Opportunity Information: Apply for CDC RFA EH 24 0016
Advancing Health Equity in Asthma Control through EXHALE Strategies (CDC RFA EH 24 0016) is a CDC National Asthma Control Program cooperative agreement that funds non-research, public health implementation work aimed at improving asthma control and quality of life, with a clear focus on reducing inequities. The opportunity builds on prior CDC investments in state, local, and territorial asthma control efforts (including work previously supported under CDC-RFA-EH19-1902) and is designed to help communities scale what is already known to work, especially for populations experiencing disproportionate asthma burden.
The grant is grounded in the public health reality that asthma remains common, expensive, and too often deadly despite the availability of effective treatments. CDC cites national estimates showing nearly 25 million people in the United States live with asthma, including millions of children, and that asthma leads to substantial emergency department use, hospitalizations, missed school and workdays, and large economic costs. The NOFO highlights that, on average, about 10 people die from asthma each day in the U.S., underscoring that preventable outcomes continue to occur at a meaningful rate.
A central driver for this funding is the persistence of major disparities by race, ethnicity, and income. The NOFO emphasizes that non-Hispanic Black/African American, Hispanic, and American Indian and Alaska Native communities carry a disproportionate share of asthma burden, and it notes stark outcome differences such as non-Hispanic Black individuals being nearly three times as likely to die from asthma compared with white individuals. It also points out that people from Puerto Rico experience higher asthma prevalence than other U.S. populations. In practical terms, the grant is meant to move beyond individual-level education alone and instead address the systems, environmental conditions, and social factors that help produce these unequal outcomes.
Programmatically, the opportunity is organized around CDCs EXHALE technical package, a set of six evidence-based strategies intended to work best as a coordinated, multi-component approach rather than isolated activities. EXHALE stands for: Education on asthma self-management; eXtinguishing smoking and exposure to second-hand smoke; Home visits for trigger reduction and asthma self-management education; Achievement of guidelines-based medical management; Linkages and coordination of care; and Environmental policies or best practices that reduce indoor and outdoor triggers. The NOFOs logic is that implementing these strategies together, through strong cross-sector partnerships, can reduce exacerbations, improve control, and narrow gaps in outcomes.
Recipients are expected to strengthen organizational infrastructure that makes asthma control efforts durable and scalable. That includes leadership and program management capacity, strategic partnerships, surveillance to understand burden and track progress, communications to reach priority populations and partners, and evaluation to measure what is being implemented and what impact it is having. A major emphasis is leveraging and expanding partnerships across sectors that influence asthma outcomes, such as community- and faith-based groups, organizations serving racial and ethnic minority communities, tribal entities, schools and transportation systems, housing and healthcare systems, and nongovernmental organizations, along with direct engagement of community members. The intent is to expand reach and improve sustainability so that effective asthma control services and policies persist beyond short-term projects.
From an administrative standpoint, this is a discretionary cooperative agreement (meaning CDC will typically have substantial involvement through technical assistance and collaboration rather than simply issuing a pass-through grant). The activity category is health, under CFDA 93.070, and the eligible applicant pool is broad, spanning state, county, and city governments; special districts; independent school districts; public and private institutions of higher education; federally recognized tribal governments and other tribal organizations; public housing authorities/Indian housing authorities; and nonprofit organizations with or without 501(c)(3) status. The funding opportunity was released by the Centers for Disease Control and Prevention, National Center for Environmental Health (NCEH), with an original closing date of April 19, 2024. The award ceiling is listed as $725,000, and CDC anticipated making 28 awards.
Overall, the grant is best understood as a coordinated, equity-focused asthma control implementation initiative: it funds recipients to build or reinforce the public health infrastructure and partnerships needed to deliver the EXHALE strategies at scale, with the explicit goal of reducing preventable asthma emergencies and deaths while closing longstanding racial, ethnic, and income-related gaps in asthma outcomes.Apply for CDC RFA EH 24 0016
- The Centers for Disease Control - NCEH in the health sector is offering a public funding opportunity titled "Advancing Health Equity in Asthma Control through EXHALE Strategies" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.070.
- This funding opportunity was created on 2024-02-16.
- Applicants must submit their applications by 2024-04-19. (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 $725,000.00 in funding.
- The number of recipients for this funding is limited to 28 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, Unrestricted.
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Frequently Asked Questions (FAQs)
What is the Advancing Health Equity in Asthma Control through EXHALE Strategies opportunity (CDC RFA EH 24 0016)?
This opportunity is a CDC National Asthma Control Program cooperative agreement that supports non-research, public health implementation work to improve asthma control and quality of life, with a clear emphasis on reducing inequities in asthma outcomes.
What is the main purpose of this grant?
The purpose is to help communities scale what is already known to work for asthma control, strengthen public health infrastructure, and reduce preventable asthma emergencies and deaths, especially among populations experiencing a disproportionate asthma burden.
Is this funding for research?
No. The grant is described as non-research and focused on implementing evidence-based public health strategies and building the capacity needed to deliver those strategies at scale.
Why is CDC funding asthma control work through this program?
The funding is grounded in the ongoing public health impact of asthma in the United States, including high prevalence, substantial emergency department use, hospitalizations, missed school and workdays, and significant economic costs. The NOFO also highlights that asthma remains deadly despite effective treatments, citing an average of about 10 asthma deaths per day in the U.S.
What does the program mean by a focus on health equity?
The opportunity explicitly targets the reduction of longstanding disparities by race, ethnicity, and income. The NOFO emphasizes that non-Hispanic Black/African American, Hispanic, and American Indian and Alaska Native communities experience disproportionate asthma burden and that non-Hispanic Black individuals are nearly three times as likely to die from asthma compared with white individuals. It also notes higher asthma prevalence among people from Puerto Rico.
What is EXHALE?
EXHALE is CDC's technical package of six evidence-based strategies intended to be implemented as a coordinated, multi-component approach to improve asthma control and reduce disparities.
What do the letters in EXHALE stand for?
- E: Education on asthma self-management
- X: eXtinguishing smoking and exposure to second-hand smoke
- H: Home visits for trigger reduction and asthma self-management education
- A: Achievement of guidelines-based medical management
- L: Linkages and coordination of care
- E: Environmental policies or best practices that reduce indoor and outdoor triggers
Does CDC expect applicants to implement all EXHALE strategies or just one?
The NOFO emphasizes that EXHALE strategies work best as a coordinated, multi-component approach rather than isolated activities. The intent is to combine strategies through strong cross-sector partnerships to reduce exacerbations, improve control, and narrow outcome gaps.
What kinds of activities does this grant support?
It supports public health implementation and infrastructure-building activities tied to scaling evidence-based asthma control strategies. The description highlights strengthening organizational capacity and partnerships to deliver EXHALE strategies and to address systems, environmental conditions, and social factors that contribute to unequal asthma outcomes.
What kinds of capacity or infrastructure are recipients expected to strengthen?
Recipients are expected to strengthen durable and scalable asthma-control infrastructure, including leadership and program management capacity, strategic partnerships, surveillance to understand burden and track progress, communications to reach priority populations and partners, and evaluation to measure implementation and impact.
Why does the NOFO emphasize systems and environmental approaches, not only education?
The opportunity is designed to move beyond individual-level education alone and instead address systems, environmental conditions, and social factors that help produce unequal asthma outcomes. The EXHALE framework includes strategies related to smoke exposure, home triggers, care coordination, guidelines-based medical management, and environmental policies and best practices.
What partnerships are encouraged under this cooperative agreement?
The NOFO places major emphasis on leveraging and expanding cross-sector partnerships that influence asthma outcomes. Examples mentioned include community- and faith-based groups; organizations serving racial and ethnic minority communities; tribal entities; schools and transportation systems; housing and healthcare systems; nongovernmental organizations; and direct engagement of community members.
How does CDC describe the role of partnerships in this program?
Partnerships are presented as essential to expanding reach, improving sustainability, and enabling coordinated implementation of EXHALE strategies so that effective services and policies persist beyond short-term projects.
What is meant by "surveillance" in this opportunity?
Surveillance refers to the capacity to understand asthma burden and track progress over time as implementation occurs. It is listed as a core infrastructure element recipients are expected to strengthen.
What is meant by "evaluation" in this opportunity?
Evaluation refers to measuring what is being implemented and what impact the program is having. The NOFO includes evaluation as a key capability recipients are expected to build or reinforce.
What is a cooperative agreement and how is it different from a typical grant?
This opportunity is described as a discretionary cooperative agreement, meaning CDC will typically have substantial involvement through technical assistance and collaboration, rather than only issuing funds with minimal ongoing engagement.
Which federal agency and CDC center released this funding opportunity?
The opportunity was released by the Centers for Disease Control and Prevention (CDC), National Center for Environmental Health (NCEH).
What is the activity category and CFDA number for this program?
The activity category is health, and the CFDA number listed is 93.070.
Who is eligible to apply?
The eligible applicant pool is broad and includes state, county, and city governments; special districts; independent school districts; public and private institutions of higher education; federally recognized tribal governments and other tribal organizations; public housing authorities/Indian housing authorities; and nonprofit organizations with or without 501(c)(3) status.
How many awards did CDC anticipate making?
CDC anticipated making 28 awards.
What is the maximum award amount listed for this opportunity?
The award ceiling is listed as $725,000.
When was the original closing date for applications?
The original closing date listed is April 19, 2024.
How does this opportunity relate to prior CDC asthma investments?
The NOFO states that it builds on prior CDC investments in state, local, and territorial asthma control efforts, including work previously supported under CDC-RFA-EH19-1902.
What populations are specifically highlighted as experiencing disproportionate asthma burden?
The NOFO highlights non-Hispanic Black/African American, Hispanic, and American Indian and Alaska Native communities, and it notes higher asthma prevalence among people from Puerto Rico.
What outcomes is this grant trying to improve?
The grant aims to reduce asthma exacerbations, improve asthma control and quality of life, reduce preventable emergency department use and hospitalizations, reduce preventable asthma deaths, and narrow racial, ethnic, and income-related gaps in asthma outcomes.
What is the overall approach CDC is promoting with this funding?
The overall approach is coordinated, equity-focused, and implementation-oriented: building or reinforcing the public health infrastructure and partnerships needed to deliver the EXHALE strategies at scale, with a focus on addressing the broader conditions that shape asthma outcomes.
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