 

Recipient: Chickasaw Advisory Services, LLC; 
Purpose: Management Analyst; 
State: GA; 
Award: $134,880. 

Recipient: Total Solutions, Inc; 
Purpose: Administrative Assistant; 
State: GA; 
Award: $126,917. 

Recipient: Chickasaw Advisory Services, LLC; 
Purpose: Web Developer/Master II; 
State: GA; 
Award: $124,937. 

Recipient: Chickasaw Advisory Services, LLC; 
Purpose: Half-time Health Communication Specialist II (1/2 time) (SW); 
State: GA; 
Award: $124,937. 

Recipient: Dell Services Federal Government, Inc; 
Purpose: IT Support; 
State: GA; 
Award: $120,000. 

Recipient: Chickasaw Advisory Services, LLC; 
Purpose: Web Developer; 
State: GA; 
Award: $116,858. 

Recipient: Chickasaw Advisory Services, LLC; 
Purpose: Health Communication Specialist I (MPR); 
State: GA; 
Award: $116,758. 

Recipient: Chickasaw Advisory Services, LLC; 
Purpose: Health Communication Specialist I (SN); 
State: GA; 
Award: $112,781. 

Recipient: Chickasaw Advisory Services, LLC; 
Purpose: Public Health Advisor; 
State: GA; 
Award: $111,165. 

Recipient: Chalk And Wire; 
Purpose: Commercial software for assessment of learning outcome (COTS 
Portfolio); 
State: GA; 
Award: $82,915. 

Recipient: Corporate Temps Inc; 
Purpose: Administrative Assistant II; 
State: GA; 
Award: $79,738. 

Recipient: Chickasaw Advisory Services, LLC; 
Purpose: Program Assistant; 
State: GA; 
Award: $78,519. 

Recipient: Chickasaw Advisory Services, LLC; 
Purpose: Half-time Health Communication Specialist II; 
State: GA; 
Award: $62,452. 

Recipient: Ashlin Management Group, Inc; 
Purpose: Tech Support for SEPDPO; 
State: GA; 
Award: $28,954. 

Recipient: Professional and Scientific Associates, Inc; 
Purpose: PSA Training Order - Emory University Southeastern Institute 
for Training and Evaluation; 
State: GA; 
Award: $24,631. 

Recipient: Total (27 awards); 
Award: $13,796,447. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 
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; 

Recipient: California Department of Public Health; 
State: CA; 
Award: $415,593. 

Recipient: Florida State Department of Health; 
State: FL; 
Award: $400,000. 

Recipient: New York City Health/Mental Hygiene; 
State: NY; 
Award: $393,380. 

Recipient: New York State Dept of Health; 
State: NY; 
Award: $307,033. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $229,857. 

Recipient: Virginia State Dept of Health; 
State: VA; 
Award: $200,000. 

Recipient: Los Angeles County Health Services Dept; 
State: CA; 
Award: $190,581. 

Recipient: Houston City Health & Human Services; 
State: TX; 
Award: $184,076. 

Recipient: DC Department of Health; 
State: DC; 
Award: $183,595. 

Recipient: San Francisco Dept of Public Health; 
State: CA; 
Award: $171,081. 

Recipient: New Jersey State Dept/Health/Senior Srvs; 
State: NJ; 
Award: $169,050. 

Recipient: Texas State Dept of Health Services; 
State: TX; 
Award: $142,681. 

Recipient: Alabama State Dept of Public Health; 
State: AL; 
Award: $136,711. 

Recipient: City of Philadelphia Public Health Dept; 
State: PA; 
Award: $136,330. 

Recipient: Michigan State Dept of Community Health; 
State: MI; 
Award: $135,438. 

Recipient: Oklahoma State Department of Health; 
State: OK; 
Award: $122,817. 

Recipient: Minnesota State Dept of Health; 
State: MN; 
Award: $117,953. 

Recipient: Arkansas State Dept of Health; 
State: AR; 
Award: $114,182. 

Recipient: Washington State Department of Health; 
State: WA; 
Award: $104,993. 

Recipient: Utah State Department of Health; 
State: UT; 
Award: $104,114. 

Recipient: Iowa State Dept of Public Health; 
State: IA; 
Award: $101,668. 

Recipient: Louisiana State Dept of Hlth & Hospitals; 
State: LA; 
Award: $97,517. 

Recipient: Wisconsin Department of Health Services; 
State: WI; 
Award: $96,639. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $93,161. 

Recipient: Arizona State Department of Hlth Srvcs; 
State: AZ; 
Award: $90,262. 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $89,268. 

Recipient: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $87,900. 

Recipient: Oregon State Public Health Division; 
State: OR; 
Award: $82,180. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $79,714. 

Recipient: Mississippi State Department of Health; 
State: MS; 
Award: $79,020. 

Recipient: Nevada State Dept of Hlth/Human Svcs; 
State: NV; 
Award: $75,576. 

Recipient: KY Cabinet for Health and Family Services; 
State: KY; 
Award: $72,899. 

Recipient: Illinois State Dept of Public Health; 
State: IL; 
Award: $72,489. 

Recipient: Colorado State Dept/Pub Hlth & Environmt; 
State: CO; 
Award: $68,390. 

Recipient: Nebraska St Dept of Health & Human Servs; 
State: NE; 
Award: $67,735. 

Recipient: Maine State Dept/Health/Human Servs; 
State: ME; 
Award: $60,000. 

Recipient: Delaware State Dept of Hlth & Soc Srvs; 
State: DE; 
Award: $51,218. 

Recipient: Virgin Islands Department of Health; 
State: VI; 
Award: $49,750. 

Recipient: Alaska State Department of Hlth-Soc Svcs; 
State: AK; 
Award: $41,909. 

Recipient: Hawaii State Department of Health; 
State: HI; 
Award: $41,848. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $35,431. 

Recipient: Puerto Rico Department of Health; 
State: PR; 
Award: $29,565. 

Recipient: Guam Department of Public Health-Soc Svc; 
State: GU; 
Award: $25,000. 

Recipient: Idaho State Dept of Health And Welfare; 
State: ID; 
Award: $24,658. 

Recipient: City of Chicago; 
State: IL; 
Award: $16,941. 

Recipient: American Samoa Department of Health; 
State: AS; 
Award: $9,797. 

Recipient: Total (46 awards); 
Award: $5,600,000. 

Announcements (3): 
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; 
Eligibility: Limited to health department jurisdictions with at least 
175 estimated combined AIDS diagnoses among Blacks/African Americans 
and Hispanics/Latinos in 2007; 

Recipient: Alabama State Dept of Public Health; 
State: AL; 
Award: $145,567. 

Recipient: Arizona State Department of Hlth Srvcs; 
State: AZ; 
Award: $145,567. 

Recipient: California Department of Public Health; 
State: CA; 
Award: $145,567. 

Recipient: Los Angeles County Health Services Dept; 
State: CA; 
Award: $145,567. 

Recipient: San Francisco Dept of Public Health; 
State: CA; 
Award: $145,567. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $145,567. 

Recipient: DC Department of Health; 
State: DC; 
Award: $145,567. 

Recipient: Florida State Department of Health; 
State: FL; 
Award: $145,567. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $145,567. 

Recipient: Illinois State Dept of Public Health; 
State: IL; 
Award: $145,567. 

Recipient: City of Chicago; 
State: IL; 
Award: $145,567. 

Recipient: Louisiana State Dept of Hlth & Hospitals; 
State: LA; 
Award: $145,567. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $145,567. 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $145,567. 

Recipient: Michigan State Dept of Community Health; 
State: MI; 
Award: $145,567. 

Recipient: Mississippi State Department of Health; 
State: MS; 
Award: $145,567. 

Recipient: Missouri State Dept/Health & Senior Srv; 
State: MO; 
Award: $145,567. 

Recipient: New Jersey State Dept/Health/Senior Srvs; 
State: NJ; 
Award: $145,567. 

Recipient: New York State Dept of Health; 
State: NY; 
Award: $145,567. 

Recipient: New York City Health/Mental Hygiene; 
State: : NY; 
Award: $145,557. 

Recipient: NC State Dept/Hlth & Human Services; 
State: NC; 
Award: $145,567. 

Recipient: Ohio State Department of Health; 
State: OH; 
Award: $145,567. 

Recipient: City of Philadelphia Public Health Dept; 
State: PA; 
Award: $145,567. 

Recipient: Hershey Milton S Medical Center; 
State: PA; 
Award: $145,567. 

Recipient: Puerto Rico Department of Health; 
State: PR; 
Award: $145,567. 

Recipient: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $145,567. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $145,567. 

Recipient: Texas State Dept of Health Services; 
State: TX; 
Award: $145,567. 

Recipient: Houston City Health & Human Services; 
State: TX; 
Award: $145,567. 

Recipient: Virginia State Dept of Health; 
State: VA; 
Award: $145,567. 

Recipient: Total (30 awards); 
Award: $4,367,000. 

Announcements (3): 
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; 

Recipient: New York City Health/Mental Hygiene; 
State: NY; 
Award: $1,581,184. 

Recipient: Los Angeles County Health Services Dept; 
State: CA; 
Award: $1,059,407. 

Recipient: DC Department of Health; 
State: DC; 
Award: $946,403. 

Recipient: City of Chicago; 
State: IL; 
Award: $927,371. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $913,982. 

Recipient: Florida State Department of Health; 
State: FL; 
Award: $909,315. 

Recipient: City of Philadelphia Public Health Dept; 
State: PA; 
Award: $906,024. 

Recipient: Houston City Health & Human Services; 
State: TX; 
Award: $891,108. 

Recipient: San Francisco Dept of Public Health; 
State: CA; 
Award: $887,968. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $878,896. 

Recipient: Texas State Dept of Health Services; 
State: TX; 
Award: $850,016. 

Recipient: Puerto Rico Department of Health; 
State: PR; 
Award: $848,326. 

Recipient: Total (12 awards); 
Award: $11,600,000. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 42: FY 2010 Contracts, HIV/AIDS: 

Recipient: Scimetrika, LLC; 
Purpose: Comprehensive HIV Prevention through the evaluation of 
Enhanced Comprehensive HIV Prevention Planning and Implementation for 
Metropolitan Statistical Areas most affected by HIV; 
State: NC; 
Award: $3,164,520. 

Recipient: Manila Consulting Group, Inc; 
Purpose: Web-based HIV behavioral trend analysis among men who have 
sex with men (MSM); 
State: VA; 
Award: $3,106,740. 

Recipient: Office of Clinical and Preventive Service Indian Health 
Services; 
Purpose: To utilize interagency resources to reduce the incidence and 
burden of HIV and other STDs and hepatitis in the AI/AN population; 
State: MD; 
Award: $1,000,000. 

Recipient: Professional & Scientific Assoc; 
Purpose: 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."; 
State: VA; 
Award: $203,865. 

Recipient: Professional & Scientific Assoc; 
Purpose: Meeting & Conference support for Consultation on Monitoring 
of CD4 and Viral Load Test Results In The National HIV Surveillance 
System; 
State: GA; 
Award: $109,875. 

Recipient: Northrop Grumman; 
Purpose: 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; 
State: GA; 
Award: $40,500. 

Recipient: Total (6 awards); 
Award: $7,625,500. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

Table 43: FY 2011 Grants, Racial and Ethnic Approaches to Community 
Health (REACH): 

Announcements (3): 
1. Racial and Ethnic Approaches to Community Health across the US (CDC-
RFA-DP07-707); 
Purpose (award type): To advance evidence-and 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; 

Recipient: Public Health Institute; 
State: CA; 
Award: $893,128. 

Recipient: Hildalgo Medical Services; 
State: NM; 
Award: $874,499. 

Recipient: University of Colorado At Denver And Hsc; 
State: CO; 
Award: $865,189. 

Recipient: University of Illinois At Chicago; 
State: IL; 
Award: $852,874. 

Recipient: Boston Public Health Commission; 
State: MA; 
Award: $850,040. 

Recipient: Medical University of South Carolina; 
State: SC; 
Award: $850,001. 

Recipient: University of Alabama at Birmingham; 
State: AL; 
Award: $850,000. 

Recipient: University of California, Los Angeles; 
State: CA; 
Award: $850,000. 

Recipient: University of Hawaii; 
State: HI; 
Award: $850,000. 

Recipient: Genesee County Health Department; 
State: MI; 
Award: $850,000. 

Recipient: Institute for Urban Family Health; 
State: NY; 
Award: $850,000. 

Recipient: Oklahoma State Department of Health; 
State: OK; 
Award: $850,000. 

Recipient: Greater Lawrence Family Health Center, Inc; 
State: MA; 
Award: $849,999. 

Recipient: Mount Sinai School of Medicine; 
State: NY; 
Award: $849,999. 

Recipient: Orange Co. Asian and Pacific Islander Community Alliance; 
State: CA; 
Award: $844,285. 

Recipient: New York University School of Medicine; 
State: NY; 
Award: $844,248. 

Recipient: Khmer Health Advocates, Inc; 
State: CT; 
Award: $844,243. 

Recipient: Southeast Chicago Development Commission; 
State: IL; 
Award: $427,891. 

Recipient: Seattle-King County Department of Public Health; 
State: WA; 
Award: $415,391. 

Recipient: LA Biomedical Research Institute at Harbor; 
State: CA; 
Award: $415,390. 

Recipient: Special Services for Groups; 
State: CA; 
Award: $415,390. 

Recipient: City of Chicago; 
State: IL; 
Award: $415,390. 

Recipient: Health Visions Midwest, Inc; 
State: IN; 
Award: $415,390. 

Recipient: Center for Comm. Health, Education and Research; 
State: MA; 
Award: $415,390. 

Recipient: Eastern Band of Cherokee Indians; 
State: NC; 
Award: $415,390. 

Recipient: YMCA of Greater Cleveland; 
State: OH; 
Award: $415,390. 

Recipient: Choctaw Nation of Oklahoma; 
State: OK; 
Award: $415,390. 

Recipient: Virginia Commonwealth University; 
State: VA; 
Award: $415,390. 

Recipient: Inter-Tribal Council of MI; 
State: MI; 
Award: $415,390. 

Recipient: West Virginia State Dept Hlth/Human Rscs; 
State: WV; 
Award: $415,387. 

Recipient: University of Arizona; 
State: AZ; 
Award: $412,890. 

Recipient: Community Health Councils, Inc; 
State: CA; 
Award: $411,370. 

Recipient: Wai'Anac District Health and Hosp. Board; 
State: HI; 
Award: $402,075. 

Recipient: To Our Children's Future With Health, Inc; 
State: PA; 
Award: $400,031. 

Recipient: YMCA of Santa Clara Valley; 
State: CA; 
Award: $400,000. 

Recipient: Children's Hospital Corporation; 
State: MA; 
Award: $400,000. 

Recipient: Brooklyn Perinatal Network; 
State: NY; 
Award: $400,000. 

Recipient: Northern Arapaho Tribe; 
State: WY; 
Award: $397,808. 

Recipient: Vernon J. Harris East End Community H Center; 
State: VA; 
Award: $396,052. 

Recipient: Total (39 awards); 
Award: $23,551,300. 

Announcements (3): 
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; 

Recipient: Schenectady Co. Public Health Services; 
State: NY; 
Award: $199,700. 

Recipient: Total (1 award); 
Award: $199,700. 

Announcements (3): 
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; 

Recipient: Asian Pacific Partners For Empowerment, Advocacy And 
Leadership; 
State: CA; 
Award: $250,000. 

Recipient: Inter-Tribal Council of Michigan; 
State: MI; 
Award: $250,000. 

Recipient: Joint Center For Political And Economic Studies; 
State: DC; 
Award: $250,000. 

Recipient: Total (3 awards); 
Award: $750,000. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 44: FY 2011 Contract, Racial and Ethnic Approaches to Community 
Health (REACH): 

Recipient: Planning Professionals, LTD; 
Purpose: Racial and Ethnic Health Disparities Action Institute 
(REHDAI) Workshop; 
State: GA; 
Award: $98,792. 

Recipient: Total (1 award); 
Award: $98,792. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

Table 45: FY 2011 Grants, Public Health Research: 

Announcements (3): 
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; 

Recipient: Harvard Pilgrim Health Care; 
State: MA; 
Award: $1,544,184. 

Recipient: Total (1 award); 
Award: $1,544,184. 

Announcements (3): 
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; 

Recipient: University of California, Berkeley; 
State: CA; 
Award: $1,509,000. 

Recipient: University of California, Los Angeles; 
State: CA; 
Award: $1,197,000. 

Recipient: University of Minnesota; 
State: MN; 
Award: $1,147,000. 

Recipient: University of North Carolina, Chapel Hill; 
State: NC; 
Award: $1,147,000. 

Recipient: Total (4 awards); 
Award: $5,000,000. 

Announcements (3): 
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; 

Recipient: University of South Florida; 
State: FL; 
Award: $714,285. 

Recipient: Johns Hopkins University; 
State: MD; 
Award: $714,286. 

Recipient: University of Albany, SUNY; 
State: NY; 
Award: $714,286. 

Recipient: Columbia University; 
State: NY; 
Award: $714,286. 

Recipient: University of Oklahoma; 
State: OK; 
Award: $714,286. 

Recipient: Texas A & M University; 
State: TX; 
Award: $714,286. 

Recipient: University of Washington; 
State: WA; 
Award: $714,285. 

Recipient: Total (7 awards); 
Award: $5,000,000. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 46: FY 2011 Contracts, Public Health Research: 

Recipient: Healthy Housing Solutions Inc; 
Purpose: Tobacco Control: Adoption, Health Impact and Cost of Smoke-
Free Multi-Unit Housing Policies; 
State: GA; 
Award: $2,210,000. 

Recipient: Research Service, Hines VA Hospital; 
Purpose: Evaluating the impact of a treatment intervention to reduce 
Clostridium difficile transmission from asymptomatic C. difficile 
carriers in VA Community Living Centers; 
State: GA; 
Award: $1,846,000. 

Recipient: The Johns Hopkins University; 
Purpose: Center of Excellence for Measuring the Health and Social 
Impacts of Changes in State Alcohol Prices; 
State: GA; 
Award: $1,636,598. 

Recipient: University of North Carolina at Chapel Hill; 
Purpose: The Effectiveness of extending a "Consistent Care" program 
aimed to prevent prescription drug overdoses; 
State: NC; 
Award: $745,000. 

Recipient: Washington State University; 
Purpose: A randomized controlled trial of proactive reporting by 
prescription drug monitoring programs (PDMP); 
State: WA; 
Award: $550,587. 

Recipient: ABT Associates Inc; 
Purpose: A randomized controlled trial of proactive reporting by 
prescription drug monitoring programs (PDMP); 
State: MD; 
Award: $505,514. 

Recipient: Emergint Technologies, Inc; 
Purpose: Promoting DVT/PE prevention through monitoring practices and 
health outcomes; 
State: GA; 
Award: $321,045. 

Recipient: Goodwill Industries of North Georgia; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $250,000. 

Recipient: Lantana Consulting Group; 
Purpose: HL7 Implementation Guidance Development and Maintenance; 
State: GA; 
Award: $128,955. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $100,000. 

Recipient: Avaris Concepts, LLC; 
Purpose: Logistical support of the s-VAP workgroup meeting; 
State: GA; 
Award: $54,998. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $50,000. 

Recipient: Total (12 awards); 
Award: $8,398,697. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

Table 47: FY 2010 Grants, Community Guide/Community Preventive 
Services Task Force: 

Announcement: 
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; 

Recipient: National Association of City/County Health Officials; 
State: DC; 
Award: $500,000. 

Recipient: Association of State and Territorial Health Officials; 
State: VA; 
Award: $500,000. 

Recipient: National Network of Public Health Institutes; 
State: LA; 
Award: $450,000. 

Recipient: Public Health Foundation; 
State: DC; 
Award: $350,000. 

Recipient: National Association of Local Boards of Health; 
State: OH; 
Award: $300,000. 

Recipient: Association of Maternal and Child Health Programs; 
State: DC; 
Award: $100,000. 

Recipient: Total (6 awards); 
Award: $2,200,000. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 48: FY 2010 Contracts, Community Guide/Community Preventive 
Services Task Force: 

Recipient: Dept of Energy/Oak Ridge Ops; 
Purpose: Collection, Review & Analysis of Data; 
State: GA; 
Award: $1,300,000. 

Recipient: Westat; 
Purpose: Community Guide Communication Technical Assistance and 
Support; 
State: MD; 
Award: $1,054,685. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Business services support - Financial Management Office; 
State: GA; 
Award: $180,000. 

Recipient: Chickasaw Advisory Services, LLC; 
Purpose: Provide analytical epidemiology support; 
State: GA; 
Award: $122,500. 

Recipient: Chickasaw Advisory Services, LLC; 
Purpose: Provide analytical epidemiology support; 
State: GA; 
Award: $122,500. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Business services support - Health Reform Implementation 
Office; 
State: GA; 
Award: $20,000. 

Recipient: Total (6 awards); 
Award: $2,799,685. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 49: FY 2011 Grants, Community Guide/Community Preventive 
Services Task Force: 

Announcement: 
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; 

Recipient: Association of State and Territorial Health Officials; 
State: VA; 
Award: $305,682. 

Recipient: Public Health Foundation; 
State: DC; 
Award: $296,329. 

Recipient: National Association of City/County Health Officials; 
State: DC; 
Award: $266,821. 

Recipient: National Network of Public Health Institutes; 
State: LA; 
Award: $249,582. 

Recipient: National Association of Local Boards of Health; 
State: OH; 
Award: $165,449. 

Recipient: Association of Maternal and Child Health Programs; 
State: DC; 
Award: $61,137. 

Recipient: Total (6 awards); 
Award: $1,345,000. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 50: FY 2011 Contracts, Community Guide/Community Preventive 
Services Task Force: 

Recipient: Cloudburst Consulting Group, INC; 
Purpose: Programmatic Management/Intramural HR; 
State: GA; 
Award: $1,499,286. 

Recipient: Department of Energy; 
Purpose: ORISE Fellows; 
State: GA; 
Award: $1,300,000. 

Recipient: University of Manchester; 
Purpose: Low Complexity Community Guide Reviews; 
State: GA; 
Award: $886,350. 

Recipient: Westat, Inc; 
Purpose: Communications Support Contract; 
State: GA; 
Award: $629,976. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $245,000. 

Recipient: Chickasaw Advisory Services, LLC; 
Purpose: Health Scientist; 
State: GA; 
Award: $99,809. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $35,000. 

Recipient: Total (7 awards); 
Award: $4,695,421. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

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

Announcements (2): 
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; 

Recipient: Michigan State Dept of Community Health; 
State: MI; 
Award: $782,173. 

Recipient: Illinois State Dept of Public Health; 
State: IL; 
Award: $779,616. 

Recipient: California Department of Public Health; 
State: CA; 
Award: $771,473. 

Recipient: Tennessee State Department of Health; 
State: TN; 
Award: $768,006. 

Recipient: New York State Dept of Health; 
State: NY; 
Award: $621,473. 

Recipient: Massachusetts State Dept of Pub Health; 
State: MA; 
Award: $521,473. 

Recipient: Oregon State Public Health Division; 
State: OR; 
Award: $426,523. 

Recipient: Florida State Department of Health; 
State: FL; 
Award: $421,472. 

Recipient: Colorado State Dept/Pub Hlth & Environmt; 
State: CO; 
Award: $363,303. 

Recipient: Arizona State Department of Hlth Srvcs; 
State: AZ; 
Award: $316,078. 

Recipient: Nevada State Dept of Hlth/Human Svcs; 
State: NV; 
Award: $296,516. 

Recipient: KY Cabinet for Health and Family Services; 
State: KY; 
Award: $274,784. 

Recipient: Minnesota State Dept of Health; 
State: MN; 
Award: $71,474. 

Recipient: Mississippi State Department of Health; 
State: MS; 
Award: $71,473. 

Recipient: Montana State Dept/Pub Hlth & Human Srvs; 
State: MT; 
Award: $71,473. 

Recipient: NH State Dept of Health and Human Sers; 
State: NH; 
Award: $71,473. 

Recipient: New Jersey State Dept/Health/Senior Srvs; 
State: NJ; 
Award: $71,473. 

Recipient: New Mexico State Department of Health; 
State: NM; 
Award: $71,473. 

Recipient: Ohio State Department of Health; 
State: OH; 
Award: $71,473. 

Recipient: Pennsylvania State Dept of Health; 
State: PA; 
Award: $71,473. 

Recipient: Virginia State Dept of Health; 
State: VA; 
Award: $71,473. 

Recipient: Alabama State Dept of Public Health; 
State: AL; 
Award: $71,472. 

Recipient: Alaska State Department of Hlth-Soc Svcs; 
State: AK; 
Award: $71,472. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $71,472. 

Recipient: Indiana State Department of Health; 
State: IN; 
Award: $71,472. 

Recipient: Iowa State Dept of Public Health; 
State: IA; 
Award: $71,472. 

Recipient: Kansas State Dept of Hlth and Environmnt; 
State: KS; 
Award: $71,472. 

Recipient: Maine State Dept/Health/Human Servs; 
State: ME; 
Award: $71,472. 

Recipient: NC State Dept/Hlth & Human Services; 
State: NC; 
Award: $71,472. 

Recipient: Oklahoma State Department of Health; 
State: OK; 
Award: $71,472. 

Recipient: Wisconsin Department of Health Services; 
State: WI; 
Award: $71,472. 

Recipient: Arkansas State Dept of Health; 
State: AR; 
Award: $71,471. 

Recipient: South Carolina State Dept of Hlth/Env; 
State: SC; 
Award: $71,252. 

Recipient: Hawaii State Department of Health; 
State: HI; 
Award: $70,992. 

Recipient: Connecticut State Dept of Public Health; 
State: CT; 
Award: $69,980. 

Recipient: Vermont Department of Health; 
State: VT; 
Award: $67,236. 

Recipient: Maryland State Dept of Hlth/Mtl Hygiene; 
State: MD; 
Award: $66,852. 

Recipient: Delaware State Dept of Hlth & Soc Srvs; 
State: DE; 
Award: $66,760. 

Recipient: Nebraska St Dept of Health & Human Servs; 
State: NE; 
Award: $66,300. 

Recipient: Puerto Rico Department of Health; 
State: PR; 
Award: $66,154. 

Recipient: Washington State Department of Health; 
State: WA; 
Award: $66,153. 

Recipient: Rhode Island State Dept of Health; 
State: RI; 
Award: $66,147. 

Recipient: Missouri State Dept/Health & Senior Srv; 
State: MO; 
Award: $66,121. 

Recipient: South Dakota State Dept of Health; 
State: SD; 
Award: $63,945. 

Recipient: DC Department of Health; 
State: DC; 
Award: $63,342. 

Recipient: West Virginia State Dept Hlth/Human Rscs; 
State: WV; 
Award: $62,760. 

Recipient: Idaho State Dept of Health And Welfare; 
State: ID; 
Award: $58,617. 

Recipient: Utah State Department of Health; 
State: UT; 
Award: $55,647. 

Recipient: North Dakota State Department of Health; 
State: ND; 
Award: $48,611. 

Recipient: Louisiana State Dept of Hlth & Hospitals; 
State: LA; 
Award: $47,553. 

Recipient: Wyoming State Department of Health; 
State: WY; 
Award: $23,239. 

Recipient: Total (51 awards); 
Award: $8,939,999[A]. 

Announcements (2): 
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; 

Recipient: Council of State and Territorial Epidemiologists; 
State: GA; 
Award: $290,000. 

Recipient: National Association of City/County Health Officials; 
State: DC; 
Award: $100,000. 

Recipient: Association of State and Territorial Health Officials; 
State: VA; 
Award: $100,000. 

Recipient: Total (3 awards); 
Award: $490,000. 

Source: GAO analysis of HHS information. 

[A] Column does not total due to rounding. 

[End of table] 

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

Recipient: Science Applications International Corporation (SAIC); 
Purpose: National Healthcare Safety Network (NHSN) development and 
infrastructure requirements for surveillance of HAIs; 
State: VA; 
Award: $1,065,693. 

Recipient: Four Seasons Environmental, Inc; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $470,000. 

Recipient: Lantana Consulting Group; 
Purpose: HL7 Implementation Guidance Development and Maintenance; 
State: GA; 
Award: $434,307. 

Recipient: Avaris Concepts, LLC; 
Purpose: DHQP's State-based Training Activity & Resource Support 
(STARS) Training and Resource Initiative; 
State: GA; 
Award: $50,000. 

Recipient: Total (4 awards); 
Award: $2,020,000. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

Table 53: FY 2011 Grants, Prevention Research Centers: 

Announcement: 
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; 

Recipient: University of Arizona; 
State: AZ; 
Award: $1,015,000. 

Recipient: San Diego State University with (UCSD); 
State: CA; 
Award: $965,000. 

Recipient: Morehouse School of Medicine; 
State: GA; 
Award: $894,500. 

Recipient: NYU Medical Center; 
State: NY; 
Award: $785,999. 

Recipient: University of Rochester; 
State: NY; 
Award: $744,501. 

Recipient: West Virginia University Research Corporation; 
State: WV; 
Award: $690,000. 

Recipient: Yale University; 
State: CT; 
Award: $615,000. 

Recipient: University of South Florida; 
State: FL; 
Award: $615,000. 

Recipient: Johns Hopkins University; 
State: MD; 
Award: $615,000. 

Recipient: Boston University; 
State: MA; 
Award: $615,000. 

Recipient: University of New Mexico; 
State: NM; 
Award: $615,000. 

Recipient: Case Western Reserve University; 
State: OH; 
Award: $615,000. 

Recipient: Oregon Health and Science University; 
State: OR; 
Award: $615,000. 

Recipient: University of Maryland; 
State: MD; 
Award: $300,000. 

Recipient: Dartmouth College; 
State: NH; 
Award: $300,000. 

Recipient: Total (15 awards); 
Award: $10,000,000. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

Table 54: FY 2011 Contracts, Workplace Wellness: 

Recipient: Viridian Health Management; 
Purpose: Worksite Wellness Program Contract; 
State: GA; 
Award: $7,769,250. 

Recipient: Research Triangle Institute; 
Purpose: Program Evaluation; 
State: GA; 
Award: $537,824. 

Recipient: Carter Consulting, Inc; 
Purpose: Management Consultation and Technical Assistance Services; 
State: GA; 
Award: $360,501. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $350,000. 

Recipient: Dell Services Federal Government, Inc; 
Purpose: IT Support; 
State: GA; 
Award: $100,000. 

Recipient: Four Seasons Environmental, Inc; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $50,000. 

Recipient: Total (6 awards); 
Award: $9,167,575. 

Source: GAO analysis of HHS information. 

[End of table] 

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: Westat; 
Purpose: National Youth Fitness Survey Activities; 
State: MD; 
Award: $5,305,291. 

Recipient: Westat; 
Purpose: Trailer refurbishment; 
State: MD; 
Award: $354,709. 

Recipient: Four Seasons Environmental; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $210,000. 

Recipient: Deloitte Consulting; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $30,000. 

Recipient: Total (4 awards); 
Award: $5,900,000. 

Source: GAO analysis of HHS information. 

[End of table] 

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: 
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; 

Recipient: Arkansas State Dept of Health; 
State: AR; 
Award: $892,025. 

Recipient: North Carolina State Dept/Hlth & Human Services; 
State: NC; 
Award: $772,104. 

Recipient: Alabama State Dept of Public Health; 
State: AL; 
Award: $749,995. 

Recipient: Pinellas County Health Dept; 
State: FL; 
Award: $500,000. 

Recipient: Florida State Department of Health; 
State: FL; 
Award: $326,905. 

Recipient: Georgia Department of Community Health; 
State: GA; 
Award: $109,533. 

Recipient: Illinois State Dept of Public Health; 
State: IL; 
Award: $99,845. 

Recipient: Texas State Dept of Health Services; 
State: TX; 
Award: $75,148. 

Recipient: Dekalb County Board of Public Health; 
State: GA; 
Award: $61,000. 

Recipient: Total (9 awards); 
Award: $3,586,555. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 57: FY 2010 Contracts, ARRA: Evaluation: 

Recipient: Denali Corporation DBA Denali Technologies; 
Purpose: BRFSS data evaluation; 
State: GA; 
Award: $120,132. 

Recipient: WESTAT; 
Purpose: Fund the sampling and weighting of BRFSS data once it has 
been collected by ARRA/CPPW communities through this point in time 
surveys; 
State: GA; 
Award: $106,171. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Business services support - Financial Management Office; 
State: GA; 
Award: $70,296. 

Recipient: Northrop Grumman; 
Purpose: 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; 
State: GA; 
Award: $59,209. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Business services support - Health Reform Implementation 
Office; 
State: GA; 
Award: $10,000. 

Recipient: Total (5 awards); 
Award: $365,808. 

Source: GAO analysis of HHS information. 

[End of table] 

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/in-development creative campaign materials. 

* Fiscal year 2010: $3.9 million (three contracts): 

* Fiscal year 2011: None: 

Table 58: FY 2010 Contracts, ARRA: Media: 

Recipient: CAMPBELL-EWALD COMPANY; 
Purpose: Advertising and marketing services for planning and execution 
of paid-media strategies in support of the National Prevention Media 
Initiative; 
State: GA; 
Award: $3,730,000. 

Recipient: Department of Health and Human Services; 
Purpose: Provide publication development and management, Web 
development and maintenance, and other presentation and communication 
support; 
State: MO; 
Award: $110,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: Business services support - Health Reform Implementation 
Office; 
State: GA; 
Award: $10,000. 

Recipient: Total (3 awards); 
Award: $3,850,000. 

Source: GAO analysis of HHS information. 

[End of table] 

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-the-counter 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): 

Table 59: FY 2011 Contracts, Education and Outreach Campaign Regarding 
Preventive Benefits: 

Recipient: Ogilvy Public Relations Worldwide Inc; 
Purpose: Communications Support for Pharmacists Partnership and 
Cardiovascular Disease Prevention Activities; 
State: GA; 
Award: $1,696,945. 

Recipient: Four Seasons Environmental, Inc; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $70,000. 

Recipient: Northrup Grumman Systems Corporation; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $15,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $10,000. 

Recipient: Total (4 awards); 
Award: $1,791,945. 

Source: GAO analysis of HHS information. 

[End of table] 

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: Northrop Grumman; 
Purpose: 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; 
State: GA; 
Award: $14,500. 

Recipient: Total (1 award); 
Award: $14,500. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 61: FY 2011 Contracts, National Prevention Strategy: 

Recipient: Deloitte Consulting, LLP; 
Purpose: Strategic & Tactical Planning, Workforce Development and 
other Related Transformation Initiatives; 
State: GA; 
Award: $529,525. 

Recipient: Department of Energy; 
Purpose: Research Participation Program; 
State: GA; 
Award: $98,000. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $35,000. 

Recipient: Goodwill Industries of North GA; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $5,000. 

Recipient: Total (4 awards); 
Award: $667,525. 

Source: GAO analysis of HHS information. 

[End of table] 

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: National Institutes of Health; 
Purpose: CDC support for NCCOR coordinating and collaborating projects; 
State: GA; 
Award: $200,000. 

Recipient: McKing Consulting Corporation; 
Purpose: Management Consultation and Technical Assistance; 
State: GA; 
Award: $194,969. 

Recipient: The Regents of the University of Colorado; 
Purpose: Development of a comprehensive state policy evaluation for 
nutrition, physical activity and obesity (University of Colorado, 
Denver); 
State: CO; 
Award: $150,000. 

Recipient: Department of Energy; 
Purpose: Collaborative efforts to prevent obesity in early childhood; 
State: GA; 
Award: $93,031. 

Recipient: FHI Development 360 LLC; 
Purpose: ORISE: Nutrition and Physical Activity Research; 
State: GA; 
Award: $80,001. 

Recipient: Deloitte Consulting, LLP; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $28,000. 

Recipient: Four Seasons Environmental, Inc; 
Purpose: CDC Program Oversight & Implementation; 
State: GA; 
Award: $2,000. 

Recipient: Total (7 awards); 
Award: $748,001. 

Source: GAO analysis of HHS information. 

[End of table] 

[End of section] 

Appendix III: Health Resources and Services Administration--Prevention 
and Public Health Fund Awards by Activity: 

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.[Footnote 30] 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. 

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. 

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. 

* 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): 
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); 

Recipient[A]: Children's Hospital & Research Center at Oakland; 
State: CA; 
Award: $3,840,000. 

Recipient[A]: Children's National Medical Center; 
State: DC; 
Award: $3,840,000. 

Recipient[A]: Boston Medical Center; 
State: MA; 
Award: $3,840,000. 

Recipient[A]: Baystate Medical Center; 
State: MA; 
Award: $3,840,000. 

Recipient[A]: The Ohio State University; 
State: OH; 
Award: $3,840,000. 

Recipient[A]: Johns Hopkins University; 
State: MD; 
Award: $3,839,998. 

Recipient[A]: University of North Carolina At Chapel Hill; 
State: NC; 
Award: $3,715,684. 

Recipient[A]: Spectrum Health Hospitals; 
State: MI; 
Award: $3,490,659. 

Recipient[A]: Danbury Hospital; 
State: CT; 
Award: $3,360,000. 

Recipient[A]: Louisiana State University Health Science Center; 
State: LA; 
Award: $3,120,000. 

Recipient[A]: Regents of University of California; 
State: CA; 
Award: $2,880,000. 

Recipient[A]: Baystate Medical Center; 
State: MA; 
Award: $2,880,000. 

Recipient[A]: Bronx-Lebanon Hosp Ctr; 
State: NY; 
Award: $2,880,000. 

Recipient[A]: Bronx-Lebanon Hosp Ctr; 
State: NY; 
Award: $2,880,000. 

Recipient[A]: Kingsbrook Jewish Medical Center; 
State: NY; 
Award: $2,880,000. 

Recipient[A]: Richmond Medical Center; 
State: NY; 
Award: $2,880,000. 

Recipient[A]: The Reading Hospital And Medical Center; 
State: PA; 
Award: $2,880,000. 

Recipient[A]: Meharry Medical College; 
State: TN; 
Award: $2,880,000. 

Recipient[A]: Mount Auburn Hospital; 
State: MA; 
Award: $2,879,998. 

Recipient[A]: Variety Children's Hospital dba Miami Children's 
Hospital; 
State: FL; 
Award: $2,861,568. 

Recipient[A]: University of Pennsylvania; 
State: PA; 
Award: $2,777,757. 

Recipient[A]: Tulane University, School of Medicine; 
State: LA; 
Award: $2,472,964. 

Recipient[A]: Texas Tech University Health Sciences Center; 
State: TX; 
Award: $1,920,001. 

Recipient[A]: Regents of the University of California; 
State: CA; 
Award: $1,920,000. 

Recipient[A]: Catholic Healthcare West/St. Mary Medical Center; 
State: CA; 
Award: $1,920,000. 

Recipient[A]: The Regents of the University of California, Los Angeles; 
State: CA; 
Award: $1,920,000. 

Recipient[A]: Regents of the University of California; 
State: CA; 
Award: $1,920,000. 

Recipient[A]: The Regents of the University of California, San 
Francisco; 
State: CA; 
Award: $1,920,000. 

Recipient[A]: The Regents of the University of California, San 
Francisco; 
State: CA; 
Award: $1,920,000. 

Recipient[A]: Regents of the University of Colorado; 
State: CO; 
Award: $1,920,000. 

Recipient[A]: University of Colorado Denver; 
State: CO; 
Award: $1,920,000. 

Recipient[A]: University of Florida; 
State: FL; 
Award: $1,920,000. 

Recipient[A]: The University of Illinois At Chicago; 
State: IL; 
Award: $1,920,000. 

Recipient[A]: Central Iowa Hospital Corporation; 
State: IA; 
Award: $1,920,000. 

Recipient[A]: Curators, University of Missouri on behalf of UMKC; 
State: MO; 
Award: $1,920,000. 

Recipient[A]: Curators, University of Missouri On Behalf of UMKC; 
State: MO; 
Award: $1,920,000. 

Recipient[A]: Cooper Health System D/B/A Cooper University Hospital; 
State: NJ; 
Award: $1,920,000. 

Recipient[A]: Cooper Health System D/B/A Cooper University Hospital; 
State: NJ; 
Award: $1,920,000. 

Recipient[A]: Newark Beth Israel Medical Center; 
State: NJ; 
Award: $1,920,000. 

Recipient[A]: Newark Beth Israel Medical Center; 
State: NJ; 
Award: $1,920,000. 

Recipient[A]: University of Medicine and Dentistry of New Jersey; 
State: NJ; 
Award: $1,920,000. 

Recipient[A]: St. Elizabeth Medical Center; 
State: NY; 
Award: $1,920,000. 

Recipient[A]: Crozer-Chester Medical Center; 
State: PA; 
Award: $1,920,000. 

Recipient[A]: Albert Einstein Healthcare Network; 
State: PA; 
Award: $1,920,000. 

Recipient[A]: Children's Hospital of Pittsburgh of the UPMC Health 
System; 
State: PA; 
Award: $1,920,000. 

Recipient[A]: Medical University of South Carolina; 
State: SC; 
Award: $1,920,000. 

Recipient[A]: The University of Texas Southwestern Medical Center At 
Dallas; 
State: TX; 
Award: $1,920,000. 

Recipient[A]: Baylor College of Medicine; 
State: TX; 
Award: $1,920,000. 

Recipient[A]: Carilion Medical Center; 
State: VA; 
Award: $1,920,000. 

Recipient[A]: Community Health of Central Washington; 
State: WA; 
Award: $1,920,000. 

Recipient[A]: Marshfield Clinic Research Foundation; 
State: WI; 
Award: $1,920,000. 

Recipient[A]: Marshfield Clinic Research Foundation; 
State: WI; 
Award: $1,920,000. 

Recipient[A]: Hennepin Healthcare System, Inc/Hennepin County Medical 
Center; 
State: MN; 
Award: $1,918,827. 

Recipient[A]: Sisters of Charity Hospital; 
State: NY; 
Award: $1,912,499. 

Recipient[A]: Variety Children's Hospital Doing dba Miami Children's 
Hospital; 
State: FL; 
Award: $1,907,712. 

Recipient[A]: Freeman Oak Hill Health System; 
State: MO; 
Award: $1,907,712. 

Recipient[A]: University of Connecticut Health Center; 
State: CT; 
Award: $1,890,723. 

Recipient[A]: University of Rochester; 
State: NY; 
Award: $1,887,125. 

Recipient[A]: Cincinnati Children's Hospital Medical Center; 
State: OH; 
Award: $1,872,024. 

Recipient[A]: Board of Trustees of Southern Illinois University; 
State: IL; 
Award: $1,869,763. 

Recipient[A]: New Hanover Regional Medical Center; 
State: NC; 
Award: $1,795,571. 

Recipient[A]: Virginia Commonwealth University; 
State: VA; 
Award: $1,585,520. 

Recipient[A]: University of Arkansas for Medical Sciences; 
State: AR; 
Award: $1,520,001. 

Recipient[A]: University of Arkansas for Medical Sciences-Cancer 
Research Center; 
State: AR; 
Award: $1,520,001. 

Recipient[A]: Montefiore Medical Center; 
State: NY; 
Award: $1,490,111. 

Recipient[A]: Yellowstone City & County Health Department/Riverstone 
Health; 
State: MT; 
Award: $960,003. 

Recipient[A]: The Family Medicine Residency of Idaho, Inc; 
State: ID; 
Award: $960,000. 

Recipient[A]: The Family Medicine Residency of Idaho, Inc; 
State: ID; 
Award: $960,000. 

Recipient[A]: Idaho State University; 
State: ID; 
Award: $960,000. 

Recipient[A]: Swedish Covenant Hospital; 
State: IL; 
Award: $960,000. 

Recipient[A]: Community Hospitals Foundation; 
State: IN; 
Award: $960,000. 

Recipient[A]: Univ. of Mass. Medical School; 
State: MA; 
Award: $960,000. 

Recipient[A]: The Regents of the University of Michigan; 
State: MI; 
Award: $960,000. 

Recipient[A]: Board of Regents, University of Nevada, Reno; 
State: NV; 
Award: $960,000. 

Recipient[A]: UMDNJ - Robert Wood Johnson Medical School; 
State: NJ; 
Award: $960,000. 

Recipient[A]: UPMC Presbyterian Shadyside; 
State: PA; 
Award: $960,000. 

Recipient[A]: Baylor Research Institute; 
State: TX; 
Award: $960,000. 

Recipient[A]: Texas Tech Univ Health Sciences Center; 
State: TX; 
Award: $960,000. 

Recipient[A]: Providence St Peter Hospital; 
State: WA; 
Award: $960,000. 

Recipient[A]: Group Health Cooperative; 
State: WA; 
Award: $960,000. 

Recipient[A]: University of Arkansas; 
State: AR; 
Award: $759,999. 

Recipient[A]: University of Arkansas for Medical Sciences-Cancer 
Research Center; 
State: AR; 
Award: $759,999. 

Recipient[A]: Total (82 awards); 
Award: $167,356,219. 

Announcements (2): 
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); 
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; 

Recipient[A]: Riverside Community College District/Moreno Valley 
Campus; 
State: CA; 
Award: $2,117,808. 

Recipient[A]: The Research Foundation of SUNY; 
State: NY; 
Award: $2,046,528. 

Recipient[A]: University of Texas-Pan American; 
State: TX; 
Award: $1,980,000. 

Recipient[A]: University of Washington; 
State: WA; 
Award: $1,980,000. 

Recipient[A]: Lincoln Memorial University; 
State: TN; 
Award: $1,900,800. 

Recipient[A]: Grand Valley State University; 
State: MI; 
Award: $1,791,720. 

Recipient[A]: Duke University Medical Center; 
State: NC; 
Award: $1,320,000. 

Recipient[A]: Samuel Merritt College; 
State: CA; 
Award: $1,232,000. 

Recipient[A]: Methodist University, Inc; 
State: NC; 
Award: $1,188,000. 

Recipient[A]: Shenandoah University; 
State: VA; 
Award: $1,069,200. 

Recipient[A]: LeMoyne College; 
State: NY; 
Award: $1,056,000. 

Recipient[A]: The University of Toledo Health Science Campus; 
State: OH; 
Award: $1,009,880. 

Recipient[A]: University of New England; 
State: ME; 
Award: $990,000. 

Recipient[A]: King's College; 
State: PA; 
Award: $990,000. 

Recipient[A]: University of Nebraska Medical Center; 
State: NE; 
Award: $924,000. 

Recipient[A]: Chatham University; 
State: PA; 
Award: $880,000. 

Recipient[A]: University of Colorado Denver; 
State: CO; 
Award: $855,360. 

Recipient[A]: New York Institute of Technology; 
State: NY; 
Award: $855,360. 

Recipient[A]: Union College; 
State: NE; 
Award: $792,000. 

Recipient[A]: University of Southern California; 
State: CA; 
Award: $704,000. 

Recipient[A]: Desales University; 
State: PA; 
Award: $704,000. 

Recipient[A]: Marywood University; 
State: PA; 
Award: $704,000. 

Recipient[A]: University of Utah; 
State: UT; 
Award: $704,000. 

Recipient[A]: Pace University; 
State: NY; 
Award: $660,000. 

Recipient[A]: Miami Dade College Medical Center Campus; 
State: FL; 
Award: $641,520. 

Recipient[A]: The Univ. of Oklahoma Health Sciences Center; 
State: OK; 
Award: $418,171. 

Recipient[A]: State of Colorado for Red Rocks Community College; 
State: CO; 
Award: $399,495. 

Recipient[A]: University of New Mexico Health Sciences Center; 
State: NM; 
Award: $204,239. 

Recipient[A]: Total (28 awards); 
Award: $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. 

[End of table] 

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): 

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

Announcement: 
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; 

Recipient: Regents of the University of California, Los Angeles; 
State: CA; 
Award: $650,000. 

Recipient: University of South Florida; 
State: FL; 
Award: $650,000. 

Recipient: Emory University; 
State: GA; 
Award: $650,000. 

Recipient: The Regents of the Univ of Michigan; 
State: MI; 
Award: $650,000. 

Recipient: University of Puerto Rico Medical Sciences Campus; 
State: PR; 
Award: $650,000. 

Recipient: University of South Carolina; 
State: SC; 
Award: $650,000. 

Recipient: East Tennessee State Univ; 
State: TN; 
Award: $650,000. 

Recipient: University of Washington; 
State: WA; 
Award: $650,000. 

Recipient: Univ of Pittsburgh; 
State: PA; 
Award: $649,994. 

Recipient: Trustees of Boston University, BUMC; 
State: MA; 
Award: $649,977. 

Recipient: The Research Foundation of SUNY; 
State: NY; 
Award: $649,921. 

Recipient: The Regents of the University of California; 
State: CA; 
Award: $649,819. 

Recipient: The Univ of Texas Health Science Center At Houston; 
State: TX; 
Award: $649,801. 

Recipient: The University of Oklahoma Health Sciences Center; 
State: OK; 
Award: $649,750. 

Recipient: University of Colorado Denver; 
State: CO; 
Award: $649,497. 

Recipient: UMDNJ-School of Public Health; 
State: NJ; 
Award: $647,654. 

Recipient: Arizona Board of Regents; 
State: AZ; 
Award: $647,637. 

Recipient: University of Kentucky Research Foundation; 
State: KY; 
Award: $647,307. 

Recipient: Univ of North Carolina at Chapel Hill; 
State: NC; 
Award: $643,004. 

Recipient: The University of Georgia; 
State: GA; 
Award: $630,032. 

Recipient: Board of Regents of the University of Wisconsin System; 
State: WI; 
Award: $628,480. 

Recipient: Trustees of Dartmouth College; 
State: NH; 
Award: $618,734. 

Recipient: Announcement: Eastern Virginia Medical School; 
State: Announcement: VA; 
Award: $Announcement: 488,360. 

Recipient: Announcement: Indiana University; 
State: Announcement: IN; 
Award: $Announcement: 129,267. 

Recipient: Total (24 awards); 
Award: $14,829,234. 

Source: GAO analysis of HHS information. 

[End of table] 

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

Announcement: 
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; 

Recipient: Regents of the University of California, Los Angeles; 
State: CA; 
Award: $650,000. 

Recipient: University of South Florida; 
State: FL; 
Award: $650,000. 

Recipient: Emory University; 
State: GA; 
Award: $650,000. 

Recipient: The Board of Trustees of the University of Illinois; 
State: IL; 
Award: $650,000. 

Recipient: University of Iowa; 
State: IA; 
Award: $650,000. 

Recipient: The Regents of the University of Michigan; 
State: MI; 
Award: $650,000. 

Recipient: Regents of the University of Minnesota; 
State: MN; 
Award: $650,000. 

Recipient: Board of Regents of the University of Nebraska, UNMC[A]; 
State: NE; 
Award: $650,000. 

Recipient: University of South Carolina; 
State: SC; 
Award: $650,000. 

Recipient: East Tennessee State University; 
State: TN; 
Award: $650,000. 

Recipient: University of Washington; 
State: WA; 
Award: $650,000. 

Recipient: Yale University[A]; 
State: CT; 
Award: $649,998. 

Recipient: University of Pittsburgh; 
State: PA; 
Award: $649,995. 

Recipient: University of Colorado Denver; 
State: CO; 
Award: $649,990. 

Recipient: University of Alabama at Birmingham[A]; 
State: AL; 
Award: $649,981. 

Recipient: Trustees of Boston University, BUMC; 
State: MA; 
Award: $649,972. 

Recipient: The Regents of the University of California; 
State: CA; 
Award: $649,905. 

Recipient: The University of Texas Health Science Center at Houston; 
State: TX; 
Award: $649,819. 

Recipient: The Research Foundation of SUNY; 
State: NY; 
Award: $649,496. 

Recipient: Board of Regents of the University of Wisconsin System; 
State: WI; 
Award: $647,154. 

Recipient: University of Florida[A]; 
State: FL; 
Award: $645,158. 

Recipient: Arizona Board of Regents; 
State: AZ; 
Award: $645,038. 

Recipient: UMDNJ-New Jersey-School of Public Health; 
State: NJ; 
Award: $644,441. 

Recipient: The University of Oklahoma Health Sciences Center; 
State: OK; 
Award: $642,064. 

Recipient: University of Puerto Rico Medical Sciences Campus; 
State: PR; 
Award: $640,879. 

Recipient: University of North Carolina at Chapel Hill; 
State: NC; 
Award: $639,004. 

Recipient: The University of Georgia; 
State: GA; 
Award: $633,022. 

Recipient: Trustees of Dartmouth College; 
State: NH; 
Award: $619,090. 

Recipient: University of Massachusetts Amherst[A]; 
State: MA; 
Award: $614,589. 

Recipient: University of Kentucky Research Foundation; 
State: KY; 
Award: $610,781. 

Recipient: Eastern Virginia Medical School; 
State: VA; 
Award: $491,849. 

Recipient: Indiana University; 
State: IN; 
Award: $129,748. 

Recipient: Total (32 awards); 
Award: $19,951,973. 

Source: GAO analysis of HHS information. 

[A] Indicates new awards for five recipients, remainder are 
continuation awards. 

[End of table] 

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: 
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 nurse-midwifery 
program; 

Recipient: Florida State University; 
State: FL; 
Award: $1,425,600. 

Recipient: University of Illinois at Chicago/The Board of Trustees of 
the University of Illinois; 
State: IL; 
Award: $1,425,600. 

Recipient: Michigan State University; 
State: MI; 
Award: $1,425,600. 

Recipient: The University of Michigan-Flint; 
State: MI; 
Award: $1,425,600. 

Recipient: Daemen College; 
State: NY; 
Award: $1,425,600. 

Recipient: Pace University; 
State: NY; 
Award: $1,425,600. 

Recipient: Case Western Reserve Univ; 
State: OH; 
Award: $1,425,600. 

Recipient: Medical Univ of South Carolina; 
State: SC; 
Award: $1,425,600. 

Recipient: East Tennessee State University; 
State: TN; 
Award: $1,425,600. 

Recipient: University of Texas Health Science Center at San Antonio; 
State: TX; 
Award: $1,425,600. 

Recipient: Univ of Utah; 
State: UT; 
Award: $1,425,600. 

Recipient: The Pennsylvania State Univ; 
State: PA; 
Award: $1,335,840. 

Recipient: College of St. Scholastica; 
State: MN; 
Award: $1,330,560. 

Recipient: Wayne State University; 
State: MI; 
Award: $1,320,000. 

Recipient: Oregon Health & Science University; 
State: OR; 
Award: $1,283,040. 

Recipient: Duke Univ School of Nursing; 
State: NC; 
Award: $1,276,000. 

Recipient: Shenandoah Univ; 
State: VA; 
Award: $1,188,000. 

Recipient: Western Univ of Health Sciences; 
State: CA; 
Award: $1,056,000. 

Recipient: Trustees of the Univ of Pennsylvania; 
State: PA; 
Award: $950,400. 

Recipient: West Virginia University Rsch Corporation; 
State: WV; 
Award: $950,400. 

Recipient: Georgia State Univ Research Foundation, Inc; 
State: GA; 
Award: $831,600. 

Recipient: Rutgers, The State University; 
State: NJ; 
Award: $807,840. 

Recipient: Univ of Oklahoma Health Sciences Center; 
State: OK; 
Award: $807,840. 

Recipient: Univ of Massachusetts Medical School; 
State: MA; 
Award: $760,816. 

Recipient: Univ of Detroit Mercy; 
State: MI; 
Award: $760,320. 

Recipient: University of Miami; 
State: FL; 
Award: $704,000. 

Recipient: Total (26 awards); 
Award: $31,044,256. 

Source: GAO analysis of HHS information. 

[End of table] 

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: 

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

Announcement: 
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; 

Recipient: Fair Haven Community Health Clinic, Inc; 
State: CT; 
Award: $1,500,000. 

Recipient: University of Mississippi Medical Center; 
State: MS; 
Award: $1,500,000. 

Recipient: The University of Texas Medical Branch at Galveston; 
State: TX; 
Award: $1,500,000. 

Recipient: University of Illinois at Chicago/The Board of Trustees of 
the University of Illinois; 
State: IL; 
Award: $1,499,995. 

Recipient: Regents of the Univ of Michigan; 
State: MI; 
Award: $1,498,577. 

Recipient: University of Colorado, Denver; 
State: CO; 
Award: $1,498,206. 

Recipient: The Regents of the University of California, San Francisco; 
State: CA; 
Award: $1,497,320. 

Recipient: St. Mary's Health Wagon, Inc; 
State: VA; 
Award: $1,493,634. 

Recipient: Tides Center-Women's Community Clinic; 
State: CA; 
Award: $1,459,366. 

Recipient: East Tennessee State University; 
State: TN; 
Award: $1,400,998. 

Recipient: Total (10 awards); 
Award: $14,848,096. 

Source: GAO analysis of HHS information. 

[End of table] 

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: 

Table 68: FY 2010 Grants, State Health Workforce Development Grants 
for Primary Care: 

Announcements (2): 
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; 

Recipient: California Department of Employment Development; 
State: CA; 
Award: $150,000. 

Recipient: Colorado Department of Public Health and Environment; 
State: CO; 
Award: $150,000. 

Recipient: Connecticut Employment & Training Commission; 
State: CT; 
Award: $150,000. 

Recipient: Hawaii Department of Labor and Industrial Relations; 
State: HI; 
Award: $150,000. 

Recipient: Idaho Department of Labor; 
State: ID; 
Award: $150,000. 

Recipient: Kansas Department of Commerce; 
State: KS; 
Award: $150,000. 

Recipient: Maine Jobs Council; 
State: ME; 
Award: $150,000. 

Recipient: Maryland Governor's Workforce Investment Board; 
State: MD; 
Award: $150,000. 

Recipient: Montana State University; 
State: MT; 
Award: $150,000. 

Recipient: NJ Department of Labor and Workforce; 
State: NJ; 
Award: $150,000. 

Recipient: New Mexico Department of Labor; 
State: NM; 
Award: $150,000. 

Recipient: New York State Department of Labor; 
State: NY; 
Award: $150,000. 

Recipient: University of North Dakota; 
State: ND; 
Award: $150,000. 

Recipient: Alaska Department of Labor And Workforce Development, ESD; 
State: AK; 
Award: $150,000. 

Recipient: State of Ohio - Department of Health; 
State: OH; 
Award: $150,000. 

Recipient: Pennsylvania Department of Labor & Industry; 
State: PA; 
Award: $150,000. 

Recipient: University of Wisconsin -Madison; 
State: WI; 
Award: $150,000. 

Recipient: Nevada Dept of Employment, Training, and Rehabilitation; 
State: NV; 
Award: $149,999. 

Recipient: MN Department of Employment and Economic Development; 
State: MN; 
Award: $149,599. 

Recipient: Wyoming Department of Workforce Services; 
State: WY; 
Award: $149,396. 

Recipient: Commonwealth Corporation; 
State: MA; 
Award: $149,271. 

Recipient: District of Columbia Department of Employment Services; 
State: DC; 
Award: $149,250. 

Recipient: North Carolina Department of Commerce Division of Workforce 
Development; 
State: NC; 
Award: $144,595. 

Recipient: University of Vermont; 
State: VT; 
Award: $131,786. 

Recipient: South Carolina Department of Employment and Workforce; 
State: SC; 
Award: $114,604. 

Recipient: Total (25 awards); 
Award: $3,688,500. 

Announcements (2): 
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; 

Recipient: Virginia State Department of Health; 
State: VA; 
Award: $1,935,137. 

Recipient: Total (1 award); 
Award: $1,935,137. 

Source: GAO analysis of HHS information. 

[End of table] 

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: 

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

Announcement: 
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; 

Recipient: National Initiative For Children's Healthcare Quality; 
State: MA; 
Award: $4,983,638. 

Recipient: Total (1 award); 
Award: $4,983,638. 

Source: GAO analysis of HHS information. 

[End of table] 

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. 

* 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: 
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; 
Recipient: University of Colorado, Denver, College of Nursing; 
State: CO; 
Award: $249,000. 

Recipient: Total (1 award); 
Award: $249,000. 

Source: GAO analysis of HHS information. 

[End of table] 

[End of section] 

Appendix IV: Office of the Secretary--Prevention and Public Health 
Fund Awards by Activity: 

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.[Footnote 31] 
Award information was provided by HHS's Assistant Secretary for 
Financial Resources and OS officials. 

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. 

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): 

Table 71: FY 2010 Contracts, Obesity Media Activities: 

Recipient: Oglivy Public Relations; 
Purpose: Develop strategic outreach plans; 
State: NY; 
Award: $9,100,000. 

Recipient: Total (1 award); 
Award: $9,100,000. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 72: FY 2011 Contracts, Obesity Media Activities: 

Recipient: Oglivy Public Relations; 
Purpose: Public awareness campaigns; 
State: NY; 
Award: $5,993,740. 

Recipient: Ad Council; 
Purpose: Public awareness campaigns; 
State: NY; 
Award: $2,650,000. 

Recipient: Total (2 awards); 
Award: $8,643,740. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

Table 73: FY 2011 Contracts, Tobacco Prevention Media: 

Recipient: PlowShare Group Inc; 
Purpose: Smoking Cessation campaign; 
State: CT; 
Award: $4,000,000. 

Recipient: Aquilent; 
Purpose: Web development; 
State: MD; 
Award: $2,052,116. 

Recipient: Matthews Media Group; 
Purpose: Smoking Cessation campaign; 
State: MD; 
Award: $2,000,000. 

Recipient: Aquilent; 
Purpose: Web development; 
State: MD; 
Award: $494,224. 

Recipient: American Independent Media; 
Purpose: Studio activities in support of tobacco related messaging; 
State: MD; 
Award: $425,000. 

Recipient: Communication Training Analysis Corporation; 
Purpose: Research and database; 
State: VA; 
Award: $298,939. 

Recipient: Communication Training Analysis Corporation; 
Purpose: Research and database; 
State: VA; 
Award: $229,960. 

Recipient: Aquilent; 
Purpose: Web development; 
State: MD; 
Award: $221,064. 

Recipient: Intelligent Enterprise Solutions; 
Purpose: Develop engine to syndicate content; 
State: MD; 
Award: $200,000. 

Recipient: Interagency Agreement with OASH; 
Purpose: Content support; 
Award: $125,000. 

Recipient: PSC; 
Purpose: Various processing fees; 
Award: $21,943. 

Recipient: Web Training; 
Purpose: Web training; 
Award: $3,500. 

Recipient: Total (12 awards); 
Award: $10,071,746. 

Source: GAO analysis of HHS information. 

[End of table] 

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 million[Footnote 
32] and three contracts totaling $1.0 million): 

* Fiscal year 2011: None: 

Table 74: FY 2010 Contracts, National Prevention, Health Promotion, 
and Public Health Council Planning: 

Recipient: IQ Solutions, Inc; 
Purpose: 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; 
Award: $620,000. 

Recipient: American Institutes For Research; 
Award: $66,000. 

Recipient: National Opinion Research Center; 
Award: $300,000. 

Recipient: Total (3 awards); 
Award: $986,000. 

Source: GAO analysis of HHS information. 

[End of table] 

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: National Initiative on Physical Fitness for Children and 
Youth with Disabilities (OPHS-10-239); 
Purpose: 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; 
Award: $500,000. 

Recipient: Research Participation Program (OPHS-10-228); 
Award: $292,000. 

Recipient: Total (2 awards); 
Award: $792,000. 

Source: GAO analysis of HHS information. 

[End of table] 

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: 

Table 76: FY 2010 Contracts, Tobacco Cessation: 

Recipient: Tobacco and Young, Low-SES Women Federal Collaboration 
Smoking Cessation and Prevention Program (OPHS-10-213); 
Purpose: 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; 
Award: $285,000. 

Recipient: American Institutes for Research; 
Award: $226,000. 

Recipient: LSES Women and Tobacco Collaborative Demonstration Project 
(OPHS-10-231); 
Award: $150,000. 

Recipient: Total (3 awards); 
Award: $661,000. 

Source: GAO analysis of HHS information. 

[End of table] 

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: NORC at the University of Chicago; 
Purpose: Administer awards program; 
State: MD; 
Award: $100,000. 

Recipient: Total (1 award); 
Award: $100,000. 

Source: GAO analysis of HHS information. 

[End of table] 

[End of section] 

Appendix V: Substance Abuse and Mental Health Services Administration--
Prevention and Public Health Fund Awards by Activity: 

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.[Footnote 33] 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. 

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. 

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. 

* 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): 
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; 

Recipient: Community Mental Health Affiliates, Inc; 
State: CT; 
Award: $496,863. 

Recipient: Asian Community Mental Health Board; 
State: CA; 
Award: $496,863. 

Recipient: Glenn County Health Services Agency; 
State: CA; 
Award: $496,863. 

Recipient: Apalachee Center, Inc; 
State: FL; 
Award: $496,863. 

Recipient: Coastal Behavioral Healthcare, Inc; 
State: FL; 
Award: $496,863. 

Recipient: Miami Behavioral Health Center, Inc; 
State: FL; 
Award: $496,863. 

Recipient: Heritage Behavioral Health Center, Inc; 
State: IL; 
Award: $496,863. 

Recipient: St. Barnabas Hospital; 
State: NY; 
Award: $496,863. 

Recipient: North Oklahoma County Mental Health Center; 
State: OK; 
Award: $496,863. 

Recipient: Asian Counseling and Referral Services; 
State: WA; 
Award: $496,863. 

Recipient: Tarzana Treatment Centers, Inc; 
State: CA; 
Award: $496,862. 

Recipient: Community Rehab Center (CRC), Inc; 
State: FL; 
Award: $496,862. 

Recipient: LifeStream Behavioral Center; 
State: FL; 
Award: $496,862. 

Recipient: Washtenaw Community Health Organization; 
State: MI; 
Award: $496,862. 

Recipient: Catholic Charities, Diocese of Trenton; 
State: NJ; 
Award: $496,862. 

Recipient: Weber Human Services; 
State: UT; 
Award: $496,862. 

Recipient: Cobb County Community Services Board; 
State: GA; 
Award: $496,825. 

Recipient: Community Health and Counseling Services; 
State: ME; 
Award: $496,820. 

Recipient: Kent Center for Human and Organizational Development; 
State: RI; 
Award: $496,636. 

Recipient: Postgraduate Center for Mental Health; 
State: NY; 
Award: $496,372. 

Recipient: County of San Mateo; 
State: CA; 
Award: $496,307. 

Recipient: Bronx Lebanon Hospital Center; 
State: NY; 
Award: $496,135. 

Recipient: Adult and Child Mental Health Center, Inc; 
State: IN; 
Award: $495,189. 

Recipient: Austin Travis County MH/MR Center; 
State: TX; 
Award: $494,900. 

Recipient: Greater Cincinnati Behavioral Health Services; 
State: OH; 
Award: $492,511. 

Recipient: Family Services, Inc; 
State: MD; 
Award: $490,868. 

Recipient: Downtown Emergency Services Center; 
State: WA; 
Award: $482,394. 

Recipient: Horizon House, Inc; 
State: PA; 
Award: $481,562. 

Recipient: South Carolina Department of Mental Health; 
State: SC; 
Award: $471,654. 

Recipient: Community Healthlink, Inc; 
State: MA; 
Award: $460,690. 

Recipient: Lakeside Behavioral Healthcare, Inc; 
State: FL; 
Award: $448,343. 

Recipient: Prestera Center for Mental Health Services, Inc; 
State: WV; 
Award: $438,513. 

Recipient: Trilogy, Inc; 
State: IL; 
Award: $421,263. 

Recipient: Alaska Island Community Services; 
State: AK; 
Award: $296,836. 

Recipient: Total (34 awards); 
Award: $16,403,620. 

Announcements (2): 
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 community-and 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; 

Recipient: National Council for Community Behavioral Healthcare; 
State: DC; 
Award: $3,596,380. 

Recipient: Total (1 award); 
Award: $3,596,380. 

Source: GAO analysis of HHS information. 

[End of table] 

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

Announcements (2): 
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; 

Recipient: Capital Area Human Services District[A]; 
State: LA; 
Award: $1,893,939. 

Recipient: Catholic Charities of Santa Clara County[A]; 
State: CA; 
Award: $1,893,939. 

Recipient: Highline West Seattle Mental Health[A]; 
State: WA; 
Award: $1,893,939. 

Recipient: Norfolk Community Services Board[A]; 
State: VA; 
Award: $1,893,939. 

Recipient: San Francisco Department of Public Health[A]; 
State: CA; 
Award: $1,893,939. 

Recipient: SouthCentral Foundation[A]; 
State: AK; 
Award: $1,893,939. 

Recipient: Community Support Services Inc.[A]; 
State: OH; 
Award: $1,836,954. 

Recipient: Health and Hospital Corp of Marion County[A]; 
State: IN; 
Award: $1,834,412. 

Recipient: Apalachee Center, Inc; 
State: FL; 
Award: $500,000. 

Recipient: Asian Community Mental Health Board; 
State: CA; 
Award: $500,000. 

Recipient: Asian Counseling and Referral Services; 
State: WA; 
Award: $500,000. 

Recipient: Catholic Charities, Diocese of Trenton; 
State: NJ; 
Award: $500,000. 

Recipient: Coastal Behavioral Healthcare, Inc; 
State: FL; 
Award: $500,000. 

Recipient: Community Mental Health Affiliates, Inc; 
State: CT; 
Award: $500,000. 

Recipient: Community Rehab Center (CRC), Inc; 
State: FL; 
Award: $500,000. 

Recipient: Family Services, Inc; 
State: MD; 
Award: $500,000. 

Recipient: Glenn County Health Services Agency; 
State: CA; 
Award: $500,000. 

Recipient: Heritage Behavioral Health Center, Inc; 
State: IL; 
Award: $500,000. 

Recipient: LifeStream Behavioral Center; 
State: FL; 
Award: $500,000. 

Recipient: Miami Behavioral Health Center, Inc; 
State: FL; 
Award: $500,000. 

Recipient: North Oklahoma County Mental Health Center; 
State: OK; 
Award: $500,000. 

Recipient: Tarzana Treatment Centers, Inc; 
State: CA; 
Award: $500,000. 

Recipient: Washtenaw Community Health Organization; 
State: MI; 
Award: $500,000. 

Recipient: Community Health and Counseling Services; 
State: ME; 
Award: $499,957. 

Recipient: Postgraduate Center for Mental Health; 
State: NY; 
Award: $499,510. 

Recipient: County of San Mateo; 
State: CA; 
Award: $499,444. 

Recipient: Bronx Lebanon Hospital Center; 
State: NY; 
Award: $499,272. 

Recipient: Cobb County Community Services Board; 
State: GA; 
Award: $498,825. 

Recipient: Adult and Child Mental Health Center, Inc; 
State: IN; 
Award: $498,061. 

Recipient: Austin Travis County MH/MR Center; 
State: TX; 
Award: $498,037. 

Recipient: St. Barnabas Hospital; 
State: NY; 
Award: $496,863. 

Recipient: Kent Center for Human and Organizational Development; 
State: RI; 
Award: $492,281. 

Recipient: Downtown Emergency Services Center; 
State: WA; 
Award: $485,531. 

Recipient: Community Healthlink, Inc; 
State: MA; 
Award: $484,964. 

Recipient: Greater Cincinnati Behavioral Health Services; 
State: OH; 
Award: $483,637. 

Recipient: Prestera Center for Mental Health Services, Inc; 
State: WV; 
Award: $481,091. 

Recipient: South Carolina Department of Mental Health; 
State: SC; 
Award: $478,049. 

Recipient: Horizon House, Inc; 
State: PA; 
Award: $467,609. 

Recipient: Lakeside Behavioral Healthcare, Inc; 
State: FL; 
Award: $455,033. 

Recipient: Trilogy, Inc; 
State: IL; 
Award: $387,218. 

Recipient: Weber Human Services; 
State: UT; 
Award: $365,000. 

Recipient: Alaska Island Community Services; 
State: AK; 
Award: $300,000. 

Recipient: Total (42 awards); 
Award: $31,405,382. 

Announcements (2): 
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; 

Recipient: National Council for Community Behavioral Healthcare; 
State: DC; 
Award: $3,594,045. 

Recipient: Total (1 award); 
Award: $3,594,045. 

Source: GAO analysis of HHS information. 

[A] Indicates new awards for eight recipients, remainder are 
continuation awards. 

[End of table] 

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. 

* 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: 
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; 

Recipient: North Carolina Department of Health and Human Services; 
State: NC; 
Award: $8,330,000. 

Recipient: State of Connecticut; 
State: CT; 
Award: $8,330,000. 

Recipient: State of Indiana; 
State: IN; 
Award: $8,329,906. 

Recipient: Total (3 awards); 
Award: $24,989,906. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

Table 81: FY 2011 Contracts, SAMHSA Health Surveillance: 

Recipient: Westat; 
Purpose: DAWN Operations and Emergency room data collection; 
State: MD; 
Award: $8,804,701. 

Recipient: Manila Consulting; 
Purpose: Expansion of NREPP; 
State: VA; 
Award: $3,547,794. 

Recipient: Synectics for Management Decisions; 
Purpose: Expansion of Mental Health inventories; 
State: VA; 
Award: $2,400,704. 

Recipient: RTI International; 
Purpose: DAWN Analysis contract modification; 
State: NC; 
Award: $1,503,561. 

Recipient: The Mitre Corporation; 
Purpose: MITRE FFRDC; 
State: VA; 
Award: $757,272. 

Recipient: RTI International; 
Purpose: Analysis on NSDUH data system; 
State: NC; 
Award: $690,412. 

Recipient: Manila Consulting; 
Purpose: SAMHSA Data Users Conference on prevention research; 
State: VA; 
Award: $200,000. 

Recipient: Total (7 awards); 
Award: $17,904,444. 

Source: GAO analysis of HHS information. 

[End of table] 

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): 

Table 82: FY 2011 Grants, Suicide Prevention: 

Announcements (4): 
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; 

Recipient: Pueblo of San Felipe - GLS States; 
State: NM; 
Award: $1,440,000. 

Recipient: Muscogee Creek Nation - GLS States; 
State: OK; 
Award: $1,440,000. 

Recipient: Native American Rehabilitation Assn - GLS States; 
State: OR; 
Award: $1,440,000. 

Recipient: Tohono O'Odham Nation - GLS States; 
State: AZ; 
Award: $1,440,000. 

Recipient: Total (4 awards); 
Award: $5,760,000. 

Announcements (4): 
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; 

Recipient: University of Puerto Rico Rio Piedras - GLS Campus; 
State: PR; 
Award: $306,000. 

Recipient: Thomas Jefferson University - GLS Campus; 
State: PA; 
Award: $306,000. 

Recipient: University of Arizona - GLS Campus; 
State: AZ; 
Award: $306,000. 

Recipient: University of Alaska Anchorage - GLS Campus; 
State: AL; 
Award: $306,000. 

Recipient: Jackson State University - GLS Campus; 
State: MS; 
Award: $306,000. 

Recipient: Total (5 awards); 
Award: $1,530,000. 

Announcements (4): 
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; 

Recipient: Link2Health Solutions, Inc. - Suicide Hotline Supplement; 
State: NY; 
Award: $1,705,000. 

Recipient: Total (1 award); 
Award: $1,705,000. 

Announcements (4): 
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; 

Recipient: Education Development Center, Inc; 
State: MA; 
Award: $999,993. 

Recipient: Total (1 award); 
Award: $999,993. 

Source: GAO analysis of HHS information. 

[End of table] 

Table 83: FY 2011 Contract, Suicide Prevention: 

Recipient: Westover Consultants INC; 
Purpose: Meeting support; 
State: MD; 
Award: $110,656. 

Recipient: Total (1 award); 
Award: $110,656. 

Source: GAO analysis of HHS information. 

[End of table] 

[End of section] 

Appendix VI: GAO Contact and Staff Acknowledgments: 

GAO Contact: 

Katherine Iritani, (202) 512-7114 or iritanik@gao.gov: 

Staff Acknowledgments: 

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. 

[End of section] 

Footnotes: 

[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. 

[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 community-based 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. 

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

[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. 

[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). 

[10] In this report we refer to the amount obligated under a grant, 
cooperative agreement, contract, or interagency agreement as the 
"amount awarded." 

[11] Unlike 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. 

[12] HHS agencies typically publicly announce funding opportunities on 
[hyperlink, http://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. 

[13] See 31 U.S.C. § 6303. HHS agencies typically publicly announce 
contract solicitations on [hyperlink, http://www.fbo.gov]. 

[14] Pub. 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. 

[15] According 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. 

[16] According 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. 

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

[18] Total 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. 

[19] Some 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 PPHF-funded 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 [hyperlink, 
http://http://www.healthcare.gov/news/factsheets/2011/02/prevention02092
011a.html] (accessed Aug. 6, 2012). 

[20] According 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 [hyperlink, 
http://http://www.hhs.gov/open/recordsandreports/prevention/] 
(accessed June 12, 2012). 

[21] Federal 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. 

[22] HHS'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 
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. 

[23] 156 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)). 

[24] Agency 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, [hyperlink, 
http://www.gao.gov/products/GAO-12-215R] (Washington, D.C.: Dec. 9, 
2011). 

[25] See [hyperlink, 
http://www.cdc.gov/communitytransformation/index.htm] (accessed July 
23, 2012). 

[26] For 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 [hyperlink, 
http://www.hhs.gov/open/recordsandreports/prevention/] (accessed July 
23, 2012). 

[27] The tables present information on cooperative agreements with 
grants, and include information on interagency agreements with 
contracts. 

[28] The tables present information on cooperative agreements with 
grants, and include information on interagency agreements with 
contracts. 

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

[30] The tables present information on cooperative agreements with 
grants, and include information on interagency agreements with 
contracts. 

[31] The tables present information on cooperative agreements with 
grants, and include information on interagency agreements with 
contracts. 

[32] 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. 

[33] The tables present information on cooperative agreements with 
grants, and include information on interagency agreements with 
contracts. 

[End of section] 

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