Opportunity Information: Apply for CDC RFA DP 23 0058

Addressing Conditions To Improve Population Health (ACTion) is a CDC funding opportunity from the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) that supports state, local, territorial, and tribal jurisdictions that are ready to move from planning into action. The purpose is to reduce chronic disease-related disparities, risk factors, and inequities by implementing policy, systems, and environmental (PSE) changes that tackle key social determinants of health (SDOH). Rather than funding broad, early-stage exploration, this program is designed to back communities that already have a workable approach and need resources and CDC partnership to put it into practice, learn from it, and show measurable results.

The program funds pilot ACTion projects built around established, ready-to-implement plans. Applicants are expected to propose specific PSE interventions that address at least one of four SDOH focus areas identified by NCCDPHP: the built environment (for example, changes that improve safe access to physical activity, transportation, or neighborhood conditions), community-clinical linkages (strengthening connections between healthcare and community services so people can actually access prevention and support), food and nutrition security (improving reliable access to affordable, nutritious foods through policy and system changes), and social connectedness (reducing isolation and building community supports that influence health and chronic disease outcomes). The NOFO reflects lessons learned from earlier CDC SDOH Accelerator Grants (FY 2021 DP21-2111 and FY 2022 DP22-2210), with a clear emphasis on implementing and evaluating interventions that are already planned, not creating plans from scratch.

A central expectation is strong multi-sector collaboration. Applicants must describe an established leadership team that can convene and manage partners across sectors, such as public health, healthcare, Medicaid, local government, community-based organizations, education, transportation, housing, and food systems. The intent is to ensure interventions are aligned with how communities function in real life and that changes are sustainable beyond the grant period. The cooperative agreement structure also signals that CDC is likely to be actively involved through technical assistance and shared expectations around performance and evaluation, rather than serving only as a pass-through funder.

Evaluation capacity is not optional in this opportunity. Applicants must demonstrate they can develop and carry out an evaluation plan for the pilot project, showing how they will track implementation, measure outcomes, and generate practical evidence about what worked, for whom, and under what conditions. In addition, proposals must explain how the pilot project will improve the health of Medicaid beneficiaries in the community, making Medicaid impact a clear priority population and an important lens for selecting interventions, outcomes, and partnerships.

This is a discretionary funding opportunity using a cooperative agreement funding instrument under CFDA 93.945 (Health). Eligible applicants include state governments, county governments, city or township governments, special district governments, federally recognized tribal governments, other tribal organizations, and certain other entities as clarified in the eligibility section of the announcement. The opportunity (CDC RFA DP 23 0058) was posted May 1, 2023, with applications due June 30, 2023, by 11:59 pm ET. The award ceiling is $500,000, with approximately 5 awards expected, indicating a competitive selection focused on a small number of jurisdictions that can demonstrate readiness, partnership strength, and a credible path to implementation and evaluation.

Overall, ACTion is meant for jurisdictions that can show they are prepared to execute a defined set of PSE strategies in one or more of the four SDOH domains, mobilize cross-sector leadership to carry the work, and produce evaluation findings that help reduce chronic disease inequities, with clear benefits for Medicaid beneficiaries.

  • The Department of Health and Human Services, Centers for Disease Control - NCCDPHP in the health sector is offering a public funding opportunity titled "Addressing Conditions To Improve Population Health (ACTion)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.945.
  • This funding opportunity was created on May 01, 2023.
  • Applicants must submit their applications by Jun 30, 2023 Electronically submitted applications must be submitted no later than 1159 pm ET on the listed application due date.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $500,000.00 in funding.
  • The number of recipients for this funding is limited to 5 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Others (see text field entitled Additional Information on Eligibility for clarification).
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FAQs: Addressing Conditions To Improve Population Health (ACTion) - CDC (NCCDPHP)

What is the ACTion funding opportunity?

Addressing Conditions To Improve Population Health (ACTion) is a CDC funding opportunity from the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP). It supports jurisdictions that are ready to move from planning into action by implementing policy, systems, and environmental (PSE) changes that address key social determinants of health (SDOH).

What is the main purpose of ACTion?

The purpose is to reduce chronic disease-related disparities, risk factors, and inequities by implementing PSE strategies that tackle social determinants of health. The focus is on putting an already workable approach into practice and producing measurable results, not exploring ideas at an early stage.

Is this grant meant for planning new programs or implementing existing plans?

This opportunity is designed to fund pilot ACTion projects built around established, ready-to-implement plans. It emphasizes implementation and evaluation of interventions that are already planned rather than creating plans from scratch.

What types of interventions does ACTion fund?

Applicants are expected to propose specific policy, systems, and environmental (PSE) interventions. These interventions must address at least one of the four SDOH focus areas identified by NCCDPHP.

What are the four SDOH focus areas that projects can address?

The four focus areas are: (1) the built environment, (2) community-clinical linkages, (3) food and nutrition security, and (4) social connectedness.

What does "built environment" mean in this opportunity?

Built environment examples include changes that improve safe access to physical activity, transportation, or neighborhood conditions. The intent is to shape community conditions in ways that support better health outcomes.

What are "community-clinical linkages" in the ACTion context?

Community-clinical linkages refer to strengthening connections between healthcare and community services so people can access prevention resources and support in real-world settings.

What does ACTion mean by "food and nutrition security"?

Food and nutrition security focuses on improving reliable access to affordable, nutritious foods through policy and systems changes (not just short-term programming).

What does "social connectedness" mean for this NOFO?

Social connectedness refers to reducing isolation and building community supports that influence health and chronic disease outcomes.

How does this opportunity relate to earlier CDC SDOH Accelerator Grants?

The NOFO reflects lessons learned from earlier CDC SDOH Accelerator Grants (FY 2021 DP21-2111 and FY 2022 DP22-2210). A major theme is readiness: implementing and evaluating interventions that are already planned rather than conducting broad early-stage exploration.

Is collaboration required, and if so, what kind?

Strong multi-sector collaboration is a central expectation. Applicants must describe an established leadership team that can convene and manage partners across multiple sectors so interventions fit how communities function and can be sustained.

Which sectors are mentioned as potential partners?

Examples of sectors include public health, healthcare, Medicaid, local government, community-based organizations, education, transportation, housing, and food systems.

What is the funding mechanism for ACTion?

This is a discretionary funding opportunity using a cooperative agreement funding instrument. That structure signals CDC is likely to be actively involved through technical assistance and shared expectations around performance and evaluation.

What does the cooperative agreement structure imply for awardees?

Based on the description provided, awardees should expect CDC partnership and involvement (such as technical assistance) rather than a model where CDC only passes through funds with minimal engagement.

Is evaluation required?

Yes. Evaluation capacity is described as not optional. Applicants must demonstrate they can develop and carry out an evaluation plan for the pilot project.

What does the evaluation plan need to cover?

The proposal is expected to explain how the project will track implementation, measure outcomes, and generate practical evidence about what worked, for whom, and under what conditions.

How must projects address Medicaid beneficiaries?

Proposals must explain how the pilot project will improve the health of Medicaid beneficiaries in the community. Medicaid impact is described as a clear priority population and an important lens for selecting interventions, outcomes, and partnerships.

Who is eligible to apply?

Eligible applicants include state governments, county governments, city or township governments, special district governments, federally recognized tribal governments, other tribal organizations, and certain other entities as clarified in the eligibility section of the announcement.

What is the CFDA number for this opportunity?

The CFDA number is 93.945 (Health).

What is the opportunity number and posting date?

The opportunity is CDC RFA DP 23 0058, and it was posted on May 1, 2023.

When were applications due?

Applications were due June 30, 2023, by 11:59 pm ET.

What is the maximum award amount?

The award ceiling is $500,000.

How many awards were expected?

Approximately 5 awards were expected, indicating a competitive selection process focused on a small number of jurisdictions.

What kinds of applicants are a good fit for ACTion?

This opportunity is intended for jurisdictions that can show readiness to execute a defined set of PSE strategies in one or more SDOH domains, mobilize cross-sector leadership, and produce evaluation findings that help reduce chronic disease inequities with clear benefits for Medicaid beneficiaries.

What does CDC appear to prioritize in selecting projects?

Based on the description, emphasis is placed on demonstrated readiness to implement, strength of multi-sector partnerships and leadership, a credible implementation approach, and the ability to evaluate and show measurable results (including Medicaid beneficiary impact).

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