[Federal Register Volume 89, Number 55 (Wednesday, March 20, 2024)]
[Notices]
[Pages 19838-19848]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-05831]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Native Public Health Resilience

    Announcement Type: New.
    Funding Announcement Number: HHS-2024-IHS-NPHR-0001.
    Assistance Listing (Catalog of Federal Domestic Assistance or CFDA) 
Number: 93.231.

Key Dates

    Application Deadline Date: May 14, 2024.
    Earliest Anticipated Start Date: July 1, 2024.

I. Funding Opportunity Description

Statutory Authority

    The Indian Health Service (IHS) is accepting applications for 
grants for Native Public Health Resilience. This program is authorized 
under the Snyder Act, 25 U.S.C. 13; the Transfer Act, 42 U.S.C. 
2001(a); and the American Rescue Plan Act, Public Law 117-2, 135 Stat. 
42 (2021). The Assistance Listings section of SAM.gov (https://sam.gov/content/home) describes this program under 93.231.

Background

    The IHS, an agency within the Department of Health and Human 
Services (HHS), is the principal Federal health care provider and 
health advocate for American Indian and Alaska Native (AI/AN) people, 
and its goal is to raise their health status to the highest possible 
level. One core strategic goal of the IHS is to ensure that 
comprehensive, culturally appropriate personal and public health 
services are available and accessible to AI/AN people. The Division of 
Epidemiology and Disease Prevention (DEDP) provides and supports 
applied public health and epidemiologic services to further the overall 
IHS mission. Through the provision of direct services and key 
partnerships, our collective work strives to improve overall awareness, 
understanding, and mitigation of priority health conditions negatively 
impacting AI/AN populations. The American Rescue Plan Act appropriated 
funding to IHS for purposes that include enhancing public health 
capacity.

Purpose

    The purpose of this program is to enhance Tribes', Tribal 
organizations', and Urban Indian Organizations' capacity to implement 
core Public Health functions, services, and activities, and to further 
develop and improve their Public Health management capabilities.
    As part of the IHS mission to raise the physical, mental, social, 
and spiritual health of American Indians and Alaska Natives to the 
highest level, this program seeks to build on and strengthen community 
resilience by supporting wider access to the 10 Essential Public Health 
Services (EPHS) \1\ in Indian Country, a framework designed to offer 
all people a fair and just opportunity to achieve optimal health and 
well-being. For more information on the EPHS, please visit https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html. The framework of the EPHS has served as a 
guide to the public health field since 1994 and describes the public 
health activities that all communities should undertake, including, (1) 
monitor health status to identify and solve community health problems, 
and (2) Diagnose and investigate health problems and health hazards in 
the community. The EPHS framework was revised in 2020 with an emphasis 
on equity and reflects current and future priorities for public health 
practice. The EPHS have been included in the HHS Healthy People 
initiatives since 2010, when the initiative first included a focus area 
of Public Health Infrastructure with the goal to ``ensure that Federal, 
Tribal, State, and local health agencies have the infrastructure to 
provide essential public health services effectively.''
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    \1\ For the full details of each EPHS, please review the 
resources posted at: https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html.
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    The IHS is offering competitive awards to assist applicants in 
enhancing EPHS implementation within established public health programs 
serving AI/AN communities.
    The 10 EPHS include:
    1. Assess and monitor population health status, factors that 
influence health, and community needs and assets.
    2. Investigate, diagnose, and address health problems and hazards 
affecting the population.
    3. Communicate effectively to inform and educate people about 
health, factors that influence it, and how to improve it.
    4. Strengthen, support, and mobilize communities and partnerships 
to improve health.
    5. Create, champion, and implement policies, plans, and laws that 
impact health.
    6. Use legal and regulatory actions designed to improve and protect 
the public's health.
    7. Contribute to an effective system that enables equitable access 
to the individual services and care needed to be healthy. This Service 
description has been adapted to better align with the anticipated scope 
of intended recipient jurisdictions.
    8. Build and support a diverse and skilled public health workforce.
    9. Improve and innovate public health functions through ongoing 
evaluation, research, and continuous quality improvement.
    10. Build and maintain a strong organizational infrastructure for 
public health.

Required and Allowable Activities

    The following activities are required under this funding 
announcement. For more guidance on the proposal requirements, please 
see Project Narrative, below.
Required Activities
    Select and implement one or more new EPHS or implement significant 
expansion of existing EPHS to support Tribal communities throughout the 
planned project period. Recipients are required to offer new or 
expanded EPHS activities through the award's period of performance. 
Applicants must address at least two core elements of their selected 
EPHS in their proposal, as described below.
    EPHS 1: Assess and monitor population health status, factors that 
influence health, and community needs and assets.
    Core elements:
    a. Maintaining an ongoing understanding of health in the 
jurisdiction by collecting, monitoring, and analyzing data on health 
and factors that influence health to identify threats,

[[Page 19839]]

patterns, and emerging issues, with a particular emphasis on 
disproportionately affected populations.
    b. Using data and information to determine the root causes of 
health disparities and inequities.
    c. Working with the community to understand health status, needs, 
assets, key influences, and narrative.
    d. Collaborating and facilitating data sharing with partners, 
including multisector partners.
    e. Using innovative technologies, data collection methods, and data 
sets.
    f. Utilizing various methods and technology to interpret and 
communicate data to diverse audiences.
    g. Analyzing and using disaggregated data (e.g., by race) to track 
issues and inform equitable action.
    h. Engaging community members as experts and key partners.
    EPHS 2: Investigate, diagnose, and address health problems and 
hazards affecting the population.
    Core elements:
    a. Anticipating, preventing, and mitigating emerging health threats 
through epidemiologic identification.
    b. Monitoring real-time health status and identifying patterns to 
develop strategies to address chronic diseases and injuries.
    c. Using real-time data to identify and respond to acute outbreaks, 
emergencies, and other health hazards.
    d. Using public health laboratory capabilities and modern 
technology to conduct rapid screening and high-volume testing.
    e. Analyzing and utilizing inputs from multiple sectors and sources 
to consider social, economic, and environmental root causes of health 
status.
    f. Identifying, analyzing, and distributing information from new, 
big, and real-time data sources.
    EPHS 3: Communicate effectively to inform and educate people about 
health, factors that influence it, and how to improve it.
    Core elements:
    a. Developing and disseminating accessible health information and 
resources, including through collaboration with multi-sector partners.
    b. Communicating with accuracy and necessary speed.
    c. Using appropriate communications channels (e.g., social media, 
peer-to-peer networks, mass media, and other channels) to effectively 
reach the intended populations.
    d. Developing and deploying culturally and linguistically 
appropriate and relevant communications and educational resources, 
which includes working with stakeholders and influencers in the 
community to create effective and culturally resonant materials.
    e. Employing the principles of risk communication, health literacy, 
and health education to inform the public, when appropriate.
    f. Actively engaging in two-way communication to build trust with 
populations served and ensure accuracy and effectiveness of prevention 
and health promotion strategies.
    g. Ensuring public health communications and education efforts are 
asset-based when appropriate and do not reinforce narratives that are 
damaging to disproportionately affected populations.
    EPHS 4: Strengthen, support, and mobilize communities and 
partnerships to improve health.
    Core elements:
    a. Convening and facilitating multisector partnerships and 
coalitions that include sectors that influence health (e.g., planning, 
transportation, housing, education, etc.).
    b. Fostering and building genuine, strengths-based relationships 
with a diverse group of partners that reflect the community and the 
population.
    c. Authentically engaging with community members and organizations 
to develop public health solutions.
    d. Learning from, and supporting, existing community partnerships 
and contributing public health expertise.
    EPHS 5: Create, champion, and implement policies, plans, and laws 
that impact health.
    Core elements:
    a. Developing and championing policies, plans, and laws that guide 
the practice of public health.
    b. Examining and improving existing policies, plans, and laws to 
correct historical injustices.
    c. Ensuring that policies, plans, and laws provide a fair and just 
opportunity for all to achieve optimal health.
    d. Providing input into policies, plans, and laws to ensure that 
health impact is considered.
    e. Continuously monitoring and developing policies, plans, and laws 
that improve public health and preparedness and strengthen community 
resilience.
    f. Collaborating with all partners, including multi-sector 
partners, to develop and support policies, plans, and laws.
    g. Working across partners and with the community to systematically 
and continuously develop and implement health improvement strategies 
and plans, and evaluate and improve those plans.
    EPHS 6: Use legal and regulatory actions designed to improve and 
protect the public's health.
    Core elements:
    a. Ensuring that applicable laws are equitably applied to protect 
the public's health.
    b. Conducting enforcement activities that may include, but are not 
limited to sanitary codes, especially in the food industry; full 
protection of drinking water supplies; and timely follow-up on hazards, 
preventable injuries, and exposure-related diseases identified in 
occupational and community settings.
    c. Licensing and monitoring the quality of healthcare services 
(e.g., laboratory, nursing homes, and home healthcare).
    d. Reviewing new drug, biologic, and medical device applications.
    e. Licensing and credentialing the healthcare workforce.
    f. Including health considerations in laws from other sectors 
(e.g., zoning).
    EPHS 7: Contribute to an effective system that enables equitable 
access to the individual services and care needed to be healthy.
    Core elements:
    a. Connecting the population to needed health and social services 
that support the whole person, including preventive services.
    b. Ensuring access to high-quality and cost-effective healthcare 
and social services, including behavioral and mental health services, 
that are culturally and linguistically appropriate.
    c. Engaging health delivery systems to assess and address gaps and 
barriers in accessing needed health services, including behavioral and 
mental health.
    d. Addressing and removing barriers to care.
    e. Building relationships with payers and healthcare providers, 
including the sharing of data across partners to foster health and 
well-being.
    f. Contributing to the development of a competent healthcare 
workforce.
    EPHS 8: Build and support a diverse and skilled public health 
workforce
    Core elements:
    a. Providing education and training that encompasses a spectrum of 
public health competencies, including technical, strategic, and 
leadership skills.
    b. Ensuring that the public health workforce is the appropriate 
size to meet the public's needs.
    c. Building a culturally competent public health workforce and 
leadership that reflects the community and practices cultural humility.
    d. Incorporating public health principles in non-public health 
curricula.
    e. Cultivating and building active partnerships with academia and 
other

[[Page 19840]]

professional training programs and schools to assure community-relevant 
learning experiences for all learners.
    f. Promoting a culture of lifelong learning in public health.
    g. Building a pipeline of future public health practitioners.
    h. Fostering leadership skills at all levels.
    EPHS 9: Improve and innovate public health functions through 
ongoing evaluation, research, and continuous quality improvement.
    Core elements:
    a. Building and fostering a culture of quality in public health 
organizations and activities.
    b. Linking public health research with public health practice.
    c. Using research, evidence, practice-based insights, and other 
forms of information to inform decision-making.
    d. Contributing to the evidence base of effective public health 
practice.
    e. Evaluating services, policies, plans, and laws continuously to 
ensure they are contributing to health and not creating undue harm.
    f. Establishing and using engagement and decision-making structures 
to work with the community in all stages of research.
    g. Valuing and using qualitative, quantitative, and lived 
experience as data and information to inform decision-making.
    EPHS 10: Build and maintain a strong organizational infrastructure 
for public health.
    Core elements:
    a. Developing an understanding of the broader organizational 
infrastructures and roles that support the entire public health system 
in a jurisdiction (e.g., government agencies, elected officials, and 
non-governmental organizations).
    b. Ensuring that appropriate, needed resources are allocated 
equitably for the public's health.
    c. Exhibiting effective and ethical leadership, decision-making, 
and governance.
    d. Managing financial and human resources effectively.
    e. Employing communications and strategic planning capacities and 
skills.
    f. Having robust information technology services that are current 
and meet privacy and security standards.
    g. Being accountable, transparent, and inclusive with all partners 
and the community in all aspects of practice.
Allowable Activities
    Allowable costs and activities must align with the 10 EPHS. 
Additional activities that complement but are not explicitly captured 
within the defined core elements are allowable but should be clearly 
associated with the selected EPHS.

II. Award Information

Funding Instrument--Grant

Estimated Funds Available
    The total funding identified for fiscal year (FY) 2024 is 
approximately $6,000,000. Individual award amounts for the first budget 
year are anticipated to be between $300,000 and $400,000. The funding 
available for competing and subsequent continuation awards issued under 
this announcement is subject to the availability of appropriations and 
budgetary priorities of the Agency. The IHS is under no obligation to 
make awards that are selected for funding under this announcement.
Anticipated Number of Awards
    The IHS anticipates issuing approximately 15 awards under this 
program announcement.
Period of Performance
    The period of performance is for 3 years.

III. Eligibility Information

1. Eligibility

    To be eligible for this funding opportunity applicant must be one 
of the following, as defined by 25 U.S.C. 1603:
     A federally recognized Indian Tribe as defined by 25 
U.S.C. 1603(14). The term ``Indian Tribe'' means any Indian Tribe, 
band, nation, or other organized group or community, including any 
Alaska Native village or group, or regional or village corporation, as 
defined in or established pursuant to the Alaska Native Claims 
Settlement Act (85 Stat. 688) [43 U.S.C. 1601 et seq.], which is 
recognized as eligible for the special programs and services provided 
by the United States (U.S.) to Indians because of their status as 
Indians.
     A Tribal organization as defined by 25 U.S.C. 1603(26). 
The term ``Tribal organization'' has the meaning given the term in 
section 4 of the Indian Self-Determination and Education Assistance Act 
(25 U.S.C. 5304(l)): ``Tribal organization'' means the recognized 
governing body of any Indian Tribe; any legally established 
organization of Indians 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 Indians in all phases of 
its activities: provided that, in any case where a contract is let or 
grant made to an organization to perform services benefiting more than 
one Indian Tribe, the approval of each such Indian Tribe shall be a 
prerequisite to the letting or making of such contract or grant. 
Applicant shall submit letters of support and/or Tribal Resolutions 
from the Tribes to be served.
     An Urban Indian organization, as defined by 25 U.S.C. 
1603(29). The term ``Urban Indian organization'' means a nonprofit 
corporate body situated in an urban center, governed by an urban Indian 
controlled board of directors, and providing for the maximum 
participation of all interested Indian groups and individuals, which 
body is capable of legally cooperating with other public and private 
entities for the purpose of performing the activities described in 25 
U.S.C. 1653(a). Applicants must provide proof of nonprofit status with 
the application, e.g., 501(c)(3). Each awardee shall provide services 
under this award only to eligible Urban Indians living within the urban 
center in which the Urban Indian Organization (UIO) is situated.
    The Division of Grants Management (DGM) will notify any applicants 
deemed ineligible.

2. Additional Information on Eligibility

    The IHS does not fund concurrent projects. Specifically, an 
applicant may not be awarded under both this opportunity and the Native 
Public Health Resilience Planning opportunity (number HHS-2024-IHS-
NPHRP-0001). Applications on behalf of individuals (including sole 
proprietorships) and foreign organizations are not eligible and will be 
disqualified from competitive review and funding under this funding 
opportunity.

    Note: Please refer to Section IV.2 (Application and Submission 
Information/Subsection 2, Content and Form of Application 
Submission) for additional proof of applicant status documents 
required, such as Tribal Resolutions, proof of nonprofit status, 
etc.

3. Cost Sharing or Matching

    The IHS does not require matching funds or cost sharing for grants 
or cooperative agreements.

4. Other Requirements

    Applications with budget requests that exceed the highest dollar 
amount outlined under Section II Award Information, Estimated Funds 
Available, or exceed the period of performance outlined under Section 
II Award Information, Period of Performance, are considered not 
responsive and will not

[[Page 19841]]

be reviewed. The DGM will notify the applicant.

Additional Required Documentation

Tribal Resolution
    The DGM must receive an official, signed Tribal Resolution prior to 
issuing a Notice of Award (NoA) to any Tribe or Tribal organization 
selected for funding. An applicant that is proposing a project 
affecting another Indian Tribe must include resolutions from all 
affected Tribes to be served. However, if an official signed Tribal 
Resolution is not available by the application deadline date, a draft 
Tribal Resolution may be submitted with the application by the 
application deadline date in order for the application to be considered 
complete and eligible for review. The draft Tribal Resolution is not in 
lieu of the required official signed resolution but is acceptable until 
a signed resolution is received. Applications submitted without either 
official signed or draft Tribal Resolution(s) are considered incomplete 
and will not be reviewed. If an application submitted with only draft 
Tribal Resolution(s) is selected for funding, the applicant will be 
contacted by the Grants Management Specialist (GMS) listed in this 
funding announcement and given 90 days to submit an official signed 
Tribal Resolution to the GMS. If the signed Tribal Resolution is not 
received within 90 days, the award will be forfeited.
    Applicants organized with a governing structure other than a Tribal 
council must submit an equivalent document commensurate with their 
governing organization. Please include documentation explaining and 
substantiating your organization's governing structure.
Proof of Nonprofit Status
    Organizations claiming nonprofit status must submit a current copy 
of the 501(c)(3) Certificate with the application.

IV. Application and Submission Information

    Grants.gov uses a Workspace model for accepting applications. The 
Workspace consists of several online forms and three forms in which to 
upload documents--Project Narrative, Budget Narrative, and Other 
Documents. Give your files brief descriptive names. The filenames are 
key in finding specific documents during the merit review and in 
processing awards. Upload all requested and optional documents 
individually, rather than combining them into a single file. Creating a 
single file creates confusion when trying to find specific documents. 
This can contribute to delays in processing awards, and could lead to 
lower scores during the merit review.

1. Obtaining Application Materials

    The application package and detailed instructions for this 
announcement are available at https://www.Grants.gov.
    Please direct questions regarding the application process to 
[email protected].

2. Content and Form Application Submission

    Mandatory documents for all applications are listed below. An 
application is incomplete if any of the listed mandatory documents are 
missing. Incomplete applications will not be reviewed.
     Application forms:
    1. SF-424, Application for Federal Assistance.
    2. SF-424A, Budget Information--Non-Construction Programs.
    3. SF-424B, Assurances--Non-Construction Programs.
    4. Project Abstract Summary form.
     Project Narrative (not to exceed 15 pages). See Section 
IV.2.A, Project Narrative for instructions.
     Budget Narrative (not to exceed 5 pages). See Section 
IV.2.B, Budget Narrative for instructions.
     One-page Work Plan Chart.
     Logic Model (Included as an attachment, not in the 
narrative page limit).
     Biographical sketches for all Key Personnel.
     Contractor/Consultant resumes or qualifications and scope 
of work.
     Certification Regarding Lobbying (GG-Lobbying Form).
    The documents listed here may be required. Please read this list 
carefully.
     Tribal Resolution(s) as described in Section III, 
Eligibility.
     Letters of Support from organization's Board of Directors, 
if applicable.
     501(c)(3) Certificate, if applicable.
     Disclosure of Lobbying Activities (SF-LLL), if applicant 
conducts reportable lobbying.
     Copy of current Negotiated Indirect Cost (IDC) rate 
agreement (required in order to receive IDC).
     Documentation of current Office of Management and Budget 
(OMB) Financial Audit (if applicable).
    Acceptable forms of documentation include:
    1. Email confirmation from Federal Audit Clearinghouse (FAC) that 
audits were submitted; or
    2. Face sheets from audit reports. Applicants can find these on the 
FAC website at https://facdissem.census.gov/.
    Additional documents can be uploaded as Other Attachments in 
Grants.gov. These can include:
     Position descriptions for key staff.
     Resumes of key staff that reflect current duties.
     Consultant or contractor proposed scope of work and letter 
of commitment (if applicable).
     Organizational chart.
     Map of area identifying project location(s).
     Additional documents to support narrative (for example, 
data tables and key news articles).
Public Policy Requirements
    All Federal public policies apply to IHS grants and cooperative 
agreements. Pursuant to 45 CFR 80.3(d), an individual shall not be 
deemed subjected to discrimination by reason of their exclusion from 
benefits limited by Federal law to individuals eligible for benefits 
and services from the IHS. See https://www.hhs.gov/grants/grants/grants-policies-regulations/index.html.
Requirements for Project and Budget Narratives
A. Project Narrative
    This narrative should be a separate document that is no more than 
15 pages and must: (1) have consecutively numbered pages; (2) use black 
font 12 points or larger (applicants may use 10 point font for tables); 
(3) be single-spaced; and (4) be formatted to fit standard letter paper 
(8\1/2\ x 11 inches). Do not combine this document with any others.
    Be sure to succinctly answer all questions listed under the 
evaluation criteria (refer to Section V.1, Evaluation Criteria), and 
place all responses and required information in the correct section 
noted below or they will not be considered or scored. If the narrative 
exceeds the overall page limit, the reviewers will be directed to 
ignore any content beyond the page limit. The 15-page limit for the 
project narrative does not include the work plan, standard forms, 
Tribal Resolutions, budget, budget narratives, and/or other items. Page 
limits for each section within the project narrative are guidelines, 
not hard limits.
    There are three parts to the project narrative: Part 1--Program 
Information; Part 2--Program Planning and Evaluation; and Part 3--
Program Report. See below for additional details about what must be 
included in the narrative.

[[Page 19842]]

Part 1: Program Information (Limit--3 Pages)
Section 1: Introduction and Need for Assistance
    Briefly describe the population that will be served, including the 
estimated population size, and geographic reach.
    Briefly describe the public health problem your proposed project 
will address, including community and/or organizational strengths, and 
any existing capacities it would build upon to foster success. This 
section should include a description of the needs and strengths of the 
population. Clearly identify any existing public health system and 
unmet community needs.
Part 2: Program Planning and Evaluation (Limit--10 Pages)
Section 1: Program Planning
    Identify one or more new EPHS or implement significant expansion of 
existing EPHS to support Tribal communities throughout the planned 
project period. Applications must address at least two core elements of 
their selected EPHS in their proposal, as described above. If 
additional activities are proposed, explicitly link each to at least 
one of the 10 EPHS. Applicants must include a clear description of how 
the selected EPHS will address the problem described in Part 1, Section 
1: Needs and select existing evidence-based strategies that meet those 
needs. Part 1, Section 1: Needs, or describe novel strategies that will 
be evaluated over the course of the project period. Applicants are 
encouraged to consider using or adapting strategies identified in 
Healthy People 2030 at https://health.gov/healthypeople, the 
Foundational Public Health Services Framework at https://phnci.org/transformation/fphs, Public Health Accreditation Standards and Measures 
at https://phaboard.org/, and the HHS Equity Action Plan at https://www.hhs.gov/sites/default/files/hhs-equity-action-plan.pdf.
    The Program Plan should include details of the applicant's plan to 
address the project objectives. The work plan should include details of 
the applicant's plan to address each required activity.
Section 2: Program Evaluation
    The evaluation plan should identify how the applicant plans to 
measure program progress, outcomes, success, and opportunities for 
refinement. List measurable and attainable goals with explicit 
timelines that detail expectation of findings. Applicants must clearly 
identify the outcomes they expect to achieve by the end of the period 
of performance, as identified in the logic model. Outcomes are the 
results that the program intends to achieve and usually indicate the 
intended direction of change (e.g., increase, decrease).
Part 3: Program Report (Limit--2 Pages)
    Describe your organization's significant program activities and 
accomplishments over the past 5 years, if any, in performing activities 
related to the proposed project.
B. Budget Narrative (Limit--5 Pages)
    Provide a budget narrative that explains the amounts requested for 
each line item of the budget from the SF-424A (Budget Information for 
Non-Construction Programs) for the entire project, by year. The 
applicant can submit with the budget narrative a more detailed 
spreadsheet than is provided by the SF-424A (the spreadsheet will not 
be considered part of the budget narrative). The budget narrative 
should specifically describe how each item would support the 
achievement of proposed objectives. Be very careful about showing how 
each item in the ``Other'' category is justified. Do NOT use the budget 
narrative to expand the project narrative.

3. Submission Dates and Times

    Applications must be submitted through Grants.gov by 11:59 p.m. 
Eastern Time on the Application Deadline Date. Any application received 
after the application deadline will not be accepted for review. 
Grants.gov will notify the applicant via email if the application is 
rejected.
    If technical challenges arise and assistance is required with the 
application process, contact Grants.gov Customer Support (see contact 
information at https://www.Grants.gov). If problems persist, contact 
Mr. Paul Gettys, Deputy Director, DGM, by email at [email protected]. Please 
be sure to contact Mr. Gettys at least 10 days prior to the application 
deadline. Please do not contact the DGM until you have received a 
Grants.gov tracking number. In the event you are not able to obtain a 
tracking number, contact the DGM as soon as possible by email at 
[email protected].
    The IHS will not acknowledge receipt of applications.

4. Intergovernmental Review

    Executive Order 12372 requiring intergovernmental review is not 
applicable to this program.

5. Funding Restrictions

     Pre-award costs are allowable up to 90 days before the 
start date of the award provided the costs are otherwise allowable if 
awarded. Pre-award costs are incurred at the risk of the applicant.
     The available funds are inclusive of direct and indirect 
costs.
     Only one grant may be awarded per applicant.
     The purchase of food (i.e., as supplies, for meetings or 
events, etc.) is an allowable cost with this grant funding and should 
be included in the budget/budget justification where there is a clear 
relationship between the chosen intervention and food (such as 
community gardens, traditional food, promotion activities, etc.).

6. Electronic Submission Requirements

    All applications must be submitted via Grants.gov. Please use the 
https://www.Grants.gov website to submit an application. Find the 
application by selecting the ``Search Grants'' link on the homepage. 
Follow the instructions for submitting an application under the Package 
tab. The IHS will not accept any applications submitted through any 
means outside of Grants.gov without an approved waiver.
    If you cannot submit an application through Grants.gov, you must 
request a waiver prior to the application due date. You must submit 
your waiver request by email to [email protected]. Your waiver request must 
include clear justification for the need to deviate from the required 
application submission process.
    If the DGM approves your waiver request, you will receive a 
confirmation of approval email containing submission instructions. You 
must include a copy of the written approval with the application 
submitted to the DGM. Applications that do not include a copy of the 
waiver approval from the DGM will not be reviewed. The Grants 
Management Officer of the DGM will notify the applicant via email of 
this decision. Applications submitted under waiver must be received by 
the DGM no later than 5:00 p.m. Eastern Time on the Application 
Deadline Date. Late applications will not be accepted for processing. 
Applicants that do not register for both the System for Award 
Management (SAM) and Grants.gov and/or fail to request timely 
assistance with technical issues will not be considered for a waiver to 
submit an application via alternative method.
    Please be aware of the following:
     Please search for the application package in https://www.Grants.gov by entering the Assistance Listing number or the Funding 
Opportunity Number. Both numbers are located in the header of this 
announcement.
     If you experience technical challenges while submitting 
your application, please contact Grants.gov

[[Page 19843]]

Customer Support (see contact information at https://www.Grants.gov).
     Upon contacting Grants.gov, obtain a tracking number as 
proof of contact. The tracking number is helpful if there are technical 
issues that cannot be resolved and a waiver from the agency must be 
obtained.
     Applicants are strongly encouraged not to wait until the 
deadline date to begin the application process through Grants.gov as 
the registration process for SAM and Grants.gov could take up to 20 
working days.
     Please follow the instructions on Grants.gov to include 
additional documentation that may be requested by this funding 
announcement.
     Applicants must comply with any page limits described in 
this funding announcement.
     After submitting the application, you will receive an 
automatic acknowledgment from Grants.gov that contains a Grants.gov 
tracking number.
    The IHS will not notify you that the application has been received.
System for Award Management
    Organizations that are not registered with the SAM must access the 
SAM online registration through the SAM home page at https://sam.gov. 
Organizations based in the U.S. will also need to provide an Employer 
Identification Number from the Internal Revenue Service that may take 
an additional 2-5 weeks to become active. Please see SAM.gov for 
details on the registration process and timeline. Registration with the 
SAM is free of charge but can take several weeks to process. Applicants 
may register online at https://sam.gov.
Unique Entity Identifier
    Your SAM.gov registration now includes a Unique Entity Identifier 
(UEI), generated by SAM.gov, which replaces the DUNS number obtained 
from Dun and Bradstreet. SAM.gov registration no longer requires a DUNS 
number.
    Check your organization's SAM.gov registration as soon as you 
decide to apply for this program. If your SAM.gov registration is 
expired, you will not be able to submit an application. It can take 
several weeks to renew it or resolve any issues with your registration, 
so do not wait.
    Check your Grants.gov registration. Registration and role 
assignments in Grants.gov are self-serve functions. One user for your 
organization will have the authority to approve role assignments, and 
these must be approved for active users in order to ensure someone in 
your organization has the necessary access to submit an application.
    The Federal Funding Accountability and Transparency Act of 2006, as 
amended (``Transparency Act''), requires all HHS recipients to report 
information on sub-awards. Accordingly, all IHS recipients must notify 
potential first-tier sub-recipients that no entity may receive a first-
tier sub-award unless the entity has provided its UEI number to the 
prime recipient organization. This requirement ensures the use of a 
universal identifier to enhance the quality of information available to 
the public pursuant to the Transparency Act.
    Additional information on implementing the Transparency Act, 
including the specific requirements for SAM, are available on the DGM 
Grants Management, Policy Topics web page at https://www.ihs.gov/dgm/policytopics/.

V. Application Review Information

    Possible points assigned to each section are noted in parentheses. 
The project narrative and budget narrative should include the proposed 
activities for the entire period of performance. The project narrative 
should be written in a manner that is clear to outside reviewers 
unfamiliar with prior related activities of the applicant. It should be 
well organized, succinct, and contain all information necessary for 
reviewers to fully understand the project. Attachments requested in the 
criteria do not count toward the page limit for the narratives. Points 
will be assigned to each evaluation criteria adding up to a total of 
100 possible points. Points are assigned as follows:

1. Evaluation Criteria

A. Introduction and Need for Assistance (10 Points)
    Proposal should succinctly describe the population that will be 
served, including the estimated population size, and geographic reach.
    Proposals will be scored on how adequately they describe the public 
health problem they propose to address, including community and/or 
organizational strengths and any existing capacities it would build 
upon to foster success.
B. Program Planning (30 Points)
    Adequately describe the proposed project for implementing 
activities within the targeted community. The Program Plan should 
include details of the applicant's plan to address the project 
objectives. The narrative should provide sufficient details of the 
applicant's plan to address each required activity. Applicants must 
link their chosen EPHS with the problem described in Part 1, Section 1: 
Needs and plan to implement existing evidence-based strategies that 
meet those needs or describe novel strategies that will be evaluated 
over the course of the project period.
C. Program Evaluation (30 Points)
    The evaluation plan will be scored on the feasibility of 
appropriately measuring program implementation. Reviewers will focus on 
whether goals are measurable, attainable, and related to the outcomes 
proposers expect to achieve by the end of the period of performance, as 
identified in their logic model.
D. Program Report, Organizational Capabilities, Key Personnel, and 
Qualifications (10 Points)
    Provide a detailed biographical sketch of each member of key 
personnel assigned to carry out the objectives of the program plan. The 
sketches should detail the qualifications and expertise of identified 
staff.
E. Categorical Budget and Budget Narrative (20 Points)
    Provide a detailed budget of each expenditure directly related to 
the identified program activities. Ensure that allowable activities are 
identified separately from required activities.

2. Review and Selection

    Each application will be prescreened for eligibility and 
completeness as outlined in the funding announcement. The Review 
Committee (RC) will review applications that meet the eligibility 
criteria. The RC will review the applications for merit based on the 
evaluation criteria. Incomplete applications and applications that are 
not responsive to the administrative thresholds (budget limit, period 
of performance limit) will not be referred to the RC and will not be 
funded. The DGM will notify the applicant of this determination.
    Applicants must address all program requirements and provide all 
required documentation.

3. Notifications of Disposition

    All applicants will receive an Executive Summary Statement from the 
IHS DEDP within 30 days of the conclusion of the review outlining the 
strengths and weaknesses of their application. The summary statement 
will be sent to the Authorizing Official identified on the face page 
(SF-424) of the application.

[[Page 19844]]

A. Award Notices for Funded Applications
    The NoA is the authorizing document for which funds are dispersed 
to the approved entities and reflects the amount of Federal funds 
awarded, the purpose of the award, the terms and conditions of the 
award, the effective date of the award, the budget period, and period 
of performance. Each entity approved for funding must have a user 
account in GrantSolutions in order to retrieve the NoA. Please see the 
Agency Contacts list in Section VII for the systems contact 
information.
B. Approved but Unfunded Applications
    Approved applications not funded due to lack of available funds 
will be held for 1 year. If funding becomes available during the course 
of the year, the application may be reconsidered.

    Note: Any correspondence, other than the official NoA executed 
by an IHS grants management official announcing to the project 
director that an award has been made to their organization, is not 
an authorization to implement their program on behalf of the IHS.

VI. Award Administration Information

1. Administrative Requirements

    Awards issued under this announcement are subject to, and are 
administered in accordance with, the following regulations and 
policies:
    A. The criteria as outlined in this program announcement.
    B. Administrative Regulations for Grants:
     Uniform Administrative Requirements, Cost Principles, and 
Audit Requirements for HHS Awards currently in effect or implemented 
during the period of award, other Department regulations and policies 
in effect at the time of award, and applicable statutory provisions. At 
the time of publication, this includes 45 CFR part 75, at https://www.govinfo.gov/content/pkg/CFR-2022-title45-vol1/pdf/CFR-2022-title45-vol1-part75.pdf.
     If you receive an award, HHS may terminate it if any of 
the conditions in 2 CFR 200.340(a)(1)-(4) are met. Please review all 
HHS regulatory provisions for Termination at 2 CFR 200.340, at the time 
of this publication located at https://www.govinfo.gov/content/pkg/CFR-2023-title2-vol1/pdf/CFR-2023-title2-vol1-sec200-340.pdf. No other 
termination conditions apply.
    C. Grants Policy:
     HHS Grants Policy Statement, Revised January 2007, at 
https://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf.
    D. Cost Principles:
     Uniform Administrative Requirements for HHS Awards, ``Cost 
Principles,'' at 45 CFR part 75 subpart E, at the time of this 
publication located at https://www.govinfo.gov/content/pkg/CFR-2022-title45-vol1/pdf/CFR-2022-title45-vol1-part75-subpartE.pdf.
    E. Audit Requirements:
     Uniform Administrative Requirements for HHS Awards, 
``Audit Requirements,'' at 45 CFR part 75 subpart F, at the time of 
this publication located at https://www.govinfo.gov/content/pkg/CFR-2022-title45-vol1/pdf/CFR-2022-title45-vol1-part75-subpartF.pdf.
    F. As of August 13, 2020, 2 CFR part 200 was updated to include a 
prohibition on certain telecommunications and video surveillance 
services or equipment. This prohibition is described in 2 CFR 200.216, 
at the time of this publication located at https://www.govinfo.gov/content/pkg/CFR-2023-title2-vol1/pdf/CFR-2023-title2-vol1-sec200-216.pdf. This will also be described in the terms and conditions of 
every IHS grant and cooperative agreement awarded on or after August 
13, 2020.

2. Indirect Costs

    This section applies to all recipients that request reimbursement 
of IDC in their application budget. In accordance with HHS Grants 
Policy Statement, Part II-27, the IHS requires applicants to obtain a 
current IDC rate agreement and submit it to the DGM prior to the DGM 
issuing an award. The rate agreement must be prepared in accordance 
with the applicable cost principles and guidance as provided by the 
cognizant agency or office. A current rate covers the applicable grant 
activities under the current award's budget period. If the current rate 
agreement is not on file with the DGM at the time of award, the IDC 
portion of the budget will be restricted. The restrictions remain in 
place until the current rate agreement is provided to the DGM.
    Per 2 CFR 200.414(f) Indirect (F&A) costs, found at https://www.govinfo.gov/content/pkg/CFR-2023-title2-vol1/pdf/CFR-2023-title2-vol1-sec200-414.pdf. Electing to charge a de minimis rate of 10 percent 
can be used by applicants that have received an approved negotiated 
indirect cost rate from HHS or another cognizant Federal agency. 
Applicants awaiting approval of their indirect cost proposal may 
request the 10 percent de minimis rate. When the applicant chooses this 
method, costs included in the indirect cost pool must not be charged as 
direct costs to the award.
    Available funds are inclusive of direct and appropriate indirect 
costs. Approved indirect funds are awarded as part of the award amount, 
and no additional funds will be provided.
    Generally, IDC rates for IHS recipients are negotiated with the 
Division of Cost Allocation at https://rates.psc.gov/ or the Department 
of the Interior (Interior Business Center) at https://ibc.doi.gov/ICS/tribal. For questions regarding the indirect cost policy, please write 
to [email protected].

3. Reporting Requirements

    The recipient must submit required reports consistent with the 
applicable deadlines. Failure to submit required reports within the 
time allowed may result in suspension or termination of an active 
award, withholding of additional awards for the project, or other 
enforcement actions such as withholding of payments or converting to 
the reimbursement method of payment. Continued failure to submit 
required reports may result in the imposition of special award 
provisions and/or the non-funding or non-award of other eligible 
projects or activities. This requirement applies whether the 
delinquency is attributable to the failure of the recipient 
organization or the individual responsible for preparation of the 
reports. Per DGM policy, all reports must be submitted electronically 
by attaching them as a ``Grant Note'' in GrantSolutions. Personnel 
responsible for submitting reports will be required to obtain a login 
and password for GrantSolutions. Please use the form under the 
Recipient User section of https://www.grantsolutions.gov/home/getting-started-request-a-user-account/. Download the Recipient User Account 
Request Form, fill it out completely, and submit it as described on the 
web page and in the form.
    The reporting requirements for this program are noted below.
A. Progress Reports
    Program progress reports are required semi-annually. The progress 
reports are due within 30 days after the reporting period ends 
(specific dates will be listed in the NoA Terms and Conditions). These 
reports must include a brief comparison of actual accomplishments to 
the goals established for the period, a summary of progress to date or, 
if applicable, provide sound justification for the lack of progress, 
and other pertinent information as required. A final report must be 
submitted within 120 days of expiration of the period of performance.

[[Page 19845]]

B. Financial Reports
    Federal Financial Reports are due 90 days after the end of each 
budget period, and a final report is due 120 days after the end of the 
period of performance.
    Recipients are responsible and accountable for reporting accurate 
information on all required reports: the Progress Reports and the 
Federal Financial Report.
    Failure to submit timely reports may result in adverse award 
actions blocking access to funds.
C. Data Collection and Reporting
    Reporting for recipients will be required semi-annually (two 
progress reports per year).
    Recipients will track the implementation of strategies and 
activities and determine the progress made in achieving outcomes based 
on their selected evaluation plan elements.
D. Federal Sub-Award Reporting System (FSRS)
    This award may be subject to the Transparency Act sub-award and 
executive compensation reporting requirements of 2 CFR part 170.
    The Transparency Act requires the OMB to establish a single 
searchable database, accessible to the public, with information on 
financial assistance awards made by Federal agencies. The Transparency 
Act also includes a requirement for recipients of Federal grants to 
report information about first-tier sub-awards and executive 
compensation under Federal assistance awards.
    The IHS has implemented a Term of Award into all IHS Standard Terms 
and Conditions, NoAs, and funding announcements regarding the FSRS 
reporting requirement. This IHS Term of Award is applicable to all IHS 
grant and cooperative agreements issued on or after October 1, 2010, 
with a $25,000 sub-award obligation threshold met for any specific 
reporting period.
    For the full IHS award term implementing this requirement and 
additional award applicability information, visit the DGM Grants 
Management website at https://www.ihs.gov/dgm/policytopics/.
E. Non-Discrimination Legal Requirements for Recipients of Federal 
Financial Assistance
     If you receive an award, you must follow all applicable 
nondiscrimination laws. You agree to this when you register in SAM.gov. 
You must also submit an Assurance of Compliance (HHS-690). To learn 
more, see https://www.hhs.gov/civil-rights/for-providers/laws-regulations-guidance/laws/index.html. Pursuant to 45 CFR 80.3(d), an 
individual shall not be deemed subjected to discrimination by reason of 
their exclusion from benefits limited by Federal law to individuals 
eligible for benefits and services from the IHS.
F. Federal Awardee Performance and Integrity Information System 
(FAPIIS)
    The IHS is required to review and consider any information about 
the applicant that is in the FAPIIS at https://sam.gov/content/fapiis 
before making any award in excess of the simplified acquisition 
threshold (currently $250,000) over the period of performance. An 
applicant may review and comment on any information about itself that a 
Federal awarding agency previously entered. The IHS will consider any 
comments by the applicant, in addition to other information in FAPIIS, 
in making a judgment about the applicant's integrity, business ethics, 
and record of performance under Federal awards when completing the 
review of risk posed by applicants, as described in 45 CFR 75.205.
    As required by 45 CFR part 75 Appendix XII of the Uniform Guidance, 
NFEs are required to disclose in FAPIIS any information about criminal, 
civil, and administrative proceedings, and/or affirm that there is no 
new information to provide. This applies to NFEs that receive Federal 
awards (currently active grants, cooperative agreements, and 
procurement contracts) greater than $10 million for any period of time 
during the period of performance of an award/project.
Mandatory Disclosure Requirements
    As required by 2 CFR part 200 of the Uniform Guidance, and the HHS 
implementing regulations at 45 CFR part 75, the IHS must require an NFE 
or an applicant for a Federal award to disclose, in a timely manner, in 
writing to the IHS or pass-through entity all violations of Federal 
criminal law involving fraud, bribery, or gratuity violations 
potentially affecting the Federal award.
    All applicants and recipients must disclose in writing, in a timely 
manner, to the IHS and to the HHS Office of Inspector General all 
information related to violations of Federal criminal law involving 
fraud, bribery, or gratuity violations potentially affecting the 
Federal award. 45 CFR 75.113.
    Disclosures must be sent in writing to:
    U.S. Department of Health and Human Services, Indian Health 
Service, Division of Grants Management, ATTN: Marsha Brookins, 
Director, 5600 Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857 
(Include ``Mandatory Grant Disclosures'' in subject line), Office: 
(301) 443-5204, Fax: (301) 594-0899, Email: [email protected].

AND

    U.S. Department of Health and Human Services, Office of Inspector 
General, ATTN: Mandatory Grant Disclosures, Intake Coordinator, 330 
Independence Avenue SW, Cohen Building, Room 5527, Washington, DC 
20201, URL: https://oig.hhs.gov/fraud/report-fraud/ (Include 
``Mandatory Grant Disclosures'' in subject line), Fax: (202) 205-0604 
(Include ``Mandatory Grant Disclosures'' in subject line) or Email: 
[email protected].
    Failure to make required disclosures can result in any of the 
remedies described in 45 CFR 75.371 Remedies for noncompliance, 
including suspension or debarment (see 2 CFR part 180 and 2 CFR part 
376).

VII. Agency Contacts

    1. Questions on the program matters may be directed to: Lisa Neel, 
Public Health Advisor, Office of Public Health Support, 5600 Fishers 
Lane, Rockville, MD 20852, Phone: (301) 443-4305, Email: 
[email protected].
    2. Questions on grants management and fiscal matters may be 
directed to: Indian Health Service, Division of Grants Management, 5600 
Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857, Email: 
[email protected].
    3. For technical assistance with Grants.gov, please contact the 
Grants.gov help desk at (800) 518-4726, or by email at 
[email protected].
    4. For technical assistance with GrantSolutions, please contact the 
GrantSolutions help desk at (866) 577-0771, or by email at 
[email protected].

VIII. Other Information

    The Public Health Service strongly encourages all grant, 
cooperative agreement, and contract recipients to provide a smoke-free 
workplace and promote the non-use of all tobacco products. In addition, 
Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in 
certain facilities (or in some cases, any portion of the facility) in 
which regular or routine education, library, day care, health care, or 
early childhood development services are provided to children. This is 
consistent with the HHS mission to

[[Page 19846]]

protect and advance the physical and mental health of the American 
people.

Roselyn Tso,
Director, Indian Health Service.

Sample Logic Model for the 10 Essential Public Health Services 
Implementation Proposals

Background

    The 10 Essential Public Health Services (EPHS) describe the public 
health activities that all communities should undertake. For the past 
25 years, the EPHS have served as a well-recognized framework for 
carrying out the mission of public health. The EPHS framework was 
originally released in 1994 and more recently updated in 2020. The 
revised version is intended to bring the framework in line with current 
and future public health practice.
    For an implementation tool kit, please see the Public Health 
National Center for Innovations. 10 Essential Public Health Services 
Toolkit. September 9, 2020. ph.phnci.net/10ephs.

----------------------------------------------------------------------------------------------------------------
          Resources/inputs               Activity example           Output example           Outcomes example
----------------------------------------------------------------------------------------------------------------
  1. Assess and monitor population health status, factors that influence health, and community needs and assets
----------------------------------------------------------------------------------------------------------------
Identified via proposal............  a. Begin and/or maintain  Number of internal and    Increased program
                                      an ongoing                external reports on the   capacity to describe
                                      understanding of health   selection and use or      the health of the
                                      in the population by      adaptation of health      population served.
                                      collecting, monitoring,   data sources.            Increased program
                                      and analyzing data on                               capacity to
                                      health and factors that                             communicate the root
                                      influence health to                                 causes of health
                                      identify threats,                                   disparities in the
                                      patterns, and emerging                              service population.
                                      issues.
Identified via proposal............  b. Work with the          Number of in-person and   Increased program
                                      community to understand   virtual outreach events   capacity to describe
                                      health status, needs,     to form connections       the health knowledge,
                                      assets, and key           with community members    attitudes, and beliefs
                                      influences. Include       on health status,         of the population
                                      social determinants of    needs, assets, and key    served.
                                      health measures when      influences.
                                      assessing health risks
                                      and outcomes.
Identified via proposal............  c. Engage community       Number of completed       Increased local
                                      members as experts and    community-based           participation in
                                      key partners.             participatory research    program planning and
                                                                (CBPR)-informed events    implementation.
                                                                to engage community
                                                                members and community
                                                                organizations in
                                                                program planning and
                                                                implementation.
----------------------------------------------------------------------------------------------------------------
           2. Investigate, diagnose, and address health problems and hazards affecting the population
----------------------------------------------------------------------------------------------------------------
Identified via proposal............  a. Increase access to     Number of completed       Increased rapid
                                      public health             activities to implement   screening and high-
                                      laboratory capabilities   the ``Competency          volume testing in the
                                      to conduct rapid          Guidelines for Public     service population.
                                      screening and high-       Health Laboratory
                                      volume testing.           Professionals'' in a
                                                                Tribal laboratory.
                                                               Number of formal
                                                                agreements with
                                                                existing public health
                                                                laboratories.
Identified via proposal............  b. Monitor real-time      Number of internal and    Increased program
                                      health status and         external reports on the   capacity to document
                                      identify patterns to      selection and use or      and describe the
                                      develop strategies to     adaptation of data        health of the service
                                      address chronic disease   benchmarks.               population.
                                      and injuries.
Identified via proposal............  c. Use real-time data to  Number of completed       Increased number of
                                      identify and respond to   action plans to stand     active data-sharing
                                      acute outbreaks,          up a rapid response to    agreements to support
                                      emergencies, and other    outbreaks, emergencies,   real-time data access,
                                      health hazards.           and other health          analysis, and action.
                                                                hazards.
----------------------------------------------------------------------------------------------------------------
   3. Communicate effectively to inform and educate people about health, factors that influence it, and how to
                                                   improve it
----------------------------------------------------------------------------------------------------------------
Identified via proposal............  a. Develop and deploy     Number of health          Increase in Health
                                      culturally and            communication campaigns   communication
                                      linguistically            using and reporting the   campaigns that apply
                                      appropriate and           reach of multiple         integrated strategies
                                      relevant communications   channels, including       to deliver messages
                                      and educational           mass media.               that aim to affect
                                      resources, working with                             people's health
                                      community influencers                               behaviors.
                                      to create effective and
                                      culturally resonant
                                      materials.
Identified via proposal............  b. Actively engage in     Number of completed       Increased local
                                      two-way communication     community-based           participation in
                                      to build trust with       participatory research    prevention and health
                                      populations served and    (CBPR)-informed events    promotion planning and
                                      ensure accuracy and       to engage community       implementation.
                                      effectiveness of          members and community
                                      prevention and health     organizations in
                                      promotion strategies.     program planning and
                                                                implementation.
Identified via proposal............  c. Ensure public health   Number of public health   Increased public health
                                      communication and         communication and         communication and
                                      education efforts are     education campaigns       education programs
                                      asset-based when          that are asset-based      with positive and
                                      appropriate and do not    and do not reinforce      affirming messages.
                                      reinforce narratives      narratives that are
                                      that are damaging to      damaging to the service
                                      disproportionately        population.
                                      affected populations.
----------------------------------------------------------------------------------------------------------------
               4. Strengthen, support, and mobilize communities and partnerships to improve health
----------------------------------------------------------------------------------------------------------------
Identified via proposal............  a. Convene and            Number of formal          Increased consumption
                                      facilitate multi-sector   collaborations across     of healthy traditional
                                      partnerships and          local services to host    foods and/or increased
                                      coalitions that include   and teach seasonal        physical activity in
                                      sectors that influence    cultural and              communities.
                                      health (planning,         traditional practices
                                      transportation,           that support health and
                                      housing, education,       wellness.
                                      etc.).
Identified via proposal............  b. Foster and build       Use community-based       Increased local
                                      genuine, strengths-       participatory research    participation in
                                      based relationships       (CBPR) methods to         program planning and
                                      with a diverse group of   engage community          implementation.
                                      partners that reflect     members and community
                                      the community and the     organizations in
                                      population.               program planning and
                                                                implementation.

[[Page 19847]]

 
Identified via proposal............  c. Authentically engage   Number of completed       Increased local
                                      with community members    community-based           participation in
                                      and organizations to      participatory research    program planning and
                                      develop public health     (CBPR)-informed events    implementation.
                                      solutions.                to engage community
                                                                members and community
                                                                organizations in
                                                                program planning and
                                                                implementation.
----------------------------------------------------------------------------------------------------------------
                 5. Create, champion, and implement policies, plans, and laws that impact health
----------------------------------------------------------------------------------------------------------------
Identified via proposal............  a. Provide input into     Number of laws,           Increased consideration
                                      policies, plans, and      policies, and related     for health protection
                                      laws to ensure that       resources that            when writing policies,
                                      health impact is          ultimately accommodate    plans, and laws in
                                      considered and            health implications and/  your tribal
                                      addressed.                or promote health.        government.
Identified via proposal............  b. Assess health impacts  Number of completed       Increased advocacy for
                                      of policies, plans, and   reviews of law and        health protection when
                                      laws.                     policy resources          writing policies,
                                                                related to tribal         plans, and laws in
                                                                public health for         your tribal
                                                                applicability to the      government.
                                                                policies, plans, and
                                                                laws in your tribal
                                                                government.
Identified via proposal............  c. Monitor and develop    Number of completed       Increase in community
                                      policies, plans, and      reviews of law and        resilience measures
                                      laws that improve         policy resources          such as educational
                                      public health and         related to tribal         access, households
                                      preparedness and          public health for         without reliable
                                      strengthen community      applicability to the      transportation,
                                      resilience.               policies, plans, and      hospital capacity, or
                                                                laws in your tribal       presence of civic and
                                                                government.               social organizations.
                                                               Number of new or amended
                                                                policies, plans, and
                                                                laws.
                                                               Number of adapted Health
                                                                Improvement Plans in
                                                                the service community.
----------------------------------------------------------------------------------------------------------------
           6. Utilize legal and regulatory actions designed to improve and protect the public's health
----------------------------------------------------------------------------------------------------------------
Identified via proposal............  a. Conduct enforcement    Number of completed       Reduction in
                                      activities that may       reviews of Tribal Laws    preventable injuries
                                      include, but are not      Related to Occupational   and exposure-related
                                      limited to sanitary       Safety and Health.        diseases identified in
                                      codes, especially in                                occupational and
                                      the food industry; full                             community settings.
                                      protection of drinking
                                      water supplies; and
                                      timely follow-up on
                                      hazards, preventable
                                      injuries, and exposure-
                                      related diseases
                                      identified in
                                      occupational and
                                      community settings.
----------------------------------------------------------------------------------------------------------------
  7. Assure an effective system that enables equitable access to the individual services and care needed to be
                                                     healthy
----------------------------------------------------------------------------------------------------------------
Identified via proposal............  a. Connect the            Number of activities      Increased discussion
                                      population to needed      implementing the          about dementia and
                                      health and social         evidence-based            caregiving within
                                      services that support     practices in The          tribal communities.
                                      the whole person,         Healthy Brain            Increased use of a
                                      including preventive      Initiative Road Map for   public health approach
                                      services.                 Indian Country.           to dementia and
                                                                                          associated caregiving.
Identified via proposal............  b. Engage health          Number of persons         Reduce gaps and
                                      delivery systems to       needing alcohol and/or    barriers in accessing
                                      assess and address gaps   illicit drug treatment    needed health
                                      and barriers in           who received specialty    services, including
                                      accessing needed health   treatment for a           behavioral and mental
                                      services, including       substance use problem     health.
                                      behavioral and mental     in the past year.
                                      health.
----------------------------------------------------------------------------------------------------------------
                       8. Build and support a diverse and skilled public health workforce
----------------------------------------------------------------------------------------------------------------
Identified via proposal............  a. Build a culturally     Number of programs using  Increase in public
                                      competent public health   core competencies for     health professionals
                                      workforce and             public health in          using Core
                                      leadership that           continuing education      Competencies for
                                      reflects the community    planning.                 Public Health in their
                                      and practices cultural                              work.
                                      humility.
Identified via proposal............  b. Incorporate public     Number of formal          Increased consumption
                                      health principles in      collaborations across     of healthy traditional
                                      non-public health         local services to host    foods and/or increased
                                      curricula.                and teach seasonal        physical activity in
                                                                cultural and              communities.
                                                                traditional practices
                                                                that support health and
                                                                wellness.
Identified via proposal............  c. Cultivate and build    Number of culturally-     Increased dissemination
                                      active partnerships       informed training,        or development of
                                      with academia and other   educational materials,    culturally-informed
                                      professional training     and process evaluation    training, educational
                                      programs and schools to   tools available to        materials, and process
                                      assure community-         service population.       evaluation tools that
                                      relevant learning                                   build workforce
                                      experiences for all                                 capacity.
                                      learners.
----------------------------------------------------------------------------------------------------------------
  9. Improve and innovate public health functions through ongoing evaluation, research, and continuous quality
                                                   improvement
----------------------------------------------------------------------------------------------------------------
Identified via proposal............  a. Contribute to the      Number of reports,        Increased inclusion of
                                      evidence base of          journal articles, oral    Tribal contexts in the
                                      effective public health   histories, and            public health evidence
                                      practice.                 presentations on public   base to support future
                                                                health practice           continuous quality
                                                                evaluations and program   improvement.
                                                                outcomes.
Identified via proposal............  b. Establish and use      Number of events using    Increase in the use of
                                      engagement and decision-  best practices in         innovative public
                                      making structures to      planning, designing,      health functions.
                                      work with the community   and delivering virtual
                                      in all stages of Public   events with the service
                                      Health research.          population.
Identified via proposal............  c. Value and use          Number of qualitative     Increase in decision-
                                      qualitative,              data analyses,            making that includes a
                                      quantitative, and lived   inclusive of a wide       range of perspectives
                                      experience as data and    range of perspectives     and lived experiences
                                      information to inform     from the service          in the service
                                      decision-making.          population.               population.
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                 10. Build and maintain a strong organizational infrastructure for public health
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Identified via proposal............  a. Develop an             Number of assessments of  Increased capacity to
                                      understanding of the      organizational            implement public
                                      broader organizational    infrastructure and        health programs and
                                      infrastructures and       roles in the              services to address
                                      roles that support the    jurisdiction.             prioritized public
                                      entire public health                                health problems in AI/
                                      system in your                                      AN communities.
                                      jurisdiction.

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Identified via proposal............  b. Develop and/or         Number of program plans   Increased capacity to
                                      maintain robust           using informatics in      implement public
                                      information technology    public health (Healthy    health programs and
                                      services in your          people 2030: Public       services to address
                                      jurisdiction's public     Health Infrastructure.)   public health
                                      health program. They                                priorities in AI/AN
                                      should be current and                               communities.
                                      meet privacy and
                                      security standards.
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[FR Doc. 2024-05831 Filed 3-19-24; 8:45 am]
BILLING CODE 4166-14-P