Six out of ten adults living in the United States have at least one chronic disease. The cost of managing individuals with chronic conditions is a significant portion of the nation’s healthcare expenses. The United States has made progress in chronic disease prevention and control over recent decades. However, similar advancements have not been made in the U.S. territories and freely associated states. The U.S. territories and freely associated states include: American Samoa The Commonwealth of the Northern Mariana Islands (CNMI) The Federated States of Micronesia (FSM) Guam Puerto Rico...

Ability to access and submit dataIf you are not a Department or Ministry of Health in the jurisdiction you are applying for, you must attach a memorandum of agreement (MOA) or memorandum of understanding (MOU) with the Department or Ministry of Health in that jurisdiction. We require specific surveillance and health system data from recipients to make sure you are meeting performance measures. Therefore, you must demonstrate that you will be able to access that data and submit it to us. The MOU or MOA should specify that the Department or Ministry of Health will do the following: Provide you with access to surveillance and health system data. Grant you the authority to submit the data to CDC. Collaborate with you to make sure complete data are submitted to CDC. You must provide the MOU or MOA in an attachment labeled “MOU_DataAccess” when you submit your application via Grants.gov. Location You must provide proof of your location in one of the U.S. territories or freely associated states listed here: American Samoa The Commonwealth of the Northern Mariana Islands (CNMI) The Federated States of Micronesia (FSM) Guam Puerto Rico The Republic of the Marshall Islands (RMI) The Republic of Palau The U.S. Virgin Islands You must be able to implement this program in the U.S. territory or freely associated state in which you operate and are located. Evidence of location may include documentation showing that you are a territorial government or a bona fide agent in the U.S. territory or freely associated state. A bona fide agent is an agency or organization recognized by the state as eligible to submit an application under state eligibility in place of a state application. If you are applying as a territorial government or bona fide agent of a jurisdiction or local government, you must attach evidence of location documentation from the state or local government. This documentation must be provided as an attachment labeled “Evidence of Location” when you submit your application via Grants.gov.

Monique Young islandprogdp25-0024@cdc.gov